0000765880us-gaap:OperatingSegmentsMemberpeak:Minneapolis240MNMemberpeak:MedicalOfficeMember2021-12-31
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-K
(Mark One)
ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.1934
For the fiscal year ended December 31, 20182021
or
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from             to             
Commission file number 001-08895
HCP,Healthpeak Properties, Inc.
(Exact name of registrant as specified in its charter)
Maryland33-0091377
(State or other jurisdiction of

incorporation or organization)
(I.R.S. Employer

Identification No.)
1920 Main Street, Suite 1200
Irvine, California
92614
(Zip Code)
(Address of principal executive offices)
5050 South Syracuse Street, Suite 800
Denver, CO 80237
(Address of principal executive offices) (Zip Code)
(720) 428-5050
(Registrant’s telephone number, including area code (949) 407-0700code)
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading Symbol(s)Name of each exchange
on which registered
Common Stock, $1.00 par valuePEAKNew York Stock Exchange
Securities registered pursuant to Section 12(g) of the Act:
None
Title of each class
Name of each exchange
on which registered
Common StockNew York Stock Exchange
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.  Yes  No ☐
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act.  Yes ☐ No 
Indicate by check mark whether the registrant;registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.  Yes   No ☐
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).  Yes   No ☐
Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K (§ 229.405 of this chapter) is not contained herein, and will not be contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K.  ☒
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer”,filer,” “smaller reporting company”company,” and "emerging“emerging growth company"company” in Rule 12b-2 of the Exchange Act.
Large accelerated filerAccelerated filer
Non-accelerated filerSmaller reporting company
Emerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.   ☐
Indicate by check mark whether the registrant has filed a report on and attestation to its management's assessment of the effectiveness of its internal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered public accounting firm that prepared or issued its audit report.   
Indicate by check mark whether the registrant is a shell company (as defined byin Rule 12b-2 of the Act.) Yes ☐ No 
State the aggregate market value of the voting and non-voting common equity held by non-affiliates computed by reference to the price at which the common equity was last sold, or the average bid and asked price of such common equity, as of the last business day of the registrant’s most recently completed second fiscal quarter: $8.7$12.8 billion.
As of February 11, 20197, 2022, there were 477,771,756539,304,127 shares of the registrant’s $1.00 par value common stock outstanding.
DOCUMENTS INCORPORATED BY REFERENCE
Portions of the definitive Proxy Statement for the registrant’s 20192022 Annual Meeting of Stockholders, to be filed with the Securities and Exchange Commission no later than 120 days after December 31, 2021, have been incorporated by reference into Part III of this Report.


HCP,

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Healthpeak Properties, Inc.
Form 10-K
For the Fiscal Year Ended December 31, 20182021
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Table of Contents
All references in this report to “HCP,“Healthpeak,” the “Company,” “we,” “us” or “our” mean HCP,Healthpeak Properties, Inc., together with its consolidated subsidiaries. Unless the context suggests otherwise, references to “HCP,“Healthpeak Properties, Inc.” mean the parent company without its subsidiaries.
Cautionary Language Regarding Forward-Looking Statements
Statements in this Annual Report on Form 10-K that are not historical factual statements are “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). Forward-looking statements include, among other things, statements regarding our and our officers’ intent, belief or expectation as identified by the use of words such as “may,” “will,” “project,” “expect,” “believe,” “intend,” “anticipate,” “seek,” “target,” “forecast,” “plan,” “potential,” “estimate,” “could,” “would,” “should” and other comparable and derivative terms or the negatives thereof. Forward-looking statements reflect our current expectations and views about future events and are subject to risks and uncertainties that could significantly affectcause actual results, including our future financial condition and results of operations. operations, to differ materially from those expressed or implied by any forward-looking statements. You are urged to carefully review the disclosures we make concerning risks and uncertainties that may affect our business and future financial performance, including those made below under “Summary Risk Factors” and in “Item 1A, Risk Factors” in this report.
Forward-looking statements are based on certain assumptions and analysis made in light of our experience and perception of historical trends, current conditions and expected future developments as well as other factors that we believe are appropriate under the circumstances.While forward-looking statements reflect our good faith belief and assumptions we believe to be reasonable based upon current information, we can give no assurance that our expectations or forecasts will be attained. Further, we cannot guarantee the accuracy of any such forward-looking statement contained in this Annual Report,Report. Except as required by law, we do not undertake, and suchhereby disclaim, any obligation to update any forward-looking statements, which speak only as of the date on which they are subject to known and unknownmade.
Risk Factors Summary
Investors should consider the risks and uncertainties described below that may affect our business and future financial performance. These and other risks and uncertainties are difficultmore fully described in “Item 1A, Risk Factors” in this report. Additional risks not presently known to predict. us or that we currently deem immaterial may also affect us. If any of these risks occur, our business, financial condition or results of operations could be materially and adversely affected.
As more fully set forth under “Item 1A, Risk Factors” in this report, theseprincipal risks and uncertainties include, among other things:
that may affect our reliance on a concentration of a small number of tenants and operators for a significant percentage of our revenues and net operating income;
thebusiness, financial condition or results of our existingoperations include:
the coronavirus (“Covid”) pandemic and future tenants, operatorshealth and borrowers, including potential bankruptciessafety measures intended to reduce its spread, the availability, effectiveness and downturnspublic usage and acceptance of vaccines, and how quickly and to what extent normal economic and operating conditions can resume within the markets in their businesses, and their legal and regulatory proceedings, which results in uncertainties regarding our ability to continue to realize the full benefit of such tenants’ and operators’ leases and borrowers’ loans;we operate;
the ability of our existing and future tenants, operators, and borrowers to conduct their respective businesses in a manner sufficient to maintain or increase their revenues and manage their expenses in order to generate sufficient income to make rent and loan payments to us and our ability to recover investments made, if applicable, in their operations;
increased competition, operating costs, and market changes affecting our tenants, operators, and borrowers;
the financial condition of our tenants, operators, and borrowers, including potential bankruptcies and downturns in their businesses, and their legal and regulatory proceedings;
our concentration of real estate investments in the healthcare property sector, particularly in senior housing, life sciences and medical office buildings, which makes our profitabilityus more vulnerable to a downturn in a specific sector than if we were investinginvested in multiple industries;industries and exposes us to the risks inherent in illiquid investments;
our ability to identify and secure replacement tenants and operators and the potential renovation costs and regulatory approvals associated therewith;
our property development, redevelopment, and tenant improvement activity risks, including project abandonments, project delays, and lower profits than expected;
changes within the life science industry;
high levels of regulation, funding requirements, expense and uncertainty faced by our life science tenants;
the ability of the hospitals on whose campuses our medical office buildings (“MOBs”) are located and their affiliated healthcare systems to remain competitive or financially viable;
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our ability to maintain or expand our hospital and health system client relationships;
operational risks associated with third party management contracts, including the additional regulation and liabilities of our RIDEA lease structures;properties operated through structures permitted by the Housing and Economic Recovery Act of 2008, which includes most of the provisions previously proposed in the REIT Investment Diversification and Empowerment Act of 2007 (commonly referred to as “RIDEA”);
the effect oneconomic and other conditions that negatively affect geographic areas from which we recognize a greater percentage of our revenue;
uninsured or underinsured losses, which could result in significant losses and/or performance declines by us andor our tenants and operators of legislation, executive orders and other legal requirements, including compliance with the Americans with Disabilities Act, fire, safety and health regulations, environmental laws, the Affordable Care Act, licensure, certification and inspection requirements, and laws addressing entitlement programs and related services, including Medicare and Medicaid, which may result in future reductions in reimbursements or fines for noncompliance;operators;
our ability to identify replacement tenants and operators and the potential renovation costs and regulatory approvals associated therewith;
the risks associated with property development and redevelopment, including costs above original estimates, project delays and lower occupancy rates and rents than expected;
the potential impact of uninsured or underinsured losses;
the risks associated with our investments in joint ventures and unconsolidated entities, including our lack of sole decision making authority and our reliance on our partners’ financial condition and continued cooperation;
our use of fixed rent escalators, contingent rent provisions and/or rent escalators based on the Consumer Price Index;
competition for the acquisition and financing of suitable healthcare properties as well as competition for tenants and operators, including with respect to new leases and mortgages and the renewal or rollover of existing leases;grow our investment portfolio;
our ability to achieve the benefits offoreclose on collateral securing our real estate-related loans;
our ability to make material acquisitions or other investments within expected time frames or at all, or within expected cost projections;and successfully integrate them;
the potential impact on us and our tenants, operators, and borrowers from current and future litigation matters, including the possibility of larger than expected litigationrising liability and insurance costs;
an increase in our borrowing costs, adverse results and related developments;including due to higher interest rates;


changes in federal, state or local laws and regulations, including those affecting the healthcare industry that affect our costs of compliance or increase the costs, or otherwise affect the operations, of our tenants and operators;
our ability to foreclose on collateral securing our real estate-related loans;
volatility or uncertainty in the capital markets, the availability and cost of external capital as impacted byon acceptable terms or at all, including due to rising interest rates, changes in our credit ratings and the value of our common stock, volatility or uncertainty in the capital markets, and other conditions that may adversely impactfactors;
cash available for distribution to stockholders and our ability to fund make dividend distributions at expected levels;
our obligations or consummate transactions, or reduceability to manage our indebtedness level and covenants in and changes to the earnings from potential transactions;terms of such indebtedness;
changes in global, national and local economic and other conditions,conditions;
laws or regulations prohibiting eviction of our tenants;
the failure of our tenants, operators, and borrowers to comply with federal, state and local laws and regulations, including currency exchange rates;resident health and safety requirements, as well as licensure, certification, and inspection requirements;
required regulatory approvals to transfer our senior housing properties;
compliance with the Americans with Disabilities Act and fire, safety and other regulations;
the requirements of, or changes to, governmental reimbursement programs such as Medicare or Medicaid;
legislation to address federal government operations and administration decisions affecting the Centers for Medicare and Medicaid Services;
our participation in the Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”) Provider Relief Fund and other Covid-related stimulus and relief programs;
provisions of Maryland law and our charter that could prevent a transaction that may otherwise be in the interest of our stockholders;
environmental compliance costs and liabilities associated with our real estate investments;
our ability to managemaintain our indebtedness levelqualification as a real estate investment trust (“REIT”);
changes to U.S. federal income tax laws, and changespotential deferred and contingent tax liabilities from corporate acquisitions;
calculating non-REIT tax earnings and profits distributions;
ownership limits in our charter that restrict ownership in our stock;
the termsloss or limited availability of such indebtedness;
competition for skilled management and otherour key personnel; and
our reliance on information technology systems and the potential impact of system failures, disruptions or breaches; andbreaches.
our ability to maintain our qualification as a real estate investment trust (“REIT”).
2
Except as required by law, we do not undertake, and hereby disclaim, any obligation to update any forward-looking statements, which speak only as

Table of the date on which they are made.Contents

PART I
ITEM 1.    Business
General Overview
ITEM 1.Business
General Overview

HCP, an Healthpeak Properties, Inc. is a Standard & Poor’s (“S&P&P”) 500 company invests primarily inthat acquires, develops, owns, leases, and manages healthcare real estate serving the healthcare industry inacross the United States (“U.S.”). Our company was originally founded in 1985. We are a Maryland corporation organized in 1985 and qualify as a self-administered real estate investment trust. WeREIT. Our corporate headquarters are headquarteredlocated in Denver, Colorado, and we have additional offices in Irvine, California with offices in Nashville and San Francisco. Our diverse portfolio is comprisedFranklin, Tennessee.
During 2020, we began the process of investments in the following reportable healthcare segments: (i)disposing of our senior housing triple-net (ii)and senior housing operating portfolioproperty (“SHOP”), (iii) portfolios. In September 2021, we successfully completed the disposition of both portfolios. Refer to the discussion of recent dispositions in “Item 7, Management's Discussion and Analysis of Financial Condition and Results of Operations—Overview of Transactions” for additional information. As of December 31, 2020, we concluded that the planned dispositions represented a strategic shift that had and will have a major effect on our operations and financial results and, therefore, the assets are classified as discontinued operations in all periods presented herein. See Note 5 to the Consolidated Financial Statements for further information regarding discontinued operations.
In conjunction with the disposal of our senior housing triple-net and SHOP portfolios, we focused our strategy on investing in a diversified portfolio of high-quality healthcare properties across our three core asset classes of life science, medical office, and continuing care retirement community (“CCRC”) real estate. Under the life science and (iv) medical office. office segments, we invest through the acquisition, development and management of life science buildings, MOBs, and hospitals. Under the CCRC segment, our properties are operated through RIDEA structures. We have other non-reportable segments that are comprised primarily of debt investments and an interest in an unconsolidated joint venture that owns 19 senior housing assets (our “SWF SH JV”).
At December 31, 2018, we had 201 full-time employees.2021, our portfolio of investments, including properties in our unconsolidated joint ventures, consisted of interests in 484 properties. The following table summarizes information for our reportable segments, excluding discontinued operations, for the year ended December 31, 2021 (dollars in thousands):
Segment
Total Portfolio Adjusted NOI(1)(2)
Percentage of Total Portfolio Adjusted NOI(1)
Number of Properties
Life science$503,927 49 %150 
Medical office413,157 40 %300 
CCRC95,577 %15 
Other non-reportable17,484 %19 
Totals$1,030,145 100 %484 

(1)Total Portfolio metrics include results of operations from disposed properties through the disposition date. See “Item 7, Management's Discussion and Analysis of Financial Condition and Results of Operations—Non-GAAP Financial Measures” for additional information regarding Adjusted NOI and see Note 16 to the Consolidated Financial Statements for a reconciliation of Adjusted NOI by segment to net income (loss).
(2)For the year ended December 31, 2021, Adjusted NOI for our senior housing triple-net and SHOP portfolios was $7 million and $4 million, respectively. Operating results for these portfolios are reported as discontinued operations for all periods presented herein.
For a description of our significant activities during 2018,2021, see “Item 7, Management's Discussion and Analysis of Financial Condition and Results of Operations—2018 Transaction Overview”Overview of Transactions” in this report.
Business Strategy

We invest in and manage our real estate portfolio for the long-term to maximize the benefit to our stockholders and support the growth of our dividends. TheOur strategy consists of four core elements of our strategy are to:elements:
Acquire, develop, lease, own and manage a diversified(i)Our real estate: Our portfolio of quality healthcareis grounded in high-quality properties across multiple geographic locations and business segments, including senior housing, in desirable locations. We focus on three purposely selected private pay asset classes—life science, and medical office, among others;and continuing care retirement community—to provide stability through inevitable market cycles.
Maintain an investment grade(ii)Our financials: We maintain a strong investment-grade balance sheet with adequateample liquidity andas well as long-term fixed ratefixed-rate debt financing with staggered maturities in order to support the longer-term nature of our investments, while reducingreduce our exposure to interest rate volatility and refinancing risk at any point in the interest rate or credit cycles;risk.
Align ourselves
3

(iii)Our partnerships: We work with leading healthcare companies, operators, and service providers and are responsive to their space and capital needs. We provide high-quality property management services to encourage tenants to renew, expand, and relocate into our properties, which over the long-term, should result in higher relativedrives increased occupancy, rental rates, net operating cash flows and appreciation of property values;values.
(iv)Our platform: We have a people-first culture that we believe attracts, develops, and
Pursue operational excellence retains top talent. We continually strive to maximize the value ofcreate and maintain an industry-leading platform with systems and tools that allow us to effectively and efficiently manage our investments.assets and investment activity.
Internal Growth Strategies
We believe our real estate portfolio holds the potential for increased future cash flows as it is well-maintained and in desirable locations. Our strategy for maximizing the benefits from these opportunities is to: (i) work with new or existing tenants and operators to address their space and capital needs;needs and (ii) provide high-quality property management services in order to motivate tenants to renew, expand, or relocate into our properties.
We expect to continue our internal growth as a result of our ability to:
Build and maintain long-term leasing and management relationships with quality tenants and operators. In choosing locations for our properties, we focus on theirthe physical environment, adjacency to established businesses (e.g., hospital systems) and educational centers, proximity to sources of business growth, and other local demographic factors.
Replace tenants and operators at the best available market terms and lowest possible transaction costs. We believe that we are well-positioned to attract new tenants and operators and achieve attractive rental rates and operating cash flow as a result of the location, design, and maintenance of our properties, together with our reputation for high-quality building services and responsiveness to tenants, and our ability to offer space alternatives within our portfolio.
Extend and modify terms of existing leases prior to expiration. We structure lease extensions, early renewals, or modifications, which reduce the cost associated with lease downtime or the re-investment risk resulting from the exercise of tenants’ purchase options, while securing the tenancy and relationship of our high quality tenants and operators on a long-term basis.
Investment Strategies
The delivery of healthcare services requires real estate and, as a result, tenants and operators depend on real estate, in part, to maintain and grow their businesses. We believe that the healthcare real estate market provides investment opportunities due to the: (i) compelling long-term demographics driving the demand for healthcare services; (ii) specialized nature of healthcare real estate investing; and (iii) ongoing consolidation of the fragmented healthcare real estate sector.

While we emphasize healthcare real estate ownership, we may also provide real estate secured financing to, or invest in equity or debt securities of, healthcare operators or other entities engaged in healthcare real estate ownership. We may also acquire all or substantially all of the securities or assets of other REITs, operating companies, or similar entities where such investments would be consistent with our investment strategies. We may co-invest alongside institutional or development investors through partnerships or limited liability companies.
We monitor, but do not limit, our investments based on the percentage of our total assets that may be invested in any one property type, investment vehicle, or geographic location, the number of properties that may be leased to a single tenant or operator, or loans that may be made to a single borrower. In allocating capital, we target opportunities with the most attractive risk/reward profile for our portfolio as a whole. We may take additional measures to mitigate risk, including diversifying our investments (by sector, geography, tenant, or operator), structuring transactions as master leases, requiring tenant or operator insurance and indemnifications, andand/or obtaining credit enhancements in the form of guarantees, letters of credit, or security deposits.
We believe we are well-positioned to achieve external growth through acquisitions, financing, and development. Other factors that contribute to our competitive position include:
our reputation gained through over 3035 years of successful operations and the strength of our existing portfolio of properties;
our relationships with leading healthcare operators and systems, investment banks and other market intermediaries, corporations, private equity firms, non-profitsnot-for-profit organizations, and public institutions seeking to monetize existing assets or develop new facilities;
our relationships with institutional buyers and sellers of high-quality healthcare real estate;
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our track record and reputation for executing acquisitions responsively and efficiently, which provides confidence to domestic and foreign institutions and private investors who seek to sell healthcare real estate in our market areas;
our relationships with nationally recognized financial institutions that provide capital to the healthcare and real estate industries; and
our control of sites (including assets under contract with radius restrictions).
Financing Strategies
Our REIT qualification requires us to distribute at least 90% of our REIT taxable income (excluding net capital gains); therefore, we do not retain a significant amount of capital.earnings. As a result, we regularly access the public equity and debt markets to raise the funds necessary to finance acquisitions and debt investments, develop and redevelop properties, and refinance maturing debt. 
We may finance acquisitions and other investments primarily through the following vehicles:
cash flow from operations;
sale or exchange of ownership interests in properties or other investments;
borrowings under our credit facility;facility or commercial paper program;
issuance or origination of additional debt, including unsecured notes, term loans, and mortgage debt; and/or
sale of ownership interests in properties or other investments; or
issuance of common stock or preferred stock or its equivalent.
We maintain a disciplined investment-grade balance sheet by actively managing our debt to equity levels and maintaining access to multiple sources of liquidity. Our debt obligations are primarily long-term fixed rate with staggered maturities.
We finance our investments based on our evaluation of available sources of funding. For short-term purposes, we may utilize our revolving line of credit facility or commercial paper program, arrange for other short-term borrowings from banks or other sources, or issue equity securities pursuant to our at-the-market equity offering program. We arrange for longer-term financing by offering debt and equity, securities, placing mortgage debt, and obtaining capital from institutional lenders and joint venture partners.
Segments

Senior housing (triple-net and senior housing operating portfolio, or SHOP)
Our senior housing properties are owned either through triple-net leases with third party tenant-operators or through so-called RIDEA structures, which is permitted by the Housing and Economic Recovery Act of 2008, and includes most of the provisions previously proposed in the REIT Investment Diversification and Empowerment Act of 2007 (commonly referred to as “RIDEA”).

Our senior housing properties include independent living facilities (“ILFs”), assisted living facilities (“ALFs”), memory care facilities (“MCFs”), and continuing care retirement communities (“CCRCs”), which cater to different segments of the elderly population based upon their personal needs. The services provided by our third party tenant-operators under triple-net leases or by our third-party manager-operators under a RIDEA structure at our properties are primarily paid for by the residents directly or through private insurance and are less reliant on government reimbursement programs such as Medicare and Medicaid.
Our triple-net leases are typically long-term agreements with third party tenant-operators. Under triple-net leases, our tenant-operators are typically responsible for the ongoing expenses of the property, including real estate taxes, insurance, and maintenance, in addition to paying the rent and utilities. Additionally, operational risks and liabilities are the responsibility of our tenant-operator, including with respect to any employment matters, compliance with healthcare and other laws and liabilities relating to personal injury-tort matters, resident-patient quality of care claims and governmental reimbursement matters.
A RIDEA structure allows us, through a taxable REIT subsidiary (“TRS”), to receive cash flow from the operations of a healthcare facility (as compared to only receiving contractual rent from a third-party tenant-operator under a triple-net lease structure) in compliance with REIT tax requirements. The criteria for operating a healthcare facility through a RIDEA structure require us to lease the facility to an affiliate TRS under a triple-net lease, and for such affiliate TRS to engage an independent qualifying management company (also known as an eligible independent contractor or third-party operator) to manage and operate the day-to-day business of the facility in exchange for a management fee. As a result, under a RIDEA structure, we are required to rely on a third-party operator to hire and train all facility employees, enter into all third-party contracts for the benefit of the facility, including resident/patient agreements, comply with laws, including but not limited to healthcare laws, and provide resident care. We are substantially limited in our ability to control or influence day-to-day operations under a RIDEA structure, and thus rely on the third-party tenant-operator to manage and operate the business.
Unlike our triple-net leased properties, through our TRS, we bear all operational risks and liabilities associated with the operation of these properties, with limited exceptions, such as a third-party operator’s gross negligence or willful misconduct. These operational risks and liabilities include those relating to any employment matters of our operator, compliance with healthcare and other laws and liabilities relating to personal injury-tort matters, resident-patient quality of care claims, and any governmental reimbursement matters, even though we have limited ability to control or influence our third-party operators’ management of these risks.
We view RIDEA as an important structure for senior housing properties that present attractive valuation entry points and/or growth profiles, and this structure has become the preferred structure (as opposed to triple-net leases) among most high-quality operators in the senior housing industry. Many of the management agreements we have in RIDEA structured transactions have terms ranging from 5 to 15 years, with mutual renewal options. The base management fees are typically 4.5% to 5.0% of gross revenues (as defined) generated by the RIDEA properties. In addition, there are sometimes incentive management fees payable to our third-party operators if operating results of the RIDEA properties exceed pre-established thresholds. Conversely, there are sometimes provisions in the management agreements that reduce management fees payable to our third-party operators if operating results do not meet certain pre-established thresholds.
Our senior housing property types under both triple-net leases and RIDEA structures are further described below:
Independent Living Facilities. ILFs are designed to meet the needs of seniors who choose to live in an environment surrounded socially by their peers with services such as housekeeping, meals and activities. Additionally, the programs and services may include transportation, social activities, exercise and fitness programs, beauty or barber shop access, hobby and craft activities, community excursions, meals in a dining room setting and other activities sought by residents. These residents generally do not need assistance with activities of daily living (“ADL”). However, in some of our facilities, residents have the option to contract for these services.
Assisted Living Facilities. ALFs are licensed care facilities that provide personal care services, support and housing for those who need help with ADL, such as bathing, eating, dressing and medication management, yet require limited medical care. These facilities are often in apartment-like buildings with private residences ranging from single rooms to large apartments. Certain ALFs may have a dedicated portion of a facility that offers higher levels of personal assistance for residents requiring memory care as a result of Alzheimer’s disease or other forms of dementia. Levels of personal assistance are based in part on local regulations.
Memory Care Facilities.  MCFs address the unique challenges of residents with Alzheimer’s disease or other forms of dementia. Residents may live in semi-private apartments or private rooms and have structured activities delivered by staff members trained specifically on how to care for residents with memory impairment. These facilities offer programs that provide comfort and care in a secure environment.
Continuing Care Retirement Communities. CCRCs offer several levels of service, including independent living, assisted living and skilled nursing home care. CCRCs are different from other housing and care options for seniors because they usually provide written agreements or long-term contracts between residents and the communities (frequently lasting the term

of the resident’s lifetime), which offer a continuum of housing, services and healthcare on one campus or site. CCRCs are appealing as they allow residents to “age in place.” CCRCs typically require the individual to be in relatively good health and independent upon entry.
The following table provides information about our senior housing triple-net tenant concentration for the year ended December 31, 2018:
Tenant 
Percentage of
Segment Revenues
 
Percentage of
Total Revenues
Brookdale Senior Living, Inc. (“Brookdale”)(1)
��38% 6%

(1)Excludes facilities operated by Brookdale in our SHOP segment, as discussed below. Percentages of segment and total revenues include partial-year revenue earned from senior housing triple-net facilities that were sold during 2018. Accordingly, the percentages of segment and total revenues are expected to decrease in 2019 (see Note 3 in the Consolidated Financial Statements).
As of December 31, 2018, Brookdale operated, in our SHOP segment, approximately 7% of our real estate investments based on total assets. Because third-party operators manage our RIDEA properties in exchange for the receipt of a management fee, we are not directly exposed to the credit risk of these operators in the same manner or to the same extent as our triple-net tenants.
Life science
TheseOur life science properties, which contain laboratory and office space, are leased primarily forto biotechnology, medical device and pharmaceutical companies, scientific research institutions, government agencies, and other organizations involved in the life science industry. While these properties have characteristics similar to commercial office buildings, they generally contain more advanced electrical, mechanical, and heating, ventilating, and air conditioning systems. The facilities generally have specialty equipment including emergency generators, fume hoods, lab bench tops, and related amenities. In addition to improvements funded by us as the landlord, many instances,of our life science tenants make significant investments to improve their leased space in addition to landlord improvements, to accommodate biology, chemistry, or medical device research initiatives.
Life science properties are primarily configured in business park or campus settings and include multiple buildings. The business park and campus settings allow us the opportunity to provide flexible, contiguous/adjacent expansion to accommodate the growth of existing tenants. Our properties are located in well-established geographical markets known for scientific research and drug discovery, including San Francisco (56%(49%) and San Diego (31%(22%), California, and Boston, Massachusetts and Durham, North Carolina(24%) (based on available square feet). At December 31, 2018, 91%2021, 88% of our life science properties were triple-net leased (based on leased square feet).
The following table provides information about our most significant life science tenant concentration for the year ended December 31, 2018:2021:
TenantsPercentage of
Segment Revenues
Percentage of
Total Revenues
Amgen, Inc.%%
5

Tenants 
Percentage of
Segment Revenues
 
Percentage of
Total Revenues
Amgen, Inc. 14% 3%
Medical office
MedicalOur medical office segment includes medical office buildings (“MOBs”)(MOBs) and hospitals. MOBs typically contain physicians’ offices and examination rooms, and may also include pharmacies, hospital ancillary service space, and outpatient services such as diagnostic centers, rehabilitation clinics, and day-surgery operating rooms. While these facilities are similar to commercial office buildings, they require additional plumbing, electrical, and mechanical systems to accommodate multiple exam rooms that may require sinks in every room and special equipment such as x-ray machines. In addition, MOBs are often built to accommodate higher structural loads for certain equipment and may contain vaults or other specialized construction. Our MOBs are typically multi-tenant properties leased to healthcare providers (hospitals and physician practices), with approximately 82%87% of our MOBs located on or adjacent to hospital campuses and 94%98% affiliated with hospital systems as of December 31, 2021 (based on available square feet). Occasionally, we invest in MOBs located on hospital campuses which may be subject to ground leases. At December 31, 2018,2021, approximately 55%65% of our MOBs were net leased (based on leased square feet) with the remaining leased under gross or modified gross leases.

The following table provides information about our most significant medical office tenant concentration for the year ended December 31, 2018:2021:
TenantPercentage of
Segment Revenues
Percentage of
Total Revenues
HCA Healthcare, Inc. (HCA)22 %%
Tenant 
Percentage of
Segment Revenues
 
Percentage of
Total Revenues
Hospital Corporation of America ("HCA")(1)
 16% 6%

(1)Percentage of total revenues from HCA includes revenues earned from both our medical office and other non-reportable segments.
Other non-reportable segments.  At December 31, 2018, we had interests in 14 hospitals, one post-acute/skilled nursing facility (“SNF”) and debt investments. Additionally, we had interests in 25 senior housing facilities, 68 care homes in the United Kingdom (“U.K.”), three MOBs and three SNFs owned and operated by our unconsolidated joint ventures.Our medical office segment also includes nine hospitals. Services provided by our tenants and operators in hospitals are paid for by private sources, third-party payors (e.g., insurance and HMOs), or through Medicare and Medicaid programs. Our hospital property types include acute care, long-term acute care, and specialty and rehabilitation hospitals. Care homes offer personal care services, such as lodging, meal services, housekeeping and laundry services, medication management and assistance with ADL. Care homes are registered to provide different levels of services, ranging from personal care to nursing care. Some homes can be further registered for a specific care need, such as dementia or terminal illness. SNFs offer restorative, rehabilitative and custodial nursing care for people following a hospital stay or not requiring the more extensive and complex treatment available at hospitals. All of our hospitals are triple-net leased.
Continuing care homesretirement community, or CCRC
CCRCs are retirement communities that include independent living, assisted living, and skilled nursing units to provide a continuum of care in an integrated campus. Our CCRCs are owned through RIDEA structures, which is permitted by the Housing and Economic Recovery Act of 2008, and includes most of the provisions previously proposed in the U.K.REIT Investment Diversification and Empowerment Act of 2007 (commonly referred to as “RIDEA”). The services provided by our third-party manager-operators under a RIDEA structure at our properties are primarily paid for by the residents directly or through private insurance and are less reliant on government reimbursement programs such as Medicare and Medicaid.
A RIDEA structure allows us, through a taxable REIT subsidiary (“TRS”), hospitals,to receive cash flow from the operations of a healthcare facility in compliance with REIT tax requirements. The criteria for operating a healthcare facility through a RIDEA structure require us to lease the facility to an affiliate TRS and SNFsfor such affiliate TRS to engage an independent qualifying management company (also known as an eligible independent contractor or third-party operator) to manage and operate the day-to-day business of the facility in exchange for a management fee. As a result, under a RIDEA structure, we are required to rely on a third-party operator to hire and train all facility employees, enter into third-party contracts for the benefit of the facility, including resident/patient agreements, comply with laws, including healthcare laws, and provide resident care. We are substantially limited in our ability to control or influence day-to-day operations under a RIDEA structure, and thus rely on the third-party operator to manage and operate the business.
Through our TRS entities, we bear all operational risks and liabilities associated with the operation of these properties, with limited exceptions, such as a third-party operator’s gross negligence or willful misconduct. These operational risks and liabilities include those relating to any employment matters of our operator, compliance with healthcare and other laws, liabilities relating to personal injury-tort matters, resident-patient quality of care claims, and any governmental reimbursement matters, even though we have limited ability to control or influence our third-party operators’ management of these risks.
The management agreements we have in RIDEA structures related to CCRCs have original terms ranging from 10 to 15 years, with mutual renewal options. There are base management fees and incentive management fees payable to our third-party operators if operating results of the RIDEA properties exceed pre-established thresholds. Conversely, there are also provisions in the management agreements that reduce management fees payable to our third-party operators if operating results do not meet certain pre-established thresholds.
CCRCs are different from other housing and care options for seniors because they typically provide written agreements or long-term contracts between residents and the communities (frequently lasting the term of the resident’s lifetime), which offer a continuum of housing, services, and healthcare on one campus or site. CCRCs are appealing as they allow residents to “age in place” and typically require the individual to be independent and in relatively good health upon entry.
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As third-party operators manage our RIDEA properties in exchange for the receipt of a management fee, we are not directly exposed to the credit risk of these operators in the same manner or to the same extent as a triple-net leased.tenant.
Other non-reportable segment
At December 31, 2021, we had the following investments in our other non-reportable segments: (i) our unconsolidated joint venture with a sovereign wealth fund that owns 19 senior housing assets (which we refer to as our SWF SH JV), and (ii) debt investments.
The properties in our SWF SH JV are owned through RIDEA structures and include independent living facilities and assisted living facilities, which cater to different segments of the elderly population based upon their personal needs. These facilities are often in apartment-like buildings with private residences ranging from single rooms to large apartments.
Competition

Investing in real estate serving the healthcare industry is highly competitive. We face competition from other REITs, investment companies, pension funds, private equity investors, sovereign funds, healthcare operators, lenders, developers, and other institutional investors, some of whom may have greater flexibility (e.g., non-REIT competitors), greater resources, and lower costs of capital than we do. Increased competition makesand resulting capitalization rate compression make it more challenging for us to identify and successfully capitalize on opportunities that meet our objectives. Our ability to compete may also be impacted by global, national, and local economic trends, availability of investment alternatives, availability and cost of capital, construction and renovation costs, existing laws and regulations, new legislation, and population trends.
Income from our investments depends on our tenants’ and operators’ ability to compete with other companies on multiple levels, including: (i) the quality of care provided, (ii) reputation, (iii) success of product or drug development, (iv) price, (v) the range of services offered, (vi) the physical appearance of a facility, price and range of services offered,(vii) alternatives for healthcare delivery, (viii) the supply of competing properties, (ix) physicians, (x) staff, (xi) referral sources, (xii) location, (xiii) the size and demographics of the population in surrounding areas, and (xiv) the financial condition of our tenants and operators. For a discussion of the risks associated with competitive conditions affecting our business, see “Item 1A, Risk Factors” in this report.
Government Regulation, Licensing and Enforcement

Overview
Our healthcare facility operators (which include our TRSsTRS entities when we use a RIDEA structure) and tenants are typically subject to extensive and complex federal, state, and local healthcare laws and regulations relating to quality of care, licensure and certificate of need, government reimbursement, fraud and abuse practices, and similar laws governing the operation of healthcare facilities, and we expect that the healthcare industry, in general, will continue to face increased regulation and pressure in the areas of fraud, waste and abuse, cost control, healthcare management, and provision of services, among others. These regulations are wide ranging and can subject our tenants and operators to civil, criminal, and administrative sanctions. Affected tenants and operators may find it increasingly difficult to comply with this complex and evolving regulatory environment because of a relative lack of guidance in many areas as certain of our healthcare properties are subject to oversight from several government agencies, and the laws may vary from one jurisdiction to another. Changes in laws, regulations, reimbursement enforcement activity, and regulatory non-compliance by our tenants and operators can all have a significant effect on their operations and financial condition, which in turn may adversely impact us, as detailed below and set forth under “Item 1A, Risk Factors” in this report.

The following is a discussion of certain laws and regulations generally applicable to our operators, and in certain cases, to us.
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Fraud and Abuse Enforcement
There are various extremely complex U.S. federal and state laws and regulations (and in relation to our facilities located in the U.K., national laws and regulations of England, Scotland, Northern Ireland, and Wales) governing healthcare providers’ relationships and arrangements and prohibiting fraudulent and abusive practices by such providers. These laws include: (i) U.S. federal and state false claims acts, and U.K. anti-fraud legislation and regulation, which, among other things, prohibit providers from filing false claims or making false statements to receive payment from Medicare, Medicaid, or other U.S. federal or state or U.K. healthcare programs; (ii) U.S. federal and state anti-kickback and fee-splitting statutes, including the Medicare and Medicaid anti-kickback statute, which prohibit or restrict the payment or receipt of remuneration to induce referrals or recommendations of healthcare items or services, and U.K. legislation and regulations on financial inducements and vested interests;services; (iii) U.S. federal and state physician self-referral laws (commonly referred to as the “Stark Law”), which generally prohibit referrals by physicians to entities with which the physician or an immediate family member has a financial relationship; and (iv) the federal Civil Monetary Penalties Law, which prohibits, among other things, the knowing presentation of a false or fraudulent claim for certain healthcare services. Violations of U.S. and U.K. healthcare fraud and abuse laws carry civil, criminal, and administrative sanctions, including punitive sanctions, monetary penalties, imprisonment, denial of Medicare and Medicaid reimbursement, and potential exclusion from Medicare, Medicaid or other federal or state healthcare programs. These laws are enforced by a variety of federal, state, and local agencies and in the U.S. can also be enforced by private litigants through, among other things, federal and state false claims acts, which allow private litigants to bring qui tam or “whistleblower” actions. Many of ourOur tenants and operators that participate in government reimbursement programs are subject to these laws, and may become the subject of governmental enforcement actions or whistleblower actions if they fail to comply with applicable laws. Additionally, beginning in November 2019, the licensed operators of our U.S. long-term care facilities will bethat participate in government reimbursement programs are required to have compliance and ethics programs that meet the requirements of federal laws and regulations relating to the Social Security Act. WeWhere we have begun the process of developingused a RIDEA structure, we are dependent on management companies to fulfill our compliance obligations, and implementingwe have developed a program to periodically monitor compliance with such programs.obligations.
Laws and Regulations Governing Privacy and Security
There are various U.S. federal and state and U.K. privacy laws and regulations, including the privacy and security rules contained in the Health Insurance Portability and Accountability Act of 1996 (commonly referred to as “HIPAA”) and the U.K. Data Protection Act 1998, which, that provide for the privacy and security of personal health information. An increasing focus of the U. S. Federal Trade Commission’s (“FTC’s”) consumer protection regulation is the impact of technological change on protection of consumer privacy. The FTC, as well as state attorneys general, have taken enforcement action against companies that do not abide by their representations to consumers regarding electronic security and privacy. To the extent we or our affiliated operating entities are a covered entity or business associate under HIPAA and the Health Information Technology for Economic and Clinical Health Act (the “HITECH Act”), compliance with those requirements would require us to, among other things, conduct a risk analysis, implement a risk management plan, implement policies and procedures, and conduct employee training. In most cases, we are dependent on our tenants and management companies to fulfill our compliance obligations, and we are in the process of developing programshave developed a program to complyperiodically monitor compliance with aspects of these laws that cannot be delegated to third parties.such obligations. Because of the far reaching nature of these laws, there can be no assurance that we would not be required to alter one or more of our systems and data security procedures to be in compliance with these laws. Our failure to protect health information could subject us to civil or criminal liability and adverse publicity, and could harm our business and impair our ability to attract new customers and residents. We may be required to notify individuals, as well as government agencies and the media, if we experience a data breach.
Reimbursement
Sources of revenue for some of our tenants and operators include, among others, governmental healthcare programs, such as the federal Medicare programs and state Medicaid programs, and in the U.K., the National Health Service (“NHS”) and local authority funding, and non-governmental third-party payors, such as insurance carriers and HMOs. As federal and state governments focus on healthcare reform initiatives, and as the federal government and many states face significant current and future budget deficits, efforts to reduce costs by these payors will likely continue, which may result in reduced or slower growth in reimbursement for certain services provided by some of our tenants and operators. Similarly, in the U.K., the NHS and the local authorities are undertaking efforts to reduce costs, which may result in reduced or slower growth in reimbursement for certain services provided by our U.K. tenants and operators. Additionally, new and evolving payor and provider programs in the U.S., including but not limited to Medicare Advantage, Dual Eligible, Accountable Care Organizations, and Bundled Payments could adversely impact our tenants’ and operators’ liquidity, financial condition, or results of operations.

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Healthcare Licensure and Certificate of Need
Certain healthcare facilities in our portfolio (including our facilities located in the U.K.) are subject to extensive national, federal, state, and local licensure, certification, and inspection laws and regulations. A healthcare facility’s failure to comply with these laws and regulations could result in a revocation, suspension, restriction, or non-renewal of the facility’s license and loss of a certificate of need, which could adversely affect the facility’s operations and ability to bill for items and services provided at the facility. In addition, various licenses and permits are required to handle controlled substances (including narcotics), operate pharmacies, handle radioactive materials, and operate equipment. Many states in the U.S. require certain healthcare providers to obtain a certificate of need, which requires prior approval for the construction, expansion, or closure of certain healthcare facilities. The approval process related to state certificate of need laws may impact the ability of some of our tenants and operators to expand or change their businesses.
Product Approvals
While our life science tenants include some well-established companies, other tenants are less established and, in some cases, may not yet have a product approved by the Food and Drug Administration, or other regulatory authorities, for commercial sale. Creating a new pharmaceutical product or medical device requires substantial investments of time and capital, in part because of the extensive regulation of the healthcare industry; itindustry. It also entails considerable risk of failure in demonstrating that the product is safe and effective and in gaining regulatory approval and market acceptance.
Senior Housing Entrance Fee Communities
Certain of our senior housing facilities, primarily theOur CCRCs in our unconsolidated joint ventures, are operated as entrance fee communities. Generally, an entrance fee is an upfront fee or consideration paid by a resident, a portion of which may be refundable, in exchange for some form of long-term benefit, typically consisting of a right to receive certain personal or health care services. Some ofIn certain states (including the ones in which we operate) entrance fee communities are subject to significant state regulatory oversight, including, for example, oversight of each facility’s financial condition, establishment and monitoring of reserve requirements and other financial restrictions, the right of residents to cancel their contracts within a specified period of time, the right of residents to receive a refund of their entrance fees, lien rights in favor of the residents, restrictions on change of ownership, and similar matters.
Americans with Disabilities Act (the “ADA”(“ADA”)
Our properties must comply with the ADA and any similar state or local laws to the extent that such properties are “public accommodations” as defined in those statutes. The ADA may require removal of barriers to access by persons with disabilities in certain public areas of our properties where such removal is readily achievable. To date, we have not received any notices of noncompliance with the ADA that have caused us to incur substantial capital expenditures to address ADA concerns. Should barriers to access by persons with disabilities be discovered at any of our properties, we may be directly or indirectly responsible for additional costs that may be required to make facilities ADA-compliant. Noncompliance with the ADA could result in the imposition of fines or an award of damages to private litigants. The obligation to make readily achievable accommodations pursuant to the ADA is an ongoing one, and we continue to assess our properties and make modifications as appropriate in this respect.
Environmental Matters
A wide variety of federal, state, and local environmental and occupational health and safety laws and regulations affect healthcare facility operations. These complex federal and state statutes, and their enforcement, involve a myriad of regulations, many of which involve strict liability on the part of the potential offender. Some of these federal and state statutes may directly impact us. Under various federal, state, and local environmental laws, ordinances, and regulations, an owner of real property or a secured lender, such as us, may be liable for the costs of removal or remediation of hazardous or toxic substances at, under or disposed of in connection with such property, as well as other potential costs relating to hazardous or toxic substances (including government fines and damages for injuries to persons and adjacent property). The cost of any required remediation, removal, fines or personal or property damages and any related liability therefore could exceed or impair the value of the property and/or the assets. In addition, the presence of such substances, or the failure to properly dispose of or remediate such substances, may adversely affect the value of such property and the owner’s ability to sell or rent such property or to borrow using such property as collateral, which, in turn, could reduce our earnings. For a description of the risks associated with environmental matters, see “Item 1A, Risk Factors” in this report.
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Insurance

We obtain various types of insurance to mitigate the impact of property, business interruption, liability, flood, windstorm, earthquake, fire, environmental, and terrorism-related losses. We attempt to obtain appropriate policy terms, conditions, limits, and deductibles considering the relative risk of loss, the cost of such coverage, and current industry practice. There are, however, certain

types of extraordinary losses, such as those due to acts of war or other events, that may be either uninsurable or not economically insurable. In addition, we have a large number of properties that are exposed to earthquake, flood, and windstorm occurrences, which carry higher deductibles.
We maintain property insurance for all of our properties. Tenants under triple-net leases primarily in our senior housing triple-net segment, are required to provide primary property, business interruption, and liability insurance. We maintain separate general and professional liability insurance for our SHOP andCCRC facilities. Additionally, our corporate general liability insurance program also extends coverage for all of our properties beyond the aforementioned. We periodically review whether we or our RIDEA operators will bear responsibility for maintaining the required insurance coverage for the applicable SHOP and CCRC properties, but the costs of such insurance are facility expenses paid from the revenues of those properties, regardless of who maintains the insurance.
We also maintain directors and officers liability insurance, which provides protection for claims against our directors and officers arising from their responsibilities as directors and officers. Such insurance also extends to us in certain situations.
Sustainability

We believe that sustainabilityenvironmental, social and governance (“ESG”) initiatives are a vital part of corporate responsibility, which supports our primary goal of increasing stockholder value through profitable growth. We continue to advance our commitment to sustainability, with a focus on achieving goals in each of the environmental, socialESG dimensions. Our Nominating and governance (“ESG”) dimensionsCorporate Governance Committee of sustainability.the Board oversees ESG matters, other than human capital matters that our Compensation and Human Capital Committee of the Board oversees as described below.
Our environmental management programs strive to make our buildings more resilient and capture cost efficiencies that ultimately benefit our investors, employees, tenants, operators, employeesbusiness partners, and other stakeholders, while providing a positive impact on the communities in which we operate. We regularly assess the risks and financial impacts to our business posed by climate change, including physical climate risks, potential business disruption, and regulatory requirements.
Our social responsibility committeeCompensation and Human Capital Committee of the Board oversees human capital matters, including culture, diversity, equity, inclusion, talent acquisition and development, compensation, and succession planning, discussed below under “—Human Capital Matters.” In addition, our Social Responsibility Committee leads our local philanthropic and volunteer activities, and ouractivities. Our transparent corporate governance initiatives incorporate sustainability as a critical component in achieving our business objectives and properly managing risks.
Our 2018 sustainability achievements include being recognizednumerous ESG recognitions in2021include:
Short-listed for Best Proxy Statement by the CDP (formerly the Carbon Disclosure Project) 2018 Climate Change Program. We completed CDP’s annual investor surveyIR Magazine and Corporate Secretary for the seventhsecond consecutive year receivedin recognition of our leading proxy statement disclosure practices
Received a score of A-Green Star rating from the Global Real Estate Sustainability Benchmark (GRESB) for our disclosure and were named to the Leadership Band. CDP collects and publishes the environmental data on behalf of more than 650 investors. We were also namedtenth consecutive year
Named a constituent in the FTSE4Good Index for the seventhtenth consecutive year. We achievedyear
Named to CDP’s Leadership band for our climate disclosure for the Green Star designation from the Global Real Estate Sustainability Benchmark (GRESB). We were namedninth consecutive year, most recently with a constituentscore of “A-” in the2021
Listed in S&P Global’s North America Dow Jones Sustainability Index (“DJSI”) for the sixthninth consecutive year. The list is compiled accordingyear, recognizing top ESG performance in our sector
Named to the results of RobecoSAM’s annual CorporateS&P Global Sustainability Assessment, which also determines constituencyYearbook for the DJSI series. seventh consecutive year
Named to the Bloomberg Gender-Equality Index for the third consecutive year
Named to 3BL Media’s 100 Best Corporate Citizens list for the third consecutive year
Named to Newsweek’s America’s Most Responsible Companies list for the third consecutive year
Received a rating of “Prime” by ISS ESG Corporate Rating for our excellence in ESG performance and disclosure within our industry
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For additional information regarding our ESG sustainability initiatives and our approach to climate change, please visit our website at www.hcpi.com/sustainability.www.healthpeak.com/ESG.
Human Capital Matters
Our employees represent our greatest asset, and as of December 31, 2021, we had 196 full-time employees. Our Board of Directors, through its Compensation and Human Capital Committee, retains direct oversight of human capital management, including corporate culture, diversity, inclusion, talent acquisition, retention, employee satisfaction, engagement, and succession planning. We report on human capital matters at each regularly scheduled Board of Directors meeting and periodically throughout the year. The most significant human capital measures or objectives that we focus on in managing our business and our related human capital initiatives include the following:
Workforce Diversity: We believe we are a stronger organization when our workforce represents a diversity of ideas and experiences. We value and embrace diversity in our employee recruiting, hiring, and development practices. Our workforce was made up of43%female employees and35% racially or ethnically diverse employees as of December 31, 2021. Through our We Stand Together initiative, we launched numerous initiatives to help further our commitment to enhancing racial diversity and awareness, including augmenting recruiting practices to hire more diverse talent; implementing diversity, equity and inclusion training for senior leadership and employees; and sponsoring community outreach programs that support the education of underrepresented groups.
Inclusion and Belonging: We promote a work environment that emphasizes respect, fairness, inclusion, and dignity. We are committed to providing equal opportunity and fair treatment to all individuals based on merit, without discrimination based on race, color, religion, national origin, citizenship, marital status, gender (including pregnancy), gender identity, gender expression, sexual orientation, age, disability, veteran status, or other characteristics protected by law. We do not tolerate discrimination or harassment.
Engagement: High employee engagement and satisfaction are both critical to attracting and retaining top talent and benefit our business in many ways. We conduct an annual employee engagement survey through an independent third party, measuring our progress on important employee issues and identifying opportunities for growth and improvement. Employee satisfaction increased for the sixth consecutive year in 2021.
Training and Development: We conduct annual employee training on our Code of Business Conduct and Ethics, as well as bi-annual training on unconscious bias and harassment prevention.We also provide training and development to all employees, focusing on career development, professional development, and REIT essentials.
Compensation and Benefits: We aim to ensure merit-based, equitable compensation practices to attract, retain, and recognize talent. We provide competitive compensation and benefit packages to our employees.
Health, Safety, and Wellness: The health, safety, and wellness of our employees are vital to our success. We are committed to protecting the well-being and safety of employees through special training and other measures. In light of the continuing Covid pandemic in 2021, we continued to maintain a remote work environment and provide employees with resources, including virtual tools and ergonomic equipment, to maximize work-from-home efficiency. We also introduced a voluntary hybrid return-to-work model for our vaccinated team members that we plan to utilize when we can do so safely, which we believe will maximize company-wide productivity.
Community Partnership: Our Social Responsibility Committee is responsible for oversight of our charitable and volunteer activities. We partner with organizations that share our desire to support research, education, and other activities related to healthcare, senior communities, and disaster relief.
For additional information on human capital matters, please see our most recent proxy statement or ESG report, each of which is available on our website at www.healthpeak.com.
Available Information

Our website address is www.hcpi.com.www.healthpeak.com. Our Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K and any amendments to those reports filed or furnished pursuant to Section 13(a) or 15(d) of the Securities Exchange Act of 1934 (the “Exchange Act”) are available on our website, free of charge, as soon as reasonably practicable after we electronically file such materials with, or furnish them to, the U.S. Securities and Exchange Commission (“SEC”). Additionally, the SEC maintains a website that contains reports, proxy and information statements, and other information regarding issuers that file electronically with the SEC, including us, at www.sec.gov. References to our website throughout this Annual Report on Form 10-K are provided for convenience only and the content on our website does not constitute a part of this Annual Report on Form 10-K.
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ITEM 1A.
ITEM 1A.    Risk Factors
The section below discusses the most significant risk factors that may materially adversely affect our business, results of operations and financial condition.
As set forth below, we believe that the risks we face generally fall into the following categories:
risks related to our business and operations;
risks related to our capital structure and market conditions;
risks related to the regulatory environment;
risks related to other events; and
risks related to tax, including REIT-related risks.risks; and

general risks.
Risks Related to Our Business and Operations

We depend on one tenantThe Covid pandemic and operator, Brookdale, for a significant percentage of our revenueshealth and net operating income. Continuing adverse developments, including operational challenges, in Brookdale’s businesssafety measures intended to reduce its spread have adversely affected, and affairs or financial condition would likely have a materially adverse effect on us.
We own our senior housing properties utilizing triple-net lease and RIDEA structures. As of December 31, 2018, Brookdale (i) leased 43 properties in our senior housing triple-net segment, (ii) managed on our behalf 35 properties in our SHOP segment, and (iii) managed 15 CCRCs and one additional SHOP property owned by our unconsolidated joint ventures with Brookdale in our Other segment. These properties represent a significant portion of our portfolio, revenues and operating income.
Properties managed by Brookdale in our SHOP segment as of December 31, 2018, accounted for 7% of our real estate investments based on total assets. Under RIDEA, we are requiredmay continue to engage a third-party operator, such as Brookdale, that meets the requirements of an “eligible independent contractor” to manage and operate the day-to-day business of the properties. As required under RIDEA, the operator provides comprehensive property management and accounting services for these properties and we are limited in our ability to control or influence operations. Accordingly, we rely on the operator’s personnel, expertise, technical resources, regulatory compliance programs, information systems, proprietary information, good faith and judgment to manage and operate these properties efficiently and effectively. We also must rely on the operator to set appropriate resident fees, manage occupancy, provide accurate and complete property-level financial results for these properties in a timely manner and otherwise operate them in compliance with the terms of our management agreements and all applicable laws and regulations. However, as the owner of the property under a RIDEA structure, we are ultimately responsible for any operating deficits and other liabilities resulting from the operation of these properties, subject to limited exceptions such as gross negligence or willful misconduct by our operators. See, “—We assume operational risks with respect to our SHOP properties managed in RIDEA structures that could have a material adverse effectadversely affect, our business, results of operations and financial condition.
Properties leased by BrookdaleBeginning in our triple-net segment accounted for 6%2020, global health concerns and efforts to reduce the spread of our total revenues forCovid resulted in travel bans, quarantines, “shelter-in-place” and similar orders restricting the year ended December 31, 2018. In its capacity as a triple-net tenant, Brookdale is contractually obligated to pay all insurance, tax, utilities, maintenance and repair expenses in connection with the leased properties. Brookdale may not have sufficient assets, income and access to financing to enable it to satisfy its obligations to us, and any failure by Brookdale to do so would have a material adverse effect on us. In addition, we depend on Brookdale’s maintenance and repairactivities of the properties to remain competitive and attract and retain patients and residents. Adverse developments in Brookdale’s business and related declining rent coverage ratios have increased its credit risk. If these adverse developments result in prolonged inadequate property maintenance or improvements, or impair Brookdale’s access to capital necessary for maintenance or improvements, it could lead to a reduction in occupancy rates and market rents and have a materially adverse effect on us.
Brookdale has experienced challenges in recent years, including with respect to operational performance and stockholder activism, among others. Brookdale,individuals outside of their homes, as well as other operators,business limitations and shutdowns of businesses deemed “non-essential.” Although many of these restrictions have been adversely affected by increased competition that has negatively impacted occupancy rates, as well as by increases in expenses,lifted or scaled back over time, ongoing resurgences of Covid infections, including increased labor costs. Brookdale’s challenges could divert management’s attention, increase employee turnover,due to new and impair its ability to operate our properties efficiently and effectively. These challenges and any adverse developments in Brookdale’s business, affairs and financial results could result in, among other adverse events, declining operational and financial performance of our properties.
Wemore contagious variants, have beenresulted in the processre-imposition of reducing our exposure to Brookdale through asset salescertain restrictions and transitionsmay lead to other operators (see “Management’srestrictions being re-implemented to reduce the spread of Covid. Moreover, as individuals and businesses have adapted to the regulatory and market challenges arising from the pandemic, some potentially permanent changes in traditional economic patterns and arrangements have occurred. For a description of certain of these changes, see “Item 7, Management's Discussion and Analysis of Financial Condition and Results of Operations—2018 Transaction Overview—Brookdale Transactions Update” for more information). If we determineCovid Update.” As a result of these regulatory requirements and adaptations to sell or transition additional properties currently leased to or managed by Brookdale, we may experience operational challenges and/or significantly declining financial performance for those properties, as we did with Brookdale properties sold or transitioned in 2018. Any failure of Brookdale to maintain the performance“new normal,” the ability of our properties ortenants, operators and borrowers to meet itsconduct their normal businesses operations, to operate profitably and to comply with their rent and other financial obligations to us have in some cases been, or may in the future be, adversely affected.
Senior housing facilities have been disproportionately impacted by Covid and Covid-related fatalities. Within our CCRC properties and the properties in our SWF SH JV, average occupancy declined from85.6% and88.7%, respectively, for the year ended December 31, 2019, to 79.1% and 72.7%, respectively, for the year ended December 31, 2021.Recent surges in Covid case levels may result in a reduction in, or in some cases prohibitions on, new tenant move-ins, stricter move-in criteria, lower inquiry volumes, and reduced in-person tours, as well as incidences of Covid outbreaks at our facilities or the perception that outbreaks may occur. In addition, a lack of available staffing resources at our CCRC properties and the properties in our SWF SH JV, including due to labor shortages or outbreaks among the existing staff, could result in admission restrictions or reduced demand if facilities are perceived as understaffed.Outbreaks, which directly affect our residents and the employees at our senior housing facilities, have and could continue to materially and adversely disrupt operations. These outbreaks could cause significant reputational harm to us and our operators and, for an extended period, adversely affected demand for senior housing. Our senior housing property operators are also facing material cost increases as a result of higher staffing hours and compensation and higher overall levels of inflation. At our CCRC facilities and the facilities in our SWF SH JV, we bear these material cost increases. The pandemic has also delayed the deployment of capital improvements and expenditures, which could adversely impact operations at our senior housing facilities. Our senior housing borrowers are facing the same impacts of Covid, which could impact their ability to meet their financial and other contractual obligations to us.
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The impact of the Covid pandemic on our CCRC properties and the properties owned by our SWF SH JV, all of which are managed in RIDEA structures, has had and may continue to have a more significant impact on our results of operations on a relative basis because we receive cash flow from the operations of the properties (as compared to receiving only contractual rent from third party tenant-operators under its leasesthe senior housing triple-net portfolio that we disposed of, as described above under “Item 1—Business—General Overview”), and we also bear all operational risks and liabilities associated with the operation of those properties, other than those arising out of certain actions by our operator, such as gross negligence or willful misconduct. Accordingly, impacts from the Covid pandemic directly affecting our CCRC properties and the properties owned by our SWF SH JV, including lower net operating income caused by decreased revenues that may result from declines in occupancy or otherwise, and increased expenses, have had and are expected to continue to have a direct and immediate impact on our results of operations. In addition, our RIDEA operators who are adversely affected by the Covid pandemic may request revisions to their management agreements and existing fee structures in order to reduce the amount of cash from operations that flows directly to us. We may also be directly adversely impacted by potential lawsuits related to Covid outbreaks that have occurred or may occur at our senior housing and CCRC properties, and our insurance coverage may not be sufficient to cover any potential losses.
In 2020, the pandemic adversely impacted certain development, redevelopment and tenant improvement projects as a result of the “shelter-in-place” orders and local, state and federal directives. Although these development, redevelopment and tenant improvement projects resumed in 2020 and continued as planned in 2021 with infection control protocols in place, the pandemic, including labor and supply chain disruptions and/or other economic conditions caused by the pandemic, could materially reduceadversely impact the scheduled completion and/or cost of these projects.
Within our medical office portfolio, many physician practices temporarily discontinued outpatient procedures and nonessential surgeries in 2020 due to health and safety measures, which negatively impacted their cash flows. At that time, we implemented a deferred rent program primarily for May and June 2020 that was limited to certain non-health system and non-hospital tenants in good standing, which resulted in reduced cash flow in the periods in which such deferrals were granted, but increased our cash flow net operatingin the period in which such deferrals were repaid. We did not offer any rent deferrals in 2021, but if new outbreaks or other conditions result in a similar negative impact on our tenants, we may consider implementation of another deferred rent program for future periods. New leasing slowed down during the government-mandated shutdown in 2020 and returned to normal levels in 2021; new outbreaks or other conditions could result in another slowdown in new leasing. In addition, any reinstatement of restrictions on our tenants’ procedures and continuing restrictions on patient visitation could impact our tenants’ ability to meet their obligations to us as well as our parking income in our medical office portfolio.
The Covid pandemic subjects our business and the businesses of our tenants, operators and borrowers to various risks and uncertainties that have adversely affected and could materially adversely affect our business, results of operations and financial condition for at least the pendency of the Covid pandemic and possibly longer, including the following:
material cost increases at our CCRC facilities and the facilities in our SWF SH JV, for which we are responsible;
any rent deferrals or delays in rent commencement that we may grant to tenants, which could result in a significant decrease in our cash receipts during the period of the deferrals;
non-payment of contractual obligations by our tenants or operators, and any limitations on our ability to enforce our lease agreements or management agreements with our tenants or operators, as applicable, as a result of any federal, state or local restrictions on tenant evictions for failure to make contractual rent payments, which may result in higher reserves for bad debt;
our tenants, operators or borrowers becoming insolvent or initiating bankruptcy or similar proceedings, which would adversely affect our ability to collect rent or interest payments from such tenants or borrowers, as applicable, and result in increased costs to us, as well as decreased revenues;
the complete or partial closures of, or other operational issues at, one or more of our properties resulting from government action or directives, which may intensify the risk of rent deferrals or non-payment of contractual obligations by our tenants, operators, or borrowers;
the likelihood that we will amend existing lease agreements and existing rental terms, with our tenants, and management agreements and existing fee structures, with our RIDEA operators, particularly in our senior housing portfolio, which would have an adverse effect on our revenues and results of operations;
the likelihood that we will amend existing loan agreements with our senior housing borrowers, which would have an adverse effect on our revenues and results of operations;
increased costs or delays that may result if we determine to reposition or transition any of our currently-leased properties to another tenant or operator, which could adversely impact our revenues and results of operations;
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the impact on our results of operations and financial condition resulting from (i) delays or increased costs caused by a shortage of construction materials or labor, or suspensions or delays in development and redevelopment activities and tenant improvement projects, including due to local, state and federal orders or guidelines, delays or increased costs caused by slow-downs in construction as a result of implementing social distancing and other health and safety protocols, as well as potential postponement of rent commencement dates due to delays in tenant improvement projects, and (ii) a decrease in acquisitions and dispositions of properties compared to historical levels;
reduced valuations for properties in our portfolio that we wish to sell, and potential delayed transaction and due diligence timing due to government delays or government mandated Covid-related access restrictions;
the need to provide seller financing in order to dispose of certain properties in our portfolio at acceptable prices;
the impact on our tenants, operators, or borrowers, particularly in our senior housing portfolio, of lawsuits related to Covid outbreaks that have occurred or may occur at our properties and the potential that insurance coverage may not be sufficient to cover any potential losses;
material increases in our insurance costs and larger deductibles or the inability to obtain insurance at economically reasonable rates;
significant expenses likely to be incurred if we pursue of creditor rights resulting from operator, tenant, and borrower defaults and insolvency;
a potential downgrade of our issuer and long-term credit rating, which could increase our cost of capital and any future debt financing;
refusal or failure by one or more of our lenders under our credit facility to fund their financing commitments to us as a result of lender liquidity and/or viability challenges, which financing commitments we may not be able to replace on favorable terms, or at all;
the likelihood that conditions related to the Covid pandemic may require us to recognize additional impairments of long-lived assets or credit losses related to loans receivable;
the impact of negative or adverse publicity associated with Covid outbreaks at our CCRC properties or the properties in our SWF SH JV, the cost of responding to such adverse publicity and the potential for heightened regulatory scrutiny caused by it;
a deterioration of state and local economic conditions and job losses, particularly in San Francisco, San Diego and Boston, which may decrease demand for and occupancy levels at our life science properties and cause our rental rates and property values to be negatively impacted; and
the potential for shifts in consumer and business behaviors that fundamentally and adversely affect demand for properties in our portfolio.
Additionally, the Covid pandemic could increase the magnitude of many of the other risks described herein and elsewhere in this Annual Report and may have other materially adverse effects on our operations that we are not currently able to predict. The Covid pandemic has also resulted in significant volatility in the local, national and global financial markets, and we may be unable to obtain any required financing on favorable terms or on a timely basis or at all.
The extent of the impact of the Covid pandemic on our business and financial results will depend on future developments, including: (i) ongoing resurgences of Covid; (ii) health and safety actions taken to contain its spread; (iii) the availability, effectiveness and public usage and acceptance of vaccines and treatments; and (iv) how quickly and to what extent normal economic and operating conditions can resume within the markets in which we operate, each of which are highly uncertain at this time and outside of our control. Even after the Covid pandemic subsides, we may continue to experience adverse impacts to our business and financial results because of its national and global economic impact and any permanent changes in traditional economic patterns and arrangements. The Covid pandemic could have a material adverse impact on our business, results of operations and financial condition.
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Decreases in our tenants’, operators’ or borrowers’ revenues, or increases in their expenses, could affect their ability to meet their financial and other contractual obligations to us, and could result in amendments to these obligations that have a material adverse effect on our results of operations and financial condition.
We have limited control over the success or failure of our tenants’, operators’ and borrowers’ businesses, regardless of whether our relationship is structured as a triple-net lease, a RIDEA lease or as a lender to our borrowers. Any of our tenants or our operators under a RIDEA structure may experience a downturn in their business that materially weakens their financial condition. For example, (i) our operators under a RIDEA structure and certain of our tenants in our medical office portfolio experienced a significant downturn in their businesses due to the Covid pandemic, including as a result of interruptions in their operations, lost revenues, increased costs, financing difficulties and labor shortages, and (ii) our tenants in the life science industry face various risks to their businesses, as discussed below under “—Our tenants in the life science industry face high levels of regulation, funding requirements, expense and uncertainty.” As a result, our tenants, operators and borrowers may be unable or unwilling to make payments or perform their obligations when due. Although we generally have arrangements and other agreements that give us the right under specified circumstances to terminate a lease, evict a tenant or terminate our operator, or demand immediate repayment of outstanding loan amounts or other obligations to us, we may not be able to enforce such rights or we may determine not to do so if we believe that enforcement of our rights would be more detrimental to our business than seeking alternative approaches.
Our CCRC segment and our SWF SH JV, all of which are under a RIDEA structure, primarily depend on private sources for their revenues and the ability of their patients and residents to pay fees. Costs associated with independent and assisted living services are not generally reimbursable under governmental reimbursement programs such as Medicare and Medicaid. Accordingly, our operators of these properties depend on attracting seniors with appropriate levels of income and assets, which may be affected by many factors, including: (i) prevailing economic and market trends, including general inflationary pressures; (ii) consumer confidence; (iii) demographics; (iv) property condition and safety; (v) public perception about such properties; and (vi) social and environmental factors. Consequently, if our operators fail to effectively conduct operations on our behalf, or to maintain and improve our properties, it could adversely affect our business reputation as the owner of the properties, as well as the business reputation of our operators and their ability to attract and retain patients and residents in our properties, which could have a material adverse effect on our and our operators’ business, results of operations and financial condition. Further, if widespread default or nonpayment of outstanding obligations from a large number of operators occurs at a time when terminating such agreement or replacing such operators may be extremely difficult or impossible, including as a result of the Covid pandemic, we may elect instead to amend such agreements with such operators. However, such amendment may be on terms that are less favorable to us than the original agreement and may have a material adverse effect on our results of operations and financial condition.
Our CCRC segment and our SWF SH JV also rely on reimbursements from governmental programs for a portion of the revenues from certain properties. Changes in reimbursement policies and other governmental regulation, such as potential changes to the Patient Protection and Affordable Care Act, along with the Health Care and Education Reconciliation Act of 2010 (collectively, the “Affordable Care Act”), that may result from actions by Congress or executive orders, may result in reductions in our revenues from our RIDEA structures, operations and cash flows and affect our financial performance through a RIDEA structure. In addition, failure to comply with reimbursement regulations or other laws applicable to healthcare providers could result in penalties, fines, litigation costs, lost revenue or other consequences, which could adversely impact our cash flows from operations under a RIDEA structure.
Revenues of our CCRC segment and our SWF SH JV are also dependent on a number of other factors, including licensed bed capacity, occupancy, the healthcare needs of residents, the rate of reimbursement, the income and assets of seniors in the regions in which we own properties, and social and environmental factors. For example, due to generally increased vulnerability to illness, Covid has resulted in, and another epidemic or pandemic, a severe flu season or any other widespread illness could result in, early move-outs or delayed move-ins during quarantine periods or during periods when actual or perceived risks of such illnesses are heightened, which have reduced, and could continue to reduce, our operators’ revenues. Additionally, new and evolving payor and provider programs in the United States, including Medicare Advantage, Dual Eligible, Accountable Care Organizations, Bundled Payments and other value-based reimbursement arrangements, have resulted in reduced reimbursement rates, average length of stay and average daily census, particularly for higher acuity patients. If our operators of these properties underperform, our business, results of operations and financial condition would be materially adversely affected.
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Our tenants and operators have, and may continue to seek to, offset losses by obtaining funds under the CARES Act or other similar legislative initiatives at the state and local level. Receipt of these funds is subject to a detailed application and approval process and in some cases, entails operating restrictions. It is not yet known whether the government funds received by our tenants and operators to date or to be received under any remaining distributions will materially offset the cash flow disruptions experienced by them. If they do not receive sufficient funds to offset their cash flow disruptions, or if the conditions precedent to receiving or retaining these funds are overly burdensome or not feasible, it may substantially affect their ability to make payments or perform their obligations when due to us. See “—Our participation in the CARES Act Provider Relief Fund and other Covid-related stimulus and relief programs could subject us to disruptive government and financial audits and investigations, regulatory enforcement actions, civil litigation, and other claims, penalties, and liabilities” below for risks regarding our CARES Act participation.
Increased competition, operating costs and market changes may affect the ability of some of our tenants, operators and borrowers to meet their financial and other contractual obligations to us.
Occupancy levels at, and rental income from, our properties are dependent on our ability and the ability of our tenants, operators and borrowers to compete with other tenants and operators on a number of different levels, including the quality of care provided, reputation, price, the range of services offered, the physical appearance of a property, family preference, alternatives for healthcare delivery, the supply of competing properties, physicians, staff, referral sources, location, and the size and demographics of the population in the surrounding area. In addition, our tenants, operators and borrowers face an increasingly competitive labor market, which has been compounded by the Covid pandemic. An inability to attract and retain trained personnel could negatively impact the ability of our tenants, operators and borrowers to meet their obligations to us. A shortage of care givers or other trained personnel, union activities, minimum wage laws, or general inflationary pressures on wages may force tenants, operators and borrowers to enhance pay and benefits packages to compete effectively for skilled personnel, or to use more expensive contract personnel, but they may be unable to offset these added costs by increasing the rates charged to residents. Any increase in labor costs and other property operating expenses or any failure by our tenants, operators or borrowers to attract and retain qualified personnel could adversely affect our cash flow and have a material adverse effect on our business, results of operations and financial condition.
Our tenants, operators and borrowers also compete with numerous other companies providing similar healthcare services or alternatives such as home health agencies, life care at home, community-based service programs, retirement communities and convalescent centers. This competition, over-development in some markets in which we invest, Covid outbreaks, or the negative public perception that additional outbreaks may occur, has caused the occupancy rate of buildings to slow or decline, and the monthly rate that some properties were able to obtain for their services to decrease. Our tenants, operators and borrowers may be unable to achieve and maintain occupancy and rate levels, and to manage their expenses, in a way that will enable them to meet all of their obligations to us. Further, many competing companies may have resources and attributes that are superior to those of our tenants, operators and borrowers, which may also allow them to better withstand the impact of Covid or other competitive pressures. Our tenants, operators and borrowers may encounter increased competition that could limit their ability to maintain or attract residents and employees, to expand their businesses or to manage their expenses, which could materially adversely affect their ability to meet their financial and other contractual obligations to us, potentially decreasing our revenues, impairing our assets and/or increasing collection and dispute costs.
Financial deterioration, insolvency or bankruptcy of one or more of our major tenants, operators or borrowers could have a material adverse effect on our business, results of operations and financial condition.
A downturn in any of our tenants’, operators’ or borrowers’ businesses, including downturns due to the Covid pandemic, has led and could continue to lead to voluntary or involuntary bankruptcy or similar insolvency proceedings, including assignment for the benefit of creditors, liquidation, or winding-up. Bankruptcy and insolvency laws afford certain rights to a defaulting tenant, operator or borrower that has filed for bankruptcy or reorganization that may render certain of our remedies unenforceable or, at the least, delay our ability to pursue such remedies and realize any related recoveries.
A debtor has the right to assume, or to assume and assign to a third party, or to reject its executory contracts and unexpired leases in a bankruptcy proceeding. If a debtor were to reject its leases with us, obligations under such rejected leases would cease. The claim against the rejecting debtor for remaining rental payments due under the lease would be an unsecured claim, which would be limited by the statutory cap set forth in the U.S. Bankruptcy Code. This statutory cap may be substantially less than the remaining rent actually owed under the lease. In addition, a debtor may also assert in bankruptcy proceedings that certain leases should be re-characterized as financing agreements, which could result in our being deemed a lender instead of a landlord. A lender’s rights and remedies, as compared to a landlord’s, generally are materially less favorable, and our rights as a lender may be subordinated to other creditors’ rights.
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Furthermore, the automatic stay provisions of the U.S. Bankruptcy Code would preclude us from enforcing our remedies unless we first obtain relief from the court having jurisdiction over the bankruptcy case. This would effectively limit or delay our ability to collect unpaid rent or interest payments, and we may ultimately not receive any payment at all. In addition, we would likely be required to fund certain expenses and obligations (e.g., real estate taxes, insurance, debt costs and maintenance expenses) to preserve the value of our properties, avoid the imposition of liens on our properties or transition our properties to a new tenant or operator.
If we are unable to transition affected properties, they would likely experience prolonged operational disruption, leading to lower occupancy rates and further depressed revenues. Publicity about the operator’s financial condition and insolvency proceeds may also negatively impact their and our reputations, decreasing customer demand and revenues. Any or all of these risks could have a material adverse effect on our revenues, results of operations and cash flows. These risks would be magnified where we lease multiple properties to a single operator under a master lease, as an operator failure or default under a master lease would expose us to these risks across multiple properties.
We depend on real estate investments, particularly in the healthcare property sector, making our profitability more vulnerable to a downturn or slowdown in that specific sector than if we were investing in multiple industries and exposing us to the risks inherent in illiquid investments.
We concentrate our investments in the healthcare property sector. A downturn or slowdown in the healthcare property sector, such as the downturn that occurred during the Covid pandemic, has had and may continue to have a greater adverse impact on our business than if we had investments in multiple industries and could negatively impact the ability of our tenants, operators and borrowers to meet their obligations to us, as well as the ability to maintain historical rental and occupancy rates, which could have a material adverse effect on our business, financial condition and results of operations. In addition, such downturns have had and could continue to have a material adverse effect on the value of our properties and our ability to sell properties at prices or on terms acceptable or favorable to us.
In addition, we are exposed to the risks inherent in concentrating our investments in real estate. Our real estate investments are relatively illiquid due to: (i) restrictions on our ability to sell properties under applicable REIT tax laws; (ii) other tax-related considerations; (iii) regulatory hurdles; and (iv) market conditions. As a result, we may be unable to recognize full value for any property that we seek to sell for liquidity reasons. Our inability to timely respond to investment performance changes could have a material adverse effect on our financial condition and results of operations.
We may have difficulty identifying and securing replacement tenants or operators, and we may be required to incur substantial renovation or tenant improvement costs to make our properties suitable for them.
Our tenants may not renew existing leases, and our operators may not renew their management agreements beyond their current terms. If we or our tenants or operators terminate or do not renew the leases or management agreements for our properties, we would attempt to reposition those properties with another tenant or operator. These difficulties may be exacerbated by the Covid pandemic, as new operators or tenants may not be willing to take on the increased exposure, especially while active cases are occurring. Healthcare properties are typically highly customized, and the improvements generally required to conform a property to healthcare use are costly and at times tenant-specific and are typically subject to regulatory requirements. A new or replacement tenant or operator may require different features in a property, depending on that tenant’s or operator’s particular business. In addition, infrastructure improvements for life science properties typically are significantly more costly than improvements to other property types due to the highly specialized nature of the properties and the greater lease square footage often required by life science tenants. Therefore, if a current tenant or operator is unable to pay rent and/or vacates a property, we may incur substantial expenditures to modify a property and experience delays before we are able to secure another tenant or operator or to accommodate multiple tenants or operators, which may have a material adverse effect on our business, results of operations and financial condition.
Additionally, we may fail to identify suitable replacements or enter into leases, management agreements or other arrangements with new tenants or operators on a timely basis or on terms as favorable to us as our current leases, if at all. Furthermore, during transition periods to new tenants or operators, we anticipate that the attention of existing tenants or operators will be diverted from the performance of the properties and there may also be increased errors and delays as a result of the transition, which would cause the financial and operational performance at these properties to decline. Following a decline in performance, we may not be able to rehabilitate the property to previous performance levels, which would adversely impact our results of operations. We also may be required to fund certain expenses and obligations, such as real estate taxes, debt costs and maintenance expenses, to preserve the value of, and avoid the imposition of liens on, our properties while they are being repositioned. In addition, we may incur certain obligations and liabilities, including obligations to indemnify the replacement tenant or operator, which could have a material adverse effect on our business, results of operations and financial condition.
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Property development, redevelopment and tenant improvement risks can render a project less profitable or unprofitable and, under certain circumstances, delay or prevent its undertaking or completion.
Our healthcare property development, redevelopment, and tenant improvement projects could be canceled, abandoned, or delayed, or, if completed, fail to perform in accordance with expectations, including as a result of the following possibilities:
we may not proceed with a development or redevelopment project if we are unable to obtain debt and/or equity financing on favorable terms or at all, or if we do not otherwise have the liquidity we deem necessary or appropriate for the project;
a project may be abandoned after expending significant resources, including due to: (i) legal and regulatory hurdles, including moratoriums on development and redevelopment activities (such as the potential moratorium on office and laboratory buildings in the Alewife submarket of Boston, Massachusetts that the Alewife City Council is considering) or the failure to obtain necessary zoning, entitlements and permits; or (ii) changes in market and economic conditions, either of which would result in the failure to recover expenses already incurred;
a project may not be completed on schedule as a result of a variety of factors over which we have limited or no control, including: (i) natural disasters and other catastrophic events; (ii) health crises or other pandemics such as the Covid pandemic; (iii) restrictions or moratoriums on development and redevelopment activities; (iv) labor conditions, including a labor shortage or work stoppage; (v) shortages of construction materials; (vi) legal and regulatory hurdles, including necessary permits and entitlements; (vii) environmental conditions at the property; or (viii) civil unrest and acts of war or terrorism; any such delays in project completion would also delay the commencement of rental payments, including increases in rental payments following tenant improvement projects;
construction or other delays at a project may provide tenants the right to terminate preconstruction leases or cause us to incur additional costs, including through rent abatement;
project costs could exceed original estimates due to, among other things: (i) increased interest rates; (ii) higher than budgeted costs for materials, transportation, environmental remediation, labor or other inputs, including those caused by a shortage of construction materials or labor; (iii) negligent construction or construction defects; (iv) damage, vandalism or accidents; (v) higher operating costs than we anticipated, including insurance premiums, utilities, real estate taxes, and costs of complying with changes in government regulations or increases in tariffs; (vi) higher requirements for capital improvements than we anticipated for development, redevelopment or tenant improvement projects, particularly in older structures; or (vii) increased costs as a result of unanticipated delay, including delays resulting from the factors noted below;
demand for a project may decrease prior to completion due to competition or other market and economic conditions, and lease-up rates, rental rates, lease commencement dates and occupancy levels at a development or redevelopment project may fail to meet expectations;
tenants that have pre-leased at a project may file for bankruptcy or become insolvent, or otherwise elect to terminate their lease prior to delivery; and
a project may have defects that we do not discover through the inspection processes, including latent defects not discovered until after we put a property in service.
The realization of any of the foregoing risks could result in not achieving our expected returns on investment and have a material adverse effect on our business, results of operations and financial condition.
Changes within the life science industry may adversely impact our revenues and results of operations.
Our life science investments could be adversely affected if the life science industry is impacted by an economic, financial, or banking crisis, a health crisis, such as the Covid pandemic, or if the life science industry migrates from the U.S. to other countries or to areas outside of primary life science markets in South San Francisco, California, San Diego, California, and greater Boston, Massachusetts. Our ability to negotiate contractual rent escalations on future leases and to achieve increases in rental rates will depend upon market conditions and the demand for life science properties at the time the leases are negotiated and the increases are proposed. If economic, financial or industry conditions adversely affect our life science tenants, we may not be able to lease or re-lease our properties in a timely manner or at favorable rates, which would negatively impact our revenues and results of operations. Because infrastructure improvements for life science properties typically are significantly more costly than improvements to other property types due to the highly specialized nature of the properties, and life science tenants typically require greater lease square footage relative to medical office tenants, repositioning efforts would have a disproportionate adverse effect on our life science segment performance.
Future mergers or consolidations of life science entities could reduce the amount of rentable square footage requirements of our client tenants and prospective client tenants, which may adversely impact our revenues from lease payments and results of operations.
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Our tenants in the life science industry face high levels of regulation, funding requirements, expense and uncertainty.
The life science industry is subject to volatility, and life science tenants, particularly those involved in developing and marketing pharmaceutical products, are subject to certain risks, including the following:
significant funding for the research, development, clinical testing, manufacture and commercialization of their products and technologies, as well as to fund their obligations, including rent payments due to us, and our tenants’ ability to raise capital depends on the viability of their products and technologies, their financial and operating condition and outlook, and the overall financial, banking and economic environment. If venture capital firms, private investors, the public markets, companies in the life science industry, the government or other sources of funding are difficult to obtain or unavailable to support our tenants’ activities, including as a result of general economic conditions, adverse market conditions or government shutdowns that limit our tenants’ ability to raise capital, such as those resulting from the Covid pandemic, a tenant’s business would be adversely affected or could fail;
the research, development, clinical testing, manufacture and marketing of some of our tenants’ products require federal, state and foreign regulatory approvals that may be costly or difficult to obtain, may take several years and be subject to delay, including delays brought on by the Covid pandemic, may not be obtained at all, require validation through clinical trials that may face delays or difficulties resulting from the Covid pandemic or otherwise, require the use of substantial resources, and may often be unpredictable. If a tenant’s products fail to obtain regulatory approvals, a tenant’s business would be adversely affected or could fail;
even after regulatory approval and market acceptance, the product may still present significant regulatory and liability risks, including the possible later discovery of safety concerns and other defects and potential loss of approvals, competition from new products and the expiration of patent protection for the product;
our tenants with marketable products may be adversely affected by healthcare reform and the reimbursement policies of government or private healthcare payors;
our tenants with marketable products may be unable to successfully manufacture their drugs economically;
our tenants depend on the commercial success of certain products, which may be reliant on the efficacy of the product, as well as acceptance among doctors and patients; negative publicity or negative results or safety signals from the clinical trials of competitors may reduce demand or prompt regulatory actions; and
our tenants may be unable to adapt to the rapid technological advances in the industry and to adequately protect their intellectual property under patent, copyright or trade secret laws and defend against third-party claims of intellectual property violations.
If our tenants’ businesses are adversely affected, they may fail to make their rent payments to us, which could have a material adverse effect on our business, results of operations and financial condition. If our tenants’ businesses fail, or if our tenants fail to make their rent payments to us, we would need to secure replacement tenants. See “—We may have difficulty identifying and securing replacement tenants or operators, and we may be required to incur substantial renovation or tenant improvement costs to make our properties suitable for them” above for risks regarding securing replacement tenants.
The hospitals on whose campuses our MOBs are located and their affiliated healthcare systems could fail to remain competitive or financially viable, which could adversely impact their ability to attract physicians and physician groups to our MOBs and our other properties that serve the healthcare industry.
The viability of hospitals depends on factors such as: (i) the quality and mix of healthcare services provided; (ii) competition for patients and physicians; (iii) demographic trends in the surrounding community; (iv) market position; and (v) growth potential, as well as the ability of the affiliated healthcare systems to provide economies of scale and access to capital. In addition, in 2020, most hospitals experienced a significant reduction in revenue due to decreased volumes as well as increased costs as they provided care capacity for potential Covid patients; there could be additional reductions in revenue in the future if hospitals experience widespread cancellations of elective procedures due to health and safety measures or otherwise. If a hospital whose campus is located near one of our MOBs is unable to meet its financial obligations, and if an affiliated healthcare system is unable to support that hospital or goes bankrupt, the hospital may not be able to compete successfully or could be forced to close or relocate, which could adversely impact its ability to attract physicians and other healthcare-related users. Because we rely on our proximity to and affiliations with these hospitals to create tenant demand for space in our MOBs, their inability to remain competitive or financially viable, or to attract physicians and physician groups, could adversely affect our MOB operations and have a material adverse effect on us.
In addition, changes to or replacement of the Affordable Care Act or other reimbursement regulations could result in significant changes to the scope of insurance coverage and reimbursement policies, which could put negative pressure on the operations and revenues of our MOBs.
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We may be unable to maintain or expand our existing and future hospital and health system client relationships.
We invest significant time in developing relationships with both new and existing hospital and health system clients. If we fail to maintain these relationships, including through a lack of responsiveness, failure to adapt to the current market, or employment of individuals with inadequate experience, our reputation and relationships will be harmed and we may lose business to competitors, which could have a material adverse effect on us.
We assume operational risks with respect to our SHOPsenior housing properties managed in RIDEA structures that could have a material adverse effect on our business, results of operations and financial condition.
RIDEA permits REITs, such as us, to own or partially own qualified healthcare properties in a structure through which we can participate directly in the cash flow of the properties’ operations (as compared to receiving only contractual rent payments under a triple-net lease) in compliance with REIT requirements. The criteria for operating a qualified healthcare property in a RIDEA structure requires us to lease the property to an affiliate TRS and for such affiliate TRS to engage an independent qualifying management company, or operator (also known as an eligible independent contractor) to manage and operate the day-to-day business of the property. The operator performs its services in exchange for a management fee. As a result, under a RIDEA structure,

we are required to rely on our operator to manage and operate the property, including hiring and training all employees, entering into all third-party contracts for the benefit of the property, including resident/patient agreements, complying with laws, including but not limited to healthcare laws, and providing resident care. However, as the owner of the propertyproperties under a RIDEA structure, our TRS and hence we, areis ultimately responsible for all operational risks and other liabilities of the property,properties, other than those arising out of certain actions by our operator, such as gross negligence or willful misconduct. Operational risks include, and our resulting revenues therefore depend on, among other things: (i) occupancy rates; (ii) the entrance fees and rental rates charged to residents; (iii) the requirements of, or changes to, governmental reimbursement programs such as Medicare andor Medicaid, reimbursement rates, to the extent applicable;applicable, including changes to reimbursement rates; (iv) our operator’s reputationoperators’ reputations and ability to attract and retain residents; (v) general economic conditions and market factors that impact seniors;seniors, which may be exacerbated by the Covid pandemic, including general inflationary pressures; (vi) competition from other senior housing providers; (vii) compliance with federal, state, local and industry-regulated licensure, certification and inspection laws, regulations and standards; (viii) litigation involving our properties or residents/patients;patients, including litigation related to Covid; (ix) the availability and cost of general and professional liability insurance coverage;coverage or increases in insurance policy deductibles; and (x) the ability to control operating expenses.expenses, which have increased and may continue to increase due to the Covid pandemic. Although we are permitted under athe RIDEA structure to havegives us certain general oversight approval rights (e.g., budgets, material contracts, etc.) and the right to review operational and financial reporting information, our operators are ultimately in control of the day-to-day business of the property. As a result, we have limited rights to direct or influence the business or operations of our properties in the SHOPCCRC segment and in the properties owned by our SWF SH JV, and we depend on our operators to operate these properties in a manner that complies with applicable law, minimizes legal risk and maximizes the value of our investment. Failure by our operators to adequately manage these risks could have a material adverse effect on our business, results of operations and financial condition.
When we use a RIDEA structure, our TRS is generally required to be the holder of the applicable healthcare license and is the entity that is enrolled in government healthcare programs (i.e., Medicare, Medicaid), where applicable. As the holder of a healthcare license, our TRS and we (through our ownership interest in our TRS) are subject to various regulatory laws. Most states regulate and inspect healthcare property operations, patient care, construction and the safety of the physical environment. However, weWe are required under RIDEA to rely on our operators to oversee and direct these aspects of the properties’ operations to ensure compliance with these applicable laws and regulations. If one or more of our healthcare properties fails to comply with applicable laws and regulations, our TRS would be responsible (except in limited circumstances, such as the gross negligence or willful misconduct of our operators, where we would have a contractual claim against them), which could subject our TRS to penalties including loss or suspension of licenses, and certificates of need, certification or accreditation, exclusion from government healthcare programs (i.e., Medicare, Medicaid), administrative sanctions and civil monetary penalties. Some states also reserve the right to sanction affiliates of a licensee when they take administrative action against the licensee. Additionally, when we receive individually identifiable health information relating to residents of our healthcare properties, we are subject to federal and state data privacy and security laws and rules, and could be subject to liability in the event of an audit, complaint, cybersecurity attack or data breach. Furthermore, our TRS has exposure to professional liability claims that could arise out of resident claims, such as quality of care, and the associated litigation costs.
Rents received from the TRS in a RIDEA structure are treated as qualifying rents from real property for REIT tax purposes only if (i) they are paid pursuant to a lease of a “qualified healthcare property” and (ii) the operator qualifies as an “eligible independent contractor,” as defined in the Internal Revenue Code of 1986, as amended (the “Code”). If either of these requirements areis not satisfied, then the rents will not be qualifying rents.
Decreases in our tenants’, operators’ or borrowers’ revenues or increases in their expenses could affect their ability to meet their financial and other contractual obligations to us.
Our leases consist of triple-net leases, in which we lease our properties directly to tenants and operators, as well as RIDEA leases, in which we lease our properties to an affiliate TRS that enters into a management agreement with an eligible independent contractor, or operator, to manage and oversee the day-to-day business and operations of the properties. We are also a direct or indirect lender to various tenants and operators and separately provide loans to certain third parties. We have very limited control over the success or failure of our tenants’, operators’ and borrowers’ businesses, regardless of the structure of our relationship with them. Any of our triple-net tenants or operators under a RIDEA structure may experience a downturn in their business that materially weakens their financial condition. As a result, they may fail to make payments or perform their obligations when due. Although we generally have arrangements and other agreements that give us the right under specified circumstances to terminate a lease, evict a tenant or terminate our operator, or demand immediate repayment of outstanding loan amounts or other obligations to us, we may not be able to enforce such rights or we may determine not to do so if we believe that enforcement of our rights would be more detrimental to our business than seeking alternative approaches.
Our senior housing tenants and our SHOP segment under a RIDEA structure primarily depend on private sources for their revenues and the ability of their patients and residents to pay fees. Costs associated with independent and assisted living services are not generally reimbursable under governmental reimbursement programs such as Medicare and Medicaid. Accordingly, our tenants and operators of our SHOP segments depend on attracting seniors with appropriate levels of income and assets, which may be affected by many factors including prevailing economic and market trends, consumer confidence and demographics. Consequently, if our tenants or operators on our behalf fail to effectively conduct their operations, or to maintain and improve our properties, it could adversely affect our business reputation as the owner of the properties, as well as the business reputation of our tenants or

operators and their ability to attract and retain patients and residents in our properties, which could have a materially adverse effect on our and our tenant’s or operator’s business, results of operations and financial condition.
Our senior housing tenants and our SHOP segment under a RIDEA structure also rely on reimbursements from governmental programs for a portion of the revenues from certain properties. Changes in reimbursement policies and other governmental regulation, such as potential changes to, or repeal of, the Patient Protection and Affordable Care Act, along with the Health Care and Education Reconciliation Act of 2010 (the “Affordable Care Act”), that may result from actions by Congress or executive orders, may result in reductions in our tenants’ revenues or in our revenues from our RIDEA structures, operations and cash flows and affect our tenants’ ability to meet their obligations to us or our financial performance through a RIDEA structure. In addition, failure to comply with reimbursement regulations or other laws applicable to healthcare providers could result in penalties, fines, litigation costs, lost revenue or other consequences, which could adversely impact our tenants’ ability to make contractual rent payments to us under a triple-net lease or our cash flows from operations under a RIDEA structure. For a further discussion of the legislation and regulation that are applicable to us and our tenants, operators and borrowers, see “—The requirements of, or changes to, government reimbursement programs such as Medicare or Medicaid, may adversely affect our tenants’, operators’ and borrowers’ ability to meet their financial and other contractual obligations to us.”
Revenues of our senior housing tenants and our SHOP segment under a RIDEA structure are also dependent on a number of other factors, including licensed bed capacity, occupancy, the healthcare needs of residents, the rate of reimbursement, the income and assets of seniors in the regions in which we own properties, and social and environmental factors. For example, due to generally increased vulnerability to illness, a severe flu season, an epidemic or any other widespread illness could result in early move-outs or delayed move-ins during quarantine periods, which would reduce our operators’ revenues. Additionally, new and evolving payor and provider programs in the United States, including but not limited to Medicare Advantage, Dual Eligible, Accountable Care Organizations, Bundled Payments and other value-based reimbursement arrangements, have resulted in reduced reimbursement rates, average length of stay and average daily census, particularly for higher acuity patients. If our tenants fail to maintain revenues sufficient to meet their financial obligations to us, our business, results of operations and financial condition would be materially adversely affected. Similarly, if our operators under a RIDEA structure underperform, our business, results of operations and financial condition would also be materially adversely affected.
Increased competition and market changes have resulted and may further result in lower net revenues for some of our tenants, operators and borrowers and may affect their ability to meet their financial and other contractual obligations to us.
The healthcare industry is highly competitive. The occupancy levels at, and rental income from, our properties are dependent on our ability and the ability of our tenants, operators and borrowers to compete with other tenants and operators on a number of different levels, including the quality of care provided, reputation, the physical appearance of a property, price, the range of services offered, family preference, alternatives for healthcare delivery, the supply of competing properties, physicians, staff, referral sources, location, and the size and demographics of the population in the surrounding area. In addition, our tenants, operators and borrowers face an increasingly competitive labor market for skilled management personnel and nurses. An inability to attract and retain skilled management personnel and nurses and other trained personnel could negatively impact the ability of our tenants, operators and borrowers to meet their obligations to us. A shortage of nurses or other trained personnel, union activities or general inflationary pressures on wages may force tenants, operators and borrowers to enhance pay and benefits packages to compete effectively for skilled personnel, or to use more expensive contract personnel, but they be unable to offset these added costs by increasing the rates charged to residents. Any increase in labor costs and other property operating expenses or any failure by our tenants, operators or borrowers to attract and retain qualified personnel could adversely affect our cash flow and have a materially adverse effect on our business, results of operations and financial condition.
Our tenants, operators and borrowers also compete with numerous other companies providing similar healthcare services or alternatives such as home health agencies, life care at home, community-based service programs, retirement communities and convalescent centers. This competition, which is due, in part, to over-development in some segments in which we invest, has caused the occupancy rate of newly constructed buildings to slow and the monthly rate that many newly built and previously existing properties were able to obtain for their services to decrease. Our tenants, operators and borrowers may be unable to achieve occupancy and rate levels, and to manage their expenses, in a way that will enable them to meet all of their obligations to us. Further, many competing companies may have resources and attributes that are superior to those of our tenants, operators and borrowers. Our tenants, operators and borrowers may encounter increased competition that could limit their ability to maintain or attract residents or expand their businesses or to manage their expenses, which could materially adversely affect their ability to meet their financial and other contractual obligations to us, potentially decreasing our revenues, impairing our assets and/or increasing collection and dispute costs.
The financial deterioration, insolvency or bankruptcy of one or more of our major tenants, operators or borrowers may materially adversely affect our business, results of operations and financial condition.

A downturn in any of our tenants’, operators’ or borrowers’ businesses could ultimately lead to voluntary or involuntary bankruptcy or similar insolvency proceedings, including but not limited to assignment for the benefit of creditors, liquidation, or winding-up. Bankruptcy and insolvency laws afford certain rights to a defaulting tenant, operator or borrower that has filed for bankruptcy or reorganization that may render certain of our remedies unenforceable or, at the least, delay our ability to pursue such remedies and realize any related recoveries. For example, we cannot evict a tenant or operator solely because of its bankruptcy filing.
A debtor has the right to assume, or to assume and assign to a third party, or to reject its executory contracts and unexpired leases in a bankruptcy proceeding. If a debtor were to reject its leases with us, obligations under such rejected leases would cease. The claim against the rejecting debtor would be an unsecured claim, which would be limited by the statutory cap set forth in the U.S. Bankruptcy Code. This statutory cap may be substantially less than the remaining rent actually owed under the lease. In addition, a debtor may also assert in bankruptcy proceedings that leases should be re-characterized as financing agreements, which could result in our being deemed a lender instead of a landlord. A lender’s rights and remedies, as compared to a landlord’s, generally are materially less favorable, and our rights as a lender may be subordinated to other creditors’ rights.
Furthermore, the automatic stay provisions of the U.S. Bankruptcy Code would preclude us from enforcing our remedies unless we first obtain relief from the court having jurisdiction over the bankruptcy case. This would effectively limit or delay our ability to collect unpaid rent or interest payments, and we may ultimately not receive any payment at all. In addition, we would likely be required to fund certain expenses and obligations (e.g., real estate taxes, insurance, debt costs and maintenance expenses) to preserve the value of our properties, avoid the imposition of liens on our properties or transition our properties to a new tenant or operator. Additionally, we lease many of our properties to healthcare providers who provide long-term custodial care to the elderly. Evicting these operators for failure to pay rent while the property is occupied may involve specific procedural or regulatory requirements and may not be successful. Even if eviction is possible, we may determine not to do so due to reputational or other risks. 
Bankruptcy or insolvency proceedings typically also result in increased costs to the operator, significant management distraction and performance declines. If we are unable to transition affected properties, they would likely experience prolonged operational disruption, leading to lower occupancy rates and further depressed revenues. Publicity about the operator’s financial condition and insolvency proceeds may also negatively impact their and our reputations, decreasing customer demand and revenues. Any or all of these risks could have a material adverse effect on our revenues, results of operations and cash flows. These risks would be magnified where we lease multiple properties to a single operator under a master lease, as an operator failure or default under a master lease would expose us to these risks across multiple properties.
We depend on investments in the healthcare property sector, making our profitability more vulnerable to a downturn or slowdown in that specific sector than if we were investing in multiple industries.
We concentrate our investments in the healthcare property sector. As a result, we are subject to risks inherent to investments in a single industry. A downturn or slowdown in the healthcare property sector would have a greater adverse impact on our business than if we had investments in multiple industries. Specifically, a downturn in the healthcare property sector could negatively impact the ability of our tenants, operators and borrowers to meet their obligations to us, as well as the ability to maintain rental and occupancy rates. This could adversely affect our business, financial condition and results of operations. In addition, a downturn in the healthcare property sector could adversely affect the value of our properties and our ability to sell properties at prices or on terms acceptable to us.
In addition, we are exposed to the risks inherent in concentrating our investments in real estate, which investments are relatively illiquid due to a number of factors, including restrictions on our ability to sell properties under applicable REIT tax laws, other tax-related considerations, regulatory hurdles and market conditions. Our ability to quickly sell or transition any of our properties in response to changes in the performance of our properties or economic and other conditions is limited. We may be unable to recognize full value for any property that we seek to sell for liquidity reasons. Our inability to respond rapidly to changes in the performance of our investments could adversely affect our financial condition and results of operations.
Tenants and operators that fail to comply with federal, state, local and international laws and regulations, including licensure, certification and inspection requirements, may cease to operate or be unable to meet their financial and other contractual obligations to us.
Our tenants, operators and borrowers are subject to or impacted by extensive, frequently changing federal, state, local and international laws and regulations. These laws and regulations include, among others: laws protecting consumers against deceptive practices; laws relating to the operation of our properties and how our tenants and operators conduct their business, such as fire, health and safety, data security and privacy laws; federal and state laws affecting hospitals, clinics and other healthcare communities that participate in both Medicare and Medicaid that specify reimbursement rates, pricing, reimbursement procedures and limitations, quality of services and care, background checks, food service and physical plants, and similar foreign laws regulating the healthcare

industry; resident rights laws (including abuse and neglect laws) and fraud laws; anti-kickback and physician referral laws; the ADA and similar state and local laws; and safety and health standards set by the Occupational Safety and Health Administration or similar foreign agencies. Certain of our properties may also require a license, registration and/or certificate of need to operate. 
Our tenants’, operators’ or borrowers’ failure to comply with any of these laws, regulations or requirements could result in loss of accreditation, denial of reimbursement, imposition of fines, suspension or decertification from government healthcare programs, civil liability, and in certain limited instances, criminal penalties, loss of license or closure of the property and/or the incurrence of considerable costs arising from an investigation or regulatory action, which may have an adverse effect on properties that we own and lease to a third party tenant, that we own and operate through a RIDEA structure or on which we hold a mortgage, and therefore may materially adversely impact us. See “Item 1—Business—Government Regulation, Licensing and Enforcement—Healthcare Licensure and Certificate of Need” above.
If we must replace any of our tenants or operators, we may have difficulty identifying replacements and we may be required to incur substantial renovation costs to make certain of our healthcare properties suitable for other tenants and operators.
Our tenants may not renew existing leases or our operators may not renew their management agreements beyond their current terms. If we or our tenants or operators terminate or do not renew the leases or management agreements for our properties, we would attempt to reposition those properties with another tenant or operator. We may also voluntarily change operators for a variety of reasons. For example, in November 2017, we announced a plan to transition a significant number of properties managed by Brookdale to other operators as part of our strategic plan to reduce our concentration of properties managed or leased by Brookdale. Healthcare properties are typically highly customized. The improvements generally required to conform a property to healthcare use, such as upgrading electrical, gas and plumbing infrastructure, are costly and at times tenant-specific and are typically subject to regulatory requirements. A new or replacement tenant or operator may require different features in a property, depending on that tenant’s or operator’s particular business. In addition, infrastructure improvements for life science properties typically are significantly more costly than improvements to other property types due to the highly specialized nature of the properties and the greater lease square footage often required by life science tenants. We may be unable to recover part or all of these higher costs. Therefore, if a current tenant or operator is unable to pay rent and/or vacates a property, we may incur substantial expenditures to modify a property and experience delays before we are able to secure another tenant or operator or to accommodate multiple tenants or operators. These expenditures or renovations and delays may materially adversely affect our business, results of operations and financial condition.
Additionally, we may fail to identify suitable replacements or enter into leases, management agreements or other arrangements with new tenants or operators on a timely basis or on terms as favorable to us as our current leases, if at all. Furthermore, during transition periods to new tenants or operators, we anticipate that the attention of existing tenants or operators will be diverted from the performance of the properties, which would cause the financial and operational performance at these properties to decline. For example, Brookdale properties we intended to sell or transition performed significantly worse during 2018 than our senior housing properties as a whole. Following a decline in performance, we may not be able to rehabilitate the property to previous performance levels, which would adversely impact our results of operations. We also may be required to fund certain expenses and obligations such as real estate taxes, debt costs and maintenance expenses, to preserve the value of, and avoid the imposition of liens on, our properties while they are being repositioned. In addition, we may incur certain obligations and liabilities, including obligations to indemnify the replacement tenant or operator, which could have a materially adverse effect on our business, results of operations and financial condition.
We face additional risks associated with property development and redevelopment that can render a project less profitable or not profitable at all and, under certain circumstances, prevent completion of development activities once undertaken.
Property development and redevelopment is a significant component of our growth strategy. At December 31, 2018, our active development and redevelopment pipeline was approximately $1.5 billion with remaining costs to complete of approximately $913 million. Large-scale, ground-up development of healthcare properties presents additional risks for us, including risks that:
a development opportunity may be abandoned after expending significant resources resulting in the loss of deposits or failure to recover expenses already incurred;
the development and construction costs of a project may exceed original estimates due to increased interest rates and higher costs relating to materials, transportation, labor, leasing, negligent construction or construction defects, damage, vandalism or accidents, among others, which could make the completion of the development project less profitable;
the project may not be completed on schedule as a result of a variety of factors that are beyond our control, including natural disasters, labor conditions, material shortages, regulatory hurdles, civil unrest and acts of war or terrorism, which result in

increases in construction costs and debt service expenses or provide tenants or operators with the right to terminate pre-construction leases; and
occupancy rates and rents at a newly completed property may not meet expected levels and could be insufficient to make the property profitable.
Any of the foregoing risks could materially adversely affect our business, results of operations and financial condition.
Changes within the life science industry may adversely impact our revenues and results of operations.
For the year ended December 31, 2018, properties in our life science segment accounted for approximately 21% of our total revenues. Our life science investments could be adversely affected if the life science industry is impacted by an economic, financial, or banking crisis or if the life science industry migrates from the U.S. to other countries or to areas outside of primary life science markets in South San Francisco, California, San Diego, California, and greater Boston, Massachusetts. Our ability to negotiate contractual rent escalations on future leases and to achieve increases in rental rates will depend upon market conditions and the demand for life science properties at the time the leases are negotiated and the increases are proposed. If economic, financial or industry conditions adversely affect our life science tenants, we may not be able to lease or re-lease our properties in a timely manner or at favorable rates, which would negatively impact our revenues and results of operations. For example, some of our properties may be better suited for a particular life science industry client tenant and could require modification before we are able to re-lease vacant space to another life science industry client tenant, which may delay the re-leasing process and result in unrecovered costs. Additionally, some of our life science properties may not be suitable for lease to traditional office client tenants without significant expenditures on renovations, which could delay an attempt to reposition the property for rent to non-life science tenants. Because infrastructure improvements for life science properties typically are significantly more costly than improvements to other property types due to the highly specialized nature of the properties, and life science tenants typically require greater lease square footage relative to medical office tenants, repositioning efforts would have a disproportionate adverse effect on our life science segment performance. See “—If we must replace any of our tenants or operators, we may have difficulty identifying replacements and we may be required to incur substantial renovation costs to make certain of our healthcare properties suitable for other tenants and operators.”
It is common for businesses in the life science industry to undergo mergers or consolidations. Future mergers or consolidations of life science entities could reduce the amount of rentable square footage requirements of our client tenants and prospective client tenants, which may adversely impact our revenues from lease payments and results of operations.
Our tenants in the life science industry face high levels of regulation, funding requirements, expense and uncertainty.
Life science tenants, particularly those involved in developing and marketing pharmaceutical products, are subject to certain unique risks, including the following:
some of our tenants require significant funding for the research, development, clinical testing, manufacture and commercialization of their products and technologies, as well as to fund their obligations, including rent payments due to us. If venture capital firms, private investors, the public markets, companies in the life science industry, the government or other sources of funding are difficult to obtain or unavailable to support such activities, including as a result of general economic conditions, adverse market conditions or government shutdowns that limit our tenants’ ability to raise capital, a tenant’s business would be adversely affected or fail; our tenants’ ability to raise capital depends on the viability of their products and technologies, their financial and operating condition and outlook, and the overall financial, banking and economic environment;
the research, development, clinical testing, manufacture and marketing of some of our tenants’ products require federal, state and foreign regulatory approvals which may be costly or difficult to obtain, may take several years and be subject to delay, may not be obtained at all, require validation through clinical trials and the use of substantial resources, and may often be unpredictable;
even after a life science tenant gains regulatory approval and market acceptance, the product may still present significant regulatory and liability risks, including, among others, the possible later discovery of safety concerns and other defects and potential loss of approvals, competition from new products and the expiration of patent protection for the product;
our tenants with marketable products may be adversely affected by healthcare reform and the reimbursement policies of government or private healthcare payors;
our tenants with marketable products may be unable to successfully manufacture their drugs economically;

our tenants depend on the commercial success of certain products, which may be reliant on the efficacy of the product, as well as acceptance among doctors and patients; negative publicity or negative results or safety signals from the clinical trials of competitors may reduce demand or prompt regulatory actions; and
our tenants may be unable to adapt to the rapid technological advances in the industry and to adequately protect their intellectual property under patent, copyright or trade secret laws and defend against third-party claims of intellectual property violations.
If our tenants’ businesses are adversely affected, they may fail to make their rent payments to us, which could materially adversely affect our business, results of operations and financial condition.
The hospitals on whose campuses our MOBs are located and their affiliated healthcare systems could fail to remain competitive or financially viable, which could adversely impact their ability to attract physicians and physician groups to our MOBs and our other properties that serve the healthcare industry.
Our MOBs and other properties that serve the healthcare industry depend on the viability of the hospitals on whose campuses our MOBs are located and their affiliated healthcare systems in order to attract physicians and other healthcare-related users. The viability of these hospitals, in turn, depends on factors such as the quality and mix of healthcare services provided, competition, demographic trends in the surrounding community, market position and growth potential, as well as the ability of the affiliated healthcare systems to provide economies of scale and access to capital. If a hospital whose campus is located on or near one of our MOBs is unable to meet its financial obligations, and if an affiliated healthcare system is unable to support that hospital, the hospital may not be able to compete successfully or could be forced to close or relocate, which could adversely impact its ability to attract physicians and other healthcare-related users. Because we rely on our proximity to and affiliations with these hospitals to create tenant demand for space in our MOBs, their inability to remain competitive or financially viable, or to attract physicians and physician groups, could adversely affect our MOB operations and have a materially adverse effect on us.
In addition, changes to or replacement of the Affordable Care Act and related regulations could result in significant changes to the scope of insurance coverage and reimbursement policies, which could put negative pressure on the operations and revenues of our MOBs.
We may be unable to maintain or expand our relationships with our existing and future hospital and health system clients.
The success of our medical office portfolio depends, to a large extent, on past, current and future relationships with hospitals and their affiliated health systems. We invest significant amounts of time in developing relationships with both new and existing clients. If we fail to maintain these relationships, including through a lack of responsiveness, failure to adapt to the current market or employment of individuals with adequate experience, our reputation and relationships will be harmed and we may lose business to competitors. If our relationships with hospitals and their affiliated health systems deteriorate, it could have a materially adverse effect on us.
Economic and other conditions that negatively affect geographic areas from which a greater percentage of our revenue is recognized could materially adversely affecthave a material adverse effect on our business, results of operations and financial condition.
For the year ended December 31, 2018, 26% of our revenue was derived from properties located in California, which is also where most of our life science portfolio is located. As a result, weWe are subject to increased exposure to adverse conditions affecting California, includingthe geographies in which our properties are located, including: (i) downturns in local economies and increases in unemployment rates; (ii) changes in local real estate conditions, including increases in real estate taxes; (iii) increased competition orcompetition; (iv) decreased demand,demand; (v) changes in state-specific legislationlegislation; and (vi) local climate events and natural disasters (suchand other catastrophic events, such as health pandemics (including the Covid pandemic), earthquakes, hurricanes, windstorms, flooding, wildfires and hurricanes), whichmudslides and other physical climate risks, including water stress and heat stress. These risks could cause significant disruption insignificantly disrupt our businesses in the region, harm our ability to compete effectively, result in increased costs, and divert more management attention, any or all of which could adversely affecthave a material adverse effect on our business, and results of operations.operations and financial condition.
We may experience uninsured
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In addition, if significant changes in the climate occur in areas where we own property, this could result in extreme weather and changes in precipitation and temperature, all of which could result in physical damage to or a decrease in demand for properties located in these areas or affected by these conditions. If changes in the climate have material effects, such as property destruction, or occur for extended periods, this could have a material adverse effect on business, results of operations and financial condition. In addition, changes in federal, state and local legislation and regulation on climate change could require increased capital expenditures to improve the energy efficiency or resiliency of our existing properties and could also cause increased costs for our new developments without a corresponding increase in revenue.
Uninsured or underinsured losses which could result in a significant loss of the capital invested in a property, lower than expected future revenues, orand unanticipated expense.
We maintain and regularly review the comprehensiveOur insurance coverage ondoes not include damages from business interruptions, loss of revenue or earnings or any related effects caused by health pandemics, including the Covid pandemic. We may incur significant out-of-pocket costs associated with legal proceedings or other claims from residents and patients at our properties withthat relate to the Covid pandemic.
Generally, insurance coverage for health pandemics has not previously been readily available and, if and when it does become available, may not be on commercially reasonable terms. Further, even if such coverage is available on commercially reasonable terms, conditions, limits and deductibleswe cannot assure you that we believe are adequatewould receive insurance proceeds that will compensate us fully for our liabilities, costs and appropriate givenexpenses in the relative risk and costsevent of such coverage. However,a health pandemic. In addition, a large number of our properties are located in areas exposed to earthquake, windstorm, floodearthquakes, hurricanes, windstorms, flooding, water stress, heat stress and other common natural disasters.disasters and physical climate risks. In particular, (i) a significant portion of our life science development projects and approximately 90%67% of our existing life science portfolio (based on gross asset value) isvalue as of December 31, 2021) was concentrated in California, which is known to be subject to earthquakes, wildfires and other natural disasters.disasters, and (ii) approximately 69% of our CCRC portfolio (based on gross asset value as of December 31, 2021) was concentrated in Florida, which is known to be subject to hurricanes. While we purchasemaintain insurance coverage for earthquake, fire, windstorm, floodearthquakes, fires, hurricanes, windstorms, floods and other natural disasters that we believe is adequate in light of current industry practice and analyses prepared by outside consultants, such insurance may not fully cover such losses. These losses can result in decreased anticipated revenues from a property and the loss of all or a portion of the capital we have invested in a property. Following these events, we may remain liable for any mortgage debt or other financial obligations related

to the property. The insurance market for such exposures can be very volatile, andphysical climate risks, we may be unable to purchase the limits and terms we desire on a commercially reasonable basis. In addition, there are certain exposures for which we do not purchase insurance because we do not believe it is economically feasible to do so or where there is no viable insurance market.
We maintain earthquake insurance for our properties that are located in the vicinity of active earthquake zones in amounts and with deductibles we believe are commercially reasonable. Because of our significant concentration in the seismically active regions of South San Francisco, California and San Diego, California, a damaging earthquake in these areas could significantly impact multiple properties, which may amount to a significant portion of our life science portfolio. Similarly, a damaging hurricane in Florida could significantly impact multiple properties, which may amount to a significant portion of our CCRC portfolio. As a result, aggregate deductible amounts may be material, and our insurance coverage may be materially insufficient to cover our losses, either of which would adversely affect our business, financial condition, results of operations and cash flows.
If one of our properties experiences a loss that is uninsured or that exceeds policy coverage limits, we could lose our investment in the damaged property as well as the anticipated future cash flows from such property. If the damaged property is subject to recourse indebtedness, we could continue to be liable for the indebtedness even if the property is irreparably damaged.
In addition, even if damage to our properties is covered by insurance, a disruption of business caused by a casualty event may result in loss of revenues for us. Any business interruption insurance may not fully compensate the lender or us for such loss of revenue. Our CCRC and senior housing operators also face various forms of class-action lawsuits from time to time, such as wage and hour and consumer rights actions, which generally are not covered by insurance. These class actions could result in significant defense costs, as well as settlements or verdicts that materially decrease anticipated revenues from a property and can result in the loss of a portion or all of our invested capital.
Our use of joint ventures may limit our returns on and our flexibility with jointly owned investments.
We have and may continue to develop, acquire and/or acquirerecapitalize properties in joint ventures with other persons or entities when circumstances warrant the use of these structures. Our participation in joint ventures is subject to risks that may not be present with other methods of ownership, including:
our joint venture partners could have investment and financing goals that are not consistentinconsistent with our objectives, including the timing, terms and strategies for any investments, and what levels of debt to incur or carry;
because we do not have sole decision-making authority, we could experience an impasse on certain decisions, because we do not have sole decision-making authority,including budget approvals, acquisitions, sales of assets, debt financing, execution of lease agreements, and vendor approvals, which impasses could result in delayed decisions and missed opportunities and could require us to expend additional resources on resolving such impasses or potential disputes, including litigation or arbitration;
our joint venture partners may have competing interests in our markets that could create conflictconflicts of interest issues;interest;
our ability to transfer our interest in a joint venture to a third party may be restricted and the market for our interest may be limited and/or valued lower than fair market value;
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our joint venture partners may be structured differently than us for tax purposes, and this could create conflicts of interest and risks to our REIT status; and
our joint venture partners might become insolvent, fail to fund their share of required capital contributions or fail to fulfill their obligations as a joint venture partner, which may require us to infuse our own capital into the venture on behalf of the partner despite other competing uses for such capital.
For example, withWith respect to our minority ownership position in our unconsolidated CCRC joint venture with Brookdale,ventures, we aremay be limited in our ability to control or influence operations, and in our ability to exit or transfer our interest in the joint venture to a third party. As a result, we may not receive full value for our ownership interest if we tried to sell it to a third party.
In addition, in some instances, we and/or our joint venture partner will have the right to cause us to sell our interest, or acquire our partner’s interest, at a time when we otherwise would not have initiated such a transaction. Our ability to acquire our partner’s interest will be limited if we do not have sufficient cash, available borrowing capacity or other capital resources. This would require us to sell our interest in the joint venture when we would otherwise prefer to retain it. Any of the foregoing risks could materially adversely affecthave a material adverse effect on our business, results of operations and financial condition.
We have now, and may have in the future,Rent escalators or contingent rent provisions and/or rent escalators based on the Consumer Price Index, whichin our leases could hinder our profitability and growth.
We derive a significant portion of our revenues from leasing properties pursuant to leases that generally provide for fixed rental rates, subject to annual escalations. If strong economic conditions result in increases in the Consumer Price Index in excess of the annual escalations, our growth and profitability may be limited.
Under certain leases, a portion of the tenant’s rental payment to us is based on the property’s revenues (i.e., contingent rent). If, as a result of weak economic conditions or other factors that may be outside of our control, the property’s revenue declines, our rental revenues would decrease and our results of operations could be materially adversely affected.
Additionally, some of our leases provide that annual rent escalatesis modified based on changes in the Consumer Price Index or other thresholds (i.e., contingent rent escalators). If the Consumer Price Index does not increase or other applicable thresholds are not met, rental rates may not increase as anticipated or at all, which could hinder our profitability and our growth and profitability may be hindered.growth. Furthermore, if strong economic conditions result in significant increases in

the Consumer Price Index, but the escalations under our leases with contingent rent escalators are capped or the increase in the Consumer Price Index exceeds our tenants’ ability to pay, our growth and profitability also may be limited.
Competition may make it difficult to identify and purchase, or develop, suitable healthcare properties to grow our investment portfolio, to finance acquisitions on favorable terms, or to retain or attract tenants and operators.
We face significant competition from other REITs, investment companies, private equity and hedge fund investors, sovereign funds, healthcare operators, lenders, developers and other institutional investors, some of whom may have greater resources and lower costs of capital than we do. Increased competition makesand resulting capitalization rate compression make it more challenging for us to identify and successfully capitalize on opportunities that meet our business goals and could improve the bargaining power of property owners seeking to sell, thereby impeding our investment, acquisition and development activities. Similarly, our properties face competition for tenants and operators from other properties in the same market, which may affect our ability to attract and retain tenants and operators, or may reduce the rents we are able to charge. If we cannot capitalize on our development pipeline, identify and purchase a sufficient quantity of healthcare properties at favorable prices, finance acquisitions on commercially favorable terms, or attract and retain profitable tenants and operators, our business, results of operations and financial condition may be materially adversely affected.
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We may be unable to successfully foreclose on the collateral securing our real estate-related loans, and even if we are successful in our foreclosure efforts, we may be unable to successfully operate, occupy or reposition the underlying real estate, which may adversely affect our ability to recover our investments.
If a borrower defaults under one of our mortgages or mezzanine loans, we may have to foreclose on the loan or take additional actions, including acquiring title to the collateral via statutory or judicial foreclosure or commencing collection litigation. We may determine that substantial improvements or repairs to the property are necessary in order to maximize the property’s investment potential. In some cases, because our collateral consists of the equity interests in an entity that directly or indirectly owns the applicable real property or interests in other operating properties, we may not have full recourse with respect to assets of that entity, or that entity may have incurred unexpected liabilities, either of which would preclude us from fully recovering our investment. Borrowers may contest enforcement of foreclosure or other remedies, seek bankruptcy protection against our exercise of enforcement or other remedies and/or bring claims for lender liability in response to actions to enforce mortgage obligations. Foreclosure or collections-related costs, high loan-to-value ratios or declines in the value of the property may prevent us from realizing an amount equal to our mortgage or mezzanine loan balance upon foreclosure or conclusion of litigation, and we may be required to record a valuation allowance for such losses. Even if we are able to successfully foreclose on the collateral securing our real estate-related loans, we may inherit properties for which we may be unable to expeditiously secure tenants or operators, if at all, or we may acquire equity interests that we are unable to immediately resell or otherwise liquidate due to limitations under the securities laws, either of which would adversely affect our ability to fully recover our investment.
From time to time we have made, and we may seek to make, one or more material acquisitions, which may involve the expenditure of significant funds.
We regularly review potential transactions in order to maximize stockholder value. Our review process may require significant management attention and a potential transaction could be abandoned or rejected by us or the other parties involved after we expend significant resources and time. In addition, future acquisitions may require the issuance of securities, the incurrence of debt, assumption of contingent liabilities or incurrence of significant expenditures, each of which could materially adversely impact our business, financial condition or results of operations. In addition, the financing required for acquisitions may not be available on commercially favorable terms or at all.
From time to time, we may acquire other companies, and ifIf we are unable to successfully integrate these operations,our acquisitions, our business, results of operations and financial condition may be materially adversely affected.
Acquisitions require the integration of companies that have previously operated independently. Successful integration of the operations of theseacquired companies depends primarily on our ability to consolidate operations, systems, procedures, properties and personnel, and to eliminate redundancies and reduce costs. We may encounter difficulties in these integrations. Potential difficulties associated with acquisitions includeinclude: (i) our ability to effectively monitor and manage our expanded portfolio of properties,properties; (ii) the loss of key employees,employees; (iii) the disruption of our ongoing business or that of the acquired entity,entity; (iv) possible inconsistencies in standards, controls, procedures and policies,policies; and (v) the assumption of unexpected liabilities, including:
liabilities relating to the cleanup or remediation of undisclosed environmental conditions;
unasserted claims of vendors, residents, patients or other persons dealing with the seller;
liabilities, claims and litigation, whether or not incurred in the ordinary course of business, relating to periods prior to our acquisition;
claims for indemnification by general partners, directors, officers and others indemnified by the seller;
claims for return of government reimbursement payments; and
liabilities for taxes relating to periods prior to our acquisition.
In addition, the acquired companies and their properties may fail to perform as expected, including in respect of estimated cost savings. Inaccurate assumptions regarding future rental or occupancy rates could result in overly optimistic estimates of future revenues. Similarly, we may underestimate future operating expenses or the costs necessary to bring properties up to standards established for their intended use or for property improvements.
If we have difficulties with any of these areas, or if we later discover additional liabilities or experience unforeseen costs relating to our acquired companies, we mightmay not achieve the anticipated economic benefits we expect from our acquisitions, and this may materially adversely affecthave a material adverse effect on our business, results of operations and financial condition.
Our
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Unfavorable litigation resolution or disputes could have a material adverse effect on our financial condition and that of our tenants, operators and borrowers, face litigation and we and our tenants, operators and borrowers may experience rising liability and insurance costs.
In some states, advocacy groups have been createdOur tenants, operators and borrowers are from time to monitortime parties to litigation, including disputes regarding the quality of care at healthcare properties, and these groups have brought litigation against the tenants and operators of such properties. Also, in several instances, private litigation by patients,

residents or “whistleblowers” has sought, and sometimes resulted in, large damage awards. See “Risks Related to Our Business and Operations—The requirements of, or changes to, governmental reimbursement programs such as Medicare or Medicaid, may adversely affect our tenants’, operators’ and borrowers’ ability to meet their financial and other contractual obligations to us.” The effect of this litigation and other potential litigation may materially increase the costs incurred by our tenants, operators and borrowers, for monitoringincluding costs to monitor and reportingreport quality of care compliance, which under a RIDEA structure would be borne by us.compliance. In addition, theirthe cost of professional liability, and medical malpractice, property, business interruption, and insurance policies that may provide only partial coverage for Covid and other environmental or infectious disease outbreaks, epidemics and pandemics can be significant and may increase or not be available at a reasonable cost.cost or at all. Cost increases could cause our tenants and borrowers to be unable to make their lease or mortgage payments or fail to purchase the appropriate liability and malpractice insurance, or cause our borrowers to be unable to meet their obligations to us, potentially decreasing our revenues and increasing our collection and litigation costs. Furthermore, with respect to our senior housingCCRC properties and the properties in our SWF SH JV, all of which are operated in RIDEA structures, we directly bear the costs of any such increases in litigation, monitoring, reporting and insurance due to our direct exposure to the cash flows of such properties.
From time to time, we are involved in legal proceedings, lawsuits and other claims. We may also be named as defendants in lawsuits arising out of our alleged actions or the alleged actions of our tenants and operators for which such tenants and operators have agreed to indemnify us. Furthermore, we could experience a material increase in legal proceedings, lawsuits and other claims related to the Covid pandemic. Unfavorable resolution of any such litigation or negative publicity as a result of such litigation may have a material adverse effect on our business, results of operations and financial condition. Regardless of the outcome, litigation or other legal proceedings may result in substantial costs, disruption of our normal business operations, and the diversion of management attention. We may be unable to prevail in, or achieve a favorable settlement of, any pending or future legal action against us.
In addition,particular, as a result of our ownership of healthcare properties, we may be named as a defendant in lawsuits arising from the alleged actions of our tenants or operators. With respect to our triple-net leases, our tenants generally have agreed to indemnify us for various claims, litigation and liabilities in connection with their leasing and operation of our triple-net leased properties. However, if any tenant fails to indemnify us pursuant to the terms of its agreement with us, we would have to incur the costs that should have been covered by the tenant and to determine whether to expend additional resources to seek the contractually owed indemnity from that tenant, including potentially through litigation or arbitration. In some instances, we may decide not to enforce our indemnification rights if we believe that enforcement of such rights would be more detrimental to our business than alternative approaches. Regardless, such an event would divert management attention and may result in a disruption to our normal business operations, any or all of which could have an adverse effect on our business, results of operations, and financial condition.
With respect to our RIDEA structured properties, we are responsible for these claims, litigation and liabilities, with limited indemnification rights against our operator typically based on the gross negligence or willful misconduct by the operator. Although our leases provide us with certain information rights with respect to our tenants, one or more of our tenants may be or become party to pending litigation or investigation toof which we are unaware or in which we do not have a right to participate or evaluate. In such cases, we would be unable to determine the potential impact of such litigation or investigation on our tenants or our business or results. Moreover, negative publicity of any of our operators’ or tenants’ litigation, other legal proceedings or investigations may also negatively impact their and our reputation, resulting in lower customer demand and revenues, which could have a material adverse effect on our financial condition, results of operations and cash flow.
Required regulatory approvals can delay or prohibit transfers of our healthcare properties.
Transfers of healthcare properties to successor tenants or operators are typically subject to regulatory approvals or ratifications, including, but not limited to, change of ownership approvals and Medicare and Medicaid provider arrangements that are not required for transfers of other types of commercial operations and other types of real estate. The replacement of any tenant or operator could be delayed by the regulatory approval process of any federal, state or local government agency necessary for the transfer of the property or the replacement of the operator licensed to manage the property, during which time the property may experience performance declines. If we are unable to find a suitable replacement tenant or operator upon favorable terms, or at all, we may take possession of a property, which could expose us to successor liability, require us to indemnify subsequent operators to whom we transfer the operating rights and licenses, or require us to spend substantial time and funds to preserve the value of the property and adapt the property to other uses, all of which may materially adversely affect our business, results of operations and financial condition.
Compliance with the Americans with Disabilities Act and fire, safety and other regulations may require us to make expenditures that adversely affect our cash flows.
Our properties must comply with applicable ADA and any similar state and local laws. This may require removal of barriers to access by persons with disabilities in public areas of our properties. Noncompliance could result in the incurrence of additional costs associated with bringing the properties into compliance, the imposition of fines or an award of damages to private litigants in individual lawsuits or as part of a class action. While the tenants to whom we lease our properties are obligated to comply with the ADA and similar state and local provisions, and typically under tenant leases are obligated to cover costs associated with compliance, if required changes involve greater expenditures than anticipated, or if the changes must be made on a more accelerated basis than anticipated, the ability of these tenants to cover costs could be adversely affected. As a result, we could be required to expend funds to comply with the provisions of the ADA and similar state and local laws on behalf of tenants, which could adversely affect our results of operations and financial condition. Additionally, with respect to our SHOP properties managed in RIDEA structures, we are ultimately responsible for such litigation and compliance costs due to our direct exposure to the cash flows of the properties.
In addition, we are required to operate our properties in compliance with fire and safety regulations, building codes and other land use regulations. New and revised regulations and codes may be adopted by governmental agencies and bodies and become applicable to our properties. For example, new safety laws for senior housing properties were adopted following the particularly damaging 2018 hurricane season. Compliance could require substantial capital expenditures, and may restrict our ability to renovate our properties. These expenditures and restrictions could have a material adverse effect on our financial condition and cash flows.

The requirements of, or changes to, governmental reimbursement programs such as Medicare or Medicaid, may adversely affect our tenants’, operators’ and borrowers’ ability to meet their financial and other contractual obligations to us.
Certain of our tenants, operators and borrowers are affected, directly or indirectly, by an extremely complex set of federal, state and local laws and regulations pertaining to governmental reimbursement programs. These laws and regulations are subject to frequent and substantial changes that are sometimes applied retroactively. See “Item 1—Business—Government Regulation, Licensing and Enforcement.” For example, to the extent that our tenants, operators or borrowers receive a significant portion of their revenues from governmental payors, primarily Medicare and Medicaid, they are generally subject to, among other things:
statutory and regulatory changes;
retroactive rate adjustments;
recovery of program overpayments or set-offs;
federal, state and local litigation and enforcement actions;
administrative proceedings;
policy interpretations;
payment or other delays by fiscal intermediaries or carriers;
government funding restrictions (at a program level or with respect to specific properties);
interruption or delays in payments due to any ongoing governmental investigations and audits at such properties;
reputational harm of publicly disclosed enforcement actions, audits or investigations related to billing and reimbursements.
The failure to comply with the extensive laws, regulations and other requirements applicable to their business and the operation of our properties could result in, among other challenges: (i) becoming ineligible to receive reimbursement from governmental reimbursement programs; (ii) becoming subject to prepayment reviews or claims for overpayments; (iii) bans on admissions of new patients or residents; (iv) civil or criminal penalties; and (v) significant operational changes, including requirements to increase staffing or the scope of care given to residents. These laws and regulations are enforced by a variety of federal, state and local agencies and can also be enforced by private litigants through, among other things, federal and state false claims acts, which allow private litigants to bring qui tam or “whistleblower” actions. Our tenants, operators and borrowers could be adversely affected by the resources required to respond to an investigation or other enforcement action. In such event, the results of operations and financial condition of our tenants and the results of operations of our properties operated by those entities could be materially adversely affected, which, in turn, could have a materially adverse effect on us.
We are unable to predict future federal, state and local regulations and legislation, including the Medicare and Medicaid statutes and regulations, or the intensity of enforcement efforts with respect to such regulations and legislation. Any changes in the regulatory framework could have a materially adverse effect on our tenants and operators. If, in turn, such tenants or operators fail to make contractual rent payments to us or, with respect to our SHOP segment, cash flows are adversely affected, it could have a materially adverse effect on us.
Sometimes, governmental payors freeze or reduce payments to healthcare providers, or provide annual reimbursement rate increases that are smaller than expected, due to budgetary and other pressures. Healthcare reimbursement will likely continue to be of significant importance to federal and state authorities. We cannot make any assessment as to the ultimate timing or the effect that any future legislative reforms may have on our tenants’, operators’ and borrowers’ costs of doing business and on the amount of reimbursement by government and other third-party payors. The failure of any of our tenants, operators or borrowers to comply with these laws and regulations, and significant limits on the scope of services reimbursed and on reimbursement rates and fees, could materially adversely affect their ability to meet their financial and contractual obligations to us.
Furthermore, executive orders and legislation may amend or repeal the Affordable Care Act and related regulations in whole or in part. A federal court in Texas recently declared the Affordable Care Act’s individual mandate unconstitutional and the remaining provisions non-severable from the mandate, thus making them invalid (Texas v. United States, Case 4:18-cv-00167-1, Slip Opinion (N.D. Tex. Dec. 14, 2018). The decision has been stayed pending appeal. We also anticipate that Congress, state legislatures, and third-party payors may continue to review and assess alternative healthcare delivery and payment systems and may propose and adopt legislation or policy changes or implementations effecting additional fundamental changes in the healthcare system. For example, the Department of Health and Human Services has focused on tying Medicare payments to quality or value through

alternative payment models, which generally aim to make providers attentive to the total costs of treatments. Additionally, the Centers for Medicare and Medicaid Services recently finalized a new patient driven payment model, which, effective October 1, 2019, will be used to calculate reimbursement rates for patients in skilled nursing properties. We cannot quantify or predict the likely impact of these changes on the revenues and profitability of our tenants, operators and borrowers. However, if any such changes significantly and adversely affect our tenants’ profitability, they could in turn negatively affect our tenants’ ability and willingness to comply with the terms of their leases with us and/or renew their leases with us upon expiration, which could impact our business, prospects, financial condition or results of operations.
Legislation to address federal government operations and administration decisions affecting the Centers for Medicare and Medicaid Services could have a materially adverse effect on our tenants’, operators’ and borrowers’ liquidity, financial condition or results of operations.
Congressional consideration of legislation pertaining to the federal debt ceiling, the Affordable Care Act, tax reform and entitlement programs, including reimbursement rates for physicians, could have a materially adverse effect on our tenants’, operators’ and borrowers’ liquidity, financial condition or results of operations. In particular, reduced funding for entitlement programs such as Medicare and Medicaid would result in increased costs and fees for programs such as Medicare Advantage Plans and additional reductions in reimbursements to providers. Amendments to or repeal of the Affordable Care Act in whole or in part and decisions by the Centers for Medicare and Medicaid Services could impact the delivery of services and benefits under Medicare, Medicaid or Medicare Advantage Plans and could affect our tenants and operators and the manner in which they are reimbursed by such programs. Such changes could have a materially adverse effect on our tenants’, operators’ and borrowers’ liquidity, financial condition or results of operations, which could adversely affect their ability to satisfy their obligations to us and could have a materially adverse effect on us.
We may be unable to successfully foreclose on the collateral securing our real estate-related loans, and even if we are successful in our foreclosure efforts, we may be unable to successfully operate, occupy or reposition the underlying real estate, which may adversely affect our ability to recover our investments.
If a tenant or operator defaults under one of our mortgages or mezzanine loans, we may have to foreclose on the loan or protect our interest by acquiring title to the collateral and thereafter making substantial improvements or repairs in order to maximize the property’s investment potential. In some cases, the collateral consists of the equity interests in an entity that directly or indirectly owns the applicable real property or interests in operating properties and, accordingly, we may not have full recourse to assets of that entity, or that entity may have incurred unexpected liabilities. Tenants, operators or borrowers may contest enforcement of foreclosure or other remedies, seek bankruptcy protection against our exercise of enforcement or other remedies and/or bring claims for lender liability in response to actions to enforce mortgage obligations. Foreclosure-related costs, high loan-to-value ratios or declines in the value of the property may prevent us from realizing an amount equal to our mortgage or mezzanine loan upon foreclosure, and we may be required to record a valuation allowance for such losses. Even if we are able to successfully foreclose on the collateral securing our real estate-related loans, we may inherit properties for which we may be unable to expeditiously secure tenants or operators, if at all, or we may acquire equity interests that we are unable to immediately resell due to limitations under the securities laws, either of which would adversely affect our ability to fully recover our investment.
Risks Related to Our Capital Structure and Market Conditions

Changes or increases in interest rates could result in a decreaseAn increase in our stock price and increased interestborrowing costs on new debt and existing variable rate debt, which could materially adversely impact our ability to refinance existing debt, sell properties and conduct acquisition, investment and development activities.activities, and could cause our stock price to decline.
An increase in interest rates could reduceour borrowing costs reduces the amount investors are willing to pay for our common stock. Because REIT stocks are often perceived as high-yield investments, investors may perceive less relative benefit to owning REIT stocks as interest rates and the yield on government treasuries and other bondsborrowing costs increase.
Additionally, we have existing debt obligations that arehave variable rate obligations with interest rates and related payments that vary with the movement of certain indices. If interest rates increase, so would our interest costs for any variable rate debt and for new debt. This increased cost would make the financing of any acquisition and development activity more costly. In addition, an increase in interest rates could decrease the amount third parties are willing to pay for our properties, thereby limiting our ability to reposition our portfolio promptly in response to changes in economic or other conditions.
Rising interest ratesborrowing costs could limit our ability to refinance existing debt when it matures, or cause us to pay higher interest rates upon refinancing and increase interest expense on refinanced indebtedness. For example, we have $800 million of senior notes thatIf our prevailing borrowing costs are maturing in 2020 on which we pay 2.625% interest, which is lower than prevailing interest rates throughout 2018. If interest rates

remain higher than the interest rates of our senior notes reachingat their maturity, we will incur additional interest expense upon any replacement debt.
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We manage a portion of our exposure to interest rate risk by accessing debt with staggered maturities and through the use of derivative instruments, primarily interest rate cap and swap agreements. However, no amount of hedging activity can fully insulate us from the risks associated with changes in interest rates. SwapThese agreements involve risk, including that counterparties may fail to honor their obligations under these arrangements, that these arrangements may not be effective in reducing our exposure to interest rate changes, that the amount of income we earn from hedging transactions may be limited by federal tax provisions governing REITs and that these arrangements may cause us to payincur higher interest rates on our debt obligationsservice costs than would otherwise be the case. Failure to hedge effectively against interest rate risk could adversely affect our results of operations and financial condition.
Cash available for distribution to stockholders may be insufficient to make dividend distributions at expected levels and are made at the discretion of our Board of Directors.
IfDecreases in cash available for distribution generated by our propertiesdistributions, including decreases as arelated to the Covid pandemic, may result of our announced dispositions or otherwise, we may bein us being unable to make dividend distributions at expected levels. Our inabilityfailure to make expected distributions commensurate with market expectations would likely result in a decrease in the market price of our common stock. AllFurther, all distributions are made at the discretion of our Board of Directors in accordance with Maryland law and depend onon: (i) our earnings,earnings; (ii) our financial condition,condition; (iii) debt and equity capital available to us,us; (iv) our expectations of ourfor future capital requirements and operating performance,performance; (v) restrictive covenants in our financial or other contractual arrangements, (includingincluding those in our credit facility agreement),agreement; (vi) maintenance of our REIT qualification, restrictions under Maryland lawqualification; and (vii) other factors as our Board of Directors may deem relevant from time to time. Additionally, our ability to make distributions will be adversely affected if any of the risks described herein, or other significant adverse events, occur.
We rely on external sources of capital to fund future capital needs, and ifIf access to suchexternal capital is unavailable on acceptable terms or at all, it could have a materiallymaterial adverse effect on our ability to meet commitments as they become due or make future investments necessary to grow our business.
We may not be ableunable to fund all future capital needs, including capital expenditures, debt maturities and other commitments, from cash retained from operations and dispositions. If we are unable to obtain enough internal capital, we may need to rely on external sources of capital (including debt and equity financing) to fulfill our capital requirements. Our access to capitalrequirements, which depends upon a number of factors, some of which we have little or no control over, including but not limited to:including:
general availability of capital, including less favorable terms, rising interest rates and increased borrowing costs;
the market price of the shares of our equity securities and the credit ratings of our debt and any preferred securities we may issue;
the market’s perception of our growth potential and our current and potential future earnings and cash distributions;
our degree of financial leverage and operational flexibility;
the financial integrity of our lenders, which might impair their ability to meet their commitments to us or their willingness to make additional loans to us, and our inability to replace the financing commitment of any such lender on favorable terms, or at all;
the stability of the market value of our properties;
the financial performance and general market perception of our tenants and operators;
changes in the credit ratings on U.S. government debt securities or default or delay in payment by the United States of its obligations;
issues facing the healthcare industry, including but not limited to, healthcare reform, and changes in government reimbursement policies;policies and the unique challenges posed by the Covid pandemic; and
the performance of the national and global economies generally.generally, including any economic downturn and volatility in the financial markets as a result of the Covid pandemic.
If access to capital is unavailable on acceptable terms or at all, it could have a materiallymaterial adverse impact on our ability to fund operations, repay or refinance our debt obligations, fund dividend payments, acquire properties and make the investments in development and redevelopment activities, as well as capital expenditures, needed to grow our business.

Adverse changes in our credit ratings could impair our ability to obtain additional debt and equity financing on favorable terms, if at all, and negatively impact the market price of our securities, including our common stock.
Our credit ratings can affect the amount and type of capital we can access, as well as the terms of any financing we may obtain. The credit ratings of our senior unsecured debt are based on, among other things, our operating performance, liquidity and leverage ratios, overall financial position, level of indebtedness and pending or future changes in the regulatory framework applicable to our operators and our industry. We may be unable to maintain our current credit ratings, and in the event that our current credit ratings deteriorate, we would likely incur higher borrowing costs, which would make it more difficult or expensive to obtain additional financing or refinance existing obligations and commitments. Also, a downgrade in our credit ratings would trigger additional costs or other potentially negative consequences under our current and future credit facilities and debt instruments.
Our level of indebtedness may increase and materially adversely affect our future operations.
Our outstanding indebtedness as of December 31, 20182021 was approximately $5.6$6.2 billion. We may incur additional indebtedness, including in connection with the development or acquisition of properties, which may be substantial. Any significant additional indebtedness would likely negatively affect the credit ratings of our debt and require us to dedicate a substantial portion of our cash flow to interest and principal payments due on our indebtedness.payments. Greater demands on our cash resources may reduce funds available to us to pay dividends, conduct development activities, make capital expenditures and acquisitions, or carry out other aspects of our business strategy. Increased indebtedness can also make us more vulnerable to general adverse economic and industry conditions and create competitive disadvantages for us compared to other companies with relativelycomparatively lower debt levels. Increased future debt service obligations may limit our operational flexibility, including our ability to finance or refinance our properties, contribute properties to joint ventures or sell properties as needed.
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Covenants in our debt instruments limit our operational flexibility, and breaches of these covenants could materially adversely affect our business, results of operations and financial condition.
The terms of our current secured and unsecured debt instruments and other indebtedness that we may incur, require or will require us to comply with a number of customary financial and other covenants, such as maintaining leverage ratios, minimum tangible net worth requirements, REIT status and certain levels of debt service coverage. Our continued ability to incur additional debt and to conduct business in general is subject to compliance with these financial and other covenants, which limitlimits our operational flexibility. For example, mortgages on our properties contain customary covenants such as those that limit or restrict our ability, without the consent of the lender, to further encumber or sell the applicable properties, or to replace the applicable tenant or operator. Breaches of certain covenants may result in defaults under the mortgages on our properties and cross-defaults under certain of our other indebtedness, even if we satisfy our payment obligations to the respective obligee.Covenants that limit our operational flexibility as well as defaults resulting from the breach of any of these covenants could materially adversely affect our business, results of operations and financial condition.
Volatility, disruption or uncertainty in the financial markets may impair our ability to raise capital, obtain new financing or refinance existing obligations and fund real estate and development activities.
We may be affected by general market and economic conditions. Increased or prolonged market disruption, volatility or uncertainty, including disruption caused by the Covid pandemic, could materially adversely impact our ability to raise capital, obtain new financing or refinance our existing obligations as they mature, and fund real estate and development activities. For example, as a result of the potential or perceived impact of the pandemic on our business, lenders and other financial institutions could require us to agree to more restrictive covenants, grant liens on our assets as collateral and/or accept other terms that are not commercially beneficial to us in order to obtain financing. One or more of our lenders under our credit facility could refuse or fail to fund their financing commitment to us as a result of lender liquidity and/or viability challenges, which financing commitments we may not be able to replace on favorable terms, or at all. Market volatility could also lead to significant uncertainty in the valuation of our investments and those of our joint ventures, which may result in a substantial decrease in the value of our properties and those of our joint ventures. As a result, we may be unable to recover the carrying amount of such investments and the associated goodwill, if any, which may require us to recognize impairment charges in earnings.
We may be adversely affected by fluctuations in currency exchange rates.Risks Related to the Regulatory Environment
We have certain investments in international markets where the U.S. dollar is not the denominated currency. The ownership
Laws or regulations prohibiting eviction of investments located outside of the United States subjects us to risk from fluctuations in exchange rates between foreign currencies and the U.S. dollar. A significant change in the value of the British pound sterling (“GBP”) mayour tenants, even on a temporary basis, could have a materiallymaterial adverse effect on our financial position, debt covenant ratios,revenues if our tenants fail to make their contractual rent payments to us.
Various federal, state and local governments have enacted, and may continue to enact, laws, regulations and moratoriums or take other actions that could limit our ability to evict tenants until such laws, regulations or moratoriums are reversed or lifted. In particular, many state and local governments have implemented eviction moratoriums as a result of the Covid pandemic that apply to both residential and commercial tenants. Although many of these moratoriums have been temporary in nature to date, and may have expired, they may be revised, reinstated and/or extended for a significant period of time until the Covid pandemic subsides. Although we generally have arrangements and other agreements that give us the right under specified circumstances to terminate a lease or evict a tenant for nonpayment of contractual rent, such laws, regulations and moratoriums may prohibit our ability to begin eviction proceedings even where no rent or only partial rent is being paid for so long as such law, regulation or moratorium remains in effect. Further, under current laws and regulations, eviction proceedings for delinquent tenants are already costly and time-consuming, and, if there are existing backlogs or backlogs develop in courts due to higher than normal eviction proceedings, whether or not due to an increase in eviction proceedings after the Covid pandemic, we may incur significant costs and it may take a significant amount of time to ultimately evict any tenant who is not meeting their contractual rent obligations. If we are restricted, delayed or prohibited from evicting tenants for failing to make contractual rent payments, our business, results of operations and cash flow.financial condition may be materially adversely impacted.
WeTenants, operators and borrowers that fail to comply with federal, state, local and international laws and regulations, including resident health and safety requirements, as well as licensure, certification and inspection requirements, may attemptcease to operate or be unable to meet their financial and other contractual obligations to us.
Our tenants, operators and borrowers in all of our segments are subject to or impacted by extensive, frequently changing federal, state and local laws and regulations. See “Item 1—Business—Government Regulation, Licensing and Enforcement—Healthcare Licensure and Certificate of Need” for a discussion of certain of these laws and regulations. Our tenants’, operators’ or borrowers’ failure to comply with any of the laws, regulations or requirements applicable to them could result in: (i) loss of accreditation; (ii) denial of reimbursement; (iii) imposition of fines; (iv) suspension or decertification from government healthcare programs; (v) civil liability; and (vi) in certain instances, criminal penalties, loss of license or closure of the property and/or the incurrence of considerable costs arising from an investigation or regulatory action, which may have an adverse effect on properties that we own and lease to a third party tenant in our Life Science and MOB segments, that we own and operate through a RIDEA structure in our CCRC segment or our SWF SH JV, or on which we hold a mortgage, and therefore may materially adversely impact us.
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Required regulatory approvals can delay or prohibit transfers of our senior housing properties.
Transfers of senior housing properties, including CCRCs, to successor owners or operators are typically subject to regulatory approvals or ratifications, including change of ownership approvals for licensure and Medicare / Medicaid (if applicable) that are not required for transfers of other types of commercial operations and other types of real estate. The sale of, or replacement of any operator at, our CCRC and senior housing facilities could be delayed by the regulatory approval process of any federal, state or local government agency necessary for the transfer of the property or the replacement of the operator licensed to manage the impact of foreign currency exchange rate changes throughproperty, during which time the use of derivative contracts or other methods. For example, we currently utilize GBP denominated liabilities as a natural hedge against our GBP denominated assets. Additionally, we executed currency swap contracts to hedge the risk related to a portionproperty may experience performance declines. The continuing effects of the forecasted interest receipts on these investments. However, no amountCovid pandemic may materially delay necessary approvals, thereby lengthening the period of hedging activity can fully insulateperformance deterioration, which could have a material adverse effect of our business, results of operations and financial condition. We may also elect to use an interim licensing structure to facilitate such transfers, which structure expedites the transfer by allowing a third party to operate under our license until the required regulatory approvals are obtained but could subject us fromto fines or penalties if the risksthird party fails to comply with applicable laws and regulations and then fails to indemnify us for such fines or penalties pursuant to the terms of its agreement with us.
Compliance with the Americans with Disabilities Act and fire, safety and other regulations may require us to make expenditures that adversely affect our cash flows.
Our properties must comply with applicable ADA and any similar state and local laws. These laws may require removal of barriers to access by persons with disabilities in public areas of our properties. Noncompliance could result in the incurrence of additional costs associated with bringing the properties into compliance, the imposition of fines or an award of damages to private litigants in individual lawsuits or as part of a class action. While the tenants to whom we lease our properties are obligated to comply with the ADA and similar state and local provisions, and typically under tenant leases are obligated to cover costs associated with compliance, if required changes in foreign currency exchange rates,involve greater expenditures than anticipated, or if the changes must be made on a more accelerated basis than anticipated, the ability of these tenants to cover costs could be adversely affected. As a result, we could be required to expend funds to comply with the provisions of the ADA and the failure to hedge effectively against foreign currency exchange rate risk, if we choose to engage in such activities,similar state and local laws on behalf of tenants, which could materially adversely affect our results of operations and financial condition. In addition, any international

currency gain recognizedAdditionally, with respect to the properties owned by our SWF SH JV under a RIDEA structures, the SWF SH JV is ultimately responsible for such litigation and compliance costs, and at our CCRCs, we are responsible for such litigation and compliance costs.
In addition, we are required to operate our properties in compliance with fire and safety regulations, building codes and other land use regulations. New and revised regulations and codes may be adopted by governmental agencies and bodies and become applicable to our properties. For example, new safety laws for senior housing properties were adopted following the particularly damaging 2018 hurricane season. Compliance could require substantial capital expenditures, both for significant upgrades and for tenant relocations that may be necessary depending on the scope and duration of upgrades, and may restrict our ability to renovate our properties. These expenditures and restrictions could have a material adverse effect on our financial condition and cash flows.
The requirements of, or changes to, governmental reimbursement programs such as Medicare or Medicaid may adversely affect our tenants’, operators’ and borrowers’ ability to meet their financial and other contractual obligations to us.
Certain of our tenants, operators and borrowers are affected, directly or indirectly, by a complex set of federal, state and local laws and regulations pertaining to governmental reimbursement programs, including the CARES Act and other similar relief legislation enacted as a result of the Covid pandemic. These laws and regulations are subject to frequent and substantial changes that are sometimes applied retroactively. See “Item 1—Business—Government Regulation, Licensing and Enforcement.” For example, to the extent that our tenants, operators or borrowers receive a significant portion of their revenues from governmental payors, primarily Medicare and Medicaid, they are generally subject to, among other things:
statutory and regulatory changes;
retroactive rate adjustments;
recovery of program overpayments or set-offs;
federal, state and local litigation and enforcement actions;
administrative proceedings;
policy interpretations;
payment or other delays by fiscal intermediaries or carriers;
government funding restrictions (at a program level or with respect to specific properties);
reduced reimbursement rates under managed care contracts;
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interruption or delays in payments due to any ongoing governmental investigations and audits at such properties; and
reputational harm of publicly disclosed enforcement actions, audits or investigations related to billing and reimbursements.
The failure to comply with the extensive laws, regulations and other requirements applicable to their business and the operation of our properties could result in, among other challenges: (i) becoming ineligible to receive reimbursement from governmental reimbursement programs, including under the CARES Act; (ii) becoming subject to prepayment reviews or claims for overpayments; (iii) bans on admissions of new patients or residents; (iv) civil or criminal penalties; and (v) significant operational changes, including requirements to increase staffing or the scope of care given to residents. These laws and regulations are enforced by a variety of federal, state and local agencies and can also be enforced by private litigants through, among other things, federal and state false claims acts, which allow private litigants to bring qui tam or “whistleblower” actions.
We are unable to predict future changes to or interpretations of federal, state and local statutes and regulations, including the Medicare and Medicaid statutes and regulations, or the intensity of enforcement efforts with respect to such statutes and regulations. Any changes in exchangethe regulatory framework or the intensity or extent of governmental or private enforcement actions could have a material adverse effect on our tenants and operators.
Sometimes, governmental payors freeze or reduce payments to healthcare providers, or provide annual reimbursement rate increases that are smaller than expected, due to budgetary and other pressures. In addition, the federal government periodically makes changes in the statutes and regulations relating to Medicare and Medicaid reimbursement that may impact state reimbursement programs, particularly Medicaid reimbursement and managed care payments. We cannot make any assessment as to the ultimate timing or the effect that any future changes may have on our tenants’, operators’ and borrowers’ costs of doing business and on the amount of reimbursement by government and other third-party payors. The failure of any of our tenants, operators or borrowers to comply with these laws and regulations, and significant limits on the scope of services reimbursed, reductions in reimbursement rates and fees, or increases in provider or similar types of taxes, could materially adversely affect their ability to meet their financial and contractual obligations to us.
Furthermore, executive orders and legislation may amend the Affordable Care Act and related regulations in whole or in part. We also anticipate that Congress, state legislatures, and third-party payors may continue to review and assess alternative healthcare delivery and payment systems and may propose and adopt legislation or policy changes or implementations effecting additional fundamental changes in the healthcare system. For example, the Department of Health and Human Services has focused on tying Medicare payments to quality or value through alternative payment models, which generally aim to make providers attentive to the total costs of treatments. Medicare no longer reimburses hospitals for care related to certain preventable adverse events and imposes payment reductions on hospitals for preventable readmissions. These punitive approaches could be expanded to additional types of providers in the future. Additionally, the patient driven payment model utilized by the Centers for Medicare and Medicaid Services to calculate reimbursement rates for patients in skilled nursing properties (which is among the unit types in our CCRCs) could result in decreases in payments to our operators and tenants or increase our operators’ and tenants’ costs. If any such changes significantly and adversely affect our tenants’ profitability, they could in turn negatively affect our tenants’ ability and willingness to comply with the terms of their leases with us and/or renew their leases with us upon expiration, which could impact our business, prospects, financial condition or results of operations.
Legislation to address federal government operations and administration decisions affecting the Centers for Medicare and Medicaid Services could have a material adverse effect on our tenants’, operators’ and borrowers’ liquidity, financial condition or results of operations.
Congressional consideration of legislation pertaining to the federal debt ceiling, the Affordable Care Act, tax reform, and entitlement programs, including reimbursement rates for physicians, could have a material adverse effect on our tenants’, operators’ and borrowers’ liquidity, financial condition or results of operations. In particular, reduced funding for entitlement programs such as Medicare and Medicaid would result in increased costs and fees for programs such as Medicare Advantage Plans and additional reductions in reimbursements to providers. Amendments to the Affordable Care Act in whole or in part and decisions by the Centers for Medicare and Medicaid Services could impact the delivery of services and benefits under Medicare, Medicaid or Medicare Advantage Plans and could affect our tenants and operators and the manner in which they are reimbursed by such programs. Any such material adverse effect on our tenants, operators or borrowers could adversely affect their ability to satisfy their obligations to us and could have a material adverse effect on us.
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Our participation in the CARES Act Provider Relief Fund and other Covid-related stimulus and relief programs could subject us to disruptive government and financial audits and investigations, regulatory enforcement actions, civil litigation, and other claims, penalties, and liabilities.
Under the CARES Act and subsequent relief legislation, Congress has allocated more than $178 billion to eligible hospitals, physicians, and other health care providers through the Public Health and Social Services Emergency Fund (the “Provider Relief Fund” or ��PRF”). The U.S. Department of Health and Human Services (“HHS”) has distributed PRF awards through various general and targeted distributions, including certain distributions that were paid automatically to providers, and others that required providers to submit requested data or applications. We and our senior housing operators (including operators of senior housing facilities that we have subsequently disposed of) have received funds through several PRF distributions, both via automatic payments and also as a result of applications or other filings we submitted for PRF funds.
PRF funds are intended to reimburse eligible providers for unreimbursed health care-related expenses and lost revenues attributable to Covid and must be used only to prevent, prepare for or respond to Covid. PRF funds received under certain targeted distributions, including the Nursing Home Infection Control Distribution, are further limited to specific uses. Additionally, the PRF program imposes certain distribution-specific eligibility criteria and requires recipients to comply with various terms and conditions. HHS has stated that compliance with PRF program terms and conditions is material to HHS’s decision to disburse PRF payments to recipients. PRF program terms and conditions include limitations and requirements governing use of PRF funds, implementation of controls, retention of records relating to PRF funds, audit and reporting to governmental authorities, and other PRF program requirements. PRF regulatory guidance regarding eligibility, use of funds, audit, reporting, and other PRF terms and conditions continues to evolve and there is a high degree of uncertainty surrounding interpretation and implementation, particularly among more complex corporate, transactional and contractual relationships, including RIDEA structures and for organizations with multiple recipient subsidiaries. In addition, in light of the evolving laws and guidance related to PRF, there is no assurance that PRF guidance will not change in ways that adversely impact the PRF funding we receive, our ability to retain PRF funding, or our eligibility to participate in the PRF program.
Changing PRF program requirements could reduce the amount of PRF funds we receive or are permitted to retain and could render us or our operators ineligible for future or previously received PRF funds. PRF reporting obligations and monitoring and compliance efforts could impose substantial costs, become overly burdensome and require significant attention from leadership, disrupting our business and impeding our operations. Further, our current and former operators may not qualifyconsistently use, account for or document PRF and other relief funds, which may adversely impact availability of data and consistency in our reporting, including among current and former operators and across reporting periods. Ultimately, as PRF program requirements continue to evolve, we may determine that we are unable to comply with certain terms and conditions, or that we are no longer eligible for some or all of the PRF payments we or our operators previously received. If we are unable to fully comply with applicable PRF terms and conditions, we may be required to return some or all PRF funds received and may be subject to further enforcement action.
Due to our and our operators’ participation in the PRF program, we may be subject to government and other audits and investigations related to our receipt and use of PRF funds. These audits and investigations also may impose substantial costs and disruptions. If the government determines that we failed to comply with PRF terms and conditions, related interpretative guidance or applicable federal award requirements, or that our PRF applications and submissions were defective, PRF funds that we or our operators have received may be subject to recoupment and further enforcement actions could result. This could occur even if our interpretation of PRF program requirements was reasonable under the 75% gross income testpresent or then-existing PRF guidance. Government audits and investigations also could result in other regulatory penalties or enforcement actions, including actions under the 95% gross income test that we must satisfy annuallyFalse Claims Act (“FCA”), which prohibits false claims for payments to, or improper retention of overpayments from, the government. FCA litigation could be asserted directly by the federal government, or on its behalf by private litigants as “whistleblowers.” Even if not meritorious, FCA litigation could impose significant costs and result in order to qualifyreputational damage and maintaina disruption of our status as a REIT.business.
Risk
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Risks Related to Other Events

We rely on information technology in our operations, and any material failure, inadequacy, interruption or security failure of that technology could harm our business.
We rely on information technology networks and systems, including the Internet, to process, transmit and store electronic information, and to manage or support a variety of business processes, including financial transactions and records, and maintaining personal identifying information and tenant and lease data. We purchase some of our information technology from vendors, on whom our systems depend. We rely on commercially available systems, software, tools and monitoring to provide security for the processing, transmission and storage of confidential tenant and customer data, including individually identifiable information relating to financial accounts. Although we have taken steps to protect the security of our information systems and the data maintained in those systems, it is possible that our safety and security measures will not prevent the systems’ improper functioning or damage, or the improper access or disclosure of personally identifiable information such as in the event of cyber-attacks. The risk of security breaches has generally increased as the number, intensity and sophistication of attacks and intrusions have increased. In addition, the pace and unpredictability of cyber threats generally quickly renders long-term implementation plans designed to address cybersecurity risks obsolete. Because our operators also rely on information technology networks, systems and software, we may be exposed to cyber-attacks on our operators.
Security breaches of our or our operators’ networks and systems, including those caused by physical or electronic break-ins, computer viruses, malware, worms, attacks by hackers or foreign governments, disruptions from unauthorized access and tampering, including through social engineering such as phishing attacks, coordinated denial-of-service attacks and similar breaches, could result in, among other things, system disruptions, shutdowns, unauthorized access to or disclosure of confidential information, misappropriation of our or our business partners’ proprietary or confidential information, breach of our legal, regulatory or contractual obligations, inability to access or rely upon critical business records or systems or other delays in our operations. In some cases, it may be difficult to anticipate or immediately detect such incidents and the damage they cause. We may be required to expend significant financial resources to protect against or to remediate such security breaches. In addition, our technology infrastructure and information systems are vulnerable to damage or interruption from natural disasters, power loss and telecommunications failures. Any failure to maintain proper function, security and availability of our and our operators’ information systems and the data maintained in those systems could interrupt our operations, damage our reputation, subject us to liability claims or regulatory penalties, harm our business relationships or increase our security and insurance costs, which could have a materially adverse effect on our business, financial condition and results of operations.
We are subject to certain provisions of Maryland law and our charter relating to business combinations whichthat may prevent a transaction that may otherwise be in the interest of our stockholders.
The Maryland Business Combination Act (the “MBCA”) provides that unless exempted, a Maryland corporation may not engage in business combinations, including a merger, consolidation, share exchange or, in circumstances specified in the statute, an asset transfer or issuance or reclassification of equity securities with an “interested stockholder” or an affiliate of an interested stockholder for five years after the most recent date on which the interested stockholder became an interested stockholder, and thereafter unless specified criteria are met. An interested stockholder is generally a person owning or controlling, directly or indirectly, 10% or more of the voting power of the outstanding voting stock of a Maryland corporation. Unless our Board of Directors takes action to exempt us generally or with respect to certain transactions, from this statute, the Maryland Business Combination ActMBCA, it will be applicable to business combinations between us and other persons.
In addition to the restrictions on business combinations contained in the Maryland Business Combination Act,MBCA, our charter also contains restrictions on business combinations. Our charter requires that, except in certain circumstances, “business combinations,” including a merger or consolidation, and certain asset transfers and issuances of securities, with a “related person,” including a beneficial owner of 10% or more of our outstanding voting stock, be approved by the affirmative vote of the holders of at least 90% of our outstanding voting stock.
The These restrictions on business combinations provided under Maryland law and contained in our charter may delay, defer or prevent a change of control or other transaction even if such transaction involves a premium price for our common stock or our stockholders believe that such transaction is otherwise in their best interests.

Unfavorable resolution of litigation matters and disputes could have a material adverse effect on our financial condition.
From time to time, we are involved in legal proceedings, lawsuits and other claims. We may also be named as defendants in lawsuits arising out of our alleged actions or the alleged actions of our tenants and operators for which such tenants and operators have agreed to indemnify, defend and hold us harmless. An unfavorable resolution of any such litigation may have a materially adverse effect on our business, results of operations and financial condition. Regardless of the outcome, litigation or other legal proceedings may result in substantial costs, disruption of our normal business operations and the diversion of management attention. We may be unable to prevail in, or achieve a favorable settlement of, any pending or future legal action against us. See "Item 3—Legal Proceedings" of this Annual Report on Form 10-K.
Loss of our key personnel could temporarily disrupt our operations and adversely affect us.
We depend on the efforts of our executive officers for the success of our business, and competition for these individuals is intense. Although they are covered by our Executive Severance Plan and Change in Control Plan, which provide many of the benefits typically found in executive employment agreements, none of our executive officers have employment agreements with us. The loss or limited availability of the services of any of our executive officers, or our inability to recruit and retain qualified personnel, could, at least temporarily, have a materially adverse effect on our business, results of operations and financial condition and the value of our common stock.
Environmental compliance costs and liabilities associated with our real estate-related investments may be substantial and may materially impair the value of those investments.
Federal, state and local laws, ordinances and regulations may require us, as a current or previous owner of real estate, to investigate and clean up certain hazardous or toxic substances or petroleum released at a property. We may be held liable to a governmental entity or to third parties for injury or property damage and for investigation and cleanup costs incurred by the third parties in connection with the contamination. The costs of cleanup and remediation could be substantial. In addition, some environmental laws create a lien on the contaminated site in favor of the government for damages and the costs it incurs in connection with the contamination, and/or impose fines and penalties on the property owner with respect to such contamination.
Although we currently carry environmental insurance on our properties in an amount that we believe is commercially reasonable and generally require our tenants and operators to indemnify us for environmental liabilities they cause, such liabilities could exceed the amount of our insurance, the financial ability of the tenant or operator to indemnify us, or the value of the contaminated property. As the owner of a site, we may also be held liable to third parties for damages and injuries resulting from environmental contamination emanating from the site. We may also experience environmental costs and liabilities arising from conditions not known to us.us or disrupted during development. The cost of defending against these claims, complying with environmental regulatory requirements, conducting remediation of any contaminated property, or paying personal injury or other claims or fines could be substantial and could have a materiallymaterial adverse effect on our business, results of operations and financial condition.
In addition, the presence of contamination or the failure to remediate contamination may materially adversely affect our ability to use, develop, sell or lease the property or to borrow using the property as collateral.
RiskRisks Related to Tax, including REIT-Related Risks

Loss of our tax status as a REIT would substantially reduce our available funds and would have materially adverse consequences for us and the value of our common stock.
Qualification as a REIT involves the application of numerous highly technical and complex provisions of the Code, for which there are only limited judicial and administrative interpretations, as well as the determination of various factual matters and circumstances not entirely within our control. We intend to continue to operate in a manner that enables us to qualify as a REIT. However, our qualification and taxation as a REIT depend upon our ability to meet, through actual annual operating results, asset diversification, distribution levels and diversity of stock ownership, the various qualification tests imposed under the Code.
For example, to qualify as a REIT, at least 95% of our gross income in any year must be derived from qualifying sources, and we must make distributions to our stockholders aggregating annually to at least 90% of our REIT taxable income, excluding net capital gains. In addition,Rents we receive from a TRS in a RIDEA structure are treated as qualifying rents from real property for REIT tax purposes only if (i) they are paid pursuant to a lease of a “qualified healthcare property,” and (ii) the operator qualifies as an “eligible independent contractor,” as defined in the Code. If either of these requirements is not satisfied, then the rents will not be qualifying rents. Furthermore, new legislation, regulations, administrative interpretations or court decisions could change the tax laws or interpretations of the tax laws regarding qualification as a REIT, or the federal income tax consequences of that qualification, in a manner that is materially adverse to our stockholders. Accordingly, there is no assurance that we have operated or will continue to operate in a manner so as to qualify or remain qualified as a REIT.
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If we lose our REIT status, we will face serious tax consequences that will substantially reduce the funds available to make payments of principal and interest on the debt securities we issue and to make distributions to stockholders. If we fail to qualify as a REIT:

we will not be allowed a deduction for distributions to stockholders in computing our taxable income;
we will be subject to corporate-level income tax on our taxable income at regular corporate rates;
we will be subject to increased state and local income taxes; and
unless we are entitled to relief under relevant statutory provisions, we will be disqualified from taxation as a REIT for the four taxable years following the year during which we fail to qualify as a REIT.
As a result of all these factors, our failure to qualify as a REIT could also impair our ability to expand our business and raise capital and could materially adversely affect the value of our common stock.
Recent changes to the U.S. tax laws could have a significant negative impact on the overall economy, our tenants, and our business.
On December 20, 2017, the House of Representatives and the Senate passed a tax reform bill, which was signed into law on December 22, 2017 (the “Tax Reform Legislation”). Among other things, the Tax Reform Legislation:
restricted the deductibility of interest expense by businesses (generally, to 30% of the business’ adjusted taxable income) except, among others, real property businesses electing out of such restriction; generally, we expect our business to qualify as a real property business, but businesses conducted by our taxable REIT subsidiaries may not qualify;
required real property businesses to use the less favorable alternative depreciation system to depreciate real property in the event businesses elect to avoid the interest deduction restriction above;
restricted the benefits of like-kind exchanges that defer capital gains for tax purposes to exchanges of real property; and
generally allowed a deduction for individuals equal to 20% of certain income from pass-through entities, including ordinary dividends distributed by a REIT (excluding capital gain dividends and qualified dividend income).
Many of the provisions in the Tax Reform Legislation expire at the end of 2025.
The Tax Reform Legislation was a far-reaching and complex revision to the existing U.S. federal income tax laws with disparate and, in some cases, countervailing impacts on different categories of taxpayers and industries and will require subsequent rulemaking and interpretation in a number of areas. As a result, we cannot predict the long-term impact of the Tax Reform Legislation on the overall economy, government revenues, our tenants, us, and the real estate industry. Furthermore, the Tax Reform Legislation may negatively impact certain of our tenants’ operating results, financial condition, and future business plans. This in turn could negatively impact our operating results, financial condition, and operations.
Further changes to U.S. federal income tax laws could materially and adversely affect us and our stockholders.
The present federal income tax treatment of REITs may be modified, possibly with retroactive effect, by legislative, judicial or administrative action at any time, which could affect the federal income tax treatment of an investment in us. The federal income tax rules dealing with U.S. federal income taxation and REITs are constantly under review by persons involved in the legislative process, the U.S. Internal Revenue Service (the “IRS”) and the U.S. Treasury Department, which results in statutory changes as well as frequent revisions to regulations and interpretations. We cannot predict how changes in the tax laws might affect our investors or us. Revisions in federal tax laws and interpretations thereof could significantly and negatively affect our ability to qualify as a REIT, as well as the tax considerations relevant to an investment in us, or could cause us to change our investments and commitments.
We could have potentialPotential deferred and contingent tax liabilities from corporate acquisitions that could limit or delay or impede future sales of our properties.property sales.
If, during the five-year period beginning on the date we acquire certain companies, we recognize a gain on the disposition of any property acquired, then, to the extent of the excess of (i) the fair market value of such property as of the acquisition date over (ii) our adjusted income tax basis in such property as of that date, we will be required to pay a corporate-level federal income tax on this gain at the highest regular corporate rate. There can be no assurance that these triggering dispositions will not occur, and these requirements could limit or delay or impede future sales of our properties.
property sales. In addition, the IRS may assert liabilities against us for corporate income taxes for taxable years prior to the time that we acquire certain companies, in which case we will owe these taxes plus interest and penalties, if any.

There are uncertainties relating to the calculation of non-REIT tax earnings and profits (“E&P”) in certain acquisitions, which may require us to distribute E&P.
In order to remain qualified as a REIT, we are required to distribute to our stockholders all of the accumulated non-REIT E&P of certain companies that we acquire, prior to the close of the first taxable year in which the acquisition occurs. Failure to make such E&P distributions would result in our disqualification as a REIT. The determination of the amount to be distributed in such E&P distributions is a complex factual and legal determination. We may have less than complete information at the time we undertake our analysis, or we may interpret the applicable law differently from the IRS. We currently believe that we have satisfied the requirements relating to such E&P distributions. There are, however, substantial uncertainties relating to the determination of E&P, including the possibility that the IRS could successfully assert that the taxable income of the companies acquired should be increased, which would increase our non-REIT E&P. Moreover, an audit of the acquired company following our acquisition could result in an increase in accumulated non-REIT E&P, which could require us to pay an additional taxable distribution to our then-existing stockholders, if we qualify under rules for curing this type of default, or could result in our disqualification as a REIT.
Thus, we might fail to satisfy the requirement that we distribute all of our non-REIT E&P by the close of the first taxable year in which the acquisition occurs. Moreover, although there are procedures available to cure a failure to distribute all of our E&P, we cannot now determine whether we will be able to take advantage of these procedures or the economic impact on us of doing so.
Our international investments and operations may result in additional tax-related risks.
We own a 49% noncontrolling interest in a joint venture that owns senior housing properties in the U.K. Although we expect to sell our remaining 49% interest in the joint venture by no later than 2020, we currently remain exposed to risks associated with international investments and operations, including tax-related risks, which are different from those we face with respect to our domestic properties and operations. These risks include, but are not limited to:  
international currency gain recognized as a result of changes in exchange rates may in certain circumstances be treated as income that does not qualify under the 75% gross income test or the 95% gross income test that we must satisfy annually in order to qualify and maintain our status as a REIT;
challenges with respect to the repatriation of foreign earnings and cash; and
challenges of complying with foreign tax rules (including the possible revisions in tax treaties or other laws and regulations, including those governing the taxation of our international income).
Our charter contains ownership limits with respect to our common stock and other classes of capital stock.
Our charter contains restrictions on the ownership and transfer of our common stock and preferred stock that are intended to assist us in preserving our qualification as a REIT. Under our charter, subject to certain exceptions, no person or entity may own, actually or constructively, more than 9.8% (by value or by number of shares, whichever is more restrictive) of the outstanding shares of our common stock or any class or series of our preferred stock.
Additionally, our charter has a 9.9% ownership limitation on the direct or indirect ownership of our voting shares, which may include common stock or other classes of capital stock. Our Board of Directors, in its sole discretion, may exempt a proposed transferee from either ownership limit. The ownership limits may delay, defer or prevent a transaction or a change of control that might involve a premium price for our common stock or might otherwise be in the best interests of our stockholders.

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General Risk Factors
ITEM 1B.Unresolved Staff Comments
The loss or limited availability of our key personnel could disrupt our operations and have a material adverse effect on our business, results of operations, financial condition, and the value of our common stock.
We depend on the efforts of our executive officers for the success of our business. Although they are covered by our Executive Severance Plan and Change in Control Plan, which provide many of the benefits typically found in executive employment agreements, none of our executive officers have employment agreements with us. The loss or limited availability of the services of any of our executive officers, or our inability to recruit and retain qualified personnel, could, at least temporarily, have a material adverse effect on our business, results of operations and financial condition and the value of our common stock.
We rely on information technology in our operations, and any material failure, inadequacy, interruption or security failure of that technology could harm our business.
We rely on information technology networks and systems, including the Internet, to process, transmit and store electronic information, and to manage or support a variety of business processes, including financial transactions and records, and to maintain personal identifying information and tenant and lease data. We utilize software and cloud-based technology from vendors, on whom our systems depend. We rely on commercially available systems, software, tools and monitoring to provide security for the processing, transmission and storage of confidential tenant and customer data, including individually identifiable information relating to financial accounts. Although we have taken steps to protect the security of our information systems, with multiple layers of controls around the data maintained in those systems, it is possible that our safety and security measures will not prevent the systems’ improper functioning or damage, or the improper access or disclosure of personally identifiable information such as in the event of cyber-attacks. The risk of security breaches has generally increased as the number, intensity and sophistication of attacks and intrusions have increased, and we have seen a significant increase in cyber phishing attacks since the onset of the Covid pandemic. The risk of security breaches has also increased with our increased dependence on the Internet while our employees continue to work remotely due to our health and safety policies during the Covid pandemic and will continue to work remotely under our planned hybrid model. Furthermore, because our operators also rely on the Internet, information technology networks, systems and software, some of our data may be vulnerable to cyber-attacks on our operators.
Security breaches of our or our operators’ networks and systems, including those caused by physical or electronic break-ins, computer viruses, malware, worms, attacks by hackers or foreign governments, disruptions from unauthorized access and tampering, including through social engineering such as phishing attacks, coordinated denial-of-service attacks and similar breaches, could result in, among other things: (i) system disruptions; (ii) shutdowns; (iii) unauthorized access to or disclosure of confidential information; (iv) misappropriation of our or our business partners’ proprietary or confidential information; (v) breach of our legal, regulatory or contractual obligations; (vi) inability to access or rely upon critical business records or systems; or (vii) other delays in our operations. In some cases, it may be difficult to anticipate or immediately detect such incidents and the damage they cause. We may be required to expend significant financial resources to protect against or to remediate such security breaches. In addition, our technology infrastructure and information systems are vulnerable to damage or interruption from natural disasters, power loss and telecommunications failures. Any failure to maintain proper function, security and availability of our and our operators’ information systems and the data maintained in those systems could interrupt our operations, damage our reputation, subject us to liability claims or regulatory penalties, harm our business relationships or increase our security and insurance costs, which could have a material adverse effect on our business, financial condition and results of operations.
32

Adverse changes in our credit ratings could impair our ability to obtain additional debt and equity financing on favorable terms, if at all, and negatively impact the market price of our securities, including our common stock.
Our credit ratings affect the amount and type of capital, as well as the terms of any financing we may obtain. The credit ratings of our senior unsecured debt are based on, among other things, our operating performance, liquidity and leverage ratios, overall financial position, level of indebtedness, and pending or future changes in the regulatory framework applicable to our operators and our industry. If we are unable to maintain our current credit ratings, we would likely incur higher borrowing costs, which would make it more difficult or expensive to obtain additional financing or refinance existing obligations and commitments. For example, as a result of the potential impact of the Covid pandemic, in March 2020, Moody’s changed its outlook on our long-term issuer and senior unsecured debt ratings from “stable” to “negative.” Although Moody’s subsequently upgraded our outlook to “stable,” any future adverse change in our outlook may ultimately lead to a downgrade in our credit ratings, which would trigger additional borrowing costs or other potentially negative consequences under our current credit facilities and debt instruments. Also, if our credit ratings are downgraded, or general market conditions were to ascribe higher risk to our ratings, our industry, or us, our access to capital and the cost of any future debt financing will be further negatively impacted. In addition, the terms of future debt agreements could include more restrictive covenants, or require incremental collateral, which may further restrict our business operations or be unavailable due to our covenant restrictions then in effect. There is no guarantee that debt or equity financings will be available in the future to fund future acquisitions or general operating expenses, or that such financing will be available on terms consistent with our historical agreements or expectations.
ITEM 1B.    Unresolved Staff Comments
None.
ITEM 2.Properties
ITEM 2.    Properties
We are organized to invest in income-producing healthcare-related facilities. In evaluating potential investments, we consider a multitude of factors, including:
location, construction quality, age, condition, and design of the property;
geographic area, proximity to other healthcare facilities, type of property, and demographic profile, including new competitive supply;

whether the expected risk-adjusted return exceeds the incremental cost of capital;
whether the rent or operating income provides a competitive market return to our investors;
duration, rental rates, tenant and operator quality, and other attributes of in-place leases, including master lease structures and coverage;
current and anticipated cash flow and its adequacy to meet our operational needs;
availability of security such as letters of credit, security deposits and guarantees;
potential for capital appreciation;
expertise and reputation of the tenant or operator;
occupancy and demand for similar healthcare facilities in the same or nearby communities;
availability of qualified operators or property managers and whether we can manage the property;
potential for environmentally sustainable and/or resilient features of the property;
potential alternative uses of the facilities;
the regulatory and reimbursement environment in which the properties operate;
tax laws related to REITs;
prospects for liquidity through financing or refinancing; and
our access to and cost of capital.

33

Property and Direct Financing Lease Investments



The following table summarizes our consolidated property and direct financing lease ("DFL") investments, excluding investments classified as discontinued operations, as of and for the year ended December 31, 20182021 (square feet and dollars in thousands):
Facility LocationNumber of
Facilities
Capacity(1)
Gross Asset
Value(2)
Real Estate
Revenues(3)
Operating
Expenses
Life science:(Sq. Ft.)
California123 7,579 $5,373,760 $516,727 $(113,215)
Massachusetts19 2,581 2,543,077 179,934 (50,544)
Other (2 States)406 120,008 19,183 (5,285)
Total life science149 10,566 $8,036,845 $715,844 $(169,044)
Medical office(4):
(Sq. Ft.)
Texas75 7,645 $1,435,748 $195,908 $(65,570)
California15 860 332,401 43,511 (15,355)
Pennsylvania1,270 361,890 31,255 (13,308)
South Carolina18 1,103 342,860 26,498 (5,179)
Colorado18 1,311 325,488 42,298 (16,556)
Florida26 1,436 305,711 37,950 (12,938)
Other (29 States)141 10,319 2,517,339 293,822 (94,477)
Total medical office297 23,944 $5,621,437 $671,242 $(223,383)
CCRC:(Units)
Florida5,042 $1,303,611 $309,525 $(259,016)
Other (5 States)2,302 589,471 163,212 (121,849)
Total CCRC15 7,344 $1,893,082 $472,737 $(380,865)
Other─non-reportable:
Arizona$— $— $13 
Total other non-reportable segments— — $— $— $13 
Total properties461 $15,551,364 $1,859,823 $(773,279)

(1)Excludes capacity associated with developments.
Facility Location 
Number of
Facilities
 Capacity 
Gross Asset
Value(1)
 
Real Estate
Revenues(2)
 
Operating
Expenses
Senior housing triple-net—real estate:   (Units)      
California 16
 1,572
 $389,349
 $36,979
 $(3,219)
Virginia 9
 1,157
 257,298
 25,041
 
Florida 11
 1,418
 228,047
 25,453
 (8)
Texas 13
 1,323
 189,144
 21,535
 
Pennsylvania 2
 623
 144,645
 13,832
 
Washington 10
 670
 137,713
 14,552
 (1)
Oregon 10
 955
 137,180
 13,821
 (123)
Other (18 States) 48
 4,157
 772,101
 86,953
 (197)
  119
 11,875
 2,255,477
 238,166
 (3,548)
Senior housing—DFLs(3):
          
Other (12 States) 27
 3,126
 629,214
 37,925
 (70)
Total senior housing triple-net 146
 15,001
 $2,884,691
 $276,091
 $(3,618)
SHOP:   (Units)      
Texas 19
 3,171
 $479,786
 $136,560
 $(94,433)
Florida 17
 2,090
 338,843
 109,289
 (86,380)
Colorado 5
 687
 206,592
 35,414
 (20,849)
Maryland 7
 644
 185,982
 34,768
 (26,261)
Illinois 4
 771
 143,924
 38,960
 (28,447)
Other (18 States) 41
 4,345
 707,302
 192,985
 (157,942)
Total SHOP 93
 11,708
 $2,062,429
 $547,976
 $(414,312)
(2)Represents gross real estate and the carrying value of DFLs. Gross real estate represents the carrying amount of real estate after adding back accumulated depreciation and amortization. Excludes gross real estate related to medical office and life science assets held for sale of $38 million.

(3)Represents the combined amount of rental and related revenues, resident fees and services, income from DFLs, and government grant income.
(4)Includes one leased property that is classified as a DFL.
34

Facility Location 
Number of
Facilities
 Capacity 
Gross Asset
Value(1)
 
Real Estate
Revenues(2)
 
Operating
Expenses
Life science:   (Sq. Ft.)      
California 113
 5,805
 $3,765,565
 $357,868
 $(79,714)
Other (3 States) 11
 910
 417,629
 37,196
 (12,028)
Total life science 124
 6,715
 $4,183,194
 $395,064
 $(91,742)
Medical office:   (Sq. Ft.)      
Texas 67
 5,910
 $1,103,777
 $143,567
 $(59,163)
Pennsylvania 4
 1,054
 329,054
 28,875
 (12,364)
South Carolina 20
 1,028
 314,304
 10,758
 (1,601)
California 17
 955
 302,725
 35,862
 (16,234)
Other (29 States) 159
 10,301
 2,042,081
 289,957
 (100,497)
Total medical office 267
 19,248
 $4,091,941
 $509,019
 $(189,859)
Other—Hospital(4):
   (Beds)      
Texas 4
 1,077
 $232,715
 $39,196
 $(5,240)
California 2
 111
 143,500
 19,406
 (127)
Other (7 States) 8
 988
 150,965
 28,778
 (140)
  14
 2,176
 $527,180
 $87,380
 $(5,507)
Other—U.K.:   (Units)      
Other (U.K.)(5)
 
 
 
 19,492
 
Other—SNF:   (Beds)      
Virginia 1
 120
 16,780
 1,261
 
Total other non-reportable segments 15
   $543,960
 $108,133
 $(5,507)
Total properties 645
   $13,766,215
 $1,836,283
 $(705,038)

(1)Represents gross real estate and the carrying value of DFLs. Gross real estate represents the carrying amount of real estate after adding back accumulated depreciation and amortization. Excludes real estate held for sale with an aggregate gross asset value of $131 million.
(2)Represent the combined amount of rental and related revenues, resident fees and services and income from DFLs.
(3)Represents leased properties that are classified as DFLs.
(4)Includes leased properties that are classified as DFLs.
(5)Represents real estate revenues generated from real estate assets that were deconsolidated in June 2018 (see Note 5 to the Consolidated Financial Statements).

Occupancy and Annual Rent Trends

The following table summarizes occupancy and average annual rent trends for our consolidated property and DFL investments for the years ended December 31 (average occupied square feet in thousands):
 2018    2017    2016    2015    2014
Senior housing triple-net:         
Average annual rent per unit(1)
$16,449
 $15,352
 $14,604
 $14,544
 $13,907
Average capacity (available units)16,914
 21,536
 28,455
 28,777
 33,917
SHOP:         
Average annual rent per unit(1)
$48,433
 $41,133
 $42,851
 $41,435
 $38,017
Average capacity (available units)11,248
 12,758
 16,028
 12,704
 6,408
Life science:         
Average occupancy percentage95% 96% 98% 97% 93%
Average annual rent per square foot(1)
$54
 $52
 $48
 $46
 $46
Average occupied square feet7,078
 6,841
 7,332
 7,179
 6,637
Medical office:         
Average occupancy percentage92% 92% 91% 91% 91%
Average annual rent per square foot(1)
$29
 $28
 $28
 $28
 $28
Average occupied square feet17,280
 16,674
 15,697
 14,677
 13,136
Other non-reportable segments:         
Average annual rent per bed - Hospital(1)
$39,246
 $38,017
 $39,076
 $39,834
 $38,756
Average capacity (available beds) - Hospital2,147
 2,161
 2,271
 2,187
 2,184
Average annual rent per unit - U.K.(1)(2)

 9,097
 9,200
 10,048
 11,240
Average capacity (available units) - U.K.(2)

 3,188
 3,190
 2,515
 501
Average annual rent per bed - SNF(1)
10,504
 10,298
 10,803
 8,292
 8,062
Average capacity (available beds) - SNF120
 120
 426
 1,047
 1,022
202120202019
Life science:
Average occupancy percentage97 %96 %97 %
Average annual rent per square foot(1)
$66 $63 $57 
Average occupied square feet10,143 8,714 7,288 
Medical office:
Average occupancy percentage90 %91 %93 %
Average annual rent per square foot(1)
$31 $30 $30 
Average occupied square feet21,046 20,225 20,512 
CCRC:
Average occupancy percentage79 %81 %87 %
Average annual rent per occupied unit(1)
$80,391 $80,772 $71,858 
Average occupied units5,881 5,605 35 

(1)Average annual rent is presented as a ratio of revenues comprised of rental and related revenues and income from DFLs divided by the average capacity or average occupied square feet of the facilities. Average annual rent for leased properties (including DFLs) excludes termination fees and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, DFL non-cash interest and the impact of deferred community fee income).
(2)Our investments in the U.K. were deconsolidated in June 2018 (see Note 5 to the Consolidated Financial Statements).



(1)Average annual rent is presented as a ratio of revenues comprised of rental and related revenues, resident fees and services, income from DFLs, and government grant income divided by the average occupied square feet or average occupied units of the facilities and annualized for acquisitions for the year in which they occurred. Average annual rent excludes termination fees and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, DFL non-cash interest, and the impact of deferred community fee income).
Tenant Lease Expirations

The following table shows tenant lease expirations, including those related to DFLs,our DFL, for the next 10 years and thereafter at our consolidated properties, assuming that none of the tenants exercise any of their renewal or purchase options, unless otherwise noted below, and excludes properties in our SHOPCCRC segment, and assets held for sale, and discontinued operations as of and for the year ended December 31, 20182021 (dollars and square feet in thousands):
Expiration Year
SegmentTotal
2022(1)
202320242025202620272028202920302031Thereafter
Life science:
Square feet10,152 477 769 452 1,176 530 1,486 693 1,016 1,206 1,212 1,135 
Base rent(2)
$525,110 $27,105 $49,056 $29,449 $50,052 $22,104 $66,954 $34,860 $57,721 $76,668 $61,914 $49,227 
% of segment base rent100 13 11 15 12 
Medical office:
Square feet21,516 3,028 2,033 2,618 4,415 1,790 1,061 1,980 800 1,112 1,502 1,177 
Base rent(2)
$517,199 $81,293 $53,678 $73,264 $84,957 $47,711 $26,372 $35,825 $19,684 $28,686 $34,346 $31,383 
% of segment base rent100 16 10 14 16 
Total:
Base rent(2)
$1,042,309 $108,398 $102,734 $102,713 $135,009 $69,815 $93,326 $70,685 $77,405 $105,354 $96,260 $80,610 
% of total base rent10010 10 10 13 10 

(1)Includes month-to-month leases.
(2)The most recent month’s (or subsequent month’s, if acquired in the most recent month) base rent, including additional rent floors and cash income from DFLs, annualized for 12 months. Base rent does not include tenant recoveries, additional rents in excess of floors, and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, DFL non-cash interest and deferred revenues).
35
  Expiration Year
Segment Total 
2019(1)
 2020 2021 2022 2023 2024 2025 2026 2027 2028 Thereafter
Senior housing triple-net:                        
Properties 146
 2
 22
 6
 1
 24
 9
 5
 6
 4
 15
 52
Base rent(2)
 $263,173
 $2,305
 $40,753
 $7,969
 $1,548
 $46,215
 $13,445
 $9,354
 $4,316
 $12,359
 $36,949
 $87,960
% of segment base rent 100
 1
 15
 3
 1
 18
 5
 4
 2
 5
 14
 32
Life science:
                        
Square feet 6,488
 604
 546
 850
 632
 639
 111
 1,035
 379
 489
 338
 865
Base rent(2)
 $285,294
 $24,653
 $19,890
 $50,365
 $21,345
 $36,210
 $6,213
 $46,238
 $17,955
 $22,898
 $15,079
 $24,448
% of segment base rent 100
 9
 7
 18
 7
 13
 2
 16
 6
 8
 5
 9
Medical office:                        
Square feet 17,731
 2,806
 2,444
 1,923
 1,796
 1,530
 888
 2,084
 795
 735
 1,325
 1,405
Base rent(2)
 $415,123
 $69,775
 $63,355
 $48,606
 $45,566
 $39,366
 $24,008
 $36,526
 $20,040
 $15,229
 $28,161
 $24,491
% of segment base rent 100
 17
 15
 12
 11
 9
 6
 9
 5
 4
 7
 5
Other non-reportable segments:
                        
Properties 15
 
 1
 1
 5
 
 6
 1
 
 
 
 1
Base rent(2)
 $75,370
 $
 $8,145
 $1,619
 $14,099
 $
 $22,972
 $20,051
 $
 $
 $
 $8,484
% of segment base rent 100
 
 11
 2
 19
 
 30
 27
 
 
 
 11
Total:                        
Base rent(2)
 $1,038,960
 $96,733
 $132,143
 $108,559
 $82,558
 $121,791
 $66,638
 $112,169
 $42,311
 $50,486
 $80,189
 $145,383
% of total base rent 100
 9
 13
 10
 8
 12
 6
 11
 4
 5
 8
 14

(1)Includes month-to-month leases.
(2)The most recent month’s (or subsequent month’s, if acquired in the most recent month) base rent, including additional rent floors and cash income from DFLs, annualized for 12 months. Base rent does not include tenant recoveries, additional rents in excess of floors and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, DFL non-cash interest and deferred revenues).

ITEM 3.    Legal Proceedings
See the “Tenant Purchase Options” section of Note 6 to the Consolidated Financial Statements for additional information on leases subject to purchase options. See Schedule III: Real Estate and Accumulated Depreciation, included in this report, which information is incorporated by reference in this Item 2.
ITEM 3.Legal Proceedings
Except as described below, we are not aware of any legal proceedings or claims that we believe could have, individually or taken together, a material adverse effect on our financial condition, results of operations or cash flows.
See “Legal Proceedings” section of Note 1112 to the Consolidated Financial Statements for information regarding legal proceedings, which information is incorporated by reference in this Item 3.
ITEM 4.Mine Safety Disclosures
ITEM 4.    Mine Safety Disclosures
None.

36

PART II
ITEM 5.Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities
ITEM 5.    Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities
Our common stock is listed on the New York Stock Exchange (“NYSE”) under the symbol “HCP.“PEAK.
At January 31, 2019,28, 2022, we had 8,9457,576 stockholders of record, and there were 184,033222,222 beneficial holders of our common stock.
Dividends (Distributions)
It has been our policy to declare quarterly dividends to common stockholders so as to comply with applicable provisions of the Code governing REITs. All distributions are made at the discretion of our Board of Directors in accordance with Maryland law. Distributions with respect to our common stock can be characterized for federal income tax purposes as ordinary dividends, capital gains, nondividend distributions, or a combination thereof. The following table shows the characterization of our annual common stock distributions per share:
Year Ended December 31,
202120202019
Ordinary dividends(1)
$0.1523 $0.7139 $0.7633 
Capital gains(2)
0.3800 0.5298 0.2714 
Nondividend distributions0.6677 0.2363 0.4453 
$1.2000 $1.4800 $1.4800 
______________________________________
 Year Ended December 31, 
 2018 2017 2016 
Ordinary dividends(1)
$0.9578
 $1.4800
 $1.5561
 
Capital gains0.5222
 
 
 
Nondividend distributions
 
 6.7089
 
 $1.4800
 $1.4800
 $8.2650
(2) 

(1)The 2018 amount includes $0.0164 of qualified dividend income for purposes of Code Section 1(h)(11), and $0.9414 of qualified business income for purposes of Code Section 199A.
(2)Consists of $2.095 per common share of quarterly cash dividends and $6.17 per common share of stock dividends related to the spin-off (the “Spin-Off”) of Quality Care Properties, Inc. (“QCP”) (discussed below).
HCP common stockholders on October 24, 2016,(1)For the record dateyear ended December 31, 2021, the amount includes $0.1370 of ordinary dividends that qualified as business income for purposes of Code Section 199A and $0.0153 of qualified dividend income for purposes of Code Section 1(h)(11). For the Spin-Off (the “Record Date”)years ended December 31, 2020 and 2019, all $0.7139 and $0.7633, respectively, of ordinary dividends qualified as business income for purposes of Code Section 199A.
(2)Pursuant to Treasury Regulation §1.1061-6(c), received uponwe are disclosing additional information related to the Spin-Off on October 31, 2016 one sharecapital gain dividends for purposes of QCP common stock for every five shares of HCP common stock they held asSection 1061 of the Record Date (the “Distributed Shares”)Code. Code Section 1061 is generally applicable to direct and cash in lieuindirect holders of fractional shares of QCP. For U.S. federal income tax purposes, HCP reported“applicable partnership interests.” The “One Year Amounts” and “Three Year Amounts” required to be disclosed are both zero with respect to the fair market value of the QCP common stock distributed per each share of HCP common stock outstanding on the Record Date was $6.17, or $30.85 for each share of QCP common stock. Accordingly, every HCP common stockholder who received a Distributed Share has a tax cost basis of $30.85 per Distributed Share.2021 distributions, since all capital gains relate to Code Section 1231 gains.
On January 31, 2019,27, 2022, we announced that our Board of Directors declared a quarterly common stock cash dividend of $0.37$0.30 per share. The common stock dividend will be paid on February 28, 201922, 2022 to stockholders of record as of the close of business on February 19, 2019.11, 2022.
Issuer Purchases of Equity Securities
The table below sets forth the information with respect to purchases of our common stock made by or on our behalf during the quarter ended December 31, 2018.2021.
Period Covered
Total Number
of Shares
Purchased(1)
Average Price
Paid per Share
Total Number of Shares
Purchased as
Part of Publicly
Announced Plans
or Programs
Maximum Number (or
Approximate Dollar Value)
of Shares that May Yet
be Purchased Under
the Plans or Programs
October 1-31, 20215,041 $33.89 — — 
November 1-30, 20213,372 34.29 — — 
December 1-31, 202129 32.86 — — 
Total8,442 $34.05 — — 

(1)Represents restricted shares withheld under our equity incentive plans to offset tax withholding obligations that occur upon vesting of restricted shares. The value of the shares withheld is based on the closing price of our common stock on the last trading day prior to the date the relevant transaction occurred.
37

Period Covered 
Total Number
of Shares
Purchased(1)
 
Average Price
Paid per Share
 
Total Number of Shares
Purchased as
Part of Publicly
Announced Plans
or Programs
 
Maximum Number (or
Approximate Dollar Value)
of Shares that May Yet
be Purchased Under
the Plans or Programs
October 1-31, 2018 448
 $27.35
 
 
November 1-30, 2018 
 
 
 
December 1-31, 2018 2,798
 27.88
 
 
Total 3,246
 $27.81
 
 
Performance Graph

(1)Represents restricted shares withheld under our equity incentive plans to offset tax withholding obligations that occur upon vesting of restricted shares. The value of the shares withheld is based on the closing price of our common stock on the last trading day prior to the date the relevant transaction occurred.

Performance Graph

The graph and table below compare the cumulative total return of HCP,Healthpeak, the S&P 500 Index, and the Equity REIT Index of NAREIT,Nareit, from January 1, 20142017 to December 31, 2018.2021. Total cumulative return is based on a $100 investment in HCPHealthpeak common stock and in each of the indices at the close of trading on December 31, 201330, 2016 and assumes quarterly reinvestment of dividends before consideration of income taxes. Stockholder returns over the indicated periods should not be considered indicative of future stock prices or stockholder returns.
COMPARISON OF FIVE-YEAR CUMULATIVE TOTAL RETURN
AMONG S&P 500, EQUITY REITS AND HCP,HEALTHPEAK PROPERTIES, INC.
RATE OF RETURN TREND COMPARISON
JANUARY 1, 2014–2017–DECEMBER 31, 20182021
(JANUARY 1, 20142017 = $100)
Performance Graph Total Stockholder Return


chart-002c677a81025d988e5a01.jpgpeak-20211231_g1.jpg
December 31,
20172018201920202021
FTSE Nareit Equity REIT Index$108.67 $104.28 $134.17 $127.30 $179.87 
S&P 500121.82 116.47 153.13 181.29 233.28 
Healthpeak Properties, Inc.92.25 104.88 135.41 125.02 154.71 
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 December 31,
 2014 2015 2016    2017 2018
FTSE NAREIT Equity REIT Index$128.03
 $131.65
 $143.32
 $155.75
 $149.42
S&P 500113.68
 115.24
 129.02
 157.17
 150.27
HCP, Inc.127.80
 117.53
 106.52
 98.26
 111.71


ITEM 6.Selected Financial Data
 Year Ended December 31,
 2018 2017 2016 2015 2014
Statement of operations data:         
Total revenues$1,846,689
 $1,848,378
 $2,129,294
 $1,940,489
 $1,636,833
Income (loss) from continuing operations1,073,474
 422,634
 374,171
 152,668
 271,315
Net income (loss) applicable to common shares1,058,424
 413,013
 626,549
 (560,552) 919,796
Basic earnings per common share:         
Continuing operations2.25
 0.88
 0.77
 0.30
 0.56
Discontinued operations
 
 0.57
 (1.51) 1.45
Net income (loss) applicable to common shares2.25
 0.88
 1.34
 (1.21) 2.01
Diluted earnings per common share:         
Continuing operations2.24
 0.88
 0.77
 0.30
 0.56
Discontinued operations
 
 0.57
 (1.51) 1.44
Net income (loss) applicable to common shares2.24
 0.88
 1.34
 (1.21) 2.00
Balance sheet data:         
Total assets12,718,553
 14,088,461
 15,759,265
 21,449,849
 21,331,436
Debt obligations(1)
5,567,908
 7,880,466
 9,189,495
 11,069,003
 9,721,269
Total equity6,512,591
 5,594,938
 5,941,308
 9,746,317
 10,997,099
Other data:         
Dividends paid696,913
 694,955
 979,542
 1,046,638
 1,001,559
Dividends paid per common share(2)
1.480
 1.480
 2.095
 2.260
 2.180
Funds from operations (“NAREIT FFO”)(3)
780,189
 661,113
 1,119,153
 (10,841) 1,381,634
Diluted NAREIT FFO per common share(3)
1.66
 1.41
 2.39
 (0.02) 3.00
FFO as adjusted(3)
857,233
 918,402
 1,282,390
 1,470,167
 1,398,691
Diluted FFO as adjusted per common share(3)
1.82
 1.95
 2.74
 3.16
 3.04
Funds available for distribution (“FAD”)(3)
746,397
 803,720
 1,215,696
 1,261,849
 1,178,822
ITEM 6.    [Reserved]

(1)Includes bank line of credit, term loans, senior unsecured notes, mortgage debt and other debt.
(2)Represents cash dividends. Additionally, in October 2016 we issued $6.17 per common share of stock dividends related to the Spin-Off.
(3)For a more detailed discussion and reconciliation of NAREIT FFO, FFO as adjusted and FAD, see "Results of Operations" and “Non-GAAP Financial Measure Reconciliations” in Item 7 of this report.

ITEM 7.Management’s Discussion and Analysis of Financial Condition and Results of Operations
ITEM 7.    Management’s Discussion and Analysis of Financial Condition and Results of Operations
The information set forth in this Item 7 is intended to provide readers with an understanding of our financial condition, changes in financial condition and results of operations. This section generally discusses the results of our operations for the year ended December 31, 2021 compared to the year ended December 31, 2020. For a discussion of the year ended December 31, 2020 compared to the year ended December 31, 2019, please refer to Part II, Item 7. "Management's Discussion and Analysis of Financial Condition and Results of Operations" in our Annual Report on Form 10-K for the fiscal year ended December 31, 2020 filed with the SEC on February 10, 2021.
We will discuss and provide our analysis in the following order:
2018 Transaction Covid Update
Overview of Transactions
Dividends
Results of Operations
Liquidity and Capital Resources
Non-GAAP Financial Measure Reconciliations
Critical Accounting Estimates
Recent Accounting Pronouncements
Covid Update
Our tenants, operators, and borrowers have experienced significant cost increases as a result of increased health and safety measures, staffing shortages, increased governmental regulation and compliance, vaccine mandates, and other operational changes necessitated either directly or indirectly by the Covid pandemic. We anticipate that many of these expenses will remain at these higher levels even after the pandemic passes, and may reduce margins in the business.
The impact of Covid on the ability of our tenants to pay rent in the future is currently unknown. We have monitored, and will continue to monitor, the credit quality of each of our tenants and write off straight-line rent and accounts receivable, as necessary. In the event we conclude that substantially all of a tenant’s straight-line rent or accounts receivable is not probable of collection in the future, such amounts will be written off, which could have a material impact on our future results of operations.
Senior housing facilities have been disproportionately impacted by Covid and Covid-related fatalities compared to our life science and medical office segments. Within our CCRC properties and the properties in our SWF SH JV, average occupancy declined from85.6% and88.7%, respectively, for the year ended December 31, 2019, to 79.1% and 72.7%, respectively, for the year ended December 31, 2021. Although the wide availability of the vaccine has reduced the negative impacts of the pandemic in our CCRC communities and the senior housing facilities owned by our SWF SH JV, we do not yet know the full, long-term economic impact of the Covid pandemic and whether or when occupancy and revenue will return to pre-pandemic levels. The increase in Covid cases caused by recent variants has evidenced the fact that the course of the pandemic is highly uncertain and that unexpected surges or other factors could materially impact recovery from the pandemic, adversely disrupt operations, and/or cause significant reputational harm to us, our tenants, our operators, or our borrowers. Labor costs in particular have increased as a result of higher staffing hours, increased hourly wages and bonuses, greater overtime, and increased usage of contract labor. In addition, the pandemic has resulted in some potentially long-term changes in traditional economic patterns and arrangements, including that (i) seniors may not seek out senior housing at the same level that they did pre-pandemic; (ii) recent legislation that favors delivery of services at home rather than in an institutional setting could negatively impact the segment; (iii) qualified employees may view employment at senior housing facilities less attractively than they did pre-pandemic; (iv) the number of people who have not returned to the workforce could create long-term staffing shortages; (v) changing expectations around the protection required for residents in senior housing facilities may increase costs; (vi) senior housing operators are undertaking numerous adaptations in response to these changes, the success of which adaptations is uncertain; and (vii) the inflationary environment could permanently alter behavior in unpredictable ways.
All development, redevelopment, and tenant improvement projects that were previously delayed have been allowed to restart with infection control protocols in place, although future local, state, or federal orders could cause work to be suspended, and individual projects may be affected by outbreaks.
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We believe we remain well-positioned to navigate economic changes resulting from the pandemic, with approximately $2.2 billion of liquidity available, including $1.81 billion of borrowing capacity under our bank line of credit facility, $313 million of net proceeds expected from the future settlement of shares issued through our ATM forward contracts (as defined below), and approximately $117 million of cash and cash equivalents as of February 7, 2022.
We have taken, and will continue to take, proactive measures to provide for the well-being of our employees. We have implemented systems and processes that have allowed us to work effectively and efficiently in the remote environment. The steps taken to protect our employees and afford them a safe working environment continue to evolve along with authoritative guidance on best practices.
See “Item 1A, Risk Factors” in this report for additional discussion of the risks posed by the Covid pandemic and uncertainties we and our tenants, operators, and borrowers may face as a result.
Overview of Transactions
Real Estate Investment Acquisitions
Westview Medical Plaza
In February 2021, we acquired one MOB in Nashville, Tennessee for $13 million.
Pinnacle at Ridgegate
In April 2021, we acquired one MOB in Denver, Colorado for $38 million.
MOB Portfolio
In April 2021, we acquired 14 MOBs for $371 million (the “MOB Portfolio”) and originated $142 million of secured mortgage debt.
Westside Medical Plaza
In June 2021, we acquired one MOB in Fort Lauderdale, Florida for $16 million.
Wesley Woodlawn
In July 2021, we acquired one MOB in Wichita, Kansas for $50 million.
Atlantic Health
In July 2021, we acquired three MOBs in Morristown, New Jersey for $155 million.
Baylor Centennial
In September 2021, we acquired two MOBs in Dallas, Texas for $60 million.
Concord Avenue Campus
In September 2021, we acquired a life science campus, comprised of three buildings, in Cambridge, Massachusetts for $180 million.
10 Fawcett
In October 2021, we closed a life science acquisition in Cambridge, Massachusetts for $73 million.
Vista Sorrento Phase 1
In October 2021, we closed a life science acquisition in San Diego, California for $20 million.
Swedish Medical
In October 2021, we acquired one MOB in Seattle, Washington for $43 million.
Lakeview Medical Pavilion
In October 2021, we acquired one MOB in New Orleans, Louisiana for $34 million.
Mooney Street Parcels
In October 2021, we closed a life science acquisition in Cambridge, Massachusetts for $123 million.
725 Concord
In October 2021, we acquired one MOB and an adjacent land parcel in Cambridge, Massachusetts for $80 million.
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25 Spinelli
In October 2021, we closed a life science acquisition in Cambridge, Massachusetts for $34 million.
68 Moulton
In October 2021, we closed a life science acquisition in Cambridge, Massachusetts for $18 million.
125 Fawcett and 110 Fawcett
In December 2021, we closed two life science acquisitions in Cambridge, Massachusetts for $45 million.
South San Francisco Land Site
During the year ended December 31, 2021, we acquired approximately 12 acres of land for $128 million. The acquisition site is located in South San Francisco, California, adjacent to two sites currently held by us as land for future development.
67 Smith Place
In January 2022, we closed a life science acquisition in Cambridge, Massachusetts for $72 million.
Vista Sorrento Phase II
In January 2022, we closed a life science acquisition in San Diego, California for $24 million.
Senior Housing Portfolio Sales
In January 2021, we sold a portfolio of 32 SHOP assets (the “Sunrise Senior Housing Portfolio”) for $664 million and provided the buyer with: (i) financing of $410 million and (ii) a commitment to finance up to $92 million of additional debt for capital expenditures. In June 2021, we received principal repayments of $246 million on the January 2021 financing. As a result of this repayment, the commitment to finance additional debt for capital expenditures was reduced to $56 million, $0.4 million of which had been funded as of December 31, 2021. As of December 31, 2021, this secured loan had an outstanding principal balance of $165 million.
In January 2021, we sold 24 senior housing assets under a triple-net lease with Brookdale Senior Living Inc. (“Brookdale”) for $510 million.
In January 2021, we sold a portfolio of 16 SHOP assets for $230 million and provided the buyer with financing of $150 million.
In February 2021, we sold eight senior housing assets in a triple-net lease with Harbor Retirement Associates for $132 million.
In April 2021, we sold a portfolio of 12 SHOP assets for $564 million.
In April 2021, we sold: (i) a portfolio of 10 SHOP assets for $334 million and (ii) 2 mezzanine loans and 2 preferred equity investments for $21 million.
In April 2021, we sold a portfolio of five SHOP assets for $64 million.
In May 2021, we sold a portfolio of seven SHOP assets for $113 million.
In June 2021, upon completion of the license transfer process, we sold two Sunrise senior housing triple-net assets for $80 million.
In addition to the transactions above, we sold 15 SHOP assets for $169 million and 7 senior housing triple-net assets for $24 million during the year ended December 31, 2021.
Upon the completion of the foregoing transactions, in September 2021 we successfully completed the disposition of our remaining senior housing triple-net and SHOP properties.
Other Real Estate Transactions
In April 2021, the SHOP property in the Otay Ranch JV was sold, resulting in our share of proceeds of $32 million.
In May 2021, the CCRC JV sold the remaining two CCRCs for $38 million, $19 million of which represents our 49% interest.
In December 2021, we acquired a 38% interest in a life science development joint venture in Needham, Massachusetts for $13 million.
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In addition to the transactions above, during the year ended December 31, 2021, we sold: (i) 10 MOBs and a portion of 1 MOB land parcel for$68 millionand (ii) 1 hospital for $226 million (through the exercise of a purchase option by a tenant).
In January 2022, we sold one life science facility for $14 million.
Financing Activities
In January 2021, we repurchased $112 million aggregate principal amount of our 4.25% senior unsecured notes due 2023, $201 million aggregate principal amount of our 4.20% senior unsecured notes due 2024, and $469 million aggregate principal amount of our 3.88% senior unsecured notes due 2024.
In February 2021, we used optional redemption provisions to redeem the remaining $188 million of our 4.25% senior unsecured notes due 2023, $149 million of our 4.20% senior unsecured notes due 2024, and $331 million of our 3.88% senior unsecured notes due 2024.
In May 2021, we repurchased $252 million of our 3.40% senior unsecured notes due 2025 and $298 million of our 4.00% senior unsecured notes due 2025.
In July 2021, we completed our inaugural green bond offering, issuing $450 million aggregate principal amount of 1.35% senior unsecured notes due 2027.
In July 2021, we repaid the $250 million outstanding balance on our unsecured term loan facility (“2019 Term Loan”).
In September 2021, we amended and restated our bank line of credit facility to increase total revolving commitments from $2.5 billion to $3.0 billion and extend the maturity date to January 20, 2026. This maturity date may be further extended pursuant to two six-month extension options, subject to certain customary conditions.
In November 2021, we completed a green bond offering, issuing $500 million aggregate principal amount of 2.125% senior unsecured notes due 2028.
In 2021, we increased the maximum aggregate face or principal amount that can be outstanding at any one time under our commercial paper program from $1.0 billion to $1.5 billion.
During the year ended December 31, 2021, we utilized the forward provisions under the ATM Program (as defined below) to allow for the sale of an aggregate of 9.1 million shares of our common stock at an initial weighted average net price of $35.25 per share, after commissions.
Development Activities
At December 31, 2021, we had threeon-campus MOB developments in process with an aggregate total estimated cost of $69 million.
At December 31, 2021, we hadeight life science development projects in process with an aggregate total estimated cost of $1.5 billion.
During the year ended December 31, 2021, the following projects were placed in service: (i) one life science development project with a total project cost of $151 million at completion, (ii) one life science redevelopment project with a total project cost of $19 millionat completion, (iii) two redevelopment assets in our unconsolidated SWF SH JV with our aggregate share of total project costs of $23 million at completion, (iv) one medical office development with a total project cost of $49 million at completion, (v) one medical office development with a total project cost of $5 million at completion, (vi) one medical office redevelopment with a total project cost of $10 million at completion, and (vii) a portion of one life science development with a total project cost of $75 million at completion.
Dividends
Quarterly cash dividends paid during 2021 aggregated to $1.20 per share. On January 27, 2022, our Board of Directors declared a quarterly cash dividend of $0.30 per common share. The dividend will be paid on February 22, 2022 to stockholders of record as of the close of business on February 11, 2022.
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Results of Operations
We evaluate our business and allocate resources among our reportable business segments: (i) life science, (ii) medical office, and (iii) CCRC. Under the life science and medical office segments, we invest through the acquisition and development of life science facilities, MOBs, and hospitals, which generally requires a greater level of property management. Our CCRCs are operated through RIDEA structures. We have other non-reportable segments that are comprised primarily of: (i) an interest in our unconsolidated SWF SH JV and (ii) debt investments. We evaluate performance based upon property adjusted net operating income (“Adjusted NOI” or “Cash NOI”) in each segment. The accounting policies of the segments are the same as those described in the summary of significant accounting policies in Note 2 to the Consolidated Financial Statements.
Non-GAAP Financial Measures
Net Operating Income
NOI and Adjusted NOI are non-U.S. generally accepted accounting principles (“GAAP”) supplemental financial measures used to evaluate the operating performance of real estate. NOI is defined as real estate revenues (inclusive of rental and related revenues, resident fees and services, income from direct financing leases, and government grant income and exclusive of interest income), less property level operating expenses; NOI excludes all other financial statement amounts included in net income (loss) as presented in Note 16 to the Consolidated Financial Statements. Adjusted NOI is calculated as NOI after eliminating the effects of straight-line rents, DFL non-cash interest, amortization of market lease intangibles, termination fees, actuarial reserves for insurance claims that have been incurred but not reported, and the impact of deferred community fee income and expense. NOI and Adjusted NOI include our share of income (loss) generated by unconsolidated joint ventures and exclude noncontrolling interests’ share of income (loss) generated by consolidated joint ventures. Adjusted NOI is oftentimes referred to as “Cash NOI.” Management believes NOI and Adjusted NOI are important supplemental measures because they provide relevant and useful information by reflecting only income and operating expense items that are incurred at the property level and present them on an unlevered basis. We use NOI and Adjusted NOI to make decisions about resource allocations, to assess and compare property level performance, and to evaluate our Same-Store (“SS”) performance, as described below. We believe that net income (loss) is the most directly comparable GAAP measure to NOI and Adjusted NOI. NOI and Adjusted NOI should not be viewed as alternative measures of operating performance to net income (loss) as defined by GAAP since they do not reflect various excluded items. Further, our definitions of NOI and Adjusted NOI may not be comparable to the definitions used by other REITs or real estate companies, as they may use different methodologies for calculating NOI and Adjusted NOI. For a reconciliation of NOI and Adjusted NOI to net income (loss) by segment, refer to Note 16 to the Consolidated Financial Statements.
Operating expenses generally relate to leased medical office and life science properties, as well as CCRC facilities. We generally recover all or a portion of our leased medical office and life science property expenses through tenant recoveries. We present expenses as operating or general and administrative based on the underlying nature of the expense.
Same-Store
Same-Store NOI and Adjusted (Cash) NOI information allows us to evaluate the performance of our property portfolio under a consistent population by eliminating changes in the composition of our consolidated portfolio of properties. Same-Store Adjusted NOI excludes amortization of deferred revenue from tenant-funded improvements and certain non-property specific operating expenses that are allocated to each operating segment on a consolidated basis.
Properties are included in Same-Store once they are stabilized for the full period in both comparison periods. Newly acquired operating assets are generally considered stabilized at the earlier of lease-up (typically when the tenant(s) control(s) the physical use of at least 80% of the space and rental payments have commenced) or 12 months from the acquisition date. Newly completed developments and redevelopments are considered stabilized at the earlier of lease-up or 24 months from the date the property is placed in service. Properties that experience a change in reporting structure are considered stabilized after 12 months in operations under a consistent reporting structure. A property is removed from Same-Store when it is classified as held for sale, sold, placed into redevelopment, experiences a casualty event that significantly impacts operations, a change in reporting structure or operator transition has been agreed to, or a significant tenant relocates from a Same-Store property to a non Same-Store property and that change results in a corresponding increase in revenue. We do not report Same-Store metrics for our other non-reportable segments. For a reconciliation of Same-Store to total portfolio Adjusted NOI and other relevant disclosures by segment, refer to our Segment Analysis below.
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Funds From Operations (“FFO”)
FFO encompasses Nareit FFO and FFO as Adjusted, each of which is described in detail below. We believe FFO applicable to common shares, diluted FFO applicable to common shares, and diluted FFO per common share are important supplemental non-GAAP measures of operating performance for a REIT. Because the historical cost accounting convention used for real estate assets utilizes straight-line depreciation (except on land), such accounting presentation implies that the value of real estate assets diminishes predictably over time. Since real estate values instead have historically risen and fallen with market conditions, presentations of operating results for a REIT that use historical cost accounting for depreciation could be less informative. The term FFO was designed by the REIT industry to address this issue.
Nareit FFO. FFO, as defined by the National Association of Real Estate Investment Trusts (“Nareit”), is net income (loss) applicable to common shares (computed in accordance with GAAP), excluding gains or losses from sales of depreciable property, including any current and deferred taxes directly associated with sales of depreciable property, impairments of, or related to, depreciable real estate, plus real estate and other real estate-related depreciation and amortization, and adjustments to compute our share of Nareit FFO and FFO as Adjusted (see below) from joint ventures. Adjustments for joint ventures are calculated to reflect our pro-rata share of both our consolidated and unconsolidated joint ventures. We reflect our share of Nareit FFO for unconsolidated joint ventures by applying our actual ownership percentage for the period to the applicable reconciling items on an entity by entity basis. For consolidated joint ventures in which we do not own 100%, we reflect our share of the equity by adjusting our Nareit FFO to remove the third party ownership share of the applicable reconciling items based on actual ownership percentage for the applicable periods. Our pro-rata share information is prepared on a basis consistent with the comparable consolidated amounts, is intended to reflect our proportionate economic interest in the operating results of properties in our portfolio and is calculated by applying our actual ownership percentage for the period. We do not control the unconsolidated joint ventures, and the pro-rata presentations of reconciling items included in Nareit FFO do not represent our legal claim to such items. The joint venture members or partners are entitled to profit or loss allocations and distributions of cash flows according to the joint venture agreements, which provide for such allocations generally according to their invested capital.
The presentation of pro-rata information has limitations, which include, but are not limited to, the following: (i) the amounts shown on the individual line items were derived by applying our overall economic ownership interest percentage determined when applying the equity method of accounting and do not necessarily represent our legal claim to the assets and liabilities, or the revenues and expenses and (ii) other companies in our industry may calculate their pro-rata interest differently, limiting the usefulness as a comparative measure. Because of these limitations, the pro-rata financial information should not be considered independently or as a substitute for our financial statements as reported under GAAP. We compensate for these limitations by relying primarily on our GAAP financial statements, using the pro-rata financial information as a supplement.
Nareit FFO does not represent cash generated from operating activities in accordance with GAAP, is not necessarily indicative of cash available to fund cash needs and should not be considered an alternative to net income (loss). We compute Nareit FFO in accordance with the current Nareit definition; however, other REITs may report Nareit FFO differently or have a different interpretation of the current Nareit definition from ours.
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FFO as Adjusted. In addition, we present Nareit FFO on an adjusted basis before the impact of non-comparable items including, but not limited to, transaction-related items, other impairments (recoveries) and other losses (gains), restructuring and severance related charges, prepayment costs (benefits) associated with early retirement or payment of debt, litigation costs (recoveries), casualty-related charges (recoveries), foreign currency remeasurement losses (gains), deferred tax asset valuation allowances, and changes in tax legislation (“FFO as Adjusted”). Transaction-related items include transaction expenses and gains/charges incurred as a result of mergers and acquisitions and lease amendment or termination activities. Prepayment costs (benefits) associated with early retirement of debt include the write-off of unamortized deferred financing fees, or additional costs, expenses, discounts, make-whole payments, penalties or premiums incurred as a result of early retirement or payment of debt. Other impairments (recoveries) and other losses (gains) include interest income associated with early and partial repayments of loans receivable and other losses or gains associated with non-depreciable assets including goodwill, DFLs, undeveloped land parcels, and loans receivable. Management believes that FFO as Adjusted provides a meaningful supplemental measurement of our FFO run-rate and is frequently used by analysts, investors, and other interested parties in the evaluation of our performance as a REIT. At the same time that Nareit created and defined its FFO measure for the REIT industry, it also recognized that “management of each of its member companies has the responsibility and authority to publish financial information that it regards as useful to the financial community.” We believe stockholders, potential investors, and financial analysts who review our operating performance are best served by an FFO run-rate earnings measure that includes certain other adjustments to net income (loss), in addition to adjustments made to arrive at the Nareit defined measure of FFO. FFO as Adjusted is used by management in analyzing our business and the performance of our properties and we believe it is important that stockholders, potential investors, and financial analysts understand this measure used by management. We use FFO as Adjusted to: (i) evaluate our performance in comparison with expected results and results of previous periods, relative to resource allocation decisions, (ii) evaluate the performance of our management, (iii) budget and forecast future results to assist in the allocation of resources, (iv) assess our performance as compared with similar real estate companies and the industry in general, and (v) evaluate how a specific potential investment will impact our future results. Other REITs or real estate companies may use different methodologies for calculating an adjusted FFO measure, and accordingly, our FFO as Adjusted may not be comparable to those reported by other REITs. For a reconciliation of net income (loss) to Nareit FFO and FFO as Adjusted and other relevant disclosure, refer to “Non-GAAP Financial Measures Reconciliations” below.
Adjusted FFO (“AFFO”). AFFO is defined as FFO as Adjusted after excluding the impact of the following: (i) amortization of stock-based compensation, (ii) amortization of deferred financing costs, net, (iii) straight-line rents, (iv) deferred income taxes, and (v) other AFFO adjustments, which include: (a) amortization of acquired market lease intangibles, net, (b) non-cash interest related to DFLs and lease incentive amortization (reduction of straight-line rents), (c) actuarial reserves for insurance claims that have been incurred but not reported, and (d) amortization of deferred revenues, excluding amounts amortized into rental income that are associated with tenant funded improvements owned/recognized by us and up-front cash payments made by tenants to reduce their contractual rents. Also, AFFO is computed after deducting recurring capital expenditures, including second generation leasing costs and second generation tenant and capital improvements, and includes adjustments to compute our share of AFFO from our unconsolidated joint ventures.More specifically, recurring capital expenditures, including second generation leasing costs and second generation tenant and capital improvements ("AFFO capital expenditures") excludes our share from unconsolidated joint ventures (reported in “other AFFO adjustments”). Adjustments for joint ventures are calculated to reflect our pro-rata share of both our consolidated and unconsolidated joint ventures. We reflect our share of AFFO for unconsolidated joint ventures by applying our actual ownership percentage for the period to the applicable reconciling items on an entity by entity basis. We reflect our share for consolidated joint ventures in which we do not own 100% of the equity by adjusting our AFFO to remove the third party ownership share of the applicable reconciling items based on actual ownership percentage for the applicable periods (reported in “other AFFO adjustments”). See FFO for further disclosure regarding our use of pro-rata share information and its limitations. Other REITs or real estate companies may use different methodologies for calculating AFFO, and accordingly, our AFFO may not be comparable to those reported by other REITs. Although our AFFO computation may not be comparable to that of other REITs, management believes AFFO provides a meaningful supplemental measure of our performance and is frequently used by analysts, investors, and other interested parties in the evaluation of our performance as a REIT. We believe AFFO is an alternative run-rate earnings measure that improves the understanding of our operating results among investors and makes comparisons with: (i) expected results, (ii) results of previous periods, and (iii) results among REITs more meaningful. AFFO does not represent cash generated from operating activities determined in accordance with GAAP and is not necessarily indicative of cash available to fund cash needs as it excludes the following items which generally flow through our cash flows from operating activities: (i) adjustments for changes in working capital or the actual timing of the payment of income or expense items that are accrued in the period, (ii) transaction-related costs, (iii) litigation settlement expenses, and (iv) restructuring and severance-related charges. Furthermore, AFFO is adjusted for recurring capital expenditures, which are generally not considered when determining cash flows from operations or liquidity. AFFO is a non-GAAP supplemental financial measure and should not be considered as an alternative to net income (loss) determined in accordance with GAAP. For a reconciliation of net income (loss) to AFFO and other relevant disclosure, refer to “Non-GAAP Financial Measures Reconciliations” below.
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Comparison of the Year Ended December 31, 2021 to the Year Ended December 31, 2020
Overview(1)
2021 and 2020
The following table summarizes results for the years ended December 31, 2021 and 2020 (in thousands):
Year Ended December 31,
20212020Change
Net income (loss) applicable to common shares$502,271 $411,147 $91,124 
Nareit FFO604,726 693,367 (88,641)
FFO as Adjusted870,645 874,188 (3,543)
AFFO727,870 772,705 (44,835)

(1)For the reconciliation of non-GAAP financial measures, see “Non-GAAP Financial Measure Reconciliations” below.
Net income (loss) applicable to common shares increased primarily as a result of the following:
an increase in NOI generated from our life science and medical office segments, which related to: (i) 2020 and 2021 acquisitions of real estate, (ii) development and redevelopment projects placed in service during 2020 and 2021, and (iii) new leasing and renewal activity during 2020 and 2021 (including the impact to straight-line rents);
an increase in income from discontinued operations, primarily due to: (i) decreased impairments of depreciable real estate as a result of fewer assets being impaired under the held for sale model and (ii) decreased depreciation and amortization expense, partially offset by: (i) decreased NOI from dispositions of real estate during 2020 and 2021, (ii) decreased gain on sales of real estate from senior housing dispositions in 2021, and (iii) a goodwill impairment charge related to our senior housing triple-net and SHOP asset sales in 2021;
an increase in gains on sale of depreciable real estate related to MOB asset sales during 2021;
a reduction in operating expenses related to our CCRCs primarily as a result of the management termination fee paid to Brookdale in connection with transitioning management of 13 CCRCs to Life Care Services LLC (“LCS”) during the first quarter of 2020;
an increase in our share of net income from our unconsolidated SWF SH JV;
a reduction in interest expense, primarily as a result of senior unsecured notes repurchases and redemptions in 2021;
an increase in interest income, primarily as a result of: (i) seller financing issued in 2020 and 2021 and (ii) the accelerated recognition of a mark-to-market discount resulting from prepayments on loans receivable, partially offset by principal repayments on loans receivable;
a reduction in impairment charges related to: (i) real estate held for sale and (ii) loan loss reserves, primarily as a result of principal repayments on loans receivable in 2021, loans receivable sales in 2021, and a more positive economic outlook; and
a reduction in transaction costs, primarily as a result of costs associated with the transition of 13 CCRCs from Brookdale to LCS in the first quarter of 2020.
The increase in net income (loss) applicable to common shares was partially offset by:
a reduction in other income, net as a result of: (i) a gain upon change of control related to the acquisition of the outstanding equity interest in 13 CCRCs from Brookdale during the first quarter of 2020, (ii) a gain on sale related to the sale of a hospital underlying a DFL during the first quarter of 2020, and (iii) a decline in government grant income received under the CARES Act;
an increase in loss on debt extinguishments related to our repurchase and redemption of certain outstanding senior notes in the first and second quarters of 2021;
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an increase in depreciation, primarily as a result of: (i) 2020 and 2021 acquisitions of real estate, (ii) accelerated depreciation related to the change in estimated useful lives on certain of our densification projects in 2021, (iii) development and redevelopment projects placed into service during 2020 and 2021, and (iv) the above-mentioned acquisition of the outstanding equity interest and consolidation of 13 CCRCs from Brookdale during the first quarter of 2020;
a reduction in NOI related to MOB assets sold during 2020 and 2021; and
a decrease in income tax benefit, primarily as a result of the tax benefits recognized in the first quarter of 2020 related to the above-mentioned acquisition of the outstanding equity interest in 13 CCRCs from Brookdale and the management termination fee expense paid to Brookdale in connection with transitioning management to LCS, partially offset by the income tax expense recognized during the third quarter of 2020 from the establishment of a deferred tax asset valuation allowance related to deferred tax assets that were no longer expected to be realized as a result of our plan to dispose of our SHOP portfolio.
Nareit FFO decreased primarily as a result of the aforementioned events impacting net income (loss) applicable to common shares, except for the following, which are excluded from Nareit FFO:
net gain on sales of depreciable real estate;
the gain upon change of control related to the acquisition of Brookdale’s interest in 13 CCRCs;
depreciation and amortization expense; and
impairment charges related to depreciable real estate.
FFO as Adjusted decreased primarily as a result of the aforementioned events impacting Nareit FFO, except for the following, which are excluded from FFO as Adjusted:
the loss on debt extinguishment;
the management termination fee paid to Brookdale in connection with our acquisition of their interest in 13 CCRCs;
net gain on sales of assets underlying DFLs;
the transaction costs associated with transition of 13 CCRCs from Brookdale to LCS;
a goodwill impairment charge related to senior housing triple-net and SHOP asset sales;
loan loss reserves; and
the accelerated recognition of a mark-to-market discount resulting from prepayments on loans receivable.
AFFO decreased primarily as a result of the aforementioned events impacting FFO as Adjusted, except for the impact of straight-line rents, which is excluded from AFFO. The decrease was further impacted by higher AFFO capital expenditures.
Segment Analysis
The following tables provide selected operating information for our Same-Store and total property portfolio for each of our reportable segments. For the year ended December 31, 2021, our Same-Store consists of 347 properties representing properties acquired or placed in service and stabilized on or prior to January 1, 2020 and that remained in operations under a consistent reporting structure through December 31, 2021. Our total property portfolio consisted of 484 and 457 properties at December 31, 2021 and 2020, respectively.
In conjunction with classifying our senior housing triple-net and SHOP portfolios as discontinued operations as of December 31, 2020, the results of operations related to those portfolios are no longer presented in reportable business segments. Accordingly, results of operations of those portfolios are not included in the reportable business segment analysis below. Refer to Note 5 to the Consolidated Financial Statements for further information regarding discontinued operations.
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Life Science
2021 and 2020
The following table summarizes results at and for the years ended December 31, 2021 and 2020 (dollars and square feet in thousands, except per square foot data):
SSTotal Portfolio
20212020Change20212020Change
Rental and related revenues$474,011 $441,994 $32,017 $715,844 $569,296 $146,548 
Healthpeak’s share of unconsolidated joint venture total revenues— — — 5,757 448 5,309 
Noncontrolling interests' share of consolidated joint venture total revenues(217)(211)(6)(292)(239)(53)
Operating expenses(110,621)(105,712)(4,909)(169,044)(138,005)(31,039)
Healthpeak's share of unconsolidated joint venture operating expenses— — — (1,836)(137)(1,699)
Noncontrolling interests' share of consolidated joint venture operating expenses62 62 — 87 72 15 
Adjustments to NOI(1)
(15,215)(11,463)(3,752)(46,589)(20,133)(26,456)
Adjusted NOI$348,020 $324,670 $23,350 503,927 411,302 92,625 
Less: non-SS Adjusted NOI(155,907)(86,632)(69,275)
SS Adjusted NOI$348,020 $324,670 $23,350 
Adjusted NOI % change7.2 %
Property count(2)
107 107 150 140 
End of period occupancy96.3 %97.1 %96.6 %96.3 %
Average occupancy97.1 %96.7 %96.9 %96.0 %
Average occupied square feet7,261 7,229 10,266 8,724 
Average annual total revenues per occupied square foot(3)
$63 $60 $66 $63 
Average annual base rent per occupied square foot(4)
$50 $47 $50 $50 

(1)Represents adjustments to NOI in accordance with our definition of Adjusted NOI. Refer to “Non-GAAP Financial Measures” above for definitions of NOI and Adjusted NOI.
(2)From our 2020 presentation of Same-Store, we removed one life science facility that was classified as held for sale and one life science facility that was demolished to prepare for development.
(3)Average annual total revenues does not include non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, and deferred revenues).
(4)Base rent does not include tenant recoveries, additional rents in excess of floors and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, DFL non-cash interest, and deferred revenues).
Same-Store Adjusted NOI increased primarily as a result of the following:
annual rent escalations;
new leasing activity; and
mark-to-market lease renewals.
Total Portfolio Adjusted NOI increased primarily as a result of the aforementioned impacts to Same-Store and the following Non-Same-Store impacts:
an increase in NOI from (i) increased occupancy in developments and redevelopments placed into service in 2020 and 2021 and (ii) acquisitions in 2020 and 2021.
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Medical Office
2021 and 2020
The following table summarizes results at and for the years ended December 31, 2021 and 2020 (dollars and square feet in thousands, except per square foot data):
SS
Total Portfolio(1)
20212020Change20212020Change
Rental and related revenues$531,365 $515,853 $15,512 $662,540 $612,678 $49,862 
Income from direct financing leases8,702 8,575 127 8,702 9,720 (1,018)
Healthpeak’s share of unconsolidated joint venture total revenues2,792 2,683 109 2,882 2,772 110 
Noncontrolling interests' share of consolidated joint venture total revenues(34,235)(33,334)(901)(35,363)(34,597)(766)
Operating expenses(174,032)(169,399)(4,633)(223,383)(204,008)(19,375)
Healthpeak's share of unconsolidated joint venture operating expenses(1,174)(1,129)(45)(1,174)(1,129)(45)
Noncontrolling interests' share of consolidated joint venture operating expenses9,856 9,987 (131)10,071 10,282 (211)
Adjustments to NOI(2)
(6,412)(6,618)206 (11,118)(5,544)(5,574)
Adjusted NOI$336,862 $326,618 $10,244 413,157 390,174 22,983 
Less: non-SS Adjusted NOI(76,295)(63,556)(12,739)
SS Adjusted NOI$336,862 $326,618 $10,244 
Adjusted NOI % change3.1 %
Property count(3)
238 238 300 281 
End of period occupancy92.1 %92.6 %90.3 %90.4 %
Average occupancy92.1 %92.5 %90.0 %91.3 %
Average occupied square feet17,883 17,951 21,075 20,448 
Average annual total revenues per occupied square foot(4)
$31 $30 $31 $30 
Average annual base rent per occupied square foot(5)
$26 $25 $27 $26 

(1)Total Portfolio includes results of operations from disposed properties through the disposition date.
(2)Represents adjustments to NOI in accordance with our definition of Adjusted NOI. Refer to “Non-GAAP Financial Measures” above for definitions of NOI and Adjusted NOI.
(3)From our 2020 presentation of Same-Store, we removed five MOBs that were sold, four MOBs that were classified as held for sale, and five MOBs that were placed into redevelopment.
(4)Average annual total revenues does not include non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, and deferred revenues).
(5)Base rent does not include tenant recoveries, additional rents in excess of floors and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, DFL non-cash interest, and deferred revenues).
Same-Store Adjusted NOI increased primarily as a result of the following:
mark-to-market lease renewals;
annual rent escalations; and
higher parking income and percentage-based rents.
Total Portfolio Adjusted NOI increased primarily as a result of the aforementioned increases to Same-Store and the following Non-Same-Store impacts:
increased NOI from our 2020 and 2021 acquisitions;
increased occupancy in former redevelopment and development properties that have been placed into service; partially offset by
decreased NOI from our 2020 and 2021 dispositions.
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Continuing Care Retirement Community
2021 and 2020
The following table summarizes results at and for the years ended December 31, 2021 and 2020 (dollars in thousands, except per unit data):
SSTotal Portfolio
20212020Change20212020Change
Resident fees and services$74,663 $75,288 $(625)$471,325 $436,494 $34,831 
Government grant income(1)
143 3,414 (3,271)1,412 16,198 (14,786)
Healthpeak’s share of unconsolidated joint venture total revenues— — — 6,903 35,392 (28,489)
Healthpeak's share of unconsolidated joint venture government grant income— — — 200 920 (720)
Operating expenses(54,712)(54,281)(431)(380,865)(440,528)59,663 
Healthpeak's share of unconsolidated joint venture operating expenses— — — (6,639)(32,125)25,486 
Adjustments to NOI(2)
162 — 162 3,241 97,072 (93,831)
Adjusted NOI$20,256 $24,421 $(4,165)95,577 113,423 (17,846)
Less: non-SS Adjusted NOI(75,321)(89,002)13,681 
SS Adjusted NOI$20,256 $24,421 $(4,165)
Adjusted NOI % change(17.1)%
Property count15 17 
Average occupancy76.0 %81.0 %79.1 %81.4 %
Average occupied units(3)
800 852 6,002 6,181 
Average annual rent per occupied unit$93,507 $92,373 $79,954 $79,088 

(1)Represents government grant income received under the CARES Act, which is recorded in other income (expense), net in the Consolidated Statements of Operations.
(2)Represents adjustments to NOI in accordance with our definition of Adjusted NOI. Refer to “Non-GAAP Financial Measures” above for definitions of NOI and Adjusted NOI.
(3)Represents average occupied units as reported by the operators for the twelve-month period.
Same-Store Adjusted NOI decreased primarily as a result of the following:
lower occupancy due to Covid;
decreased government grant income received under the CARES Act; and
higher labor costs; partially offset by
lower Covid-related expenses; and
increased rates for resident fees.
Total Portfolio Adjusted NOI decreased primarily as a result of the aforementioned decreases to Same-Store, which are also applicable to our properties not yet included in Same-Store.

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Other Income and Expense Items
The following table summarizes results of our other income and expense items for the years ended December 31, 2021 and 2020 (in thousands):
Year Ended December 31,
20212020Change
Interest income$37,773 $16,553 $21,220 
Interest expense157,980 218,336 (60,356)
Depreciation and amortization684,286 553,949 130,337 
General and administrative98,303 93,237 5,066 
Transaction costs1,841 18,342 (16,501)
Impairments and loan loss reserves (recoveries), net23,160 42,909 (19,749)
Gain (loss) on sales of real estate, net190,590 90,350 100,240 
Gain (loss) on debt extinguishments(225,824)(42,912)(182,912)
Other income (expense), net6,266 234,684 (228,418)
Income tax benefit (expense)3,261 9,423 (6,162)
Equity income (loss) from unconsolidated joint ventures6,100 (66,599)72,699 
Income (loss) from discontinued operations388,202 267,746 120,456 
Noncontrolling interests’ share in continuing operations(17,851)(14,394)(3,457)
Noncontrolling interests’ share in discontinued operations(2,539)(296)(2,243)
Interest income
Interest income increased for the year ended December 31, 2021 primarily as a result of: (i) seller financing issued in 2020 and 2021 and (ii) the accelerated recognition of a mark-to-market discount resulting from prepayments on loans receivable. The increase was partially offset by principal repayments on loans receivable.
Interest expense
Interest expense decreased for the year ended December 31, 2021 primarily as a result of senior unsecured notes repurchases and redemptions in the first and second quarters of 2021.
Depreciation and amortization expense
Depreciation and amortization expense increased for the year ended December 31, 2021 primarily as a result of: (i) acquisitions of real estate during 2020 and 2021, (ii) accelerated depreciation related to the change in estimated useful lives on certain of our densification projects in 2021, (iii) development and redevelopment projects placed into service during 2020 and 2021, and (iv) the acquisition of Brookdale’s interest in and consolidation of 13 CCRCs during the first quarter of 2020. The increase was partially offset by dispositions of real estate throughout 2020 and 2021.
General and administrative expense
General and administrative expenses increased for the year ended December 31, 2021 primarily as a result of higher compensation costs and increased restructuring and severance related charges.
Transaction costs
Transaction costs decreased for the year ended December 31, 2021 primarily as a result of costs associated with the transition of 13 CCRCs from Brookdale to LCS in January 2020.
Impairments and loan loss reserves (recoveries), net
The impairment charges recognized in each period vary depending on facts and circumstances related to each asset and are impacted by negotiations with potential buyers, current operations of the assets, and other factors.
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Impairments and loan loss reserves (recoveries), net decreased for the year ended December 31, 2021 primarily as a result of: (i) fewer assets impaired under the held for sale impairment model and (ii) a decrease in loan loss reserves under the current expected credit losses model, partially offset by: (i) increased impairment charges related to assetsthat we intend to demolish for future development projects and (ii) impairment charges on loans sold. The reduction in loan loss reserves during the year ended December 31, 2021 is primarily due to: (i) principal repayments on loans receivable during 2021, (ii) loans receivable sales in 2021, and (iii) a more positive economic outlook. The reduction in loan loss reserves during the year ended December 31, 2021 is partially offset by the loan loss reserve recognized related to new seller financing issued in the first quarter of 2021.
Gain (loss) on sales of real estate, net
Gain on sales of real estate, net increased during the year ended December 31, 2021 primarily as a result of the sale of: (i) 10 MOBs and a portion of 1 MOB land parcel for$68 million and (ii) 1 hospital for $226 million during the year ended December 31, 2021 resulting in total gain on sale of $191 million, compared to the sale of: (i) 11 MOBs for$136 million, (ii) 2 MOB land parcels for $3 million, and (iii) 1asset from other non-reportable segments for $1 millionduring the year ended December 31, 2020 resulting in total gain on sale of $90 million.
Gain (loss) on debt extinguishments
Refer to Note 11 to the Consolidated Financial Statements for information regarding senior unsecured note repurchases and redemptions and the associated loss on debt extinguishment recognized.
Other income (expense), net
Other income, net decreased for the year ended December 31, 2021 primarily as a result of: (i) a gain upon change of control related to the acquisition of the outstanding equity interest in 13 CCRCs from Brookdale during the first quarter of 2020, (ii) a gain on sale related to the sale of a hospital underlying a DFL during the first quarter of 2020, and (iii) a decline in government grant income received under the CARES Act.
Income tax benefit (expense)
Income tax benefit decreased for the year ended December 31, 2021 primarily as a result of the tax benefits recognized in the first quarter of 2020 related to the following: (i) the purchase of Brookdale’s interest in 13 of the 15 communities in the CCRC JV, including the management termination fee expense paid to Brookdale in connection with transitioning management of 13 CCRCs to LCS and (ii) the extension of the net operating loss carryback period provided by the CARES Act. The decrease in income tax benefit during the year ended December 31, 2021 was partially offset by the establishment of a deferred tax asset valuation allowance during the third quarter of 2020 related to deferred tax assets that were no longer expected to be realized as a result of our plan to dispose of our SHOP portfolio.
Equity income (loss) from unconsolidated joint ventures
Equity income from unconsolidated joint ventures increased for the year ended December 31, 2021 primarily as a result of a decrease in amortization expense due to fully amortized intangible assets related to our unconsolidated SWF SH JV. The increase in equity income from unconsolidated joint ventures for the year ended December 31, 2021 was partially offset by our share of a gain on sale of one asset in an unconsolidated joint venture during the first quarter of 2020.
Income (loss) from discontinued operations
Income from discontinued operations increased for the year ended December 31, 2021 primarily as a result of: (i) decreased impairments of depreciable real estate as a result of fewer assets being impaired under the held for sale impairment model and (ii) decreased depreciation and amortization expense due to assets being classified as held for sale throughout 2021. The increase in income from discontinued operations during the year ended December 31, 2021 was partially offset by: (i) decreased NOI from dispositions of real estate during 2020 and 2021, (ii) decreased gain on sales of real estate from senior housing dispositions in 2021, and (iii) a goodwill impairment charge related to our senior housing triple-net and SHOP asset sales in 2021.
Noncontrolling interests’ share in continuing operations
Noncontrolling interests’ share in continuing operations increased for the year ended December 31, 2021 primarily as a result of our partner’s share of a gain on sale of one asset in a consolidated joint venture during 2021.
Noncontrolling interests’ share in discontinued operations
Noncontrolling interests’ share in discontinued operations increased for the year ended December 31, 2021 primarily as a result of our partner’s share of gains on sale of senior housing assets in DownREIT (as defined below) partnerships during 2021.
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Liquidity and Capital Resources
Contractual Obligations
Off-Balance Sheet Arrangements
Inflation
Non-GAAP Financial Measure ReconciliationsMeasures
Critical Accounting PoliciesNet Operating Income
Recent Accounting PronouncementsNOI and Adjusted NOI are non-U.S. generally accepted accounting principles (“GAAP”) supplemental financial measures used to evaluate the operating performance of real estate. NOI is defined as real estate revenues (inclusive of rental and related revenues, resident fees and services, income from direct financing leases, and government grant income and exclusive of interest income), less property level operating expenses; NOI excludes all other financial statement amounts included in net income (loss) as presented in Note 16 to the Consolidated Financial Statements. Adjusted NOI is calculated as NOI after eliminating the effects of straight-line rents, DFL non-cash interest, amortization of market lease intangibles, termination fees, actuarial reserves for insurance claims that have been incurred but not reported, and the impact of deferred community fee income and expense. NOI and Adjusted NOI include our share of income (loss) generated by unconsolidated joint ventures and exclude noncontrolling interests’ share of income (loss) generated by consolidated joint ventures. Adjusted NOI is oftentimes referred to as “Cash NOI.” Management believes NOI and Adjusted NOI are important supplemental measures because they provide relevant and useful information by reflecting only income and operating expense items that are incurred at the property level and present them on an unlevered basis. We use NOI and Adjusted NOI to make decisions about resource allocations, to assess and compare property level performance, and to evaluate our Same-Store (“SS”) performance, as described below. We believe that net income (loss) is the most directly comparable GAAP measure to NOI and Adjusted NOI. NOI and Adjusted NOI should not be viewed as alternative measures of operating performance to net income (loss) as defined by GAAP since they do not reflect various excluded items. Further, our definitions of NOI and Adjusted NOI may not be comparable to the definitions used by other REITs or real estate companies, as they may use different methodologies for calculating NOI and Adjusted NOI. For a reconciliation of NOI and Adjusted NOI to net income (loss) by segment, refer to Note 16 to the Consolidated Financial Statements.
2018 Transaction Overview
Mountain View Campus Sale

In November 2018, we sold our Shoreline Technology CenterOperating expenses generally relate to leased medical office and life science campus locatedproperties, as well as CCRC facilities. We generally recover all or a portion of our leased medical office and life science property expenses through tenant recoveries. We present expenses as operating or general and administrative based on the underlying nature of the expense.
Same-Store
Same-Store NOI and Adjusted (Cash) NOI information allows us to evaluate the performance of our property portfolio under a consistent population by eliminating changes in Mountain View, Californiathe composition of our consolidated portfolio of properties. Same-Store Adjusted NOI excludes amortization of deferred revenue from tenant-funded improvements and certain non-property specific operating expenses that are allocated to each operating segment on a consolidated basis.
Properties are included in Same-Store once they are stabilized for $1.0 billionthe full period in both comparison periods. Newly acquired operating assets are generally considered stabilized at the earlier of lease-up (typically when the tenant(s) control(s) the physical use of at least 80% of the space and rental payments have commenced) or 12 months from the acquisition date. Newly completed developments and redevelopments are considered stabilized at the earlier of lease-up or 24 months from the date the property is placed in service. Properties that experience a change in reporting structure are considered stabilized after 12 months in operations under a consistent reporting structure. A property is removed from Same-Store when it is classified as held for sale, sold, placed into redevelopment, experiences a casualty event that significantly impacts operations, a change in reporting structure or operator transition has been agreed to, or a significant tenant relocates from a Same-Store property to a non Same-Store property and that change results in a corresponding increase in revenue. We do not report Same-Store metrics for our other non-reportable segments. For a reconciliation of Same-Store to total portfolio Adjusted NOI and other relevant disclosures by segment, refer to our Segment Analysis below.
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Funds From Operations (“FFO”)
FFO encompasses Nareit FFO and FFO as Adjusted, each of which is described in detail below. We believe FFO applicable to common shares, diluted FFO applicable to common shares, and diluted FFO per common share are important supplemental non-GAAP measures of operating performance for a REIT. Because the historical cost accounting convention used for real estate assets utilizes straight-line depreciation (except on land), such accounting presentation implies that the value of real estate assets diminishes predictably over time. Since real estate values instead have historically risen and fallen with market conditions, presentations of operating results for a REIT that use historical cost accounting for depreciation could be less informative. The term FFO was designed by the REIT industry to address this issue.
Nareit FFO. FFO, as defined by the National Association of Real Estate Investment Trusts (“Nareit”), is net income (loss) applicable to common shares (computed in accordance with GAAP), excluding gains or losses from sales of depreciable property, including any current and deferred taxes directly associated with sales of depreciable property, impairments of, or related to, depreciable real estate, plus real estate and other real estate-related depreciation and amortization, and adjustments to compute our share of Nareit FFO and FFO as Adjusted (see below) from joint ventures. Adjustments for joint ventures are calculated to reflect our pro-rata share of both our consolidated and unconsolidated joint ventures. We reflect our share of Nareit FFO for unconsolidated joint ventures by applying our actual ownership percentage for the period to the applicable reconciling items on an entity by entity basis. For consolidated joint ventures in which we do not own 100%, we reflect our share of the equity by adjusting our Nareit FFO to remove the third party ownership share of the applicable reconciling items based on actual ownership percentage for the applicable periods. Our pro-rata share information is prepared on a basis consistent with the comparable consolidated amounts, is intended to reflect our proportionate economic interest in the operating results of properties in our portfolio and is calculated by applying our actual ownership percentage for the period. We do not control the unconsolidated joint ventures, and the pro-rata presentations of reconciling items included in Nareit FFO do not represent our legal claim to such items. The joint venture members or partners are entitled to profit or loss allocations and distributions of cash flows according to the joint venture agreements, which provide for such allocations generally according to their invested capital.
The presentation of pro-rata information has limitations, which include, but are not limited to, the following: (i) the amounts shown on the individual line items were derived by applying our overall economic ownership interest percentage determined when applying the equity method of accounting and do not necessarily represent our legal claim to the assets and liabilities, or the revenues and expenses and (ii) other companies in our industry may calculate their pro-rata interest differently, limiting the usefulness as a comparative measure. Because of these limitations, the pro-rata financial information should not be considered independently or as a substitute for our financial statements as reported under GAAP. We compensate for these limitations by relying primarily on our GAAP financial statements, using the pro-rata financial information as a supplement.
Nareit FFO does not represent cash generated from operating activities in accordance with GAAP, is not necessarily indicative of cash available to fund cash needs and should not be considered an alternative to net income (loss). We compute Nareit FFO in accordance with the current Nareit definition; however, other REITs may report Nareit FFO differently or have a different interpretation of the current Nareit definition from ours.
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FFO as Adjusted. In addition, we present Nareit FFO on an adjusted basis before the impact of non-comparable items including, but not limited to, transaction-related items, other impairments (recoveries) and other losses (gains), restructuring and severance related charges, prepayment costs (benefits) associated with early retirement or payment of debt, litigation costs (recoveries), casualty-related charges (recoveries), foreign currency remeasurement losses (gains), deferred tax asset valuation allowances, and changes in tax legislation (“FFO as Adjusted”). Transaction-related items include transaction expenses and gains/charges incurred as a result of mergers and acquisitions and lease amendment or termination activities. Prepayment costs (benefits) associated with early retirement of debt include the write-off of unamortized deferred financing fees, or additional costs, expenses, discounts, make-whole payments, penalties or premiums incurred as a result of early retirement or payment of debt. Other impairments (recoveries) and other losses (gains) include interest income associated with early and partial repayments of loans receivable and other losses or gains associated with non-depreciable assets including goodwill, DFLs, undeveloped land parcels, and loans receivable. Management believes that FFO as Adjusted provides a meaningful supplemental measurement of our FFO run-rate and is frequently used by analysts, investors, and other interested parties in the evaluation of our performance as a REIT. At the same time that Nareit created and defined its FFO measure for the REIT industry, it also recognized that “management of each of its member companies has the responsibility and authority to publish financial information that it regards as useful to the financial community.” We believe stockholders, potential investors, and financial analysts who review our operating performance are best served by an FFO run-rate earnings measure that includes certain other adjustments to net income (loss), in addition to adjustments made to arrive at the Nareit defined measure of FFO. FFO as Adjusted is used by management in analyzing our business and the performance of our properties and we believe it is important that stockholders, potential investors, and financial analysts understand this measure used by management. We use FFO as Adjusted to: (i) evaluate our performance in comparison with expected results and results of previous periods, relative to resource allocation decisions, (ii) evaluate the performance of our management, (iii) budget and forecast future results to assist in the allocation of resources, (iv) assess our performance as compared with similar real estate companies and the industry in general, and (v) evaluate how a specific potential investment will impact our future results. Other REITs or real estate companies may use different methodologies for calculating an adjusted FFO measure, and accordingly, our FFO as Adjusted may not be comparable to those reported by other REITs. For a reconciliation of net income (loss) to Nareit FFO and FFO as Adjusted and other relevant disclosure, refer to “Non-GAAP Financial Measures Reconciliations” below.
Adjusted FFO (“AFFO”). AFFO is defined as FFO as Adjusted after excluding the impact of the following: (i) amortization of stock-based compensation, (ii) amortization of deferred financing costs, net, (iii) straight-line rents, (iv) deferred income taxes, and (v) other AFFO adjustments, which include: (a) amortization of acquired market lease intangibles, net, (b) non-cash interest related to DFLs and lease incentive amortization (reduction of straight-line rents), (c) actuarial reserves for insurance claims that have been incurred but not reported, and (d) amortization of deferred revenues, excluding amounts amortized into rental income that are associated with tenant funded improvements owned/recognized by us and up-front cash payments made by tenants to reduce their contractual rents. Also, AFFO is computed after deducting recurring capital expenditures, including second generation leasing costs and second generation tenant and capital improvements, and includes adjustments to compute our share of AFFO from our unconsolidated joint ventures.More specifically, recurring capital expenditures, including second generation leasing costs and second generation tenant and capital improvements ("AFFO capital expenditures") excludes our share from unconsolidated joint ventures (reported in “other AFFO adjustments”). Adjustments for joint ventures are calculated to reflect our pro-rata share of both our consolidated and unconsolidated joint ventures. We reflect our share of AFFO for unconsolidated joint ventures by applying our actual ownership percentage for the period to the applicable reconciling items on an entity by entity basis. We reflect our share for consolidated joint ventures in which we do not own 100% of the equity by adjusting our AFFO to remove the third party ownership share of the applicable reconciling items based on actual ownership percentage for the applicable periods (reported in “other AFFO adjustments”). See FFO for further disclosure regarding our use of pro-rata share information and its limitations. Other REITs or real estate companies may use different methodologies for calculating AFFO, and accordingly, our AFFO may not be comparable to those reported by other REITs. Although our AFFO computation may not be comparable to that of other REITs, management believes AFFO provides a meaningful supplemental measure of our performance and is frequently used by analysts, investors, and other interested parties in the evaluation of our performance as a REIT. We believe AFFO is an alternative run-rate earnings measure that improves the understanding of our operating results among investors and makes comparisons with: (i) expected results, (ii) results of previous periods, and (iii) results among REITs more meaningful. AFFO does not represent cash generated from operating activities determined in accordance with GAAP and is not necessarily indicative of cash available to fund cash needs as it excludes the following items which generally flow through our cash flows from operating activities: (i) adjustments for changes in working capital or the actual timing of the payment of income or expense items that are accrued in the period, (ii) transaction-related costs, (iii) litigation settlement expenses, and (iv) restructuring and severance-related charges. Furthermore, AFFO is adjusted for recurring capital expenditures, which are generally not considered when determining cash flows from operations or liquidity. AFFO is a non-GAAP supplemental financial measure and should not be considered as an alternative to net income (loss) determined in accordance with GAAP. For a reconciliation of net income (loss) to AFFO and other relevant disclosure, refer to “Non-GAAP Financial Measures Reconciliations” below.
45

Comparison of the Year Ended December 31, 2021 to the Year Ended December 31, 2020
Overview(1)
2021 and 2020
The following table summarizes results for the years ended December 31, 2021 and 2020 (in thousands):
Year Ended December 31,
20212020Change
Net income (loss) applicable to common shares$502,271 $411,147 $91,124 
Nareit FFO604,726 693,367 (88,641)
FFO as Adjusted870,645 874,188 (3,543)
AFFO727,870 772,705 (44,835)

(1)For the reconciliation of non-GAAP financial measures, see “Non-GAAP Financial Measure Reconciliations” below.
Net income (loss) applicable to common shares increased primarily as a result of the following:
an increase in NOI generated from our life science and medical office segments, which related to: (i) 2020 and 2021 acquisitions of real estate, (ii) development and redevelopment projects placed in service during 2020 and 2021, and (iii) new leasing and renewal activity during 2020 and 2021 (including the impact to straight-line rents);
an increase in income from discontinued operations, primarily due to: (i) decreased impairments of depreciable real estate as a result of fewer assets being impaired under the held for sale model and (ii) decreased depreciation and amortization expense, partially offset by: (i) decreased NOI from dispositions of real estate during 2020 and 2021, (ii) decreased gain on sales of real estate from senior housing dispositions in 2021, and (iii) a goodwill impairment charge related to our senior housing triple-net and SHOP asset sales in 2021;
an increase in gains on sale of depreciable real estate related to MOB asset sales during 2021;
a reduction in operating expenses related to our CCRCs primarily as a result of the management termination fee paid to Brookdale in connection with transitioning management of 13 CCRCs to Life Care Services LLC (“LCS”) during the first quarter of 2020;
an increase in our share of net income from our unconsolidated SWF SH JV;
a reduction in interest expense, primarily as a result of senior unsecured notes repurchases and redemptions in 2021;
an increase in interest income, primarily as a result of: (i) seller financing issued in 2020 and 2021 and (ii) the accelerated recognition of a mark-to-market discount resulting from prepayments on loans receivable, partially offset by principal repayments on loans receivable;
a reduction in impairment charges related to: (i) real estate held for sale and (ii) loan loss reserves, primarily as a result of principal repayments on loans receivable in 2021, loans receivable sales in 2021, and a more positive economic outlook; and
a reduction in transaction costs, primarily as a result of costs associated with the transition of 13 CCRCs from Brookdale to LCS in the first quarter of 2020.
The increase in net income (loss) applicable to common shares was partially offset by:
a reduction in other income, net as a result of: (i) a gain upon change of control related to the acquisition of the outstanding equity interest in 13 CCRCs from Brookdale during the first quarter of 2020, (ii) a gain on sale related to the sale of $726 million.a hospital underlying a DFL during the first quarter of 2020, and (iii) a decline in government grant income received under the CARES Act;
MSREI MOB JVan increase in loss on debt extinguishments related to our repurchase and redemption of certain outstanding senior notes in the first and second quarters of 2021;
46

In August 2018, HCPan increase in depreciation, primarily as a result of: (i) 2020 and Morgan Stanley Real Estate Investment (“MSREI”) formed a joint venture (the “MSREI JV”)2021 acquisitions of real estate, (ii) accelerated depreciation related to own a portfoliothe change in estimated useful lives on certain of MOBs, which HCP owns 51% ofour densification projects in 2021, (iii) development and consolidates. To formredevelopment projects placed into service during 2020 and 2021, and (iv) the MSREI JV, MSREI contributed cash of $298 million and HCP contributed nine wholly-owned MOBs (the “Contributed Assets”). The Contributed Assets are primarily located in Texas and Florida and were valued at approximately $320 million at the time of contribution. The MSREI JV used substantially allabove-mentioned acquisition of the cash contributed by MSREIoutstanding equity interest and consolidation of 13 CCRCs from Brookdale during the first quarter of 2020;
a reduction in NOI related to acquire an additional portfolioMOB assets sold during 2020 and 2021; and
a decrease in income tax benefit, primarily as a result of 16 MOBs in Greenville, South Carolina (the “Greenville Portfolio”) for $285 million. Concurrent with acquiring the additional MOBs, the MSREI JV entered into 10-year leases with an anchor tenant on each MOBtax benefits recognized in the Greenville Portfolio, which accounts for approximately 93%first quarter of 2020 related to the above-mentioned acquisition of the total leasable spaceoutstanding equity interest in 13 CCRCs from Brookdale and the portfolio.
Brookdale Transactions Update

In 2018, we sold six agreed upon facilitiesmanagement termination fee expense paid to Brookdale in connection with transitioning management to LCS, partially offset by the income tax expense recognized during the third quarter of 2020 from the establishment of a deferred tax asset valuation allowance related to deferred tax assets that were no longer expected to be realized as a result of our plan to dispose of our SHOP portfolio.
Nareit FFO decreased primarily as a result of the aforementioned events impacting net income (loss) applicable to common shares, except for $275 million.the following, which are excluded from Nareit FFO:
In March 2018, we completednet gain on sales of depreciable real estate;
the gain upon change of control related to the acquisition of Brookdale’s noncontrolling interest in RIDEA I13 CCRCs;
depreciation and amortization expense; and
impairment charges related to depreciable real estate.
FFO as Adjusted decreased primarily as a result of the aforementioned events impacting Nareit FFO, except for $63 million.the following, which are excluded from FFO as Adjusted:
During the fourth quarterloss on debt extinguishment;
the management termination fee paid to Brookdale in connection with our acquisition of 2018, we completed their interest in 13 CCRCs;
net gain on sales of assets underlying DFLs;
the saletransaction costs associated with transition of 1113 CCRCs from Brookdale to LCS;
a goodwill impairment charge related to senior housing triple-net and eight SHOP facilities previously leasedasset sales;
loan loss reserves; and
the accelerated recognition of a mark-to-market discount resulting from prepayments on loans receivable.
AFFO decreased primarily as a result of the aforementioned events impacting FFO as Adjusted, except for the impact of straight-line rents, which is excluded from AFFO. The decrease was further impacted by higher AFFO capital expenditures.
Segment Analysis
The following tables provide selected operating information for our Same-Store and total property portfolio for each of our reportable segments. For the year ended December 31, 2021, our Same-Store consists of 347 properties representing properties acquired or placed in service and stabilized on or prior to Brookdale for $377 million.January 1, 2020 and that remained in operations under a consistent reporting structure through December 31, 2021. Our total property portfolio consisted of 484 and 457 properties at December 31, 2021 and 2020, respectively.
AsIn conjunction with classifying our senior housing triple-net and SHOP portfolios as discontinued operations as of December 31, 2018, we had completed2020, the transitionresults of 38 assets previously operated by Brookdaleoperations related to other operators.
Seethose portfolios are no longer presented in reportable business segments. Accordingly, results of operations of those portfolios are not included in the reportable business segment analysis below. Refer to Note 35 to the Consolidated Financial Statements for further information regarding discontinued operations.
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Life Science
2021 and 2020
The following table summarizes results at and for the years ended December 31, 2021 and 2020 (dollars and square feet in thousands, except per square foot data):
SSTotal Portfolio
20212020Change20212020Change
Rental and related revenues$474,011 $441,994 $32,017 $715,844 $569,296 $146,548 
Healthpeak’s share of unconsolidated joint venture total revenues— — — 5,757 448 5,309 
Noncontrolling interests' share of consolidated joint venture total revenues(217)(211)(6)(292)(239)(53)
Operating expenses(110,621)(105,712)(4,909)(169,044)(138,005)(31,039)
Healthpeak's share of unconsolidated joint venture operating expenses— — — (1,836)(137)(1,699)
Noncontrolling interests' share of consolidated joint venture operating expenses62 62 — 87 72 15 
Adjustments to NOI(1)
(15,215)(11,463)(3,752)(46,589)(20,133)(26,456)
Adjusted NOI$348,020 $324,670 $23,350 503,927 411,302 92,625 
Less: non-SS Adjusted NOI(155,907)(86,632)(69,275)
SS Adjusted NOI$348,020 $324,670 $23,350 
Adjusted NOI % change7.2 %
Property count(2)
107 107 150 140 
End of period occupancy96.3 %97.1 %96.6 %96.3 %
Average occupancy97.1 %96.7 %96.9 %96.0 %
Average occupied square feet7,261 7,229 10,266 8,724 
Average annual total revenues per occupied square foot(3)
$63 $60 $66 $63 
Average annual base rent per occupied square foot(4)
$50 $47 $50 $50 

(1)Represents adjustments to NOI in accordance with our definition of Adjusted NOI. Refer to “Non-GAAP Financial Measures” above for definitions of NOI and Adjusted NOI.
(2)From our 2020 presentation of Same-Store, we removed one life science facility that was classified as held for sale and one life science facility that was demolished to prepare for development.
(3)Average annual total revenues does not include non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, and deferred revenues).
(4)Base rent does not include tenant recoveries, additional information.rents in excess of floors and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, DFL non-cash interest, and deferred revenues).

Same-Store Adjusted NOI increased primarily as a result of the following:
U.K. Investment Updateannual rent escalations;

new leasing activity; and
In June 2018,mark-to-market lease renewals.
Total Portfolio Adjusted NOI increased primarily as a result of the aforementioned impacts to Same-Store and the following Non-Same-Store impacts:
an increase in NOI from (i) increased occupancy in developments and redevelopments placed into service in 2020 and 2021 and (ii) acquisitions in 2020 and 2021.
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Medical Office
2021 and 2020
The following table summarizes results at and for the years ended December 31, 2021 and 2020 (dollars and square feet in thousands, except per square foot data):
SS
Total Portfolio(1)
20212020Change20212020Change
Rental and related revenues$531,365 $515,853 $15,512 $662,540 $612,678 $49,862 
Income from direct financing leases8,702 8,575 127 8,702 9,720 (1,018)
Healthpeak’s share of unconsolidated joint venture total revenues2,792 2,683 109 2,882 2,772 110 
Noncontrolling interests' share of consolidated joint venture total revenues(34,235)(33,334)(901)(35,363)(34,597)(766)
Operating expenses(174,032)(169,399)(4,633)(223,383)(204,008)(19,375)
Healthpeak's share of unconsolidated joint venture operating expenses(1,174)(1,129)(45)(1,174)(1,129)(45)
Noncontrolling interests' share of consolidated joint venture operating expenses9,856 9,987 (131)10,071 10,282 (211)
Adjustments to NOI(2)
(6,412)(6,618)206 (11,118)(5,544)(5,574)
Adjusted NOI$336,862 $326,618 $10,244 413,157 390,174 22,983 
Less: non-SS Adjusted NOI(76,295)(63,556)(12,739)
SS Adjusted NOI$336,862 $326,618 $10,244 
Adjusted NOI % change3.1 %
Property count(3)
238 238 300 281 
End of period occupancy92.1 %92.6 %90.3 %90.4 %
Average occupancy92.1 %92.5 %90.0 %91.3 %
Average occupied square feet17,883 17,951 21,075 20,448 
Average annual total revenues per occupied square foot(4)
$31 $30 $31 $30 
Average annual base rent per occupied square foot(5)
$26 $25 $27 $26 

(1)Total Portfolio includes results of operations from disposed properties through the disposition date.
(2)Represents adjustments to NOI in accordance with our definition of Adjusted NOI. Refer to “Non-GAAP Financial Measures” above for definitions of NOI and Adjusted NOI.
(3)From our 2020 presentation of Same-Store, we enteredremoved five MOBs that were sold, four MOBs that were classified as held for sale, and five MOBs that were placed into redevelopment.
(4)Average annual total revenues does not include non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, and deferred revenues).
(5)Base rent does not include tenant recoveries, additional rents in excess of floors and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, DFL non-cash interest, and deferred revenues).
Same-Store Adjusted NOI increased primarily as a joint ventureresult of the following:
mark-to-market lease renewals;
annual rent escalations; and
higher parking income and percentage-based rents.
Total Portfolio Adjusted NOI increased primarily as a result of the aforementioned increases to Same-Store and the following Non-Same-Store impacts:
increased NOI from our 2020 and 2021 acquisitions;
increased occupancy in former redevelopment and development properties that have been placed into service; partially offset by
decreased NOI from our 2020 and 2021 dispositions.
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Continuing Care Retirement Community
2021 and 2020
The following table summarizes results at and for the years ended December 31, 2021 and 2020 (dollars in thousands, except per unit data):
SSTotal Portfolio
20212020Change20212020Change
Resident fees and services$74,663 $75,288 $(625)$471,325 $436,494 $34,831 
Government grant income(1)
143 3,414 (3,271)1,412 16,198 (14,786)
Healthpeak’s share of unconsolidated joint venture total revenues— — — 6,903 35,392 (28,489)
Healthpeak's share of unconsolidated joint venture government grant income— — — 200 920 (720)
Operating expenses(54,712)(54,281)(431)(380,865)(440,528)59,663 
Healthpeak's share of unconsolidated joint venture operating expenses— — — (6,639)(32,125)25,486 
Adjustments to NOI(2)
162 — 162 3,241 97,072 (93,831)
Adjusted NOI$20,256 $24,421 $(4,165)95,577 113,423 (17,846)
Less: non-SS Adjusted NOI(75,321)(89,002)13,681 
SS Adjusted NOI$20,256 $24,421 $(4,165)
Adjusted NOI % change(17.1)%
Property count15 17 
Average occupancy76.0 %81.0 %79.1 %81.4 %
Average occupied units(3)
800 852 6,002 6,181 
Average annual rent per occupied unit$93,507 $92,373 $79,954 $79,088 

(1)Represents government grant income received under the CARES Act, which is recorded in other income (expense), net in the Consolidated Statements of Operations.
(2)Represents adjustments to NOI in accordance with an institutional investor (the “U.K. JV”) throughour definition of Adjusted NOI. Refer to “Non-GAAP Financial Measures” above for definitions of NOI and Adjusted NOI.
(3)Represents average occupied units as reported by the operators for the twelve-month period.
Same-Store Adjusted NOI decreased primarily as a result of the following:
lower occupancy due to Covid;
decreased government grant income received under the CARES Act; and
higher labor costs; partially offset by
lower Covid-related expenses; and
increased rates for resident fees.
Total Portfolio Adjusted NOI decreased primarily as a result of the aforementioned decreases to Same-Store, which we soldare also applicable to our properties not yet included in Same-Store.

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Other Income and Expense Items
The following table summarizes results of our other income and expense items for the years ended December 31, 2021 and 2020 (in thousands):
Year Ended December 31,
20212020Change
Interest income$37,773 $16,553 $21,220 
Interest expense157,980 218,336 (60,356)
Depreciation and amortization684,286 553,949 130,337 
General and administrative98,303 93,237 5,066 
Transaction costs1,841 18,342 (16,501)
Impairments and loan loss reserves (recoveries), net23,160 42,909 (19,749)
Gain (loss) on sales of real estate, net190,590 90,350 100,240 
Gain (loss) on debt extinguishments(225,824)(42,912)(182,912)
Other income (expense), net6,266 234,684 (228,418)
Income tax benefit (expense)3,261 9,423 (6,162)
Equity income (loss) from unconsolidated joint ventures6,100 (66,599)72,699 
Income (loss) from discontinued operations388,202 267,746 120,456 
Noncontrolling interests’ share in continuing operations(17,851)(14,394)(3,457)
Noncontrolling interests’ share in discontinued operations(2,539)(296)(2,243)
Interest income
Interest income increased for the year ended December 31, 2021 primarily as a 51%result of: (i) seller financing issued in 2020 and 2021 and (ii) the accelerated recognition of a mark-to-market discount resulting from prepayments on loans receivable. The increase was partially offset by principal repayments on loans receivable.
Interest expense
Interest expense decreased for the year ended December 31, 2021 primarily as a result of senior unsecured notes repurchases and redemptions in the first and second quarters of 2021.
Depreciation and amortization expense
Depreciation and amortization expense increased for the year ended December 31, 2021 primarily as a result of: (i) acquisitions of real estate during 2020 and 2021, (ii) accelerated depreciation related to the change in estimated useful lives on certain of our densification projects in 2021, (iii) development and redevelopment projects placed into service during 2020 and 2021, and (iv) the acquisition of Brookdale’s interest in U.K.and consolidation of 13 CCRCs during the first quarter of 2020. The increase was partially offset by dispositions of real estate throughout 2020 and 2021.
General and administrative expense
General and administrative expenses increased for the year ended December 31, 2021 primarily as a result of higher compensation costs and increased restructuring and severance related charges.
Transaction costs
Transaction costs decreased for the year ended December 31, 2021 primarily as a result of costs associated with the transition of 13 CCRCs from Brookdale to LCS in January 2020.
Impairments and loan loss reserves (recoveries), net
The impairment charges recognized in each period vary depending on facts and circumstances related to each asset and are impacted by negotiations with potential buyers, current operations of the assets, previously ownedand other factors.
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Impairments and loan loss reserves (recoveries), net decreased for the year ended December 31, 2021 primarily as a result of: (i) fewer assets impaired under the held for sale impairment model and (ii) a decrease in loan loss reserves under the current expected credit losses model, partially offset by: (i) increased impairment charges related to assetsthat we intend to demolish for future development projects and (ii) impairment charges on loans sold. The reduction in loan loss reserves during the year ended December 31, 2021 is primarily due to: (i) principal repayments on loans receivable during 2021, (ii) loans receivable sales in 2021, and (iii) a more positive economic outlook. The reduction in loan loss reserves during the year ended December 31, 2021 is partially offset by us (the "U.K. Portfolio”) based on a total value of £382 million ($507 million). We retained a 49% noncontrolling interestthe loan loss reserve recognized related to new seller financing issued in the joint venturefirst quarter of 2021.
Gain (loss) on sales of real estate, net
Gain on sales of real estate, net increased during the year ended December 31, 2021 primarily as a result of the sale of: (i) 10 MOBs and received gross proceedsa portion of $4021 MOB land parcel for$68 million including proceeds fromand (ii) 1 hospital for $226 million during the refinancing of our previously held intercompany loans. Upon closing the U.K. JV, we deconsolidated the U.K. Portfolio, recognized our retained noncontrolling interest investment at fair value ($105 million) and recognized ayear ended December 31, 2021 resulting in total gain on sale of $11 million. We expect$191 million, compared to sell our remaining 49% interest by no later than 2020.
Other Real Estatethe sale of: (i) 11 MOBs for$136 million, (ii) 2 MOB land parcels for $3 million, and Loan Transactions

In March 2018, we sold our Tandem Health Care mezzanine loan (“Tandem Mezzanine Loan”) to a third party(iii) 1asset from other non-reportable segments for approximately $112$1 millionduring the year ended December 31, 2020 resulting in an impairment recovery, nettotal gain on sale of transaction costs and fees, of $3$90 million.
In June 2018, we sold our remaining 40% ownership interest in RIDEA II for $91 million and caused Columbia Pacific Advisors, LLCGain (loss) on debt extinguishments
Refer to refinance our $242 million of loans receivable from RIDEA II, which resulted in total proceeds of $332 million.
In 2016, we provided a £105 million ($131 million at closing) bridge loan (the “U.K. Bridge Loan”) to Maria Mallaband Care Group Ltd. ("MMCG") to fund the acquisition of a portfolio of seven care homes in the U.K. Under the bridge loan, we retained a call option to acquire those seven care homes at a future date for £105 million. In March 2018, in conjunction with MMCG and HCP satisfying the conditions necessary to exercise our call option to acquire the seven care homes, we began consolidating the real estate. In June 2018, we completed the process of exercising the call option. The seven care homes acquired through the call option were included in the U.K. JV transaction (see U.K. Investment Update above). See Notes 5, 7 and 19Note 11 to the Consolidated Financial Statements for additional information.information regarding senior unsecured note repurchases and redemptions and the associated loss on debt extinguishment recognized.
In November 2018, we acquiredOther income (expense), net
Other income, net decreased for the year ended December 31, 2021 primarily as a result of: (i) a gain upon change of control related to the acquisition of the outstanding equity interestsinterest in three life science joint ventures (which owned four buildings) for $92 million, bringing our equity ownership to 100% for all three joint ventures. As a result, we recognized13 CCRCs from Brookdale during the first quarter of 2020, (ii) a gain on consolidationsale related to the sale of $50 million.a hospital underlying a DFL during the first quarter of 2020, and (iii) a decline in government grant income received under the CARES Act.
Additionally,Income tax benefit (expense)
Income tax benefit decreased for the year ended December 31, 2021 primarily as a result of the tax benefits recognized in the first quarter of 2020 related to the following: (i) the purchase of Brookdale’s interest in 13 of the 15 communities in the CCRC JV, including the management termination fee expense paid to Brookdale in connection with transitioning management of 13 CCRCs to LCS and (ii) the extension of the net operating loss carryback period provided by the CARES Act. The decrease in income tax benefit during the year ended December 31, 2018, we sold: (i) 19 SHOP facilities, (ii) four life science assets, (iii) four MOBs and (iv) an undeveloped land parcel for2021 was partially offset by the establishment of a total of $451 million.
In November 2018, we entered into definitive agreements to acquire two life science buildings in South San Francisco, California, adjacent to The Shore at Sierra Point development, for $245 million. We made a $15 million nonrefundable deposit upon completing due diligence and expect to close the transactiondeferred tax asset valuation allowance during the first half of 2019.
In January and February 2019, we acquired a life science facility for $71 million and development rights at an adjacent undeveloped land parcel for consideration of up to $27 million. The existing facility and land parcel are located in Cambridge, Massachusetts.
Financing Activities

On July 3, 2018, we exercised our right to repay the outstanding £169 million balance under our term loan and re-borrow $224 million with all other key terms unchanged. We repaid the full balance of our term loan in November 2018.
On July 16, 2018, we repaid all $700 million outstanding of our 5.375% senior unsecured notes due 2021 and recorded a loss on debt extinguishment of approximately $44 million.
On November 8, 2018, we repaid all $450 million outstanding of our 3.75% senior unsecured notes due in 2019 at par.
During the fourth quarter of 2018, we issued 5.4 million shares of common stock under our at-the-market equity offering program for total net proceeds of $154 million.
In December 2018, we issued two million shares for total net proceeds of $57 million and entered into a forward equity sales agreement to sell up to an aggregate of 15.25 million additional shares on or before December 13, 2019 at an initial net price of $28.60 per share, after underwriting discounts and commissions.

During 2018, we used proceeds from dispositions primarily to repay $933 million of outstanding net borrowings under our revolving line of credit facility.
Developments and Redevelopments

In March 2018, we acquired the rights to develop a new 214,000 square foot life science facility on our existing Hayden Research Campus in Lexington, Massachusetts for $21 million. The development, 75 Hayden, will be a four-story, purpose-built Class A life science facility and parking garage.
In September and October 2018, we signed two leases totaling 222,000 square feet at The Shore at Sierra Point in South San Francisco, bringing the $224 million first phase of the development to 100% pre-leased. The Shore at Sierra Point is a 23-acre waterfront life science development offering state-of-the-art laboratory and office space along with premier amenities.
During the third quarter of 2018, we commenced2020 related to deferred tax assets that were no longer expected to be realized as a program with HCA Healthcareresult of our plan to develop primarily on-campus MOBs. Asdispose of our SHOP portfolio.
Equity income (loss) from unconsolidated joint ventures
Equity income from unconsolidated joint ventures increased for the year ended December 31, 2018, we had begun construction2021 primarily as a result of a decrease in amortization expense due to fully amortized intangible assets related to our unconsolidated SWF SH JV. The increase in equity income from unconsolidated joint ventures for the year ended December 31, 2021 was partially offset by our share of a gain on sale of one MOB withasset in an estimated costunconsolidated joint venture during the first quarter of $26 million.2020.
Income (loss) from discontinued operations
Dividends
Quarterly cash dividends paidIncome from discontinued operations increased for the year ended December 31, 2021 primarily as a result of: (i) decreased impairments of depreciable real estate as a result of fewer assets being impaired under the held for sale impairment model and (ii) decreased depreciation and amortization expense due to assets being classified as held for sale throughout 2021. The increase in income from discontinued operations during 2018 aggregatedthe year ended December 31, 2021 was partially offset by: (i) decreased NOI from dispositions of real estate during 2020 and 2021, (ii) decreased gain on sales of real estate from senior housing dispositions in 2021, and (iii) a goodwill impairment charge related to $1.48 per share. On January 31, 2019, our Board of Directors declared a quarterly cash dividend of $0.37 per common share. The dividend will be paid on February 28, 2019 to stockholders of record as of the close of business on February 19, 2019.
Results of Operations
We evaluate our business and allocate resources among our reportable business segments: (i) senior housing triple-net (ii)and SHOP asset sales in 2021.
Noncontrolling interests’ share in continuing operations
Noncontrolling interests’ share in continuing operations increased for the year ended December 31, 2021 primarily as a result of our partner’s share of a gain on sale of one asset in a consolidated joint venture during 2021.
Noncontrolling interests’ share in discontinued operations
Noncontrolling interests’ share in discontinued operations increased for the year ended December 31, 2021 primarily as a result of our partner’s share of gains on sale of senior housing operating portfolio (SHOP), (iii) life science and (iv) medical office.Under the medical office and life science segments, we invest through the acquisition and developmentassets in DownREIT (as defined below) partnerships during 2021.
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Non-GAAP Financial Measures
Net Operating Income
NOI and Adjusted NOI are non-U.S. generally accepted accounting principles (“GAAP”) supplemental financial measures used to evaluate the operating performance of real estate. NOI is defined as real estate revenues (inclusive of rental and related revenues, resident fees and services, and income from direct financing leases)leases, and government grant income and exclusive of interest income), less property level operating expenses (which exclude transition costs);expenses; NOI excludes all other financial statement amounts included in net income (loss) as presented in Note 1316 to the Consolidated Financial Statements. Management believes NOI provides relevant and useful information because it reflects only income and operating expense items that are incurred at the property level and presents them on an unlevered basis. Adjusted NOI is calculated as NOI after eliminating the effects of straight-line rents, DFL non-cash interest, amortization of market lease intangibles, termination fees, actuarial reserves for insurance claims that have been incurred but not reported, and the impact of deferred community fee income and expense. Adjusted NOI is oftentimes referred to as “Cash NOI.” NOI and Adjusted NOI excludeinclude our share of income (loss) generated by unconsolidated joint ventures which is recognized in equityand exclude noncontrolling interests’ share of income (loss) from unconsolidatedgenerated by consolidated joint ventures inventures. Adjusted NOI is oftentimes referred to as “Cash NOI.” Management believes NOI and Adjusted NOI are important supplemental measures because they provide relevant and useful information by reflecting only income and operating expense items that are incurred at the consolidated statements of operations.property level and present them on an unlevered basis. We use NOI and Adjusted NOI to make decisions about resource allocations, to assess and compare property level performance, and to evaluate our same property portfolioSame-Store (“SPP”SS”), performance, as described below. We believe that net income (loss) is the most directly comparable GAAP measure to NOI and Adjusted NOI. NOI and Adjusted NOI should not be viewed as alternative measures of operating performance to net income (loss) as defined by GAAP since they do not reflect various excluded items. Further, our definitions of NOI and Adjusted NOI may not be comparable to the definitions used by other REITs or real estate companies, as they may use different methodologies for calculating NOI and Adjusted NOI. For a reconciliation of NOI and Adjusted NOI to net income (loss) by segment, refer to Note 1316 to the Consolidated Financial Statements.
Operating expenses generally relate to leased medical office and life science properties, and SHOPas well as CCRC facilities. We generally recover all or a portion of our leased medical office and life science property expenses through tenant recoveries. We present expenses as operating or general and administrative based on the underlying nature of the expense.

Same-Store
Same Property Portfolio
SPPSame-Store NOI and Adjusted (Cash) NOI information allows us to evaluate the performance of our property portfolio under a consistent population by eliminating changes in the composition of our consolidated portfolio of properties. SPPSame-Store Adjusted NOI excludes amortization of deferred revenue from tenant-funded improvements and certain non-property specific operating expenses that are allocated to each operating segment on a consolidated basis.
Properties are included in SPPSame-Store once they are stabilized for the full period in both comparison periods. Newly acquired operating assets are generally considered stabilized at the earlier of lease-up (typically when the tenant(s) control(s) the physical use of at least 80% of the space)space and rental payments have commenced) or 12 months from the acquisition date. Newly completed developments and redevelopments are considered stabilized at the earlier of lease-up or 24 months from the date the property is placed in service. Properties that experience a change in reporting structure such as a transition from a triple-net lease to a RIDEA reporting structure, are considered stabilized after 12 months in operations under a consistent reporting structure. A property is removed from SPPSame-Store when it is classified as held for sale, sold, placed into redevelopment, experiences a casualty event that significantly impacts operations, or changes itsa change in reporting structure (such as triple-netor operator transition has been agreed to, SHOP).
or a significant tenant relocates from a Same-Store property to a non Same-Store property and that change results in a corresponding increase in revenue. We do not report Same-Store metrics for our other non-reportable segments. For a reconciliation of SPPSame-Store to total portfolio Adjusted NOI and other relevant disclosures by segment, refer to our Segment Analysis below.
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Funds From Operations ("FFO"(“FFO”)
FFO encompasses NAREITNareit FFO and FFO as adjusted,Adjusted, each of which is described in detail below. We believe FFO applicable to common shares, diluted FFO applicable to common shares, and diluted FFO per common share are important supplemental non-GAAP measures of operating performance for a REIT. Because the historical cost accounting convention used for real estate assets utilizes straight-line depreciation (except on land), such accounting presentation implies that the value of real estate assets diminishes predictably over time. Since real estate values instead have historically risen and fallen with market conditions, presentations of operating results for a REIT that use historical cost accounting for depreciation could be less informative. The term FFO was designed by the REIT industry to address this issue.
NAREITNareit FFO. FFO, as defined by the National Association of Real Estate Investment Trusts (“NAREIT”Nareit”), is net income (loss) applicable to common shares (computed in accordance with GAAP), excluding gains or losses from sales of depreciable property, including any current and deferred taxes directly associated with sales of depreciable property, impairments of, or related to, depreciable real estate, plus real estate and other real estate-related depreciation and amortization, and adjustments to compute our share of NAREITNareit FFO and FFO as adjustedAdjusted (see below) from joint ventures. Adjustments for joint ventures are calculated to reflect our pro-rata share of both our consolidated and unconsolidated joint ventures. We reflect our share of NAREITNareit FFO for unconsolidated joint ventures by applying our actual ownership percentage for the period to the applicable reconciling items on an entity by entity basis. For consolidated joint ventures in which we do not own 100%, we reflect our share of the equity by adjusting our NAREITNareit FFO to remove the third party ownership share of the applicable reconciling items based on actual ownership percentage for the applicable periods. Our pro-rata share information is prepared on a basis consistent with the comparable consolidated amounts, is intended to reflect our proportionate economic interest in the operating results of properties in our portfolio and is calculated by applying our actual ownership percentage for the period. We do not control the unconsolidated joint ventures, and the pro-rata presentations of reconciling items included in NAREITNareit FFO do not represent our legal claim to such items. The joint venture members or partners are entitled to profit or loss allocations and distributions of cash flows according to the joint venture agreements, which provide for such allocations generally according to their invested capital.
The presentation of pro-rata information has limitations, which include, but are not limited to, the following: (i) the amounts shown on the individual line items were derived by applying our overall economic ownership interest percentage determined when applying the equity method of accounting and do not necessarily represent our legal claim to the assets and liabilities, or the revenues and expenses and (ii) other companies in our industry may calculate their pro-rata interest differently, limiting the usefulness as a comparative measure. Because of these limitations, the pro-rata financial information should not be considered independently or as a substitute for our financial statements as reported under GAAP. We compensate for these limitations by relying primarily on our GAAP financial statements, using the pro-rata financial information as a supplement.
NAREITNareit FFO does not represent cash generated from operating activities in accordance with GAAP, is not necessarily indicative of cash available to fund cash needs and should not be considered an alternative to net income (loss). We compute NAREITNareit FFO in accordance with the current NAREITNareit definition; however, other REITs may report NAREITNareit FFO differently or have a different interpretation of the current NAREITNareit definition from ours.
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FFO as adjustedAdjusted. In addition, we present NAREITNareit FFO on an adjusted basis before the impact of non-comparable items including, but not limited to, transaction-related items, other impairments (recoveries) of non-depreciable assets,and other losses (gains) from the sale of non-depreciable assets,, restructuring and severance and related charges, prepayment costs (benefits) associated with early retirement or payment of debt, litigation costs (recoveries), casualty-related charges (recoveries), foreign currency remeasurement losses (gains), deferred tax asset valuation allowances, and changes in tax legislation (“FFO as adjusted”Adjusted”). Transaction-related items include transaction expenses and gains/charges incurred as a result of mergers and acquisitions and lease amendment or termination activities. Prepayment costs (benefits) associated with

early retirement of debt include the write-off of unamortized deferred financing fees, or additional costs, expenses, discounts, make-whole payments, penalties or premiums incurred as a result of early retirement or payment of debt. Other impairments (recoveries) and other losses (gains) include interest income associated with early and partial repayments of loans receivable and other losses or gains associated with non-depreciable assets including goodwill, DFLs, undeveloped land parcels, and loans receivable. Management believes that FFO as adjustedAdjusted provides a meaningful supplemental measurement of our FFO run-rate and is frequently used by analysts, investors, and other interested parties in the evaluation of our performance as a REIT. At the same time that NAREITNareit created and defined its FFO measure for the REIT industry, it also recognized that “management of each of its member companies has the responsibility and authority to publish financial information that it regards as useful to the financial community.” We believe stockholders, potential investors, and financial analysts who review our operating performance are best served by an FFO run-rate earnings measure that includes certain other adjustments to net income (loss), in addition to adjustments made to arrive at the NAREITNareit defined measure of FFO. FFO as adjustedAdjusted is used by management in analyzing our business and the performance of our properties and we believe it is important that stockholders, potential investors, and financial analysts understand this measure used by management. We use FFO as adjustedAdjusted to: (i) evaluate our performance in comparison with expected results and results of previous periods, relative to resource allocation decisions, (ii) evaluate the performance of our management, (iii) budget and forecast future results to assist in the allocation of resources, (iv) assess our performance as compared with similar real estate companies and the industry in general, and (v) evaluate how a specific potential investment will impact our future results. Other REITs or real estate companies may use different methodologies for calculating an adjusted FFO measure, and accordingly, our FFO as adjustedAdjusted may not be comparable to those reported by other REITs. For a reconciliation of net income (loss) to NAREITNareit FFO and FFO as adjustedAdjusted and other relevant disclosure, refer to “Non-GAAP Financial Measures Reconciliations” below.
Funds Available for Distribution
FADAdjusted FFO (“AFFO”). AFFO is defined as FFO as adjustedAdjusted after excluding the impact of the following: (i) amortization of deferredstock-based compensation, expense, (ii) amortization of deferred financing costs, net, (iii) straight-line rents, (iv) deferred income taxes, and (v) other AFFO adjustments, which include: (a) amortization of acquired market lease intangibles, net, (vi)(b) non-cash interest related to DFLs and lease incentive amortization (reduction of straight-line rents), (vii)(c) actuarial reserves for insurance claims that have been incurred but not reported, and (viii)(d) amortization of deferred revenues, excluding amounts amortized into rental income that are associated with tenant funded improvements owned/recognized by us and up-front cash payments made by tenants to reduce their contractual rents. Also, FAD: (i)AFFO is computed after deducting recurring capital expenditures, including second generation leasing costs and second generation tenant and capital improvements, and (ii) includes lease restructure payments and adjustments to compute our share of FADAFFO from our unconsolidated joint ventures and those related to CCRC non-refundable entrance fees. Certain prior period amounts in the “Non-GAAP Financial Measures Reconciliation” below for FAD have been reclassified to conform to the current period presentation. ventures.More specifically, recurring capital expenditures, including second generation leasing costs and second generation tenant and capital improvements ("FADAFFO capital expenditures") excludes our share from unconsolidated joint ventures (reported in “other FADAFFO adjustments”). Adjustments for joint ventures are calculated to reflect our pro-rata share of both our consolidated and unconsolidated joint ventures. We reflect our share of FADAFFO for unconsolidated joint ventures by applying our actual ownership percentage for the period to the applicable reconciling items on an entity by entity basis. We reflect our share for consolidated joint ventures in which we do not own 100% of the equity by adjusting our FADAFFO to remove the third party ownership share of the applicable reconciling items based on actual ownership percentage for the applicable periods (reported in “other FADAFFO adjustments”). See FFO for further disclosure regarding our use of pro-rata share information and its limitations. Other REITs or real estate companies may use different methodologies for calculating FAD,AFFO, and accordingly, our FADAFFO may not be comparable to those reported by other REITs. Although our FADAFFO computation may not be comparable to that of other REITs, management believes FADAFFO provides a meaningful supplemental measure of our performance and is frequently used by analysts, investors, and other interested parties in the evaluation of our performance as a REIT. We believe FADAFFO is an alternative run-rate earnings measure that improves the understanding of our operating results among investors and makes comparisons with: (i) expected results, (ii) results of previous periods, and (iii) results among REITs more meaningful. FADAFFO does not represent cash generated from operating activities determined in accordance with GAAP and is not necessarily indicative of cash available to fund cash needs as it excludes the following items which generally flow through our cash flows from operating activities: (i) adjustments for changes in working capital or the actual timing of the payment of income or expense items that are accrued in the period, (ii) transaction-related costs, (iii) litigation settlement expenses, and (iv) restructuring and severance-related expenses and (v) actual cash receipts from interest income recognized on loans receivable (in contrast to our FAD adjustment to exclude non-cash interest and depreciation related to our investments in direct financing leases).charges. Furthermore, FADAFFO is adjusted for recurring capital expenditures, which are generally not considered when determining cash flows from operations or liquidity. FADAFFO is a non-GAAP supplemental financial measure and should not be considered as an alternative to net income (loss) determined in accordance with GAAP. For a reconciliation of net income (loss) to FADAFFO and other relevant disclosure, refer to “Non-GAAP Financial Measures Reconciliations” below.

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Comparison of the Year Ended December 31, 20182021 to the Year Ended December 31, 20172020
Overview(1)
2021 and the Year Ended December 31, 2017 to the Year Ended December 31, 2016
Overview(1)

2018 and 20172020
The following table summarizes results for the years ended December 31, 20182021 and 2017 (dollars in2020 (in thousands):
  Year Ended December 31,  
  2018 2017 Change
Net income (loss) applicable to common shares $1,058,424
 $413,013
 $645,411
NAREIT FFO 780,189
 661,113
 119,076
FFO as adjusted 857,233
 918,402
 (61,169)
FAD 746,397
 803,720
 (57,323)
Year Ended December 31,
20212020Change
Net income (loss) applicable to common shares$502,271 $411,147 $91,124 
Nareit FFO604,726 693,367 (88,641)
FFO as Adjusted870,645 874,188 (3,543)
AFFO727,870 772,705 (44,835)

(1)For the reconciliation of non-GAAP financial measures, see “Non-GAAP Financial Measure Reconciliations” section below.
(1)For the reconciliation of non-GAAP financial measures, see “Non-GAAP Financial Measure Reconciliations” below.
Net income (loss) applicable to common shares ("net income (loss)") increased primarily as a result of the following:
a larger net gain on salesan increase in NOI generated from our life science and medical office segments, which related to: (i) 2020 and 2021 acquisitions of real estate, during 2018 compared to 2017, primarily related to the sale of our Shoreline Technology Center life science campus in November 2018;
increased NOI from: (i) annual rent escalations, (ii) 2017 and 2018 acquisitions, and (iii) development and redevelopment projects placed in service during 20172020 and 2018;2021, and (iii) new leasing and renewal activity during 2020 and 2021 (including the impact to straight-line rents);
an increase in income from discontinued operations, primarily due to: (i) decreased impairments of depreciable real estate as a result of fewer assets being impaired under the held for sale model and (ii) decreased depreciation and amortization expense, partially offset by: (i) decreased NOI from dispositions of real estate during 2020 and 2021, (ii) decreased gain on sales of real estate from senior housing dispositions in 2021, and (iii) a goodwill impairment charge related to our senior housing triple-net and SHOP asset sales in 2021;
an increase in gains on sale of depreciable real estate related to MOB asset sales during 2021;
a reduction in operating expenses related to our CCRCs primarily as a result of the management termination fee paid to Brookdale in connection with transitioning management of 13 CCRCs to Life Care Services LLC (“LCS”) during the first quarter of 2020;
an increase in our share of net income from our unconsolidated SWF SH JV;
a reduction in interest expense, primarily as a result of senior unsecured notes repurchases and redemptions in 2021;
an increase in interest income, primarily as a result of: (i) seller financing issued in 2020 and 2021 and (ii) the accelerated recognition of a mark-to-market discount resulting from prepayments on loans receivable, partially offset by principal repayments on loans receivable;
a reduction in impairment charges related to: (i) real estate held for sale and (ii) loan loss reserves, primarily as a result of principal repayments on loans receivable in 2021, loans receivable sales in 2021, and a more positive economic outlook; and
a reduction in transaction costs, primarily as a result of costs associated with the transition of 13 CCRCs from Brookdale to LCS in the first quarter of 2020.
The increase in net income (loss) applicable to common shares was partially offset by:
a reduction in other income, net as a result of: (i) a gain on consolidationupon change of control related to the acquisition of the outstanding equity interestsinterest in three life science joint ventures in November 2018;
impairments13 CCRCs from Brookdale during the first quarter of our mezzanine loan facility to Tandem Health Care (the “Tandem Mezzanine Loan”) in 2017;
2020, (ii) a net charge to NOI from the November 2017 transactions with Brookdale (the "2017 Brookdale Transactions" - see Note 3 to the Consolidated Financial Statements);
a reduction in interest expense as a result of debt repayments, primarily in the second and third quarters of 2017 and throughout 2018, partially offset by an increased average balance under our revolving credit facility during 2018;
higher income tax expense in 2017gain on sale related to the impactsale of new tax rate legislation, partially offset by tax benefits from higher sales volumea hospital underlying a DFL during 2017;the first quarter of 2020, and (iii) a decline in government grant income received under the CARES Act;
a reduction in litigation-related costs from securities class action litigation, and a one-time legal settlement in 2017;
a reductionan increase in loss on debt extinguishmentextinguishments related to our repurchase and redemption of certain outstanding senior notes in the first and second quarters of 2021;
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an increase in depreciation, primarily as a result of: (i) 2020 and 2021 acquisitions of real estate, (ii) accelerated depreciation related to the repurchaseschange in estimated useful lives on certain of our senior notesdensification projects in July 2018 compared to July 2017;2021, (iii) development and
casualty-related charges incurred due to hurricanes in redevelopment projects placed into service during 2020 and 2021, and (iv) the thirdabove-mentioned acquisition of the outstanding equity interest and consolidation of 13 CCRCs from Brookdale during the first quarter of 2017.2020;
The increase in net income (loss) was partially offset by:
a reduction in NOI related to MOB assets sold during 2020 and 2021; and
a decrease in our senior housing triple-net segment,income tax benefit, primarily as a result of the sale of senior housing triple-net assets and the transition of senior housing triple-net assets to SHOP during 2017 and 2018;
a reduction in NOI in our SHOP segment, primarily as a result of occupancy declines and higher labor costs;
a loss on consolidation of seven care homes in the U.K. during the first quarter of 2018;
a reduction in income related to the gain on sale of our £138.5 million par value Four Seasons Health Care’s senior notes (the “Four Seasons Notes”) during 2017;
increased impairment charges on real estate assettax benefits recognized during 2018 compared to 2017;

a reduction in income as a result of: (i) asset sales during 2017 and 2018 and (ii) selling interests into the U.K. JV and MSREI JV (see Notes 4 and 5 to the Consolidated Financial Statements);
a reduction in interest income due to the: (i) payoff of our HC-One mezzanine loan (the "HC-One Facility") in June 2017 and (ii) sale of our Tandem Mezzanine Loan in March 2018;
increased depreciation and amortization expense as a result of: (i) assets acquired during 2017 and 2018 and (ii) development and redevelopment projects placed into operations during 2017 and 2018, primarily in our life science and medical office segments, partially offset by decreased depreciation and amortization from asset sales during 2017 and 2018;
a reduction in equity income from unconsolidated joint ventures as a result of the sale of our equity method investment in RIDEA II in June 2018, partially offset by additional equity income from the U.K. JV; and
an increase in severance and related charges during 2018 primarily related to the departure of our former Executive Chairman compared to severance and related charges primarily related to the departure of our former Chief Accounting Officer ("CAO") in 2017.
NAREIT FFO increased primarily as a result of the aforementioned events impacting net income (loss), except for the following, which are excluded from NAREIT FFO:
gains on sales of real estate, including related tax impacts;
depreciation and amortization expense;
impairments of facilities within our senior housing triple-net and SHOP segments; and
net gain on consolidation.
FFO as adjusted decreased primarily as a result of the aforementioned events impacting NAREIT FFO, except for the following, which are excluded from FFO as adjusted:
the net charge to NOI from the 2017 Brookdale Transactions;
the impact of tax rate legislation during the fourth quarter of 2017;
severance and related charges;
losses on debt extinguishments;
litigation-related costs;
casualty-related charges;
the gain on sale of our Four Seasons Notes during the first quarter of 2017; and
the impairments of our Tandem Mezzanine Loan in 2017 and an undeveloped life science land parcel in 2018.
FAD decreased primarily as a result of the aforementioned events impacting FFO as adjusted, except for the impact of straight-line rents, which is excluded from FAD. The decrease in FAD was partially offset by lower FAD capital expenditures.

2017 and 2016
On October 31, 2016, we completed the Spin-Off of QCP. The Spin-Off included 338 properties, primarily comprised of the HCR ManorCare, Inc. (“HCRMC”) DFL investments and an equity investment in HCRMC.
The following table summarizes results for the years ended December 31, 2017 and 2016 (dollars in thousands):
  Year Ended December 31,  
  2017 2016 Change
Net income (loss) applicable to common shares $413,013
 $626,549
 $(213,536)
NAREIT FFO 661,113
 1,119,153
 (458,040)
FFO as adjusted 918,402
 1,282,390
 (363,988)
FAD 803,720
 1,215,696
 (411,976)
Net income (loss) decreased primarily as a result of the following:
a reduction in net income from discontinued operations due to the Spin-Off of QCP on October 31, 2016;
a loss on debt extinguishment in July 2017, representing a premium for early payment on the repurchase of our senior notes;
a reduction in rental and related revenues primarily as a result of assets sold during 2017, including the sale of 64 senior housing triple-net assets in the first quarter of 2017;
a reduction in NOI primarily2020 related to the net impactabove-mentioned acquisition of the 2017outstanding equity interest in 13 CCRCs from Brookdale Transactions;
a reductionand the management termination fee expense paid to Brookdale in earnings dueconnection with transitioning management to LCS, partially offset by the partial sale and deconsolidation of RIDEA II during the first quarter of 2017;
impairments related to: (i) the Tandem Mezzanine Loan and (ii) 11 underperforming senior housing triple-net facilities in the third quarter of 2017;
increased litigation-related costs, including costs from securities class action litigation, and a one-time legal settlement in 2017;
casualty-related charges due to hurricanes in the third quarter of 2017; and
a reduction in interest income due to: (i) the payoffs of our HC-One Facility in June 2017 and a participating development loantax expense recognized during the third quarter of 2016 and (ii) decreased interest received2020 from our Tandem Mezzanine Loan during the fourth quarterestablishment of 2017, partially offset by additional interest income in 2017 from our U.K. Bridge Loan.
The decrease in net income (loss) was partially offset by:
a reduction in interest expensedeferred tax asset valuation allowance related to deferred tax assets that were no longer expected to be realized as a result of debt repayments in the fourth quarter of 2016 and throughout 2017;
a reduction in severance and related charges primarily relatedour plan to the departuredispose of our former President and Chief Executive Officer ("CEO") in 2016 compared to severance and related charges primarily related to the departure of our former CAO in 2017;SHOP portfolio.
a larger net gain on sales of real estate during 2017 compared to 2016, primarily related to the sale of 64 senior housing triple-net assets and the partial sale of RIDEA II during 2017;
an increase in income tax benefit primarily from real estate dispositions during 2017, partially offset by an income tax expense related to the impact of tax rate legislation during the fourth quarter of 2017; and
an increase in other income primarily related to the gain on sale of our Four Seasons Notes during 2017.
NAREITNareit FFO decreased primarily as a result of the aforementioned events impacting net income (loss), applicable to common shares, except for the following, which are excluded from Nareit FFO:
net gain on sales of depreciable real estateestate;
the gain upon change of control related to the acquisition of Brookdale’s interest in 13 CCRCs;
depreciation and impairments ofamortization expense; and
impairment charges related to depreciable real estate, which are excluded from NAREIT FFO.

estate.
FFO as adjustedAdjusted decreased primarily as a result of the following:aforementioned events impacting Nareit FFO, except for the following, which are excluded from FFO as Adjusted:
a reductionthe loss on debt extinguishment;
the management termination fee paid to Brookdale in connection with our acquisition of their interest in 13 CCRCs;
net income from discontinued operations due to the Spin-Off of QCPgain on October 31, 2016;
a reduction in rental and related revenues primarily as a resultsales of assets sold during 2017, including underlying DFLs;
the saletransaction costs associated with transition of 6413 CCRCs from Brookdale to LCS;
a goodwill impairment charge related to senior housing triple-net assets;and SHOP asset sales;
loan loss reserves; and
the accelerated recognition of a reduction in earnings due to the partial sale and deconsolidation of RIDEA II during the first quarter of 2017; andmark-to-market discount resulting from prepayments on loans receivable.
a reduction in interest income due to: (i) the payoffs of our HC-One Facility in June 2017 and a participating development loan during the third quarter of 2016 and (ii) decreased interest received from our Tandem Mezzanine Loan during the fourth quarter of 2017, partially offset by additional interest income in 2017 from our U.K. Bridge Loan.
The decrease in FFO as adjusted was partially offset by a reduction in interest expense as a result of debt repayments in the fourth quarter of 2016 and throughout 2017.
FADAFFO decreased primarily as a result of the aforementioned events impacting FFO as adjusted, (i) increased leasing costs and tenantAdjusted, except for the impact of straight-line rents, which is excluded from AFFO. The decrease was further impacted by higher AFFO capital improvements and (ii) decreased installment payments received from Brookdale for 2014 lease terminations that were paid over a period of three years and concluded in 2017.expenditures.
Segment Analysis
The following tables below provide selected operating information for our SPPSame-Store and total property portfolio for each of our reportable segments. For the year ended December 31, 2018,2021, our SPPSame-Store consists of 522347 properties representing properties acquired or placed in service and stabilized on or prior to January 1, 20172020 and that remained in operations under a consistent reporting structure through December 31, 2018. For the year ended December 31, 2017, our SPP consisted of 617 properties acquired or placed in service and stabilized on or prior to January 1, 2016 and that remained in operations under a consistent reporting structure through December 31, 2017.2021. Our total consolidated property portfolio consisted of 645, 744484 and 851457 properties at December 31, 2018, 20172021 and 2016, respectively, excluding properties in the Spin-Off.2020, respectively.
Senior Housing Triple-Net

2018 and 2017
The following table summarizes results at and for the years ended December 31, 2018 and 2017 (dollars in thousands except per unit data):
 SPP 
Total Portfolio(1)
 2018 2017 Change 2018 2017 Change
Real estate revenues(2)
$245,737
 $239,273
 $6,464
 $276,091
 $313,547
 $(37,456)
Operating expenses(377) (371) (6) (3,618) (3,819) 201
NOI245,360
 238,902
 6,458
 272,473
 309,728
 (37,255)
Adjustments to NOI4,274
 5,899
 (1,625) 2,127
 17,098
 (14,971)
Adjusted NOI$249,634
 $244,801
 $4,833
 274,600
 326,826
 (52,226)
Non-SPP adjusted NOI      (24,966) (82,025) 57,059
SPP adjusted NOI      $249,634
 $244,801
 $4,833
SPP Adjusted NOI % change    2.0%      
Property count(3)
146
 146
   146
 181
  
Average capacity (units)(4)
15,002
 15,000
   16,914
 21,536
  
Average annual rent per unit$16,665
 $16,345
   $16,449
 $15,352
  

(1)
Total Portfolio includes results of operations from disposed properties and properties that transitioned segments through the disposition or transition date.
(2)Represents rental and related revenues and income from DFLs.
(3)FromIn conjunction with classifying our 2017 presentation of SPP, we removed 11 senior housing triple-net properties that were sold and 22 senior housing triple-net properties that were transitioned to our SHOP segment.
(4)Represents average capacity as reported by the respective tenants or operators for the 12-month period and a quarter in arrears from the periods presented.

SPP NOI and Adjusted NOI increased primarily as a result of annual rent escalations. The increase in Adjusted NOI was partially offset by rent reductions under the 2017 Brookdale Transactions.
Total Portfolio NOI and Adjusted NOI decreased primarily as a result of the following Non-SPP impacts:
decreased NOI from senior housing triple-net facilities sold during 2017 and 2018; and
decreased NOI from the transferSHOP portfolios as discontinued operations as of 25 and 22 senior housing triple-net facilities to our SHOP segment during 2017 and 2018, respectively.
The decrease in Total Portfolio NOI and Adjusted NOI is partially offset by the aforementioned increases to SPP. The decrease in Total Portfolio NOI was further offset by the net charge of triple-net lease terminations from the 2017 Brookdale Transactions.
2017 and 2016
The following table summarizes results at and for the years ended December 31, 2017 and 2016 (dollars2020, the results of operations related to those portfolios are no longer presented in thousands except per unit data):
 SPP 
Total Portfolio(1)
 2017 2016 Change 2017 2016 Change
Real estate revenues(2)
$249,347
 $273,984
 $(24,637) $313,547
 $423,118
 $(109,571)
Operating expenses(495) (197) (298) (3,819) (6,710) 2,891
NOI248,852
 273,787
 (24,935) 309,728
 416,408
 (106,680)
Adjustments to NOI38,760
 (1,374) 40,134
 17,098
 (7,566) 24,664
Adjusted NOI$287,612
 $272,413
 $15,199
 326,826
 408,842
 (82,016)
Non-SPP adjusted NOI      (39,214) (136,429) 97,215
SPP adjusted NOI      $287,612
 $272,413
 $15,199
SPP Adjusted NOI % change    5.6%      
Property count(3)
174
 174
   181
 274
  
Average capacity (units)(4)
17,724
 17,741
   21,536
 28,455
  
Average annual rent per unit$16,255
 $15,366
   $15,352
 $14,604
  

(1)
Total Portfolio includesreportable business segments. Accordingly, results of operations from disposed properties and properties that transitioned segments through the disposition or transition date.
(2)Represents rental and related revenues and income from DFLs.
(3)From our 2016 presentation of SPP, we removed four senior housing triple-net properties that were sold, 25 senior housing triple-net properties that were transitioned to our SHOP segment and two senior housing triple-net properties that were classified as held for sale.
(4)Represents average capacity as reported by the respective tenants or operators for the 12-month period and a quarter in arrears from the periods presented.
SPP NOI decreased primarily as a result of the net impactoperations of triple-net lease terminations from the 2017 Brookdale Transactions.
SPP Adjusted NOI increased primarily as a result of the following:
annual rent escalations; and
higher cash rent received from our portfolio of assets leased to Sunrise Senior Living.
Additionally, Total Portfolio NOI and Adjusted NOI decreased primarily as a result of the following Non-SPP impacts:
senior housing triple-net facilities sold during 2016 and 2017; and
the transfer of 42 senior housing triple-net facilities to our SHOP segment during 2016 and 2017.
The decrease to Total Portfolio NOI and Adjusted NOI is partially offset by (i) increased non-SPP income from five senior housing triple-net facilities acquiredthose portfolios are not included in the first quarter of 2016 and (ii) the aforementioned increasesreportable business segment analysis below. Refer to SPP Adjusted NOI.

Senior Housing Operating Portfolio

2018 and 2017
The following table summarizes results at and for the years ended December 31, 2018 and 2017 (dollars in thousands, except per unit data):
 SPP 
Total Portfolio(1)
 2018 2017 Change 2018 2017 Change
Resident fees and services$262,887
 $256,471
 $6,416
 $547,976
 $525,473
 $22,503
Operating expenses(182,511) (183,384) 873
 (414,312) (396,491) (17,821)
NOI80,376
 73,087
 7,289
 133,664
 128,982
 4,682
Adjustments to NOI2,174
 12,759
 (10,585) 2,875
 33,227
 (30,352)
Adjusted NOI$82,550
 $85,846
 $(3,296) 136,539
 162,209
 (25,670)
Non-SPP adjusted NOI      (53,989) (76,363) 22,374
SPP adjusted NOI      $82,550
 $85,846
 $(3,296)
SPP Adjusted NOI % change    (3.8)%      
Property count(2)
46
 46
   93
 102
  
Average capacity (units)(3)
6,072
 6,058
   11,248
 12,758
  
Average annual rent per unit$43,219
 $42,387
   $48,433
 $41,133
  

(1)
Total Portfolio includes results of operations from disposed properties and properties that transitioned segments through the disposition or transition date.
(2)From our 2017 presentation of SPP, we removed nine properties that were sold, eight SHOP properties that were placed into redevelopment and three SHOP properties that were classified as held for sale.
(3)Represents average capacity as reported by the respective tenants or operators for the 12-month period and a quarter in arrears from the periods presented.
SPP Adjusted NOI decreased primarily as a result of the following:
occupancy declines and higher labor costs; partially offset by
increased rates for resident fees and services.
SPP NOI increased primarily as a result of the net charge for management fee terminations from the 2017 Brookdale Transactions, partially offset by the aforementioned decreases to SPP Adjusted NOI.
Total Portfolio Adjusted NOI decreased primarily as a result of the aforementioned impacts to SPP and the following Non-SPP impacts:
decreased NOI from our partial sale of RIDEA II in the first quarter of 2017; and
decreased NOI from SHOP assets sold in 2017 and 2018; partially offset by
increased NOI from the transfer of 25 and 22 senior housing triple-net assets to our SHOP segment during 2017 and 2018, respectively.
Total Portfolio NOI increased primarily a result of the net charge for management fee terminations from the 2017 Brookdale Transactions, partially offset by the aforementioned decreases to Total Portfolio Adjusted NOI.




2017 and 2016
The following table summarizes results at and for the years ended December 31, 2017 and 2016 (dollars in thousands, except per unit data):
 SPP 
Total Portfolio(1)
 2017 2016 Change 2017 2016 Change
Resident fees and services$321,209
 $317,361
 $3,848
 $525,473
 $686,822
 $(161,349)
Operating expenses(239,702) (202,624) (37,078) (396,491) (480,870) 84,379
NOI81,507
 114,737
 (33,230) 128,982
 205,952
 (76,970)
Adjustments to NOI32,863
 (1,297) 34,160
 33,227
 (2,686) 35,913
Adjusted NOI$114,370
 $113,440
 $930
 162,209
 203,266
 (41,057)
Non-SPP adjusted NOI      (47,839) (89,826) 41,987
SPP adjusted NOI      $114,370
 $113,440
 $930
SPP Adjusted NOI % change    0.8%      
Property count(2)
48
 48
   102
 130
  
Average capacity (units)(3)
8,128
 8,136
   12,758
 16,028
  
Average annual rent per unit$44,378
 $43,842
   $41,133
 $42,851
  

(1)
Total Portfolio includes results of operations from disposed properties and properties that transitioned segments through the disposition or transition date.
(2)From our 2016 presentation of SPP, we removed a SHOP property that was placed into redevelopment, two SHOP properties that were classified as held for sale and 49 SHOP properties that were deconsolidated.
(3)Represents average capacity as reported by the respective tenants or operators for the 12-month period and a quarter in arrears from the periods presented.
SPP NOI decreased primarily as a result of increased operating expenses relatedNote 5 to the management fee terminations from the 2017 Brookdale Transactions.Consolidated Financial Statements for further information regarding discontinued operations.
SPP Adjusted NOI increased primarily as a result
47

increased rates for resident fees and services; partially offset by
higher expense growth and a decline in occupancy.
Additionally, Total Portfolio NOI and Adjusted NOI decreased primarily as a result of the following Non-SPP impacts:
decreased non-SPP income from our partial sale of RIDEA II; partially offset by
non-SPP income for 42 senior housing triple-net assets transferred to SHOP during 2016 and 2017.  

Life Science

20182021 and 20172020
The following table summarizes results at and for the years ended December 31, 20182021 and 20172020 (dollars and sq. ft.square feet in thousands, except per sq. ft.square foot data):
 SPP 
Total Portfolio(1)
 2018 2017 Change 2018 2017 Change
Rental and related revenues$265,120
 $258,781
 $6,339
 $395,064
 $358,816
 $36,248
Operating expenses(58,752) (56,431) (2,321) (91,742) (78,001) (13,741)
NOI206,368
 202,350
 4,018
 303,322
 280,815
 22,507
Adjustments to NOI596
 1,636
 (1,040) (9,589) (4,517) (5,072)
Adjusted NOI$206,964
 $203,986
 $2,978
 293,733
 276,298
 17,435
Non-SPP adjusted NOI      (86,769) (72,312) (14,457)
SPP adjusted NOI      $206,964
 $203,986
 $2,978
SPP Adjusted NOI % change    1.5%      
Property count(2)
94
 94
   124
 131
  
Average occupancy94.8% 95.5%   95.0% 96.2%  
Average occupied square feet5,166
 5,195
   7,078
 6,841
  
Average annual total revenues per occupied square foot$51
 $50
   $54
 $52
  
Average annual base rent per occupied square foot$41
 $40
   $44
 $42
  
SSTotal Portfolio
20212020Change20212020Change
Rental and related revenues$474,011 $441,994 $32,017 $715,844 $569,296 $146,548 
Healthpeak’s share of unconsolidated joint venture total revenues— — — 5,757 448 5,309 
Noncontrolling interests' share of consolidated joint venture total revenues(217)(211)(6)(292)(239)(53)
Operating expenses(110,621)(105,712)(4,909)(169,044)(138,005)(31,039)
Healthpeak's share of unconsolidated joint venture operating expenses— — — (1,836)(137)(1,699)
Noncontrolling interests' share of consolidated joint venture operating expenses62 62 — 87 72 15 
Adjustments to NOI(1)
(15,215)(11,463)(3,752)(46,589)(20,133)(26,456)
Adjusted NOI$348,020 $324,670 $23,350 503,927 411,302 92,625 
Less: non-SS Adjusted NOI(155,907)(86,632)(69,275)
SS Adjusted NOI$348,020 $324,670 $23,350 
Adjusted NOI % change7.2 %
Property count(2)
107 107 150 140 
End of period occupancy96.3 %97.1 %96.6 %96.3 %
Average occupancy97.1 %96.7 %96.9 %96.0 %
Average occupied square feet7,261 7,229 10,266 8,724 
Average annual total revenues per occupied square foot(3)
$63 $60 $66 $63 
Average annual base rent per occupied square foot(4)
$50 $47 $50 $50 

(1)
Total Portfolio includes results of operations from disposed properties and properties that transitioned segments through the disposition or transition date.
(2)From our 2017 presentation of SPP, we removed 12 life science facilities that were sold and three life science facilities that were placed into redevelopment.
SPP(1)Represents adjustments to NOI in accordance with our definition of Adjusted NOI. Refer to “Non-GAAP Financial Measures” above for definitions of NOI and Adjusted NOI.
(2)From our 2020 presentation of Same-Store, we removed one life science facility that was classified as held for sale and one life science facility that was demolished to prepare for development.
(3)Average annual total revenues does not include non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, and deferred revenues).
(4)Base rent does not include tenant recoveries, additional rents in excess of floors and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, DFL non-cash interest, and deferred revenues).
Same-Store Adjusted NOI increased primarily as a result of the following:
annual rent escalations;
new leasing activity; and
specific to Adjusted NOI, annual rent escalations; partially offset by
a mark-to-market rent decrease on a 147,000 square foot lease in South San Francisco.renewals.
Total Portfolio NOI and Adjusted NOI increased primarily as a result of the aforementioned increasesimpacts to SPPSame-Store and the following Non-SPPNon-Same-Store impacts:
increasedan increase in NOI from: (i) increased occupancy in portions of a development placed into operations in 2017 and 2018 and (ii) acquisitions in 2017; partially offset by
decreased NOI from: (i) sales of life science facilities in 2017 and 2018 and (ii) the placement of life science facilities into redevelopment in 2017 and 2018.




2017 and 2016
The following table summarizes results at and for the years ended December 31, 2017 and 2016 (dollars and sq. ft. in thousands, except per sq. ft. data):
 SPP 
Total Portfolio(1)
 2017 2016 Change 2017 2016 Change
Rental and related revenues$304,858
 $292,147
 $12,711
 $358,816
 $358,537
 $279
Operating expenses(63,612) (58,363) (5,249) (78,001) (72,478) (5,523)
NOI241,246
 233,784
 7,462
 280,815
 286,059
 (5,244)
Adjustments to NOI2,427
 339
 2,088
 (4,517) (2,954) (1,563)
Adjusted NOI$243,673
 $234,123
 $9,550
 276,298
 283,105
 (6,807)
Non-SPP adjusted NOI      (32,625) (48,982) 16,357
SPP adjusted NOI      $243,673
 $234,123
 $9,550
SPP Adjusted NOI % change    4.1%      
Property count(2)
108
 108
   131
 128
  
Average occupancy96.3% 97.7%   96.2% 97.5%  
Average occupied square feet6,105
 6,193
   6,841
 7,332
  
Average annual total revenues per occupied square foot$50
 $47
   $52
 $48
  
Average annual base rent per occupied square foot$41
 $39
   $42
 $40
  

(1)
Total Portfolio includes results of operations from disposed properties and properties that transitioned segments through the disposition or transition date.
(2)From our 2016 presentation of SPP, we removed one life science facility that was sold and four life science facilities that were classified as held for sale.
SPP NOI and Adjusted NOI increased primarily as a result of the following:
mark-to-market lease renewals;
new leasing activity; and
specific to adjusted NOI, annual rent escalations.
Total Portfolio NOI and Adjusted NOI decreased primarily as a result of the following impacts to Non-SPP:
decreased income from sales of life science facilities in 2016 and 2017; partially offset by
increased income from (i) increased occupancy in portions of developments and redevelopments placed into service in operations in 20162020 and 20172021 and (ii) life science acquisitions in 20162020 and 2017.2021.
The decrease in Total Portfolio NOI and Adjusted NOI was also partially offset by the aforementioned increases to SPP.
48


Medical Office

20182021 and 20172020
The following table summarizes results at and for the years ended December 31, 20182021 and 20172020 (dollars and sq. ft.square feet in thousands, except per sq. ft.square foot data):
 SPP 
Total Portfolio(1)
 2018 2017 Change 2018 2017 Change
Rental and related revenues$422,003
 $415,687
 $6,316
 $509,019
 $477,459
 $31,560
Operating expenses(152,875) (151,234) (1,641) (189,859) (183,197) (6,662)
NOI269,128
 264,453
 4,675
 319,160
 294,262
 24,898
Adjustments to NOI(307) (1,279) 972
 (2,899) (2,952) 53
Adjusted NOI$268,821
 $263,174
 $5,647
 316,261
 291,310
 24,951
Non-SPP adjusted NOI      (47,440) (28,136) (19,304)
SPP adjusted NOI      $268,821
 $263,174
 $5,647
SPP Adjusted NOI % change    2.1%      
Property count(2)
221
 221
   267
 254
  
Average occupancy92.3% 92.6%   92.0% 91.8%  
Average occupied square feet14,892
 14,984
   17,280
 16,674
  
Average annual total revenues per occupied square foot$28
 $28
   $29
 $28
  
Average annual base rent per occupied square foot$24
 $23
   $25
 $24
  
SS
Total Portfolio(1)
20212020Change20212020Change
Rental and related revenues$531,365 $515,853 $15,512 $662,540 $612,678 $49,862 
Income from direct financing leases8,702 8,575 127 8,702 9,720 (1,018)
Healthpeak’s share of unconsolidated joint venture total revenues2,792 2,683 109 2,882 2,772 110 
Noncontrolling interests' share of consolidated joint venture total revenues(34,235)(33,334)(901)(35,363)(34,597)(766)
Operating expenses(174,032)(169,399)(4,633)(223,383)(204,008)(19,375)
Healthpeak's share of unconsolidated joint venture operating expenses(1,174)(1,129)(45)(1,174)(1,129)(45)
Noncontrolling interests' share of consolidated joint venture operating expenses9,856 9,987 (131)10,071 10,282 (211)
Adjustments to NOI(2)
(6,412)(6,618)206 (11,118)(5,544)(5,574)
Adjusted NOI$336,862 $326,618 $10,244 413,157 390,174 22,983 
Less: non-SS Adjusted NOI(76,295)(63,556)(12,739)
SS Adjusted NOI$336,862 $326,618 $10,244 
Adjusted NOI % change3.1 %
Property count(3)
238 238 300 281 
End of period occupancy92.1 %92.6 %90.3 %90.4 %
Average occupancy92.1 %92.5 %90.0 %91.3 %
Average occupied square feet17,883 17,951 21,075 20,448 
Average annual total revenues per occupied square foot(4)
$31 $30 $31 $30 
Average annual base rent per occupied square foot(5)
$26 $25 $27 $26 

(1)
Total Portfolio includes results of operations from disposed properties and properties that transitioned segments through the disposition or transition date.
(2)From our 2017 presentation of SPP, we removed four MOBs that were sold and three MOBs that were placed into redevelopment.
SPP(1)Total Portfolio includes results of operations from disposed properties through the disposition date.
(2)Represents adjustments to NOI in accordance with our definition of Adjusted NOI. Refer to “Non-GAAP Financial Measures” above for definitions of NOI and Adjusted NOI.
(3)From our 2020 presentation of Same-Store, we removed five MOBs that were sold, four MOBs that were classified as held for sale, and five MOBs that were placed into redevelopment.
(4)Average annual total revenues does not include non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, and deferred revenues).
(5)Base rent does not include tenant recoveries, additional rents in excess of floors and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, DFL non-cash interest, and deferred revenues).
Same-Store Adjusted NOI increased primarily as a result of the following:
mark-to-market lease renewals. Additionally, SPP Adjusted NOI increased as a result of renewals;
annual rent escalations.escalations; and
higher parking income and percentage-based rents.
Total Portfolio NOI and Adjusted NOI increased primarily as a result of the aforementioned increases to SPPSame-Store and the following Non-SPPNon-Same-Store impacts:
increased NOI from our 20172020 and 20182021 acquisitions; and
increased occupancy in former redevelopment and development properties that have been placed into operations in 2017 and 2018;service; partially offset by
decreased NOI from salesour 2020 and 2021 dispositions.
49

Continuing Care Retirement Community
2021 and 2018 and the placement of one MOB into redevelopment.



2017 and 20162020
The following table summarizes results at and for the years ended December 31, 20172021 and 20162020 (dollars and sq. ft. in thousands, except per sq. ft.unit data):
 SPP 
Total Portfolio(1)
 2017 2016 Change 2017 2016 Change
Rental and related revenues$400,747
 $392,166
 $8,581
 $477,459
 $446,280
 $31,179
Operating expenses(150,329) (146,300) (4,029) (183,197) (173,687) (9,510)
NOI250,418
 245,866
 4,552
 294,262
 272,593
 21,669
Adjustments to NOI2,183
 (523) 2,706
 (2,952) (3,536) 584
Adjusted NOI$252,601
 $245,343
 $7,258
 291,310
 269,057
 22,253
Non-SPP adjusted NOI      (38,709) (23,714) (14,995)
SPP adjusted NOI      $252,601
 $245,343
 $7,258
SPP Adjusted NOI % change    3.0%      
Property count(2)
212
 212
   254
 242
  
Average occupancy91.9% 92.2%   91.8% 91.5%  
Average occupied square feet14,224
 14,303
   16,674
 15,697
  
Average annual total revenues per occupied square foot$28
 $27
   $28
 $28
  
Average annual base rent per occupied square foot$24
 $23
   $24
 $24
  
SSTotal Portfolio
20212020Change20212020Change
Resident fees and services$74,663 $75,288 $(625)$471,325 $436,494 $34,831 
Government grant income(1)
143 3,414 (3,271)1,412 16,198 (14,786)
Healthpeak’s share of unconsolidated joint venture total revenues— — — 6,903 35,392 (28,489)
Healthpeak's share of unconsolidated joint venture government grant income— — — 200 920 (720)
Operating expenses(54,712)(54,281)(431)(380,865)(440,528)59,663 
Healthpeak's share of unconsolidated joint venture operating expenses— — — (6,639)(32,125)25,486 
Adjustments to NOI(2)
162 — 162 3,241 97,072 (93,831)
Adjusted NOI$20,256 $24,421 $(4,165)95,577 113,423 (17,846)
Less: non-SS Adjusted NOI(75,321)(89,002)13,681 
SS Adjusted NOI$20,256 $24,421 $(4,165)
Adjusted NOI % change(17.1)%
Property count15 17 
Average occupancy76.0 %81.0 %79.1 %81.4 %
Average occupied units(3)
800 852 6,002 6,181 
Average annual rent per occupied unit$93,507 $92,373 $79,954 $79,088 

(1)
Total Portfolio includes results
(1)Represents government grant income received under the CARES Act, which is recorded in other income (expense), net in the Consolidated Statements of Operations.
(2)Represents adjustments to NOI in accordance with our definition of Adjusted NOI. Refer to “Non-GAAP Financial Measures” above for definitions of operations from disposed properties and properties that transitioned segments through the disposition or transition date.
(2)From our 2016 presentation of SPP, we removed four MOBs that were sold and two MOBs that were placed into redevelopment.
SPP NOI and Adjusted NOI.
(3)Represents average occupied units as reported by the operators for the twelve-month period.
Same-Store Adjusted NOI increaseddecreased primarily as a result of mark-to-market lease renewalsthe following:
lower occupancy due to Covid;
decreased government grant income received under the CARES Act; and new leasing activity. Additionally, SPP Adjusted NOI
higher labor costs; partially offset by
lower Covid-related expenses; and
increased as a result of annual rent escalations.rates for resident fees.
Total Portfolio NOI and Adjusted NOI increaseddecreased primarily as a result of the aforementioned increasesdecreases to SPP and the following impactsSame-Store, which are also applicable to Non-SPP:our properties not yet included in Same-Store.
increased income from our 2016 and 2017 acquisitions; and
increased occupancy in former redevelopment and development properties placed into operations; partially offset by
50
decreased income from sales



Other Income and Expense Items

The following table summarizes results of our other income and expense items for the years ended December 31, 2018, 20172021 and 20162020 (in thousands):
Year Ended December 31,
20212020Change
Interest income$37,773 $16,553 $21,220 
Interest expense157,980 218,336 (60,356)
Depreciation and amortization684,286 553,949 130,337 
General and administrative98,303 93,237 5,066 
Transaction costs1,841 18,342 (16,501)
Impairments and loan loss reserves (recoveries), net23,160 42,909 (19,749)
Gain (loss) on sales of real estate, net190,590 90,350 100,240 
Gain (loss) on debt extinguishments(225,824)(42,912)(182,912)
Other income (expense), net6,266 234,684 (228,418)
Income tax benefit (expense)3,261 9,423 (6,162)
Equity income (loss) from unconsolidated joint ventures6,100 (66,599)72,699 
Income (loss) from discontinued operations388,202 267,746 120,456 
Noncontrolling interests’ share in continuing operations(17,851)(14,394)(3,457)
Noncontrolling interests’ share in discontinued operations(2,539)(296)(2,243)
 Year Ended December 31, 2018 vs. 2017 vs.
 2018 2017 2016 2017 2016
Interest income$10,406
 $56,237
 $88,808
 $(45,831) $(32,571)
Interest expense266,343
 307,716
 464,403
 (41,373) (156,687)
Depreciation and amortization549,499
 534,726
 568,108
 14,773
 (33,382)
General and administrative96,702
 88,772
 103,611
 7,930
 (14,839)
Transaction costs10,772
 7,963
 9,821
 2,809
 (1,858)
Impairments (recoveries), net55,260
 166,384
 
 (111,124) 166,384
Gain (loss) on sales of real estate, net925,985
 356,641
 164,698
 569,344
 191,943
Loss on debt extinguishments(44,162) (54,227) (46,020) 10,065
 (8,207)
Other income (expense), net13,316
 31,420
 3,654
 (18,104) 27,766
Income tax benefit (expense)17,854
 1,333
 (4,473) 16,521
 5,806
Equity income (loss) from unconsolidated joint ventures(2,594) 10,901
 11,360
 (13,495) (459)
Total discontinued operations
 
 265,755
 
 (265,755)
Noncontrolling interests’ share in earnings(12,381) (8,465) (12,179) (3,916) 3,714
Interest income
Interest income.  The decrease in interest income increased for the year ended December 31, 2018 was2021 primarily theas a result of: (i) the sale of our Tandem Mezzanine Loan during the first quarter of 2018,seller financing issued in 2020 and 2021 and (ii) the payoffaccelerated recognition of our HC-One Facility in June 2017, and (iii) the conversion of the U.K. Bridge Loan into real estate during the first quarter of 2018.a mark-to-market discount resulting from prepayments on loans receivable. The increase was partially offset by principal repayments on loans receivable.
The decrease in interest incomeInterest expense
Interest expense decreased for the year ended December 31, 2017 was2021 primarily as a result of senior unsecured notes repurchases and redemptions in the result of: (i) the payofffirst and second quarters of our HC-One Facility in June 2017, (ii) incremental interest income received during the second quarter of 2016 due to the payoff of three participating development loans,2021.
Depreciation and (iii) decreased interest received from our Tandem Mezzanine Loan during the fourth quarter of 2017.amortization expense
Interest expense.  The decrease in interestDepreciation and amortization expense increased for the year ended December 31, 2018 was primarily the result of senior unsecured notes repayments during 2017 and 2018, partially offset by an increased average balance under our revolving credit facility during 2018.
The decrease in interest expense for the year ended December 31, 2017 was primarily the result of senior unsecured notes and mortgage debt repayments, which occurred primarily in the second half of 2016 and throughout 2017.
Depreciation and amortization.  The increase in depreciation and amortization expense for the year ended December 31, 2018 was2021 primarily as a result of: (i) assets acquiredacquisitions of real estate during 20172020 and 2018 (primarily2021, (ii) accelerated depreciation related to the change in estimated useful lives on certain of our life science and medical office segments) and (ii)densification projects in 2021, (iii) development and redevelopment projects placed into operationsservice during 20172020 and 2018 (primarily2021, and (iv) the acquisition of Brookdale’s interest in our life science and medical office segments),consolidation of 13 CCRCs during the first quarter of 2020. The increase was partially offset by dispositions of real estate throughout 20172020 and 2018.2021.
The decrease in depreciationGeneral and amortizationadministrative expense
General and administrative expenses increased for the year ended December 31, 2017 was2021 primarily as a result of higher compensation costs and increased restructuring and severance related charges.
Transaction costs
Transaction costs decreased for the year ended December 31, 2021 primarily as a result of costs associated with the transition of 13 CCRCs from Brookdale to LCS in January 2020.
Impairments and loan loss reserves (recoveries), net
The impairment charges recognized in each period vary depending on facts and circumstances related to each asset and are impacted by negotiations with potential buyers, current operations of the assets, and other factors.
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Impairments and loan loss reserves (recoveries), net decreased for the year ended December 31, 2021 primarily as a result of: (i) fewer assets impaired under the held for sale impairment model and (ii) a decrease in loan loss reserves under the current expected credit losses model, partially offset by: (i) increased impairment charges related to assetsthat we intend to demolish for future development projects and (ii) impairment charges on loans sold. The reduction in loan loss reserves during the year ended December 31, 2021 is primarily due to: (i) principal repayments on loans receivable during 2021, (ii) loans receivable sales in 2021, and (iii) a more positive economic outlook. The reduction in loan loss reserves during the year ended December 31, 2021 is partially offset by the loan loss reserve recognized related to new seller financing issued in the first quarter of 2021.
Gain (loss) on sales of real estate, net
Gain on sales of real estate, net increased during the year ended December 31, 2021 primarily as a result of the sale of: (i) 10 MOBs and a portion of 641 MOB land parcel for$68 million and (ii) 1 hospital for $226 million during the year ended December 31, 2021 resulting in total gain on sale of $191 million, compared to the sale of: (i) 11 MOBs for$136 million, (ii) 2 MOB land parcels for $3 million, and (iii) 1asset from other non-reportable segments for $1 millionduring the year ended December 31, 2020 resulting in total gain on sale of $90 million.
Gain (loss) on debt extinguishments
Refer to Note 11 to the Consolidated Financial Statements for information regarding senior housing triple-net assetsunsecured note repurchases and redemptions and the deconsolidation of RIDEA II during the first quarter of 2017, partially offset by depreciation and amortization of assets acquired and placed in service during 2016 and 2017.associated loss on debt extinguishment recognized.
General and administrative expenses.  The increase in general and administrative expensesOther income (expense), net
Other income, net decreased for the year ended December 31, 2018 was primarily as a result of increased severance and related charges, primarily resulting from the departure of our former Executive Chairman in March 2018, which exceeded severance and related charges in 2017, which were primarily related to the departure of our former CAO in the third quarter of 2017.
The decrease in general and administrative expenses for the year ended December 31, 2017 was primarily as a result of severance and related charges, primarily resulting from the departure of our former President and CEO in the third quarter of 2016, which exceeded severance and related charges in 2017, primarily related to the departure of our former CAO in the third quarter of 2017.

Impairments (recoveries), net. During the year ended December 31, 2018, we recognized $55 million of impairments, primarily related to the following real estate assets: (i) 20 SHOP assets (including 17 classified as held for sale at the time they were impaired) and (ii) an undeveloped life science land parcel classified as held for sale.
During the year ended December 31, 2017, we recognized: (i) $144 million of impairments on our Tandem Mezzanine Loan (see Note 7 to the Consolidated Financial Statements) and (ii) $23 million of impairments on 11 underperforming senior housing triple-net facilities.
For the year ended December 31, 2016, there were no impairments recognized.
Gain (loss) on sales of real estate, net.  During the year ended December 31, 2018, we sold: (i) our remaining interest in RIDEA II, (ii) a 51% interest in our U.K. Portfolio, (iii) 31 SHOP facilities, (iv) 16 life science assets, (v) 13 senior housing triple-net facilities, and (vi) four MOBs and recognized total net gain on sales of $926 million.
During the year ended December 31, 2017, we sold: (i) 68 senior housing triple-net facilities, (ii) five life science facilities, (iii) five SHOP facilities, (iv) four MOBs, and (v) a 40% interest in RIDEA II and recognized total net gain on sales of $357 million.
During the year ended December 31, 2016, we sold: (i) a portfolio of five facilities in one of our non-reportable segments and two senior housing triple-net facilities, (ii) five life science facilities, (iii) seven senior housing triple-net facilities, (iv) three MOBs, and (v) three SHOP facilities, recognizing total net gain on sales of $165 million.
Loss on debt extinguishments.  During the year ended December 31, 2018, we repurchased $700 million of our 5.375% senior notes due 2021 and recognized a $44 million loss on debt extinguishment.
During the year ended December 31, 2017, we repurchased $500 million of our 5.375% senior notes due 2021 and recognized a $54 million loss on debt extinguishment.
During the fourth quarter of 2016, using proceeds from the Spin-Off, we repaid $1.1 billion of senior unsecured notes that were due to mature in January 2017 and January 2018 and repaid $108 million of mortgage debt, incurring an aggregate loss on debt extinguishments of $46 million.  
Other income (expense), net.  The decrease in other income (expense), net for the year ended December 31, 2018 was primarily as a result of: (i) a loss on consolidationgain upon change of seven U.K. care homes in March 2018 (see Note 19 to the Consolidated Financial Statements) and (ii) a gain on sale of our Four Seasons Notes in March 2017. The decrease in other income (expense), net was partially offset by: (i) a gain on consolidationcontrol related to the acquisition of the outstanding equity interestsinterest in three life science joint ventures in November 2018, (ii) casualty-related charges due to hurricanes incurred in13 CCRCs from Brookdale during the thirdfirst quarter of 2017,2020, (ii) a gain on sale related to the sale of a hospital underlying a DFL during the first quarter of 2020, and (iii) decreased litigation costsa decline in 2018.government grant income received under the CARES Act.
The increase in other incomeIncome tax benefit (expense), net
Income tax benefit decreased for the year ended December 31, 2017 was2021 primarily as a result of the gain on saletax benefits recognized in the first quarter of our Four Seasons Notes,2020 related to the following: (i) the purchase of Brookdale’s interest in 13 of the 15 communities in the CCRC JV, including the management termination fee expense paid to Brookdale in connection with transitioning management of 13 CCRCs to LCS and (ii) the extension of the net operating loss carryback period provided by the CARES Act. The decrease in income tax benefit during the year ended December 31, 2021 was partially offset by casualty-related charges due to hurricanes inthe establishment of a deferred tax asset valuation allowance during the third quarter of 2017 and2020 related to deferred tax assets that were no longer expected to be realized as a result of our plan to dispose of our SHOP portfolio.
Equity income (loss) from unconsolidated joint ventures
Equity income from unconsolidated joint ventures increased litigation-related expenses in 2017.
Income tax benefit (expense).  The increase in income tax benefit for the year ended December 31, 2018 was2021 primarily theas a result of: (i)of a $6 million income tax benefitdecrease in amortization expense due to fully amortized intangible assets related to our share of operating losses from our RIDEA joint ventures and U.K. real estate investments, (ii) a $17 million income tax expense related to the impact of tax rate legislation during the fourth quarter of 2017, and (iii) partially offset by a $6 million benefit from the partial sale of RIDEA II in 2017.
unconsolidated SWF SH JV. The decrease in income tax expense for the year ended December 31, 2017 was primarily the result of: (i) a $6 million income tax benefit from the partial sale of RIDEA II in 2017, (ii) a $5 million income tax benefit related to our share of operating losses from our RIDEA joint ventures, (iii) a $1 million deferred tax benefit from casualty-related charges recognized in the second half of 2017, and (iv) a $11 million income tax expense recognized in 2016 associated with federal income tax and state built-in gain tax for the disposition of certain real estate assets. The total tax benefit was partially offset by a $17 million income tax expense related to the impact of tax rate legislation during the fourth quarter of 2017.
Equity income (loss) from unconsolidated joint ventures.  The decreaseincrease in equity income from unconsolidated joint ventures for the year ended December 31, 20182021 was primarily the result of the sale of our equity method investment in RIDEA II in June 2018, partially offset by additional equity income from our investmentshare of a gain on sale of one asset in the U.K. JV.
The decrease in equity income froman unconsolidated joint venturesventure during the first quarter of 2020.
Income (loss) from discontinued operations
Income from discontinued operations increased for the year ended December 31, 2017 was2021 primarily theas a result of: (i) decreased impairments of depreciable real estate as a result of fewer assets being impaired under the held for sale impairment model and (ii) decreased depreciation and amortization expense due to assets being classified as held for sale throughout 2021. The increase in income from our sharediscontinued operations during the year ended December 31, 2021 was partially offset by: (i) decreased NOI from dispositions of gainsreal estate during 2020 and 2021, (ii) decreased gain on sales of real estate from senior housing dispositions in 2016, partially offset by income from2021, and (iii) a goodwill impairment charge related to our investmentsenior housing triple-net and SHOP asset sales in RIDEA II, which was deconsolidated2021.
Noncontrolling interests’ share in the first quarter of 2017.continuing operations

Total discontinued operations.  DiscontinuedNoncontrolling interests’ share in continuing operations increased for the year ended December 31, 2016 resulted2021 primarily as a result of our partner’s share of a gain on sale of one asset in income of $266 million. Income froma consolidated joint venture during 2021.
Noncontrolling interests’ share in discontinued operations
Noncontrolling interests’ share in discontinued operations primarily relates to the operations of QCP. There were no discontinued operationsincreased for the yearsyear ended December 31, 2017 and 2018.2021 primarily as a result of our partner’s share of gains on sale of senior housing assets in DownREIT (as defined below) partnerships during 2021.
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Liquidity and Capital Resources
We anticipate that our cash flow from operations, available cash balances, and cash from our various financing activities will be adequate for at least the next 12 months and for the foreseeable future for purposes of: (i) funding recurring operating expenses; (ii) meeting debt service requirements, including principal payments and maturities;requirements; and (iii) satisfying ourfunding of distributions to our stockholders and non-controlling interest members.Distributions are made using a combination of cash flows from operations, funds available under our bank line of credit and commercial paper program, proceeds from the sale of properties, and other sources of cash available to us.
OurIn addition to funding the activities above, our principal investing liquidity needs for the next 12 months are to:
fund capital expenditures, including tenant improvements and leasing costs;costs, and
fund future acquisition, transactional and development and redevelopment activities.
Our longer term investing liquidity needs include the items listed above as well as meeting debt service requirements.
We anticipate satisfying these future investing needs using one or more of the following:
cash flow from operations;
sale of, or exchange of ownership interests in, properties;properties or other investments;
draws onborrowings under our bank line of credit facilities;and commercial paper program;
issuance of additional debt, including unsecured notes, term loans, and mortgage debt; and/or
issuance of common or preferred stock.stock or its equivalent.
AccessOur ability to access the capital markets impacts our cost of capital and ability to refinance maturing indebtedness, as well as our ability to fund future acquisitions and development through the issuance of additional securities or secured debt. Credit ratings impact our ability to access capital and directly impact our cost of capital as well. For example, our revolvingbank line of credit facility accrues interest at a rate per annum equal to LIBOR plus a margin that depends upon our credit ratings.ratings for our senior unsecured long-term debt. Our bank line of credit includes customary LIBOR replacement language, including, but not limited to, the use of rates based on the secured overnight financing rate administered by the Federal Reserve Bank of New York. We also pay a facility fee on the entire revolving commitment that depends upon our credit ratings. As of February 11, 2019,7, 2022, we had along-term credit ratingratings of BBB from Fitch, Baa1 from Moody’s and BBB+ from S&P Global and Fitch, and short-term credit ratings of P-2, A-2, and F2 from Moody’s, S&P Global, and Fitch, respectively.
A downgrade in credit ratings by Moody’s, S&P Global, and Fitch may have a negative impact on the interest rates and facility fees for our bank line of credit and may negatively impact the pricing of notes issued under our commercial paper program and senior unsecured notes. While a downgrade in our credit ratings would adversely impact our cost of borrowing, we believe we would continue to have access to the unsecured debt markets, and we could also seek to enter into one or more secured debt financings, issue additional securities, including under our ATM Program (as defined below), or dispose of certain assets to fund future operating costs, capital expenditures, or acquisitions, although no assurances can be made in this regard. Refer to “Covid Update” above for a more comprehensive discussion of the potential impact of Covid on our business.
Material Cash Requirements
Our material cash requirements include the following contractual and other obligations.
Debt. As of December 31, 2021, we had total debt of $6.2 billion, including borrowings under our bank line of credit and commercial paper program, senior unsecured notes, and mortgage debt. Future interest payments associated with such debt securities.total $1.4 billion, $162 million of which are payable within twelve months. Of our total debt, the total amount payable within twelve months is comprised of $5 million of mortgage debt. Commercial paper borrowings are backstopped by our bank line of credit. As such, we calculate the weighted average remaining term of our commercial paper borrowings using the maturity date of our bank line of credit. See Note 11 to the Consolidated Financial Statements for additional information.
Development and redevelopment commitments. Our development and redevelopment commitments represent construction and other commitments for developments and redevelopments in progress and includes certain allowances for tenant improvements that we have provided as a lessor. As of December 31, 2021, we had $387 million of development and redevelopment commitments, $279 million of which we expect to spend within the next twelve months.
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Lease and other contractual commitments. Our lease and other contractual commitments represent our commitments, as lessor, under signed leases and contracts for operating properties and include allowances for tenant improvements and leasing commissions. These commitments exclude allowances for tenant improvements related to developments and redevelopments in progress for which we have executed an agreement with a general contractor to complete the tenant improvements, which are recognized as development and redevelopment commitments and are discussed further above. As of December 31, 2021, we had total lease and other contractual commitments of $83 million, $74 million of which we expect to spend within the next twelve months.
Construction loan commitments.We have certain loan commitments to fund senior housing redevelopment and capital expenditure projects. As of December 31, 2021, we had $58 million of construction loan commitments, which extend through 2024.
Ground and other operating lease commitments. Our ground and other operating lease commitments represent our commitments as lessee under signed operating leases. As of December 31, 2021, we had total ground and other operating lease commitments of $549 million, $16 million of which are payable within twelve months. See Note 7 to the Consolidated Financial Statements for additional information.
Redeemable noncontrolling interests.Certain of our noncontrolling interest holders have the ability to put their equity interests to us upon specified events or after the passage of a predetermined period of time. Each put option is subject to changes in redemption value in the event that the underlying property generates specified returns for us and meets certain promote thresholds pursuant to the respective agreements. As of December 31, 2021, we had $87 million of redeemable noncontrolling interests, none of which meet the conditions for redemption as of the balance sheet date. See Note 13 to the Consolidated Financial Statements for additional information.
Distribution and Dividend Requirements. Our dividend policy on our common stock is to distribute a percentage of our cash flow to ensure that we meet the dividend requirements of the Code, relative to maintaining our REIT status, while still allowing us to retain cash to fund capital improvements and other investment activities. Under the Code, REITs may be subject to certain federal income and excise taxes on undistributed taxable income. We paid quarterly cash dividends of $0.30 per common share in 2021. Our future common dividends, if and as declared, may vary and will be determined by the Board based upon the circumstances prevailing at the time, including our financial condition.
Off-Balance Sheet Arrangements
We own interests in certain unconsolidated joint ventures as described in Note 9 to the Consolidated Financial Statements. Two of these joint ventures have mortgage debt of $87 million, of which our share is $40 million. Except in limited circumstances, our risk of loss is limited to our investment in the joint venture. We have no other material off-balance sheet arrangements that we expect would materially affect our liquidity and capital resources.
Inflation
A significant portion of our revenues are derived from leases that generally provide for fixed rental rates, subject to annual escalations. A period of high inflation could result in increases in the Consumer Price Index in excess of our fixed annual escalations. Certain of our leases provide that annual rent is modified based on changes in the Consumer Price Index or other thresholds.
Most of our MOB leases require the tenant to pay a share of property operating costs such as real estate taxes, insurance, and utilities. Substantially all of our life science leases require the tenant or operator to pay all of the property operating costs or reimburse us for all such costs.
Labor costs, interest, costs of construction materials, and other operating costs may increase during periods of inflation. Inflationary increases in expenses will generally be offset, in whole or in part, by the tenant expense reimbursements and contractual rent increases described above.
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Cash Flow Summary

The following summary discussion of our cash flows is based on the Consolidated Statements of Cash Flows and is not meant to be an all-inclusive discussion of the changes in our cash flows for the periods presented below.
The following table sets forth changes in cash flows (in thousands):
Year Ended December 31,Year Ended December 31,
2018 2017 201620212020Change
Net cash provided by (used in) operating activities$848,709
 $847,041
 $1,214,131
Net cash provided by (used in) operating activities$795,248 $758,431 $36,817 
Net cash provided by (used in) investing activities1,829,279
 1,246,257
 (428,973)Net cash provided by (used in) investing activities531,032 (1,007,700)1,538,732 
Net cash provided by (used in) financing activities(2,620,536) (2,148,461) (1,054,265)Net cash provided by (used in) financing activities(1,288,517)246,450 (1,534,967)
Operating Cash Flows
Operating cash flow increased $2$37 million between the years ended December 31, 20182021 and 20172020 primarily as the result of: (i) 20172020 and 20182021 acquisitions, (ii) annual rent increases, (iii) new leasing and renewal activity, and (iv) developments and redevelopments placed in service during 20172020 and 2018, and (iv) decreased interest paid as a result of debt repayments during 2017 and 2018.2021. The increase in operating cash flow is partially offset by: (i) dispositionsby a decrease in income related to assets sold during 20172020 and 2018, (ii) the partial sale and deconsolidation of the U.K. JV in 2018, (iii) the partial sale and deconsolidation of RIDEA II during the first quarter of 2017, (iv) occupancy declines and higher labor costs within our SHOP segment, (v) decreased interest received as a result of loan repayments during 2017, and (vi) decreased distributions of earnings from our unconsolidated joint ventures.2021. Our cash flow from operations is dependent upon the occupancy levels of our buildings, rental rates on leases, our tenants’ performance on their lease obligations, the level of operating expenses, and other factors.
Operating cash flow decreased $367 million between the years ended December 31, 2017 and 2016 primarily as the result of: (i) decreased Adjusted NOI related to the Spin-Off and dispositions in 2016 and 2017 and (ii) decreased interest received as a result

of loan repayments during 2016 and 2017; partially offset by: (i) 2016 and 2017 acquisitions, (ii) annual rent increases, (iii) and decreased interest paid as a result of lower balances on our senior unsecured notes and term loans.
Investing Cash Flows
The following are significant investing activities for the year ended December 31, 2018:2021:
received net proceeds of $2.9$2.8 billion primarily from:from (i) sales of real estate assets and (ii) the salesales and repayments of RIDEA II, (iii) the sale of the Tandem Mezzanine Loan,loans receivable; and (iv) the U.K. JV transaction; and
made investments of $1.1$2.2 billion primarily related to the acquisition, development, and redevelopment of real estate.
The following are significant investing activities for the year ended December 31, 2017:2020:
made investments of $2.5 billionprimarily related to the (i) acquisition, development, and redevelopment of real estate and (ii) funding of loan investments; and
received net proceeds of $1.8$1.5 billion primarily from (i) sales of real estate including the sale and recapitalization of RIDEA II;
received net proceeds of $559 million primarily from: (i) the sale of our Four Seasons Notes, (ii) the repayment of our HC-One Facility, and (iii) a DFL repayment; and
made investments of $1.1 billion primarily for the acquisition and development of real estate.
The following are significant investing activities for the year ended December 31, 2016:
made investments of $1.3 billion primarily from: (i) development, leasing and acquisition ofassets (including real estate assets under DFLs) and (ii) investments in unconsolidated joint venturessales and repayments of loans and (iii) purchases of securities; and
received proceeds of $908 million primarily from real estate and DFL sales.receivable.
Financing Cash Flows
The following are significant financing activities for the year ended December 31, 2018:2021:
repaid $2.4made net repayments of $1.6 billion of debt under our: (i) bank line of credit, (ii) term loan, (iii)related to our senior unsecured notes (including debt extinguishment costs) and (iv) mortgage debt;
made net borrowings of $1.0 billion primarily under our bank line of credit and commercial paper;
paid cash dividends on common stock of $697$650 million; and
paid $83 million formade purchases of and distributions to and purchases of noncontrolling interests primarily related to our acquisition of Brookdale’s noncontrolling interest in RIDEA I;
raised net proceeds of $218 million from the issuances of common stock, primarily from our at-the-market equity program; and
received proceeds of $300 million for issuances of noncontrolling interests, primarily related to the MSREI MOB JV.$93 million.
The following are significant financing activities for the year ended December 31, 2017:2020:
repaid $1.4 billionissued common stock of debt$1.1 billion;
paid cash dividends on common stock of $787 million; and
made net borrowings of $16 million primarily under our: (i) term loans, (ii)our bank line of credit, commercial paper, and senior unsecured notes (including debt extinguishment costs).
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Discontinued Operations
Operating, investing, and (iii)financing cash flows in our Consolidated Statements of Cash Flows are reported inclusive of both cash flows from continuing operations and cash flows from discontinued operations. Certain significant cash flows from discontinued operations are disclosed in Note 18 to the Consolidated Financial Statements. The absence of future cash flows from discontinued operations is not expected to significantly impact our liquidity, as the proceeds from senior housing triple-net and SHOP dispositions were used to pay down debt and invest in additional real estate in our other business lines. Additionally, we have multiple other sources of liquidity that can be utilized in the future, as needed. Refer to the beginning of the Liquidity and Capital Resources section above for additional information regarding our liquidity.
Debt
In January 2021, we repurchased $112 million aggregate principal amount of our 4.25% senior unsecured notes due 2023, $201 million aggregate principal amount of our 4.20% senior unsecured notes due 2024, and $469 million aggregate principal amount of our 3.88% senior unsecured notes due 2024.
In February 2021, we used optional redemption provisions to redeem the remaining $188 million of our 4.25% senior unsecured notes due 2023, $149 million of our 4.20% senior unsecured notes due 2024, and $331 million of our 3.88% senior unsecured notes due 2024.
In April 2021, in conjunction with the acquisition of the MOB Portfolio, we originated $142 million of secured mortgage debt, partially offset by net borrowings underdebt. Additionally, we executed two interest rate cap agreements on the mortgage debt.
In May 2021, we repurchased $252 million aggregate principal amount of our 3.40% senior unsecured notes due 2025 and $298 million aggregate principal amount of our 4.00% senior unsecured notes due 2025.
In July 2021, we completed our inaugural green bond offering, issuing $450 million aggregate principal amount of 1.35% senior unsecured notes due 2027.
In July 2021, we repaid the $250 million outstanding balance on the 2019 Term Loan.
In September 2021, we amended our bank line of credit;credit facility to increase total revolving commitments from $2.5 billion to $3.0 billion and extended the maturity date to January 20, 2026.
paid cash dividends on common stockIn November 2021, we completed a green bond offering, issuing $500 million aggregate principal amount of $695 million.
The following are significant financing activities for the year ended December 31, 2016:
received net proceeds of $1.7 billion from the Spin-Off;
repaid $1.8 billion of debt under our2.125% senior unsecured notes (including debt extinguishment costs) and mortgage debt, partially offset by net borrowingsdue 2028.
In 2021, we increased the maximum aggregate face or principal amount that can be outstanding at any one time under our bank line of credit; and
paid cash dividends on common stock of $980 million.
Debt

commercial paper program from $1.0 billion to $1.5 billion.
See Note 10 in11 to the Consolidated Financial Statements for additional information about our outstanding debt.
See “2018 Transaction Overview” for further information regarding our significant financing activities during the year ended December 31, 2018.

Approximately 98%, 84% 79%and 83%94% of our totalconsolidated debt, inclusive of $43 million, $44 millionexcluding debt classified as liabilities related to assets held for sale and $46 million of variable rate debt swapped to fixed through interest rate swaps,discontinued operations, net, was fixed rate debt as of December 31, 2018, 20172021 and 2016,2020, respectively. At December 31, 2018,2021, our fixed rate debt and variable rate debt had weighted average interest rates of 4.04%3.40% and 2.15%0.59%, respectively. At December 31, 2017,2020, our fixed rate debt and variable rate debt had weighted average interest rates of 4.19%3.85% and 2.56%0.85%, respectively. At December 31, 2016, our fixed rate debtWe had zero and $36 millionof variable rate debt swapped to fixed through interest rate swaps as of December 31, 2021 and 2020, respectively, which is reported in liabilities related to assets held for sale and discontinued operations, net. As of December 31, 2021 and 2020, we had weighted average$142 million and zero, respectively, of variable rate debt subject to interest rates of 4.26% and 2.23%, respectively.rate cap agreements. For a more detailed discussion of our interest rate risk, see “Quantitative“Item 7A, Quantitative and Qualitative Disclosures About Market Risk” in Item 3 below.
Equity

At December 31, 2018,2021, we had 477539 million shares of common stock outstanding, equity totaled $6.5$7.1 billion, and our equity securities had a market value of $13.5$19.7 billion.
At December 31, 2018,2021, non-managing members held an aggregate of fourfive millionunits in fiveseven limited liability companies (“DownREITs”) for which we are the managing member. The DownREIT units are exchangeable for an amount of cash approximating the then-current market value of shares of our common stock or, at our option, shares of our common stock (subject to certain adjustments, such as stock splits and reclassifications). At December 31, 2021, the outstanding DownREIT units were convertible into approximately seven million shares of our common stock.
We renewed our
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At-The-Market Program
In February 2020, we established a new at-the-market equity offering program in(as amended from time to time, the “ATM Program”). In May 2018, pursuant2021, we amended the ATM Program to which we may sellincrease the size of the program from $1.25 billion to $1.5 billion. In addition to the issuance and sale of shares of our common stock, havingwe may also enter into one or more forward sales agreements (each, an aggregate gross sales price of up to $750 million through a consortium of banks acting as“ATM forward contract”) with sales agents or directly tofor the banks acting as principals. sale of our shares of common stock under our ATM Program.
During the year ended December 31, 2018,2021, we issued 5.4utilized the forward provisions under the ATM Program to allow for the sale of an aggregate of 9.1 million shares of our common stock at aan initial weighted average net price of $28.27 for net proceeds$35.25 per share, after commissions. As of $154 December 31, 2021, none of the shares were settled, and therefore, all 9.1 million (gross proceedsshares remained outstanding under ATM forward contracts.
During the year ended December 31, 2021, we did not issue any shares of $156 million, net of $2 million of fees paid to sales agents). our common stock under the ATM Program.
At December 31, 2018, $594 million2021, $1.18 billion of our common stock remained available for sale under the at-the-market program.ATM Program. Actual future sales of our common stock will depend upon a variety of factors, including but not limited to market conditions, the trading price of our common stock, and our capital needs. We have no obligation to sell any of the remaining shares under our at-the-market program.ATM Program.
In December 2018, we entered into a forward equity sales agreementSee Note 13 to sell up to an aggregate of 15.25 million shares ofthe Consolidated Financial Statements for additional information about our common stock (including shares issued through the exercise of underwriters’ options) at an initial net price of $28.60 per share, after underwriting discounts and commissions. The agreement has a one year term and expires on December 13, 2019. The forward sale price that we expect to receive upon settlement of the agreement will be subject to adjustments for: (i) the forward purchasers’ stock borrowing costs and (ii) certain fixed price reductions during the term of the agreement. At December 31, 2018, no shares have been issued under the forward equity sales agreement.ATM Program.
In December 2018, contemporaneous with the forward equity offering discussed above, we completed a public offering of two million shares of common stock at a net price of $28.60 per share, resulting in net proceeds of $57 million.
Shelf Registration

WeIn May 2021, we filed a prospectus with the SEC as part of a registration statement on Form S-3, using an automatic shelf registration process. Our currentThis shelf registration statement expires inon May 2021,13, 2024 and at whichor prior to such time, we expect to file a new shelf registration statement. Under the “shelf” process, we may sell any combination of the securities described in the prospectus through one or more offerings. The securities described in the prospectus include common stock, preferred stock, depositary shares, debt securities and warrants.

Contractual Obligations
The following table summarizes our material contractual payment obligations and commitments at December 31, 2018 (in thousands):
57
 
Total(1)
 2019 2020-2021 2022-2023 
More than
Five Years
Bank line of credit(2)
$80,103
 $
 $80,103
 $
 $
Senior unsecured notes5,300,000
 
 800,000
 1,700,000
 2,800,000
Mortgage debt133,334
 3,561
 14,566
 5,502
 109,705
Construction loan commitments(3)
72,654
 68,365
 4,289
 
 
Development commitments(4)
299,702
 273,625
 26,077
 
 
Ground and other operating leases495,035
 5,597
 11,463
 11,845
 466,130
Interest(5)
1,571,843
 260,860
 453,196
 343,702
 514,085
Total$7,952,671
 $612,008
 $1,389,694
 $2,061,049
 $3,889,920

(1)Excludes $91 million of other debt that represents life care bonds and demand notes that have no scheduled maturities. 
(2)
Includes £55 milliontranslated into USD.
(3)Represents commitments to finance development projects.
(4)Represents construction and other commitments for developments in progress.
(5)Interest on variable-rate debt is calculated using rates in effect at December 31, 2018.

Off-Balance Sheet Arrangements
We own interests in certain unconsolidated joint ventures as described in Note 8 to the Consolidated Financial Statements. Except in limited circumstances, our riskTable of loss is limited to our investment in the joint venture and any outstanding loans receivable. In addition, we have certain properties which serve as collateral for debt that is owed by a previous owner of certain of our facilities, as described under Note 11 to the Consolidated Financial Statements. Our risk of loss for these certain properties is limited to the outstanding debt balance plus penalties, if any. We have no other material off-balance sheet arrangements that we expect would materially affect our liquidity and capital resources except those described above under “Contractual Obligations”.Contents
Inflation
Our leases often provide for either fixed increases in base rents or indexed escalators, based on the Consumer Price Index or other measures, and/or additional rent based on increases in the tenants’ operating revenues. Most of our MOB leases require the tenant to pay a share of property operating costs such as real estate taxes, insurance and utilities. Substantially all of our senior housing triple-net, life science, and remaining other leases require the tenant or operator to pay all of the property operating costs or reimburse us for all such costs. We believe that inflationary increases in expenses will be offset, in part, by the tenant or operator expense reimbursements and contractual rent increases described above.

Non-GAAP Financial MeasureMeasures Reconciliations
Funds From Operations and Funds Available for Distribution

The following is a reconciliation from net income (loss) applicable to common shares, the most directly comparable financial measure calculated and presented in accordance with GAAP, to NAREITNareit FFO, FFO as adjustedAdjusted and FADAFFO (in thousands, except per share data):
Year Ended December 31,
202120202019
Net income (loss) applicable to common shares$502,271 $411,147 $43,987 
Real estate related depreciation and amortization(1)
684,286 697,143 659,989 
Healthpeak's share of real estate related depreciation and amortization from unconsolidated joint ventures17,085 105,090 60,303 
Noncontrolling interests' share of real estate related depreciation and amortization(19,367)(19,906)(20,054)
Other real estate-related depreciation and amortization— 2,766 6,155 
Loss (gain) on sales of depreciable real estate, net(1)
(605,311)(550,494)(22,900)
Healthpeak's share of loss (gain) on sales of depreciable real estate, net, from unconsolidated joint ventures(6,737)(9,248)(2,118)
Noncontrolling interests' share of gain (loss) on sales of depreciable real estate, net5,555 (3)335 
Loss (gain) upon change of control, net(2)
(1,042)(159,973)(166,707)
Taxes associated with real estate dispositions2,666 (7,785)— 
Impairments (recoveries) of depreciable real estate, net25,320 224,630 221,317 
Nareit FFO applicable to common shares604,726 693,367 780,307 
Distributions on dilutive convertible units and other6,162 6,662 6,592 
Diluted Nareit FFO applicable to common shares$610,888 $700,029 $786,899 
Weighted average shares outstanding - diluted Nareit FFO544,742 536,562 494,335 
Impact of adjustments to Nareit FFO:
Transaction-related items(3)
$7,044 $128,619 $15,347 
Other impairments (recoveries) and other losses (gains), net(4)
24,238 (22,046)10,147 
Restructuring and severance related charges3,610 2,911 5,063 
Loss (gain) on debt extinguishments225,824 42,912 58,364 
Litigation costs (recoveries)— 232 (520)
Casualty-related charges (recoveries), net5,203 469 (4,106)
Foreign currency remeasurement losses (gains)— 153 (250)
Valuation allowance on deferred tax assets(5)
— 31,161 — 
Tax rate legislation impact(6)
— (3,590)— 
Total adjustments$265,919 $180,821 $84,045 
FFO as Adjusted applicable to common shares$870,645 $874,188 $864,352 
Distributions on dilutive convertible units and other8,577 6,490 6,396 
Diluted FFO as Adjusted applicable to common shares$879,222 $880,678 $870,748 
Weighted average shares outstanding - diluted FFO as Adjusted546,567 536,562 494,335 
FFO as Adjusted applicable to common shares$870,645 $874,188 $864,352 
Amortization of stock-based compensation18,202 17,368 14,790 
Amortization of deferred financing costs9,216 10,157 10,863 
Straight-line rents(31,188)(29,316)(28,451)
AFFO capital expenditures(111,480)(93,579)(108,844)
CCRC entrance fees(7)
— — 18,856 
Deferred income taxes(8,015)(15,647)(18,972)
Other AFFO adjustments(19,510)9,534 (6,774)
AFFO applicable to common shares727,870 772,705 745,820 
Distributions on dilutive convertible units and other6,164 6,662 6,591 
Diluted AFFO applicable to common shares$734,034 $779,367 $752,411 
Weighted average shares outstanding - diluted AFFO544,742 536,562 494,335 
58

 Year Ended December 31,
 2018 2017 2016 2015 2014
Net income (loss) applicable to common shares$1,058,424
 $413,013
 $626,549
 $(560,552) $919,796
Real estate related depreciation and amortization549,499
 534,726
 572,998
 510,785
 459,995
Real estate related depreciation and amortization on unconsolidated joint ventures63,967
 60,058
 49,043
 48,188
 21,303
Real estate related depreciation and amortization on noncontrolling interests and other(11,795) (15,069) (21,001) (14,506) (8,027)
Other real estate-related depreciation and amortization6,977
 9,364
 11,919
 22,223
 18,864
Loss (gain) on sales of real estate, net(925,985) (356,641) (164,698) (6,377) (31,298)
Loss (gain) on sales of real estate, net on unconsolidated joint ventures
 (1,430) (16,332) (15,003) 
Loss (gain) on sales of real estate, net on noncontrolling interests
 
 224
 1,453
 1,001
Loss (gain) upon consolidation of real estate, net(1)
(9,154) 
 
 
 
Taxes associated with real estate dispositions(2)
3,913
 (5,498) 60,451
 
 
Impairments (recoveries) of depreciable real estate, net44,343
 22,590
 
 2,948
 
NAREIT FFO applicable to common shares780,189
 661,113
 1,119,153
 (10,841) 1,381,634
Distributions on dilutive convertible units
 
 8,732
 
 13,799
Diluted NAREIT FFO applicable to common shares$780,189
 $661,113
 $1,127,885
 $(10,841) $1,395,433
Weighted average shares outstanding - diluted NAREIT FFO470,719
 468,935
 471,566
 462,795
 464,845
Impact of adjustments to NAREIT FFO:         
Transaction-related items(3)
$11,029
 $62,576
 $96,586
 $32,932
 $(18,856)
Other impairments (recoveries) and losses (gains), net(4)
7,619
 92,900
 
 1,446,800
 35,913
Severance and related charges(5)
13,906
 5,000
 16,965
 6,713
 
Loss on debt extinguishments(6)
44,162
 54,227
 46,020
 
 
Litigation costs (recoveries)(7)
363
 15,637
 3,081
 
 
Casualty-related charges (recoveries), net
 10,964
 
 
 
Foreign currency remeasurement losses (gains)(35) (1,043) 585
 (5,437) 
Tax rate legislation impact(8)

 17,028
 
 
 
 $77,044
 $257,289
 $163,237
 $1,481,008
 $17,057
          
FFO as adjusted applicable to common shares$857,233
 $918,402
 $1,282,390
 $1,470,167
 $1,398,691
Distributions on dilutive convertible units and other(198) 6,657
 12,849
 13,597
 13,766
Diluted FFO as adjusted applicable to common shares$857,035
 $925,059
 $1,295,239
 $1,483,764
 $1,412,457
Weighted average shares outstanding - diluted FFO as adjusted470,719
 473,620
 473,340
 469,064
 464,845
          
FFO as adjusted applicable to common shares$857,233
 $918,402
 $1,282,390
 $1,470,167
 $1,398,691
Amortization of deferred compensation(9)
14,714
 13,510
 15,581
 23,233
 21,885
Amortization of deferred financing costs12,612
 14,569
 20,014
 20,222
 19,260
Straight-line rents(23,138) (23,933) (27,560) (38,415) (43,857)
FAD capital expenditures(106,193) (113,471) (88,953) (82,072) (74,464)
Lease restructure payments1,195
 1,470
 16,604
 22,657
 9,425
CCRC entrance fees(10)
17,880
 21,385
 21,287
 27,895
 11,121
Deferred income taxes(11)
(18,744) (15,490) (13,692) (15,281) (4,580)
Other FAD adjustments(12)
(9,162) (12,722) (9,975) (166,557) (158,659)
FAD applicable to common shares746,397
 803,720
 1,215,696
 1,261,849
 1,178,822
Distributions on dilutive convertible units
 
 13,088
 14,230
 13,799
Diluted FAD applicable to common shares$746,397
 $803,720
 $1,228,784
 $1,276,079
 $1,192,621
Weighted average shares outstanding - diluted FAD470,719
 468,935
 473,340
 469,064
 464,845
Year Ended December 31,
202120202019
Diluted earnings per common share$0.93 $0.77 $0.09 
Depreciation and amortization1.25 1.47 1.43 
Loss (gain) on sales of depreciable real estate, net(1.11)(1.05)(0.04)
Loss (gain) upon change of control, net(2)
— (0.30)(0.34)
Taxes associated with real estate dispositions— (0.01)— 
Impairments (recoveries) of depreciable real estate, net0.05 0.42 0.45 
Diluted Nareit FFO per common share$1.12 $1.30 $1.59 
Transaction-related items(3)
0.01 0.24 0.03 
Other impairments (recoveries) and other losses (gains), net(4)
0.04 (0.04)0.02 
Restructuring and severance related charges0.01 0.01 0.01 
Loss (gain) on debt extinguishments0.42 0.08 0.12 
Litigation costs (recoveries)— 0.00 0.00 
Casualty-related charges (recoveries), net0.01 0.00 (0.01)
Valuation allowance on deferred tax assets(5)
— 0.06 — 
Tax rate legislation impact(6)
— (0.01)— 
Diluted FFO as Adjusted per common share$1.61 $1.64 $1.76 
________________________________

(1)This amount can be reconciled by combining the balances from the corresponding line of the Consolidated Statements of Operations and the detailed financial information for discontinued operations in Note 5 to the Consolidated Financial Statements.
(2)For the year ended December 31, 2020, includes a $170 million gain upon consolidation of 13 CCRCs in which we acquired Brookdale's interest and began consolidating during the first quarter of 2020. For the year ended December 31, 2019, includes a $161 million gain upon deconsolidation of 19 previously consolidated senior housing assets that were contributed into a new unconsolidated senior housing joint venture with a sovereign wealth fund. Gains and losses upon change of control are included in other income (expense), net in the Consolidated Statements of Operations.
 Year Ended December 31,
 2018 2017 2016 2015 2014
Diluted earnings per common share$2.24
 $0.88
 $1.34
 $(1.21) $2.00
Depreciation and amortization1.30
 1.25
 1.30
 1.22
 1.07
Loss (gain) on sales of real estate, net(1.96) (0.76) (0.38) (0.04) (0.07)
Loss (gain) upon consolidation of real estate, net(1)
(0.02) 
 
 
 
Taxes associated with real estate dispositions(2)
0.01
 (0.01) 0.13
 
 
Impairments (recoveries) of depreciable real estate, net0.09
 0.05
 
 0.01
 
Diluted NAREIT FFO per common share$1.66
 $1.41
 $2.39
 $(0.02) $3.00
Transaction-related items(3)
0.02
 0.13
 0.20
 0.07
 (0.04)
Other impairments (recoveries) and losses (gains), net(4)
0.02
 0.20
 
 3.11
 0.08
Severance and related charges(5)
0.03
 0.01
 0.04
 0.01
 
Loss on debt extinguishments(6)
0.09
 0.11
 0.10
 
 
Litigation costs (recoveries)(7)

 0.03
 0.01
 
 
Casualty-related charges (recoveries), net
 0.02
 
 
 
Foreign currency remeasurement losses (gains)
 
 
 (0.01) 
Tax rate legislation impact(8)

 0.04
 
 
 
Diluted FFO as adjusted per common share$1.82
 $1.95
 $2.74
 $3.16
 $3.04
(3)For the year ended December 31, 2020, includes the termination fee and transition fee expenses related to terminating the management agreements with Brookdale for 13 CCRCs and transitioning those communities to Life Care Services LLC, partially offset by the tax benefit recognized related to those expenses. The expenses related to terminating management agreements are included in operating expenses in the Consolidated Statements of Operations.

(1)For the year ended December 31, 2018, represents the gain related to the acquisition of our partner's interests in four previously unconsolidated life science assets, partially offset by the loss on consolidation of seven U.K. care homes.
(2)For the year ended December 31, 2016, represents income tax expense associated with the state built-in gain tax payable upon the disposition of specific real estate assets, of which $49 million relates to the HCRMC real estate portfolio.
(3)For the year ended December 31, 2017, includes $55 million of net non-cash charges related to the right to terminate certain triple-net leases and management agreements in conjunction with the 2017 Brookdale Transactions. For the year ended December 31, 2016, primarily relates to the Spin-Off. For the year ended December 31, 2015, primarily related to acquisition and pursuit costs. For the year ended December 31, 2014, includes a net benefit from the 2014 Brookdale transaction, partially offset by acquisition and pursuit costs.
(4)For the year ended December 31, 2018, primarily relates to the impairment of an undeveloped life science land parcel classified as held for sale. For the year ended December 31, 2017, relates to $144 million of impairments on our Tandem Mezzanine Loan, net of a $51 million impairment recovery upon the sale of our Four Seasons Notes. For the year ended December 31, 2015, include impairment charges of: (i) $1.3 billion related to our HCRMC DFL investments, (ii) $112 million related to our Four Seasons Notes and (iii) $46 million related to our equity investment in HCRMC, partially offset by an impairment recovery of $6 million related to a loan payoff. For the year ended December 31, 2014, relates to our equity investment in HCRMC. 
(5)For the year ended December 31, 2018, primarily relates to the departure of our former Executive Chairman and corporate restructuring activities. For the year ended December 31, 2017, primarily relates to the departure of our former Chief Accounting Officer. For the year ended December 31, 2016, primarily relates to the departure of our former President and Chief Executive Officer. For the year ended December 31, 2015, relates to the departure of our former Chief Investment Officer.
(6)For the year ended December 31, 2018, represents the premium associated with the prepayment of $750 million of senior unsecured notes. For the year ended December 31, 2017, represents the premium associated with the prepayment of $500 million of senior unsecured notes. For the year ended December 31, 2016, represents penalties of $46 million from the prepayment of $1.1 billion of senior unsecured notes and $108 million of mortgage debt using proceeds from the Spin-Off.
(7)For the year ended December 31, 2017, relates to costs from securities class action litigation and a legal settlement. For the year ended December 31, 2016, primarily relates to costs from securities class action litigation. See Note 11 in the Consolidated Financial Statements for additional information.
(8)Represents the remeasurement of deferred tax assets and liabilities as a result of the Tax Cuts and Jobs Act that was signed into legislation on December 22, 2017.
(9)Excludes amounts related to the acceleration of deferred compensation for restricted stock units and/or stock options that vested upon the departure of certain former individuals, which have already been excluded from FFO as adjusted in severance and related charges. For the year ended December 31, 2018, excludes $2 million upon the departure of our former Executive Chairman. For the year ended December 31, 2017, excludes $0.7 million related to the departure of our former Chief Accounting Officer. For the year ended December 31, 2016, excludes $7 million related to the departure of our former President and Chief Executive Officer. For the year ended December 31, 2015, excludes $3 million related to the departure of our former Chief Investment Officer.
(10)Represents our 49% share of non-refundable entrance fees as the fees are collected by our CCRC JV, net of reserves and CCRC JV entrance fee amortization.
(11)Excludes $17 million of deferred tax expenses, which is included in tax rate legislation impact for the year ended December 31, 2017. Additionally, the year ended December 31, 2017, excludes $1 million of deferred tax benefit from the casualty-related charges, which is included in casualty-related charges (recoveries), net.
(12)Our equity investment in HCRMC was accounted for using the equity method, which required an elimination of DFL income that is proportional to our ownership in HCRMC. Further, our share of earnings from HCRMC (equity income) increased for the corresponding elimination of related lease expense recognized at the HCRMC entity level, which we presented as a non-cash joint venture FAD adjustment. Beginning in January 2016, as a result of placing our equity investment in HCRMC on a cash basis method of accounting, we no longer eliminated our proportional ownership share of income from DFLs to equity income (loss) from unconsolidated joint ventures. See Note 5 to the Consolidated Financial Statements for additional discussion.

(4)For the year ended December 31, 2021, includes a $29 million goodwill impairment charge in connection with our senior housing triple-net and SHOP asset sales, which are reported in income (loss) from discontinued operations in the Consolidated Statements of Operations. The year ended December 31, 2021 also includes $6 million of accelerated recognition of a mark-to-market discount, less loan fees, resulting from prepayments on loans receivable, which is included in interest income in the Consolidated Statements of Operations. For the year ended December 31, 2020, includes a $42 million gain on sale of a hospital that was in a DFL, which is included in other income (expense), net in the Consolidated Statements of Operations. The remaining activity for the years ended December 31, 2021 and 2020 includes reserves for loan losses and land impairments recognized in impairments and loan loss reserves (recoveries), net in the Consolidated Statements of Operations. For the year ended December 31, 2019, represents the impairment of 13 senior housing triple-net facilities under DFLs recognized as a result of entering into sales agreements.
(5)In conjunction with establishing a plan during the year ended December 31, 2020 to dispose of all of our SHOP assets and classifying such assets as discontinued operations, we concluded it was more likely than not that we would no longer realize the future value of certain deferred tax assets generated by the net operating losses of our taxable REIT subsidiary entities. Accordingly, during the year ended December 31, 2020, we recognized an associated valuation allowance and corresponding income tax expense.
(6)For the year ended December 31, 2020, represents the tax benefit from the CARES Act, which extended the net operating loss carryback period to five years.
(7)In connection with the acquisition of the remaining 51% interest in the CCRC JV in January 2020, we consolidated the 13 communities in the CCRC JV and recorded the assets and liabilities at their acquisition date relative fair values, including the CCRC contract liabilities associated with previously collected non-refundable entrance fees. In conjunction with increasing those CCRC contract liabilities to their fair value, we concluded that we will no longer adjust for the timing difference between non-refundable entrance fees collected and amortized as we believe the amortization of these fees is a meaningful representation of how we satisfy the performance obligations of the fees. As such, upon consolidation of the CCRC assets, we no longer exclude the difference between CCRC entrance fees collected and amortized from the calculation of AFFO. For comparative periods presented, the adjustment continues to represent our 49% share of non-refundable entrance fees collected by the CCRC JV, net of reserves and net of CCRC JV entrance fee amortization.
Critical Accounting PoliciesEstimates
The preparation of financial statements in conformity with U.S. GAAP requires our management to use judgment in the application of critical accounting policies, including making estimates and assumptions. We base estimates on the best information available to us at the time, our experience and on various other assumptions believed to be reasonable under the circumstances. These estimates affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities at the date of the financial statements, and the reported amounts of revenue and expenses during the reporting periods. If our judgment or interpretation of the facts and circumstances relating to various transactions or other matters had been different, it is possible that different accounting would have been applied, resulting in a different presentation of our consolidated financial statements. From time to time, we re-evaluate our estimates and assumptions. In the event estimates or assumptions prove to be different from actual results, adjustments are made in subsequent periods to reflect more current estimates and assumptions about matters that are inherently uncertain. For a more detailed discussion of our significant accounting policies, see Note 2 to the Consolidated Financial Statements. Below is a discussion of accounting policiesestimates that we consider critical in that they may require complex judgment in their application or require estimates about matters that are inherently uncertain. For a more detailed discussion of our significant accounting policies, see Note 2 to the Consolidated Financial Statements.
Principles
59

Real Estate
We make estimates as part of our process for allocating a purchase price to the various identifiable assets and liabilities of an acquisition based upon the relative fair value of each asset or liability. The most significant components of our allocations are typically buildings as-if-vacant, land, and lease intangibles. In the case of allocating fair value to buildings and intangibles, our fair value estimates will affect the amount of depreciation and amortization we record over the estimated useful life of each asset acquired. In the case of allocating fair value to in-place leases, we make our best estimates based on our evaluation of the specific characteristics of each tenant’s lease. Factors considered include estimates of carrying costs during hypothetical expected lease-up periods, market conditions, and costs to execute similar leases. Our assumptions affect the amount of future revenue and/or depreciation and amortization expense that we will recognize over the remaining useful life for the acquired in-place leases.
Impairment of Long-Lived Assets
We assess the carrying value of our real estate assets and related intangibles (“real estate assets”) when events or changes in circumstances indicate that the carrying value may not be recoverable. Recoverability of real estate assets is measured by comparing the carrying amount of the real estate assets to the respective estimated future undiscounted cash flows. The expected future undiscounted cash flows reflect external market factors and are probability-weighted to reflect multiple possible cash-flow scenarios, including selling the assets at various points in the future. Additionally, the estimated future undiscounted cash flows are calculated utilizing the lowest level of identifiable cash flows that are largely independent of the cash flows of other assets and liabilities. In order to review our real estate assets for recoverability, we make assumptions regarding external market conditions (including capitalization rates and growth rates), forecasted cash flows and sales prices, and our intent with respect to holding or disposing of the asset. If our analysis indicates that the carrying value of the real estate assets is not recoverable on an undiscounted cash flow basis, we recognize an impairment charge for the amount by which the carrying value exceeds the fair value of the real estate asset.
Determining the fair value of real estate assets, including assets classified as held for sale, involves significant judgment and generally utilizes market capitalization rates, comparable market transactions, estimated per unit or per square foot prices, negotiations with prospective buyers, and forecasted cash flows (lease revenue rates, expense rates, growth rates, etc.). Our ability to accurately predict future operating results and resulting cash flows, and estimate fair values, impacts the timing and recognition of impairments. While we believe our assumptions are reasonable, changes in these assumptions may have a material impact on our consolidated financial statements.
Recent Accounting Pronouncements
See Note 2 to the Consolidated Financial Statements for the impact of new accounting standards.
ITEM 7A.    Quantitative and Qualitative Disclosures About Market Risk
We are exposed to various market risks, including the potential loss arising from adverse changes in interest rates. We use derivative and other financial instruments in the normal course of business to mitigate interest rate risk. We do not use derivative financial instruments for speculative or trading purposes. Derivatives are recorded on the Consolidated Balance Sheets at fair value (see Note 22 to the Consolidated Financial Statements).
Interest Rate Risk
At December 31, 2021, our exposure to interest rate risk was primarily on our variable rate debt. At December 31, 2021, $142 million of our variable-rate debt was subject to interest rate cap agreements. The interest rate caps are non-designated hedges and manage our exposure to variable cash flows on certain mortgage debt borrowings by limiting interest rates. At December 31, 2021, both the fair value and carrying value of the interest rate caps were$0.4 million.
60

Our remaining variable rate debt at December 31, 2021 was comprised of our bank line of credit, commercial paper program, and certain of our mortgage debt. Interest rate fluctuations will generally not affect our future earnings or cash flows on our fixed rate debt and assets until their maturity or earlier prepayment and refinancing. If interest rates have risen at the time we seek to refinance our fixed rate debt, whether at maturity or otherwise, our future earnings and cash flows could be adversely affected by additional borrowing costs. Conversely, lower interest rates at the time of refinancing may reduce our overall borrowing costs. However, interest rate changes will affect the fair value of our fixed rate instruments. At December 31, 2021, a one percentage point increase or decrease in interest rates would change the fair value of our fixed rate debt by approximately $309 million and $335 million, respectively, and would not materially impact earnings or cash flows. Additionally, a one percentage point increase or decrease in interest rates would change the fair value of our fixed rate debt investments by approximately $2 million and would not materially impact earnings or cash flows. Conversely, changes in interest rates on variable rate debt and investments would change our future earnings and cash flows, but not materially impact the fair value of those instruments. Assuming a one percentage point change in the interest rate related to our variable-rate debt and investments, and assuming no other changes in the outstanding balance at December 31, 2021, our annual interest expense would increase by approximately $13 million.
Market Risk
We have investments in marketable debt securities classified as held-to-maturity because we have the positive intent and ability to hold the securities to maturity. Held-to-maturity securities are recorded at amortized cost and adjusted for the amortization of premiums and discounts through maturity. We consider a variety of factors in evaluating an other-than-temporary decline in value, such as: the length of time and the extent to which the market value has been less than our current adjusted carrying value; the issuer’s financial condition, capital strength, and near-term prospects; any recent events specific to that issuer and economic conditions of its industry; and our investment horizon in relationship to an anticipated near-term recovery in the market value, if any. At December 31, 2021, both the fair value and carrying value of marketable debt securities was $21 million.
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ITEM 8.    Financial Statements and Supplementary Data
Healthpeak Properties, Inc.
Index to Consolidated Financial Statements

62

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
To the stockholders and the Board of Directors of Healthpeak Properties, Inc.
Opinion on the Financial Statements
We have audited the accompanying Consolidated Balance Sheets of Healthpeak Properties, Inc. and subsidiaries (the "Company") as of December 31, 2021 and 2020, the related Consolidated Statements of Operations, Comprehensive Income (Loss), Equity and Redeemable Noncontrolling Interests, and Cash Flows, for each of the three years in the period ended December 31, 2021, and the related Notes and the schedules listed in the Index at Item 15 (collectively referred to as the "financial statements"). In our opinion, the financial statements present fairly, in all material respects, the financial position of the Company as of December 31, 2021 and 2020, and the results of its operations and its cash flows for each of the three years in the period ended December 31, 2021, in conformity with accounting principles generally accepted in the United States of America.
We have also audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (PCAOB), the Company's internal control over financial reporting as of December 31, 2021, based on criteria established in Internal Control — Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission and our report dated February 9, 2022, expressed an unqualified opinion on the Company's internal control over financial reporting.
Basis for Opinion
These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on the Company's financial statements based on our audits. We are a public accounting firm registered with the PCAOB and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement, whether due to error or fraud. Our audits included performing procedures to assess the risks of material misstatement of the financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements. Our audits also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the financial statements. We believe that our audits provide a reasonable basis for our opinion.
Critical Audit Matter
The critical audit matter communicated below is a matter arising from the current-period audit of the financial statements that was communicated or required to be communicated to the audit committee and that (1) relates to accounts or disclosures that are material to the financial statements and (2) involved our especially challenging, subjective, or complex judgments. The communication of critical audit matters does not alter in any way our opinion on the financial statements, taken as a whole, and we are not, by communicating the critical audit matter below, providing a separate opinion on the critical audit matter or on the accounts or disclosures to which it relates.
Impairments – Real Estate — Refer to Notes 2 and 6 to the financial statements
Critical Audit Matter Description
The Company’s evaluation of impairment of real estate involves an assessment of the carrying value of real estate assets and related intangibles (“real estate assets”) when events or changes in circumstances indicate that the carrying value may not be recoverable.
Auditing the Company’s process to evaluate real estate assets for impairment was complex due to the subjectivity in determining whether impairment indicators were present. Additionally, for real estate assets where indicators of impairment were determined to be present, the determination of the future undiscounted cash flows involved significant judgment. In particular, the undiscounted cash flows were forecasted based on significant assumptions such as lease-up periods, lease rates, operating expenses, revenue and expense growth rates, etc., and included judgments around the intended hold period and terminal capitalization rates.
Given the Company’s evaluation of impairment indicators, future cash flows and forecasted sales price of a long lived asset requires management to make significant estimates and assumptions related to market capitalization rates, comparable market transactions, and/or forecasted cash flow streams, performing audit procedures required a high degree of auditor judgment and an increased extent of effort.
63

How the Critical Audit Matter Was Addressed in the Audit
Our audit procedures related to real estate asset impairment included the following, among others:
We tested the effectiveness of controls over impairment of real estate assets, including those over impairment indicators and the determination of future undiscounted cash flows and forecasted sales price for real estate assets.
We performed an independent search for impairment indicators through the evaluation of several factors including an analysis of industry and market data, a comparison of property implied capitalization rates to market capitalization rates, and trends in financial performance.
For real estate assets where indicators of impairment were determined to be present, we subjected a sample of undiscounted cash flow models to testing by (1) evaluating the source information used by management, (2) testing the mathematical accuracy of the undiscounted cash flow models, (3) evaluating management’s intended hold period, and (4) performing an independent recoverability test based on market data.
/s/ DELOITTE & TOUCHE LLP
Costa Mesa, California
February 9, 2022
We have served as the Company's auditor since 2010.

64

Healthpeak Properties, Inc.
CONSOLIDATED BALANCE SHEETS
(In thousands, except share and per share data)
December 31,
20212020
ASSETS
Real estate:
Buildings and improvements$12,025,271 $11,048,433 
Development costs and construction in progress877,423 613,182 
Land2,603,964 1,867,278 
Accumulated depreciation and amortization(2,839,229)(2,409,135)
Net real estate12,667,429 11,119,758 
Net investment in direct financing leases44,706 44,706 
Loans receivable, net of reserves of $1,813 and $10,280
415,811 195,375 
Investments in and advances to unconsolidated joint ventures403,634 402,871 
Accounts receivable, net of allowance of $1,870 and $3,99448,691 42,269 
Cash and cash equivalents158,287 44,226 
Restricted cash53,454 67,206 
Intangible assets, net519,760 519,917 
Assets held for sale and discontinued operations, net37,190 2,626,306 
Right-of-use asset, net233,942 192,349 
Other assets, net674,615 665,106 
Total assets$15,257,519 $15,920,089 
LIABILITIES AND EQUITY
Bank line of credit and commercial paper$1,165,975 $129,590 
Term loan— 249,182 
Senior unsecured notes4,651,933 5,697,586 
Mortgage debt352,081 221,621 
Intangible liabilities, net177,232 144,199 
Liabilities related to assets held for sale and discontinued operations, net15,056 415,737 
Lease liability204,547 179,895 
Accounts payable, accrued liabilities, and other liabilities755,384 760,617 
Deferred revenue789,207 774,316 
Total liabilities8,111,415 8,572,743 
Commitments and contingencies (Note 12)00
Redeemable noncontrolling interests87,344 57,396 
Common stock, $1.00 par value: 750,000,000 shares authorized; 539,096,879 and 538,405,393 shares issued and outstanding539,097 538,405 
Additional paid-in capital10,100,294 10,175,235 
Cumulative dividends in excess of earnings(4,120,774)(3,976,232)
Accumulated other comprehensive income (loss)(3,147)(3,685)
Total stockholders’ equity6,515,470 6,733,723 
Joint venture partners342,234 357,069 
Non-managing member unitholders201,056 199,158 
Total noncontrolling interests543,290 556,227 
Total equity7,058,760 7,289,950 
Total liabilities and equity$15,257,519 $15,920,089 

See accompanying Notes to Consolidated Financial Statements.
65

Healthpeak Properties, Inc.
CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands, except per share data)
Year Ended December 31,
202120202019
Revenues:
Rental and related revenues$1,378,384 $1,182,108 $1,069,502 
Resident fees and services471,325 436,494 144,327 
Income from direct financing leases8,702 9,720 16,666 
Interest income37,773 16,553 9,844 
Total revenues1,896,184 1,644,875 1,240,339 
Costs and expenses:
Interest expense157,980 218,336 217,612 
Depreciation and amortization684,286 553,949 435,191 
Operating773,279 782,541 405,244 
General and administrative98,303 93,237 92,966 
Transaction costs1,841 18,342 1,963 
Impairments and loan loss reserves (recoveries), net23,160 42,909 17,708 
Total costs and expenses1,738,849 1,709,314 1,170,684 
Other income (expense):   
Gain (loss) on sales of real estate, net190,590 90,350 (40)
Gain (loss) on debt extinguishments(225,824)(42,912)(58,364)
Other income (expense), net6,266 234,684 165,069 
Total other income (expense), net(28,968)282,122 106,665 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures128,367 217,683 176,320 
Income tax benefit (expense)3,261 9,423 5,479 
Equity income (loss) from unconsolidated joint ventures6,100 (66,599)(6,330)
Income (loss) from continuing operations137,728 160,507 175,469 
Income (loss) from discontinued operations388,202 267,746 (115,408)
Net income (loss)525,930 428,253 60,061 
Noncontrolling interests’ share in continuing operations(17,851)(14,394)(14,558)
Noncontrolling interests’ share in discontinued operations(2,539)(296)27 
Net income (loss) attributable to Healthpeak Properties, Inc.505,540 413,563 45,530 
Participating securities’ share in earnings(3,269)(2,416)(1,543)
Net income (loss) applicable to common shares$502,271 $411,147 $43,987 
Basic earnings (loss) per common share:
Continuing operations$0.22 $0.27 $0.33 
Discontinued operations0.71 0.50 (0.24)
Net income (loss) applicable to common shares$0.93 $0.77 $0.09 
Diluted earnings (loss) per common share:
Continuing operations$0.22 $0.27 $0.33 
Discontinued operations0.71 0.50 (0.24)
Net income (loss) applicable to common shares$0.93 $0.77 $0.09 
Weighted average shares outstanding:
Basic538,930 530,555 486,255 
Diluted539,241 531,056 489,335 
See accompanying Notes to Consolidated Financial Statements.
66

Healthpeak Properties, Inc.
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
(In thousands)
Year Ended December 31,
202120202019
Net income (loss)$525,930 $428,253 $60,061 
Other comprehensive income (loss):
Net unrealized gains (losses) on derivatives332 (583)758 
Reclassification adjustment realized in net income (loss)(251)13 1,023 
Change in Supplemental Executive Retirement Plan obligation and other457 (258)(590)
Foreign currency translation adjustment— — 660 
Total other comprehensive income (loss)538 (828)1,851 
Total comprehensive income (loss)526,468 427,425 61,912 
Total comprehensive (income) loss attributable to noncontrolling interests’ share in continuing operations(17,851)(14,394)(14,558)
Total comprehensive (income) loss attributable to noncontrolling interests’ share in discontinued operations(2,539)(296)27 
Total comprehensive income (loss) attributable to Healthpeak Properties, Inc.$506,078 $412,735 $47,381 
See accompanying Notes to Consolidated Financial Statements.
67

Healthpeak Properties, Inc.
CONSOLIDATED STATEMENTS OF EQUITY AND REDEEMABLE NONCONTROLLING INTERESTS
(In thousands, except per share data)
Common Stock
SharesAmountAdditional
Paid-In
Capital
Cumulative Dividends In Excess
Of Earnings
Accumulated Other
Comprehensive
Income (Loss)
Total
Stockholders’
Equity
Noncontrolling
Interests
Total
Equity
Redeemable Noncontrolling Interests
December 31, 2018477,496 $477,496 $8,398,847 $(2,927,196)$(4,708)$5,944,439 $568,152 $6,512,591 $— 
Impact of adoption of ASU No. 2016-02(1)
— — — 590 — 590 — 590 — 
January 1, 2019477,496 $477,496 $8,398,847 $(2,926,606)$(4,708)$5,945,029 $568,152 $6,513,181 $— 
Net income (loss)— — — 45,530 — 45,530 14,531 60,061 — 
Other comprehensive income (loss)— — — — 1,851 1,851 — 1,851 — 
Issuance of common stock, net27,523 27,523 763,525 — — 791,048 — 791,048 — 
Conversion of DownREIT units to common stock213 213 4,932 — — 5,145 (5,145)— — 
Repurchase of common stock(162)(162)(4,881)— — (5,043)— (5,043)— 
Exercise of stock options152 152 4,386 — — 4,538 — 4,538 — 
Amortization of stock-based compensation— — 18,162 — — 18,162 — 18,162 — 
Common dividends ($1.48 per share)— — — (720,123)— (720,123)— (720,123)— 
Distributions to noncontrolling interests— — — — — — (28,301)(28,301)(22)
Issuances of noncontrolling interests— — — — — — 33,318 33,318 — 
Contributions from noncontrolling interests— — — — — — — — 2,513 
Purchase of noncontrolling interests— — (1,079)— — (1,079)(139)(1,218)— 
Adjustments to redemption value of redeemable noncontrolling interests— — (8,615)— — (8,615)— (8,615)8,615 
December 31, 2019505,222 $505,222 $9,175,277 $(3,601,199)$(2,857)$6,076,443 $582,416 $6,658,859 $11,106 
Impact of adoption of ASU No. 2016-13(2)
— — — (1,524)— (1,524)— (1,524)— 
January 1, 2020505,222 $505,222 $9,175,277 $(3,602,723)$(2,857)$6,074,919 $582,416 $6,657,335 $11,106 
Net income (loss)— — — 413,563 — 413,563 14,690 428,253 — 
Other comprehensive income (loss)— — — — (828)(828)— (828)— 
Issuance of common stock, net33,307 33,307 1,033,764 — — 1,067,071 — 1,067,071 — 
Conversion of DownREIT units to common stock120 120 3,957 — — 4,077 (4,077)— — 
Repurchase of common stock(298)(298)(10,231)— — (10,529)— (10,529)— 
Exercise of stock options54 54 1,752 — — 1,806 — 1,806 — 
Amortization of stock-based compensation— — 20,534 — — 20,534 — 20,534 — 
Common dividends ($1.48 per share)— — — (787,072)— (787,072)— (787,072)— 
Distributions to noncontrolling interests— — — — — — (36,994)(36,994)(160)
Contributions from noncontrolling interests— — — — — — — — 443 
Purchase of noncontrolling interests— — (3,811)— — (3,811)192 (3,619)— 
Adjustments to redemption value of redeemable noncontrolling interests— — (46,007)— — (46,007)— (46,007)46,007 
December 31, 2020538,405 $538,405 $10,175,235 $(3,976,232)$(3,685)$6,733,723 $556,227 $7,289,950 $57,396 
68

Healthpeak Properties, Inc.
CONSOLIDATED STATEMENTS OF EQUITY AND REDEEMABLE NONCONTROLLING INTERESTS (CONTINUED)
(In thousands, except per share data)
Common Stock
SharesAmountAdditional
Paid-In
Capital
Cumulative Dividends In Excess
Of Earnings
Accumulated Other
Comprehensive
Income (Loss)
Total
Stockholders’
Equity
Noncontrolling
Interests
Total
Equity
Redeemable Noncontrolling Interests
December 31, 2020538,405 $538,405 $10,175,235 $(3,976,232)$(3,685)$6,733,723 $556,227 $7,289,950 $57,396 
Net income (loss)— — — 505,540 — 505,540 20,346 525,886 44 
Other comprehensive income (loss)— — — — 538 538 — 538 — 
Issuance of common stock, net1,005 1,005 740 — — 1,745 — 1,745 — 
Conversion of DownREIT units to common stock193 — — 201 (201)— — 
Repurchase of common stock(418)(418)(12,423)— — (12,841)— (12,841)— 
Exercise of stock options97 97 3,194 — — 3,291 — 3,291 — 
Amortization of stock-based compensation— — 22,851 — — 22,851 — 22,851 — 
Common dividends ($1.20 per share)— — — (650,082)— (650,082)— (650,082)— 
Distributions to noncontrolling interests— — — — — — (33,017)(33,017)(162)
Purchase of noncontrolling interests— — (5)— — (5)(65)(70)(60,065)
Contributions from noncontrolling interests— — — — — — — — 640 
Adjustments to redemption value of redeemable noncontrolling interests— — (89,491)— — (89,491)— (89,491)89,491 
December 31, 2021539,097 $539,097 $10,100,294 $(4,120,774)$(3,147)$6,515,470 $543,290 $7,058,760 $87,344 

(1)On January 1, 2019, the Company adopted a series of Accounting Standards Updates (“ASUs”) related to accounting for leases, and recognized the cumulative-effect of adoption to beginning retained earnings. Refer to Note 2 for a detailed impact of adoption.
(2)On January 1, 2020, the Company adopted a series of ASUs related to accounting for credit losses and recognized the cumulative-effect of adoption to beginning retained earnings. Refer to Note 2 for a detailed impact of adoption.
See accompanying Notes to Consolidated Financial Statements.
69

Healthpeak Properties, Inc.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)
Year Ended December 31,
202120202019
Cash flows from operating activities:
Net income (loss)$525,930 $428,253 $60,061 
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Depreciation and amortization of real estate, in-place lease, and other intangibles684,286 697,143 659,989 
Amortization of stock-based compensation18,202 17,368 18,162 
Amortization of deferred financing costs9,216 10,157 10,863 
Straight-line rents(31,188)(24,532)(22,479)
Amortization of nonrefundable entrance fees and above/below market lease intangibles(94,362)(81,914)— 
Equity loss (income) from unconsolidated joint ventures(11,235)67,787 8,625 
Distributions of earnings from unconsolidated joint ventures4,976 12,294 20,114 
Loss (gain) on sale of real estate under direct financing leases— (41,670)— 
Deferred income tax expense (benefit)(5,792)(14,573)(18,253)
Impairments and loan loss reserves (recoveries), net55,896 244,253 225,937 
Loss (gain) on debt extinguishments225,824 42,912 58,364 
Loss (gain) on sales of real estate, net(605,311)(550,494)(22,900)
Loss (gain) upon change of control, net(1,042)(159,973)(168,023)
Casualty-related loss (recoveries), net1,632 469 (3,706)
Other non-cash items(8,178)2,175 (2,569)
Changes in:
Decrease (increase) in accounts receivable and other assets, net18,626 15,281 (49,771)
Increase (decrease) in accounts payable, accrued liabilities, and deferred revenue7,768 93,495 71,659 
Net cash provided by (used in) operating activities795,248 758,431 846,073 
Cash flows from investing activities:
Acquisitions of real estate(1,483,026)(1,170,651)(1,604,285)
Development, redevelopment, and other major improvements of real estate(610,555)(791,566)(626,904)
Leasing costs, tenant improvements, and recurring capital expenditures(111,480)(94,121)(108,844)
Proceeds from sales of real estate, net2,399,120 1,304,375 230,455 
Acquisition of CCRC Portfolio— (394,177)— 
Contributions to unconsolidated joint ventures(25,260)(39,118)(14,956)
Distributions in excess of earnings from unconsolidated joint ventures37,640 18,555 27,072 
Proceeds from insurance recovery— 1,802 9,359 
Proceeds from the U.K. JV transaction, net— — 89,868 
Proceeds from the Sovereign Wealth Fund Senior Housing JV transaction, net— — 354,774 
Proceeds from sales/principal repayments on loans receivable and direct financing leases342,420 202,763 274,150 
Investments in loans receivable and other(17,827)(45,562)(79,467)
Net cash provided by (used in) investing activities531,032 (1,007,700)(1,448,778)
Cash flows from financing activities:
Borrowings under bank line of credit and commercial paper16,821,450 4,742,600 7,607,788 
Repayments under bank line of credit and commercial paper(15,785,065)(4,706,010)(7,597,047)
Issuance and borrowings of debt, excluding bank line of credit and commercial paper1,088,537 594,750 2,047,069 
Repayments and repurchase of debt, excluding bank line of credit and commercial paper(2,425,936)(568,343)(1,654,142)
Borrowings under term loan— — 250,000 
Payments for debt extinguishment and deferred financing costs(236,942)(47,210)(80,616)
Issuance of common stock and exercise of options5,036 1,068,877 795,586 
Repurchase of common stock(12,841)(10,529)(5,043)
Dividends paid on common stock(650,082)(787,072)(720,123)
Contributions from and issuance of noncontrolling interests640 — 33,318 
Distributions to and purchase of noncontrolling interests(93,314)(40,613)(29,519)
Net cash provided by (used in) financing activities(1,288,517)246,450 647,271 
Effect of foreign exchanges on cash, cash equivalents and restricted cash— (153)245 
Net increase (decrease) in cash, cash equivalents and restricted cash37,763 (2,972)44,811 
Cash, cash equivalents and restricted cash, beginning of year181,685 184,657 139,846 
Cash, cash equivalents and restricted cash, end of year$219,448 $181,685 $184,657 
See accompanying Notes to Consolidated Financial Statements.
70

Healthpeak Properties, Inc.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
NOTE 1.    Business
Overview
Healthpeak Properties, Inc., a Standard & Poor’s 500 company, is a Maryland corporation that is organized to qualify as a real estate investment trust (“REIT”) that, together with its consolidated entities (collectively, “Healthpeak” or the “Company”), invests primarily in real estate serving the healthcare industry in the United States (“U.S.”). Healthpeak® acquires, develops, leases, owns, and manages healthcare real estate. The Company’s diverse portfolio is comprised of investments in the following reportable healthcare segments: (i) life science; (ii) medical office; and (iii) continuing care retirement community (“CCRC”).
The Company’s corporate headquarters are located in Denver, Colorado, and it has additional offices in Irvine, California and Franklin, Tennessee.
Senior Housing Triple-Net and Senior Housing Operating Portfolio Dispositions
During 2020, the Company established and began executing a plan to dispose of its senior housing triple-net and Senior Housing Operating Property (“SHOP”) properties. As of December 31, 2020, the Company concluded that the planned dispositions represented a strategic shift that had and will have a major effect on the Company’s operations and financial results. Therefore, senior housing triple-net and SHOP assets meeting the held for sale criteria are classified as discontinued operations in all periods presented herein. In September 2021, the Company successfully completed the disposition of the remaining senior housing triple-net and SHOP properties. See Note 5 for further information.
Covid Update
The coronavirus (“Covid”) pandemic has caused significant disruption to individuals, governments, financial markets, and businesses, including the Company. The Company’s tenants, operators, and borrowers have experienced significant cost increases as a result of increased health and safety measures, staffing shortages, increased governmental regulation and compliance, vaccine mandates, and other operational changes necessitated either directly or indirectly by the Covid pandemic. The Company evaluated the impacts of Covid on its business thus far and incorporated information concerning the impact of Covid into its assessments of liquidity, impairments, and collectibility from tenants, residents, and borrowers as of December 31, 2021. The Company will continue to monitor such impacts and will adjust its estimates and assumptions based on the best available information.
NOTE 2.    Summary of Significant Accounting Policies
Use of Estimates
Management is required to make estimates and assumptions in the preparation of financial statements in conformity with U.S. generally accepted accounting principles (“GAAP”). These estimates and assumptions affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from management’s estimates.
Basis of Presentation
The consolidated financial statements include the accounts of HCP,Healthpeak Properties, Inc., ourits wholly-owned subsidiaries, and joint ventures (“JVs”), and variable interest entities (“VIEs”) that we control,it controls through voting rights or other means. WeIntercompany transactions and balances have been eliminated upon consolidation.
The Company is required to continually evaluate its VIE relationships and consolidate investments in variable interestthese entities (“VIEs”) when we are the primary beneficiary of the VIE. A variable interest holderit is considereddetermined to be the primary beneficiary of atheir operations. A VIE if it has the power to direct the activities that most significantly impact the entity’s economic performance and has the obligation to absorb losses of, or the right to receive benefits from, theis broadly defined as an entity that could potentially be significant to the VIE.
We make judgments about which entities are VIEs based on an assessment of whether:where either: (i) the equity investment at risk is insufficient to finance that entity’s activities without additional subordinated financial support, (ii) substantially all of an entity’s activities either involve or are conducted on behalf of an investor that has disproportionately few voting rights, or (iii) the equity investors as a group lack any of the following: (a) the power through voting or similar rights to direct the activities of an entity that most significantly impact the entity’s economic performance, (b) the obligation to absorb the expected losses of an entity, or (c) the right to receive the expected residual returns of an entity. Criterion (iii) above is generally applied to limited partnerships and similarly structured entities by assessing whether a simple majority of the limited partners hold substantive rights to participate in the significant decisions of the entity or have the ability to remove the decision maker or liquidate the entity without cause. If neither of those criteria are met, the entity is a VIE.
We also make judgments with respect to our level
71

The designation of an entity as a VIE is reassessed upon certain events, including, but not limited to: (i) a change to the contractual arrangements of the entity or in the ability of a party to exercise its participation or kick-out rights, (ii) a change to the capitalization structure of the entity, or (iii) acquisitions or sales of interests that constitute a change in control.
A variable interest holder is considered to be the primary beneficiary of a VIE if it has the power to direct the activities of a VIE that most significantly impact the entity’s economic performance and has the obligation to absorb losses of, or the right to receive benefits from, the entity that could potentially be significant to the VIE. The Company qualitatively assesses whether we areit is (or areis not) the primary beneficiary of a VIE. Consideration of various factors includes,include, but is not limited to:
to, which activities most significantly impact the entity’s economic performance and ourthe ability to direct those activities;
ouractivities, its form of ownership interest;
ourinterest, its representation on the entity’sVIE’s governing body;
body, the size and seniority of our investment;
our ability to manage our ownership interest relative to other interest holders; and
ourits investment, its ability and the rights of other investors to participate in policy making decisions, its ability to manage its ownership interest relative to the other interest holders, and its ability to replace the VIE manager and/or liquidate the entity, if applicable.entity.
Our abilityFor its investments in joint ventures that are not considered to correctly assess our influence orbe VIEs, the Company evaluates the type of ownership rights held by the limited partner(s) that may preclude consolidation by the majority interest holder. The assessment of limited partners’ rights and their impact on the control over an entity when determining the primary beneficiary of a VIE affects the presentation of these entities in our consolidated financial statements. When we perform a reassessment of the primary beneficiary at a date other thanjoint venture should be made at inception of the VIE, our assumptions may be differentjoint venture and may resultcontinually reassessed.
Revision to Additional Paid-In Capital and Redeemable Noncontrolling Interests
During the third quarter of 2021, the Company identified and corrected immaterial errors in the identificationclassification and redemption value of redeemable noncontrolling interests of consolidated joint ventures in its Life Sciences segment. On the Consolidated Balance Sheet as of December 31, 2020, the Company corrected the classification of its redeemable noncontrolling interests and increased the balance to its estimated redemption value, with a different primary beneficiary.corresponding decrease to additional paid-in capital (“APIC”) in accordance with Accounting Standards Codification (“ASC”) 480, Distinguishing Liabilities from Equity.
If we determine that we areThe increase in the primary beneficiary of a VIE, our consolidated financial statements include the operating resultsunrealized value of the VIE rather than the results of our variable interestredeemable noncontrolling interests was largely attributable to rapidly rising rents and compressing capitalization rates in the VIE. We require VIEsmarket in which the entities operate, and was identified and corrected by management. The Company determined the impact of the adjustments to provide us timely financial informationbe immaterial, individually and reviewin the internal controlsaggregate, based on consideration of VIEs to determine if we can relyquantitative and qualitative factors. As such, these adjustments are reflected in this Annual Report on Form 10-K.
These adjustments had no impact on the financial information it provides. IfConsolidated Statements of Cash Flows, Consolidated Statements of Operations, or any per share amounts. The following table provides the impact of the adjustment to the Company’s previously reported Consolidated Balance Sheet as of December 31, 2020 (in thousands):
December 31, 2020
Previously ReportedAdjustmentsAs Corrected
Consolidated Balance Sheet
Accounts payable, accrued liabilities, and other liabilities$763,391 $(2,774)$760,617 
Total liabilities8,575,517 (2,774)8,572,743 
Redeemable noncontrolling interests— 57,396 57,396 
Additional paid-in capital10,229,857 (54,622)10,175,235 
Total stockholders’ equity6,788,345 (54,622)6,733,723 
Total equity7,344,572 (54,622)7,289,950 
Total liabilities and equity15,920,089 — 15,920,089 
In addition to the changes made to reflect the impact of the correction described above, the Company made changes (all amounts in thousands) to the Consolidated Statement of Equity and Redeemable Noncontrolling Interests to decrease APIC, total stockholders’ equity, and total equity as of December 31, 2019 by $8,615 with a VIE has deficiencies in its internal controls over financial reporting, or does not provide us with timely financial information, it may adversely impactcorresponding increase to redeemable noncontrolling interests of $11,106 and a decrease to accounts payable, accrued liabilities, and other liabilities as of December 31, 2019 of $2,491 on the quality and/or timingConsolidated Balance Sheet.
72


Revenue RecognitionImpairment of Long-Lived Assets

Lease Classification
At the inception of a new lease arrangement, including new leases that arise from amendments, weWe assess the termscarrying value of our real estate assets and conditions to determinerelated intangibles (“real estate assets”) when events or changes in circumstances indicate that the proper lease classification. For leases entered into prior to January 1, 2019, a lease arrangementcarrying value may not be recoverable. Recoverability of real estate assets is classified as an operating lease if nonemeasured by comparing the carrying amount of the following criteria are met: (i) transfer of ownershipreal estate assets to the lessee priorrespective estimated future undiscounted cash flows. The expected future undiscounted cash flows reflect external market factors and are probability-weighted to or shortly afterreflect multiple possible cash-flow scenarios, including selling the endassets at various points in the future. Additionally, the estimated future undiscounted cash flows are calculated utilizing the lowest level of identifiable cash flows that are largely independent of the lease term, (ii) the lessee has a bargain purchase option duringcash flows of other assets and liabilities. In order to review our real estate assets for recoverability, we make assumptions regarding external market conditions (including capitalization rates and growth rates), forecasted cash flows and sales prices, and our intent with respect to holding or at the enddisposing of the lease term, (iii)asset. If our analysis indicates that the lease term is equal to 75% or more of the underlying property’s economic life, or (iv) the present value of future minimum lease payments (excluding executory costs) is equal to 90% or more of the estimated faircarrying value of the leased asset. If one of the four criteriareal estate assets is met and the minimum lease payments are determined to be reasonably predictable and collectible, the lease arrangement is generally accounted for as a DFL.
Concurrent with our adoption of Accounting Standards Update No. 2016-02, Leases (“ASU 2016-02”)not recoverable on January 1, 2019,an undiscounted cash flow basis, we will begin classifying a lease entered into subsequent to adoption asrecognize an operating lease if none of the following criteria are met: (i) transfer of ownership to the lessee by the end of the lease term, (ii) lessee has a purchase option during or at the end of the lease term that it is reasonably certain to exercise, (iii) the lease term isimpairment charge for the major part ofamount by which the remaining economic life of the underlying asset, (iv) the presentcarrying value of future minimum lease payments is equal to substantially all ofexceeds the fair value of the underlying asset,real estate asset.
Determining the fair value of real estate assets, including assets classified as held for sale, involves significant judgment and generally utilizes market capitalization rates, comparable market transactions, estimated per unit or (v) the underlying asset is of such a specialized nature that it is expectedper square foot prices, negotiations with prospective buyers, and forecasted cash flows (lease revenue rates, expense rates, growth rates, etc.). Our ability to have no alternative use to us at the end of the lease term.
If the assumptions utilized in the above classification assessments were different, our lease classification for accounting purposes may have been different; thusaccurately predict future operating results and resulting cash flows, and estimate fair values, impacts the timing and amountrecognition of impairments. While we believe our revenue recognized wouldassumptions are reasonable, changes in these assumptions may have been impacted, which may bea material toimpact on our consolidated financial statements.
Rental
Recent Accounting Pronouncements
See Note 2 to the Consolidated Financial Statements for the impact of new accounting standards.
ITEM 7A.    Quantitative and Related RevenuesQualitative Disclosures About Market Risk
We recognize rental revenueare exposed to various market risks, including the potential loss arising from adverse changes in interest rates. We use derivative and other financial instruments in the normal course of business to mitigate interest rate risk. We do not use derivative financial instruments for operating leasesspeculative or trading purposes. Derivatives are recorded on a straight-line basis over the lease term when collectibilityConsolidated Balance Sheets at fair value (see Note 22 to the Consolidated Financial Statements).
Interest Rate Risk
At December 31, 2021, our exposure to interest rate risk was primarily on our variable rate debt. At December 31, 2021, $142 million of all minimum lease payments is reasonably assuredour variable-rate debt was subject to interest rate cap agreements. The interest rate caps are non-designated hedges and manage our exposure to variable cash flows on certain mortgage debt borrowings by limiting interest rates. At December 31, 2021, both the tenant has taken possession or controls the physical use of a leased asset. If the lease provides for tenant improvements, we determine whether the tenant improvements are owned by the tenant or us. When we are the ownerfair value and carrying value of the tenant improvements, the tenant is not considered to have taken physical possession or have controlinterest rate caps were$0.4 million.
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Our remaining variable rate debt at December 31, 2021 was different, the timing and amountcomprised of our revenue recognized would be impacted.
Certain leases provide for additional rents that are contingent upon a percentagebank line of credit, commercial paper program, and certain of our mortgage debt. Interest rate fluctuations will generally not affect our future earnings or cash flows on our fixed rate debt and assets until their maturity or earlier prepayment and refinancing. If interest rates have risen at the facility’s revenue in excess of specified base amountstime we seek to refinance our fixed rate debt, whether at maturity or other thresholds. Such revenue is recognized when actual results reported by the tenant, or estimates of tenant results, exceed the base amount or other thresholds. The recognition of additional rents requires us to make estimates of amounts owedotherwise, our future earnings and to a certain extent, is dependent on the accuracy of the facility results reported to us. Our estimates may differ from actual results, whichcash flows could be materialadversely affected by additional borrowing costs. Conversely, lower interest rates at the time of refinancing may reduce our overall borrowing costs. However, interest rate changes will affect the fair value of our fixed rate instruments. At December 31, 2021, a one percentage point increase or decrease in interest rates would change the fair value of our fixed rate debt by approximately $309 million and $335 million, respectively, and would not materially impact earnings or cash flows. Additionally, a one percentage point increase or decrease in interest rates would change the fair value of our fixed rate debt investments by approximately $2 million and would not materially impact earnings or cash flows. Conversely, changes in interest rates on variable rate debt and investments would change our future earnings and cash flows, but not materially impact the fair value of those instruments. Assuming a one percentage point change in the interest rate related to our consolidated financial statements.variable-rate debt and investments, and assuming no other changes in the outstanding balance at December 31, 2021, our annual interest expense would increase by approximately $13 million.
Income from Direct Financing LeasesMarket Risk
We use the direct finance method of accounting to record income from DFLs. For leases accounted for as DFLs, the net investmenthave investments in the DFL represents receivables for the sum of future minimum lease payments receivable and the estimated residual values of the leased properties, less the unamortized unearned income. Unearned income is deferred and amortized to income over the lease terms to provide a constant yield when collectibility of the lease payments is reasonably assured. The determination of estimated useful lives and residual values are subject to significant judgment. If these assessments were to change, the timing and amount of our revenue recognized would be impacted.
Interest Income
Loans receivable aremarketable debt securities classified as held-for-investment based on management’sheld-to-maturity because we have the positive intent and ability to hold the loans for the foreseeable future orsecurities to maturity. We recognize interest income on loans, includingHeld-to-maturity securities are recorded at amortized cost and adjusted for the amortization of premiums and discounts through maturity. We consider a variety of factors in evaluating an other-than-temporary decline in value, such as: the length of time and premiums, using the interest method (applied on a loan-by-loan basis) when collectibility ofextent to which the future payments is reasonably assured. Premiums, discountsmarket value has been less than our current adjusted carrying value; the issuer’s financial condition, capital strength, and related costs are recognized as yield adjustments over the term of the related loans. If management determinesnear-term prospects; any recent events specific to that certain loans should no longer be classified as held-for-investment, the timing and amount of our interest income recognized would be impacted.

Allowance for Doubtful Accounts

We maintain an allowance for doubtful accounts, including an allowance for operating lease straight-line rent receivables, for estimated losses resulting from tenant defaults or the inability of tenants to make contractual rent and tenant recovery payments. We monitor the liquidity and creditworthiness of our tenants and operators on a continuous basis. This evaluation considers industryissuer and economic conditions property performance, credit enhancementsof its industry; and other factors. For straight-line rent receivable amounts, our assessment is basedinvestment horizon in relationship to an anticipated near-term recovery in the market value, if any. At December 31, 2021, both the fair value and carrying value of marketable debt securities was $21 million.
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ITEM 8.    Financial Statements and Supplementary Data
Healthpeak Properties, Inc.
Index to Consolidated Financial Statements

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REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
To the stockholders and the Board of Directors of Healthpeak Properties, Inc.
Opinion on income recoverable over the termFinancial Statements
We have audited the accompanying Consolidated Balance Sheets of Healthpeak Properties, Inc. and subsidiaries (the "Company") as of December 31, 2021 and 2020, the related Consolidated Statements of Operations, Comprehensive Income (Loss), Equity and Redeemable Noncontrolling Interests, and Cash Flows, for each of the lease. We exercise judgmentthree years in establishing allowancesthe period ended December 31, 2021, and consider payment historythe related Notes and current credit statusthe schedules listed in developing these estimates. These estimates may differ from actual results, which could bethe Index at Item 15 (collectively referred to as the "financial statements"). In our opinion, the financial statements present fairly, in all material to our consolidatedrespects, the financial statements.
Loans receivable and DFLs (collectively, “Finance Receivables”), are reviewed and assigned an internal rating of Performing, Watch List or Workout. Finance Receivables that are deemed Performing meet all present contractual obligations, and collection and timing of all amounts owed is reasonably assured. Watch List Finance Receivables are defined as Finance Receivables that do not meet the definition of Performing or Workout. Workout Finance Receivables are defined as Finance Receivables in which we have determined, based on current information and events, that: (i) it is probable we will be unable to collect all amounts due according to the contractual termsposition of the agreement, (ii)Company as of December 31, 2021 and 2020, and the tenant, operator, or borrower is delinquent on making payments under the contractual termsresults of its operations and its cash flows for each of the agreement, and (iii) we have commenced action or anticipate pursuing actionthree years in the near term to seek recovery of our investment.
Finance Receivables are placed on nonaccrual status when management determines that the collectibility of contractual amounts is not reasonably assured (the asset will have an internal rating of either Watch List or Workout). Further, we perform a credit analysis to support the tenant’s, operator’s, borrower’s and/or guarantor’s repayment capacity and the underlying collateral values. We use the cash basis method ofperiod ended December 31, 2021, in conformity with accounting for Finance Receivables placed on nonaccrual status unless one of the following conditions exist whereby we utilize the cost recovery method of accounting: (i) if we determine that it is probable that we will only recover the recorded investmentprinciples generally accepted in the Finance Receivable, netUnited States of associated allowances or charge-offs (if any), or (ii) we cannot reasonably estimate the amount of an impaired Finance Receivable. For cash basis method of accounting we apply payments received, excluding principal paydowns, to interest income so long as that amount does not exceed the amount that wouldAmerica.
We have been earned under the original contractual terms. For cost recovery method of accounting any payment received is applied to reduce the recorded investment. Generally, we return a Finance Receivable to accrual status when all delinquent payments become current under the terms of the loan or lease agreements and collectibility of the remaining contractual loan or lease payments is reasonably assured.
Allowances are established for Finance Receivables on an individual basis utilizing an estimate of probable losses, if they are determined to be impaired. Finance Receivables are impaired when it is deemed probable that we will be unable to collect all amounts duealso audited, in accordance with the contractual termsstandards of the loanPublic Company Accounting Oversight Board (United States) (PCAOB), the Company's internal control over financial reporting as of December 31, 2021, based on criteria established in Internal Control — Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission and our report dated February 9, 2022, expressed an unqualified opinion on the Company's internal control over financial reporting.
Basis for Opinion
These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on the Company's financial statements based on our audits. We are a public accounting firm registered with the PCAOB and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement, whether due to error or lease. An allowancefraud. Our audits included performing procedures to assess the risks of material misstatement of the financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements. Our audits also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the financial statements. We believe that our audits provide a reasonable basis for our opinion.
Critical Audit Matter
The critical audit matter communicated below is based upona matter arising from the current-period audit of the financial statements that was communicated or required to be communicated to the audit committee and that (1) relates to accounts or disclosures that are material to the financial statements and (2) involved our especially challenging, subjective, or complex judgments. The communication of critical audit matters does not alter in any way our opinion on the financial statements, taken as a whole, and we are not, by communicating the critical audit matter below, providing a separate opinion on the critical audit matter or on the accounts or disclosures to which it relates.
Impairments – Real Estate — Refer to Notes 2 and 6 to the financial statements
Critical Audit Matter Description
The Company’s evaluation of impairment of real estate involves an assessment of the lessee’s or borrower’s overall financial condition, economic resources, payment record, the prospects for support from any financially responsible guarantors and, if appropriate, the net realizablecarrying value of any collateral. These estimates consider all available evidence, includingreal estate assets and related intangibles (“real estate assets”) when events or changes in circumstances indicate that the expectedcarrying value may not be recoverable.
Auditing the Company’s process to evaluate real estate assets for impairment was complex due to the subjectivity in determining whether impairment indicators were present. Additionally, for real estate assets where indicators of impairment were determined to be present, the determination of the future undiscounted cash flows involved significant judgment. In particular, the undiscounted cash flows were forecasted based on significant assumptions such as lease-up periods, lease rates, operating expenses, revenue and expense growth rates, etc., and included judgments around the intended hold period and terminal capitalization rates.
Given the Company’s evaluation of impairment indicators, future cash flows discountedand forecasted sales price of a long lived asset requires management to make significant estimates and assumptions related to market capitalization rates, comparable market transactions, and/or forecasted cash flow streams, performing audit procedures required a high degree of auditor judgment and an increased extent of effort.
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How the Critical Audit Matter Was Addressed in the Audit
Our audit procedures related to real estate asset impairment included the following, among others:
We tested the effectiveness of controls over impairment of real estate assets, including those over impairment indicators and the determination of future undiscounted cash flows and forecasted sales price for real estate assets.
We performed an independent search for impairment indicators through the evaluation of several factors including an analysis of industry and market data, a comparison of property implied capitalization rates to market capitalization rates, and trends in financial performance.
For real estate assets where indicators of impairment were determined to be present, we subjected a sample of undiscounted cash flow models to testing by (1) evaluating the source information used by management, (2) testing the mathematical accuracy of the undiscounted cash flow models, (3) evaluating management’s intended hold period, and (4) performing an independent recoverability test based on market data.
/s/ DELOITTE & TOUCHE LLP
Costa Mesa, California
February 9, 2022
We have served as the Company's auditor since 2010.

64

Healthpeak Properties, Inc.
CONSOLIDATED BALANCE SHEETS
(In thousands, except share and per share data)
December 31,
20212020
ASSETS
Real estate:
Buildings and improvements$12,025,271 $11,048,433 
Development costs and construction in progress877,423 613,182 
Land2,603,964 1,867,278 
Accumulated depreciation and amortization(2,839,229)(2,409,135)
Net real estate12,667,429 11,119,758 
Net investment in direct financing leases44,706 44,706 
Loans receivable, net of reserves of $1,813 and $10,280
415,811 195,375 
Investments in and advances to unconsolidated joint ventures403,634 402,871 
Accounts receivable, net of allowance of $1,870 and $3,99448,691 42,269 
Cash and cash equivalents158,287 44,226 
Restricted cash53,454 67,206 
Intangible assets, net519,760 519,917 
Assets held for sale and discontinued operations, net37,190 2,626,306 
Right-of-use asset, net233,942 192,349 
Other assets, net674,615 665,106 
Total assets$15,257,519 $15,920,089 
LIABILITIES AND EQUITY
Bank line of credit and commercial paper$1,165,975 $129,590 
Term loan— 249,182 
Senior unsecured notes4,651,933 5,697,586 
Mortgage debt352,081 221,621 
Intangible liabilities, net177,232 144,199 
Liabilities related to assets held for sale and discontinued operations, net15,056 415,737 
Lease liability204,547 179,895 
Accounts payable, accrued liabilities, and other liabilities755,384 760,617 
Deferred revenue789,207 774,316 
Total liabilities8,111,415 8,572,743 
Commitments and contingencies (Note 12)00
Redeemable noncontrolling interests87,344 57,396 
Common stock, $1.00 par value: 750,000,000 shares authorized; 539,096,879 and 538,405,393 shares issued and outstanding539,097 538,405 
Additional paid-in capital10,100,294 10,175,235 
Cumulative dividends in excess of earnings(4,120,774)(3,976,232)
Accumulated other comprehensive income (loss)(3,147)(3,685)
Total stockholders’ equity6,515,470 6,733,723 
Joint venture partners342,234 357,069 
Non-managing member unitholders201,056 199,158 
Total noncontrolling interests543,290 556,227 
Total equity7,058,760 7,289,950 
Total liabilities and equity$15,257,519 $15,920,089 

See accompanying Notes to Consolidated Financial Statements.
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Healthpeak Properties, Inc.
CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands, except per share data)
Year Ended December 31,
202120202019
Revenues:
Rental and related revenues$1,378,384 $1,182,108 $1,069,502 
Resident fees and services471,325 436,494 144,327 
Income from direct financing leases8,702 9,720 16,666 
Interest income37,773 16,553 9,844 
Total revenues1,896,184 1,644,875 1,240,339 
Costs and expenses:
Interest expense157,980 218,336 217,612 
Depreciation and amortization684,286 553,949 435,191 
Operating773,279 782,541 405,244 
General and administrative98,303 93,237 92,966 
Transaction costs1,841 18,342 1,963 
Impairments and loan loss reserves (recoveries), net23,160 42,909 17,708 
Total costs and expenses1,738,849 1,709,314 1,170,684 
Other income (expense):   
Gain (loss) on sales of real estate, net190,590 90,350 (40)
Gain (loss) on debt extinguishments(225,824)(42,912)(58,364)
Other income (expense), net6,266 234,684 165,069 
Total other income (expense), net(28,968)282,122 106,665 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures128,367 217,683 176,320 
Income tax benefit (expense)3,261 9,423 5,479 
Equity income (loss) from unconsolidated joint ventures6,100 (66,599)(6,330)
Income (loss) from continuing operations137,728 160,507 175,469 
Income (loss) from discontinued operations388,202 267,746 (115,408)
Net income (loss)525,930 428,253 60,061 
Noncontrolling interests’ share in continuing operations(17,851)(14,394)(14,558)
Noncontrolling interests’ share in discontinued operations(2,539)(296)27 
Net income (loss) attributable to Healthpeak Properties, Inc.505,540 413,563 45,530 
Participating securities’ share in earnings(3,269)(2,416)(1,543)
Net income (loss) applicable to common shares$502,271 $411,147 $43,987 
Basic earnings (loss) per common share:
Continuing operations$0.22 $0.27 $0.33 
Discontinued operations0.71 0.50 (0.24)
Net income (loss) applicable to common shares$0.93 $0.77 $0.09 
Diluted earnings (loss) per common share:
Continuing operations$0.22 $0.27 $0.33 
Discontinued operations0.71 0.50 (0.24)
Net income (loss) applicable to common shares$0.93 $0.77 $0.09 
Weighted average shares outstanding:
Basic538,930 530,555 486,255 
Diluted539,241 531,056 489,335 
See accompanying Notes to Consolidated Financial Statements.
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Healthpeak Properties, Inc.
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
(In thousands)
Year Ended December 31,
202120202019
Net income (loss)$525,930 $428,253 $60,061 
Other comprehensive income (loss):
Net unrealized gains (losses) on derivatives332 (583)758 
Reclassification adjustment realized in net income (loss)(251)13 1,023 
Change in Supplemental Executive Retirement Plan obligation and other457 (258)(590)
Foreign currency translation adjustment— — 660 
Total other comprehensive income (loss)538 (828)1,851 
Total comprehensive income (loss)526,468 427,425 61,912 
Total comprehensive (income) loss attributable to noncontrolling interests’ share in continuing operations(17,851)(14,394)(14,558)
Total comprehensive (income) loss attributable to noncontrolling interests’ share in discontinued operations(2,539)(296)27 
Total comprehensive income (loss) attributable to Healthpeak Properties, Inc.$506,078 $412,735 $47,381 
See accompanying Notes to Consolidated Financial Statements.
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Healthpeak Properties, Inc.
CONSOLIDATED STATEMENTS OF EQUITY AND REDEEMABLE NONCONTROLLING INTERESTS
(In thousands, except per share data)
Common Stock
SharesAmountAdditional
Paid-In
Capital
Cumulative Dividends In Excess
Of Earnings
Accumulated Other
Comprehensive
Income (Loss)
Total
Stockholders’
Equity
Noncontrolling
Interests
Total
Equity
Redeemable Noncontrolling Interests
December 31, 2018477,496 $477,496 $8,398,847 $(2,927,196)$(4,708)$5,944,439 $568,152 $6,512,591 $— 
Impact of adoption of ASU No. 2016-02(1)
— — — 590 — 590 — 590 — 
January 1, 2019477,496 $477,496 $8,398,847 $(2,926,606)$(4,708)$5,945,029 $568,152 $6,513,181 $— 
Net income (loss)— — — 45,530 — 45,530 14,531 60,061 — 
Other comprehensive income (loss)— — — — 1,851 1,851 — 1,851 — 
Issuance of common stock, net27,523 27,523 763,525 — — 791,048 — 791,048 — 
Conversion of DownREIT units to common stock213 213 4,932 — — 5,145 (5,145)— — 
Repurchase of common stock(162)(162)(4,881)— — (5,043)— (5,043)— 
Exercise of stock options152 152 4,386 — — 4,538 — 4,538 — 
Amortization of stock-based compensation— — 18,162 — — 18,162 — 18,162 — 
Common dividends ($1.48 per share)— — — (720,123)— (720,123)— (720,123)— 
Distributions to noncontrolling interests— — — — — — (28,301)(28,301)(22)
Issuances of noncontrolling interests— — — — — — 33,318 33,318 — 
Contributions from noncontrolling interests— — — — — — — — 2,513 
Purchase of noncontrolling interests— — (1,079)— — (1,079)(139)(1,218)— 
Adjustments to redemption value of redeemable noncontrolling interests— — (8,615)— — (8,615)— (8,615)8,615 
December 31, 2019505,222 $505,222 $9,175,277 $(3,601,199)$(2,857)$6,076,443 $582,416 $6,658,859 $11,106 
Impact of adoption of ASU No. 2016-13(2)
— — — (1,524)— (1,524)— (1,524)— 
January 1, 2020505,222 $505,222 $9,175,277 $(3,602,723)$(2,857)$6,074,919 $582,416 $6,657,335 $11,106 
Net income (loss)— — — 413,563 — 413,563 14,690 428,253 — 
Other comprehensive income (loss)— — — — (828)(828)— (828)— 
Issuance of common stock, net33,307 33,307 1,033,764 — — 1,067,071 — 1,067,071 — 
Conversion of DownREIT units to common stock120 120 3,957 — — 4,077 (4,077)— — 
Repurchase of common stock(298)(298)(10,231)— — (10,529)— (10,529)— 
Exercise of stock options54 54 1,752 — — 1,806 — 1,806 — 
Amortization of stock-based compensation— — 20,534 — — 20,534 — 20,534 — 
Common dividends ($1.48 per share)— — — (787,072)— (787,072)— (787,072)— 
Distributions to noncontrolling interests— — — — — — (36,994)(36,994)(160)
Contributions from noncontrolling interests— — — — — — — — 443 
Purchase of noncontrolling interests— — (3,811)— — (3,811)192 (3,619)— 
Adjustments to redemption value of redeemable noncontrolling interests— — (46,007)— — (46,007)— (46,007)46,007 
December 31, 2020538,405 $538,405 $10,175,235 $(3,976,232)$(3,685)$6,733,723 $556,227 $7,289,950 $57,396 
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Healthpeak Properties, Inc.
CONSOLIDATED STATEMENTS OF EQUITY AND REDEEMABLE NONCONTROLLING INTERESTS (CONTINUED)
(In thousands, except per share data)
Common Stock
SharesAmountAdditional
Paid-In
Capital
Cumulative Dividends In Excess
Of Earnings
Accumulated Other
Comprehensive
Income (Loss)
Total
Stockholders’
Equity
Noncontrolling
Interests
Total
Equity
Redeemable Noncontrolling Interests
December 31, 2020538,405 $538,405 $10,175,235 $(3,976,232)$(3,685)$6,733,723 $556,227 $7,289,950 $57,396 
Net income (loss)— — — 505,540 — 505,540 20,346 525,886 44 
Other comprehensive income (loss)— — — — 538 538 — 538 — 
Issuance of common stock, net1,005 1,005 740 — — 1,745 — 1,745 — 
Conversion of DownREIT units to common stock193 — — 201 (201)— — 
Repurchase of common stock(418)(418)(12,423)— — (12,841)— (12,841)— 
Exercise of stock options97 97 3,194 — — 3,291 — 3,291 — 
Amortization of stock-based compensation— — 22,851 — — 22,851 — 22,851 — 
Common dividends ($1.20 per share)— — — (650,082)— (650,082)— (650,082)— 
Distributions to noncontrolling interests— — — — — — (33,017)(33,017)(162)
Purchase of noncontrolling interests— — (5)— — (5)(65)(70)(60,065)
Contributions from noncontrolling interests— — — — — — — — 640 
Adjustments to redemption value of redeemable noncontrolling interests— — (89,491)— — (89,491)— (89,491)89,491 
December 31, 2021539,097 $539,097 $10,100,294 $(4,120,774)$(3,147)$6,515,470 $543,290 $7,058,760 $87,344 

(1)On January 1, 2019, the Company adopted a series of Accounting Standards Updates (“ASUs”) related to accounting for leases, and recognized the cumulative-effect of adoption to beginning retained earnings. Refer to Note 2 for a detailed impact of adoption.
(2)On January 1, 2020, the Company adopted a series of ASUs related to accounting for credit losses and recognized the cumulative-effect of adoption to beginning retained earnings. Refer to Note 2 for a detailed impact of adoption.
See accompanying Notes to Consolidated Financial Statements.
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Healthpeak Properties, Inc.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)
Year Ended December 31,
202120202019
Cash flows from operating activities:
Net income (loss)$525,930 $428,253 $60,061 
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Depreciation and amortization of real estate, in-place lease, and other intangibles684,286 697,143 659,989 
Amortization of stock-based compensation18,202 17,368 18,162 
Amortization of deferred financing costs9,216 10,157 10,863 
Straight-line rents(31,188)(24,532)(22,479)
Amortization of nonrefundable entrance fees and above/below market lease intangibles(94,362)(81,914)— 
Equity loss (income) from unconsolidated joint ventures(11,235)67,787 8,625 
Distributions of earnings from unconsolidated joint ventures4,976 12,294 20,114 
Loss (gain) on sale of real estate under direct financing leases— (41,670)— 
Deferred income tax expense (benefit)(5,792)(14,573)(18,253)
Impairments and loan loss reserves (recoveries), net55,896 244,253 225,937 
Loss (gain) on debt extinguishments225,824 42,912 58,364 
Loss (gain) on sales of real estate, net(605,311)(550,494)(22,900)
Loss (gain) upon change of control, net(1,042)(159,973)(168,023)
Casualty-related loss (recoveries), net1,632 469 (3,706)
Other non-cash items(8,178)2,175 (2,569)
Changes in:
Decrease (increase) in accounts receivable and other assets, net18,626 15,281 (49,771)
Increase (decrease) in accounts payable, accrued liabilities, and deferred revenue7,768 93,495 71,659 
Net cash provided by (used in) operating activities795,248 758,431 846,073 
Cash flows from investing activities:
Acquisitions of real estate(1,483,026)(1,170,651)(1,604,285)
Development, redevelopment, and other major improvements of real estate(610,555)(791,566)(626,904)
Leasing costs, tenant improvements, and recurring capital expenditures(111,480)(94,121)(108,844)
Proceeds from sales of real estate, net2,399,120 1,304,375 230,455 
Acquisition of CCRC Portfolio— (394,177)— 
Contributions to unconsolidated joint ventures(25,260)(39,118)(14,956)
Distributions in excess of earnings from unconsolidated joint ventures37,640 18,555 27,072 
Proceeds from insurance recovery— 1,802 9,359 
Proceeds from the U.K. JV transaction, net— — 89,868 
Proceeds from the Sovereign Wealth Fund Senior Housing JV transaction, net— — 354,774 
Proceeds from sales/principal repayments on loans receivable and direct financing leases342,420 202,763 274,150 
Investments in loans receivable and other(17,827)(45,562)(79,467)
Net cash provided by (used in) investing activities531,032 (1,007,700)(1,448,778)
Cash flows from financing activities:
Borrowings under bank line of credit and commercial paper16,821,450 4,742,600 7,607,788 
Repayments under bank line of credit and commercial paper(15,785,065)(4,706,010)(7,597,047)
Issuance and borrowings of debt, excluding bank line of credit and commercial paper1,088,537 594,750 2,047,069 
Repayments and repurchase of debt, excluding bank line of credit and commercial paper(2,425,936)(568,343)(1,654,142)
Borrowings under term loan— — 250,000 
Payments for debt extinguishment and deferred financing costs(236,942)(47,210)(80,616)
Issuance of common stock and exercise of options5,036 1,068,877 795,586 
Repurchase of common stock(12,841)(10,529)(5,043)
Dividends paid on common stock(650,082)(787,072)(720,123)
Contributions from and issuance of noncontrolling interests640 — 33,318 
Distributions to and purchase of noncontrolling interests(93,314)(40,613)(29,519)
Net cash provided by (used in) financing activities(1,288,517)246,450 647,271 
Effect of foreign exchanges on cash, cash equivalents and restricted cash— (153)245 
Net increase (decrease) in cash, cash equivalents and restricted cash37,763 (2,972)44,811 
Cash, cash equivalents and restricted cash, beginning of year181,685 184,657 139,846 
Cash, cash equivalents and restricted cash, end of year$219,448 $181,685 $184,657 
See accompanying Notes to Consolidated Financial Statements.
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Healthpeak Properties, Inc.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
NOTE 1.    Business
Overview
Healthpeak Properties, Inc., a Standard & Poor’s 500 company, is a Maryland corporation that is organized to qualify as a real estate investment trust (“REIT”) that, together with its consolidated entities (collectively, “Healthpeak” or the “Company”), invests primarily in real estate serving the healthcare industry in the United States (“U.S.”). Healthpeak® acquires, develops, leases, owns, and manages healthcare real estate. The Company’s diverse portfolio is comprised of investments in the following reportable healthcare segments: (i) life science; (ii) medical office; and (iii) continuing care retirement community (“CCRC”).
The Company’s corporate headquarters are located in Denver, Colorado, and it has additional offices in Irvine, California and Franklin, Tennessee.
Senior Housing Triple-Net and Senior Housing Operating Portfolio Dispositions
During 2020, the Company established and began executing a plan to dispose of its senior housing triple-net and Senior Housing Operating Property (“SHOP”) properties. As of December 31, 2020, the Company concluded that the planned dispositions represented a strategic shift that had and will have a major effect on the Company’s operations and financial results. Therefore, senior housing triple-net and SHOP assets meeting the held for sale criteria are classified as discontinued operations in all periods presented herein. In September 2021, the Company successfully completed the disposition of the remaining senior housing triple-net and SHOP properties. See Note 5 for further information.
Covid Update
The coronavirus (“Covid”) pandemic has caused significant disruption to individuals, governments, financial markets, and businesses, including the Company. The Company’s tenants, operators, and borrowers have experienced significant cost increases as a result of increased health and safety measures, staffing shortages, increased governmental regulation and compliance, vaccine mandates, and other operational changes necessitated either directly or indirectly by the Covid pandemic. The Company evaluated the impacts of Covid on its business thus far and incorporated information concerning the impact of Covid into its assessments of liquidity, impairments, and collectibility from tenants, residents, and borrowers as of December 31, 2021. The Company will continue to monitor such impacts and will adjust its estimates and assumptions based on the best available information.
NOTE 2.    Summary of Significant Accounting Policies
Use of Estimates
Management is required to make estimates and assumptions in the preparation of financial statements in conformity with U.S. generally accepted accounting principles (“GAAP”). These estimates and assumptions affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the Finance Receivable’s effectivedate of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from management’s estimates.
Basis of Presentation
The consolidated financial statements include the accounts of Healthpeak Properties, Inc., its wholly-owned subsidiaries, joint ventures (“JVs”), and variable interest rate, fairentities (“VIEs”) that it controls through voting rights or other means. Intercompany transactions and balances have been eliminated upon consolidation.
The Company is required to continually evaluate its VIE relationships and consolidate these entities when it is determined to be the primary beneficiary of their operations. A VIE is broadly defined as an entity where either: (i) the equity investment at risk is insufficient to finance that entity’s activities without additional subordinated financial support, (ii) substantially all of an entity’s activities either involve or are conducted on behalf of an investor that has disproportionately few voting rights, or (iii) the equity investors as a group lack any of the following: (a) the power through voting or similar rights to direct the activities of an entity that most significantly impact the entity’s economic performance, (b) the obligation to absorb the expected losses of an entity, or (c) the right to receive the expected residual returns of an entity. Criterion (iii) above is generally applied to limited partnerships and similarly structured entities by assessing whether a simple majority of the limited partners hold substantive rights to participate in the significant decisions of the entity or have the ability to remove the decision maker or liquidate the entity without cause. If neither of those criteria are met, the entity is a VIE.
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The designation of an entity as a VIE is reassessed upon certain events, including, but not limited to: (i) a change to the contractual arrangements of the entity or in the ability of a party to exercise its participation or kick-out rights, (ii) a change to the capitalization structure of the entity, or (iii) acquisitions or sales of interests that constitute a change in control.
A variable interest holder is considered to be the primary beneficiary of a VIE if it has the power to direct the activities of a VIE that most significantly impact the entity’s economic performance and has the obligation to absorb losses of, or the right to receive benefits from, the entity that could potentially be significant to the VIE. The Company qualitatively assesses whether it is (or is not) the primary beneficiary of a VIE. Consideration of various factors include, but is not limited to, which activities most significantly impact the entity’s economic performance and the ability to direct those activities, its form of ownership interest, its representation on the VIE’s governing body, the size and seniority of its investment, its ability and the rights of other investors to participate in policy making decisions, its ability to manage its ownership interest relative to the other interest holders, and its ability to replace the VIE manager and/or liquidate the entity.
For its investments in joint ventures that are not considered to be VIEs, the Company evaluates the type of ownership rights held by the limited partner(s) that may preclude consolidation by the majority interest holder. The assessment of limited partners’ rights and their impact on the control of a joint venture should be made at inception of the joint venture and continually reassessed.
Revision to Additional Paid-In Capital and Redeemable Noncontrolling Interests
During the third quarter of 2021, the Company identified and corrected immaterial errors in the classification and redemption value of collateral, general economic conditionsredeemable noncontrolling interests of consolidated joint ventures in its Life Sciences segment. On the Consolidated Balance Sheet as of December 31, 2020, the Company corrected the classification of its redeemable noncontrolling interests and trends, historical and industry loss experience, and other relevant factors, as appropriate. Shouldincreased the balance to its estimated redemption value, with a Finance Receivable be deemed partially or wholly uncollectible, the uncollectible balance is charged off against the allowancecorresponding decrease to additional paid-in capital (“APIC”) in accordance with Accounting Standards Codification (“ASC”) 480, Distinguishing Liabilities from Equity.
The increase in the periodunrealized value of the redeemable noncontrolling interests was largely attributable to rapidly rising rents and compressing capitalization rates in the market in which the uncollectible determination has been made.entities operate, and was identified and corrected by management. The Company determined the impact of the adjustments to be immaterial, individually and in the aggregate, based on consideration of quantitative and qualitative factors. As such, these adjustments are reflected in this Annual Report on Form 10-K.
Real Estate

We make estimates as partThese adjustments had no impact on the Consolidated Statements of our process for allocating a purchase priceCash Flows, Consolidated Statements of Operations, or any per share amounts. The following table provides the impact of the adjustment to the various identifiable assetsCompany’s previously reported Consolidated Balance Sheet as of an acquisition based uponDecember 31, 2020 (in thousands):
December 31, 2020
Previously ReportedAdjustmentsAs Corrected
Consolidated Balance Sheet
Accounts payable, accrued liabilities, and other liabilities$763,391 $(2,774)$760,617 
Total liabilities8,575,517 (2,774)8,572,743 
Redeemable noncontrolling interests— 57,396 57,396 
Additional paid-in capital10,229,857 (54,622)10,175,235 
Total stockholders’ equity6,788,345 (54,622)6,733,723 
Total equity7,344,572 (54,622)7,289,950 
Total liabilities and equity15,920,089 — 15,920,089 
In addition to the relative fair value of each asset. The most significant components of our allocations are typically buildings as-if-vacant, land and in-place leases. Inchanges made to reflect the case of allocating fair value to buildings and intangibles, our fair value estimates will affect the amount of depreciation and amortization we record over the estimated useful life of each asset acquired. In the case of allocating fair value to in-place leases, we make our best estimates based on our evaluationimpact of the specific characteristics of each tenant’s lease. Factors considered include estimates of carrying costs during hypothetical expected lease-up periods, market conditions and costs to execute similar leases. Our assumptions affectcorrection described above, the amount of future revenue and/or depreciation and amortization expense that we will recognize over the remaining useful life for the acquired in-place leases.
A variety of costs are incurredCompany made changes (all amounts in the development and leasing of properties. After determination is made to capitalize a cost, it is allocatedthousands) to the specific componentConsolidated Statement of Equity and Redeemable Noncontrolling Interests to decrease APIC, total stockholders’ equity, and total equity as of December 31, 2019 by $8,615 with a project that is benefited. Determinationcorresponding increase to redeemable noncontrolling interests of when$11,106 and a development project is substantially complete and capitalization must cease involves a degree of judgment. The costs of land and buildings under development include specifically identifiable costs. The capitalized costs include pre-construction costs essentialdecrease to the development of the property, development costs, construction costs, interest costs, real estate taxesaccounts payable, accrued liabilities, and other costs incurred duringliabilities as of December 31, 2019 of $2,491 on the periodConsolidated Balance Sheet.
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We consider a construction project to be considered substantially complete and available for occupancy and cease capitalization of costs upon the completion of the related tenant improvements.
Impairment of Long-Lived Assets

We assess the carrying value of our real estate assets and related intangibles (“real estate assets”) when events or changes in circumstances indicate that the carrying value may not be recoverable, but at least annually.recoverable. Recoverability of real estate assets is measured by comparing the carrying amount of the real estate assets to the respective estimated future undiscounted cash flows. The expected future undiscounted cash flows reflect external market factors and are probability-weighted to reflect multiple possible cash-flow scenarios, including selling the assets at various points in the future. Additionally, the estimated future undiscounted cash flows are calculated utilizing the lowest level of identifiable cash flows that are largely independent of the cash flows of other assets and liabilities. In order to review our real estate assets for recoverability, we make assumptions regarding external market conditions as well as(including capitalization rates and growth rates), forecasted cash flows and sales prices, and our intent with respect to holding or disposing of the asset. If our analysis indicates that the carrying value of the real estate assets is not recoverable on an undiscounted cash flow basis, we recognize an impairment charge for the amount by which the carrying value exceeds the fair value of the real estate asset.
The determination ofDetermining the fair value of real estate assets, including assets classified as held for sale, involves significant judgment. This judgment is based on our analysis and estimates of fair value of real estate assets, future operating resultsgenerally utilizes market capitalization rates, comparable market transactions, estimated per unit or per square foot prices, negotiations with prospective buyers, and resultingforecasted cash flows and the period over which we will hold each real estate asset.(lease revenue rates, expense rates, growth rates, etc.). Our ability to accurately predict future operating results and resulting cash flows, and estimate fair values, impacts the timing and recognition of impairments. While we believe our assumptions are reasonable, changes in these assumptions may have a material impact on our consolidated financial statements.
Investments in Unconsolidated Joint Ventures

The initial carrying value of investments in unconsolidated joint ventures is based on the amount paid to purchase the joint venture interest or the carrying value of the assets prior to the sale or contribution of the interests to the joint venture. We evaluate our equity method investments for impairment by first reviewing for indicators of impairment based upon the performance of the underlying real estate assets held by the joint venture. If an equity-method investment shows indicators of impairment, we compare the fair value of the investment to the carrying value. If we determine there is a decline in the fair value of our investment in an unconsolidated joint venture below its carrying value and it is other-than-temporary, an impairment charge is recorded. The determination of the fair value of investments in unconsolidated joint ventures and as to whether a deficiency in fair value is other-than-temporary involves significant judgment. Our estimates consider all available evidence including, as appropriate, the present value of the expected future cash flows, discounted at market rates, general economic conditions and trends, severity and duration of a fair value deficiency, and other relevant factors. Capitalization rates, discount rates, and credit spreads utilized in our valuation models are based upon rates that we believe to be within a reasonable range of current market rates for the respective investments. While we believe our assumptions are reasonable, changes in these assumptions may have a material impact on our consolidated financial statements.
Income Taxes

As part of the process of preparing our consolidated financial statements, significant management judgment is required to evaluate our compliance with REIT requirements. Our determinations are based on interpretation of tax laws and our conclusions may have an impact on the income tax expense recognized. Adjustments to income tax expense may be required as a result of: (i) audits conducted by federal, state and local tax authorities, (ii) our ability to qualify as a REIT, (iii) the potential for built-in gain recognition, and (iv) changes in tax laws. Adjustments required in any given period are included within the income tax provision.
Recent Accounting Pronouncements
See Note 2 to the Consolidated Financial Statements for the impact of new accounting standards.

ITEM 7A.Quantitative and Qualitative Disclosures About Market Risk
ITEM 7A.    Quantitative and Qualitative Disclosures About Market Risk
We are exposed to various market risks, including the potential loss arising from adverse changes in interest rates and foreign currency exchange rates, specifically GBP.rates. We use derivative and other financial instruments in the normal course of business to mitigate interest rate and foreign currency risk. We do not use derivative financial instruments for speculative or trading purposes. Derivatives are recorded on the consolidated balance sheetsConsolidated Balance Sheets at fair value (see Note 22 to the Consolidated Financial Statements).
To illustrate the effect of movements in the interest rate markets, we performed a market sensitivity analysis on our hedging instruments. We applied various basis point spreads to the underlying interest rate curves of the hedging portfolio in order to determine the change in fair value. Assuming a one percentage point change in the underlying interest rate curve, the estimated change in fair value of each of the underlying hedging instruments would not exceed $1 million.
Interest Rate Risk

At December 31, 2018, we are exposed2021, our exposure to market risks related to fluctuations in interest ratesrate risk was primarily on our variable rate debt. As ofAt December 31, 2018, $432021, $142 million of our variable-rate debt was hedged bysubject to interest rate swap transactions.cap agreements. The interest rate swapscaps are designated as cash flownon-designated hedges with the objective of managing theand manage our exposure to variable cash flows on certain mortgage debt borrowings by limiting interest rates. At December 31, 2021, both the fair value and carrying value of the interest rate risk by converting the interest rates oncaps were$0.4 million.
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Our remaining variable rate debt at December 31, 2021 was comprised of our variable-rate debt to fixed interest rates.
bank line of credit, commercial paper program, and certain of our mortgage debt. Interest rate fluctuations will generally not affect our future earnings or cash flows on our fixed rate debt and assets until their maturity or earlier prepayment and refinancing. If interest rates have risen at the time we seek to refinance our fixed rate debt, whether at maturity or otherwise, our future earnings and cash flows could be adversely affected by additional borrowing costs. Conversely, lower interest rates at the time of refinancing may reduce our overall borrowing costs. However, interest rate changes will affect the fair value of our fixed rate instruments. At December 31, 2018,2021, a one percentage point increase or decrease in interest rates would change the fair value of our fixed rate debt by approximately $252$309 million and $272$335 million, respectively, and would not materially impact earnings or cash flows. Additionally, a one percentage point increase or decrease in interest rates would change the fair value of our fixed rate debt investments by approximately $3$2 million and less than $1 million, respectively, and would not materially impact earnings or cash flows. Conversely, changes in interest rates on variable rate debt and investments would change our future earnings and cash flows, but not materially impact the fair value of those instruments. Assuming a one percentage point change in the interest rate related to our variable-rate debt and variable-rate investments, and assuming no other changes in the outstanding balance as ofat December 31, 2018,2021, our annual interest expense and interest income would changeincrease by approximately $1 million and $1 million, respectively.
Foreign Currency Exchange Rate Risk

At December 31, 2018, our exposure to foreign currencies primarily relates to U.K. investments in leased real estate, loans receivable and related GBP denominated cash flows. Our foreign currency exposure is partially mitigated through the use of GBP-denominated borrowings. Based solely on our operating results for the year ended December 31, 2018, including the impact of existing hedging arrangements, if the value of the GBP relative to the U.S. dollar were to increase or decrease by 10% compared to the average exchange rate during the year ended December 31, 2018, the increase or decrease to our cash flows would not be material.$13 million.
Market Risk

We have investments in marketable debt securities classified as held-to-maturity because we have the positive intent and ability to hold the securities to maturity. Held-to-maturity securities are recorded at amortized cost and adjusted for the amortization of premiums and discounts through maturity. We consider a variety of factors in evaluating an other-than-temporary decline in value, such as: the length of time and the extent to which the market value has been less than our current adjusted carrying value; the issuer’s financial condition, capital strength, and near-term prospects; any recent events specific to that issuer and economic conditions of its industry; and our investment horizon in relationship to an anticipated near-term recovery in the market value, if any. At December 31, 2018,2021, both the fair value and carrying value of marketable debt securities were $19was $21 million.

61
ITEM 8.Financial Statements and Supplementary Data
HCP,

ITEM 8.    Financial Statements and Supplementary Data
Healthpeak Properties, Inc.
Index to Consolidated Financial Statements



62

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
To the stockholders and the Board of Directors of HCP,Healthpeak Properties, Inc.
Opinion on the Financial Statements
We have audited the accompanying consolidated balance sheetsConsolidated Balance Sheets of HCP,Healthpeak Properties, Inc. and subsidiaries (the "Company") as of December 31, 20182021 and 2017,2020, the related consolidated statementsConsolidated Statements of operations, comprehensive income (loss)Operations, Comprehensive Income (Loss), equity,Equity and cash flows,Redeemable Noncontrolling Interests, and Cash Flows, for each of the three years in the period ended December 31, 2018,2021, and the related notesNotes and the schedules listed in the Index at Item 15 (collectively referred to as the "financial statements"). In our opinion, the financial statements present fairly, in all material respects, the financial position of the Company as of December 31, 20182021 and 2017,2020, and the results of its operations and its cash flows for each of the three years in the period ended December 31, 2018,2021, in conformity with accounting principles generally accepted in the United States of America.
We have also audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (PCAOB), the Company's internal control over financial reporting as of December 31, 2018,2021, based on criteria established in Internal Control Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission and our report dated February 14, 2019,9, 2022, expressed an unqualified opinion on the Company's internal control over financial reporting.
Changes in Accounting Principles
As discussed in Note 2, Summary of Significant Accounting Policies—Recent Accounting Pronouncements, to the financial statements, the Company has changed its method of derecognizing real estate from partial sales effective January 1, 2018 due to the adoption of Accounting Standards Update (“ASU”) No. 2017-05, Clarifying the Scope of Asset Derecognition Guidance and Accounting for Partial Sales of Nonfinancial Assets on a modified retrospective basis. Further, as discussed in Note 2, Summary of Significant Accounting Policies—Recent Accounting Pronouncements, to the financial statements, the Company changed its method of accounting for real estate acquisitions effective January 1, 2017 due to the adoption of ASU No. 2017-01, Business Combinations (Topic 805): Clarifying the Definition of a Business on a prospective basis.
Basis for Opinion
These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on the Company's financial statements based on our audits. We are a public accounting firm registered with the PCAOB and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement, whether due to error or fraud. Our audits included performing procedures to assess the risks of material misstatement of the financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements. Our audits also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the financial statements. We believe that our audits provide a reasonable basis for our opinion.
Critical Audit Matter
The critical audit matter communicated below is a matter arising from the current-period audit of the financial statements that was communicated or required to be communicated to the audit committee and that (1) relates to accounts or disclosures that are material to the financial statements and (2) involved our especially challenging, subjective, or complex judgments. The communication of critical audit matters does not alter in any way our opinion on the financial statements, taken as a whole, and we are not, by communicating the critical audit matter below, providing a separate opinion on the critical audit matter or on the accounts or disclosures to which it relates.
Impairments – Real Estate — Refer to Notes 2 and 6 to the financial statements
Critical Audit Matter Description
The Company’s evaluation of impairment of real estate involves an assessment of the carrying value of real estate assets and related intangibles (“real estate assets”) when events or changes in circumstances indicate that the carrying value may not be recoverable.
Auditing the Company’s process to evaluate real estate assets for impairment was complex due to the subjectivity in determining whether impairment indicators were present. Additionally, for real estate assets where indicators of impairment were determined to be present, the determination of the future undiscounted cash flows involved significant judgment. In particular, the undiscounted cash flows were forecasted based on significant assumptions such as lease-up periods, lease rates, operating expenses, revenue and expense growth rates, etc., and included judgments around the intended hold period and terminal capitalization rates.
Given the Company’s evaluation of impairment indicators, future cash flows and forecasted sales price of a long lived asset requires management to make significant estimates and assumptions related to market capitalization rates, comparable market transactions, and/or forecasted cash flow streams, performing audit procedures required a high degree of auditor judgment and an increased extent of effort.
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How the Critical Audit Matter Was Addressed in the Audit
Our audit procedures related to real estate asset impairment included the following, among others:
We tested the effectiveness of controls over impairment of real estate assets, including those over impairment indicators and the determination of future undiscounted cash flows and forecasted sales price for real estate assets.
We performed an independent search for impairment indicators through the evaluation of several factors including an analysis of industry and market data, a comparison of property implied capitalization rates to market capitalization rates, and trends in financial performance.
For real estate assets where indicators of impairment were determined to be present, we subjected a sample of undiscounted cash flow models to testing by (1) evaluating the source information used by management, (2) testing the mathematical accuracy of the undiscounted cash flow models, (3) evaluating management’s intended hold period, and (4) performing an independent recoverability test based on market data.
/s/ DELOITTE & TOUCHE LLP
Los Angeles,Costa Mesa, California
February 14, 20199, 2022
We have served as the Company's auditor since 2010.



64
HCP,

Healthpeak Properties, Inc.
CONSOLIDATED BALANCE SHEETS
(In thousands, except share and per share data)
December 31,
20212020
ASSETS
Real estate:
Buildings and improvements$12,025,271 $11,048,433 
Development costs and construction in progress877,423 613,182 
Land2,603,964 1,867,278 
Accumulated depreciation and amortization(2,839,229)(2,409,135)
Net real estate12,667,429 11,119,758 
Net investment in direct financing leases44,706 44,706 
Loans receivable, net of reserves of $1,813 and $10,280
415,811 195,375 
Investments in and advances to unconsolidated joint ventures403,634 402,871 
Accounts receivable, net of allowance of $1,870 and $3,99448,691 42,269 
Cash and cash equivalents158,287 44,226 
Restricted cash53,454 67,206 
Intangible assets, net519,760 519,917 
Assets held for sale and discontinued operations, net37,190 2,626,306 
Right-of-use asset, net233,942 192,349 
Other assets, net674,615 665,106 
Total assets$15,257,519 $15,920,089 
LIABILITIES AND EQUITY
Bank line of credit and commercial paper$1,165,975 $129,590 
Term loan— 249,182 
Senior unsecured notes4,651,933 5,697,586 
Mortgage debt352,081 221,621 
Intangible liabilities, net177,232 144,199 
Liabilities related to assets held for sale and discontinued operations, net15,056 415,737 
Lease liability204,547 179,895 
Accounts payable, accrued liabilities, and other liabilities755,384 760,617 
Deferred revenue789,207 774,316 
Total liabilities8,111,415 8,572,743 
Commitments and contingencies (Note 12)00
Redeemable noncontrolling interests87,344 57,396 
Common stock, $1.00 par value: 750,000,000 shares authorized; 539,096,879 and 538,405,393 shares issued and outstanding539,097 538,405 
Additional paid-in capital10,100,294 10,175,235 
Cumulative dividends in excess of earnings(4,120,774)(3,976,232)
Accumulated other comprehensive income (loss)(3,147)(3,685)
Total stockholders’ equity6,515,470 6,733,723 
Joint venture partners342,234 357,069 
Non-managing member unitholders201,056 199,158 
Total noncontrolling interests543,290 556,227 
Total equity7,058,760 7,289,950 
Total liabilities and equity$15,257,519 $15,920,089 
 December 31,
 2018 2017
ASSETS   
Real estate:   
Buildings and improvements$10,877,248
 $11,239,732
Development costs and construction in progress537,643
 447,976
Land1,637,506
 1,785,865
Accumulated depreciation and amortization(2,842,947) (2,741,695)
Net real estate10,209,450
 10,731,878
Net investment in direct financing leases713,818
 714,352
Loans receivable, net62,998
 313,326
Investments in and advances to unconsolidated joint ventures540,088
 800,840
Accounts receivable, net of allowance of $5,127 and $4,425, respectively48,171
 40,733
Cash and cash equivalents110,790
 55,306
Restricted cash29,056
 26,897
Intangible assets, net305,079
 410,082
Assets held for sale, net108,086
 417,014
Other assets, net591,017
 578,033
Total assets$12,718,553
 $14,088,461
LIABILITIES AND EQUITY   
Bank line of credit$80,103
 $1,017,076
Term loan
 228,288
Senior unsecured notes5,258,550
 6,396,451
Mortgage debt138,470
 144,486
Other debt90,785
 94,165
Intangible liabilities, net54,663
 52,579
Liabilities of assets held for sale, net1,125
 14,031
Accounts payable and accrued liabilities391,583
 401,738
Deferred revenue190,683
 144,709
Total liabilities6,205,962
 8,493,523
Commitments and contingencies

 

Common stock, $1.00 par value: 750,000,000 shares authorized; 477,496,499 and 469,435,678 shares issued and outstanding, respectively477,496
 469,436
Additional paid-in capital8,398,847
 8,226,113
Cumulative dividends in excess of earnings(2,927,196) (3,370,520)
Accumulated other comprehensive income (loss)(4,708) (24,024)
Total stockholders' equity5,944,439
 5,301,005
Joint venture partners391,401
 117,045
Non-managing member unitholders176,751
 176,888
Total noncontrolling interests568,152
 293,933
Total equity6,512,591
 5,594,938
Total liabilities and equity$12,718,553
 $14,088,461


See accompanying Notes to Consolidated Financial Statements.

65
HCP,

Healthpeak Properties, Inc.
CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands, except per share data)
Year Ended December 31,Year Ended December 31,
2018 2017 2016202120202019
Revenues:     Revenues:
Rental and related revenues$1,237,236
 $1,213,649
 $1,294,071
Rental and related revenues$1,378,384 $1,182,108 $1,069,502 
Resident fees and services544,773
 524,275
 686,835
Resident fees and services471,325 436,494 144,327 
Income from direct financing leases54,274
 54,217
 59,580
Income from direct financing leases8,702 9,720 16,666 
Interest income10,406
 56,237
 88,808
Interest income37,773 16,553 9,844 
Total revenues1,846,689
 1,848,378
 2,129,294
Total revenues1,896,184 1,644,875 1,240,339 
Costs and expenses:     Costs and expenses:
Interest expense266,343
 307,716
 464,403
Interest expense157,980 218,336 217,612 
Depreciation and amortization549,499
 534,726
 568,108
Depreciation and amortization684,286 553,949 435,191 
Operating705,038
 666,251
 738,399
Operating773,279 782,541 405,244 
General and administrative96,702
 88,772
 103,611
General and administrative98,303 93,237 92,966 
Transaction costs10,772
 7,963
 9,821
Transaction costs1,841 18,342 1,963 
Impairments (recoveries), net55,260
 166,384
 
Impairments and loan loss reserves (recoveries), netImpairments and loan loss reserves (recoveries), net23,160 42,909 17,708 
Total costs and expenses1,683,614
 1,771,812
 1,884,342
Total costs and expenses1,738,849 1,709,314 1,170,684 
Other income (expense): 
  
  
Other income (expense):   
Gain (loss) on sales of real estate, net925,985
 356,641
 164,698
Gain (loss) on sales of real estate, net190,590 90,350 (40)
Loss on debt extinguishments(44,162) (54,227) (46,020)
Gain (loss) on debt extinguishmentsGain (loss) on debt extinguishments(225,824)(42,912)(58,364)
Other income (expense), net13,316
 31,420
 3,654
Other income (expense), net6,266 234,684 165,069 
Total other income (expense), net895,139
 333,834
 122,332
Total other income (expense), net(28,968)282,122 106,665 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures1,058,214
 410,400
 367,284
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures128,367 217,683 176,320 
Income tax benefit (expense)17,854
 1,333
 (4,473)Income tax benefit (expense)3,261 9,423 5,479 
Equity income (loss) from unconsolidated joint ventures(2,594) 10,901
 11,360
Equity income (loss) from unconsolidated joint ventures6,100 (66,599)(6,330)
Income (loss) from continuing operations1,073,474
 422,634
 374,171
Income (loss) from continuing operations137,728 160,507 175,469 
Discontinued operations:     
Income before transaction costs and income taxes
 
 400,701
Transaction costs
 
 (86,765)
Income tax benefit (expense)
 
 (48,181)
Total discontinued operations
 
 265,755
Income (loss) from discontinued operationsIncome (loss) from discontinued operations388,202 267,746 (115,408)
Net income (loss)1,073,474
 422,634
 639,926
Net income (loss)525,930 428,253 60,061 
Noncontrolling interests' share in earnings(12,381) (8,465) (12,179)
Net income (loss) attributable to HCP, Inc.1,061,093
 414,169
 627,747
Participating securities' share in earnings(2,669) (1,156) (1,198)
Noncontrolling interests’ share in continuing operationsNoncontrolling interests’ share in continuing operations(17,851)(14,394)(14,558)
Noncontrolling interests’ share in discontinued operationsNoncontrolling interests’ share in discontinued operations(2,539)(296)27 
Net income (loss) attributable to Healthpeak Properties, Inc.Net income (loss) attributable to Healthpeak Properties, Inc.505,540 413,563 45,530 
Participating securities’ share in earningsParticipating securities’ share in earnings(3,269)(2,416)(1,543)
Net income (loss) applicable to common shares$1,058,424
 $413,013
 $626,549
Net income (loss) applicable to common shares$502,271 $411,147 $43,987 
Basic earnings per common share:     
Basic earnings (loss) per common share:Basic earnings (loss) per common share:
Continuing operations$2.25
 $0.88
 $0.77
Continuing operations$0.22 $0.27 $0.33 
Discontinued operations
 
 0.57
Discontinued operations0.71 0.50 (0.24)
Net income (loss) applicable to common shares$2.25
 $0.88
 $1.34
Net income (loss) applicable to common shares$0.93 $0.77 $0.09 
Diluted earnings per common share:     
Diluted earnings (loss) per common share:Diluted earnings (loss) per common share:
Continuing operations$2.24
 $0.88
 $0.77
Continuing operations$0.22 $0.27 $0.33 
Discontinued operations
 
 0.57
Discontinued operations0.71 0.50 (0.24)
Net income (loss) applicable to common shares$2.24
 $0.88
 $1.34
Net income (loss) applicable to common shares$0.93 $0.77 $0.09 
Weighted average shares outstanding:     Weighted average shares outstanding:
Basic470,551
 468,759
 467,195
Basic538,930 530,555 486,255 
Diluted475,387
 468,935
 467,403
Diluted539,241 531,056 489,335 
See accompanying Notes to Consolidated Financial Statements.

66
HCP,

Healthpeak Properties, Inc.
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
(In thousands)
Year Ended December 31,Year Ended December 31,
2018 2017 2016202120202019
Net income (loss)$1,073,474
 $422,634
 $639,926
Net income (loss)$525,930 $428,253 $60,061 
Other comprehensive income (loss):     Other comprehensive income (loss):
Net unrealized gains (losses) on derivatives6,025
 (11,107) 3,233
Net unrealized gains (losses) on derivatives332 (583)758 
Reclassification adjustment realized in net income (loss)18,088
 799
 707
Reclassification adjustment realized in net income (loss)(251)13 1,023 
Change in Supplemental Executive Retirement Plan obligation and other561
 64
 220
Change in Supplemental Executive Retirement Plan obligation and other457 (258)(590)
Foreign currency translation adjustment(5,358) 15,862
 (3,332)Foreign currency translation adjustment— — 660 
Total other comprehensive income (loss)19,316
 5,618
 828
Total other comprehensive income (loss)538 (828)1,851 
Total comprehensive income (loss)1,092,790
 428,252
 640,754
Total comprehensive income (loss)526,468 427,425 61,912 
Total comprehensive income (loss) attributable to noncontrolling interests(12,381) (8,465) (12,179)
Total comprehensive income (loss) attributable to HCP, Inc.$1,080,409
 $419,787
 $628,575
Total comprehensive (income) loss attributable to noncontrolling interests’ share in continuing operationsTotal comprehensive (income) loss attributable to noncontrolling interests’ share in continuing operations(17,851)(14,394)(14,558)
Total comprehensive (income) loss attributable to noncontrolling interests’ share in discontinued operationsTotal comprehensive (income) loss attributable to noncontrolling interests’ share in discontinued operations(2,539)(296)27 
Total comprehensive income (loss) attributable to Healthpeak Properties, Inc.Total comprehensive income (loss) attributable to Healthpeak Properties, Inc.$506,078 $412,735 $47,381 
See accompanying Notes to Consolidated Financial Statements.

67
HCP,

Healthpeak Properties, Inc.
CONSOLIDATED STATEMENTS OF EQUITY AND REDEEMABLE NONCONTROLLING INTERESTS
(In thousands, except per share data)
Common Stock
SharesAmountAdditional
Paid-In
Capital
Cumulative Dividends In Excess
Of Earnings
Accumulated Other
Comprehensive
Income (Loss)
Total
Stockholders’
Equity
Noncontrolling
Interests
Total
Equity
Redeemable Noncontrolling Interests
December 31, 2018477,496 $477,496 $8,398,847 $(2,927,196)$(4,708)$5,944,439 $568,152 $6,512,591 $— 
Impact of adoption of ASU No. 2016-02(1)
— — — 590 — 590 — 590 — 
January 1, 2019477,496 $477,496 $8,398,847 $(2,926,606)$(4,708)$5,945,029 $568,152 $6,513,181 $— 
Net income (loss)— — — 45,530 — 45,530 14,531 60,061 — 
Other comprehensive income (loss)— — — — 1,851 1,851 — 1,851 — 
Issuance of common stock, net27,523 27,523 763,525 — — 791,048 — 791,048 — 
Conversion of DownREIT units to common stock213 213 4,932 — — 5,145 (5,145)— — 
Repurchase of common stock(162)(162)(4,881)— — (5,043)— (5,043)— 
Exercise of stock options152 152 4,386 — — 4,538 — 4,538 — 
Amortization of stock-based compensation— — 18,162 — — 18,162 — 18,162 — 
Common dividends ($1.48 per share)— — — (720,123)— (720,123)— (720,123)— 
Distributions to noncontrolling interests— — — — — — (28,301)(28,301)(22)
Issuances of noncontrolling interests— — — — — — 33,318 33,318 — 
Contributions from noncontrolling interests— — — — — — — — 2,513 
Purchase of noncontrolling interests— — (1,079)— — (1,079)(139)(1,218)— 
Adjustments to redemption value of redeemable noncontrolling interests— — (8,615)— — (8,615)— (8,615)8,615 
December 31, 2019505,222 $505,222 $9,175,277 $(3,601,199)$(2,857)$6,076,443 $582,416 $6,658,859 $11,106 
Impact of adoption of ASU No. 2016-13(2)
— — — (1,524)— (1,524)— (1,524)— 
January 1, 2020505,222 $505,222 $9,175,277 $(3,602,723)$(2,857)$6,074,919 $582,416 $6,657,335 $11,106 
Net income (loss)— — — 413,563 — 413,563 14,690 428,253 — 
Other comprehensive income (loss)— — — — (828)(828)— (828)— 
Issuance of common stock, net33,307 33,307 1,033,764 — — 1,067,071 — 1,067,071 — 
Conversion of DownREIT units to common stock120 120 3,957 — — 4,077 (4,077)— — 
Repurchase of common stock(298)(298)(10,231)— — (10,529)— (10,529)— 
Exercise of stock options54 54 1,752 — — 1,806 — 1,806 — 
Amortization of stock-based compensation— — 20,534 — — 20,534 — 20,534 — 
Common dividends ($1.48 per share)— — — (787,072)— (787,072)— (787,072)— 
Distributions to noncontrolling interests— — — — — — (36,994)(36,994)(160)
Contributions from noncontrolling interests— — — — — — — — 443 
Purchase of noncontrolling interests— — (3,811)— — (3,811)192 (3,619)— 
Adjustments to redemption value of redeemable noncontrolling interests— — (46,007)— — (46,007)— (46,007)46,007 
December 31, 2020538,405 $538,405 $10,175,235 $(3,976,232)$(3,685)$6,733,723 $556,227 $7,289,950 $57,396 
68

Healthpeak Properties, Inc.
CONSOLIDATED STATEMENTS OF EQUITY AND REDEEMABLE NONCONTROLLING INTERESTS (CONTINUED)
(In thousands, except per share data)
Common Stock
Common Stock            SharesAmountAdditional
Paid-In
Capital
Cumulative Dividends In Excess
Of Earnings
Accumulated Other
Comprehensive
Income (Loss)
Total
Stockholders’
Equity
Noncontrolling
Interests
Total
Equity
Redeemable Noncontrolling Interests
Shares Amount 
Additional
Paid-In
Capital
 
Cumulative
Dividends
In Excess
Of Earnings
 
Accumulated
Other
Comprehensive
Income (Loss)
 
Total
Stockholders’
Equity
 
Noncontrolling
Interests
 
Total
Equity
January 1, 2016465,488
 $465,488
 $11,647,039
 $(2,738,414) $(30,470) $9,343,643
 $402,674
 $9,746,317
December 31, 2020December 31, 2020538,405 $538,405 $10,175,235 $(3,976,232)$(3,685)$6,733,723 $556,227 $7,289,950 $57,396 
Net income (loss)
 
 
 627,747
 
 627,747
 12,179
 639,926
Net income (loss)— — — 505,540 — 505,540 20,346 525,886 44 
Other comprehensive income (loss)
 
 
 
 828
 828
 
 828
Other comprehensive income (loss)— — — — 538 538 — 538 — 
Issuance of common stock, net2,552
 2,552
 61,625
 
 
 64,177
 
 64,177
Issuance of common stock, net1,005 1,005 740 — — 1,745 — 1,745 — 
Conversion of DownREIT units to common stock145
 145
 5,948
 
 
 6,093
 (6,093) 
Conversion of DownREIT units to common stock193 — — 201 (201)— — 
Repurchase of common stock(237) (237) (8,448) 
 
 (8,685) 
 (8,685)Repurchase of common stock(418)(418)(12,423)— — (12,841)— (12,841)— 
Exercise of stock options133
 133
 3,340
 
 
 3,473
 
 3,473
Exercise of stock options97 97 3,194 — — 3,291 — 3,291 — 
Amortization of deferred compensation
 
 22,884
 
 
 22,884
 
 22,884
Common dividends ($2.095 per share)
 
 
 (979,542) 
 (979,542) 
 (979,542)
Distribution of QCP, Inc.
 
 (3,532,763) 
 
 (3,532,763) 
 (3,532,763)
Amortization of stock-based compensationAmortization of stock-based compensation— — 22,851 — — 22,851 — 22,851 — 
Common dividends ($1.20 per share)Common dividends ($1.20 per share)— — — (650,082)— (650,082)— (650,082)— 
Distributions to noncontrolling interests
 
 (36) 
 
 (36) (26,311) (26,347)Distributions to noncontrolling interests— — — — — — (33,017)(33,017)(162)
Issuances of noncontrolling interests
 
 
 
 
 
 11,834
 11,834
Deconsolidation of noncontrolling interests
 
 (36) 475
 
 439
 67
 506
Purchase of noncontrolling interests
 
 (663) 
 
 (663) (637) (1,300)Purchase of noncontrolling interests— — (5)— — (5)(65)(70)(60,065)
December 31, 2016468,081
 $468,081
 $8,198,890
 $(3,089,734) $(29,642) $5,547,595
 $393,713
 $5,941,308
Net income (loss)
 
 
 414,169
 
 414,169
 8,465
 422,634
Other comprehensive income (loss)
 
 
 
 5,618
 5,618
 
 5,618
Issuance of common stock, net1,402
 1,402
 25,951
 
 
 27,353
 
 27,353
Conversion of DownREIT units to common stock78
 78
 2,411
 
 
 2,489
 (2,489) 
Repurchase of common stock(157) (157) (4,628) 
 
 (4,785) 
 (4,785)
Exercise of stock options32
 32
 736
 
 
 768
 
 768
Amortization of deferred compensation
 
 14,258
 
 
 14,258
 
 14,258
Common dividends ($1.480 per share)
 
 
 (694,955) 
 (694,955) 
 (694,955)
Distributions to noncontrolling interests
 
 
 
 
 
 (26,129) (26,129)
Issuances of noncontrolling interests
 
 
 
 
 
 1,615
 1,615
Deconsolidation of noncontrolling interests
 
 
 
 
 
 (58,062) (58,062)
Purchase of noncontrolling interests
 
 (11,505) 
 
 (11,505) (23,180) (34,685)
December 31, 2017469,436
 $469,436
 $8,226,113
 $(3,370,520) $(24,024) $5,301,005
 $293,933
 $5,594,938
Impact of adoption of ASU No. 2017-05(1)

 
 
 79,144
 
 79,144
 
 79,144
January 1, 2018469,436
 $469,436
 $8,226,113
 $(3,291,376) $(24,024) $5,380,149
 $293,933
 $5,674,082
Net income (loss)
 
 
 1,061,093
 
 1,061,093
 12,381
 1,073,474
Other comprehensive income (loss)
 
 
 
 19,316
 19,316
 
 19,316
Issuance of common stock, net8,078
 8,078
 207,101
 
 
 215,179
 
 215,179
Conversion of DownREIT units to common stock3
 3
 133
 
 
 136
 (136) 
Repurchase of common stock(141) (141) (3,291) 
 
 (3,432) 
 (3,432)
Exercise of stock options120
 120
 2,357
 
 
 2,477
 
 2,477
Amortization of deferred compensation
 
 16,563
 
 
 16,563
 
 16,563
Common dividends ($1.480 per share)
 
 
 (696,913) 
 (696,913) 
 (696,913)
Distributions to noncontrolling interests
 
 
 
 
 
 (18,415) (18,415)
Issuances of noncontrolling interests
 
 
 
 
 
 299,666
 299,666
Purchase of noncontrolling interests
 
 (50,129) 
 
 (50,129) (19,277) (69,406)
December 31, 2018477,496
 $477,496
 $8,398,847
 $(2,927,196) $(4,708) $5,944,439
 $568,152
 $6,512,591
Contributions from noncontrolling interestsContributions from noncontrolling interests— — — — — — — — 640 
Adjustments to redemption value of redeemable noncontrolling interestsAdjustments to redemption value of redeemable noncontrolling interests— — (89,491)— — (89,491)— (89,491)89,491 
December 31, 2021December 31, 2021539,097 $539,097 $10,100,294 $(4,120,774)$(3,147)$6,515,470 $543,290 $7,058,760 $87,344 

(1)
On January 1, 2018, the Company adopted Accounting Standards Update (“ASU”) No. 2017-05, Clarifying the Scope of Asset Derecognition Guidance and Accounting for Partial Sales of Nonfinancial Assets (“ASU 2017-05”), and recognized the cumulative-effect of adoption to beginning retained earnings. Refer to Note 2 for a detailed impact of adoption.
(1)On January 1, 2019, the Company adopted a series of Accounting Standards Updates (“ASUs”) related to accounting for leases, and recognized the cumulative-effect of adoption to beginning retained earnings. Refer to Note 2 for a detailed impact of adoption.
(2)On January 1, 2020, the Company adopted a series of ASUs related to accounting for credit losses and recognized the cumulative-effect of adoption to beginning retained earnings. Refer to Note 2 for a detailed impact of adoption.
See accompanying Notes to Consolidated Financial Statements.

69
HCP,

Healthpeak Properties, Inc.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)
Year Ended December 31,Year Ended December 31,
2018 2017 2016202120202019
Cash flows from operating activities:     Cash flows from operating activities:
Net income (loss)$1,073,474
 $422,634
 $639,926
Net income (loss)$525,930 $428,253 $60,061 
Adjustments to reconcile net income (loss) to net cash provided by operating activities:     
Depreciation and amortization of real estate, in-place lease and other intangibles     
Continuing operations549,499
 534,726
 568,108
Discontinued operations
 
 4,890
Amortization of deferred compensation16,563
 14,258
 22,884
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Depreciation and amortization of real estate, in-place lease, and other intangiblesDepreciation and amortization of real estate, in-place lease, and other intangibles684,286 697,143 659,989 
Amortization of stock-based compensationAmortization of stock-based compensation18,202 17,368 18,162 
Amortization of deferred financing costs12,612
 14,569
 20,014
Amortization of deferred financing costs9,216 10,157 10,863 
Straight-line rents(23,138) (23,933) (18,003)Straight-line rents(31,188)(24,532)(22,479)
Amortization of nonrefundable entrance fees and above/below market lease intangiblesAmortization of nonrefundable entrance fees and above/below market lease intangibles(94,362)(81,914)— 
Equity loss (income) from unconsolidated joint ventures2,594
 (10,901) (11,360)Equity loss (income) from unconsolidated joint ventures(11,235)67,787 8,625 
Distributions of earnings from unconsolidated joint ventures22,467
 44,142
 26,492
Distributions of earnings from unconsolidated joint ventures4,976 12,294 20,114 
Lease and management fee termination loss (income), net
 54,641
 
Loss (gain) on sale of real estate under direct financing leasesLoss (gain) on sale of real estate under direct financing leases— (41,670)— 
Deferred income tax expense (benefit)(18,525) (5,523) 47,195
Deferred income tax expense (benefit)(5,792)(14,573)(18,253)
Impairments (recoveries), net55,260
 166,384
 
Loss on extinguishment of debt44,162
 54,227
 46,020
Impairments and loan loss reserves (recoveries), netImpairments and loan loss reserves (recoveries), net55,896 244,253 225,937 
Loss (gain) on debt extinguishmentsLoss (gain) on debt extinguishments225,824 42,912 58,364 
Loss (gain) on sales of real estate, net(925,985) (356,641) (164,698)Loss (gain) on sales of real estate, net(605,311)(550,494)(22,900)
Loss (gain) on consolidation, net(9,154) 
 
Loss (gain) upon change of control, netLoss (gain) upon change of control, net(1,042)(159,973)(168,023)
Casualty-related loss (recoveries), net
 12,053
 
Casualty-related loss (recoveries), net1,632 469 (3,706)
Loss (gain) on sale of marketable securities
 (50,895) 
Other non-cash items2,569
 (2,735) (2,369)Other non-cash items(8,178)2,175 (2,569)
Changes in:Changes in:
Decrease (increase) in accounts receivable and other assets, net5,686
 (24,782) (6,992)Decrease (increase) in accounts receivable and other assets, net18,626 15,281 (49,771)
Increase (decrease) in accounts payable and accrued liabilities40,625
 4,817
 42,024
Increase (decrease) in accounts payable, accrued liabilities, and deferred revenueIncrease (decrease) in accounts payable, accrued liabilities, and deferred revenue7,768 93,495 71,659 
Net cash provided by (used in) operating activities848,709
 847,041
 1,214,131
Net cash provided by (used in) operating activities795,248 758,431 846,073 
Cash flows from investing activities:     Cash flows from investing activities:
Acquisitions of other real estate(426,080) (560,753) (467,162)
Development and redevelopment of real estate(503,643) (373,479) (421,322)
Acquisitions of real estateAcquisitions of real estate(1,483,026)(1,170,651)(1,604,285)
Development, redevelopment, and other major improvements of real estateDevelopment, redevelopment, and other major improvements of real estate(610,555)(791,566)(626,904)
Leasing costs, tenant improvements, and recurring capital expenditures(106,193) (115,260) (91,442)Leasing costs, tenant improvements, and recurring capital expenditures(111,480)(94,121)(108,844)
Proceeds from sales of real estate, net2,044,477
 1,314,325
 647,754
Proceeds from sales of real estate, net2,399,120 1,304,375 230,455 
Acquisition of CCRC PortfolioAcquisition of CCRC Portfolio— (394,177)— 
Contributions to unconsolidated joint ventures(12,203) (46,334) (10,186)Contributions to unconsolidated joint ventures(25,260)(39,118)(14,956)
Distributions in excess of earnings from unconsolidated joint ventures26,472
 37,023
 28,366
Distributions in excess of earnings from unconsolidated joint ventures37,640 18,555 27,072 
Proceeds from the RIDEA II transaction, net335,709
 462,242
 
Proceeds from insurance recoveryProceeds from insurance recovery— 1,802 9,359 
Proceeds from the U.K. JV transaction, net393,997
 
 
Proceeds from the U.K. JV transaction, net— — 89,868 
Proceeds from sales/principal repayments on debt investments and direct financing leases148,024
 558,769
 231,990
Investments in loans receivable, direct financing leases and other(71,281) (30,276) (273,693)
Purchase of securities for debt defeasance
 
 (73,278)
Proceeds from the Sovereign Wealth Fund Senior Housing JV transaction, netProceeds from the Sovereign Wealth Fund Senior Housing JV transaction, net— — 354,774 
Proceeds from sales/principal repayments on loans receivable and direct financing leasesProceeds from sales/principal repayments on loans receivable and direct financing leases342,420 202,763 274,150 
Investments in loans receivable and otherInvestments in loans receivable and other(17,827)(45,562)(79,467)
Net cash provided by (used in) investing activities1,829,279
 1,246,257
 (428,973)Net cash provided by (used in) investing activities531,032 (1,007,700)(1,448,778)
Cash flows from financing activities:     Cash flows from financing activities:
Borrowings under bank line of credit, net1,823,000
 1,244,189
 1,108,417
Repayments under bank line of credit(2,755,668) (1,150,596) (540,000)
Proceeds related to QCP Spin-Off, net
 
 1,685,172
Issuance and borrowings of debt, excluding bank line of credit223,587
 5,395
 
Repayments and repurchase of debt, excluding bank line of credit(1,604,026) (1,468,446) (2,316,774)
Borrowings under bank line of credit and commercial paperBorrowings under bank line of credit and commercial paper16,821,450 4,742,600 7,607,788 
Repayments under bank line of credit and commercial paperRepayments under bank line of credit and commercial paper(15,785,065)(4,706,010)(7,597,047)
Issuance and borrowings of debt, excluding bank line of credit and commercial paperIssuance and borrowings of debt, excluding bank line of credit and commercial paper1,088,537 594,750 2,047,069 
Repayments and repurchase of debt, excluding bank line of credit and commercial paperRepayments and repurchase of debt, excluding bank line of credit and commercial paper(2,425,936)(568,343)(1,654,142)
Borrowings under term loanBorrowings under term loan— — 250,000 
Payments for debt extinguishment and deferred financing costs(41,552) (51,415) (54,856)Payments for debt extinguishment and deferred financing costs(236,942)(47,210)(80,616)
Issuance of common stock and exercise of options217,656
 28,121
 67,650
Issuance of common stock and exercise of options5,036 1,068,877 795,586 
Repurchase of common stock(3,432) (4,785) (8,685)Repurchase of common stock(12,841)(10,529)(5,043)
Dividends paid on common stock(696,913) (694,955) (979,542)Dividends paid on common stock(650,082)(787,072)(720,123)
Issuance of noncontrolling interests299,666
 1,615
 11,834
Contributions from and issuance of noncontrolling interestsContributions from and issuance of noncontrolling interests640 — 33,318 
Distributions to and purchase of noncontrolling interests(82,854) (57,584) (27,481)Distributions to and purchase of noncontrolling interests(93,314)(40,613)(29,519)
Net cash provided by (used in) financing activities(2,620,536) (2,148,461) (1,054,265)Net cash provided by (used in) financing activities(1,288,517)246,450 647,271 
Effect of foreign exchanges on cash, cash equivalents and restricted cash191
 376
 (1,019)Effect of foreign exchanges on cash, cash equivalents and restricted cash— (153)245 
Net increase (decrease) in cash, cash equivalents and restricted cash57,643
 (54,787) (270,126)Net increase (decrease) in cash, cash equivalents and restricted cash37,763 (2,972)44,811 
Cash, cash equivalents and restricted cash, beginning of year82,203
 136,990
 407,116
Cash, cash equivalents and restricted cash, beginning of year181,685 184,657 139,846 
Cash, cash equivalents and restricted cash, end of year$139,846
 $82,203
 $136,990
Cash, cash equivalents and restricted cash, end of year$219,448 $181,685 $184,657 
See accompanying Notes to Consolidated Financial Statements.

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HCP,

Healthpeak Properties, Inc.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
NOTE 1.    Business
NOTE 1.Business

Overview
HCP,Healthpeak Properties, Inc., an S&Pa Standard & Poor’s 500 company, is a Maryland corporation that is organized to qualify as a real estate investment trust (“REIT”) which,that, together with its consolidated entities (collectively, “HCP”“Healthpeak” or the “Company”), invests primarily in real estate serving the healthcare industry in the United States (“U.S.”). The CompanyHealthpeak® acquires, develops, leases, owns, and manages and disposes of healthcare real estate. The Company’s diverse portfolio is comprised of investments in the following reportable healthcare segments: (i) life science; (ii) medical office; and (iii) continuing care retirement community (“CCRC”).
The Company’s corporate headquarters are located in Denver, Colorado, and it has additional offices in Irvine, California and Franklin, Tennessee.
Senior Housing Triple-Net and Senior Housing Operating Portfolio Dispositions
During 2020, the Company established and began executing a plan to dispose of its senior housing triple-net (ii)and Senior Housing Operating Property (“SHOP”) properties. As of December 31, 2020, the Company concluded that the planned dispositions represented a strategic shift that had and will have a major effect on the Company’s operations and financial results. Therefore, senior housing operating portfoliotriple-net and SHOP assets meeting the held for sale criteria are classified as discontinued operations in all periods presented herein. In September 2021, the Company successfully completed the disposition of the remaining senior housing triple-net and SHOP properties. See Note 5 for further information.
Covid Update
The coronavirus (“SHOP”Covid”), (iii) life science pandemic has caused significant disruption to individuals, governments, financial markets, and (iv) medical office.businesses, including the Company. The Company’s tenants, operators, and borrowers have experienced significant cost increases as a result of increased health and safety measures, staffing shortages, increased governmental regulation and compliance, vaccine mandates, and other operational changes necessitated either directly or indirectly by the Covid pandemic. The Company evaluated the impacts of Covid on its business thus far and incorporated information concerning the impact of Covid into its assessments of liquidity, impairments, and collectibility from tenants, residents, and borrowers as of December 31, 2021. The Company will continue to monitor such impacts and will adjust its estimates and assumptions based on the best available information.
NOTE 2.    Summary of Significant Accounting Policies
NOTE 2.Summary of Significant Accounting Policies

Use of Estimates
Management is required to make estimates and assumptions in the preparation of financial statements in conformity with U.S. generally accepted accounting principles (“GAAP”). These estimates and assumptions affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from management’s estimates.
PrinciplesBasis of ConsolidationPresentation
The consolidated financial statements include the accounts of HCP,Healthpeak Properties, Inc., its wholly-owned subsidiaries, joint ventures (“JVs”), and variable interest entities (“VIEs”) that it controls through voting rights or other means. Intercompany transactions and balances have been eliminated upon consolidation.
The Company is required to continually evaluate its variable interest entity (“VIE”)VIE relationships and consolidate these entities when it is determined to be the primary beneficiary of their operations. A VIE is broadly defined as an entity where either: (i) the equity investment at risk is insufficient to finance that entity’s activities without additional subordinated financial support, (ii) substantially all of an entity’s activities either involve or are conducted on behalf of an investor that has disproportionately few voting rights, or (iii) the equity investors as a group lack any of the following: (a) the power through voting or similar rights to direct the activities of an entity that most significantly impact the entity’s economic performance, (b) the obligation to absorb the expected losses of an entity, or (c) the right to receive the expected residual returns of an entity. Criterion (iii) above is generally applied to limited partnerships and similarly structured entities by assessing whether a simple majority of the limited partners hold substantive rights to participate in the significant decisions of the entity or have the ability to remove the decision maker or liquidate the entity without cause. If neither of those criteria are met, the entity is a VIE.
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The designation of an entity as a VIE should beis reassessed upon certain events, including, but not limited to: (i) a change to the termscontractual arrangements of the entity or in the ability of a party to exercise its participation ofor kick-out rights, (ii) a change to the capitalization structure of the entity, or (iii) acquisitions or sales of interests that constitute a change in control.
A variable interest holder is considered to be the primary beneficiary of a VIE if it has the power to direct the activities of a VIE that most significantly impact the entity’s economic performance and has the obligation to absorb losses of, or the right to receive benefits from, the entity that could potentially be significant to the VIE. The Company qualitatively assesses whether it is (or is not) the primary beneficiary of a VIE. Consideration of various factors include, but is not limited to, which activities most significantly impact the entity’s economic performance and the ability to direct those activities, its form of ownership interest, its representation on the VIE’s governing body, the size and seniority of its investment, its ability and the rights of other investors to participate in policy making decisions, its ability to manage its ownership interest relative to the other interest holders, and its ability to replace the VIE manager and/or liquidate the entity.
For its investments in joint ventures that are not considered to be VIEs, the Company evaluates the type of ownership rights held by the limited partner(s) that may preclude consolidation by the majority interest holder. The assessment of limited partners’ rights and their impact on the control of a joint venture should be made at inception of the joint venture and continually reassessed.

Revision to Additional Paid-In Capital and Redeemable Noncontrolling Interests
During the third quarter of 2021, the Company identified and corrected immaterial errors in the classification and redemption value of redeemable noncontrolling interests of consolidated joint ventures in its Life Sciences segment. On the Consolidated Balance Sheet as of December 31, 2020, the Company corrected the classification of its redeemable noncontrolling interests and increased the balance to its estimated redemption value, with a corresponding decrease to additional paid-in capital (“APIC”) in accordance with Accounting Standards Codification (“ASC”) 480, Distinguishing Liabilities from Equity.
The increase in the unrealized value of the redeemable noncontrolling interests was largely attributable to rapidly rising rents and compressing capitalization rates in the market in which the entities operate, and was identified and corrected by management. The Company determined the impact of the adjustments to be immaterial, individually and in the aggregate, based on consideration of quantitative and qualitative factors. As such, these adjustments are reflected in this Annual Report on Form 10-K.
These adjustments had no impact on the Consolidated Statements of Cash Flows, Consolidated Statements of Operations, or any per share amounts. The following table provides the impact of the adjustment to the Company’s previously reported Consolidated Balance Sheet as of December 31, 2020 (in thousands):
December 31, 2020
Previously ReportedAdjustmentsAs Corrected
Consolidated Balance Sheet
Accounts payable, accrued liabilities, and other liabilities$763,391 $(2,774)$760,617 
Total liabilities8,575,517 (2,774)8,572,743 
Redeemable noncontrolling interests— 57,396 57,396 
Additional paid-in capital10,229,857 (54,622)10,175,235 
Total stockholders’ equity6,788,345 (54,622)6,733,723 
Total equity7,344,572 (54,622)7,289,950 
Total liabilities and equity15,920,089 — 15,920,089 
In addition to the changes made to reflect the impact of the correction described above, the Company made changes (all amounts in thousands) to the Consolidated Statement of Equity and Redeemable Noncontrolling Interests to decrease APIC, total stockholders’ equity, and total equity as of December 31, 2019 by $8,615 with a corresponding increase to redeemable noncontrolling interests of $11,106 and a decrease to accounts payable, accrued liabilities, and other liabilities as of December 31, 2019 of $2,491 on the Consolidated Balance Sheet.
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Revenue Recognition
Lease Classification
At the inception ofThe Company classifies a new lease arrangement, including new leases that arise from amendments, the Company assesses the terms and conditions to determine the proper lease classification. For leases entered into prior to January 1, 2019, a lease arrangement is classified as an operating lease if none of the following criteria are met: (i) transfer of ownership to the lessee prior to or shortly after the end of the lease term, (ii) lessee has a bargain purchase option during or at the end of the lease term, (iii) the lease term is equal to 75% or more of the underlying property’s economic life, or (iv) the present value of future minimum lease payments (excluding executory costs) is equal to 90% or more of the excess fair value (over retained tax credits) of the leased property. If one of the four criteria is met and the minimum lease payments are determined to be reasonably predictable and collectible, the lease arrangement is generally accounted for as a direct financing lease (“DFL”).
Concurrent with the Company's adoption of Accounting Standards Update ("ASU") No. 2016-02, Leases (“ASU 2016-02”) on January 1, 2019, the Company will begin classifying a lease entered into subsequent to adoption as an operating lease if none of the following criteria are met: (i) transfer of ownership to the lessee by the end of the lease term, (ii) lessee has a purchase option during or at the end of the lease term that it is reasonably certain to exercise, (iii) the lease term is for the major part of the remaining economic life of the underlying asset, (iv) the present value of future minimum lease payments is equal to substantially all of the fair value of the underlying asset, or (v) the underlying asset is of such a specialized nature that it is expected to have no alternative use to the Company at the end of the lease term.
Rental and Related Revenues
The Company commences recognition of rental revenue for operating lease arrangements when the tenant has taken possession or controls the physical use of a leased asset. The tenant is not considered to have taken physical possession or have control of the leased asset until the Company-owned tenant improvements are substantially complete. If a lease arrangement provides for tenant improvements, the Company determines whether the tenant improvements are owned by the tenant or the Company. When the Company is the owner of the tenant improvements, any tenant improvements funded by the tenant are treated as lease payments which are deferred and amortized into income over the lease term. When the tenant is the owner of the tenant improvements, any tenant improvement allowance that is funded by the Company is treated as a lease incentive and amortized as a reduction of revenue over the lease term. Ownership of tenant improvements is determined based on various factors including, but not limited to, the following criteria:
lease stipulations of how and on what a tenant improvement allowance may be spent;
which party to the arrangement retains legal title to the tenant improvements upon lease expiration;
whether the tenant improvements are unique to the tenant or general purpose in nature;
if the tenant improvements are expected to have significant residual value at the end of the lease term;
the responsible party for construction cost overruns; and
which party constructs or directs the construction of the improvements.
Certain leases provide for additional rents that are contingent upon a percentage of the facility’s revenue in excess of specified base amounts or other thresholds. Such revenue is recognized when actual results reported by the tenant or estimates of tenant results, exceed the base amount or other thresholds, and only after any contingency has been removed (when the related thresholds are achieved). This may result in the recognition of rental revenue in periods subsequent to when such payments are received.
Tenant recoveries subject to operating leases generally relate to the reimbursement of real estate taxes, insurance, and repairsrepair and maintenance expense. These expensesexpense, and are recognized as both revenue (in rental and related revenues) and expense (in operating expenses) in the period they are incurred. The reimbursements of these expenses are recognized in rental and related revenues,the expense is incurred as the Company is generally the primary obligor and, with respect to purchasing goods and services from third party suppliers, has discretion in selectingpaying the supplier and bears the associated credit risk.service provider.
For operating leases with minimum scheduled rent increases, the Company recognizes income on a straight line basis over the lease term when collectibility of future minimum lease payments is reasonably assured.probable. Recognizing rental income on a straight line basis results in a difference in the timing of revenue amounts from what is contractually due from tenants. If the Company determines that collectibility of straight line rentsfuture minimum lease payments is not reasonably assured,probable, the straight-line rent receivable balance is written off and recognized as a decrease in revenue in that period and future revenue recognition is limited to amounts contractually owed and paid,paid. If it is no longer probable that substantially all future minimum lease payments under operating leases will be received, the accounts receivable and when appropriate, an allowance for estimated lossesstraight-line rent receivable balance is established.written off and recognized as a decrease in revenue in that period.

The Company’s operating leases generally contain options to extend lease terms at prevailing market rates at the time of expiration. Certain operating leases contain early termination options that require advance notice and payment of a penalty, which in most cases is substantial enough to be deemed economically disadvantageous by a tenant to exercise.
Resident Fees and Services
Resident fee revenue is recorded when services are rendered and includes resident room and care charges, community fees and other resident charges. Residency agreements for SHOP and CCRC facilities are generally for a term of 30 days to one year, with resident fees billed monthly, in advance. Revenue for certain care related services is recognized as services are provided and is billed monthly in arrears.
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Certain of the Company's CCRCs are operated as entrance fee communities, which typically require a resident to pay an upfront entrance fee that includes both a refundable portion and non-refundable portion. When the Company receives a nonrefundable entrance fee, it is recorded in deferred revenue in the Consolidated Balance Sheets and amortized into revenue over the estimated stay of the resident. The Company utilizes third-party actuarial experts in its determination of the estimated stay of residents. At December 31, 2021 and 2020, unamortized nonrefundable entrance fee liabilities were$496 million and $484 million, respectively.
Income from Direct Financing Leases
The Company utilizes the direct finance method of accounting to record DFL income. For a lease accounted for as a DFL, the net investment in the DFL represents receivables for the sum of future minimum lease payments and the estimated residual value of the leased property, less the unamortized unearned income. Unearned income is deferred and amortized to income over the lease term to provide a constant yield when collectibility of the lease payments is reasonably assured.
Interest Income
Loans receivable are classified as held-for-investment based on management’s intent and ability to hold the loans for the foreseeable future or to maturity. Loans held-for-investment are carried at amortized cost and reduced by a valuation allowance for estimated credit losses, as necessary. The Company recognizes interest income on loans, including the amortization of discounts and premiums, loan fees paid and received, using the interest method. The interest method is applied on a loan-by-loan basis when collectibility of the future payments is reasonably assured. Premiums and discounts are recognized as yield adjustments over the term of the related loans.
Gain (loss) on sales of real estate, net
The Company recognizes a gain (loss) on sale of real estate when the criteria for an asset to be derecognized are met, which include when: (i) a contract exists, (ii) the buyer obtains control of the asset, and (iii) it is probable that the Company will receive substantially all of the consideration to which it is entitled. These criteria are generally satisfied at the time of sale.
AllowanceGovernment Grant Income
On March 27, 2020, the federal government enacted the Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”) to provide financial aid to individuals, businesses, and state and local governments.During the years ended December 31, 2021 and 2020, the Company received government grants under the CARES Act primarily to cover increased expenses and lost revenue during the Covid pandemic. Grant income is recognized when there is reasonable assurance that the grant will be received and the Company will comply with all conditions attached to the grant. Additionally, grants are recognized over the periods in which the Company recognizes the increased expenses and lost revenue the grants are intended to defray. As of December 31, 2021, the amount of qualifying expenditures and lost revenue exceeded grant income recognized and the Company believes it has complied and will continue to comply with all grant conditions. In the event of non-compliance, all such amounts received are subject to recapture.
The following table summarizes information related to government grant income received and recognized by the Company (in thousands):
Year Ended December 31,
202120202019
Government grant income recorded in other income (expense), net$1,412 $16,198 $— 
Government grant income recorded in equity income (loss) from unconsolidated joint ventures1,749 1,279 — 
Government grant income recorded in income (loss) from discontinued operations3,669 15,436 — 
Total government grants received$6,830 $32,913 $— 
From January 1, 2022 through February 7, 2022, the Company received $7 million in government grants under the CARES Act, including $0.6 million for Doubtful Accountsits share of funds received by certain unconsolidated joint ventures, which will be recognized during the first quarter of 2022.
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Credit Losses
The Company evaluates the liquidity and creditworthiness of its tenants,occupants, operators, and borrowers on a monthly and quarterly basis. The Company’s evaluation considers payment history and current credit status, industry and economic conditions, individual and portfolio property performance, credit enhancements, liquidity, and other factors. The Company’s tenants,occupants, operators, and borrowers and operators furnish property, portfolio, and guarantor/operator-level financial statements, among other information, on a monthly or quarterly basis; the Company utilizes this financial information to calculate the lease or debt service coverages that it uses as a primary credit quality indicator. Lease and debt service coverage information is evaluated together with other property, portfolio, and operator performance information, including revenue, expense, net operating income, occupancy, rental rate, reimbursement trends, capital expenditures, and EBITDA (defined as earnings before interest, tax, and depreciation and amortization), along with other liquidity measures. The Company evaluates, on a monthly basis or immediately upon a significant change in circumstance, its tenants’occupants’, operators’, and borrowers’ ability to service their obligations with the Company.
The Company maintains an allowance for doubtful accounts for straight-line rent receivables resulting from tenants’ inability to make contractual rent and tenant recovery payments or lease defaults. For straight-line rent receivables, the Company’s assessment is based on amounts estimated to be recoverable over the lease term.
In connection with the Company’s quarterly review process or upon the occurrence of a significant event, loans receivable and DFLs (collectively, “Finance Receivables”“finance receivables”), are reviewed and assigned an internal rating of Performing, Watch List, or Workout. Finance Receivablesreceivables that are deemed Performing meet all present contractual obligations, and collection and timing, of all amounts owed is reasonably assured. Watch List Finance Receivablesfinance receivables are defined as Finance Receivablesfinance receivables that do not meet the definition of Performing or Workout. Workout Finance Receivablesfinance receivables are defined as Finance Receivablesfinance receivables in which the Company has determined, based on current information and events, that: (i) it is probable it will be unable to collect all amounts due according to the contractual terms of the agreement, (ii) the tenant, operator, or borrower is delinquent on making payments under the contractual terms of the agreement, and (iii) the Company has commenced action or anticipates pursuing action in the near term to seek recovery of its investment.
Finance Receivablesreceivables are placed on nonaccrual status when management determines that the collectibility of contractual amounts is not reasonably assured (the asset will have an internal rating of either Watch List or Workout). Further, the Company performs a credit analysis to support the tenant’s, operator’s, borrower’s, and/or guarantor’s repayment capacity and the underlying collateral values. The Company uses the cash basis method of accounting for Finance Receivablesfinance receivables placed on nonaccrual status unless one of the following conditions exist whereby it utilizes the cost recovery method of accounting:accounting if: (i) if the Company determines that it is probable that it will only recover the recorded investment in the Finance Receivable,finance receivable, net of associated allowances or charge-offs (if any), or (ii) the Company cannot reasonably estimate the amount of an impaired Finance Receivable.finance receivable. For cash basis method of accounting, the Company applies payments received, excluding principal paydowns, to interest income so long as that amount does not exceed the amount that would have been earned under the original contractual terms. For cost recovery method of

accounting, any payment received is applied to reduce the recorded investment. Generally, the Company returns a Finance Receivablefinance receivable to accrual status when all delinquent payments become current under the terms of the loan or lease agreements and collectibility of the remaining contractual loan or lease payments is reasonably assured.
Allowances arePrior to the adoption of ASU No. 2016-13, Measurement of Credit Losses on Financial Instruments (“ASU 2016-13”) on January 1, 2020, allowances were established for Finance Receivablesfinance receivables on an individual basis utilizing an estimate of probable losses, if they arewere determined to be impaired. Finance Receivables arereceivables were impaired when it iswas deemed probable that the Company willwould be unable to collect all amounts due in accordance with the contractual terms of the loan or lease.finance receivable. An allowance iswas based upon the Company’s assessment of the lessee’s or borrower’s overall financial condition, economic resources, payment record, the prospects for support from any financially responsible guarantors and, if appropriate, the net realizable value of any collateral. These estimates considerconsidered all available evidence, including the expected future cash flows discounted at the Finance Receivable’sfinance receivable’s effective interest rate, fair value of collateral, general economic conditions and trends, historical and industry loss experience, and other relevant factors, as appropriate. ShouldIf a Finance Receivable befinance receivable was deemed partially or wholly uncollectible, the uncollectible balance iswas charged off against the allowance in the period in which the uncollectible determination has beenwas made.
Subsequent to adopting ASU 2016-13 on January 1, 2020, the Company began using a loss model that relies on future expected credit losses, rather than incurred losses, as was required under historical U.S. GAAP. Under the new model, the Company is required to recognize future credit losses expected to be incurred over the life of a finance receivable at inception of that instrument. The model emphasizes historical experience and future market expectations to determine a loss to be recognized at inception. However, the model continues to be applied on an individual basis and to rely on counter-party specific information to ensure the most accurate estimate is recognized. The Company also performs a quarterly review process (or upon the occurrence of a significant event) to evaluate its borrowers’ creditworthiness and liquidity to determine the amount of credit losses to recognize during the period. If a finance receivable is deemed partially or wholly uncollectible, the uncollectible balance is deducted from the allowance in the period in which such determination is made. Credit loss expenses and recoveries are recorded in impairments and loan loss reserves (recoveries), net.
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Real Estate
The Company’s real estate acquisitions are generally classified as asset acquisitions for which the Company records identifiable assets acquired, liabilities assumed, and any associated noncontrolling interests at cost on a relative fair value basis. In addition, for such asset acquisitions, no goodwill is recognized, third party transaction costs are capitalized and any associated contingent consideration is generally recorded when the contingencyamount of consideration is resolved.reasonably estimable and probable of being paid.
The Company assesses fair value based on available market information, such as capitalization and discount rates, comparable sale transactions, and relevant per square foot or unit cost information. A real estate asset’s fair value may be determined utilizing cash flow projections that incorporate such market information. Estimates of future cash flows are based on a number of factors including historical operating results, known and anticipated trends, as well as market and economic conditions. The fair value of tangible assets of an acquired property is based on the value of the property as if it is vacant.
The Company recordsrecognizes acquired “above and below market” leases at their relative fair value (for asset acquisitions) using discount rates which reflect the risks associated with the leases acquired. The amount recordedfair value is based on the present value of the difference between (i) the contractual amounts paid pursuant to each in-place lease and (ii) management’s estimate of fair market lease rates for each in-place lease, measured over a period equal to the remaining term of the lease for above market leases and the initial term plus the extended term for any leases with bargain renewal options.options that are reasonably certain to be exercised. Other intangible assets acquired include amounts for in-place lease values that are based on an evaluation of the specific characteristics of each property and the acquired tenant lease(s). Factors considered include estimates of carrying costs during hypothetical expected lease-up periods, market conditions, and costs to execute similar leases. In estimating carrying costs, the Company includes estimates of lost rents at market rates during the hypothetical expected lease-up periods, which are dependent on local market conditions and expected trends. In estimating costs to execute similar leases, the Company considers leasing commissions, legal, and other related costs.
Certain of the Company's acquisitions involve the assumption of contract liabilities. The Company typically estimates the fair value of contract liabilities by applying a reasonable profit margin to the total discounted estimated future costs associated with servicing the contract. A variety of market and contract-specific conditions are considered when making assumptions that impact the estimated fair value of the contract liability.
The Company capitalizes direct construction and development costs, including predevelopment costs, interest, property taxes, insurance, and other costs directly related and essential to the development or construction of a real estate asset. The Company capitalizes construction and development costs while substantive activities are ongoing to prepare an asset for its intended use. During the holding or development period, certain real estate assets generate incidental income that is not associated with the future profit or return from the intended use of the property. Such income is recognized as a reduction of the associated project costs. The Company considers a construction project as substantially complete and held available for occupancy upon the completion of Company-owned tenant improvements, but no later than one year from cessation of significant construction activity. Costs incurred after a project is substantially complete and ready for its intended use, or after development activities have ceased, are expensed as incurred. For redevelopment of existing operating properties, the Company capitalizes the cost for the construction and improvement incurred in connection with the redevelopment.
Costs previously capitalized related to abandoned developments/redevelopments are charged to earnings. Expenditures for repairs and maintenance are expensed as incurred. The Company considers costs incurred in conjunction with re-leasing properties, including tenant improvements and lease commissions, to represent the acquisition of productive assets and accordingly, such costs are reflected as investing activities in the Company’s consolidated statementConsolidated Statements of cash flows.Cash Flows.
Initial direct costs incurred in connection with successful property leasing are capitalized as deferred leasing costs and classified as investing activities in the Consolidated Statements of Cash Flows. Initial direct costs include only those costs that are incremental to the arrangement and would not have been incurred if the lease had not been obtained. Initial direct costs consist of leasing commissions paid to external third party brokers and lease incentives. Initial direct costs are included in other assets, net in the Consolidated Balance Sheets and amortized in depreciation and amortization in the Consolidated Statements of Operations using the straight-line method of accounting over the lease term.
The Company computes depreciation on properties using the straight-line method over the assets’ estimated useful lives. Depreciation is discontinued when a property is identified as held for sale. Buildings and improvements are depreciated over useful lives ranging up to 6050 years. MarketAbove and below market lease intangibles are amortized primarily to revenue over the remaining noncancellable lease terms and bargain renewal periods that are reasonably certain to be exercised, if any. In-place lease intangibles are amortized to expense over the remaining noncancellable lease term and bargain renewal periods that are reasonably certain to be exercised, if any.
Concurrent with the Company's adoption of ASU 2016-02 on January 1, 2019, the Company elected to recognize expense associated with short-term leases (those with a noncancellable lease term of 12 months or less) under which the Company is the lessee on a straight-line basis and not recognize those leases on its consolidated balance sheets.

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For leases other than short-term operating leases under which the Company is the lessee, such as ground leases and corporate office leases, the Company recognizes a right-of-use asset and related lease liability on its consolidated balance sheet at inception of the lease. The lease liability is calculated as the sum of: (i) the present value of minimum lease payments at lease commencement (discounted using the Company's secured incremental borrowing rate) and (ii) the present value of amounts probable of being paid under any residual value guarantees. Certain of the Company’s lease agreements have options to extend or terminate the contract terms upon meeting certain criteria. The lease term utilized in the calculation of the lease liability includes these options if they are considered reasonably certain of exercise. The right-of-use asset is calculated as the lease liability, adjusted for the following: (i) any lease payments made to the lessor at or before the commencement date, minus any lease incentives received and (ii) any initial direct costs incurred by the Company. Lease expense related to corporate assets is included in general and administrative expenses and lease expense related to ground leases is included within operating expenses in the Company’s Consolidated Statements of Operations.
Impairment of Long-Lived Assets and Goodwill
The Company assesses the carrying value of real estate assets and related intangibles (“real estate assets”) when events or changes in circumstances indicate that the carrying value may not be recoverable. The Company tests its real estate assets for impairment by comparing the sum of the expected future undiscounted cash flows to the carrying value of the real estate assets. The expected future undiscounted cash flows reflect external market factorsthe expected use and eventual disposition of the asset, and are probability-weighted to reflect multiple possible cash-flow scenarios, including selling the assets at various points in the future. Further, the analysis considers the impact, if any, of master lease agreements on cash flows, which are calculated utilizing the lowest level of identifiable cash flows that are largely independent of the cash flows of other assets and liabilities. If the carrying value exceeds the expected future undiscounted cash flows, an impairment loss will be recognized to the extent that the carrying value of the real estate assets exceeds their fair value. If an asset is
Determining the fair value of real estate assets, including assets classified as held for sale, it is reported at the lower of its carrying valueheld-for-sale, involves significant judgment and generally utilizes market capitalization rates, comparable market transactions, estimated per unit or fair value less costs to sellper square foot prices, negotiations with prospective buyers, and no longer depreciated.forecasted cash flows (lease revenue rates, expense rates, growth rates, etc.).
When testing goodwill for impairment, if the Company concludes that it is more likely than not that the fair value of a reporting unit is less than its carrying value, the Company recognizes an impairment loss for the amount by which the carrying value, including goodwill, exceeds the reporting unit’s fair value.
Assets Held for Sale and Discontinued Operations
The Company classifies a real estate property as held for sale when: (i) management has approved the disposal, (ii) the property is available for sale in its present condition, (iii) an active program to locate a buyer has been initiated, (iv) it is probable that the property will be disposed of within one year, (v) the property is being marketed at a reasonable price relative to its fair value, and (vi) it is unlikely that the disposal plan will significantly change or be withdrawn. If a real estate property is classified as held for sale, it is reported at the lower of its carrying value or fair value less costs to sell and no longer depreciated.
The Company classifies a loan receivable as held for sale when management no longer has the intent and ability to hold the loan receivable for the foreseeable future or until maturity. If a loan receivable is classified as held for sale, it is reported at the lower of amortized cost or fair value.
A discontinued operation represents: (i) a component of an entitythe Company or group of components that has been disposed of or is classified as held for sale in a single transaction and represents a strategic shift that has or will have a major effect on the Company’s operations and financial results or (ii) an acquired business that is classified as held for sale on the date of acquisition. Examples of a strategic shift may include disposing of: (i) a separate major line of business, (ii) a separate major geographic area of operations, or (iii) other major parts of the Company.
Investments in Unconsolidated Joint Ventures
Investments in entities which the Company does not consolidate, but over which the Company has the ability to exercise significant influence over the operating and financial policies, of, are reported under the equity method of accounting. Under the equity method of accounting, the Company’s share of the investee’s earnings or losses is included in equity income (loss) from unconsolidated joint ventures within the Company’s consolidated resultsConsolidated Statements of operations.Operations.
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The initial carrying value of investments in unconsolidated joint ventures is based on the amount paid to purchase the joint venture interest, the fair value of assets contributed to the joint venture, or the fair value of the assets prior to the sale of interests in the joint venture. To the extent that the Company’s cost basis is different from the basis reflected at the joint venture level, the basis difference is generally amortized over the lives of the related assets and liabilities, and such amortization is included in the Company’s share of equity in earnings of the joint venture. TheIf an equity method investment shows indicators of impairment, the Company evaluates its equity method investments for impairment based uponon a comparison of the fair value of the equity method investment to its carrying value. When the Company determines a decline in the fair value below carrying value of an investment in an unconsolidated joint venture below its carrying value is other-than-temporary, an impairment is recorded. The Company recognizes gains on the sale of interests in joint ventures to the extent the economic substance of the transaction is a sale.
The Company’s fair values of its equity method investments are determined based on discounted cash flow models that include all estimated cash inflows and outflows over a specified holding period and, where applicable, any estimated debt premiums or discounts. Capitalization rates, discount rates, and credit spreads utilized in these valuation models are based uponon assumptions that the Company believes to be within a reasonable range of current market rates for the respective investments.
The Company did not record any impairments of its investments in unconsolidated joint ventures in the statements of operations for the years ended December 31, 2018, 2017 or 2016.

Share-Based Compensation
Compensation expense for share-based awards granted to employees with graded vesting schedules is generally recognized on a straight-line basis over the vesting period. Forfeitures of share-based awards are recognized as they occur.
Cash and Cash Equivalents and Restricted Cash
Cash and cash equivalents consist of cash on hand and short-term investments with original maturities of three months or less when purchased. Restricted cash primarily consists of amounts held by mortgage lenders to provide forfor: (i) real estate tax expenditures, (ii) tenant improvements, and (iii) capital expenditures, (ii)as well as security deposits and (iii) net proceeds from property sales that were executed as tax-deferred dispositions.
Derivatives and Hedging
During its normal course of business, the Company uses certain types of derivative instruments for the purpose of managing interest rate and foreign currency risk. To qualify for hedge accounting, derivative instruments used for risk management purposes must effectively reduce the risk exposure that they are designed to hedge. In addition, at inception of a qualifying cash flow hedging relationship, the underlying transaction or transactions, must be, and are expected to remain, probable of occurring in accordance with the Company’s related assertions.
The Company recognizes all derivative instruments, including embedded derivatives that are required to be bifurcated, as assets or liabilities into the consolidated balance sheetsConsolidated Balance Sheets at fair value. Changes in fair value of derivative instruments that are not designated in hedging relationships or that do not meet the criteria of hedge accounting are recognized in earnings. For derivative instruments designated in qualifying cash flow hedging relationships, changes in fair value related to the effective portion of the derivative instruments are recognized in accumulated other comprehensive income (loss), whereas changes in fair value of the ineffective portion are recognized in earnings.
Using certain of its British pound sterling (“GBP”) denominated debt, the Company applies net investment hedge accounting to hedge the foreign currency exposure from its net investment in GBP-functional unconsolidated subsidiaries. The variability of the GBP-denominated debt due to changes in the GBP to U.S. dollar (“USD”) exchange rate (“remeasurement value”) is recognized as part of the cumulative translation adjustment component of accumulated other comprehensive income (loss).
If it is determined that a derivative instrument ceases to be highly effective as a hedge, or that it is probable the underlying forecasted transaction will not occur, the Company discontinues its cash flow hedge accounting prospectively and records the appropriate adjustment to earnings based on the current fair value of the derivative instrument. For net investment hedge accounting, upon sale or liquidation of the hedged investment, the cumulative balance of the remeasurement value is reclassified to earnings.
Income Taxes
HCP,Healthpeak Properties, Inc. has elected REIT status and believes it has always operated so as to continue to qualify as a REIT under Sections 856 to 860 of the Internal Revenue Code of 1986, as amended (the “Code”). Accordingly, HCP,Healthpeak Properties, Inc. will generally not be subject to U.S. federal income tax, provided that it continues to qualify as a REIT and makes distributions to stockholders equal to or in excess of its taxable income. In addition, the Company has formed several consolidated subsidiaries that have elected REIT status. HCP,Healthpeak Properties, Inc. and its consolidated REIT subsidiaries are each subject to the REIT qualification requirements under the Code. If any REIT fails to qualify as a REIT in any taxable year, it will be subject to federal income taxes at regular corporate rates and may be ineligible to qualify as a REIT for four subsequent tax years.
HCP,
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Healthpeak Properties, Inc. and its consolidated REIT subsidiaries are subject to state, local, andand/or foreign income taxes in some jurisdictions, and injurisdictions. In certain circumstances each REIT may also be subject to federal excise taxes on undistributed income. In addition, certain activities that the Company undertakes may be conducted by entities whichthat have elected to be treated as taxable REIT subsidiaries (“TRSs”). TRSs are subject to federal, state, and local income taxes. The Company recognizes tax penalties relating to unrecognized tax benefits as additional income tax expense. Interest relating to unrecognized tax benefits is recognized as interest expense.
The Company is required to evaluate its deferred tax assets for realizability and recognize a valuation allowance, which is recorded against its deferred tax assets, if it is more likely than not that the deferred tax assets will not be realized. The Company considers all available evidence in its determination of whether a valuation allowance for deferred tax assets is required.
Advertising Costs
All advertising costs are expensed as incurred and reported within operating expenses on the Consolidated Statements of Operations. During the years ended December 31, 2021, 2020, and 2019, total advertising expense was $11 million, $18 million, and $13 million, respectively ($3 million, $12 million, and $13 million, respectively, of which is reported in income (loss) from discontinued operations on the Consolidated Statements of Operations).
Capital Raising Issuance Costs
Costs incurred in connection with the issuance of common shares are recorded as a reduction of additional paid-in capital. Debt issuance costs related to debt instruments, excluding line of credit arrangements and commercial paper, are deferred, recorded as a reduction of the related debt liability, and amortized to interest expense over the remaining term of the related debt liability utilizing the effective interest method. Debt issuance costs related to line of credit arrangements and commercial paper are deferred, included in other assets, and amortized to interest expense on a straight-line basis over the remaining term of the related line of credit arrangement. Commercial paper are unsecured short-term debt securities with varying maturities. A line of credit serves as a liquidity backstop for repayment of commercial paper borrowings.
Penalties incurred to extinguish debt and any remaining unamortized debt issuance costs, discounts, and premiums are recognized as income or expense in the consolidated statementsConsolidated Statements of operationsOperations at the time of extinguishment.

Segment Reporting
The Company’s reportable segments, based on how it evaluates its business and allocates resources, are as follows: (i) senior housing triple-net, (ii) SHOP, (iii) life science, (ii) medical office, and (iv) medical office.(iii) CCRC.
Noncontrolling Interests
Arrangements with noncontrolling interest holders are assessed for appropriate balance sheet classification based on the redemption and other rights held by the noncontrolling interest holder. Net income (loss) attributable to a noncontrolling interest is included in net income (loss) on the consolidated statementsConsolidated Statements of operationsOperations and, upon a gain or loss of control, the interest purchased or sold, and any interest retained, is recorded at fair value with any gain or loss recognized in earnings. The Company accounts for purchases or sales of equity interests that do not result in a change in control as equity transactions.
The Company consolidates non-managing member limited liability companies (“DownREITs”) because it exercises control, and the noncontrolling interests in these entities are carried at cost. The non-managing member limited liability company (“LLC”) units (“DownREIT units”) are exchangeable for an amount of cash approximating the then-current market value of shares of the Company’s common stock or, at the Company’s option, shares of the Company’s common stock (subject to certain adjustments, such as stock splits and reclassifications). Upon exchange of DownREIT units for the Company’s common stock, the carrying amount of the DownREIT units is reclassified to stockholders’ equity.
Redeemable Noncontrolling Interests
Certain of the Company’s noncontrolling interest holders have the ability to put their equity interests to the Company upon specified events or after the passage of a predetermined period of time. Each put option is payable in cash and subject to increases in redemption value in the event that the underlying property generates specified returns and meets certain promote thresholds pursuant to the respective agreements. Accordingly, the Company records redeemable noncontrolling interests outside of permanent equity and presents the redeemable noncontrolling interests at the greater of their carrying amount or redemption value at the end of each reporting period.
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Foreign Currency Translation and Transactions
Assets and liabilities denominated in foreign currencies that are translated into U.S. dollars use exchange rates in effect at the end of the period, and revenues and expenses denominated in foreign currencies that are translated into U.S. dollars use average rates of exchange in effect during the related period. Gains or losses resulting from translation are included in accumulated other comprehensive income (loss), a component of stockholders’ equity on the consolidated balance sheets.. Gains or losses resulting from foreign currency transactions are translated into U.S. dollars at the rates of exchange prevailing at the dates of the transactions. The effects of transaction gains or losses are included in other income (expense), net in the consolidated statementsConsolidated Statements of operations.Operations.
Fair Value Measurement
The Company measures and discloses the fair value of nonfinancial and financial assets and liabilities utilizing a hierarchy of valuation techniques based on whether the inputs to a fair value measurement are considered to be observable or unobservable in a marketplace. Observable inputs reflect market data obtained from independent sources, while unobservable inputs reflect the Company’s market assumptions. This hierarchy requires the use of observable market data when available. These inputs have created the following fair value hierarchy:
Level 1—quoted prices for identical instruments in active markets;
Level 2—quoted prices for similar instruments in active markets; quoted prices for identical or similar instruments in markets that are not active; and model-derived valuations in which significant inputs and significant value drivers are observable in active markets; and
Level 3—fair value measurements derived from valuation techniques in which one or more significant inputs or significant value drivers are unobservable.
The Company measures fair value using a set of standardized procedures that are outlined herein for all assets and liabilities whichthat are required to be measured at fair value. When available, the Company utilizes quoted market prices from an independent third party source to determine fair value and classifies such items in Level 1. In instances where a market price is available, but the instrument is in an inactive or over-the-counter market, the Company consistently applies the dealer (market maker) pricing estimate and classifies the asset or liability in Level 2.
If quoted market prices or inputs are not available, fair value measurements are based uponon valuation models that utilize current market or independently sourced market inputs, such as interest rates, option volatilities, credit spreads, and/or market capitalization rates. Items valued using such internally-generated valuation techniques are classified according to the lowest level input that is significant to the fair value measurement. As a result, the asset or liability could be classified in either Level 2 or Level 3 even though there may be some significant inputs that are readily observable. Internal fair value models and techniques used by the Company include discounted cash flow models. The Company also considers its counterparty’s and own credit risk for derivative instruments and other liabilities measured at fair value. The Company has elected the mid-market pricing expedient when determining fair value.

Earnings per Share
Basic earnings per common share is computed by dividing net income (loss) applicable to common shares by the weighted average number of shares of common stock outstanding during the period. The Company accounts for unvested share-based payment awards that contain non-forfeitable dividend rights or dividend equivalents (whether paid or unpaid) as participating securities, which are included in the computation of earnings per share pursuant to the two-class method. Diluted earnings per common share is calculated by including the effect of dilutive securities.securities, such as the impact of forward equity sales agreements using the treasury stock method and common shares issuable from the assumed conversion of DownREIT units, stock options, certain performance restricted stock units, and unvested restricted stock units.
Recent Accounting Pronouncements
Adopted
Between May 2014 andLeases. In February 2017,2016, the Financial Accounting Standards Board (“FASB”) issued four ASUs changing the requirements for recognizing and reporting revenue (together, herein referred to as the “Revenue ASUs”): (i) ASU No. 2014-09, Revenue from Contracts with Customers2016-02, Leases (“ASU 2014-09”), (ii) ASU No. 2016-08, Principal versus Agent Considerations (Reporting Revenue Gross versus Net) (“ASU 2016-08”), (iii) ASU No. 2016-12, Narrow-Scope Improvements and Practical Expedients (“ASU 2016-12”), and (iv) ASU No. 2017-05, Clarifying the Scope of Asset Derecognition Guidance and Accounting for Partial Sales of Nonfinancial Assets (“ASU 2017-05”2016-02”). ASU 2014-092016-02 (codified under ASC 842, Leases) amends the previous accounting for leases to: (i) require lessees to put most leases on their balance sheets (not required for short-term leases with lease terms of 12 months or less), but continue recognizing expenses on their income statements in a manner similar to requirements under prior accounting guidance, (ii) eliminate real estate specific lease provisions, and (iii) modify the classification criteria and accounting for sales-type leases for lessors. Additionally, ASU 2016-02 provides guidance for revenue recognition to depict the transfer of promised goods or services to customers in an amount that reflects the consideration toa practical expedient, which the Company elected, that allows an entity expects to not reassess the following upon adoption (must be entitled in exchange for those goodselected as a group): (i) whether an expired or services.existing contract contains a lease arrangement, (ii) lease classification related to expired or existing lease arrangements, or (iii) whether costs incurred on expired or existing leases qualify as initial direct costs.
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As a result of adopting ASU 2016-08 is intended to improve the operability and understandability of the implementation guidance2016-02 on principal versus agent considerations. ASU 2016-12 provides practical expedients and improvements on the previously narrow scope of ASU 2014-09. ASU 2017-05 clarifies the scope of the FASB’s guidance on nonfinancial asset derecognition and aligns the accounting for partial sales of nonfinancial assets and in-substance nonfinancial assets with the guidance in ASU 2014-09. The Company adopted the Revenue ASUs effective January 1, 2018 and utilized a2019 using the modified retrospective adoptiontransition approach, resulting inthe Company recognized a cumulative-effect adjustment to equity of $79$1 million as of January 1, 2018.2019. Under the Revenue ASUs,ASU 2016-02, the Company also electedbegan capitalizing fewer costs related to utilizethe drafting and negotiation of its lease agreements. Additionally, the Company began recognizing all of its significant operating leases for which it is the lessee, including corporate office leases, equipment leases, and ground leases, on its consolidated balance sheets as a lease liability and corresponding right-of-use asset. As such, the Company recognized a lease liability of $153 million and right-of-use asset of $166 million on January 1, 2019. The aggregate lease liability was calculated as the present value of minimum lease payments, discounted using a rate that approximated the Company's secured incremental borrowing rate at the time of adoption, adjusted for the noncancelable term of each lease. The right-of-use asset was calculated as the aggregate lease liability, adjusted for the existing accrued straight-line rent liability balance of $20 million and net unamortized above/below market ground lease intangible assets of $33 million.
Under ASU 2016-02, a practical expedient was offered to lessees to make a policy election, which allows the Company elected, to only reassess contracts that were not completedseparate lease and nonlease components, but rather account for the combined components as ofa single lease component under ASC 842. In July 2018, the adoption date, rather than all historical contracts.
AsFASB issued ASU No. 2018-11, Leases - Targeted Improvements (“ASU 2018-11”), which provides lessors with a similar option to elect a practical expedient allowing them to not separate lease and nonlease components in a contract for the primary sourcepurpose of revenue recognition and disclosure. This practical expedient is limited to circumstances in which: (i) the timing and pattern of transfer are the same for the Companynonlease component and the related lease component and (ii) the lease component, if accounted for separately, would be classified as an operating lease. This practical expedient causes an entity to assess whether a contract is generated through leasing arrangements,predominantly lease or service based and recognize the entire contract under the relevant accounting guidance (i.e., predominantly lease-based would be accounted for which timingunder ASU 2016-02 and recognition of revenue willpredominantly service-based would be the same whether accounted for under the Revenue ASUs or lease accounting guidance (see discussion below),ASUs). The Company elected this practical expedient as well and, as a result, beginning January 1, 2019, the impact ofCompany recognizes revenue from its senior housing triple-net, medical office, and life science properties under ASC 842 and revenue from its SHOP and CCRC properties under the Revenue ASUs upon and subsequent(codified under ASC 606, Revenue from Contracts with Customers).
In December 2018, the FASB issued ASU No. 2018-20, Narrow Scope Improvements for Lessors (“ASU 2018-20”), which requires that a lessor: (i) exclude certain lessor costs paid directly by a lessee to adoption, is generally limited to the following:
Prior to the adoptionthird parties on behalf of the Revenue ASUs,lessor from a lessor's measurement of variable lease revenue and associated expense (i.e., no gross up of revenue and expense for these costs,) and (ii) include lessor costs that are paid by the lessor and reimbursed by the lessee in the measurement of variable lease revenue and the associated expense (i.e., gross up revenue and expense for these costs). This is consistent with the Company’s historical presentation and did not require a change on January 1, 2019.
Credit Losses. In June 2016, the FASB issued ASU No. 2016-13, Measurement of Credit Losses on Financial Instruments (“ASU 2016-13”). ASU 2016-13 is intended to improve financial reporting by requiring timelier recognition of credit losses on loans and other financial instruments held by financial institutions and other organizations. The amendments in ASU 2016-13 eliminate the “probable” initial threshold for recognition of credit losses in previous accounting guidance and, instead, reflect an entity’s current estimate of all expected credit losses over the life of the financial instrument. Historically, when credit losses were measured under previous accounting guidance, an entity generally only considered past events and current conditions in measuring the incurred loss. The amendments in ASU 2016-13 broaden the information that an entity must consider in developing its expected credit loss estimate for assets measured either collectively or individually. The use of forecasted information incorporates more timely information in the estimate of expected credit loss.
As a result of adopting ASU 2016-13 on January 1, 2020 using the modified retrospective transition approach, the Company recognized a gain on sale of real estate using the full accrual method when collectibility of the sales price was reasonably assured, the Company was not obligated to perform additional activities that may be considered significant, the initial investment from the buyer was sufficient and other profit recognition criteria had been satisfied. The Company deferred all or a portion of a gain on sale of real estate if the requirements for gain recognition were not met at the time of sale. Subsequent to adopting the Revenue ASUs on January 1, 2018, the Company began recognizing a gain on sale of real estate upon transferring control of the asset to the purchaser, which is generally satisfied at the time of sale. In conjunction with its adoption of the Revenue ASUs, the Company reassessed its historical partial sale of real estate transactions to determine which transactions, if any, were not completed contracts (i.e., the transaction did not qualify for sale treatment under previous guidance). The Company concluded that it had one such material transaction, its partial sale of RIDEA II in the first quarter of 2017 (which was not a completed sale under historical guidance as of the Company's adoption date due to a minor obligation related to the interest sold). In accordance with the Revenue ASUs, the Company recorded its retained 40% equity investment at fair value as of the sale date. As a result, the Company recorded ancumulative-effect adjustment to equity as of January 1, 2018 (under the modified retrospective transition approach) representing a step-up in the fair value of its equity investment in RIDEA II of $107 million (to a carrying value of $121$2 million as of January 1, 2018)2020. Under ASU 2016-13, the Company began using a loss model that relies on future expected credit losses, rather than incurred losses, as was required under historical GAAP. Under the new model, the Company is required to recognize future credit losses expected to be incurred over the life of its finance receivables, including loans receivable, direct financing leases (“DFLs”), and certain accounts receivable, at inception of those instruments. The model emphasizes historical experience and future market expectations to determine a $30 millionimpairment chargeloss to decreasebe recognized at inception. However, the carrying valuemodel continues to be applied on an individual basis and rely on counter-party specific information to ensure the most accurate estimate is recognized. The Company reassesses its reserves on finance receivables at each balance sheet date to determine if an adjustment to the sales priceprevious reserve is necessary.
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Accounting for Lease Concessions Related to Covid. In April 2020, the investment (see Note 5)FASB staff issued a question-and-answer document (the “Lease Modification Q&A”) focused on the application of lease accounting guidance to lease concessions provided as a result of Covid. Under ASC 842, Leases, the Company would have to determine, on a lease-by-lease basis, if a lease concession was the result of a new arrangement reached with the tenant (treated within the lease modification accounting framework) or if a lease concession was under the enforceable rights and obligations within the existing lease agreement (precluded from applying the lease modification accounting framework). The Lease Modification Q&A allows the Company, completedif certain criteria have been met, to bypass the sale of its equity investment in June 2018lease-by-lease analysis, and no longer holds an economic interest in RIDEA II.
The Company generally expects that the new guidance will result in certain transactions qualifying as sales of real estate at an earlier date than under historical accounting guidance.
The Company, along with its joint venture partners and independent SHOP operators, provide certain ancillary servicesinstead elect to SHOP residents that are not contemplated ineither apply the lease modification accounting framework or not, with each resident (i.e., guest meals, concierge services, pharmacy services, etc.). These services are providedsuch election applied consistently to leases with similar characteristics and paid for in addition tosimilar circumstances. During the standard services included in each resident lease (i.e., room and board, standard meals, etc.). The Company bills residents for ancillary services one month in arrears and recognizes revenue as the services are provided, as the Company has no continuing performance obligation related to those services. Included within resident fees and services for the yearsyear ended December 31, 2018, 20172020, the Company provided rent deferrals (to be repaid before the end of 2020) to certain tenants in its life science and 2016 is $40 million, $38 million and $51 million, respectively, of ancillary service revenue.

Additionally,medical office segments that were impacted by Covid (discussed in further detail in Note 7). No such rent deferrals were provided to tenants during the year ended December 31, 2018,2021. The Company elected to not assess these rent deferrals on a lease-by-lease basis and to continue recognizing rent revenue on a straight-line basis.
While the Company’s election for rent deferrals will be applied consistently to future deferrals with similar characteristics and similar circumstances, if the Company adopted the following ASUs:
ASU No. 2016-01, Recognition and Measurement of Financial Assets and Financial Liabilities (“ASU 2016-01”) and ASU No. 2018-03, Technical Corrections and Improvements to Financial Instruments - Overall (“ASU 2018-03”). The core principle of the amendments in ASU 2016-01 and ASU 2018-03 involves the measurement of equity investments (except those accounted for under the equity method of accounting or those that result in consolidation) at fair value and the recognition of changes in fair value of those investments during each reporting period in net income (loss). As a result, ASU 2016-01 and ASU 2018-03 eliminate the cost method of accounting for equity securities that do not have readily determinable fair values. Pursuant to the new guidance, an entity may choose to measure equity investments that do not have readily determinable fair values at cost minus impairment, if any, plus or minus changes resulting from observable price changes in orderly transactions for the identical or a similar investment of the same issuer. The adoption of ASU 2016-01 and 2018-03 did not have a material impact to the Company's consolidated financial position, results of operations, cash flows, or disclosures.
ASU No. 2016-16, Intra-Entity Transfers of Assets Other Than Inventory (“ASU 2016-16”). The amendments in ASU 2016-16 require an entity to recognize the income tax consequences of intra-entity transfers of assets, other than inventory, at the time that the transfer occurs. Historical guidance does not require recognition of tax consequences until the asset is eventually sold to a third party. The adoption of ASU 2016-16 did not have a material impact to the Company's consolidated financial position, results of operations, cash flows, or disclosures.
On January 1, 2017 the Company adopted ASU No. 2017-01, Clarifying the Definitiongrants future lease concessions of a Business (“ASU 2017-01”) which narrows the FASB’s definition of a business and provides a frameworkdifferent type (such as rent abatements), it will make an election related to those concessions at that gives entities a basis for making reasonable judgments about whether a transaction involves an asset, or a group of assets, or a business. ASU 2017-01 states that when substantially all of the fair value of the gross assets acquired (or disposed of) is concentrated in a single identifiable asset or group of similar identifiable assets, the set is not a business. If this initial test is not met, a set cannot be considered a business unless it includes an acquired input and a substantive process that together significantly contribute to the ability to create outputs. In addition, ASU 2017-01 clarifies the requirements for a set of activities to be considered a business and narrows the definition of an output. As a result of prospectively adopting ASU 2017-01, the majority of the Company’s real estate acquisitions subsequent to January 1, 2017 are classified as asset acquisitions for which the Company records identifiable assets acquired, liabilities assumed and any associated noncontrolling interests at cost on a relative fair value basis. In addition, for such asset acquisitions, no goodwill is recognized, third party transaction costs are capitalized and any associated contingent consideration is recorded when the contingency is resolved.time.
Not Yet Adopted
Leases. Reference Rate Reform.In February 2016,March 2020, the FASB issued ASU No. 2016-02, Leases (“2020-04, Reference Rate Reform (Topic 848): Facilitation of the Effects of Reference Rate Reform on Financial Reporting (“ASU 2016-02”2020-04”). ASU 2016-02 (codified under Accounting Standards Codification (“ASC”) 842) amends, which provides optional guidance for a limited period of time to ease the currentpotential burden in accounting for, leases to: (i) require lessees to put most leasesor recognizing the effects of, reference rate reform on their balance sheets (not required for short-term leases with lease terms of 12 months or less), but continue recognizing expenses on their income statements in a manner similar to requirements under prior accounting guidance, (ii) eliminate real estate specific lease provisions, and (iii) modify the classification criteria and accounting for sales-type leases for lessors. Additionally, ASU 2016-02 provides a practical expedient, which the Company elected, that allows an entity to not reassess the following upon adoption (must be elected as a group): (i) whether an expired or existing contract contains a lease arrangement, (ii) lease classification related to expired or existing lease arrangements, or (iii) whether costs incurred on expired or existing leases qualify as initial direct costs.
As a result of adopting ASU 2016-02 onfinancial reporting. In January 1, 2019 using the modified retrospective transition approach, the Company will capitalize fewer costs related to the drafting and negotiation of its lease agreements. Additionally, the Company will recognize all of its significant operating leases for which it is the lessee, including corporate office leases, equipment leases, and ground leases, on its consolidated balance sheets through a lease liability and corresponding right-of-use asset. As such, the Company expects to recognize a lease liability between $130 million and $165 million and right-of-use asset between $145 million and $180 million (lease liability, net of the existing accrued straight-line rent liability balance and adjusted for unamortized above/below market ground lease intangibles) during the first quarter of 2019.
Under ASU 2016-02, a practical expedient was offered to lessees to make a policy election, which the Company elected, to not separate lease and nonlease components, but rather account for the combined components as a single lease component under ASC 842. In July 2018,2021, the FASB issued ASU No. 2018-11, Leases - Targeted Improvements (“2021-01, Reference Rate Reform (Topic 848): Scope (“ASU 2018-11”2021-01”), which provides lessors with a similar optionamends the scope of ASU 2020-04 to elect a practical expedient allowing them to not separate lease and nonlease components in ainclude derivative instruments that use an interest rate for margining, discounting, or contract for the purpose of revenue recognition and disclosure. This practical expedientprice alignment that is limited to circumstances in which: (i) the timing and pattern of transfer are the same for the nonlease component and the related lease component and (ii) the lease component, if accounted for separately, would be classified as an operating lease. This practical expedient causes an entity to assess whether a contract is predominantly lease or service based and recognize the entire contract under the relevant accounting guidance (i.e., predominantly lease-based would be accounted for under ASU 2016-02 and predominantly service-based would be accounted for under the Revenue ASUs). The Company elected this practical expedient as well and,modified as a result beginning January 1, 2019, the

Company will recognize revenue from its senior housing triple-net, medical office, and life science segments under ASC 842 and revenue from its SHOP segment under the Revenue ASUs (codified under ASC 606).
In conjunction with reaching the conclusions above, the Company concluded it was appropriate (under ASC 205, Presentation of Financial Statements) to reclassify amounts previously classified as revenue from tenant recoveries (within the senior housing triple-net, life science, and medical office segments) and present them combined with rental and related revenues within the statements of operations. The Company implemented this change during the fourth quarter of 2018. Included within rental and related revenues for the years ended December 31, 2018, 2017 and 2016 is $157 million, $142 million and $134 million, respectively, of tenant recoveries.
In December 2018, the FASB issued ASU No. 2018-20, Narrow Scope Improvements for Lessors (“ASU 2018-20”), which requires that a lessor: (i) exclude certain lessor costs paid directly by a lessee to third parties on behalf of the lessor from a lessor's measurement of variable lease revenue and associated expense (i.e., no gross up of revenue and expense for these costs), and (ii) include lessor costs that are paid by the lessor and reimbursed by the lessee in the measurement of variable lease revenue and the associated expense (i.e., gross up revenue and expense for these costs). This is consistent with the Company’s current presentation and will not require a material change on January 1, 2019.
Credit Losses. In June 2016, the FASB issued ASU No. 2016-13, Measurement of Credit Losses on Financial Instruments (“ASU 2016-13”). ASU 2016-13 is intended to improve financial reporting by requiring timelier recognition of credit losses on loans and other financial instruments held by financial institutions and other organizations.reference rate reform. The amendments in ASU 2016-13 eliminate the “probable” initial threshold for recognition of credit losses in current accounting guidance2020-04 and instead, reflect an entity’s current estimate of all expected credit losses over the life of the financial instrument. Previously, when credit losses were measured under current accounting guidance, an entity generally only considered past eventsASU 2021-01 are effective immediately and current conditions in measuring the incurred loss. The amendments in ASU 2016-13 broaden the information that an entity must consider in developing its expected credit loss estimate for assets measured either collectively or individually. The use of forecasted information incorporates more timely information in the estimate of expected credit loss. ASU 2016-13 is effective for fiscal years, and interim periods within, beginning aftermay be applied through December 15, 2019. Early adoption is permitted for fiscal years, and interim periods within, beginning after December 15, 2018. A reporting entity is required to apply the amendments in ASU 2016-13 using a modified retrospective approach by recording a cumulative-effect adjustment to equity as of the beginning of the fiscal year of adoption. A prospective transition approach is required for debt securities for which an other-than-temporary impairment had been recognized before the effective date. Upon adoption of ASU 2016-13, the Company is required to reassess its financing receivables, including DFLs and loans receivable, and expects that application of ASU 2016-13 may result in the Company recognizing credit losses at an earlier date than would otherwise be recognized under current accounting guidance.31, 2022. The Company is evaluatingevaluating: (i) how the transition away from LIBOR will impact the Company, (ii) whether the optional relief provided by these standards will be adopted, and (iii) the impact of the adoption ofthat adopting ASU 2016-132020-04 or ASU 2021-01 will have on January 1, 2020 to its consolidated financial position and results of operations.
The following ASU has been issued, but not yet adopted, and the Company does not expect a material impact to its consolidated financial position, results of operations, cash flows, or disclosures upon adoption:disclosures.
Government Assistance. In November 2021, the FASB issued ASU No. 2017-12, Targeted Improvements to Accounting2021-10, Government Assistance (Topic 832): Disclosures by Business Entities about Government Assistance (“ASU 2021-10”), which increases the transparency of government assistance including the disclosure of the types of assistance, an entity’s accounting for Hedging Activities (“assistance, and the effect of the assistance on an entity’s financial statements. The amendments in ASU 2017-12”). ASU 2017-12 is2021-10 are effective for fiscal years, including interimannual periods within, beginning after December 15, 20182021. The Company does not expect the adoption of ASU 2021-10 to have a material impact on its consolidated financial position, results of operations, cash flows, or disclosures.
NOTE 3.    Master Transactions and early adoption is permitted. For cash flow and net investment hedges existing at the date of adoption, a reporting entity must apply the amendments in ASU 2017-12 using the modified retrospective approach by recording a cumulative-effect adjustment to equity as of the beginning of the fiscal year of adoption. The presentation and disclosure amendments in ASU 2017-12 must be applied using a prospective approach.
Cooperation Agreement with Brookdale

NOTE 3.Master Transactions and Cooperation Agreement with Brookdale

2019 Master Transactions and Cooperation Agreement with Brookdale
In November 2017,October 2019, the Company and Brookdale Senior Living Inc. (“Brookdale”) entered into a Master Transactions and Cooperation Agreement (the “MTCA”“2019 MTCA”), which includes a series of transactions related to its previously jointly owned 15-campus CCRC portfolio (the “CCRC JV”) to provideand the portfolio of senior housing properties Brookdale triple-net leased from the Company, withwhich, at the ability to significantly reduce its concentration of assets leased to and/or managed by Brookdale (the “Brookdale Transactions”). time, included 43 properties.
In connection with the overall transaction pursuant to the2019 MTCA, the Company and Brookdale, and certain of their respective subsidiaries, agreedclosed the following transactions related to the following:CCRC JV on January 31, 2020:
The Company, which owned 90%a 49% interest in the CCRC JV, purchased Brookdale’s 51% interest in 13 of the interests15 communities in its RIDEA Ithe CCRC JV based on a valuation of $1.06 billion (the “CCRC Acquisition”);
The management agreements related to the CCRC Acquisition communities were terminated and RIDEA III joint venturesmanagement transitioned (under new management agreements) from Brookdale to Life Care Services LLC (“LCS”); and
The Company paid a $100 million management termination fee to Brookdale.
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In addition, pursuant to the 2019 MTCA, the Company and Brookdale closed the following transactions related to properties Brookdale triple-net leased from the Company on January 31, 2020:
Brookdale acquired 18 of the properties from the Company (the “Brookdale Acquisition Assets”) for cash proceeds of $385 million;
The remaining 24 properties (excludes 1 property transitioned and sold to a third party, as discussed below) were restructured into a single master lease with 2.4% annual rent escalators and a maturity date of December 31, 2027 (the “2019 Amended Master Lease”);
A portion of annual rent (amount in excess of 6.5% of sales proceeds) related to 14 of the 18 Brookdale atAcquisition Assets was reallocated to the timeremaining properties under the MTCA was executed,2019 Amended Master Lease; and
Brookdale paid down $20 million of future rent under the 2019 Amended Master Lease.
As agreed to purchase Brookdale’s 10% noncontrolling interest in each joint venture for an aggregate purchase price of $95 million. Atby the timeCompany and Brookdale under the 2019 MTCA, was executed, these joint ventures collectively owned and operated 58 independent living, assisted living, memory care and/or skilled nursing facilities (the “RIDEA Facilities”). The Company completed its acquisitions of the RIDEA III noncontrolling interest for $32 millionin December 2017 and the RIDEA I noncontrolling interest for $63 million in March 2018;

The Company received the right to sell, or transition to other operators, 32 of the 78 total assets under an Amended and Restated Master Lease and Security Agreement (the “Amended Master Lease”) with Brookdale and 36 of the RIDEA Facilities (and terminate related management agreements with an affiliate of Brookdale without penalty);
The Company provided an aggregate $5 million annual reduction in rent on three assets, effective January 1, 2018; and
Brookdale agreed to purchase two of the assets under the Amended Master Lease for $35 million, both of which were sold in April 2018, and four of the RIDEA Facilities for $240 million, one of which was sold in January 2018 for $32 million and the remaining three of which were sold in April 2018 for $208 million.
During the fourth quarter of 2018, the Company sold 19 assets (11 of the 32 senior housing triple-net assets noted above and eight RIDEA Facilities) to a third-party buyer for $377 million. Additionally, during the year ended December 31, 2018,2020, the Company terminated the previous management agreements or leases withtriple-net lease related to 1 property and converted it to a structure permitted by the Housing and Economic Recovery Act of 2008, which includes most of the provisions previously proposed in the REIT Investment Diversification and Empowerment Act of 2007 (commonly referred to as “RIDEA”). In August 2021, the Company sold this property.
The Company and Brookdale on 37 assets contemplatedalso agreed that the Company would provide up to $35 million of capital investment in the 2019 Amended Master Lease properties over a five-year term, which would increase rent by 7% of the amount spent, per annum. As of December 31, 2020, the Company had funded $5 million of this capital investment. Upon the Company’s sale of the 24 properties under the 2019 Amended Master Lease in January 2021 (see Note 5), the remaining capital investment obligation was transferred to the buyer.
As a result of the above transactions, on January 31, 2020, the Company began consolidating the 13 CCRCs in which it acquired Brookdale’s interest. Accordingly, the Company derecognized its investment in the CCRC JV of $323 million and recognized a gain upon change of control of $170 million, which is included in other income (expense), net. In connection with consolidating the 13 CCRCs during the first quarter of 2020, the Company recognized real estate and intangible assets of $1.8 billion, refundable entrance fee liabilities of $308 million, contractual liabilities associated with previously collected non-refundable entrance fees of $436 million, debt assumed of $215 million, other net assets of $48 million, and cash paid of $396 million.
Upon sale of the Brookdale Acquisition Assets in January 2020, the Company recognized an aggregate gain on sales of real estate of $164 million, which is recorded within income (loss) from discontinued operations.
In May 2021, the CCRC JV sold the 2 remaining CCRCs subject to the 2019 MTCA and completedfor $38 million, $19 million of which represents the transition of 20 SHOP assets and 17 senior housing triple-net assets to other managers.Company’s 49% interest in the CCRC JV, resulting in an immaterial gain on sale recorded within equity income (loss) from unconsolidated joint ventures (see Note 9).
Fair Value Measurement Techniques and Quantitative Information
During the fourth quarter of 2017,At January 31, 2020, the Company performed a fair value assessment of each of the 2019 MTCA components that provided measurable economic benefit or detriment to the Company. Each fair value calculation iswas based on an income or market approach and reliesrelied on historical and forecasted EBITDAR (defined as earnings before interest, taxes, depreciation, amortizationnet operating income (“NOI”), actuarial assumptions about the expected resident length of stay, and rent) and revenue, as well as market data, including, but not limited to, a discount rate of 12%, a management fee rate of 5% of revenue, EBITDAR growth rates ranging from zero10% to 12%, annual rent escalators ranging from 2% to 3%, and real estate capitalization rates ranging from 6%7% to 7%9%. All assumptions were considered to be Level 3 measurements within the fair value hierarchy.
NOTE 4. Real Estate Transactions
2021 Real Estate Investment Acquisitions
Westview Medical Plaza
In February 2021, the Company acquired 1 medical office building (“MOB”) in Nashville, Tennessee for $13 million.
Pinnacle at Ridgegate
In April 2021, the Company acquired 1 MOB in Denver, Colorado for $38 million.
MOB Portfolio
In April 2021, the Company acquired 14 MOBs for $371 million (the “MOB Portfolio”). In conjunction with the acquisition, the Company originated $142 million of secured mortgage debt.
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Westside Medical Plaza
In June 2021, the Company acquired 1 MOB in Fort Lauderdale, Florida for $16 million.
Wesley Woodlawn
In July 2021, the Company acquired 1 MOB in Wichita, Kansas for $50 million.
Atlantic Health
In July 2021, the Company acquired 3 MOBs in Morristown, New Jersey for $155 million.
Baylor Centennial
In September 2021, the Company acquired 2 MOBs in Dallas, Texas for $60 million.
Concord Avenue Campus
In September 2021, the Company acquired a life science campus, comprised of 3 buildings, in Cambridge, Massachusetts for $180 million.
10 Fawcett
In October 2021, the Company closed a life science acquisition in Cambridge, Massachusetts for $73 million.
Vista Sorrento Phase 1
In October 2021, the Company closed a life science acquisition in San Diego, California for $20 million.
Swedish Medical
In October 2021, the Company acquired 1 MOB in Seattle, Washington for $43 million.
Lakeview Medical Pavilion
In October 2021, the Company acquired 1 MOB in New Orleans, Louisiana for $34 million.
Mooney Street Parcels
In October 2021, the Company closed a life science acquisition in Cambridge, Massachusetts for $123 million.
725 Concord
In October 2021, the Company acquired 1 MOB and an adjacent land parcel in Cambridge, Massachusetts for $80 million.
25 Spinelli
In October 2021, the Company closed a life science acquisition in Cambridge, Massachusetts for $34 million.
68 Moulton
In October 2021, the Company closed a life science acquisition in Cambridge, Massachusetts for $18 million.
125 Fawcett and 110 Fawcett
In December 2021, the Company closed 2 life science acquisitions in Cambridge, Massachusetts for $45 million.
South San Francisco Land Site
In 2021, the Company acquired approximately 12 acres of land for $128 million. The acquisition site is located in South San Francisco, California, adjacent to 2 sites currently held by the Company as land for future development.
67 Smith Place
In January 2022, the Company closed a life science acquisition in Cambridge, Massachusetts for $72 million.
Vista Sorrento Phase II
In January 2022, the Company closed a life science acquisition in San Diego, California for $24 million.
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2020 Real Estate Investments
The Post Acquisition
In April 2020, the Company acquired a life science campus in Waltham, Massachusetts for $320 million.
Scottsdale Gateway Acquisition
In July 2020, the Company acquired 1 MOB in Scottsdale, Arizona for $27 million.
Midwest MOB Portfolio Acquisition
In October 2020, the Company acquired a portfolio of 7 MOBs located in Indiana, Missouri, and Illinois for $169 million.
Cambridge Discovery Park Acquisition
In December 2020, the Company acquired 3 life science facilities in Cambridge, Massachusetts for $610 million and a 49% unconsolidated joint venture interest in a fourth property on the same campus for $54 million. If the fourth property is sold in a taxable transaction, the Company is generally obligated to indemnify its joint venture partner for its federal and state income taxes associated with the gain that existed at the time of the contribution to the joint venture.
Waldwick JV Interest Purchase
In October 2020, the Company acquired the remaining 15% equity interest of a senior housing joint venture structure (which owned 1 senior housing facility), in which the Company previously held an unconsolidated equity investment, for $4 million. Subsequent to the acquisition, the Company owned 100% of the equity, began consolidating the facility, and recognized a gain upon change of control of $6 million, which is recorded in other income (expense), net within income (loss) from discontinued operations. In December 2020, the Company sold the property as part of the Atria SHOP Portfolio disposition (see Note 5).
MBK JV Dissolution
In November 2020, as part of the dissolution of a senior housing joint venture, the Company was distributed 1 property, 1 land parcel, and $11 million in cash. Upon consolidating the property and land parcel at the time of distribution, the Company recognized a loss upon change of control of $16 million, which is recorded in other income (expense), net within income (loss) from discontinued operations. In conjunction with the distribution of the property, the Company assumed $36 million of secured mortgage debt (classified as liabilities related to assets held for sale and discontinued operations, net) maturing in 2025, which was recorded at its fair value through asset acquisition accounting. During the year ended December 31, 2021, the Company sold the property and the related secured mortgage debt was assumed by the buyer (see Note 5).
Other Real Estate Acquisitions
In December 2020, the Company acquired 1 hospital in Dallas, Texas for $34 million.
Development Activities
During the year ended December 31, 2021, management reviewed the estimated useful lives of certain life science properties in connection with future plans of densification on campuses where the Company has densification opportunities. These changes in the planned use of the properties resulted in the Company updating the estimated useful lives of the properties, which differ from the Company’s previous estimates. The estimated useful lives of these properties was reduced from a weighted average remaining useful life of 15 years to 11 years to reflect the timing of the planned densification projects. For the year ended December 31, 2021, these changes in estimate increased depreciation expense by $30 million, resulting in a corresponding decrease to income (loss) from continuing operations and net income (loss), as well as a decrease to both basic and diluted earnings per share of approximately $0.06.
Construction, Tenant, and Other Capital Improvements
The following table summarizes the Company’s expenditures for construction, tenant improvements, and other capital improvements, excluding expenditures related to properties classified as discontinued operations (in thousands):
 Year Ended December 31,
Segment202120202019
Life science$472,301 $573,999 $499,956 
Medical office230,227 173,672 146,466 
CCRC57,192 41,224 — 
Other— — 30,852 
 $759,720 $788,895 $677,274 
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NOTE 5.    Dispositions of Real Estate and Discontinued Operations
2021 Dispositions of Real Estate
Sunrise Senior Housing Portfolio
In January 2021, the Company sold a portfolio of 32 SHOP assets (the “Sunrise Senior Housing Portfolio”) for $664 million, resulting in an immaterial loss on sale, which is recognized in income (loss) from discontinued operations, and provided the buyer with: (i) financing of $410 million (see Note 8) and (ii) a commitment to finance up to $92 million of additional debt for capital expenditures. The commitment to finance additional debt for capital expenditures was subsequently reduced to $56 million during June 2021, $0.4 million of which had been funded as of December 31, 2021 (see Note 8). Upon completion of the license transfer process in June 2021, the Company sold the 2 remaining Sunrise senior housing triple-net assets for $80 million, resulting in a gain on sale of $22 million, which is recognized in income (loss) from discontinued operations.
Brookdale Triple-Net Portfolio
In January 2021, the Company sold 24 senior housing assets in a triple-net lease with Brookdale for $510 million, resulting in total gain on sale of $169 million, which is recognized in income (loss) from discontinued operations.
Additional SHOP Portfolio
In January 2021, the Company sold a portfolio of 16 SHOP assets for $230 million, resulting in total gain on sale of $59 million, which is recognized in income (loss) from discontinued operations. The Company provided the buyer with financing of $150 million (see Note 8).
HRA Triple-Net Portfolio
In February 2021, the Company sold 8 senior housing assets in a triple-net lease with Harbor Retirement Associates for $132 million, resulting in total gain on sale of $33 million, which is recognized in income (loss) from discontinued operations.
Oakmont SHOP Portfolio
In April 2021, the Company sold a portfolio of 12 SHOP assets for $564 million. In conjunction with the sale, mortgage debt held on 2 properties with a carrying value of $64 million was repaid and the remaining mortgage debt held on 4 properties with a carrying value of $107 million was assumed by the buyer. The transaction resulted in total gain on sale of $80 million, which is recognized in income (loss) from discontinued operations.
Discovery SHOP Portfolio
In April 2021, the Company sold a portfolio of 10 SHOP assets for $334 million, resulting in total gain on sale of $9 million, which is recognized in income (loss) from discontinued operations. Also included in this transaction was the sale of 2 mezzanine loans and 2 preferred equity investments for $21 million, resulting in no gain or loss on sale of the investments (collectively, “the Discovery SHOP Portfolio”).
Sonata SHOP Portfolio
In April 2021, the Company sold a portfolio of 5 SHOP assets for $64 million, resulting in total gain on sale of $3 million, which is recognized in income (loss) from discontinued operations.
SLC SHOP Portfolio
In May 2021, the Company sold 7 SHOP assets for $113 million and repaid $70 million of mortgage debt that was held on 6 of the assets, resulting in total gain on sale of $1 million, which is recognized in income (loss) from discontinued operations.
Hoag Hospital
In May 2021, the Company sold 1 hospital for $226 million through the exercise of a purchase option by a tenant, resulting in gain on sale of $172 million.
2021 Other Dispositions
In addition to the portfolio and individual sales discussed above, during the year ended December 31, 2021, the Company sold the following: (i) 15 SHOP assets for $169 million, (ii) 7 senior housing triple-net assets for $24 million, and (iii) 10 MOBs and a portion of 1 MOB land parcel for$68 million, resulting in total gain on sales of$58 million ($39 millionof which is recognized in income (loss) from discontinued operations). In conjunction with 1 of the SHOP asset sales, mortgage debt held on the property with a carrying value of $36 million was assumed by the buyer.
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Other Subsequent Dispositions
In January 2022, the Company sold 1 life science facility in Utah for $14 million.
2020 Dispositions of Real Estate
Aegis NNN Portfolio
In December 2020, the Company sold 10 senior housing triple-net assets (the “Aegis NNN Portfolio”) for $358 million and repaid $6 million of variable rate secured mortgage debt held on 1 asset, resulting in total gain on sale of $228 million, which is recognized in income (loss) from discontinued operations.
Atria SHOP Portfolio
In December 2020, the Company sold 12 SHOP assets (the “Atria SHOP Portfolio”) for $312 million, resulting in total gain on sale of $39 million, which is recognized in income (loss) from discontinued operations. The Company provided the buyer with financing of $61 million on 4 of the assets sold (see Note 8).
2020 Other Dispositions
In addition to the portfolio sales discussed above, during the year ended December 31, 2020, the Company sold the following: (i)23 SHOP assets for $190 million, (ii) 21 senior housing triple-net assets for $428 million (inclusive of the 18 facilities sold to Brookdale under the 2019 MTCA - see Note 3), (iii) 11 MOBs for$136 million(inclusive of the exercise of a purchase option by a tenant to acquire 3 MOBs in San Diego, California), (iv) 2 MOB land parcels for $3 million, and (v) 1asset from other non-reportable segments for $1 million, resulting in total gain on sales of $283 million ($193 millionof which is recognized in income (loss) from discontinued operations).
2019 Dispositions of Real Estate
During the year ended December 31, 2019, the Company sold the following: (i) 18 SHOP assets for $181 million, (ii) 2 senior housing triple-net assets for $26 million, (iii) 11 MOBs for $28 million, (vi) 1 life science asset for $7 million, (v) 1 undeveloped life science land parcel for $35 million, and (vi) 1 facility from the other non-reportable segment for $15 million, resulting in total gain on sales of $30 million ($23 million of which is reported in income (loss) from discontinued operations).
Held for Sale and Discontinued Operations
During 2020, the Company established and began executing a plan to dispose of its senior housing triple-net and SHOP properties. As of December 31, 2020, the Company concluded that the planned dispositions represented a strategic shift that had and will have a major effect on the Company’s operations and financial results. Therefore, senior housing triple-net and SHOP assets meeting the held for sale criteria are supportedclassified as discontinued operations in all periods presented herein. In September 2021, the Company successfully completed the disposition of the remaining senior housing triple-net and SHOP properties.
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The following summarizes the assets and liabilities classified as discontinued operations at December 31, 2021 and 2020, which are included in assets held for sale and discontinued operations, net and liabilities related to assets held for sale and discontinued operations, net, respectively, on the Consolidated Balance Sheets (in thousands):
December 31,
20212020
ASSETS
Real estate:
Buildings and improvements$— $2,553,254 
Development costs and construction in progress— 21,509 
Land— 355,803 
Accumulated depreciation and amortization— (615,708)
Net real estate— 2,314,858 
Investments in and advances to unconsolidated joint ventures— 5,842 
Accounts receivable, net of allowance of $4,138 and $5,8732,446 20,500 
Cash and cash equivalents7,707 53,085 
Restricted cash— 17,168 
Intangible assets, net— 24,541 
Right-of-use asset, net26 4,109 
Other assets, net(1)
3,237 103,965 
Total assets of discontinued operations, net(2)
13,416 2,544,068 
Assets held for sale, net(3)
23,774 82,238 
Assets held for sale and discontinued operations, net$37,190 $2,626,306 
LIABILITIES
Mortgage debt$— $318,876 
Lease liability26 3,189 
Accounts payable, accrued liabilities, and other liabilities14,843 79,411 
Deferred revenue92 11,442 
Total liabilities of discontinued operations, net(2)
14,961 412,918 
Liabilities related to assets held for sale, net(3)
95 2,819 
Liabilities related to assets held for sale and discontinued operations, net$15,056 $415,737 

(1)Includes goodwill of zero and $29 million as of December 31, 2021 and 2020, respectively.
(2)At December 31, 2021, there were 0 remaining senior housing triple-net or SHOP facilities classified as held for sale and discontinued operations. At December 31, 2020, 41 senior housing triple-net facilities, 97 SHOP facilities, and 1 SHOP joint venture were classified as held for sale and discontinued operations.
(3)As of December 31, 2021, primarily comprised of 4 MOBs and 1 life science facility with net real estate assets of$23 millionand right-of-use asset, net of $1 million. As of December 31, 2020, primarily comprised of 6 MOBs with net real estate assets of $73 million and deferred revenue of $2 million.

88

The results of discontinued operations through December 31, 2021, or the disposal date of each asset or portfolio of assets if they have been sold, are included in the consolidated results of operations for the years ended December 31, 2021, 2020, and 2019. Summarized financial information for discontinued operations for the years ended December 31, 2021, 2020, and 2019 are as follows (in thousands):
 Year Ended December 31,
 202120202019
Revenues:
Rental and related revenues$7,535 $97,877 $152,576 
Resident fees and services114,936 621,253 583,653 
Income from direct financing leases— — 20,815 
Total revenues122,471 719,130 757,044 
Costs and expenses:
Interest expense3,900 10,538 8,007 
Depreciation and amortization— 143,194 224,798 
Operating122,571 550,226 474,126 
Transaction costs76 20,426 6,780 
Impairments and loan loss reserves (recoveries), net32,736 201,344 208,229 
Total costs and expenses159,283 925,728 921,940 
Other income (expense):
Gain (loss) on sales of real estate, net414,721 460,144 22,940 
Other income (expense), net4,189 5,475 17,060 
Total other income (expense), net418,910 465,619 40,000 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures382,098 259,021 (124,896)
Income tax benefit (expense)969 9,913 11,783 
Equity income (loss) from unconsolidated joint ventures5,135 (1,188)(2,295)
Income (loss) from discontinued operations$388,202 $267,746 $(115,408)
NOTE 6.    Impairments of Real Estate
2021
During the year ended December 31, 2021, the Company recognized an aggregate impairment charge of $22 million, which is reported in impairments and loan loss reserves (recoveries), net, related to: (i) 3 MOBs that met the held for sale criteria during the year and (ii) 1 MOB held for use; the aggregate fair value of these 4 MOBs was $14 million as of the related impairment assessment dates. For the 3 MOBs that met the held for sale criteria during the year, the Company recognized an impairment charge of $5 million to write down the properties’ aggregate carrying value to their aggregate fair value, less estimated costs to sell. For the MOB held for use, the Company recognized a $17 million impairment charge in the fourth quarter of 2021 due to its intent to demolish the MOB for a future development project.
Additionally, during the year ended December 31, 2021, the Company recognized an impairment charge of $4 million related to 1 SHOP asset, which is reported in income (loss) from discontinued operations. Following a reduction in the expected sales price of the SHOP asset occurring in the second quarter of 2021, the Company wrote down its carrying value of $20 million to its fair value, less estimated costs to sell, of $16 million.
The fair values of the impaired assets were based on forecasted sales prices and market comparable data, which are considered to be Level 3 measurements within the fair value hierarchy. These fair values are typically determined using an income approach and/or a market approach (comparable sales model), which rely on certain assumptions by independentmanagement, including: (i) market datacapitalization rates, (ii) comparable market transactions, (iii) estimated prices per unit, (iv) negotiations with prospective buyers, and (v) forecasted cash flow streams (lease revenue rates, expense rates, growth rates, etc.). There are inherent uncertainties in making these assumptions. For the Company’s impairment calculation during and as of the year ended December 31, 2021, the Company’s fair value estimates primarily relied on a market approach, which utilized comparable market transactions and negotiations with prospective buyers.
89

2020
During the year ended December 31, 2020, the Company recognized an impairment charge of $15 million related to 1 life science facility due to its intent to demolish the facility for a future development project.
Additionally, during the year ended December 31, 2020, the Company recognized an aggregate impairment charge of $210 million ($201 million of which is reported in income (loss) from discontinued operations) related to 42 SHOP assets, 5 senior housing triple-net assets, 5 MOBs, and 1 undeveloped MOB land parcel as a result of being classified as held for sale and wrote down their aggregate carrying value of $960 million to their aggregate fair value, less estimated costs to sell, of $750 million.
For the Company’s impairment calculations during and as of the year ended December 31, 2020, the Company’s fair value estimates primarily relied on a market approach and utilized prices per unit ranging from $13,000 to $300,000, with a weighted average price per unit of $164,000. When utilizing the income approach, assumptions include, but are not limited to, terminal capitalization rates ranging from 5.5% to 7.5% and discount rates ranging from 8.0% to 9.5%. The fair value of the assets are considered to be Level 3 measurements within the fair value hierarchy.
2019
During the year ended December 31, 2019, the Company recognized an impairment charge of $4 million related to 1 MOB due to its intent to demolish the MOB for a future development project.
Additionally, during the year ended December 31, 2019, the Company recognized an aggregate impairment charge of $194 million ($189 million of which is reported in income (loss) from discontinued operations) related to 8 senior housing triple-net assets, 27 SHOP assets, 3 MOBs, and 1 other non-reportable asset as a result of being classified as held for sale and wrote down their aggregate carrying value of $416 million to their aggregate fair value, less estimated costs to sell, of $223 million.
The fair value of the impaired assets was based on forecasted sales prices, which are considered to be Level 3 measurements within the fair value hierarchy. For the Company’s impairment calculations during and as of the year ended December 31, 2019, the Company estimated the fair value of each asset using either (i) market capitalization rates ranging from 4.97% to 8.27%, with a weighted average rate of 6.22% or (ii) prices per unit ranging from $24,000 to $125,000, with a weighted average
price of $73,000.
Lastly, during the year ended December 31, 2019, the Company determined the carrying value of 2 MOBs and one SHOP asset that were candidates for potential future sale were no longer recoverable due to the Company’s shortened intended hold period under the held-for-use impairment model. Accordingly, the Company wrote-down the carrying amount of these 3 assets to their respective fair value, which resulted in an aggregate impairment charge of $18 million ($9 million of which is reported in income (loss) from discontinued operations). The fair value of the assets are considered to be Level 2 measurements within the fair value hierarchy.
AsGoodwill Impairment
When testing goodwill for impairment, if the Company concludes that it is more likely than not that the fair value of a resultreporting unit is less than its carrying value, the Company recognizes an impairment loss for the amount by which the carrying value, including goodwill, exceeds the reporting unit’s fair value.
In connection with the disposition of the assessment,Company’s remaining senior housing triple-net and SHOP assets, the Company recognized a $20 million net reduction of rental and related revenues related to the right to terminate leases for 32 triple-net assets and the write-off of unamortized lease intangible assets related to those same 32 triple-net assetsperformed impairment assessments during the year ended December 31, 2017. Additionally, the Company recognized $35 million of operating expenses related to the right to terminate management agreements for 36 SHOP assets during the year ended December 31, 2017.
NOTE 4.Other Real Estate Property Investments

MSREI MOB JV
In August 2018, the Company and Morgan Stanley Real Estate Investment (“MSREI”) formed a joint venture (the “MSREI JV”) to own a portfolio of medical office buildings ("MOBs"), which the Company owns 51% of and consolidates. To form the joint venture, MSREI contributed cash of $298 million and HCP contributed nine wholly-owned MOBs (the “Contributed Assets”). The Contributed Assets are primarily located in Texas and Florida and were valued at approximately $320 million at the time of contribution. The MSREI JV used substantially all of the cash contributed by MSREI to acquire an additional portfolio of 16 MOBs in Greenville, South Carolina (the “Greenville Portfolio”) for $285 million. Concurrent with acquiring the additional MOBs, the MSREI JV entered into 10-year leases with an anchor tenant on each MOB in the Greenville Portfolio.
The Contributed Assets are accounted for at historical depreciated cost by the Company, as the assets continue to be consolidated. The Greenville Portfolio is accounted for as an asset acquisition, which requires the Company to record the individual components of the acquisition at each component’s relative fair value.2021. As a result the Company recorded net real estate of $276 million and net intangible assets of $20 million during the year ended December 31, 2018 related to the Greenville Portfolio. Additionally,these assessments, the Company recognized a noncontrolling interest of $298$29 million related to the interest owned by MSREI. Refer to Note 19 for a discussiongoodwill impairment charge reported in income (loss) from discontinued operations, comprised of the Company’s consolidationfollowing: (i) a $7 million goodwill impairment charge recognized during the second quarter of 2021, as the fair value of the MSREI JV.
Life Science JV Interest Purchase
In November 2018,remaining assets based on forecasted sales prices was less than the Company acquired the outstanding equity interests in three life science joint ventures (which owned four buildings) for $92 million, bringing the Company’s equity ownership to 100% for all three joint ventures. As the Company began consolidatingcarrying value of the assets upon acquisition, it derecognizedincluding the existing investment inrelated goodwill as of the joint ventures, markedassessment date and (ii) a $22 million goodwill impairment charge recognized during the real estatethird quarter of 2021 to reduce the associated goodwill balance to zero following the sale of the remaining assets within the reporting units associated with the senior housing triple-net and SHOP portfolios.
These fair value (usingestimates primarily relied on a relativemarket approach, utilizing comparable market transactions, forecasted sales prices, and negotiations with prospective buyers. These estimates are considered to be a Level 3 measurement within the fair value allocation),hierarchy, and recognized a gain on consolidation of $50 million within other income (expense), net.are subject to inherent uncertainties.
Sierra Point Towers Acquisition
In November 2018, the Company entered into definitive agreements to acquire two life science buildings in South San Francisco, California adjacent to the Company’s The Shore at Sierra Point development, for $245 million. The Company made a $15 million nonrefundable deposit upon completing due diligence and expects to close the transaction in the first half of 2019.

Other Real Estate Acquisitions
During the year ended December 31, 2018,2021, the Company acquired development rights onfair value of the assets within each of the Company’s other reporting units was greater than the respective carrying value of the assets and related goodwill, and as a land parcel inresult,no impairment loss was recognized with respect to the Boston suburb of Lexington, Massachusetts for $21 million. The Company commenced a life science development onother reporting units. During the land in 2018.
Additionally, in January and February 2019, the Company acquired a life science facility for $71 million and development rights at an adjacent undeveloped land parcel for consideration of up to $27 million. The existing facility and land parcel are located in Cambridge, Massachusetts.
2017 Real Estate Acquisitions
The following table summarizes real estate acquisitions for the yearyears ended December 31, 2017 (in thousands):2020 and 2019, no goodwill impairment loss was recognized.
90

  Consideration Assets Acquired
Segment Cash Paid 
Net Liabilities
Assumed
 Real Estate 
Net
Intangibles
         
SHOP $44,258
 $797
 $37,940
 $7,115
Life science 315,255
 3,524
 305,760
 13,019
Medical office 201,240
 1,104
 184,115
 18,229
  $560,753
 $5,425
 $527,815
 $38,363
Other

See Note 7 for information on the 2019 impairment charge related to the write-down of a DFL portfolio to its fair value. See Note 8 for information related to the Company's reserve for loan losses.
Construction, Tenant and Other Capital Improvements
NOTE 7.    Leases
Lease Income
The following table summarizes the Company’s expenditures for construction, tenant and other capital improvementslease income, excluding discontinued operations (in thousands):
 Year Ended December 31,
 202120202019
Fixed income from operating leases$1,087,683 $943,638 $853,545 
Variable income from operating leases290,701 238,470 215,957 
Interest income from direct financing leases8,702 9,720 16,666 
  Year Ended December 31,
Segment 2018 2017 2016
Senior housing triple-net $11,311
 $32,343
 $49,109
SHOP 53,389
 49,473
 74,158
Life science 396,431
 240,901
 200,122
Medical office 144,694
 148,926
 128,308
Other 1,361
 135
 7,203
  $607,186
 $471,778
 $458,900
Direct Financing Leases

Net investment in DFLs consists of the following (in thousands):
NOTE 5.Dispositions of Real Estate and Discontinued Operations

December 31,
 20212020
Present value of minimum lease payments receivable$1,220 $9,804 
Present value of estimated residual value44,706 44,706 
Less deferred selling profits(1,220)(9,804)
Net investment in direct financing leases$44,706 $44,706 
Dispositions of Real Estate
Held for SaleDirect Financing Lease Internal Ratings
At December 31, 2018, nine SHOP facilities2021 and one undeveloped life science land parcel were classified as held for sale,2020, the Company had 1 hospital under a DFL with a carrying amount of $45 million and an aggregate carrying valueinternal rating of $108 million, primarily comprised“performing”.
2020 Direct Financing Lease Sale
During the first quarter of real estate assets of $101 million, net of accumulated depreciation of $30 million. At December 31, 2017, two senior housing triple-net facilities, four life science facilities and six SHOP facilities were classified as held for sale, with an aggregate carrying value of $417 million, primarily comprised of real estate assets of $393 million, net of accumulated depreciation of $93 million. Liabilities of assets held for sale is primarily comprised of intangible and other liabilities at both December 31, 2018 and 2017.

Shoreline Technology Center
In November 2018,2020, the Company sold its Shoreline Technology Center life science campus located in Mountain View, Californiaa hospital under a DFL for $1.0 billion and recognized a gain on sale of $726 million.
Brookdale MTCA Disposition
As noted in Note 3, during the fourth quarter of 2018, the Company sold 19 assets (11 senior housing triple-net assets and eight SHOP assets) to a third-party for $377$82 million and recognized a gain on sale of $40 million. Refer to Note 3 for further detail on$42 million, which is included in other income (expense), net.
2019 Direct Financing Lease Sale
During the Brookdale Transactions.
RIDEA II Sale Transaction
In January 2017, the Company completed the contribution of its ownership interest in RIDEA II to an unconsolidated joint venture owned by HCP and an investor group led by Columbia Pacific Advisors, LLC (“CPA”) (“HCP/CPA PropCo” and “HCP/CPA OpCo,” together, the “HCP/CPA JV”). Also in January 2017, RIDEA II was recapitalized with $602 million of debt, of which $360 million was provided by a third-party and $242 million was provided by HCP. In return for both transaction elements, the Company received combined proceeds of $480 million from the HCP/CPA JV and $242 million in loans receivable and retained an approximately 40% ownership interest in RIDEA II. This transaction resulted in the Company deconsolidating the net assets of RIDEA II and recognizing a net gain on sale of $99 million. Refer to Note 2 for the impact of adopting the Revenue ASUs on January 1, 2018 to the Company’s partial sale of RIDEA II in the firstsecond quarter of 2017.
On November 1, 2017,2019, the Company entered into a definitive agreement with an investor group led by CPAagreements to sell its remaining 40% ownership interest in RIDEA II13 senior housing facilities under DFLs (the “DFL Sale Portfolio”) for $91 million and cause CPA to refinance$274 million. Upon entering into the Company’s $242 million of loans receivable from RIDEA II. The Company completed the transaction in June 2018, resulting in proceeds of $332 million. The Company no longer holds an economic interest in RIDEA II.
U.K. Portfolio
In June 2018,agreements, the Company entered into a joint venture withrecognized an institutional investor (the “U.K. JV”) through whichallowance for DFL losses and related impairment charge of $10 million (recognized in income (loss) from discontinued operations) to write-down the Company sold a 51% interest in substantially all United Kingdom (“U.K.”) assets previously owned by the Company (the “U.K. Portfolio”) based on a totalcarrying value of £382 million ($507 million). The Company retained a 49% noncontrolling interest in the U.K. JV and received gross proceeds of $402 million, including proceeds from the refinancing of the Company’s previously held intercompany loans. Upon closing the U.K. JV, the Company deconsolidated the U.K.DFL Sale Portfolio recognizedto its retained noncontrolling interest investment at fair value ($105 million) and recognized a gain on sale of $11 million, net of $17 million of cumulative foreign currency translation reclassified from other comprehensive income (see Note 22 for the reclassification impact of the Company’s hedge of its net investment in the U.K.).The U.K. JV provides numerous mechanisms by which the joint venture partner can acquire the Company’s remaining interest in the U.K. JV.value. The fair value of the Company’s retained noncontrolling interest investment isDFL Sale Portfolio was based onupon the agreed upon sale price, less estimated costs to sell, which was considered to be a Level 2 measurementsmeasurement within the fair value hierarchy.
Additionally, in August 2018, In conjunction with the entering into agreements to sell the DFL Sale Portfolio, the Company sold its remaining £11 million U.K. development loan at par.placed the portfolio on nonaccrual status and began recognizing income equal to the amount of cash received.
2018 Other Dispositions
DuringThe Company completed the quarter ended March 31, 2018, the Company sold two SHOP assets for $35 million, resulting in total gain on sales of $21 million (includes asset sales to Brookdale as discussed in Note 3 above).
During the quarter ended June 30, 2018, the Company sold eight SHOP assets for $268 million and two senior housing triple-net assets for $35 million, resulting in total gain on sales of $25 million (includes asset sales to Brookdale as discussed in Note 3 above).
During the quarter ended September 30, 2018, the Company sold four life science assets for $269 million, 11 SHOP assets for $76 million and two MOBs for $21 million, resulting in total gain on sales of $95 million.
During the quarter ended December 31, 2018, the Company sold two SHOP facilities for $15 million, two MOBs for $4 million, and one undeveloped land parcel for $3 million, resulting in no material gain or loss on sales.
2017 Dispositions
In January 2017, the Company sold four life science facilities in Salt Lake City, Utah for $76 million, resulting in a net gain on sale of $45 million.the DFL Sale Portfolio in September 2019.
In March 2017,For the Company sold 64 senior housing triple-net assets, previously under triple-net leases with Brookdale, for $1.125 billion to affiliates of Blackstone Real Estate Partners VIII, L.P., resulting in a net gain on sale of $170 million.

Additionally,DFL Sale Portfolio, during the year ended December 31, 2017,2019, income from DFLs was $17 million (recognized in income (loss) from discontinued operations) and cash payments received were $16 million.
2019 Direct Financing Lease Conversion
During the first quarter of 2019, the Company sold the following: (i)converted a life science land parcel for $27 million, (ii) one life science building for $5 million, (iii) fourDFL portfolio of 14 senior housing triple-net facilities for $27 million, (iv) five SHOP facilities for $43 million and (v) four MOBs for $15 million, and recordedproperties, previously on “Watch List” status, to a net gain on sale of $41 million.
2016 Dispositions
During the year ended December 31, 2016,RIDEA structure, requiring the Company soldto recognize net assets equal to the following: (i)lower of the net assets’ fair value or the carrying value of the net investment in the DFL. As a portfolio of five post-acute/skilled nursing facilities and two senior housing triple-net facilities for $130 million, (ii) five life science facilities for $386 million, (iii) seven senior housing triple-net facilities for $88 million, (iv) three MOBs for $20 million and (v) three SHOP facilities for $41 million.
Discontinued Operations - Quality Care Properties, Inc.
Quality Care Properties, Inc.
On October 31, 2016,result, the Company completedderecognized the spin-off (the “Spin-Off”) of its subsidiary, Quality Care Properties, Inc. (“QCP”). The Spin-Off assets were primarily comprised$351 million carrying value of the HCR ManorCare, Inc. (“HCRMC”) DFL investments and an equitynet investment in HCRMC.DFL related to the 14 properties and recognized a combination of net real estate ($331 million) and net intangibles assets ($20 million) for the same aggregate amount, with no gain or loss recognized. As a result of the Spin-Off,transaction, the operations of QCP are classified as discontinued operations for14 properties were transferred from the year ended December 31, 2016.
On October 17, 2016, subsidiaries of QCP issued $750 million in aggregate principal amount of senior secured notes due 2023 (the “QCP Notes”), the gross proceeds of which were deposited in escrow until they were released in connection with the consummation of the Spin-Off on October 31, 2016. The QCP Notes bear interest at a rate of 8.125% per annum, payable semiannually. From October 17, 2016 until the completion of the Spin-Off, QCP (a then wholly-owned subsidiary of HCP) incurred $2 million in interest expense. In addition, immediately priorhousing triple-net segment to the effectiveness of the Spin-Off, subsidiaries of QCP received $1.0 billion of proceeds from their borrowings under a senior secured term loan, bearing interest at a rate at QCP’s option of either: (i) LIBOR plus 5.25%, subject to a 1% floor or (ii) a base rate specified inSHOP segment during the first lien credit and guaranty agreement plus 4.25%, bringing the total gross proceeds raised by QCP and its subsidiaries under those financings to $1.75 billion. In connection with the consummation of the Spin-Off, QCP and its subsidiaries transferred $1.69 billion in cash and 94 million shares of QCP common stock to HCP and certain of its other subsidiaries, and HCP and its applicable subsidiaries transferred the assets comprising the QCP portfolio to QCP and its subsidiaries. HCP then distributed substantially all of the outstanding shares of QCP common stock to its stockholders, based on the distribution ratio of one share of QCP common stock for every five shares of HCP common stock held by HCP stockholders as of the October 24, 2016 record date for the distribution. The Company recorded the distribution of the assets and liabilities of QCP from its consolidated balance sheet on a historical cost basis as a dividend from stockholders’ equity of $3.5 billion, and zero gain or loss was recognized. The Company primarily used the $1.69 billion proceeds of the cash distribution it received from QCP upon consummation of the Spin-Off to pay down certain of the Company’s existing debt obligations.
The Company entered into a Separation and Distribution Agreement (the “Separation and Distribution Agreement”) with QCP in connection with the Spin-Off. The Separation and Distribution Agreement divides and allocates the assets and liabilities of the Company prior to the Spin-Off between QCP and HCP, governs the rights and obligations of the parties regarding the Spin-Off, and contains other key provisions relating to the separation of QCP’s business from HCP.
In connection with the Spin-Off, the Company entered into a Transition Services Agreement ("TSA") with QCP. Per the terms of the TSA, the Company agreed to provide certain administrative and support services to QCP on a transitional basis for established fees. The TSA terminated on October 31, 2017.
From October 31, 2016 through June 2017, HCP was the sole lender to QCP of an unsecured revolving credit facility (the “Unsecured Revolving Credit Facility”) which had a total commitment of $100 million at inception. No amounts were drawn on the Unsecured Revolving Credit Facility and the total commitment was reduced to zero at June 30, 2017.

The results of discontinued operations through October 31, 2016, the Spin-Off date, are included in the consolidated results for the year ended December 31, 2016. Summarized financial information for discontinued operations for the year ended December 31, 2016 is as follows (in thousands):
Revenues: 
Rental and related revenues$24,204
Income from direct financing leases384,752
Total revenues408,956
Costs and expenses: 
Depreciation and amortization(4,892)
Operating(3,367)
General and administrative(67)
Transaction costs(86,765)
Other income (expense), net71
Income (loss) before income taxes313,936
Income tax benefit (expense)(48,181)
Total discontinued operations$265,755
During the fourth quarter of 2016, using proceeds from the Spin-Off, the Company repaid $500 million2019.
91

HCR ManorCare, Inc. 
Discontinued operations is primarily comprised of QCP’s HCRMC DFL investments and equity investment in HCRMC. During the year ended December 31, 2016, the Company recognized DFL income of $385 million and received cash payments of $385 million from the HCRMC DFL investments. During the year ended December 31, 2016, the Company sold 13 HCRMC facilities for $153 million.
The Company’s acquisition of the HCRMC DFL investments in 2011 was subject to federal and state built-in gain tax of up to $2 billion if all the assets were sold within 10 years. At the time of acquisition, the Company intended to hold the assets for at least 10 years, at which time the assets would no longer be subject to the built-in gain tax. In December 2015, the U.S. Federal Government passed legislation which permanently reduced the holding period, for federal tax purposes, to five years. The Company satisfied the five year holding period requirement in April 2016. This legislation was not extended to certain states, which maintain a 10 year requirement.
During the year ended December 31, 2016, the Company determined that it may sell assets during the next five years and, therefore, recorded a deferred tax liability of $47 million, representing its estimated exposure to state built-in gain tax.
NOTE 6.Leases

Net Investment in Direct Financing Leases
The components of net investment in DFLs consisted of the following (dollars in thousands):
 December 31,
 2018 2017
Minimum lease payments receivable$1,013,976
 $1,062,452
Estimated residual value507,484
 504,457
Less unearned income(807,642) (852,557)
Net investment in direct financing leases$713,818
 $714,352
Properties subject to direct financing leases29
 29

Certain DFLs contain provisions that allow the tenants to elect to purchase the properties during or at the end of the lease terms for the aggregate initial investment amount plus adjustments, if any, as defined in the lease agreements. Certain leases also permit the Company to require the tenants to purchase the properties at the end of the lease terms.Lease Receivable Maturities
The following table summarizes future minimum lease payments contractually due under DFLs at December 31, 20182021 (in thousands):
YearAmount
2022$1,220 
2023— 
2024— 
2025— 
2026— 
Thereafter— 
     Undiscounted minimum lease payments receivable1,220 
Less: imputed interest— 
     Present value of minimum lease payments receivable$1,220 
Year Amount
2019 $114,970
2020 63,308
2021 63,687
2022 58,135
2023 58,570
Thereafter 655,306
  $1,013,976
Direct Financing Lease Internal Ratings
The following table summarizes the Company’s internal ratings for net investment in DFLs at December 31, 2018 (dollars in thousands):
      Internal Ratings
Segment 
Carrying
Amount
 
Percentage of
DFL Portfolio
 Performing DFLs Watch List DFLs Workout DFLs
Senior housing triple-net $629,214
 88 $278,503
 $350,711
 $
Other non-reportable segments 84,604
 12 84,604
 
 
  $713,818
 100 $363,107
 $350,711
 $
Beginning September 30, 2013, the Company placed a 14 property senior housing DFL (the “DFL Portfolio”) on nonaccrual status and classified the DFL Portfolio on “Watch List” status. The Company determined that the collection of all rental payments was and continues to be no longer reasonably assured; therefore, rental revenue for the DFL Portfolio has been recognized on a cash basis. The Company re-assessed the DFL Portfolio for impairment on December 31, 2018 and determined that the DFL Portfolio was not impaired based on its belief that: (i) it was not probable that it will not collect all of the rental payments under the terms of the lease; and (ii) the fair value of the underlying collateral exceeded the DFL Portfolio’s carrying amount. The fair value of the DFL Portfolio was estimated based on an income approach and utilizes inputs which are considered to be a Level 3 measurement within the fair value hierarchy. Inputs to this valuation model include real estate capitalization rates, industry growth rates, and operating margins, some of which influence the Company’s expectation of future cash flows from the DFL Portfolio and, accordingly, the fair value of its investment. During the years ended December 31, 2018, 2017 and 2016, the Company recognized DFL income of $14 million, $13 million and $13 million, respectively, and received cash payments of $19 million, $18 million and $18 million, respectively, from the DFL Portfolio. The carrying value of the DFL Portfolio was $351 million and $356 million at December 31, 2018 and 2017, respectively.


Operating Leases
Future Minimum Rents
The following table summarizes future minimum lease payments to be received excluding operating expense reimbursements, from tenants under non-cancelable operating leases as of December 31, 20182021 (in thousands):
Year AmountYearAmount
2019 $971,417
2020 928,102
2021 853,451
2022 751,972
2022$1,057,467 
2023 675,537
20231,041,053 
20242024979,640 
20252025892,348 
20262026783,781 
Thereafter 2,320,847
Thereafter3,171,115 
 $6,501,326
$7,925,404 
Tenant Purchase Options
Certain leases, including DFLs, contain purchase options whereby the tenant may elect to acquire the underlying real estate. Annualized base rent from leases subject to purchase options, summarized by the year the purchase options are exercisable are as follows (dollars in thousands):
Year
Annualized
Base Rent(1)
Number of
Properties
2022$15,059 
20231,191 
20246,835 
202512,564 16 
20262,662 
Thereafter19,426 
 $57,737 36 

(1)Represents the most recent month’s base rent including additional rent floors and cash income from DFLs annualized for 12 months. Base rent does not include tenant recoveries, additional rents in excess of floors, and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, DFL non-cash interest, and deferred revenues).
92

Year 
Annualized
Base Rent(1)
 
Number of
Properties
2019 $23,771
 10
2020 14,545
 4
2021 12,747
 6
2022 13,315
 3
Thereafter 50,577
 34
  $114,955
 57
Lease Costs
The following tables provide information regarding the Company’s leases to which it is the lessee, such as corporate offices and ground leases, excluding lease costs related to assets classified as discontinued operations (dollars in thousands):
Year Ended December 31,
Lease Expense Information:202120202019
Total lease expense$14,442 $13,601 $11,852 

Weighted Average Lease Term and Discount Rate:December 31,
2021
December 31,
2020
Weighted average remaining lease term (years):
Operating leases(1)
5257
Weighted average discount rate:
Operating leases4.14 %4.26 %

(1)
Represents the most recent month’s base rent including additional rent floors and cash income from DFLs annualized for 12 months. Base rent does not include tenant recoveries, additional rents in excess
(1)The weighted average remaining lease term including the Company’s options to extend its operating leases is68 years as of floors and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, DFL non-cash interest and deferred revenues).
Operating Lease Expense
In certain situations, the Company leases land or equipment needed for the operation of its business. Such leases generally require fixed annual rent payments, may include escalation clauses and renewal options, and have terms that are up to 99 years, excluding extension options. The Company’s rental expense attributable to continuing operations was $10 million for each of the years ended December 31, 2018, 2017 and 2016.2021.
FutureThe following table summarizes future minimum lease obligationspayments under non-cancelable ground and other operating leases included in the Company’s lease liability as of December 31, 2018 were as follows2021 (in thousands):
YearAmount
2022$16,030 
202313,438 
202412,575 
202511,471 
202611,406 
Thereafter484,552 
Undiscounted minimum lease payments included in the lease liability549,472 
Less: imputed interest(344,925)
Present value of lease liability$204,547 
Depreciation Expense
While the Company leases the majority of its property, plant, and equipment to various tenants under operating leases and DFLs, in certain situations, the Company owns and operates certain property, plant, and equipment for general corporate purposes. Corporate assets are recorded within other assets, net within the Company’s Consolidated Balance Sheets and depreciation expense for those assets is recorded in general and administrative expenses in the Company’s Consolidated Statements of Operations. Included within other assets, net as of December 31, 2021 and 2020 is $7 million and $6 million, respectively, of accumulated depreciation related to corporate assets. Included within general and administrative expenses for the years ended December 31, 2021, 2020, and 2019 is $2 million of depreciation expense related to corporate assets.
Covid Rent Deferrals
During the second and third quarters of 2020, the Company agreed to defer rent from certain tenants in its life science and medical office segments that were impacted by Covid, with the requirement that all deferred rent be repaid by the end of 2020. Under this program, through December 31, 2020, approximately $6 million of rent was deferred for the medical office segment, all of which had been collected as of December 31, 2020. Additionally, through December 31, 2020, the Company granted approximately $1 million of rent deferrals to certain tenants in the life science segment that were impacted by Covid, all of which had been collected as of December 31, 2020.
No such deferrals were granted during the year ended December 31, 2021.
The rent deferrals granted do not impact the pattern of revenue recognition or amount of revenue recognized (refer to Note 2 for additional information).
93
Year Amount
2019 $5,597
2020 5,687
2021 5,776
2022 5,862
2023 5,983
Thereafter 466,130
  $495,035


NOTE 8.    Loans Receivable

NOTE 7.Loans Receivable

The following table summarizes the Company’s loans receivable (in thousands):
 December 31,
 2018 2017
 
Real Estate
Secured
 
Other
Secured
 Total 
Real Estate
Secured
 
Other
Secured
 Total
Mezzanine(1)
$
 $21,013
 $21,013
 $
 $269,299
 $269,299
Other(2)
42,037
 
 42,037
 188,418
 
 188,418
Unamortized discounts, fees and costs
 (52) (52) 
 (596) (596)
Allowance for loan losses(1)

 
 
 
 (143,795) (143,795)
 $42,037
 $20,961
 $62,998
 $188,418
 $124,908
 $313,326
December 31,
 20212020
Secured loans(1)
$396,281 $161,530 
Mezzanine and other25,529 44,347 
Unamortized discounts, fees, and costs(4,186)(222)
Reserve for loan losses(1,813)(10,280)
Loans receivable, net$415,811 $195,375 

(1)
(1)At December 31, 2017, primarily related to the Company’s mezzanine loan facility to Tandem Health Care discussed below.
(2)At December 31, 2018, the Company had $73 million remaining of commitments to fund a $115 million senior living development project. At December 31, 2017, includes the U.K. Bridge Loan discussed below.
The following table summarizes the Company’s internal ratings for loans receivable at December 31, 2018 (dollars in thousands):
  
Carrying
Amount
 
Percentage
of Loan
Portfolio
 Internal Ratings
Investment Type   
Performing
Loans
 
Watch List
Loans
 
Workout
Loans
Real estate secured $42,037
 67 $42,037
 $
 $
Other secured 20,961
 33 20,961
 
 
  $62,998
 100 $62,998
 $
 $

Real Estate Secured Loans
The following table summarizes2021 and 2020, the Company’s loan receivable secured by real estate at December 31, 2018 (dollars in thousands):Company had $58 million and $11 million, respectively, remaining of commitments to fund senior housing redevelopment and capital expenditure projects.
Final
Maturity
Date
 
Number
of
Loans
 Payment Terms 
Principal
Amount(1)
 
Carrying
Amount
2022 1 
monthly interest-only payments, accrues interest at 6.5% and secured by a senior housing facility in Washington(2)
 $42,037
 $42,037

(1)Represents future contractual principal payments to be received on loans receivable secured by real estate.
(2)Contains a participation feature that allows the Company to participate in up to 20% of the appreciation of the asset through the time the loan is refinanced or repaid.
During the yearyears ended December 31, 2018,2021, 2020, and 2019, the Company recognized $5$36 million, in$13 million, and $6 million, respectively, of interest income related to loans secured by real estate.
SHOP Seller Financing
In conjunction with the sale of 32 SHOP facilities in the Sunrise Senior Housing Portfolio for $664 million in January 2021 (see Note5), the Company provided the buyer with initial financing of $410 million. The remainder of the sales price was received in cash at the time of sale. Additionally, the Company agreed to provide up to $92 million of additional financing for capital expenditures (up to 65% of the estimated cost of capital expenditures). The additional financing was subsequently reduced to $56 million in conjunction with the principal repayments discussed below,$0.4 millionof which had been funded as of December 31, 2021. The initial and additional financing is secured by the buyer's equity ownership in each property.
In June 2021, the Company received principal repayments of $246 million on the initial financing provided in conjunction with the sale of the Sunrise Senior Housing Portfolio in January 2021. The Company accelerated recognition of$7 millionof the related mark-to-market discount, which is included in interest income in the Consolidated Statements of Operations for the year ended December 31, 2021. As of December 31, 2021, this secured loan had an outstanding principal balance of $165 million.
In conjunction with the sale of 16 additional SHOP facilities for $230 million in January 2021 (see Note 5), the Company provided the buyer with financing of $150 million. The remainder of the sales price was received in cash at the time of sale. The financing is secured by the buyer's equity ownership in each property.
In December 2020, in conjunction with the sale of 4 of the 12 SHOP facilities in the Atria SHOP Portfolio for $94 million (see Note 5), the Company provided the buyer with financing of $61 million. The remainder of the sales price was received in cash at the time of sale. The financing is secured by the buyer's equity ownership in each of the 4 properties.
During the first quarter of 2021, the Company reduced the consideration and reported gain on sales of real estate includingand recognized a mark-to-market discount of$16 million for certain transactions with seller financing. The Company’s discount is based on the difference between the stated interest rates (ranging from 3.50% to 4.50%) and corresponding prevailing market rates of approximately 5.25% as of the transaction dates.The discount is recognized as interest income over the term of the discounted loans (ranging from one to three years) using the effective interest rate method. During the year ended December 31, 2021, the Company recognized$13 million of non-cash interest income related to the U.K. Bridge Loan discussed below.
Four Seasons Health Care
In March 2017, the Company sold its investment in Four Seasons Health Care’s (“Four Seasons”) senior secured term loan at par plus accrued interest for £29 million ($35 million).
Additionally, in March 2017, pursuant to a shift in the Company’s investment strategy, the Company sold its £138.5 million par value Four Seasons senior notes (the “Four Seasons Notes”) for £83 million ($101 million). The disposition of the Four Seasons Notes generated a £42 million ($51 million) gain on sale, recognized in other income (expense), net.     
Other Secured Loans
HC-One Facility
On June 30, 2017, the Company received £283 million ($367 million) from the repaymentamortization of its HC-One mezzanine loan.

Tandem Health Care Loan
From July 2012 through May 2015, the Company funded, in aggregate, $257mark-to-market discounts, of which $7 million under a collateralized mezzanine loan facility (the “Mezzanine Loan”) to certain affiliates of Tandem Health Care (together with its affiliates, “Tandem”).
As part of its quarterly review process, the Company recorded an impairment charge and related allowance of $57 millionwas recognized during the three months ended June 30, 2017, reducing the carrying value to $200 million. The decline in fair value was driven by a variety of factors, including recent operating results of the underlying real estate assets, as well as market and industry data, that reflect a declining trend in admissions and a continuing shift away from higher-rate Medicare plans in the post-acute/skilled nursing sector. The calculation of the fair value was primarily based on an income approach and relies on forecasted EBITDAR and market data, including, but not limited to, sales price per unit/bed, rent coverage ratios, and real estate capitalization rates. All valuation inputs are considered to be Level 2 measurements within the fair value hierarchy.
Additionally, on July 31, 2017, subsequent to its second quarter 2017 quarterly review process and the aforementioned impairment, the Company entered into a binding agreement (the “Repurchase Agreement”) with the borrowers to provide an option to repay the Mezzanine Loan at a discounted value of $197 million (the “Repayment Value”) by October 25, 2017, which date was subsequently extended to December 31, 2017 (the “Agreement Maturity Date”). As a result of entering into the Repurchase Agreement, the Company recorded an additional impairment charge and related allowance of $3 million during the quarter ended September 30, 2017 to write down the carrying value of the Mezzanine Loan to the Repayment Value and assigned the loan an internal rating of Workout. As part of the Repurchase Agreement, Tandem posted, in aggregate, $8 million of non-refundable deposits (the “Deposits”), which the Company was entitled to retain (without any credit against the Mezzanine Loan) if Tandem failed to make interest payments on the $257 million par value of the Mezzanine Loan through the repayment date or the Agreement Maturity Date, as applicable, adjusted for any principal payments received.
On November 17, 2017, the Company declared an event of default under the Mezzanine Loan. Tandem also failed to make its December 2017, January 2018 and February 2018 interest payments to the Company. As a result of the aforementioned events that occurred during the fourth quarter of 2017 and first quarter of 2018 (during the Company's fourth quarter 2017 financial statement close process), the Company concluded that the Mezzanine Loan was impaired and recorded an impairment charge and related allowance of $84 million, reducing the carrying value of the loan to $105 million as of December 31, 2017. Aggregate impairments on the Mezzanine Loan for the year ended December 31, 2017 were $144 million.2021 as a result of the accelerated recognition discussed above related to the Sunrise Senior Housing Portfolio. The Company recognized an immaterial amount of non-cash interest income associated with seller financing notes receivable during the year ended December 31, 2020 and zero non-cash interest income associated with seller financing notes receivable during the year ended December 31, 2019.
2021 Other Loans Receivable Transactions
The decline in expected recoverableCompany classifies a loan receivable as held for sale when management no longer has the intent or ability to hold the loan receivable for the foreseeable future or until maturity. If a loan receivable is classified as held for sale, previously recorded reserves for loan losses are reversed and the loan is reported at the lower of amortized cost or fair value. During the second quarter of 2021, 2 loans receivable with a total amortized cost of $64 million were classified as held for sale. Upon the transfer of these 2 loans to held for sale, the carrying value was decreased by $11 million to an estimated fair value of the Mezzanine Loan$53 million, $8 million of which was primarily driven by the Company’s conclusion that the collateral supporting the Mezzanine Loan may no longer be the sole source in recovering the Company’s investment.previously recognized as a reserve for loan losses. As a result, the Company utilized a discounted cash flow model to determine expected recoverability of the Mezzanine Loan. Additionally, a variety of factors further impacted the impairment analysis completed$3 million net loss was recognized in impairments and loan loss reserves (recoveries), net during the Company’s fourth quarter 2017 financial statement close process including operating results of the underlying real estate assets, as well as market and industry data, that reflect a declining trend in admissions and a continuing shift away from higher-rate Medicare plans in the post-acute/skilled nursing sector. The calculation relied on: (i) forecasted EBITDAR and market data, including, but not limited to, sales price per unit/bed, rent coverage ratios, and real estate capitalization rates and (ii) bids for a sale of the Mezzanine Loan received in February 2018, which incorporate market participant required rates of return and expected hold periods.
Beginning in the first quarter of 2017, the Company elected to recognize interest income on a cash basis. During the yearsyear ended December 31, 2018, 2017 and 2016,2021. In September 2021, the Company recognized interest incomesold 1 of zero, $23 million, and $31 million, respectively, and received cash payments of $25 million and $30 million, respectively, from Tandem. Thethe loans receivable previously classified as held for sale, for its carrying value of the Mezzanine Loan was $105 million at December 31, 2017.
$2 million. In March 2018,November 2021, the Company sold the Mezzanine Loanother loan receivable classified as held for sale, for its carrying value of $51 million.
94

These fair value estimates were made for each individual loan classified as held for sale and primarily relied on a market approach, utilizing comparable market transactions, forecasted sales prices, and negotiations with prospective buyers. These estimates are considered to be a third partyLevel 3 measurement within the fair value hierarchy, and are subject to inherent uncertainties.
Additionally, in April 2021, the Company sold 2 mezzanine loans as part of the Discovery SHOP Portfolio disposition (see Note5), resulting in no gain or loss on sale of the mezzanine loans.
In May 2021, the Company received a $10 million principal repayment related to 1 of its secured loans. In September 2021, the Company received repayment of the remaining $15 million balance.
In July 2021, the Company received full repayment of the outstanding balance of an $8 million secured loan.
2020 Other Loans Receivable Transactions
For certain residents that qualify, CCRCs may offer to lend residents the necessary funds to satisfy the entrance fee requirements so that they are able to move into a community while still continuing the process of selling their previous home. The loans are due upon sale of the previous residence. Upon completing the CCRC Acquisition (see Note 3) in January 2020, the Company began consolidating 13 CCRCs, which held approximately $30 million of such notes receivable from various community residents at the time of acquisition. At December 31, 2021 and 2020, the Company held $24 million and $23 million of such notes receivable, respectively, which are included in mezzanine and other in the table above.
In November 2020, the Company sold 1 mezzanine loan with a $10 million principal balance for approximately $112$8 million, resulting in a $2 millionloss recognized in impairments and loan loss reserves (recoveries), net.
In December 2020, the Company sold 1 secured loan with a $115 million principal balance for $109 million, resulting in a $6 million loss recognized in impairments and loan loss reserves (recoveries), net.
Loans Receivable Internal Ratings
In connection with the Company’s quarterly review process or upon the occurrence of a significant event, loans receivable are reviewed and assigned an impairmentinternal rating of Performing, Watch List, or Workout. Loans that are deemed Performing meet all present contractual obligations, and collection and timing of all amounts owed is reasonably assured. Watch List Loans are defined as loans that do not meet the definition of Performing or Workout. Workout Loans are defined as loans in which the Company has determined, based on current information and events, that: (i) it is probable it will be unable to collect all amounts due according to the contractual terms of the agreement, (ii) the borrower is delinquent on making payments under the contractual terms of the agreement, and (iii) the Company has commenced action or anticipates pursuing action in the near term to seek recovery of its investment.
The following table summarizes, by year of origination, the Company’s internal ratings for loans receivable, net of transaction costsunamortized discounts, fees, and fees,reserves for loan losses, as of $3December 31, 2021 (in thousands):
Investment TypeYear of OriginationTotal
20212020201920182017Prior
Secured loans
Risk rating:
Performing loans$309,494 $78,606 $2,191 $— $— $— $390,291 
Watch list loans— — — — — — — 
Workout loans— — — — — — — 
Total secured loans$309,494 $78,606 $2,191 $— $— $— $390,291 
Mezzanine and other
Risk rating:
Performing loans$23,901 $1,522 $97 $— $— $— $25,520 
Watch list loans— — — — — — — 
Workout loans— — — — — — — 
Total mezzanine and other$23,901 $1,522 $97 $— $— $— $25,520 
95

Reserve for Loan Losses
The Company evaluates the liquidity and creditworthiness of its borrowers on a quarterly basis to determine whether any updates to the future expected losses recognized upon inception are necessary. The Company’s evaluation considers industry and economic conditions, individual and portfolio property performance, credit enhancements, liquidity, and other factors. The determination of loan losses also considers concentration of credit risk associated with the senior housing industry to which its loans receivable relate. The Company’s borrowers furnish property, portfolio, and guarantor/operator-level financial statements, among other information, on a monthly or quarterly basis, which the Company utilizes to calculate the debt service coverages used in its assessment of internal ratings, which is a primary credit quality indicator. Debt service coverage information is evaluated together with other property, portfolio, and operator performance information, including revenue, expense, NOI, occupancy, rental rates, capital expenditures, and EBITDA (defined as earnings before interest, tax, and depreciation and amortization), along with other liquidity measures.
In its assessment of current expected credit losses for loans receivable and unfunded loan commitments, the Company utilizes past payment history of its borrowers, current economic conditions, and forecasted economic conditions through the maturity date of each loan to estimate a probability of default and a resulting loss for each loan receivable. Future economic conditions are based primarily on near-term economic forecasts from the Federal Reserve and reasonable assumptions for long-term economic trends.
The following table summarizes the Company’s reserve for loan losses (in thousands):
 December 31, 2021December 31, 2020
 Secured LoansMezzanine and OtherTotalSecured LoansMezzanine and OtherTotal
Reserve for loan losses, beginning of period$3,152 $7,128 $10,280 $— $— $— 
Cumulative-effect of adopting ASU 2016-13 to beginning retained earnings— — — 513 907 1,420 
Provision for expected loan losses793 896 1,689 2,898 14,356 17,254 
Expected loan losses related to loans sold or repaid(1)
(2,141)(8,015)(10,156)(259)(8,135)(8,394)
Reserve for loan losses, end of period$1,804 $$1,813 $3,152 $7,128 $10,280 

(1)Includes 6 loans sold or repaid during the year endedDecember 31, 2021 and 3 loans sold or repaid during the year ended December 31, 2020.
Additionally, at December 31, 2021 and 2020, a liability of$0.3 million and $1 million respectively, related to expected credit losses for unfunded loan commitments was included in accounts payable, accrued liabilities, and other income (expense), net. The Company holds no further economic interestliabilities.
96

NOTE 9.    Investments in the operations of Tandem.and Advances to Unconsolidated Joint Ventures
U.K. Bridge Loan
In 2016, the Company provided a £105 million ($131 million at closing) bridge loan (the “U.K. Bridge Loan”) to Maria Mallaband Care Group Ltd. ("MMCG") to fund the acquisition of a portfolio of seven care homes in the U.K. Under the U.K. Bridge Loan, the Company retained a three-year call option to acquire those seven care homes at a future date for £105 million, subject to certain conditions precedent being met. In March 2018, upon resolution of all conditions precedent, the Company began the process of exercising its call option to acquire the seven care homes and concluded that it should consolidate the real estate. As a result, the Company derecognized the outstanding loan receivable of £105 million and recognized a £29 million ($41 million) loss on consolidation. Refer to Note 19 for further discussion regarding impact of consolidating the seven care homes during the first quarter of 2018.

In June 2018, the Company completed the process of exercising the above-mentioned call option. The seven care homes acquired through the call option were included in the U.K. JV transaction (see Note 5).
NOTE 8.Investments in and Advances to Unconsolidated Joint Ventures

The Company owns interests in the following entities that are accounted for under the equity method, (dollars inexcluding investments classified as discontinued operations (in thousands):
   Carrying Amount
   December 31,
Entity(1)(2)
Segment
Property Count(3)
Ownership %(3)
20212020
SWF SH JVOther1954$355,394 $357,581 
Life Science JVLife science14925,605 24,879 
Needham Land Parcel JV(4)
Life science3813,566 — 
Medical Office JVs(5)
Medical office320 - 679,069 9,673 
Other JVs(6)
Other— 9,157 
CCRC JV(7)
CCRC— 1,581 
   $403,634 $402,871 
_______________________________________
    Carrying Amount
    December 31,
Entity(1)
 Ownership % 2018 2017
CCRC JV 49 $365,764
 $400,241
RIDEA II(2)
 40 
 259,651
U.K. JV(3)
 49 101,735
 
Life Science JVs(4)
 50 - 63 
 65,581
MBK JV 50 35,435
 38,005
Development JVs(5)
 50 - 90 25,493
 23,365
Medical Office JVs(6)
 20 - 67 10,160
 12,488
K&Y JVs(7)
 80 1,430
 1,283
Advances to unconsolidated joint ventures, net   71
 226
    $540,088
 $800,840

(1)These entities are not consolidated because the Company does not control, through voting rights or other means, the joint venture.
(2)In June 2018, the Company sold its equity method investment in RIDEA II (see Note 5).
(3)See Note 5 for discussion of the formation of the U.K. JV and the Company’s equity method investment.
(4)Includes the following unconsolidated partnerships (and the Company’s ownership percentage): (i) Torrey Pines Science Center, LP (50%); (ii) Britannia Biotech Gateway, LP (55%); and (iii) LASDK, LP (63%). In November 2018, the Company acquired the outstanding equity interests and began consolidating the entities (see Note 4).
(5)Includes four unconsolidated development partnerships (and the Company’s ownership percentage): (i) Vintage Park Development JV (85%); (ii) Waldwick JV (85%); (iii) Otay Ranch JV (90%); and (iv) MBK Development JV (50%).
(6)Includes three unconsolidated medical office partnerships (and the Company’s ownership percentage): (i) HCP Ventures IV, LLC (20%); (ii) HCP Ventures III, LLC (30%); and (iii) Suburban Properties, LLC (67%).
(7)Includes three unconsolidated joint ventures.

(1)These entities are not consolidated because the Company does not control, through voting rights or other means, the joint ventures.
The following tables summarize combined financial information for(2)Excludes the Otay Ranch JV (90% ownership percentage), which was classified as discontinued operations and had an aggregate carrying value of $6 million at December 31, 2020 (see Note 5). In April 2021, the SHOP property in the Otay Ranch JV was sold, resulting in the Company’s share of proceeds of $32 million and a gain on sale of $5 million recognized in equity income (loss) from unconsolidated joint ventures (in thousands):within income (loss) from discontinued operations for the year ended December 31, 2021.
(3)Property count and ownership percentage are as of December 31, 2021.
  December 31,
  2018 2017
Real estate, net $2,128,147
 $2,104,090
Other assets, net 479,935
 928,790
Total assets $2,608,082
 $3,032,880
Mortgage and other debt $827,622
 $900,911
Accounts payable and other 655,177
 561,523
Other partners’ capital 515,791
 655,311
HCP’s capital(1)
 609,492
 915,135
Total liabilities and partners’ capital $2,608,082
 $3,032,880
(4)In December 2021, the Company acquired a 38% interest in a life science development joint venture in Needham, Massachusetts for $13 million. Land held for development is excluded from the property count as of December 31, 2021.

(5)Includes 3 unconsolidated medical office joint ventures in which the Company holds an ownership percentage as follows: (i) Ventures IV (20%); (ii) Ventures III (30%); and (iii) Suburban Properties, LLC (67%).
  Year Ended December 31,
  2018 2017 2016
Total revenues $642,724
 $810,216
 $424,134
Total operating expense (492,784) (643,452) (344,553)
Income (loss) from discontinued operations 
 
 8,810
Net income (loss) (43,704) (42,408) 43,015
HCP’s share in earnings (2,594) 10,901
 11,360
Fees earned by HCP 125
 133
 299
Distributions received by HCP 48,939
 81,165
 54,858
(6)At December 31, 20182020, includes 2 unconsolidated other joint ventures in which the Company’s ownership percentage is as follows: (i) Discovery Naples JV (41%) and 2017,(ii) Discovery Sarasota JV (47%). In April 2021, the Company sold its 2preferred equity investments for their carrying value as part of the Discovery SHOP Portfolio disposition (see Note 5).
(7)See Note 3 for a discussion of the 2019 MTCA with Brookdale, including the acquisition of Brookdale’s interest in 13 of the 15 communities in the CCRC JV in January 2020. In May 2021, the 2 remaining CCRCs were sold for $38 million, $19 million of which represents the Company’s 49% interest, resulting in an immaterial gain on sale recorded within equity income (loss) from unconsolidated joint ventures for the year ended December 31, 2021.
At December 31, 2021 and 2020, the aggregate unamortized basis difference of the Company's investments in unconsolidated joint ventures of $69$42 million and $115$33 million, respectively, is primarily attributable to the difference between the amount for which the Company purchased its interest in the entity and the historical carrying value of the net assets of the entity. The difference is being amortized over the remaining useful life of the related assets and is included in equity income (loss) from unconsolidated joint ventures.
CCRC JV. During 2019, the CCRC JV recognized an impairment charge of $12 million. Accordingly, the Company recognized its 49% share of the impairment charge ($6 million) through equity income (loss) from unconsolidated joint ventures during the year ended December 31, 2019.
U.K. JV. In December 2019, the Company sold its 49% interest in the U.K. JV for proceeds of £70 million ($91 million) and recognized a loss on sale of $7 million (based on exchange rates at the time the transaction was completed), including $1 million of loss in accumulated other comprehensive income (loss) that was reclassified to gain (loss) on sales of real estate. As of December 31, 2019, the Company no longer owned real estate in the U.K.
97

NOTE 10.    Intangibles
NOTE 9.Intangibles

Intangible assets primarily consist of lease-up intangibles and above market tenant lease intangibles. The following table summarizes the Company’s intangible lease assets (in(dollars in thousands):
 December 31,
Intangible lease assets20212020
Gross intangible lease assets$797,675 $761,328 
Accumulated depreciation and amortization(277,915)(241,411)
Intangible assets, net(1)
$519,760 $519,917 
Weighted average remaining amortization period in years65

(1)Excludes intangible assets reported in assets held for sale and discontinued operations, net of zero and $25 million as of December 31, 2021 and 2020.
  December 31,
Intangible lease assets 2018 2017
Gross intangible lease assets $556,114
 $795,305
Accumulated depreciation and amortization (251,035) (385,223)
Net intangible lease assets $305,079
 $410,082
Intangible liabilities consist of below market lease intangibles. The following table summarizes the Company’s intangible lease liabilities (in(dollars in thousands):
 December 31, December 31,
Intangible lease liabilities 2018 2017Intangible lease liabilities20212020
Gross intangible lease liabilities $94,444
 $126,212
Gross intangible lease liabilities$234,917 $194,565 
Accumulated depreciation and amortization (39,781) (73,633)Accumulated depreciation and amortization(57,685)(50,366)
Net intangible lease liabilities $54,663
 $52,579
Intangible liabilities, netIntangible liabilities, net$177,232 $144,199 
Weighted average remaining amortization period in yearsWeighted average remaining amortization period in years88
The following table sets forth amortization related to deferred leasing costsintangible assets, net and acquisition-related intangiblesintangible liabilities, net (in thousands):
Year Ended December 31,
202120202019
Depreciation and amortization expense related to amortization of lease-up intangibles(1)
$106,106 $89,301 $46,828 
Rental and related revenues related to amortization of net below market lease liabilities(1)
20,597 11,717 6,319 

(1)Excludes amortization related to assets classified as discontinued operations.
During the year ended December 31, 2021, in conjunction with the Company’s acquisitions of real estate, the Company acquired intangible assets of$109 million and intangible liabilities of $57 million. The intangible assets and liabilities acquired had a weighted average amortization period at acquisition of 9 years.
During the year ended December 31, 2020, in conjunction with the Company’s acquisitions of real estate, the Company acquired intangible assets of $352 million and intangible liabilities of $83 million. The intangible assets and intangible liabilities acquired had a weighted average amortization period at acquisition of 7 years and 9 years, respectively.
98

  Year Ended December 31,
  2018 2017 2016
Depreciation and amortization expense related to amortization of lease-up intangibles $67,350
 $76,732
 $84,487
Rental and related revenues related to amortization of net below market lease liabilities 5,253
 2,030
 3,877
Operating expense related to amortization of net below market ground lease intangibles 636
 740
 664

The following table summarizes the estimated annual amortization for each of the five succeeding fiscal years and thereafter (in thousands):
Rental and Related Revenues(1)
Depreciation and Amortization(2)
Rental and Related Revenues(1)
 
Operating Expense(2)
 
Depreciation and Amortization(3)
2019$4,399
 $505
 $50,762
20203,670
 621
 39,433
20213,587
 738
 32,214
20224,331
 738
 26,438
2022$24,008 $103,753 
20234,269
 738
 24,293
202323,250 98,511 
2024202422,407 94,826 
2025202521,383 83,308 
2026202618,912 51,407 
Thereafter16,521
 29,901
 80,812
Thereafter55,032 75,715 
$36,777
 $33,241
 $253,952
$164,992 $507,520 

(1)The amortization of net below market lease intangibles is recorded as an increase to rental and related revenues.
(2)The amortization of lease-up intangibles is recorded to depreciation and amortization expense.
Goodwill
As of December 31, 2021 and 2020, the Company’s goodwill balance was $18 million, excluding the amount related to SHOP and senior housing triple-net portfolios classified as discontinued operations (see Note 5), and is recognized in other assets, net on the Consolidated Balance Sheets. See Note 16 for goodwill attributable to the Company's reportable segments. During the year ended December 31, 2021, the Company recognized a $29 million impairment charge, recognized within income (loss) from discontinued operations (see Note 6).
NOTE 11.    Debt
(1)The amortization of net below market lease intangibles is recorded as an increase to rental and related income.
(2)The amortization of net below market ground lease intangibles is recorded as an increase to operating expense.
(3)The amortization of lease-up intangibles is recorded to depreciation and amortization expense.
NOTE 10.Debt

Bank Line of Credit and Term LoansLoan
The Company's $2.0On May 23, 2019, the Company executed a $2.5 billion unsecured revolving line of credit facility, (the “Facility”) matures on October 19, 2021with a maturity date of May 23, 2023 and contains two,2 six-month extension options.options, subject to certain customary conditions. Also in May 2019, the Company entered into a $250 million unsecured term loan facility, with a maturity date of May 23, 2024 (the “2019 Term Loan”). In July 2021, the Company repaid the $250 million 2019 Term Loan; therefore, at December 31, 2021, there was no outstanding balance. The outstanding balance on the 2019 Term Loan at December 31, 2020 was $250 million.
In September 2021, the Company executed an amended and restated unsecured revolving line of credit (the “Revolving Facility”), to increase total revolving commitments from $2.5 billion to $3.0 billion and extend the maturity date to January 20, 2026. This maturity date may be further extended pursuant to 2 six-month extension options, subject to certain customary conditions. Borrowings under the Revolving Facility accrue interest at LIBOR plus a margin that depends uponon the credit ratings of the Company’s credit ratings.senior unsecured long-term debt. The Company also pays a facility fee on the entire revolving commitment that depends on its credit ratings. Based on the Company’s credit ratings at December 31, 2018,2021, the margin on the Revolving Facility was 0.875%,0.78% and the facility fee was 0.15%. At December 31, 2021 and 2020, the Company had no balance outstanding under the Revolving Facility.
The Revolving Facility also includes a feature that allows the Company to increase the borrowing capacity by an aggregate amount of up to $750 million, subject to securing additional commitments. At December 31, 2018,Further, the Company had $80 million,Revolving Facility includes customary LIBOR replacement language, including, £55 million ($70 million), outstanding underbut not limited to, the Facility with a weighted average effective interest rateuse of 2.12%.
In March 2017, the Company repaid a £137 million unsecured term loan. On June 30, 2017, the Company repaid £51 million of its four-year unsecured term loan entered into in January 2015 (the "2015 Term Loan"). Concurrently, the Company terminated its three-year interest rate swap which fixed the interest of the 2015 Term Loan and therefore, beginning June 30, 2017, the 2015 Term Loan accrued interest at a rate of GBP LIBOR plus 1.15%, subject to adjustmentsrates based on the Company's credit ratings.
On July 3, 2018,secured overnight financing rate administered by the Company exercised its one-time rightFederal Reserve Bank of New York. The Revolving Facility also includes a sustainability-linked pricing component whereby the applicable margin may be reduced by up to repay0.025% based on the outstanding GBP balance and re-borrow in USD with all other key terms unchanged, which resulted in repaymentCompany’s achievement of the £169 million balance and re-borrowing of $224 million. In November 2018, the Company repaid the $224 million unsecured term loan, bringing the total term loan balancespecified sustainability-linked metrics, subject to zero as of December 31, 2018.certain conditions.
The Revolving Facility also contains certain financial restrictions and other customary requirements, including financial covenants and cross-default provisions to other indebtedness. Among other things, these covenants, using terms defined in the agreements:agreement: (i) limit the ratio of ConsolidatedEnterprise Total Indebtedness to Consolidated TotalEnterprise Gross Asset Value to 60%,; (ii) limit the ratio of Enterprise Secured Debt to Consolidated TotalEnterprise Gross Asset Value to 30%,40%; (iii) limit the ratio of Enterprise Unsecured Debt to ConsolidatedEnterprise Unencumbered Asset Value to 60%; (iv) require a minimum Fixed Charge Coverage ratio of 1.5 times; and (v) require a Minimumminimum Consolidated Tangible Net Worth of $6.5 billion at December 31, 2018. At December 31, 2018, the$7.7 billion. The Company believes it was in compliance with each of these restrictions and requirementscovenants at December 31, 2021.
99

Commercial Paper Program
In September 2019, the Company established an unsecured commercial paper program (the “Commercial Paper Program”). Under the terms of the Facility.Commercial Paper Program, the Company may issue, from time to time, unsecured short-term debt securities with varying maturities. Amounts available under the Commercial Paper Program may be borrowed, repaid, and re-borrowed from time to time. During 2021, the Company increased the maximum aggregate face or principal amount that can be outstanding at any one time from $1.0 billion to $1.5 billion. Amounts borrowed under the Commercial Paper Program will be sold on terms that are customary for the U.S. commercial paper market and will be at least equal in right of payment with all of the Company’s other unsecured and unsubordinated indebtedness. The Company uses its Revolving Facility as a liquidity backstop for the repayment of unsecured short-term debt securities issued under the Commercial Paper Program. At December 31, 2021, the Company had $1.17 billion of securities outstanding under the Commercial Paper Program, with original maturities of approximately two months and a weighted average interest rate of 0.32%. At December 31, 2020, the Company had $130 million of securities outstanding under the Commercial Paper Program, with original maturities of approximately one month and a weighted average interest rate of 0.30%.
Senior Unsecured Notes
At December 31, 2018,2021, the Company had senior unsecured notes outstanding with an aggregate principal balance of $5.3$4.7 billion. The senior unsecured notes contain certain covenants including limitations on debt, maintenance of unencumbered assets, cross-acceleration provisions, and other customary terms. The Company believes it was in compliance with these covenants at December 31, 2018.2021.

In July 2021, the Company completed its inaugural green bond offering. In November 2021, the Company completed a second green bond offering. Both green bonds are or will be allocated to eligible green projects, and the Company may choose to allocate or re-allocate net proceeds from such offerings to one more other eligible green projects.
The following table summarizes the Company’s senior unsecured notes payoffsissuances, including the green bond offerings discussed above, for the periods presented (dollars in thousands):
Issue DateAmountCoupon RateMaturity Date
Year ended December 31, 2021:
November 24, 2021$500,000 2.13 %2028
July 12, 2021450,000 1.35 %2027
Year ended December 31, 2020:
June 23, 2020600,000 2.88 %2031
Year ended December 31, 2019:
November 21, 2019750,000 3.00 %2030
July 5, 2019650,000 3.25 %2026
July 5, 2019650,000 3.50 %2029
100

Period Amount Coupon Rate
Year ended December 31, 2018:    
July 16, 2018(1)
 $700,000
 5.375%
November 8, 2018 $450,000
 3.750%
Year ended December 31, 2017:    
May 1, 2017 $250,000
    5.625%
July 27, 2017(2)
 $500,000
 5.375%
Year ended December 31, 2016:    
February 1, 2016 $500,000
 3.750%
September 15, 2016 $400,000
 6.300%
November 30, 2016(3)
 $500,000
 6.000%
November 30, 2016(3)
 $600,000
 6.700%

(1)The Company recorded a $44 million loss on debt extinguishment related to the repurchase of senior notes.
(2)The Company recorded a $54 million loss on debt extinguishment related to the repurchase of senior notes.
(3)The Company recorded a $46 million loss on debt extinguishment related to the repurchase of senior notes.
There were noThe following table summarizes the Company’s senior unsecured notes issuancesrepurchases and redemptions for the yearsperiods presented (dollars in thousands):
Payoff DateAmountCoupon RateMaturity Date
Year ended December 31, 2021:
May 19, 2021(1)
$251,806 3.40 %2025
May 19, 2021(1)
298,194 4.00 %2025
February 26, 2021(2)
188,000 4.25 %2023
February 26, 2021(2)
149,000 4.20 %2024
February 26, 2021(2)
331,000 3.88 %2024
January 28, 2021(2)
112,000 4.25 %2023
January 28, 2021(2)
201,000 4.20 %2024
January 28, 2021(2)
469,000 3.88 %2024
Year ended December 31, 2020:
July 9, 2020(3)
300,0003.15 %2022
June 24, 2020(4)
250,0004.25 %2023
Year ended December 31, 2019:  
November 21, 2019(5)
350,0004.00 %2022
July 22, 2019(6)
800,0002.63 %2020
July 8, 2019(6)
250,0004.00 %2022
July 8, 2019(6)
250,0004.25 %2023


(1)Upon repurchasing a portion of the 3.40% and 4.00% senior unsecured notes due 2025, the Company recognized a $61 million loss on debt extinguishment during the year ended December 31, 2018, 2017,2021.
(2)Upon completing the repurchases and 2016.redemptions of all outstanding 4.25%, 4.20%, and 3.88% senior unsecured notes due 2023 and 2024, the Company recognized a $164 million loss on debt extinguishment during the year ended December 31, 2021.
(3)Upon completing the redemption of all outstanding 3.15% senior unsecured notes due 2022, the Company recognized an $18 million loss on debt extinguishment during the year ended December 31, 2020.
(4)Upon repurchasing a portion of the 4.25% senior unsecured notes due 2023, the Company recognized a $26 million loss on debt extinguishment during the year ended December 31, 2020.
(5)Upon repurchasing the 4.00% senior unsecured notes due in 2022, the Company recognized a $22 million loss on debt extinguishment during the year ended December 31, 2019.
(6)Upon completing the redemption of the 2.63% senior unsecured notes due in 2020 and repurchasing a portion of the 4.25% senior unsecured notes due in 2023 and the 4.00% senior unsecured notes due in 2022, the Company recognized a $35 million loss on debt extinguishment during the year ended December 31, 2019.
Mortgage Debt
At December 31, 2018,2021 and 2020, the Company had $133$350 million and $217 million, respectively, in aggregate principal of mortgage debt outstanding (excluding mortgage debt on assets held for sale and discontinued operations), which iswas secured by 1518 and 6 healthcare facilities, respectively, with aan aggregate carrying value of $278 million. In March 2017,$811 millionand $517 million, respectively.
During the years ended December 31, 2021, 2020, and 2019 the Company paid off $472 millionmade aggregate principal repayments of mortgage debt.debt of $9 million, $5 million, and $1 million, respectively (excluding mortgage debt on assets held for sale and discontinued operations).
Mortgage debt generally requires monthly principal and interest payments, is collateralized by real estate assets, and is generally non-recourse. Mortgage debt typically restricts transfer of the encumbered assets, prohibits additional liens, restricts prepayment, requires payment of real estate taxes, requires maintenance of the assets in good condition, requires maintenance of insurance on the assets, and includes conditions to obtain lender consent to enter into or terminate material leases. Some of the mortgage debt is also cross-collateralized by multiple assets and may require tenants or operators to maintain compliance with the applicable leases or operating agreements of such real estate assets.

In April 2021, in conjunction with the acquisition of the MOB Portfolio, the Company originated $142 million of secured mortgage debt (see Note 4) that matures in May 2026 and has a weighted average effective interest rate of 2.77% as of December 31, 2021.
101

Debt Maturities Maturities
The following table summarizes the Company’s stated debt maturities and scheduled principal repayments at December 31, 20182021 (dollars in thousands):
Senior Unsecured Notes(2)
Mortgage Debt(3)
YearYear Bank Line of Credit
Commercial Paper(1)
AmountInterest RateAmountInterest RateTotal
20222022$— $— $— — %$5,048 3.80 %$5,048 
20232023— — — — %90,089 3.80 %90,089 
20242024— — — — %7,024 3.81 %7,024 
20252025— — 800,000 3.93 %3,209 3.80 %803,209 
20262026— 1,165,975 650,000 3.39 %244,523 3.11 %2,060,498 
ThereafterThereafter— — 3,250,000 3.24 %366 5.91 %3,250,366 
— 1,165,975 4,700,000 350,259 6,216,234 
Premiums, (discounts), and debt issuance costs, netPremiums, (discounts), and debt issuance costs, net— — (48,067)1,822 (46,245)
 
Bank Line of Credit(1)
 
Senior Unsecured Notes(2)
 
Mortgage Debt(3)
 
Total(4)
$— $1,165,975 $4,651,933 $352,081 $6,169,989 
Year Amount Interest Rate Amount Interest Rate 
2019 $
 $
 % $3,561
 % $3,561
2020 
 800,000
 2.79% 3,609
 5.08% 803,609
2021 80,103
 
 % 10,957
 5.26% 91,060
2022 
 900,000
 3.93% 2,691
 % 902,691
2023 
 800,000
 4.39% 2,811
 % 802,811
Thereafter 
 2,800,000
 4.34% 109,705
 4.10% 2,909,705
 80,103
 5,300,000
 

 133,334
 

 5,513,437
(Discounts), premium and debt costs, net 
 (41,450)   5,136
   (36,314)
 $80,103
 $5,258,550
  
 $138,470
  
 $5,477,123


(1)Commercial Paper Program borrowings are backstopped by the Revolving Facility. As such, the Company calculates the weighted average remaining term of its Commercial Paper Program borrowings using the maturity date of the Revolving Facility.
(2)Effective interest rates on the senior unsecured notes range from 1.54% to 6.91% with a weighted average effective interest rate of 3.39% and a weighted average maturity of 7 years.
(3)Effective interest rates on the mortgage debt range from 2.59% to 5.91% with a weighted average effective interest rate of 3.31% and a weighted average maturity of 4 years.
NOTE 12.    Commitments and Contingencies
(1)
Includes £55 milliontranslated into USD. 
(2)Interest rates on the notes range from 2.79% to 6.87% with a weighted average effective rate of 4.03% and a weighted average maturity of six years.
(3)Interest rates on the mortgage debt range from 2.80% to 5.91% with a weighted average effective interest rate of 4.20% and a weighted average maturity of 19 years.
(4)Excludes $91 million of other debt that have no scheduled maturities. Other debt represents (i) $58 million of non-interest bearing life care bonds and occupancy fee deposits at certain of the Company's senior housing facilities and (ii) $33 million of on-demand notes from the CCRC JV which bear interest at a rate of 3.6%.
NOTE 11.Commitments and Contingencies

Legal Proceedings
From time to time, the Company is a party to or has a significant relationship to, legal proceedings, lawsuits and other claims. Except as described below,claims that arise in the ordinary course of the Company’s business. The Company is not aware of any legal proceedings or claims that it believes may have, individually or taken together, a material adverse effect on the Company’s financial condition, results of operations, or cash flows. The Company’s policy is to expense legal costs as they are incurred.
Class Action. On May 9, 2016, a purported stockholder of the Company filed a putative class action complaint, Boynton Beach Firefighters’ Pension Fund v. HCP, Inc., et al., Case No. 3:16-cv-01106-JJH, in the U.S. District Court for the Northern District of Ohio against the Company, certain of its officers, HCR ManorCare, Inc. (“HCRMC”),DownREITs and certain of its officers, asserting violations of the federal securities laws. The suit asserts claims under sections 10(b) and 20(a) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), and alleges that the Company made certain false or misleading statements relating to the value of and risks concerning its investment in HCRMC by allegedly failing to disclose that HCRMC had engaged in billing fraud, as alleged by the U.S. Department of Justice (“DoJ”) in a suit against HCRMC arising from the False Claims Act that the DoJ voluntarily dismissed with prejudice. The plaintiff in the class action suit demands compensatory damages (in an unspecified amount), costs and expenses (including attorneys’ fees and expert fees), and equitable, injunctive, or other relief as the Court deems just and proper. On November 28, 2017, the Court appointed Societe Generale Securities GmbH (SGSS Germany) and the City of Birmingham Retirement and Relief Systems (Birmingham) as Co-Lead Plaintiffs in the class action. The motion to dismiss was fully briefed on May 21, 2018 and oral arguments were held on October 23, 2018. Subsequently, on December 6, 2018, HCRMC and its officers were voluntarily dismissed from the class action lawsuit without prejudice to such claims being refiled. The Company believes the suit to be without merit and intends to vigorously defend against it.
Derivative Actions. On June 16, 2016 and July 5, 2016, purported stockholders of the Company filed two derivative actions, respectively Subodh v. HCR ManorCare Inc., et al., Case No. 30-2016-00858497-CU-PT-CXC and Stearns v. HCR ManorCare, Inc., et al., Case No. 30-2016-00861646-CU-MC-CJC, in the Superior Court of California, County of Orange, against certain of the Company’s current and former directors and officers and HCRMC. The Company is named as a nominal defendant. As both derivative actions contained substantially the same allegations, they have been consolidated into a single action (the “California derivative action”). The consolidated action alleges that the defendants engaged in various acts of wrongdoing, including, among other things, breaching fiduciary duties by publicly making false or misleading statements of fact regarding HCRMC’s finances

and prospects, and failing to maintain adequate internal controls. On April 18, 2017, the Court approved the parties’ stipulation to stay the case pending disposition of the motion to dismiss the class action litigation.
On April 10, 2017, a purported stockholder of the Company filed a derivative action, Weldon v. Martin et al., Case No. 3:17-cv-755, in federal court in the Northern District of Ohio, Western Division, against certain of the Company’s current and former directors and officers and HCRMC. The Company is named as a nominal defendant. The Weldon complaint asserts similar claims to those asserted in the California derivative action. In addition, the complaint asserts a claim under Section 14(a) of the Exchange Act, alleging that the Company made false statements in its 2016 proxy statement by not disclosing that the Company’s performance issues in 2015 were the direct result of alleged billing fraud at HCRMC. On April 18, 2017, the Court re-assigned and transferred this action to the judge presiding over the related federal securities class action. On July 11, 2017, the Court approved a stipulation by the parties to stay the case pending disposition of the motion to dismiss the class action.
On July 21, 2017, a purported stockholder of the Company filed another derivative action, Kelley v. HCR ManorCare, Inc., et al., Case No. 8:17-cv-01259, in federal court in the Central District of California, against certain of the Company’s current and former directors and officers and HCRMC. The Company is named as a nominal defendant. The Kelley complaint asserts similar claims to those asserted in Weldon and in the California derivative action. Like Weldon, the Kelley complaint also additionally alleges that the Company made false statements in its 2016 proxy statement, and asserts a claim for a violation of Section 14(a) of the Exchange Act. On November 28, 2017, the federal court in the Central District of California granted Defendants’ motion to transfer the action to the Northern District of Ohio (i.e., the court where the class action and other federal derivative action are pending). The Court in the Northern District of Ohio is currently considering whether to consolidate the Weldon and Kelley actions, appointment of lead plaintiffs and counsel, and whether the stay in Weldon should continue as to either or both actions.
The Company’s Board of Directors received letters dated August 17, 2016, April 19, 2017, and April 20, 2017 from private law firms acting on behalf of clients who are purported stockholders of the Company, each asserting allegations similar to those made in the California derivative action matters discussed above. Each letter demands that the Board of Directors take action to assert the Company’s rights. The Board of Directors completed its evaluation and rejected the demand letters in December of 2017.
The Company believes that the plaintiffs lack standing or the lawsuits and demands are without merit, but cannot predict the outcome of these proceedings or reasonably estimate any potential loss at this time. Accordingly, no loss contingency has been recorded for these matters as of December 31, 2018, as the likelihood of loss is not considered probable or estimable.
DownREIT LLCsOther Partnerships
In connection with the formation of certain, DownREIT LLCs,limited liability companies (“DownREITs”), members may contribute appreciated real estate to a DownREIT LLC in exchange for DownREIT units. These contributions are generally tax-deferred, so that the pre-contribution gain related to the property is not taxed to the member. However, if a contributed property is later sold by the DownREIT, LLC, the unamortized pre-contribution gain that exists at the date of sale is specifically allocated and taxed to the contributing members. In many of the DownREITs, the Company has entered into indemnification agreements with those members who contributed appreciated property into the DownREIT LLC.DownREIT. Under these indemnification agreements, if any of the appreciated real estate contributed by the members is sold by the DownREIT LLC in a taxable transaction within a specified number of years, the Company will reimburse the affected members for the federal and state income taxes associated with the pre-contribution gain that is specially allocated to the affected member under the Code (“make-whole payments”). These make-whole payments include a tax gross-up provision. These indemnification agreements have expirationexpirations terms that range through 20332039 on a total of 3529 properties.

Additionally, the Company owns a 49% interest in an unconsolidated joint venture acquired in December 2020 as part of the Cambridge Discovery Park Acquisition (see Note 4). If the property in the joint venture is sold in a taxable transaction, the Company is generally obligated to indemnify its joint venture partner for its federal and state income taxes associated with the gain that existed at the time of the contribution to the joint venture.
102

Commitments
The following table summarizes the Company’s material commitments, excluding debt service obligations (see Note 10) and11), obligations as the lessee under operating leases (see Note 6)7), and potential future obligations related to redeemable noncontrolling interests (see Note 13) at December 31, 20182021 (in thousands):
 Total 2019 2020-2021 2022-2023 More than Five Years
Construction loan commitments(1)
$72,654
 $68,365
 $4,289
 $
 $
Development commitments(2)
299,702
 273,625
 26,077
 
 
Total$372,356
 $341,990
 $30,366
 $
 $

(1)RepresentsAmount
Development and redevelopment commitments to finance development projects.(1)
$386,647 
(2)Represents construction
Lease and other contractual commitments for developments in progress.(2)
82,644 
Construction loan commitments(3)
57,881 
Total$527,172 

(1)Represents construction and other commitments as of December 31, 2021 for developments and redevelopments in progress and includes allowances for tenant improvements that the Company has provided as a lessor.
(2)Represents the Company's commitments, as lessor, under signed leases and contracts for operating properties as of December 31, 2021 and includes allowances for tenant improvements and leasing commissions. Excludes allowances for tenant improvements related to developments and redevelopments in progress for which the Company has executed an agreement with a general contractor to complete the tenant improvements (recognized in the “Development and redevelopment commitments” line).
(3)Represents loan commitments as of December 31, 2021 to fund senior housing redevelopment and capital expenditure projects.
Credit Enhancement Guarantee
AtPrior to December 31, 2018,2020, certain of the Company’s senior housing facilities serveserved as collateral for $74 million of debt (maturing May 1, 2025) that iswas owed by a previous owner of the facilities. This indebtedness iswas guaranteed by the previous owner who has an investment grade credit rating. These senior housing facilities,
In conjunction with certain of the Company’s planned dispositions of SHOP assets, during October 2020, the debt to which are classifiedthe Company’s assets served as DFLs, had a carrying valuecollateral was defeased. As part of $351that defeasance, the Company paid approximately $11 million as of the defeasance premium during the year ended December 31, 2018.2020, which was recognized as a transaction cost expense and reported in income (loss) from discontinued operations.
Environmental Costs
Various environmental laws govern certain aspects of the ongoing management and operation of our facilities, including those related to presence of asbestos-containing materials. The presence of, or the failure to manage and/or remediate, such materials may adversely affect the occupancy and performance of the Company's facilities. The Company monitors its properties for the presence of such hazardous or toxic substances and is not aware of any environmental liability with respect to the properties that would have a material adverse effect on the Company’s business, financial condition, or results of operations. The Company carries environmental insurance and believes that the policy terms, conditions, limitations, and deductibles are adequate and appropriate under the circumstances, given the relative risk of loss, the cost of such coverage, and current industry practice.
General Uninsured Losses
The Company obtains various types of insurance to mitigate the impact of property, business interruption, liability, workers'workers’ compensation, flood, windstorm, earthquake, environmental, cyber, and terrorism related losses. The Company attempts to obtain appropriate policy terms, conditions, limits, and deductibles considering the relative risk of loss, the cost of such coverage, and current industry practice. There are, however, certain types of extraordinary losses, such as those due to acts of war or other events that may be either uninsurable or not economically insurable. In addition, the Company has a large number of properties that are exposed to earthquake, flood, and windstorm occurrences for which the related insurances carry high deductibles and have limits.
NOTE 13.    Equity and Redeemable Noncontrolling Interests
NOTE 12.Equity

Dividends
On January 31, 2019,27, 2022, the Company announced that its Board of Directors declared a quarterly cash dividend of $0.37$0.30 per share. The common stock cash dividend will be paid on February 28, 201922, 2022 to stockholders of record as of the close of business on February 19, 2019.11, 2022.
During the years ended December 31, 2018, 20172021, 2020, and 2016,2019, the Company declared and paid common stock cash dividends of $1.480, $1.480$1.20, $1.48, and $2.095 $1.48per share, respectively.
103

At-The-Market Equity Offering Program
In June 2015,February 2020, the Company established an at-the-market equity offering program (“ATM Program”). In May 2018, the Company renewed its ATM Program. Under this program, the Company may sell shares of its common stock(as amended from time to time, the “ATM Program”), which was most recently amended in May 2021 to increase the size of the program from$1.25 billion to $1.5 billion, pursuant to which shares of common stock having an aggregate gross sales price of up to $750 million$1.5 billion may be sold (i) by the Company through a consortium of banks acting as sales agents or directly to the banks acting as principals. During the year ended December 31, 2018,principals or (ii) by a consortium of banks acting as forward sellers on behalf of any forward purchasers pursuant to a forward sale agreement (each, an “ATM forward contract”). The use of ATM forward contracts allows the Company issued 5.4 millionto lock in a share price on the sale of shares at the time the ATM forward contract is effective, but defer receiving the proceeds from the sale of shares until a later date.
ATM forward contracts generally have a one to two year term. At any time during the term, the Company may settle a forward sale by delivery of physical shares of common stock to the forward seller or, at a weighted averagethe Company’s election, in cash or net shares. The forward sale price the Company expects to receive upon settlement of $28.27 for net proceedsoutstanding ATM forward contracts will be the initial forward price established upon the effective date, subject to adjustments for: (i) accrued interest, (ii) the forward purchasers’ stock borrowing costs, and (iii) certain fixed price reductions during the term of $154 million. the ATM forward contract.
At December 31, 2018, $594 million2021,$1.18 billion of ourthe Company’s common stock remained available for sale under the ATM Program. There was
ATM Forward Contracts
During the year ended December 31, 2021, the Company utilized the forward provisions under the ATM Program to allow for the sale of an aggregate of 9.1 million shares of its common stock at an initial weighted average net price of $35.25 per share, after commissions.
During the year ended December 31, 2021, no activityshares were settled under ATM forward contracts. Therefore, at December 31, 2021, 9.1 million shares remained outstanding under ATM forward contracts.
During the year ended December 31, 2020, the Company did not utilize the forward provisions under the ATM Program. However, during the year ended December 31, 2020, the Company utilized the forward provisions under a previous ATM program established in 2019 to allow for the sale of an aggregate of 2.0 million shares of its common stock at an initial weighted average net price of $35.23 per share, after commissions. During the year ended December 31, 2019, the Company utilized the forward provisions under a previous ATM program established in 2019 to allow for the sale of up to an aggregate of 20.3 million shares of its common stock at an initial weighted average net price of $31.44 per share, after commissions.
During the three months ended March 31, 2020, the Company settled all 16.8 million shares previously outstanding under ATM forward contracts at a weighted average net price of $31.38 per share, after commissions, resulting in net proceeds of $528 million. Therefore, at December 31, 2020, no shares remained outstanding under ATM forward contracts. During the year ended December 31, 2019, the Company settled 5.5 million shares at a weighted average net price of $30.91 per share, after commissions, resulting in net proceeds of $171 million.
ATM Direct Issuances
During the years ended December 31, 20172021 and 2016.

2020, no shares of common stock were issued under any ATM program. During the year ended December 31, 2019, the Company issued 5.9 million shares of common stock under a previous ATM program established in 2019 at a weighted average net price of $31.84 per share, after commissions, resulting in net proceeds of $189 million.
Forward Equity OfferingOfferings
November 2019 Offering. In November 2019, the Company entered into a forward equity sales agreement (the “2019 forward equity sales agreement”) to sell an aggregate of 15.6 million shares of its common stock (including shares sold through the exercise of underwriters’ options) at an initial net price of $34.46 per share, after underwriting discounts and commissions, which was subject to adjustments for: (i) accrued interest, (ii) the forward purchasers’ stock borrowing costs, and (iii) certain fixed price reductions during the term of the agreement. During the three months ended March 31, 2020, the Company settled all 15.6 million shares under the 2019 forward equity sales agreement at a weighted average net price of $34.18 per share, resulting in net proceeds of $534 million (total net proceeds of $1.06 billion, when aggregated with the net proceeds from settling ATM forward contracts, as discussed above). Therefore, at December 31, 2021 and 2020, noshares remained outstanding under the 2019 forward equity sales agreement.
104

December 2018 Offering.In December 2018, the Company entered into a forward equity sales agreement (the “2018 forward equity sales agreement”) to sell up to an aggregate of 15.2515.3 million shares of its common stock (including shares issuedsold through the exercise of underwriters’ options) at an initial net price of $28.60 per share, after underwriting discounts and commissions. The 2018 forward equity sales agreement hashad a one year term and expiresthat expired on December 13, 2019. The forward sale price that2019 during which time the Company expects to receive upon settlement of the agreement will be subject to adjustments for: (i)could settle the forward purchasers’ stock borrowing costs and (ii) certain fixed price reductions during the termsales agreement by delivery of the agreement. At December 31, 2018, no shares have been issued under the forward equity sales agreement.
In December 2018, contemporaneous with the forward equity offering discussed above, the Company completed an offering of two millionphysical shares of common stock to the forward seller or, at the Company’s election, settle in cash or net shares. During the year ended December 31, 2019, the Company settled all 15.3 million shares under the 2018 forward equity sales agreement at a weighted average net price of $28.60$27.66 per share resulting in net proceeds of $57$422 million. Therefore, at December 31, 2019, no shares remained outstanding under the 2018 forward equity sales agreement.
The following table summarizes the Company’s other common stock activities (shares in(in thousands):
Year Ended December 31, Year Ended December 31,
2018 2017 2016 202120202019
Dividend Reinvestment and Stock Purchase Plan237
    983
    2,021
Dividend Reinvestment and Stock Purchase Plan$81 $181 $336 
Conversion of DownREIT units3
 78
 145
Conversion of DownREIT units120 213 
Exercise of stock options120
 32
 133
Exercise of stock options97 54 152 
Vesting of restricted stock units401
 419
 529
Vesting of restricted stock units924 668 468 
Repurchase of common stock141
 157
 237
Repurchase of common stock418 298 162 
Accumulated Other Comprehensive LossIncome (Loss)
The following table summarizes the Company’s accumulated other comprehensive lossincome (loss) (in thousands):
 December 31,
 20212020
Unrealized gains (losses) on derivatives, net$— $(81)
Supplemental Executive Retirement Plan minimum liability(3,147)(3,604)
Total accumulated other comprehensive income (loss)$(3,147)$(3,685)
Redeemable Noncontrolling Interests
Arrangements with noncontrolling interest holders are assessed for appropriate balance sheet classification based on the redemption and other rights held by the noncontrolling interest holder. Certain of the Company’s noncontrolling interest holders have the ability to put their equity interests to the Company upon specified events or after the passage of a predetermined period of time. Each put option is payable in cash and subject to increases in redemption value in the event that the underlying property generates specified returns for the Company and meets certain promote thresholds pursuant to the respective agreements. Accordingly, the Company records redeemable noncontrolling interests outside of permanent equity and presents the redeemable noncontrolling interests at the greater of their carrying amount or redemption value at the end of each reporting period.
During the year ended December 31, 2021, 1 of the redeemable noncontrolling interests met the conditions for redemption and the related put option was exercised during the year then ended. Accordingly, the Company made a cash payment for the redemption value of $60 million to the related noncontrolling interest holder during the year ended December 31, 2021 and acquired the redeemable noncontrolling interest associated with this entity. The remaining redeemable noncontrolling interests had not yet met the conditions for redemption as of December 31, 2021. NaN of the interests will become redeemable following the passage of a predetermined amount of time, which will occur in 2022, 2023, and 2024. The fourth interest will become redeemable at the earlier of a predetermined passage of time or stabilization of the underlying development property, which is expected to occur in 2023. The redemption values are subject to change based on the assessment of value at each redemption date. As of December 31, 2020, none of the redeemable noncontrolling interests were exercisable.
105

 December 31,
 2018 2017
Cumulative foreign currency translation adjustment(1)
$(1,683)    $(6,955)
Unrealized gains (losses) on derivatives, net(467) (13,950)
Supplemental Executive Retirement plan minimum liability and other(2,558) (3,119)
Total accumulated other comprehensive income (loss)$(4,708) $(24,024)

(1)See Notes 5 and 19 for a discussion of the U.K. JV transaction. 
Noncontrolling Interests
The non-managing member units of the Company’s DownREITs are exchangeable for an amount of cash approximating the then-current market value of shares of the Company’s common stock or, at the Company’s option, shares of the Company’s common stock (subject to certain adjustments, such as stock splits and reclassifications). Upon exchange of DownREIT units for the Company’s common stock, the carrying amount of the DownREIT units is reclassified to stockholders’ equity. At December 31, 2018,2021, there were four million5000000 DownREIT units (seven million(7000000 shares of HCPHealthpeak common stock are issuable upon conversion) outstanding in five 7DownREIT LLCs, for all of which the Company isacts as the managing member of.member. At December 31, 2018,2021, the carrying and market values of the four million5000000 DownREIT units were $177$201 million and $185$264 million, respectively. At December 31, 2020, the carrying and market values of the 5000000 DownREIT units were$199 million and $221 million, respectively.
See Notes 3, 4 and 5 for transactions involving noncontrolling interests.
NOTE 14.    Earnings Per Common Share
NOTE 13.Segment Disclosures

Basic income (loss) per common share (“EPS”) is computed based on the weighted average number of common shares outstanding. Diluted income (loss) per common share is computed based on the weighted average number of common shares outstanding plus the impact of forward equity sales agreements using the treasury stock method and common shares issuable from the assumed conversion of DownREIT units, stock options, certain performance restricted stock units, and unvested restricted stock units. Only those instruments having a dilutive impact on the Company’s basic income (loss) per share are included in diluted income (loss) per share during the periods presented.
Restricted stock and certain performance restricted stock units are considered participating securities, because dividend payments are not forfeited even if the underlying award does not vest, and require use of the two-class method when computing basic and diluted earnings per share.
Refer to Note 13 for a discussion of the sale of shares under and settlement of forward sales agreements during the periods presented. The Company evaluates its business and allocates resources basedconsidered the potential dilution resulting from the forward agreements to the calculation of earnings per share. At inception, the agreements do not have an effect on its reportable business segments: (i) senior housing triple-net, (ii) SHOP, (iii) life science and (iv) medical office.the computation of basic EPS as no shares are delivered until settlement. However, the Company uses the treasury stock method to calculate the dilution, if any, resulting from the forward sales agreements during the period of time prior to settlement. The Company has non-reportable segments that are comprised primarily ofaggregate effect on the Company’s debt investments, hospital properties, unconsolidated joint ventures, and U.K. investments. The accounting policies of the segments are the same as those described under Summary of Significant Accounting Policies (see Note 2).
Duringdiluted weighted-average common shares for the years ended December 31, 2018, 20172021, 2020 and 2016, 22, 252019 was 1 thousand, 201 thousand, and 17 senior housing triple-net facilities,2.8 million weighted-average incremental shares, respectively, were transferred tofrom the Company’s SHOP segment. When an asset is transferred from one segment to another, the results associated with that asset are included in the original segment until the dateforward equity sales agreements. 
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The Company evaluates performance based upon: (i) property net operating income from continuing operations (“NOI”) and (ii) Adjusted NOI. NOI is defined as real estate revenues (inclusive of rental and related revenues, resident fees and services, and income from direct financing leases), less property level operating expenses (which exclude transition costs); NOI excludes all other financial statement amounts included in net income (loss). Adjusted NOI is calculated as NOI after eliminating the effects of straight-line rents, DFL non-cash interest, amortization of market lease intangibles, lease termination fees, actuarial reserves for insurance claims that have been incurred but not reported and the impact of deferred community fee income and expense. NOI and Adjusted NOI exclude the Company's share of income (loss) generated by unconsolidated joint ventures, which is recognized in equity income (loss) from unconsolidated joint ventures in the consolidated statements of operations.
Non-segment assets consist of assets in the Company's other non-reportable segments (see above) and corporate non-segment assets. Corporate non-segment assets consist primarily of corporate assets, including cash and cash equivalents, restricted cash, accounts receivable, net, marketable equity securities and, if any, real estate held for sale.See Note 20 for other information regarding concentrations of credit risk.
The following tables summarize information fortable illustrates the reportable segmentscomputation of basic and diluted earnings per share (in thousands)thousands, except per share amounts):
Year Ended December 31,
202120202019
Numerator
Income (loss) from continuing operations$137,728 $160,507 $175,469 
Noncontrolling interests' share in continuing operations(17,851)(14,394)(14,558)
Income (loss) from continuing operations attributable to Healthpeak Properties, Inc.119,877 146,113 160,911 
Less: Participating securities' share in continuing operations(3,269)(2,416)(1,543)
Income (loss) from continuing operations applicable to common shares116,608 143,697 159,368 
Income (loss) from discontinued operations388,202 267,746 (115,408)
Noncontrolling interests' share in discontinued operations(2,539)(296)27 
Net income (loss) applicable to common shares$502,271 $411,147 $43,987 
Denominator
Basic weighted average shares outstanding538,930 530,555 486,255 
Dilutive potential common shares - equity awards(1)
310 300 309 
Dilutive potential common shares - forward equity agreements(2)
201 2,771 
Diluted weighted average common shares539,241 531,056 489,335 
Basic earnings (loss) per common share
Continuing operations$0.22 $0.27 $0.33 
Discontinued operations0.71 0.50 (0.24)
Net income (loss) applicable to common shares$0.93 $0.77 $0.09 
Diluted earnings (loss) per common share:
Continuing operations$0.22 $0.27 $0.33 
Discontinued operations0.71 0.50 (0.24)
Net income (loss) applicable to common shares$0.93 $0.77 $0.09 

(1)For all periods presented, represents the dilutive impact of 1 million outstanding equity awards (restricted stock units and stock options).
(2)For the year ended December 31, 2018:
Segments Senior Housing Triple-Net SHOP Life Science Medical Office Other Non-reportable Corporate Non-segment Total
Real estate revenues(1)
 $276,091
 $547,976
 $395,064
 $509,019
 $108,133
 $
 $1,836,283
Operating expenses (3,618) (414,312) (91,742) (189,859) (5,507) 
 (705,038)
NOI 272,473
 133,664
 303,322
 319,160
 102,626
 
 1,131,245
Adjustments to NOI(2)
 2,127
 2,875
 (9,589) (2,899) (4,418) 
 (11,904)
Adjusted NOI 274,600
 136,539
 293,733
 316,261
 98,208
 
 1,119,341
Addback adjustments (2,127) (2,875) 9,589
 2,899
 4,418
 
 11,904
Interest income 
 
 
 
 10,406
 
 10,406
Interest expense (2,404) (2,725) (316) (474) (1,469) (258,955) (266,343)
Depreciation and amortization (79,605) (104,405) (140,480) (193,710) (31,299) 
 (549,499)
General and administrative 
 
 
 
 
 (96,702) (96,702)
Transaction costs 
 
 
 
 
 (10,772) (10,772)
Recoveries (impairments), net 
 (44,343) (7,639) 
 (3,278) 
 (55,260)
Gain (loss) on sales of real estate, net 641
 93,977
 806,184
 4,428
 20,755
 
 925,985
Loss on debt extinguishment 
 
 
 
 
 (44,162) (44,162)
Other income (expense), net 
 
 
 
 9,605
 3,711
 13,316
Income tax benefit (expense) 
 
 
 
 
 17,854
 17,854
Equity income (loss) from unconsolidated joint ventures 
 
 
 
 (2,594) 
 (2,594)
Net income (loss) $191,105
 $76,168
 $961,071
 $129,404
 $104,752
 $(389,026) $1,073,474

(1)
Represents rental and related revenues, resident fees and services, and income from DFLs.
(2)
Represents straight-line rents, DFL non-cash interest, amortization of market lease intangibles, net, actuarial reserves for insurance claims that have been incurred but not reported, deferral of community fees, net and termination fees.

2021, represents the dilutive impact of 9 million shares that have not been settled as of December 31, 2021. For the year ended December 31, 2017:
Segments Senior Housing Triple-Net SHOP Life Science Medical Office Other Non-reportable Corporate Non-segment Total
Real estate revenues(1)
 $313,547
 $525,473
 $358,816
 $477,459
 $116,846
 $
 $1,792,141
Operating expenses (3,819) (396,491) (78,001) (183,197) (4,743) 
 (666,251)
NOI 309,728
 128,982
 280,815
 294,262
 112,103
 
 1,125,890
Adjustments to NOI(2)
 17,098
 33,227
 (4,517) (2,952) (4,446) 
 38,410
Adjusted NOI 326,826
 162,209
 276,298
 291,310
 107,657
 
 1,164,300
Addback adjustments (17,098) (33,227) 4,517
 2,952
 4,446
 
 (38,410)
Interest income 
 
 
 
 56,237
 
 56,237
Interest expense (2,518) (7,920) (373) (506) (4,230) (292,169) (307,716)
Depreciation and amortization (103,820) (103,162) (128,864) (169,795) (29,085) 
 (534,726)
General and administrative 
 
 
 
 
 (88,772) (88,772)
Transaction costs 
 
 
 
 
 (7,963) (7,963)
Recoveries (impairments), net (22,590) 
 
 
 (143,794) 
 (166,384)
Gain (loss) on sales of real estate, net 280,349
 17,485
 45,916
 9,095
 3,796
 
 356,641
Loss on debt extinguishment 
 
 
 
 
 (54,227) (54,227)
Other income (expense), net 
 
 
 
 50,895
 (19,475) 31,420
Income tax benefit (expense) 
 
 
 
 
 1,333
 1,333
Equity income (loss) from unconsolidated joint ventures 
 
 
 
 10,901
 
 10,901
Net income (loss) $461,149
 $35,385
 $197,494
 $133,056
 $56,823
 $(461,273) $422,634

(1)Represents rental and related revenues, resident fees and services, and income from DFLs.
(2)Represents straight-line rents, DFL non-cash interest, amortization of market lease intangibles, net, actuarial reserves for insurance claims that have been incurred but not reported, deferral of community fees, net and termination fees.

2020, represents the dilutive impact of 32 million shares that were settled during the year then ended. For the year ended December 31, 2016:2019, represents the dilutive impact of 21 million shares that were settled during the year then ended and 30 million shares of common stock under forward sales agreements that had not been settled as of December 31, 2019.
For the years ended December 31, 2021, 2020, and 2019,all 7 million shares issuable upon conversion of DownREIT units were not included because they were anti-dilutive.
107
Segments Senior Housing Triple-Net SHOP Life Science Medical Office Other Non-reportable Corporate Non-segment Total
Real estate revenues(1)
 $423,118
 $686,822
 $358,537
 $446,280
 $125,729
 $
 $2,040,486
Operating expenses (6,710) (480,870) (72,478) (173,687) (4,654) 
 (738,399)
NOI 416,408
 205,952
 286,059
 272,593
 121,075
 
 1,302,087
Adjustments to NOI(2)
 (7,566) (2,686) (2,954) (3,536) (3,022) 
 (19,764)
Adjusted NOI 408,842
 203,266
 283,105
 269,057
 118,053
 
 1,282,323
Addback adjustments 7,566
 2,686
 2,954
 3,536
 3,022
 
 19,764
Interest income 
 
 
 
 88,808
 
 88,808
Interest expense (9,499) (29,745) (2,357) (5,895) (9,153) (407,754) (464,403)
Depreciation and amortization (136,146) (108,806) (130,829) (161,790) (30,537) 
 (568,108)
General and administrative 
 
 
 
 
 (103,611) (103,611)
Transaction costs 
 
 
 
 
 (9,821) (9,821)
Gain (loss) on sales of real estate, net 48,744
 675
 49,042
 8,333
 57,904
 
 164,698
Loss on debt extinguishment 
 
 
 
 
 (46,020) (46,020)
Other income (expense), net 
 
 
 
 
 3,654
 3,654
Income tax benefit (expense) 
 
 
 
 
 (4,473) (4,473)
Equity income (loss) from unconsolidated joint ventures 
 
 
 
 11,360
 
 11,360
Discontinued operations 
 
 
 
 
 265,755
 265,755
Net income (loss) $319,507
 $68,076
 $201,915
 $113,241
 $239,457
 $(302,270) $639,926


NOTE 15.    Compensation Plans
(1)Represents rental and related revenues, resident fees and services, and income from DFLs.
(2)Represents straight-line rents, DFL non-cash interest, amortization of market lease intangibles, net, actuarial reserves for insurance claims that have been incurred but not reported, deferral of community fees, net and termination fees.
The following table summarizes the Company’s revenues by segment (in thousands):
  Year Ended
  December 31,
Segments 2018 2017 2016
Senior housing triple-net $276,091
    $313,547
 $423,118
SHOP 547,976
 525,473
 686,822
Life science 395,064
 358,816
 358,537
Medical office 509,019
 477,459
 446,280
Other non-reportable segments 118,539
 173,083
 214,537
Total revenues $1,846,689
 $1,848,378
 $2,129,294

The following table summarizes the Company’s total assets by segment (in thousands):
  December 31,
Segments 2018 2017 2016
Senior housing triple-net $2,965,679
 $3,515,400
 $3,871,720
SHOP 2,173,795
 2,392,130
 3,135,115
Life science 4,303,471
 4,154,372
 3,961,623
Medical office 4,354,441
 3,989,168
 3,724,483
Reportable segment assets 13,797,386
 14,051,070
 14,692,941
Accumulated depreciation and amortization (2,915,592) (2,919,278) (2,900,060)
Net reportable segment assets 10,881,794
 11,131,792
 11,792,881
Other non-reportable segment assets 1,015,854
 1,904,433
 2,255,712
Assets held for sale, net 108,086
 417,014
 927,866
Other non-segment assets 712,819
 635,222
 782,806
Total assets $12,718,553
 $14,088,461
 $15,759,265
The Company completed the required annual goodwill impairment test during the fourth quarter of 2018, 2017 and 2016, and no impairment was recognized. At December 31, 2018 and 2017, goodwill of $47 million was allocated to segment assets as follows: (i) senior housing triple-net—$21 million, (ii) SHOP—$9 million, (iii) medical office—$11 million and (iv) other—$6 million.
NOTE 14.Compensation Plans

Stock Based Compensation
On May 11, 2006, the Company’s stockholders approved the 2006 Performance Incentive Plan, which was amended and restated in 2009 (“the 2006 Plan”). On May 1, 2014, the Company’s stockholders approved the 2014 Performance Incentive Plan (“the 2014 Plan”) (collectively, “the Plans”the “Plans”). Following the adoption of the 2014 Plan, no new awards will be issued under the 2006 Plan. The Plans provide for the granting of stock-based compensation, including stock options, restricted stock, and restricted stock units to officers, employees, and directors in connection with their employment with or services provided to the Company. The maximum number of shares reserved for awards under the 2014 Plan is 33 million shares, and, as of December 31, 2018, 292021, 26 million of the reserved shares under the 2014 Plan are available for future awards, of which 1917 million shares may be issued as restricted stock or restricted stock units.
Total share-based compensation expense recognized duringcost was $23 million, $21 million, and $18 million for the years ended December 31, 2018, 20172021, 2020, and 2016 was $152019, respectively. Of the total share-based compensation cost, $3 million, $14$2 million, and $23$2 million was capitalized as part of real estate for the years ended December 31, 2021, 2020, and 2019, respectively. The year ended December 31, 20182019 includes a $2$1 million charge recognized in general and administrative expenses primarily resulting from the departure of our Executive Chairman that was comprised of the accelerated vesting of restricted stock units. The year ended December 31, 2017 includes a $1 million charge recognized in general and administrative expenses related to the accelerated vesting of restricted stock units primarily resulting fromrelated to the departure of the Company's former Chief Accounting Officer. The year ended December 31, 2016 includes a $7 million charge recognized in general and administrative expenses related to the accelerated vesting of restricted stock units primarily resulting from the departure of the Company’s former chief executive officer (“CEO”).Executive Vice President – Senior Housing. As of December 31, 2018,2021, there was $26$28 million of future expense related to unvested share-based compensation arrangements granted under the Company’s incentive plans, which is expected to be recognized over a weighted average period of two1.4 years associated with future employee service.
Conversion of Equity Awards at the Spin-Off Date
The Plans were established with anti-dilution provisions, such that in the event of an equity restructuring of the Company (including spin-off transactions), equity awards would preserve their value post-transaction. In order to achieve an equitable modification of the existing awards following the Spin-Off, the Company converted pre-spin awards to their post-spin value, resulting in grants to remaining employees denominated solely in the Company’s common stock. The conversion impacted 133 participants, resulting in additional awards being granted. The fair value of these additional awards was immaterial.

Stock Options
There have been no grants of stock options since 2014. Stock options outstanding and exercisable were 0.80.4 millionat December 31, 2021 and 0.5 million at December 31, 2018 and 1.1 million at December 31, 2017.2020. Proceeds received from stock options exercised under the Plans for the years ended December 31, 2018, 20172021, 2020, and 20162019 were $3 million, $2 million, $1 million and $4$5 million, respectively. Compensation expenseNo compensation cost related to stock options was immaterial for all periods presented.incurred during the years ended December 31, 2021, 2020, and 2019.
Restricted Stock Awards
Under the Plans, restricted stock awards, including restricted stock units and performance stock units are granted subject to certain restrictions. Conditions of vesting are determined at the time of grant. Restrictions on certain awards generally lapse, as provided in the Plans or in the applicable award agreement, upon retirement, a change in control or other specified events. The fair market value of restricted stock awards, both time vesting and those subject to specific performance criteria, are expensed over the period of vesting. Restricted stock units, which vest based solely upon passage of time generally vest over a period of three to six years. The fair value of restricted stock units is determined based on the closing market price of the Company's shares on the grant date. Performance stock units, which are restricted stock awards that vest dependent upon attainment of various levels of performance that equal or exceed targetedthreshold levels, generally vest in their entirety at the end of a three year performance period. The number of shares that ultimately vest can vary from 0% to 200% of target depending on the level of achievement of the performance criteria. The fair value of performance stock units is determined based on the Monte Carlo valuation model. The total grant date fair value of restricted stock and performance based units for the years ended December 31, 2021, 2020, and 2019 was $23 million, $24 million, and $21 million, respectively. The total fair value (at vesting) of restricted stock and performance based units for the years ended December 31, 2021, 2020, and 2019 was $29 million, $20 million, and $14 million, respectively. The compensation expensecost recognized for all restricted stock awards is net of actual forfeitures.
Upon vesting of restricted stock awards, the participant is required to pay the related tax withholding obligation. Participants can generally elect to have theThe Company reducereduces the number of common stock shares delivered to pay the employee tax withholding obligation. The value of the shares withheld is dependent on the closing market price of the Company’s common stock on the trading date prior to the relevant transaction occurring. During the years ended December 31, 2018, 20172021, 2020, and 2016,2019, the Company withheld 141,000, 157,000418,000, 298,000, and 237,000162,000 shares, respectively, to offset tax withholding obligations with respect to the vesting of the restricted stock and performance restricted stock unit awards.
Holders of restricted stock awards, including restricted stock units and performance stock units, are generally entitled to receive dividends equal to the amount that would be paid on an equivalent number of shares of common stock.
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The following table summarizes restricted stock award activity, including performance stock units, for the year ended December 31, 20182021 (units in thousands):
 Restricted
Stock
Units
Weighted
Average
Grant Date
Fair Value
Unvested at January 1, 20211,683 $32.02 
Granted963 29.62 
Vested(924)26.39 
Forfeited(30)32.56 
Unvested at December 31, 20211,692 33.72 
NOTE 16.    Segment Disclosures
 
Restricted
Stock
Units
 
Weighted
Average
Grant Date
Fair Value
Unvested at January 1, 20181,139
 $33.41
Granted1,097
 22.95
Vested(401) 32.42
Forfeited(137) 30.34
Unvested at December 31, 20181,698
 27.13
At December 31, 2018, the weighted average remaining vesting period of restricted stock and performance based units was two years. The total fair value (at vesting) of restricted stock and performance based units which vested for the years ended December 31, 2018, 2017 and 2016 was $10 million, $15 million and $24 million, respectively.
NOTE 15.Impairments

Real EstateThe Company’s reportable segments, based on how its chief operating decision makers (“CODMs”) evaluate the business and allocate resources, are as follows: (i) life science, (ii) medical office, and (iii) CCRC. The Company has non-reportable segments that are comprised primarily of the Company’s interests in the SWF SH JV and debt investments.The accounting policies of the segments are the same as those described in the Company’s Summary of Significant Accounting Policies (see Note 2).
During 2018,The Company evaluates performance based on property Adjusted NOI. NOI is defined as real estate revenues (inclusive of rental and related revenues, resident fees and services, income from direct financing leases, and government grant income and exclusive of interest income), less property level operating expenses; NOI excludes all other financial statement amounts included in conjunction with classifyingnet income (loss). Adjusted NOI is calculated as NOI after eliminating the effects of straight-line rents, DFL non-cash interest, amortization of market lease intangibles, termination fees, actuarial reserves for insurance claims that have been incurred but not reported, and the impact of deferred community fee income and expense.
NOI and Adjusted NOI include the Company’s share of income (loss) from unconsolidated joint ventures and exclude noncontrolling interests’ share of income (loss) from consolidated joint ventures. Management believes that Adjusted NOI is an important supplemental measure because it provides relevant and useful information by reflecting only income and operating expense items that are incurred at the property level and presenting it on an unlevered basis. Additionally, management believes that net income (loss) is the most directly comparable GAAP measure to NOI and Adjusted NOI. NOI and Adjusted NOI should not be viewed as alternative measures of operating performance to net income (loss) as defined by GAAP since they do not reflect various excluded items.
Non-segment assets asconsist of assets in the Company’s other non-reportable segments and corporate non-segment assets. Corporate non-segment assets consist primarily of corporate assets, including cash and cash equivalents, restricted cash, accounts receivable, net, loans receivable, marketable equity securities, other assets, real estate assets held for sale the Company determined that 17 underperforming SHOPand discontinued operations, and liabilities related to assets and an undeveloped life science land parcel were impaired. Additionally, the Company determined that three additional underperforming SHOP assets that were candidates for potential future sale were impaired under the held-for-use impairment model. Accordingly, the Company recognized total impairment charges of $52 million during 2018 to write-down the carrying value of the assets to their respective fair values (less an estimate of costs to sell for assets classified as held for sale). sale.
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The fair value offollowing tables summarize information for the assets was based on contracted or forecasted sales prices and expected future cash flows, which are considered to be Level 2 measurements within the fair value hierarchy.reportable segments (in thousands):

During 2017, the Company determined that 11 underperforming senior housing triple-net assets that were candidates for potential future sale were impaired under the held-for-use impairment model. Accordingly, the Company wrote-down the carrying amount of these 11 assets to their fair value, which resulted in an aggregate impairment charge of $23 million. The fair value of the assets was based on forecasted sales prices which are considered to be Level 2 measurements within the fair value hierarchy.
Casualty-Related
As a result of Hurricane Harvey and Hurricane Irma duringFor the year ended December 31, 2017,2021:
Life ScienceMedical OfficeCCRCOther Non-reportableCorporate Non-segmentTotal
Total revenues$715,844 $671,242 $471,325 $37,773 $— $1,896,184 
Government grant income(1)
— — 1,412 — — 1,412 
Less: Interest income— — — (37,773)— (37,773)
Healthpeak's share of unconsolidated joint venture total revenues5,757 2,882 6,903 67,835 — 83,377 
Healthpeak's share of unconsolidated joint venture government grant income— — 200 1,549 — 1,749 
Noncontrolling interests' share of consolidated joint venture total revenues(292)(35,363)— — — (35,655)
Operating expenses(169,044)(223,383)(380,865)13 — (773,279)
Healthpeak's share of unconsolidated joint venture operating expenses(1,836)(1,174)(6,639)(51,866)— (61,515)
Noncontrolling interests' share of consolidated joint venture operating expenses87 10,071 — — — 10,158 
Adjustments to NOI(2)
(46,589)(11,118)3,241 (47)— (54,513)
Adjusted NOI503,927 413,157 95,577 17,484 — 1,030,145 
Plus: Adjustments to NOI(2)
46,589 11,118 (3,241)47 — 54,513 
Interest income— — — 37,773 — 37,773 
Interest expense(232)(2,837)(7,701)— (147,210)(157,980)
Depreciation and amortization(303,196)(255,746)(125,344)— — (684,286)
General and administrative— — — — (98,303)(98,303)
Transaction costs(24)(323)(1,445)(49)— (1,841)
Impairments and loan loss reserves, net— (21,577)— (1,583)— (23,160)
Gain (loss) on sales of real estate, net— 190,590 — — — 190,590 
Gain (loss) on debt extinguishments— — — — (225,824)(225,824)
Other income (expense), net55 (2,725)2,141 486 6,309 6,266 
Less: Government grant income— — (1,412)— — (1,412)
Less: Healthpeak's share of unconsolidated joint venture NOI(3,921)(1,708)(464)(17,518)— (23,611)
Plus: Noncontrolling interests' share of consolidated joint venture NOI205 25,292 — — — 25,497 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures243,403 355,241 (41,889)36,640 (465,028)128,367 
Income tax benefit (expense)— — — — 3,261 3,261 
Equity income (loss) from unconsolidated joint ventures1,118 794 1,484 2,704 — 6,100 
Income (loss) from continuing operations244,521 356,035 (40,405)39,344 (461,767)137,728 
Income (loss) from discontinued operations— — — — 388,202 388,202 
Net income (loss)$244,521 $356,035 $(40,405)$39,344 $(73,565)$525,930 

(1)Represents government grant income received under the Company recorded an estimated $13 million of casualty-related losses, net of a small insurance recovery. The losses are comprised of $8 million of property damage and $5 million of other associated costs, including storm preparation, clean up, relocation and other costs. Of the total $13 million casualty losses incurred, $12 million wasCARES Act, which is recorded in other income (expense), net in the Consolidated Statements of Operations (see Note 2).
(2)Represents straight-line rents, DFL non-cash interest, amortization of market lease intangibles, net, actuarial reserves for insurance claims that have been incurred but not reported, deferral of community fees, and $1 million was recorded in equitytermination fees. Includes the Company’s share of income (loss) fromgenerated by unconsolidated joint ventures as it relates to casualty lossesand excludes noncontrolling interests’ share of income (loss) generated by consolidated joint ventures.
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For the year ended December 31, 2020:
Life ScienceMedical OfficeCCRCOther Non-reportableCorporate Non-segmentTotal
Total revenues$569,296 $622,398 $436,494 $16,687 $— $1,644,875 
Government grant income(1)
— — 16,198 — — 16,198 
Less: Interest income— — — (16,553)— (16,553)
Healthpeak's share of unconsolidated joint venture total revenues4482,77235,39274,023112,635 
Healthpeak's share of unconsolidated joint venture government grant income9203591,279 
Noncontrolling interests' share of consolidated joint venture total revenues(239)(34,597)(34,836)
Operating expenses(138,005)(204,008)(440,528)— — (782,541)
Healthpeak's share of unconsolidated joint venture operating expenses(137)(1,129)(32,125)(53,779)— (87,170)
Noncontrolling interests' share of consolidated joint venture operating expenses72 10,282 — — — 10,354 
Adjustments to NOI(2)
(20,133)(5,544)97,072 433 — 71,828 
Adjusted NOI411,302 390,174 113,423 21,170 — 936,069 
Plus: Adjustments to NOI(2)
20,133 5,544 (97,072)(433)— (71,828)
Interest income— — — 16,553 — 16,553 
Interest expense(234)(400)(7,227)— (210,475)(218,336)
Depreciation and amortization(217,921)(222,165)(113,851)(12)— (553,949)
General and administrative— — — — (93,237)(93,237)
Transaction costs(236)— (17,994)(112)— (18,342)
Impairments and loan loss reserves, net(14,671)(10,208)— (18,030)— (42,909)
Gain (loss) on sales of real estate, net— 90,390 — (40)— 90,350 
Gain (loss) on debt extinguishments— — — — (42,912)(42,912)
Other income (expense), net— — 187,844 41,707 5,133 234,684 
Less: Government grant income— — (16,198)— — (16,198)
Less: Healthpeak's share of unconsolidated joint venture NOI(311)(1,643)(4,187)(20,603)— (26,744)
Plus: Noncontrolling interests' share of consolidated joint venture NOI167 24,315 — — — 24,482 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures198,229 276,007 44,738 40,200 (341,491)217,683 
Income tax benefit (expense)(3)
9,423 9,423 
Equity income (loss) from unconsolidated joint ventures(40)798 (1,547)(65,810)— (66,599)
Income (loss) from continuing operations198,189 276,805 43,191 (25,610)(332,068)160,507 
Income (loss) from discontinued operations— — — — 267,746 267,746 
Net income (loss)$198,189 $276,805 $43,191 $(25,610)$(64,322)$428,253 

(1)Represents government grant income received under the CARES Act, which is recorded in other income (expense), net in the Consolidated Statements of Operations (see Note 2).
(2)Represents straight-line rents, DFL non-cash interest, amortization of market lease intangibles, net, actuarial reserves for properties ownedinsurance claims that have been incurred but not reported, deferral of community fees, and termination fees. Includes the Company’s share of income (loss) generated by certain of our unconsolidated joint ventures and excludes noncontrolling interests’ share of income (loss) generated by consolidated joint ventures. In addition,
(3)Income tax benefit (expense) for the Company recordedyear ended December 31, 2020 includes: (i) a $1$51 million tax benefit recognized in conjunction with internal restructuring activities, which resulted in the transfer of assets subject to certain deferred tax benefit associatedliabilities from taxable REIT subsidiaries to the REIT in connection with the casualty-related losses.
Other
See2019 MTCA (see Note 7 for information on the impairment charge3), (ii) a $33 million income tax expense related to the mezzanine loan facilityvaluation allowance on deferred tax assets that are no longer expected to Tandembe realized (see Note 17), and (iii) a $3.7 million net tax benefit recognized due to changes under the impairment recovery relatedCARES Act, which resulted in net operating losses being utilized at a higher income tax rate than previously available.
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For the year ended December 31, 2019:
Life ScienceMedical OfficeCCRCOther Non-reportableCorporate Non-segmentTotal
Total revenues$440,784 $621,171 $3,010 $175,374 $— $1,240,339 
Less: Interest income— — — (9,844)— (9,844)
Healthpeak's share of unconsolidated joint venture total revenues— 2,810 211,377 23,834 — 238,021 
Noncontrolling interests' share of consolidated joint venture total revenues(187)(33,998)— 2,355 — (31,830)
Operating expenses(107,472)(201,620)(2,215)(93,937)— (405,244)
Healthpeak's share of unconsolidated joint venture operating expenses— (1,107)(170,473)(1,996)— (173,576)
Noncontrolling interests' share of consolidated joint venture operating expenses59 10,109 — (1,536)— 8,632 
Adjustments to NOI(1)
(22,103)(4,602)16,985 (5,449)— (15,169)
Adjusted NOI311,081 392,763 58,684 88,801 — 851,329 
Plus: Adjustments to NOI(1)
22,103 4,602 (16,985)5,449 — 15,169 
Interest income— — — 9,844 — 9,844 
Interest expense(277)(434)— — (216,901)(217,612)
Depreciation and amortization(168,339)(221,175)— (45,677)— (435,191)
General and administrative— — — — (92,966)(92,966)
Transaction costs— — — — (1,963)(1,963)
Impairments and loan loss reserves, net— (17,332)— (376)— (17,708)
Gain (loss) on sales of real estate, net3,651 3,139 — (6,830)— (40)
Gain (loss) on debt extinguishments— — — — (58,364)(58,364)
Other income (expense), net— — (5,665)161,886 8,848 165,069 
Less: Healthpeak's share of unconsolidated joint venture NOI— (1,703)(40,904)(21,838)— (64,445)
Plus: Noncontrolling interests' share of consolidated joint venture NOI12823,889(819)— 23,198 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures168,347 183,749 (4,870)190,440 (361,346)176,320 
Income tax benefit (expense)— — — — 5,479 5,479 
Equity income (loss) from unconsolidated joint ventures— 858 (16,313)9,125 — (6,330)
Income (loss) from continuing operations168,347 184,607 (21,183)199,565 (355,867)175,469 
Income (loss) from discontinued operations— — — — (115,408)(115,408)
Net income (loss)$168,347 $184,607 $(21,183)$199,565 $(471,275)$60,061 

(1)Represents straight-line rents, DFL non-cash interest, amortization of market lease intangibles, net, actuarial reserves for insurance claims that have been incurred but not reported, deferral of community fees, and termination fees. Includes the Company’s share of income (loss) generated by unconsolidated joint ventures and excludes noncontrolling interests’ share of income (loss) generated by consolidated joint ventures.
The following table summarizes the Company’s revenues by segment (in thousands):
 Year Ended
 December 31,
Segments202120202019
Life science$715,844 $569,296 $440,784 
Medical office671,242 622,398 621,171 
CCRC471,325 436,494 3,010 
Other non-reportable37,773 16,687 175,374 
Total revenues$1,896,184 $1,644,875 $1,240,339 
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The following table summarizes the Company’s total assets by segment (in thousands):
 December 31,
Segment20212020
Life science$8,257,990 $7,205,949 
Medical office6,152,512 5,197,777 
CCRC2,233,377 2,179,294 
Reportable segment assets16,643,879 14,583,020 
Accumulated depreciation and amortization(3,125,416)(2,658,890)
Net reportable segment assets13,518,463 11,924,130 
Other non-reportable segment assets794,172 584,432 
Assets held for sale and discontinued operations, net37,190 2,626,306 
Other non-segment assets907,694 785,221 
Total assets$15,257,519 $15,920,089 
See Notes 3, 4, 5, 6, 7 and 8 for significant transactions impacting the Company's segment assets during the periods presented.
At December 31, 2021 and 2020, goodwill of $18 million, excluding goodwill relating to Four Season Notes.assets classified as discontinued operations,was allocated to the Company’s segment assets as follows: (i) $14 million for medical office, (ii) $2 million for CCRC, and (iii) $2 million for other non-reportable.
NOTE 16.17.     Income Taxes

The Company has elected to be taxed as a REIT under the applicable provisions of the Code for every year beginning with the year ended December 31, 1985. The Company has also elected for certain of its subsidiaries to be treated as TRSs (the “TRS entities”), which are subject to federal and state income taxes. All entities other than the TRS entities are collectively referred to as the “REIT” within this Note 16.17. Certain REIT entities are also subject to state, local and foreign income taxes. 
Distributions with respect to ourthe Company’s common stock can be characterized for federal income tax purposes as ordinary dividends, capital gains, nondividend distributions or a combination thereof. The following table shows the characterization of ourthe Company’s annual common stock distributions per share:
Year Ended December 31, Year Ended December 31,
2018 2017 2016 202120202019
Ordinary dividends(1)
$0.9578
 $1.4800
 $1.5561
 
Ordinary dividends(1)
$0.1523 $0.7139 $0.7633 
Capital gains0.5222
 
 
 
Capital gains(2)
Capital gains(2)
0.3800 0.5298 0.2714 
Nondividend distributions
 
 6.7089
 Nondividend distributions0.6677 0.2363 0.4453 
$1.4800
 $1.4800
 $8.2650
(2) 
$1.2000 $1.4800 $1.4800 

(1)The 2018 amount includes $0.0164 of qualified dividend income for purposes of Code Section 1(h)(11), and $0.9414 of qualified business income for purposes of Code Section 199A.
(2)Consists of $2.095 per common share of quarterly cash dividends and $6.17 per common share of stock dividends related to the Spin-Off (see Note 5).
HCP common stockholders on October 24, 2016,(1)For the record dateyear ended December 31, 2021 the amount includes $0.1370 of ordinary dividends qualified as business income for purposes of Code Section 199A and $0.0153 of qualified dividend income for purposes of Code Section 1(h)(11). For the years ended December 31, 2020 and 2019, all $0.7139 and $0.7633, respectively, of ordinary dividends qualified as business income for purposes of Code Section 199A.
(2)Pursuant to Treasury Regulation §1.1061-6(c), the Company is disclosing additional information related to the capital gain dividends for purposes of Section 1061 of the Code. Code Section 1061 is generally applicable to direct and indirect holders of “applicable partnership interests.” The “One Year Amounts” and “Three Year Amounts” required to be disclosed are both zero with respect to the 2021 distributions, since all capital gains relate to Code Section 1231 gains.
The Company’s pretax income (loss) from continuing operations for the Spin-Off (the “Record Date”), received uponyears ended December 31, 2021, 2020, and 2019 was $134 million, $151 million, and $170 million, respectively, of which $150 million, $80 million, and $200 million was attributable to the Spin-Off on October 31, 2016, one share of QCP common stockREIT entities for every five shares of HCP common stock they held (the “Distributed Shares”) and cash in lieu of fractional shares of QCP. For U.S. federal income tax purposes, HCP reported the fair market value of the QCP common stock distributed per each share of HCP common stock outstanding on the Record Date as $6.17, or $30.85 for each share of QCP common stock.
years then ended. The TRS entities subject to tax reported lossesincome (losses) before income taxes from continuing operations of $59$(16) million, $58$71 million, and $9$(30) million for the years ended December 31, 2018, 20172021, 2020, and 2016, respectively. The REIT’s losses from continuing operations before income taxes from the U.K. were $11 million, $4 million and $4 million for the years ended December 31, 2018, 2017 and 2016,2019, respectively.

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The total income tax expense (benefit) from continuing operations consists of the following components (in thousands):
 Year Ended December 31,
 2018 2017 2016
Current     
Federal$(568) $949
 $8,525
State4,003
 1,504
 8,307
Foreign84
 1,737
 1,332
Total current$3,519
 $4,190
 $18,164
      
Deferred     
Federal$(11,905) $2,730
 $(10,241)
State(4,589) (5,889) (1,401)
Foreign(4,879) (2,364) (2,049)
Total deferred$(21,373) $(5,523) $(13,691)
      
Total income tax expense (benefit)$(17,854) $(1,333) $4,473
On December 22, 2017, the Tax Cuts and Jobs Act was signed into law. As a result of the reduced U.S. federal corporate tax rate, the Company recorded a tax expense of $17 million, due to a remeasurement of deferred tax assets and liabilities, which is included in total deferred tax expense (benefit) in the table above.
Year Ended December 31,
202120202019
Current
Federal$126 $(9,164)$104 
State1,003 1,431 445 
Total current$1,129 $(7,733)$549 
Deferred
Federal$(3,469)$(2,849)$(5,920)
State(921)1,159 (108)
Total deferred$(4,390)$(1,690)$(6,028)
Total income tax expense (benefit) from continuing operations$(3,261)$(9,423)$(5,479)
The Company’s income tax expensebenefit from discontinued operations was $48$1 million, for the year ended December 31, 2016 (see Note 5). There was no income tax expense from discontinued operations$10 million, and $12 million for the years ended December 31, 20182021, 2020, and 2017.2019, respectively (see Note 5).
The following table reconciles income tax expense (benefit) from continuing operations at statutory rates to actual income tax expense (benefit) recorded (in thousands):
Year Ended December 31,
202120202019
Tax expense (benefit) at U.S. federal statutory income tax rate on income or loss subject to tax$(3,345)$15,016 $(6,169)
State income tax expense (benefit), net of federal tax(706)4,211 (1,830)
Gross receipts and margin taxes989 980 1,108 
Effect of permanent differences— — 20 
Return to provision adjustments707 54 
Valuation allowance for deferred tax assets(203)24,051 22 
Tax rate differential ─ NOL carryback under the CARES Act— (3,732)— 
Change in tax status of TRS— (50,656)1,316 
Total income tax expense (benefit) from continuing operations$(3,261)$(9,423)$(5,479)
114

 Year Ended December 31,
 2018 2017 2016
Tax benefit at U.S. federal statutory income tax rate on income or loss subject to tax$(17,857) $(21,085) $(4,581)
State income tax expense, net of federal tax(1,313) (1,222) 6,081
Gross receipts and margin taxes1,580
 1,716
 1,847
Foreign rate differential301
 632
 647
Effect of permanent differences(34) 6
 (280)
Return to provision adjustments(278) 1,597
 287
Remeasurement of deferred tax assets and liabilities
 17,080
 
Increase (decrease) in valuation allowance(253) (57) 472
Total income tax expense (benefit)$(17,854) $(1,333) $4,473

Deferred income taxes reflect the net effects of temporary differences between the carrying amounts of the assets and liabilities for financial reporting purposes and the amounts used for income tax purposes. The following table summarizes the significant components of the Company’s deferred tax assets and liabilities from continuing operations (in thousands):
December 31,
202120202019
Deferred tax assets:
Investment in unconsolidated joint ventures$— $2,333 $40,466 
Real estate129 3,895 — 
Net operating loss carryforward71,744 68,444 33,771 
Expense accruals14,229 15,478 3,258 
Deferred revenue104,397 103,713 — 
Total deferred tax assets190,499 193,863 77,495 
Valuation allowance(35,772)(33,519)(4,878)
Deferred tax assets, net of valuation allowance$154,727 $160,344 $72,617 
Deferred tax liabilities:
Real estate$61,097 $72,059 $— 
Other648 1,094 — 
Deferred tax liabilities$61,745 $73,153 $— 
Net deferred tax assets$92,982 $87,191 $72,617 
 December 31,
 2018 2017 2016
Property, primarily differences in depreciation and amortization, the basis of land, and the treatment of interest and certain costs$31,034
 $31,691
 $28,940
Net operating loss carryforward20,559
 10,720
 8,784
Expense accruals and other2,424
 229
 (847)
Valuation allowance(295) (548) (606)
Net deferred tax assets$53,722
 $42,092
 $36,271
DeferredNet deferred tax assets and liabilities are included in other assets, net and accounts payable and accrued liabilities, respectively.
At December 31, 2018on the Company had a net operating loss (“NOL”) carryforward of $80 million related to the TRS entities. These amounts can be used to offset future taxable income, if any. If unused, $44 million will begin to expire in 2033. The remainder, totaling $36 million, may be carried forward indefinitely.Consolidated Balance Sheets.
The Company records a valuation allowance against deferred tax assets in certain jurisdictions when it cannot sustain a conclusion that it is not more likely than not that it can realize the related deferred tax assets during the periods in which these temporary differences become deductible.assets. The deferred tax asset valuation allowance is adequate to reduce the total deferred tax assets to an amount that the Company estimates will “more-likely-than-not” be realized.
In conjunction with the Company establishing a plan during the year ended December 31, 2020 to dispose of all of its SHOP assets and classifying such assets as discontinued operations (see Note 5), the Company concluded it was more likely than not that it would no longer realize the future value of certain deferred tax assets generated by the net operating losses of its TRS entities. Accordingly, the Company recognized a deferred tax asset valuation allowance and corresponding income tax expense of $33 million during the year ended December 31, 2020. As of December 31, 2021, the Company had a deferred tax asset valuation allowance of $36 million.
At December 31, 2021, the Company had a net operating loss (“NOL”) carryforward of $288 million related to the TRS entities. If unused, $22 million will begin to expire in2035. The remainder, totaling $266 million, may be carried forward indefinitely.
The following table summarizes the Company’s unrecognized tax benefits (in thousands):
December 31,
202120202019
Total unrecognized tax benefits at January 1$469 $469 $— 
Gross amount of increases for prior years' tax positions— — 469 
Total unrecognized tax benefits at December 31$469 $469 $469 
The Company had unrecognized tax benefits of $0.5 million at December 31, 2021, 2020, and 2019 that, if recognized, would reduce the annual effective tax rate. As of December 31, 2021, the Company accrued interest of $102 thousand related to the unrecognized tax benefits.
The Company files numerous U.S. federal, state and local income and franchise tax returns. With a few exceptions, the Company is no longer subject to U.S. federal, state, or local tax examinations by taxing authorities for years prior to 2015.2018.
For the years ended December 31, 2018, 2017, and 2016 the tax basis
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NOTE 18.    Supplemental Cash Flow Information
NOTE 17.Earnings Per Common Share

Basic income (loss) per common share is computed based upon the weighted average number of common shares outstanding. Diluted income (loss) per common share is computed based upon the weighted average number of common shares outstanding plus the common shares issuable from the assumed conversion of DownREIT units, stock options, certain performance restricted stock units and unvested restricted stock units. Only those instruments having a dilutive impact on our basic income (loss) per share are included in diluted income (loss) per share during the periods presented.
Restricted stock and certain performance restricted stock units are considered participating securities, because dividend payments are not forfeited even if the underlying award does not vest, and require use of the two-class method when computing basic and diluted earnings per share.
In December 2018, the Company entered into forward equity sales agreement to sell up to an aggregate of 15.25 million shares of its common stock (see Note 12) by no later than December 13, 2019. The Company expects to settle this agreement with shares of common stock prior to expiration.
The Company considered the potential dilution resulting from the forward equity sales agreement to the calculation of earnings per share. At inception, the agreement does not have an effect on the computation of basic EPS as no shares are delivered until settlement. However, the Company uses the treasury stock method to determine the dilution resulting from the forward equity sales agreement during the period of time prior to settlement. As the issuance price under the forward equity sales agreement was greater than the average market price at December 31, 2018, the agreement was anti-dilutive.

The following table illustrates the computation of basic and diluted earnings per share (in thousands, except per share data):
 Year Ended December 31,
 2018 2017 2016
Numerator     
Net income (loss) from continuing operations$1,073,474
    $422,634
 $374,171
Noncontrolling interests' share in earnings(12,381) (8,465) (12,179)
Net income (loss) attributable to HCP, Inc.1,061,093
 414,169
 361,992
Less: Participating securities' share in earnings(2,669) (1,156) (1,198)
Income (loss) from continuing operations applicable to common shares1,058,424
 413,013
 360,794
Discontinued operations
 
 265,755
Net income (loss) applicable to common shares$1,058,424
 $413,013
 $626,549
      
Numerator - Dilutive     
Net income (loss) applicable to common shares$1,058,424
 $413,013
 $626,549
Add: distributions on dilutive convertible units and other6,919
 
 
Dilutive net income (loss) available to common shares$1,065,343
 $413,013
 $626,549
Denominator     
Basic weighted average shares outstanding470,551
 468,759
 467,195
Dilutive potential common shares - equity awards168
 176
 208
Dilutive potential common shares - DownREIT conversions4,668
 
 
Diluted weighted average common shares475,387
 468,935
 467,403
Basic earnings per common share

 

 

Continuing operations$2.25
 $0.88
 $0.77
Discontinued operations
 
 0.57
Net income (loss) applicable to common shares$2.25
 $0.88
 $1.34
Diluted earnings per common share

 

 

Continuing operations$2.24
 $0.88
 $0.77
Discontinued operations
 
 0.57
Net income (loss) applicable to common shares$2.24
 $0.88
 $1.34
For all periods presented in the above table, approximately 1 million equity awards (restricted stock units and stock options) and all shares of common stock issuable pursuant to the settlement of forward equity sales agreement (see discussion above) were not included because they are anti-dilutive. For the years ended December 31, 2018, 2017 and 2016, 2 million, 7 million and 7 million shares, respectively, issuable upon conversion of DownREIT units were not included because they are anti-dilutive.

NOTE 18.Supplemental Cash Flow Information

The following table summarizesprovides supplemental cash flow information (in thousands):
 Year Ended December 31,
 2018 2017 2016
Supplemental cash flow information:     
Interest paid, net of capitalized interest$275,690
    $309,111
 $489,453
Income taxes paid4,480
 10,045
 13,727
Capitalized interest21,056
 16,937
 11,108
Supplemental schedule of non-cash investing and financing activities:     
Accrued construction costs88,826
 67,425
 49,999
Non-cash impact of QCP Spin-Off, net
 
 3,539,584
Securities transferred for debt defeasance
 
 73,278
Retained equity method investment from U.K. JV transaction104,922
 
 
Derecognition of U.K. Bridge Loan receivable147,474
 
 
Consolidation of net assets related to U.K. Bridge Loan106,457
 
 
Vesting of restricted stock units and conversion of non-managing member units into common stock537
 2,908
 6,622
Net noncash impact from the consolidation of previously unconsolidated joint ventures (see Note 4)68,293
 
 
Deconsolidation of noncontrolling interest in connection with RIDEA II transaction
 58,061
 
Mortgages and other liabilities assumed with real estate acquisitions8,457
 5,425
 82,985
Year Ended December 31,
202120202019
Supplemental cash flow information:
Interest paid, net of capitalized interest$173,044 $209,843 $201,784 
Income taxes paid (refunded)4,521 (786)1,426 
Capitalized interest24,084 27,041 30,459 
Cash paid for amounts included in the measurement of lease liability for operating leases10,620 9,940 8,158 
Supplemental schedule of non-cash investing and financing activities:
Increase in ROU asset in exchange for new lease liability related to operating leases28,866 32,208 5,733 
Decrease in ROU asset with corresponding change in lease liability related to operating leases8,410 — — 
Seller financing provided on disposition of real estate asset559,745 73,498 44,812 
Accrued construction costs179,995 95,293 126,006 
Net noncash impact from the consolidation of previously unconsolidated joint ventures— 369,223 17,850 
Refundable entrance fees assumed with real estate acquisitions— 307,954 — 
Retained investment in connection with SWF SH JV— — 427,328 
Conversion of DFLs to real estate— — 350,540 
Carrying value of mortgages assumed by buyer in real estate dispositions143,676 — — 
Mortgages assumed with real estate acquisitions— 251,280 172,565 
Vesting of restricted stock units and conversion of non-managing member units into common stock1,125 4,746 5,614 
See discussions related to: (i) the Brookdale Transactions in Note 3 (ii) the Spin-Off, RIDEA II transaction and U.K. JV transaction in Note 5, (iii) the U.K. Bridge Loan in Notes 7 and 19, and (iv) the acquisitionfor discussion of the outstanding equity interests in three life science joint ventures inimpact of the 2019 MTCA with Brookdale and Note 4.7 for discussion of the conversion of DFLs to real estate and the impact on the Company’s Consolidated Balance Sheets and Statements of Operations.
The following table summarizes certain cash flow information related to assets classified as discontinued operations (in thousands):
Year Ended December 31,
202120202019
Depreciation and amortization of real estate, in-place lease, and other intangibles$— $143,194 $224,798 
Development, redevelopment, and other major improvements of real estate5,780 30,769 74,919 
Leasing costs, tenant improvements, and recurring capital expenditures2,636 12,695 22,617 
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The following table summarizes cash, cash equivalents and restricted cash (in thousands):
Year Ended December 31,
202120202019202120202019202120202019
Continuing operationsDiscontinued operationsTotal
Beginning of year:
Cash and cash equivalents$44,226 $80,398 $53,979 $53,085 $63,834 $56,811 $97,311 $144,232 $110,790 
Restricted cash67,206 13,385 7,166 17,168 27,040 21,890 84,374 40,425 29,056 
Cash, cash equivalents and restricted cash$111,432 $93,783 $61,145 $70,253 $90,874 $78,701 $181,685 $184,657 $139,846 
End of year:
Cash and cash equivalents$158,287 $44,226 $80,398 $7,707 $53,085 $63,834 $165,994 $97,311 $144,232 
Restricted cash53,454 67,206 13,385 — 17,168 27,040 53,454 84,374 40,425 
Cash, cash equivalents and restricted cash$211,741 $111,432 $93,783 $7,707 $70,253 $90,874 $219,448 $181,685 $184,657 
NOTE 19.    Variable Interest Entities
  December 31,
  2018 2017
Cash and cash equivalents    $110,790
    $55,306
Restricted cash 29,056
    26,897
Cash, cash equivalents and restricted cash $139,846
 $82,203
NOTE 19.Variable Interest Entities

Unconsolidated Variable Interest Entities
At December 31, 2018,2021, the Company had investments in: (i) 482 unconsolidated VIE joint ventures and (ii) marketable debt securities of 1 VIE. At December 31, 2020, the Company had investments in: (i) 2 properties leased to a VIE tenants;tenant, (ii) four4 unconsolidated VIE joint ventures;ventures, (iii) marketable debt securities of one VIE;1 VIE, and (iv) one1 loan to a VIE borrower. The Company has determined that it is not the primary beneficiary of and therefore does not consolidate these VIEs because it does not have the ability to control the activities that most significantly impact their economic performance. Except for the Company’s equity interest in the unconsolidated joint ventures (CCRC OpCo, Vintage Park Development JV, Waldwick JV and the(the LLC investment and Needham Land Parcel JV discussed below), it has no formal involvement in these VIEs beyond its investments.
The Company leases 48 properties to a total of seven tenants that have also been identified as VIEs (“VIE tenants”). These VIE tenants are “thinly capitalized” entities that rely on the operating cash flows generated from the senior housing facilities to pay operating expenses, including the rent obligations under their leases.

Debt Securities Investment. The Company holds commercial mortgage-backed securities (“CMBS”) issued by Federal Home Loan Mortgage Corporation (commonly referred to as Freddie MAC) through a 49% ownership interest in CCRC OpCo, a joint venturespecial purpose entity formed in August 2014 that operates senior housing properties in a RIDEA structure and has been identified as a VIE. The equity members of CCRC OpCo “lack power” because they share certain operating rights with Brookdale, as manager of the CCRCs. The assets of CCRC OpCo primarily consist of the CCRCs that it owns and leases, resident fees receivable, notes receivable, and cash and cash equivalents; its obligations primarily consist of operating lease obligations to CCRC PropCo, debt service payments and capital expenditures for the properties, and accounts payable and expense accruals associated with the cost of its CCRCs’ operations. Assets generated by the CCRC operations (primarily rents from CCRC residents) of CCRC OpCo may only be used to settle its contractual obligations (primarily from debt service payments, capital expenditures, and rental costs and operating expenses incurred to manage such facilities).
The Company holds an 85% ownership interest in a joint venture (Vintage Park Development JV), which has been identified as a VIE as powerbecause it is shared with a member that does not have a substantive equity investment at risk.“thinly capitalized.” The assets of the joint venture primarily consist of a leased property (net real estate), rents receivable, and cash and cash equivalents; its obligations primarily consist of debt-service payments. Any assets generatedCMBS issued by the joint venture may only be usedVIE are backed by mortgage debt obligations on real estate assets. These securities are classified as held-to-maturity because the Company has the intent and ability to settle its respective contractual obligations (primarily debt service payments).hold the securities until maturity.
The Company holds an 85% ownership interest in a development joint venture (Waldwick JV), which has been identified as a VIE as power is shared with a member that does not have a substantive equity investment at risk. The assets of the joint venture primarily consist of an in-progress senior housing facility development project that it owns and cash and cash equivalents; its obligations primarily consist of accounts payable and expense accruals associated with the cost of its development obligations. Any assets generated by the joint venture may only be used to settle its respective contractual obligations (primarily development expenses and debt service payments).
LLC Investment. The Company holds a limited partner ownership interest in an unconsolidated LLC that has been identified as a VIE. The Company’s involvement in the entity is limited to its equity investment as a limited partner and it does not have any substantive participating rights or kick-out rights over the general partner. The assets and liabilities of the entity primarily consist of those associated with its senior housing real estate and development activities. Any assets generated by the entity may only be used to settle its contractual obligations (primarily development expenses and debt service payments).
Needham Land Parcel JV. In December 2021, the Company acquired a 38% interest in a life science development joint venture in Needham, Massachusetts for $13 million. Current equity at risk is not sufficient to finance the joint venture’s activities. The Company holds commercial mortgage-backed securities (“CMBS”) issued by Federal Home Loan Mortgage Corporation (commonly referred to as Freddie MAC) through a special purposeassets and liabilities of the entity that has been identified as a VIE because it is “thinly capitalized.” The CMBS issuedprimarily consist of real estate and debt service obligations. Any assets generated by the VIE are backed by mortgageentity may only be used to settle its contractual obligations (primarily development expenses and debt obligations on real estate assets.service payments).
Loan Receivable.The Company provided seller financing of $10 million related to its sale of seven7 senior housing triple-net facilities. The financing was provided in the form of a secured five-year mezzanine loan to a “thinly capitalized” borrower created to acquire the facilities. In September 2021, the Company sold this loan receivable (see Note 8).
VIE Tenant. As of December 31, 2020, the Company leased 2 properties to 1 tenant that was identified as a VIE (the “VIE tenant”). The VIE tenant was a “thinly capitalized” entity that relied on the operating cash flows generated from the senior housing facilities to pay operating expenses, including the rent obligations under its leases. In June 2021, the Company sold these 2 properties as part of the Sunrise Senior Housing Portfolio (see Note 5).
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CCRC OpCo. As of December 31, 2020, the Company held a 49% ownership interest in CCRC OpCo, a joint venture entity formed in August 2014 that operated senior housing properties and had been identified as a VIE. The equity members of CCRC OpCo “lacked power” because they shared certain operating rights with Brookdale, as manager of the CCRCs. The assets of CCRC OpCo primarily consisted of the CCRCs that it owned and leased, resident fees receivable, notes receivable, and cash and cash equivalents; its obligations primarily consisted of operating lease obligations to CCRC PropCo, debt service payments, capital expenditures, accounts payable, and expense accruals. Assets generated by the operations of CCRC OpCo (primarily rents from CCRC residents) of CCRC OpCo may only be used to settle its contractual obligations (primarily from debt service payments, capital expenditures, and rental costs and operating expenses incurred to manage such facilities). Refer to Note 3 for additional discussion related to transactions impacting CCRC OpCo. In May 2021, the CCRC JV sold the 2 remaining CCRCs.
Development Investments. As of December 31, 2020, the Company held investments (consisting of mezzanine debt and/or preferred equity) in 2 senior housing development joint ventures. The joint ventures were also capitalized by senior loans from a third party and equity from the third party managing-member, but were considered to be “thinly capitalized” as there was insufficient equity investment at risk. In April 2021, the Company sold 2 mezzanine loans and 2 preferred equity investments as part of the Discovery SHOP Portfolio disposition (see Note 5).
The classification of the related assets and liabilities and theirthe maximum loss exposure as a result of the Company’s involvement with these VIEs at December 31, 2018 are presented below2021 was as follows (in thousands):
VIE Type Asset/Liability Type 
Maximum Loss Exposure and Carrying Amount(1)
VIE tenants - DFLs(2)
 Net investment in DFLs $600,230
VIE tenants - operating leases(2)
 Lease intangibles, net and straight-line rent receivables 7,396
CCRC OpCo Investments in unconsolidated joint ventures 176,236
Unconsolidated development joint ventures Investments in unconsolidated joint ventures 15,176
Loan - seller financing Loans Receivable, net 10,000
CMBS and LLC investment Marketable debt and cost method investment 34,263

(1)VIE TypeThe Company’s maximum loss exposure represents the aggregate carrying amount of such investments (including accrued interest).Asset Type
Maximum Loss Exposure and Carrying Amount(1)
Continuing operations:
(2)CMBS and LLC investmentThe Company’s maximum loss exposure may be mitigated by re-leasing the underlying propertiesOther assets, net$36,101 
Needham Land Parcel JVInvestments in and advances to new tenants upon an event of default.unconsolidated joint ventures13,566 

(1)The Company’s maximum loss exposure represents the aggregate carrying amount of such investments (including accrued interest).
As of December 31, 2018,2021, the Company had not provided, and is not required to provide, financial support through a liquidity arrangement or otherwise, to its unconsolidated VIEs, including under circumstances in which it could be exposed to further losses (e.g., cash shortfalls).
See Notes 3, 4, 6, 78, and 89 for additional descriptions of the nature, purpose, and operating activities of the Company’s unconsolidated VIEs and interests therein.

Consolidated Variable Interest Entities
HCP, Inc.'sThe Company’s consolidated total assets and total liabilities at December 31, 20182021 and December 31, 20172020 include certain assets of VIEs that can only be used to settle the liabilities of the related VIE. The VIE creditors do not have recourse to HCP, Inc. Total assets at December 31, 2018 and December 31, 2017 include VIE assets as follows (in thousands):the Company.
  December 31,
  2018 2017
Assets    
Building and improvements $1,949,582
 $2,436,414
Developments in process 39,584
 32,285
Land 151,746
 227,162
Accumulated depreciation (398,143) (542,091)
Net real estate 1,742,769
 2,153,770
Investments in and advances to unconsolidated joint ventures 1,550
 2,231
Accounts receivable, net 7,904
 10,242
Cash and cash equivalents 23,772
 15,861
Restricted cash 3,399
 2,619
Intangible assets, net 111,333
 125,475
Other assets, net 43,149
 33,749
Total assets $1,933,876
 $2,343,947
Liabilities    
Mortgage debt $44,598
 $45,016
Intangible liabilities, net 19,128
 10,672
Accounts payable and accrued expenses 66,736
 269,280
Deferred revenue 24,215
 14,432
Total liabilities $154,677
 $339,400
HCP Ventures V, LLC. The Company holds a 51% ownership interest in and is the managing member of a joint venture entity formed in October 2015 that owns and leases MOBs (“HCP Ventures V”). Upon adoption of ASU No. 2015-02, Amendments to the Consolidation Analysis (“ASU 2015-02”), theThe Company classified HCPclassifies Ventures V as a VIE due to the non-managing member lacking substantive participation rights in the management of HCP Ventures V or kick-out rights over the managing member. The Company consolidates HCP Ventures V as the primary beneficiary because it has the ability to control the activities that most significantly impact the VIE’s economic performance. The assets of HCP Ventures V primarily consist of leased properties (net real estate), rents receivable, and cash and cash equivalents; its obligations primarily consist of capital expenditures for the properties. Assets generated by HCP Ventures V may only be used to settle its contractual obligations (primarily from capital expenditures).
Vintage Park JV.  The Company holds a 90% ownership interest in and is the managing member of a joint venture entity formed in January 2015 (“Vintage Park JV”) that owns an 85% interest in an unconsolidated development VIE. Upon adoption of ASU 2015-02, the Company classified Vintage Park JV as a VIE due to the non-managing member lacking substantive participation rights in the management of the Vintage Park JV or kick-out rights over the managing member. The Company consolidates Vintage Park JV as the primary beneficiary because it has the ability to control the activities that most significantly impact the VIE’s economic performance. The assets of Vintage Park JV primarily consist of an investment in the Vintage Park Development JV and cash and cash equivalents; its obligations primarily consist of funding the ongoing development of the Vintage Park Development JV. Assets generated by the Vintage Park JV may only be used to settle its contractual obligations (primarily from the funding of the Vintage Park Development JV).
Watertown JV.  The Company holds a 95% ownership interest in and is the managing member of joint venture entities formed in November 2017 that own and operate a senior housing property in a RIDEA structure (“Watertown JV”). Watertown PropCo is a VIE as the Company and the non-managing member share in control of the entity, but substantially all of the entity's activities are performed on behalf of the Company. Watertown OpCo is a VIE as the non-managing member, through its equity interest, lacks substantive participation rights in the management of Watertown OpCo or kick-out rights over the managing member. The Company consolidates Watertown PropCo and Watertown OpCo as the primary beneficiary because it has the ability to control the activities

that most significantly impact these VIEs’ economic performance. The assets of Watertown PropCo primarily consist of a leased property (net real estate), rents receivable, and cash and cash equivalents; its obligations primarily consist of notes payable to a non-VIE consolidated subsidiary of the Company. The assets of Watertown OpCo primarily consist of leasehold interests in a senior housing facility (operating lease), resident fees receivable, and cash and cash equivalents; its obligations primarily consist of lease payments to Watertown PropCo and operating expenses of its senior housing facilities (accounts payable and accrued expenses). Assets generated by the senior housing operations (primarily from senior housing resident rents) of the Watertown structure may only be used to settle its contractual obligations (primarily from the rental costs, operating expenses incurred to manage such facilities and debt costs).
Hayden JVLife Science JVs. The Company holds a 99% ownership interest in amultiple joint venture entity formed in December 2017entities that ownsown and leases alease life science complex (“Hayden JV”assets (the “Life Science JVs”). The Hayden JV is a VIELife Science JVs are VIEs as the members share in control of the entity,entities, but substantially all of the entity's activities are performed on behalf of the Company. The Company consolidates the Hayden JVLife Science JVs as the primary beneficiary because it has the ability to control the activities that most significantly impact these VIEs’ economic performance. The assets of the Hayden JVLife Science JVs primarily consist of leased properties (net real estate), rents receivable, and cash and cash equivalents; itstheir obligations primarily consist of debt service payments and capital expenditures for the properties. Assets generated by Hayden JVthe Life Science JVs may only be used to settle itstheir contractual obligations (primarily from capital expenditures). Refer to Note 13 for a discussion of certain put options associated with the Life Science JVs.
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MSREI MOB JV. The Company holds a 51% ownership interest in, and is the managing member of, a joint venture entity formed in August 2018 that owns and leases MOBs (the “MSREI JV” - see Note 4)). The MSREI JV is a VIE due to the non-managing member lacking substantive participation rights in the management of the joint venture or kick-out rights over the managing member. The Company consolidates the MSREI JV as the primary beneficiary because it has the ability to control the activities that most significantly impact the VIE’s economic performance. The assets of the MSREI JV primarily consist of leased properties (net real estate), rents receivable, and cash and cash equivalents; its obligations primarily consist of capital expenditures for the properties. Assets generated by the MSREI JV may only be used to settle its contractual obligations (primarily from capital expenditures).
Consolidated Lessees. The Company leases sixleased certain senior housing properties to lessee entities under cash flow leases through which the Company receivesreceived monthly rent equal to the residual cash flows of the properties. The lessee entities arewere classified as VIEs as they arewere "thinly capitalized" entities. The Company consolidatesconsolidated the lessee entities as it hashad the ability to control the activities that most significantly impactimpacted the economic performance of the lessee entities. The lessee entities'entities’ assets primarily consistconsisted of leasehold interests in senior housing facilities (operating leases), resident fees receivable, and cash and cash equivalents; its obligations primarily consistconsisted of lease payments to the Company and operating expenses of the senior housing facilities (accounts payable and accrued expenses). Assets generated by the senior housing operations (primarily from senior housing resident rents) maycould only be used to settle its contractual obligations (primarily from the rental costs, operating expenses incurred to manage such facilitiesfacility and debt costs). During the year ended December 31, 2021, the Company sold these senior housing properties.
DownREITs. The Company holds a controlling ownership interest in and is the managing member of five7 DownREITs. The Company classifies the DownREITs as VIEs due to the non-managing members lacking substantive participation rights in the management of the DownREITs or kick-out rights over the managing member. The Company consolidates the DownREITs as the primary beneficiary because it has the ability to control the activities that most significantly impact these VIEs’ economic performance. The assets of the DownREITs primarily consist of leased properties (net real estate), rents receivable, and cash and cash equivalents; their obligations primarily consist of debt service payments and capital expenditures for the properties. Assets generated by the DownREITs (primarily from resident rents) may only be used to settle their contractual obligations (primarily from debt service and capital expenditures).
Other Consolidated Real Estate Partnerships. The Company holds a controlling ownership interest in and is the general partner (or managing member) of multiple partnerships that own and lease real estate assets (the “Partnerships”). The Company classifies the Partnerships as VIEs due to the limited partners (non-managing members) lacking substantive participation rights in the management of the Partnerships or kick-out rights over the general partner (managing member). The Company consolidates the Partnerships as the primary beneficiary because it has the ability to control the activities that most significantly impact these VIEs’ economic performance. The assets of the Partnerships primarily consist of leased properties (net real estate), rents receivable, and cash and cash equivalents; their obligations primarily consist of debt service payments and capital expenditures for the properties. Assets generated by the Partnerships (primarily from resident rents) may only be used to settle their contractual obligations (primarily from debt service and capital expenditures).
Other consolidated VIEsExchange Accommodation Titleholder. During the year ended December 31, 2021, the Company acquired 2 MOBs (the “acquired properties”) using reverse like-kind exchange structures pursuant to Section 1031 of the Code (a “reverse 1031 exchange”). As of December 31, 2021, the Company had not completed the reverse 1031 exchanges and as such, the acquired properties remained in the possession of Exchange Accommodation Titleholders (“EATs”). The Company made a loan to an entity that entered into a tax credit structure (“Tax Credit Subsidiary”) and a loan to an entity that made an investment in a development joint venture (“Development JV”) both of which are considered VIEs.EATs were classified as VIEs as they were “thinly capitalized” entities. The Company consolidatesconsolidated the Tax Credit Subsidiary and Development JV as the primary beneficiaryEATs because it hashad the ability to control the activities that most significantly impactimpacted the VIEs’ economic performance.performance of the EATs and was, therefore, the primary beneficiary of the EATs. The properties held by the EATs were reflected as real estate with a carrying value of $77 millionas of December 31, 2021. The assets and liabilities of the Tax Credit SubsidiaryEATs primarily consisted of leased properties (net real estate, including intangibles), rents receivable, and Development JV substantially consistcash and cash equivalents; their obligations primarily consisted of a development in progress, notes receivable, prepaid expenses,

notes payable, and accounts payable and accrued liabilities generated from their operating activities. Any assetscapital expenditures for the properties. Assets generated by the operating activities of the Tax Credit Subsidiary and Development JVEATs may only be used to settle theirits contractual obligations.obligations (primarily from capital expenditures).
U.K. Bridge Loan.  In 2016,Additionally, during the year ended December 31, 2020, the Company provided a £105 million ($131 million at closing) bridge loan to MMCG to fundacquired 7 MOBs, 1 hospital, and 3 life science facilities (the “acquired properties”) using reverse 1031 exchanges. As of December 31, 2020, the acquisition of a portfolio of seven care homesCompany had not completed the reverse 1031 exchanges and as such, the acquired properties remained in the U.K. MMCG createdpossession of EATs. The properties held by the EATs were reflected as real estate with a special purpose entity to acquire the portfoliocarrying value of$813 million as of December 31, 2020. The reverse 1031 exchanges described above were completed in April 2021.
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Total assets and funded it entirely using the Company’s bridge loan. As such, the special purpose entity had historically been identified as atotal liabilities include VIE because it was “thinly capitalized.” The Company retained a three-year call option to acquire all the shares of the special purpose entity, which it could only exercise upon the occurrence of certain events. During the quarter ended March 31, 2018, the Company concluded that the conditions required to exercise the call option had been met and initiated the call option process to acquire the special purpose entity. In conjunction with initiating the process to legally exercise its call option and the satisfaction of required contingencies, the Company concluded that it was the primary beneficiary of the special purpose entity and therefore, should consolidate the entity. As such, during the quarter ended March 31, 2018, the Company derecognized the previously outstanding loan receivable, recognized the special purpose entity’s assets and liabilities at their respective fair values, and recognized a £29 million ($41 million) loss on consolidation, netas follows (in thousands):
December 31,
20212020
Assets
Buildings and improvements$2,303,920 $2,988,599 
Development costs and construction in progress82,303 85,595 
Land548,168 433,574 
Accumulated depreciation and amortization(551,097)(602,491)
Net real estate2,383,294 2,905,277 
Accounts receivable, net5,455 12,009 
Cash and cash equivalents22,295 16,550 
Restricted cash114 7,977 
Intangible assets, net117,180 179,027 
Assets held for sale and discontinued operations, net754 704,966 
Right-of-use asset, net107,993 95,407 
Other assets, net62,886 59,063 
Total assets$2,699,971 $3,980,276 
Liabilities
Mortgage debt$144,350 $39,085 
Intangible liabilities, net23,909 56,467 
Liabilities related to assets held for sale and discontinued operations, net1,677 190,919 
Lease liability99,213 97,605 
Accounts payable, accrued liabilities, and other liabilities58,440 102,391 
Deferred revenue21,546 90,183 
Total liabilities$349,135 $576,650 
120

Total assets and liabilities assumed. The loss on consolidation is recognized within other income (expense), netrelated to assets held for sale and the tax benefit is recognized within income tax benefit (expense). The fair value of netdiscontinued operations include VIE assets and liabilities consolidated during the first quarteras follows (in thousands):
December 31,
20212020
Assets
Buildings and improvements$— $639,759 
Development costs and construction in progress— 68 
Land— 106,209 
Accumulated depreciation and amortization— (57,235)
Net real estate— 688,801 
Accounts receivable, net62 1,700 
Cash and cash equivalents59 6,306 
Restricted cash— 3,124 
Right-of-use asset, net— 1,391 
Other assets, net633 3,644 
Total assets$754 $704,966 
Liabilities
Mortgage debt$— $176,702 
Lease liability— 1,392 
Accounts payable, accrued liabilities, and other liabilities1,677 11,003 
Deferred revenue— 1,822 
Total liabilities$1,677 $190,919 
NOTE 20.    Concentration of 2018 consisted of £81 million ($114 million) of net real estate, £4 million ($5 million) of intangible assets, and £9 million ($13 million) of net deferred tax liabilities.Credit Risk
In June 2018, the Company completed the exercise of the above-mentioned call option and formally acquired full ownership of the special purpose entity. As such, the Company reconsidered whether the special purpose entity was a VIE and concluded that it was no longer “thinly capitalized” as the previously outstanding bridge loan converted to equity at risk and, therefore, was no longer a VIE. The real estate assets held by the special purpose entity were contributed to the U.K. JV formed by the Company in June 2018 (see Note 5).
NOTE 20.Concentration of Credit Risk

Concentrations of credit risk arise when one or more tenants, operators, or obligors related to the Company’s investments are engaged in similar business activities or activities in the same geographic region, or have similar economic features that would cause their ability to meet contractual obligations, including those to the Company, to be similarly affected by changes in economic conditions. The Company regularly monitors various segments of its portfolio to assess potential concentrations of credit risks.
The following tables provide information regarding the Company’s concentrations with respect to Brookdale as a tenant as of and for the periods presented:
  Percentage of Total Assets
  Total Company Senior Housing Triple-Net
  December 31, December 31,
Tenant 2018 2017 2018 2017
Brookdale(1)
 6 10 27 39
  Percentage of Revenues
  Total Company Senior Housing Triple-Net
  Year Ended December 31, Year Ended December 31,
Tenant 2018 2017 2016 2018 2017 2016
Brookdale(1)
 6 8 12 38 47 59

(1)Excludes senior housing facilities operated by Brookdale in the Company’s SHOP segment as discussed below. Percentages of segment and total company revenues include partial-year revenue earned from senior housing triple-net facilities that were sold during 2018. Accordingly, the percentages of segment and total company revenues are expected to decrease in 2019. The years ended December 31, 2017 and 2016 include revenues from 64 senior housing triple-net facilities that were sold in March 2017.

As of December 31, 2018 and 2017, Brookdale managed or operated, in the Company’s SHOP segment, approximately 7% and 13%, respectively, of the Company’s real estate investments based on total assets. Because an operator manages the Company’s facilities in exchange for the receipt of a management fee, the Company is not directly exposed to the credit risk of its operators in the same manner or to the same extent as its triple-net tenants. As of December 31, 2018, Brookdale provided comprehensive facility management and accounting services with respect to 35 of the Company’s SHOP facilities and 16 SHOP facilities owned by its unconsolidated joint ventures, for which the Company or joint venture pay annual management fees pursuant to long-term management agreements. Most of the management agreements have terms ranging from 10 to 15 years, with three to four 5-year renewals. The base management fees are 4.5% to 5.0% of gross revenues (as defined) generated by the RIDEA facilities. In addition, there are incentive management fees payable to Brookdale if operating results of the RIDEA properties exceed pre-established EBITDAR (as defined) thresholds.
Brookdale is subject to the registration and reporting requirements of the U.S. Securities and Exchange Commission (“SEC”) and is required to file with the SEC annual reports containing audited financial information and quarterly reports containing unaudited financial information. The information related to Brookdale contained or referred to in this report has been derived from SEC filings made by Brookdale or other publicly available information, or was provided to the Company by Brookdale, and the Company has not verified this information through an independent investigation or otherwise. The Company has no reason to believe that this information is inaccurate in any material respect, but the Company cannot assure the reader of its accuracy. The Company is providing this data for informational purposes only, and encourages the reader to obtain Brookdale’s publicly available filings, which can be found on the SEC’s website at www.sec.gov.
See Note 3 for further information on the reduction of concentration related to Brookdale.
To mitigate the credit risk of leasing properties to certain senior housing operators, leases with operators are often combined into portfolios that contain cross-default terms, so that if a tenant of any of the properties in a portfolio defaults on its obligations under its lease, the Company may pursue its remedies under the lease with respect to any of the properties in the portfolio. Certain portfolios also contain terms whereby the net operating profits of the properties are combined for the purpose of securing the funding of rental payments due under each lease.
The following table provides information regarding the Company’s concentrations with respect to certain states; the information provided is presented for the gross assets and revenues that are associated with certain real estate assets as percentages of total Company’s total assets and revenues:revenues, excluding assets classified as discontinued operations:
 Percentage of Total Company AssetsPercentage of Total Company Revenues
 December 31,Year Ended December 31,
State20212020202120202019
California3430282122
Florida111017142
Texas10911911
Massachusetts1611942
The Company’s rental revenue is generated from multiple tenants across its diverse portfolio; as a result, the inability of any single tenant to make its lease payments is unlikely to have a significant financial impact on the Company’s operations. As of December 31, 2021, the Company’s largest tenant in its life science and medical office segments accounted for 3% and 8%, respectively, of the Company’s total revenues.
121
  Percentage of Total Company Assets Percentage of Total Company Revenues
  December 31, Year Ended December 31,
State 2018 2017 2018 2017 2016
California 34 31 26 26 26
Texas 16 14 18 17 17


NOTE 21.    Fair Value Measurements
NOTE 21.Fair Value Measurements

Financial assets and liabilities measured at fair value on a recurring basis in the Consolidated Balance Sheets were immaterial at December 31, 2018 in the consolidated balance sheets are immaterial.2021 and 2020.
The table below summarizes the carrying amounts and fair values of the Company’s financial instruments (in thousands):
 December 31,
 
2018(3)
 
2017(3)
 Carrying Value  Fair Value Carrying Value  Fair Value
Loans receivable, net(2)  
$62,998
 $62,998
 $313,326
 $313,242
Marketable debt securities(2)  
19,202
 19,202
 18,690
 18,690
Bank line of credit(2)  
80,103
 80,103
 1,017,076
 1,017,076
Term loan(2)  

 
 228,288
 228,288
Senior unsecured notes(1)  
5,258,550
 5,302,485
 6,396,451
 6,737,825
Mortgage debt(2)  
138,470
 136,161
 144,486
 125,984
Other debt(2)  
90,785
 90,785
 94,165
 94,165
Interest-rate swap liabilities(2)  
1,310
 1,310
 2,483
 2,483
Cross currency swap liability(2)  

 
 10,968
 10,968
 December 31,
 
2021(3)
2020(3)
 Carrying ValueFair ValueCarrying ValueFair Value
Loans receivable, net(2)
$415,811 $437,607 $195,375 $201,228 
Marketable debt securities(2)
21,003 21,003 20,355 20,355 
Interest rate cap assets(2)
397 397 — — 
Bank line of credit and commercial paper(2)
1,165,975 1,165,975 129,590 129,590 
Term loan(2)
— — 249,182 249,182 
Senior unsecured notes(1)
4,651,933 5,054,747 5,697,586 6,517,650 
Mortgage debt(2)(4)
352,081 352,800 221,621 221,181 
Interest rate swap liabilities(2)(5)
— — 81 81 

(1)Level 1: Fair value calculated based on quoted prices in active markets.
(2)Level 2: Fair value based on (i) for marketable debt securities, quoted prices for similar or identical instruments in active or inactive markets, respectively, or (ii) for loans receivable, net, mortgage debt, swaps, and caps, standardized pricing models in which significant inputs or value drivers are observable in active markets. For bank line of credit, commercial paper, and term loan, the carrying values are a reasonable estimate of fair value because the borrowings are primarily based on market interest rates and the Company’s credit rating.
(3)During the years ended December 31, 2021 and 2020, there were no material transfers of financial assets or liabilities within the fair value hierarchy.
(4)As of December 31, 2020, excludes mortgage debt on assets held for sale and discontinued operations of $319 million.
(5)Interest rate swap liabilities are recorded in liabilities related to assets held for sale and discontinued operations, net on the Consolidated Balance Sheets.
NOTE 22.    Derivative Financial Instruments
(1)Level 1: Fair value calculated based on quoted prices in active markets.
(2)Level 2: Fair value based on (i) for marketable debt securities, quoted prices for similar or identical instruments in active or inactive markets, respectively, or (ii) or for loans receivable, net, mortgage debt, and swaps, calculated utilizing standardized pricing models in which significant inputs or value drivers are observable in active markets. For bank line of credit, term loans and other debt, the carrying values are a reasonable estimate of fair value because the borrowings are primarily based on market interest rates and the Company’s credit rating.
(3)During the years ended December 31, 2018 and 2017, there were no transfers of financial assets or liabilities within the fair value hierarchy.
NOTE 22.Derivative Financial Instruments

The following table summarizes the Company’s outstanding interest-rate contracts as of December 31, 2018 (dollars in thousands):
Date Entered Maturity Date Hedge Designation Notional Pay Rate Receive Rate 
Fair Value(1)
Interest rate:            
July 2005(2) 
 July 2020 Cash Flow $43,000
 3.820% BMA Swap Index $(1,310)
_____________________________
(1)Derivative liabilities are recorded in accounts payable and accrued liabilities on the consolidated balance sheets.
(2)Represents three interest-rate swap contracts, which hedge fluctuations in interest payments on variable-rate secured debt due to overall changes in hedged cash flows.

The Company uses derivative instruments to mitigate the effects of interest rate fluctuations on specific forecasted transactions as well as recognized financial obligations or assets. Utilizing derivative instruments allows the Company to manage the risk of fluctuations in interest rates related to the potential impact these changes could have on future earnings and forecasted cash flows. The Company does not use derivative instruments for speculative or trading purposes. Assuming a one percentage point shift
In April 2021, the Company executed 2 interest rate cap agreements on its mortgage debt issued in conjunction with the acquisition of the MOB Portfolio (see Note 4).
The following table summarizes the Company’s outstanding interest rate cap agreements as of December 31, 2021 (in thousands):
Date EnteredMaturity DateHedge DesignationNotionalStrike RateIndex
Fair Value(1)
April 2021(2)
May 2024Non-designated$142,100 2.00 % 1 mo. USD-LIBOR-BBA$397 
_____________________________
(1)Derivative assets are recorded in other assets, net in the underlyingConsolidated Balance Sheets.
(2)Represents 2 interest rate curve,cap agreements that manage the estimated change in fair valueCompany’s exposure to variable cash flows on certain mortgage debt borrowings by limiting interest rates.
In March 2021, the Company repaid $39 million of eachvariable rate secured debt on 2 SHOP assets and terminated the 2 remaining related interest rate swap contracts. Therefore, at December 31, 2021, the Company had 0 remaining interest rate swap contracts.
In conjunction with the sale of the underlying derivative instruments would not exceed $1 million.Aegis NNN Portfolio (see Note 5) in December 2020, the Company paid off $6 million of variable rate secured debt and terminated the related interest rate swap contract.
On June 29, 2018, concurrentConcurrent with closingthe sale of its interest in the U.K. JV transaction,in December 2019 (see Note 9), the Company terminated a cross currency swap contract, which was designated as a hedgepaid-off the remainder of the Company’s net investment in the U.K. As such, upon deconsolidation of the U.K. Portfolio, the Company reclassified the $6 million loss in other comprehensive income related to the cross currency swap through gain (loss) on sales of real estate, net.
As of December 31, 2018, £55 million of the Company’sits GBP-denominated borrowings under the Revolving Facility are designated as a hedge of a portion of the Company’s net investments in GBP-functional currency unconsolidated subsidiaries to mitigateand terminated its exposure to fluctuations in the GBP to USD exchange rate. For instruments that are designated and qualify aspreviously-designated net investment hedges, the variability in the foreign currency to USD exchange ratehedge.
122


NOTE 23.    Accounts Payable, Accrued Liabilities, and Other Liabilities
translation adjustment component of accumulated other comprehensive income (loss). Accordingly, the remeasurement value of the designated £55 million GBP-denominated borrowings due primarily to fluctuations in the GBP to USD exchange rate are reported in accumulated other comprehensive income (loss) as the hedging relationship is considered to be effective. The balance in accumulated other comprehensive income (loss) (loss of $2 million at December 31, 2018) will be reclassified to earnings when the Company sells its remaining U.K. investments.
NOTE 23.Selected Quarterly Financial Data (Unaudited)

The following table summarizes the Company’s accounts payable, accrued liabilities, and other liabilities, excluding accounts payable, accrued liabilities, and other liabilities related to assets classified as discontinued operations (in thousands):
December 31,
20212020
Refundable entrance fees(1)
$288,409 $317,444 
Accrued construction costs179,995 95,293 
Accrued interest59,342 78,735 
Other accounts payable, and accrued liabilities227,638 269,145 
Accounts payable, accrued liabilities, and other liabilities$755,384 $760,617 

(1)At December 31, 2021 and 2020, unamortized nonrefundable entrance fee liabilities were$496 million and $484 million, respectively, which are recorded within deferred revenue on the Consolidated Balance Sheets. During the year ended December 31, 2021, the Company collected nonrefundable entrance fees of $89 million and recognized amortization of $76 million, which is included within resident fees and services on the Consolidated Statements of Operations.
123

NOTE 24.    Selected Quarterly Financial Data (Unaudited)
The following tables summarize selected quarterly information for the years ended December 31, 20182021 and 20172020 (in thousands, except per share amounts):
 Three Months Ended 2021
 March 31June 30September 30December 31
Total revenues$455,276 $476,238 $481,465 $483,205 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures(121,900)166,435 58,329 25,503 
Income (loss) from continuing operations(120,585)168,065 61,305 28,943 
Income (loss) from discontinued operations270,008 113,960 601 3,633 
Net income (loss)149,423 282,025 61,906 32,576 
Net income (loss) applicable to Healthpeak Properties, Inc.145,788 276,280 54,711 28,761 
Dividends paid per common share0.30 0.30 0.30 0.30 
Basic earnings (loss) per common share:
  Continuing operations(0.23)0.30 0.10 0.05 
  Discontinued operations0.50 0.21 0.00 0.00 
Diluted earnings (loss) per common share:
  Continuing operations(0.23)0.30 0.10 0.05 
  Discontinued operations0.50 0.21 0.00 0.00 

 Three Months Ended 2020
 March 31June 30September 30December 31
Total revenues$381,054 $408,559 $423,565 $431,697 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures128,410 78,182 13,957 (2,866)
Income (loss) from continuing operations147,132 60,341 (27,762)(19,204)
Income (loss) from discontinued operations135,408 (5,292)(31,819)169,449 
Net income (loss)282,540 55,049 (59,581)150,245 
Net income (loss) applicable to Healthpeak Properties, Inc.279,080 51,506 (63,417)146,394 
Dividends paid per common share0.37 0.37 0.37 0.37 
Basic earnings (loss) per common share:
  Continuing operations0.28 0.10 (0.06)(0.04)
  Discontinued operations0.27 (0.01)(0.06)0.31 
Diluted earnings (loss) per common share:
  Continuing operations0.28 0.10 (0.06)(0.04)
  Discontinued operations0.26 (0.01)(0.06)0.31 
124
 Three Months Ended 2018
 March 31 June 30 September 30 December 31
Total revenues$479,197
    $469,551
    $456,022
    $441,919
Income (loss) before income taxes and equity income from investments in unconsolidated joint ventures37,331
 88,375
 98,908
 833,600
Net income (loss)43,237
 92,928
 102,926
 834,383
Net income (loss) applicable to HCP, Inc.40,232
 89,942
 99,371
 831,548
Dividends paid per common share0.37
 0.37
 0.37
 0.37
Basic earnings per common share0.08
 0.19
 0.21
 1.75
Diluted earnings per common share0.08
 0.19
 0.21
 1.73

 Three Months Ended 2017
 March 31 June 30 September 30 December 31
Total revenues$492,168
    $458,928
    $454,023
    $443,259
Income (loss) before income taxes and equity income from investments in unconsolidated joint ventures454,746
 18,874
 (12,263) (50,957)
Net (loss) income464,177
 22,101
 (5,720) (57,924)
Net (loss) income applicable to HCP, Inc.461,145
 19,383
 (7,657) (58,702)
Dividends paid per common share0.37
 0.37
 0.37
 0.37
Basic earnings per common share0.98
 0.04
 (0.02) (0.13)
Diluted earnings per common share0.97
 0.04
 (0.02) (0.13)
The above selected quarterly financial data includes the following significant transactions:
2018
During the quarter ended December 31, 2018, the Company sold its Shoreline Technology Center life science campus for $1.0 billion and recognized a gain on saleTable of $726 million.Contents
During the quarter ended December 31, 2018, the Company acquired the outstanding equity interests in three life science joint ventures for $92 million and recognized a gain on consolidation of $50 million.
During the quarter ended December 31, 2018, the Company sold 19 senior housing assets (11 senior housing triple-net assets and eight SHOP assets) for $377 million and recognized gain on sales of $40 million.
During the quarter ended December 31, 2018, the Company recognized impairment charges of $33 million related to four underperforming SHOP assets.
During the quarter ended September 30, 2018, the Company repurchased $700 million of its 5.375% senior notes due 2021 and recorded a $44 million loss on debt extinguishment.
During the quarter ended March 31, 2018, The Company recognized a £29 million ($41 million) loss on consolidation related to the U.K. Bridge Loan (see Notes 7 and 19).

2017
During the quarter ended December 31, 2017, the Company recognized a $20 million net reduction of rental and related revenues and $35 million of operating expense related to the Brookdale Transactions.
During the quarter ended December 31, 2017, the Company recorded an impairment charge of $84 million related to the Tandem Mezzanine Loan.
During the quarter ended December 31, 2017, the Company recognized a tax expense of $17 million due to a remeasurement of deferred tax assets and liabilities.
During the quarter ended September 30, 2017, the Company repurchased $500 million of its 5.375% senior notes due 2021 and recorded a $54 million loss on debt extinguishment.
During the quarter ended June 30, 2017, the Company recorded an impairment charge of $57 million related to the Tandem Mezzanine Loan.
During the quarter ended March 31, 2017, the Company deconsolidated the net assets of RIDEA II and recognized a net gain on sale of $99 million.
During the quarter ended March 31, 2017, the Company sold 64 senior housing triple-net assets, resulting in a net gain on sale of $170 million.
During the quarter ended March 31, 2017, the Company sold its Four Seasons Notes, which generated a £42 million ($51 million) gain on sale.


Schedule II: Valuation and Qualifying Accounts

Allowance Accounts(1)
   Additions Deductions  
Year Ended
December 31,
 
Balance at
Beginning of
Year
 
Amounts
Charged
Against
Operations, net
 
Acquired
Properties
 
Uncollectible
Accounts
Written-off
 Dispositions 
Balance at
End of Year
2018 $169,374
 $4,105
 $
 $(1,887) $(143,795) $27,797
2017 29,518
 144,135
 
 (2,732) (1,547) 169,374
2016 36,180
 1,177
 
 (2,843) (4,996) 29,518

(1)Includes allowance for doubtful accounts, straight-line rent reserves, and allowances for loan and direct financing lease losses (see Note 6 to the Consolidated Financial Statements).


(In thousands)
Allowance Accounts(1)
Additions
Year Ended
December 31,
Balance at
Beginning of
Year
Amounts
Charged
Against
Operations, net
Acquired
Properties
Deductions(2)
Balance at
End of Year
Continuing operations:
2021$3,994 $— $— $(2,124)$1,870 
2020387 76 3,531 — 3,994 
2019146 (146)387 — 387 
Discontinued operations:
2021$5,873 $46 $— $(1,781)$4,138 
20204,178 1,026 175 494 5,873 
20192,255 1,695 928 (700)4,178 

(1)Includes allowance for doubtful accounts and straight-line rent reserves. Excludes reserves for loan losses which are disclosed in Note 8 to the Consolidated Financial Statements.
(2)Primarily includes the write-off of uncollectible accounts, dispositions, and other net reductions in the reserves.
125

Schedule III: Real Estate and Accumulated Depreciation
                  Encumbrances at December 31, 2018 Initial Cost to Company    Costs Capitalized Subsequent to Acquisition    Gross Amount at Which Carried
As of December 31, 2018
    
Accumulated Depreciation(2)
    Year Acquired/ Constructed    

 City State     Land    Buildings and Improvements  Land    Buildings and Improvements    
Total(1)
   
Senior housing triple-net                     
1107 Huntsville AL $
 $307
 $5,813
 $
 $307
 $5,453
 $5,760
 $(1,670) 2006 
0786 Douglas AZ 
 110
 703
 
 110
 703
 813
 (385) 2005 
0518 Tucson AZ 
 2,350
 24,037
 
 2,350
 24,037
 26,387
 (12,219) 2002 
1238 Beverly Hills CA 
 9,872
 32,590
 9,257
 9,872
 38,972
 48,844
 (11,638) 2006 
0883 Carmichael CA 
 4,270
 13,846
 
 4,270
 13,236
 17,506
 (3,998) 2006 
2204 Chino Hills CA 
 3,720
 41,183
 
 3,720
 41,183
 44,903
 (6,307) 2014 
0851 Citrus Heights CA 
 1,180
 8,367
 
 1,180
 8,037
 9,217
 (3,370) 2006 
0790 Concord CA 25,000
 6,010
 39,601
 
 6,010
 38,301
 44,311
 (12,835) 2005 
0787 Dana Point CA 
 1,960
 15,946
 
 1,960
 15,466
 17,426
 (5,187) 2005 
0798 Escondido CA 14,340
 5,090
 24,253
 
 5,090
 23,353
 28,443
 (7,833) 2005 
0791 Fremont CA 
 2,360
 11,672
 
 2,360
 11,192
 13,552
 (3,754) 2005 
0788 Granada Hills CA 
 2,200
 18,257
 
 2,200
 17,637
 19,837
 (5,916) 2005 
0227 Lodi CA 
 732
 5,453
 
 732
 5,453
 6,185
 (3,164) 1997 
0226 Murietta CA 
 435
 5,729
 
 435
 5,729
 6,164
 (3,257) 1997 
1165 Northridge CA 
 6,718
 26,309
 2,820
 6,752
 27,890
 34,642
 (9,012) 2006 
0789 Pleasant Hill CA 6,270
 2,480
 21,333
 
 2,480
 20,633
 23,113
 (6,921) 2005 
2205 Roseville CA 
 3,844
 33,527
 
 3,844
 33,527
 37,371
 (5,038) 2014 
0793 South San Francisco CA 
 3,000
 16,586
 
 3,000
 16,056
 19,056
 (5,380) 2005 
0792 Ventura CA 
 2,030
 17,379
 
 2,030
 16,749
 18,779
 (5,618) 2005 
0512 Denver CO 
 2,810
 36,021
 1,885
 2,810
 37,686
 40,496
 (18,826) 2002 
1000 Greenwood Village CO 
 3,367
 43,610
 2,894
 3,367
 45,708
 49,075
 (13,295) 2006 
0861 Apopka FL 
 920
 4,816
 994
 920
 5,710
 6,630
 (2,073) 2006 
0852 Boca Raton FL 
 4,730
 17,532
 5,471
 4,730
 22,391
 27,121
 (8,375) 2006 
2467 Ft Myers FL 
 2,782
 21,827
 
 2,782
 21,827
 24,609
 (2,400) 2016 
1095 Gainesville FL 
 1,221
 12,226
 83
 1,221
 12,084
 13,305
 (3,675) 2006 
0490 Jacksonville FL 
 3,250
 25,936
 6,170
 3,250
 32,106
 35,356
 (13,791) 2002 
1096 Jacksonville FL 
 1,587
 15,616
 65
 1,587
 15,363
 16,950
 (4,685) 2006 
1017 Palm Harbor FL 
 1,462
 16,774
 696
 1,462
 17,084
 18,546
 (5,277) 2006 
0802 St. Augustine FL 
 830
 11,627
 1,471
 830
 12,698
 13,528
 (4,887) 2005 
1097 Tallahassee FL 
 1,331
 19,039
 123
 1,331
 18,818
 20,149
 (5,725) 2006 
1605 Vero Beach FL 
 700
 16,234
 
 700
 15,484
 16,184
 (3,539) 2010 
1257 Vero Beach FL 
 2,035
 34,993
 201
 2,035
 33,634
 35,669
 (10,298) 2006 
2165 Hartwell GA 
 368
 6,337
 320
 368
 6,657
 7,025
 (1,235) 2012 
2066 Lawrenceville GA 
 581
 2,669
 576
 581
 3,245
 3,826
 (860) 2012 
1241 Lilburn GA 
 907
 17,340
 370
 907
 17,125
 18,032
 (5,296) 2006 
2086 Newnan GA 
 1,227
 4,202
 533
 1,227
 4,735
 5,962
 (1,183) 2012 
1005 Oak Park IL 
 3,476
 35,259
 1,862
 3,476
 36,575
 40,051
 (10,507) 2006 
1162 Orland Park IL 
 2,623
 23,154
 1,732
 2,623
 24,111
 26,734
 (7,514) 2006 
1237 Wilmette IL 
 1,100
 9,373
 791
 1,100
 9,940
 11,040
 (3,091) 2006 
2115 Murray KY 
 288
 7,400
 319
 288
 7,719
 8,007
 (1,574) 2012 
1249 Frederick MD 
 609
 9,158
 1,217
 609
 9,811
 10,420
 (2,948) 2006 
0546 Cape Elizabeth ME 
 630
 3,524
 93
 630
 3,617
 4,247
 (1,428) 2003 
0545 Saco ME 
 80
 2,363
 155
 80
 2,518
 2,598
 (991) 2003 
1258 Auburn Hills MI 
 2,281
 10,692
 
 2,281
 10,692
 12,973
 (3,274) 2006 
1248 Farmington Hills MI 
 1,013
 12,119
 968
 1,013
 12,435
 13,448
 (3,928) 2006 
1259 Sterling Heights MI 
 1,593
 11,500
 
 1,593
 11,181
 12,774
 (3,424) 2006 
1235 Des Peres MO 
 4,361
 20,664
 1,333
 4,361
 21,379
 25,740
 (6,385) 2006 
1236 Richmond Heights MO 
 1,744
 24,232
 413
 1,744
 23,961
 25,705
 (7,364) 2006 
0853 St. Louis MO 
 2,500
 20,343
 
 2,500
 19,853
 22,353
 (8,327) 2006 
0878 Charlotte NC 
 710
 9,559
 
 710
 9,159
 9,869
 (2,767) 2006 
2465 Charlotte NC 
 1,373
 10,774
 
 1,373
 10,774
 12,147
 (1,185) 2016 
2468 Franklin NC 
 1,082
 8,489
 
 1,082
 8,489
 9,571
 (933) 2016 
2466 Raeford NC 
 1,304
 10,230
 
 1,304
 10,230
 11,534
 (1,125) 2016 
1254 Raleigh NC 
 1,191
 11,532
 1,198
 1,191
 12,182
 13,373
 (3,572) 2006 
1239 Cresskill NJ 
 4,684
 53,927
 618
 4,684
 53,503
 58,187
 (16,460) 2006 
0734 Hillsborough NJ 
 1,042
 10,042
 796
 1,042
 10,372
 11,414
 (3,485) 2005 
1242 Madison NJ 
 3,157
 19,909
 252
 3,157
 19,523
 22,680
 (5,969) 2006 
1231 Saddle River NJ 
 1,784
 15,625
 754
 1,784
 15,710
 17,494
 (4,848) 2006 
0796 Las Vegas NV 
 1,960
 5,816
 
 1,960
 5,426
 7,386
 (1,820) 2005 
1252 Brooklyn NY 
 8,117
 23,627
 1,198
 8,117
 23,669
 31,786
 (7,319) 2006 
1256 Brooklyn NY 
 5,215
 39,052
 1,290
 5,215
 39,312
 44,527
 (12,230) 2006 
1253 Youngstown OH 
 695
 10,444
 760
 695
 10,824
 11,519
 (3,478) 2006 
2131 Keizer OR 2,262
 551
 6,454
 
 551
 6,454
 7,005
 (1,136) 2013 
2152 McMinnville OR 
 3,203
 24,909
 5,839
 3,203
 29,253
 32,456
 (6,757) 2012 
2089 Newberg OR 
 1,889
 16,855
 874
 1,889
 17,729
 19,618
 (3,025) 2012 
2133 Portland OR 
 1,615
 12,030
 189
 1,615
 12,219
 13,834
 (1,926) 2012 
2050 Redmond OR 
 1,229
 21,921
 844
 1,229
 22,765
 23,994
 (3,594) 2012 
2084 Roseburg OR 
 1,042
 12,090
 145
 1,042
 12,235
 13,277
 (2,305) 2012 
2134 Scappoose OR 
 353
 1,258
 17
 353
 1,275
 1,628
 (317) 2012 
2153 Scappoose OR 
 971
 7,116
 162
 971
 7,278
 8,249
 (1,584) 2012 
2088 Tualatin OR 
 
 6,326
 396
 
 6,722
 6,722
 (1,687) 2012 
2180 Windfield Village OR 2,456
 580
 9,817
 
 580
 9,817
 10,397
 (1,723) 2013 
1163 Haverford PA 
 16,461
 108,816
 14,337
 16,461
 118,289
 134,750
 (37,303) 2006 
2063 Selinsgrove PA 
 529
 9,111
 255
 529
 9,366
 9,895
 (1,971) 2012 
1973 South Kingstown RI 
 1,390
 12,551
 630
 1,390
 12,918
 14,308
 (3,660) 2011 
1975 Tiverton RI 
 3,240
 25,735
 651
 3,240
 25,939
 29,179
 (7,152) 2011 
1104 Aiken SC 
 357
 14,832
 151
 363
 14,395
 14,758
 (4,447) 2006 
1109 Columbia SC 
 408
 7,527
 131
 412
 7,411
 7,823
 (2,311) 2006 
0306 Georgetown SC 
 239
 3,008
 
 239
 3,008
 3,247
 (1,303) 1998 
0879 Greenville SC 
 1,090
 12,558
 
 1,090
 12,058
 13,148
 (3,642) 2006 

                  Encumbrances at December 31, 2018 Initial Cost to Company    Costs Capitalized Subsequent to Acquisition    Gross Amount at Which Carried
As of December 31, 2018
    
Accumulated Depreciation(2)
    Year Acquired/ Constructed    

 City State     Land    Buildings and Improvements  Land    Buildings and Improvements    
Total(1)
   
0305 Lancaster SC 
 84
 2,982
 
 84
 2,982
 3,066
 (1,208) 1998 
0880 Myrtle Beach SC 
 900
 10,913
 
 900
 10,513
 11,413
 (3,176) 2006 
0312 Rock Hill SC 
 203
 2,671
 
 203
 2,671
 2,874
 (1,136) 1998 
1113 Rock Hill SC 
 695
 4,119
 322
 795
 4,074
 4,869
 (1,440) 2006 
0313 Sumter SC 
 196
 2,623
 
 196
 2,623
 2,819
 (1,136) 1998 
2073 Kingsport TN 
 1,113
 8,625
 335
 1,113
 8,960
 10,073
 (1,732) 2012 
1003 Nashville TN 
 812
 16,983
 2,524
 812
 18,759
 19,571
 (5,180) 2006 
0843 Abilene TX 
 300
 2,830
 
 300
 2,710
 3,010
 (853) 2006 
2107 Amarillo TX 
 1,315
 26,838
 894
 1,315
 27,732
 29,047
 (4,649) 2012 
0511 Austin TX 
 2,960
 41,645
 
 2,960
 41,645
 44,605
 (21,169) 2002 
2075 Bedford TX 
 1,204
 26,845
 1,704
 1,204
 28,549
 29,753
 (5,120) 2012 
0844 Burleson TX 
 1,050
 5,242
 
 1,050
 4,902
 5,952
 (1,542) 2006 
0848 Cedar Hill TX 
 1,070
 11,554
 
 1,070
 11,104
 12,174
 (3,493) 2006 
1325 Cedar Hill TX 
 440
 7,494
 
 440
 6,974
 7,414
 (2,048) 2007 
1106 Houston TX 
 1,008
 15,333
 183
 1,020
 14,955
 15,975
 (4,601) 2006 
0845 North Richland Hills TX 
 520
 5,117
 
 520
 4,807
 5,327
 (1,512) 2006 
0846 North Richland Hills TX 
 870
 9,259
 
 870
 8,819
 9,689
 (3,171) 2006 
2162 Portland TX 
 1,233
 14,001
 3,027
 1,233
 17,028
 18,261
 (3,484) 2012 
2116 Sherman TX 
 209
 3,492
 187
 209
 3,679
 3,888
 (787) 2012 
0847 Waxahachie TX 
 390
 3,879
 
 390
 3,659
 4,049
 (1,151) 2006 
2470 Abingdon VA 
 1,584
 12,431
 
 1,584
 12,431
 14,015
 (1,367) 2016 
1244 Arlington VA 
 3,833
 7,076
 940
 3,833
 7,573
 11,406
 (2,456) 2006 
1245 Arlington VA 
 7,278
 37,407
 3,543
 7,278
 39,779
 47,057
 (12,340) 2006 
0881 Chesapeake VA 
 1,090
 12,444
 
 1,090
 11,944
 13,034
 (3,608) 2006 
1247 Falls Church VA 
 2,228
 8,887
 969
 2,228
 9,522
 11,750
 (3,051) 2006 
1164 Fort Belvoir VA 
 11,594
 99,528
 12,927
 11,594
 109,472
 121,066
 (35,474) 2006 
1250 Leesburg VA 
 607
 3,236
 275
 607
 3,296
 3,903
 (3,415) 2006 
1246 Sterling VA 
 2,360
 22,932
 1,279
 2,360
 23,297
 25,657
 (7,241) 2006 
0225 Woodbridge VA 
 950
 6,983
 1,652
 950
 8,460
 9,410
 (3,916) 1997 
2095 College Place WA 
 758
 8,051
 720
 758
 8,771
 9,529
 (1,814) 2012 
1240 Edmonds WA 
 1,418
 16,502
 155
 1,418
 16,138
 17,556
 (4,953) 2006 
0797 Kirkland WA 
 1,000
 13,403
 
 1,000
 13,043
 14,043
 (4,375) 2005 
1251 Mercer Island WA 
 4,209
 8,123
 640
 4,209
 8,253
 12,462
 (2,575) 2006 
2096 Poulsbo WA 
 1,801
 18,068
 231
 1,801
 18,299
 20,100
 (3,288) 2012 
2102 Richland WA 
 249
 5,067
 138
 249
 5,205
 5,454
 (926) 2012 
0794 Shoreline WA 
 1,590
 10,671
 
 1,590
 10,261
 11,851
 (3,442) 2005 
0795 Shoreline WA 
 4,030
 26,421
 
 4,030
 25,651
 29,681
 (8,542) 2005 
2061 Vancouver WA 
 513
 4,556
 263
 513
 4,819
 5,332
 (1,092) 2012 
2062 Vancouver WA 
 1,498
 9,997
 211
 1,498
 10,207
 11,705
 (1,787) 2012 
      $50,328
 $243,697
 $1,955,332
 $107,418
 $243,853
 $2,011,624
 $2,255,477
 $(604,961)   
                  Encumbrances at December 31, 2018 Initial Cost to Company    Costs Capitalized Subsequent to Acquisition    Gross Amount at Which Carried
As of December 31, 2018
    
Accumulated Depreciation(2)
    Year Acquired/ Constructed    

 City State     Land    Buildings and Improvements  Land    Buildings and Improvements    
Total(1)
   
Senior housing operating portfolio                     
1974 Sun City AZ $
 $2,640
 $33,223
 $3,260
 $2,640
 $35,953
 $38,593
 $(10,613) 2011 
1965 Fresno CA 
 1,730
 31,918
 2,583
 1,730
 34,071
 35,801
 (9,839) 2011 
2593 Irvine CA 
 8,220
 14,104
 3,191
 8,220
 16,755
 24,975
 (3,846) 2006 
2792 Santa Rosa CA 
 3,582
 21,113
 2,314
 3,627
 22,087
 25,714
 (6,971) 2006 
1966 Sun City CA 
 2,650
 22,709
 4,471
 2,650
 26,725
 29,375
 (8,704) 2011 
2505 Arvada CO 
 1,788
 29,896
 1,744
 1,788
 31,640
 33,428
 (3,885) 2015 
2506 Boulder CO 
 2,424
 36,746
 2,064
 2,424
 38,810
 41,234
 (3,546) 2015 
2515 Denver CO 
 2,311
 18,645
 2,204
 2,311
 20,849
 23,160
 (3,673) 2015 
2508 Lakewood CO 
 4,384
 60,795
 2,244
 4,384
 63,039
 67,423
 (7,050) 2015 
2509 Lakewood CO 
 2,296
 37,236
 1,815
 2,296
 39,051
 41,347
 (3,664) 2015 
2782 Glastonbury CT 
 1,658
 16,046
 653
 1,658
 16,699
 18,357
 (3,148) 2012 
2783 Torrington CT 
 166
 11,001
 4,637
 166
 15,228
 15,394
 (4,941) 2005 
2603 Boca Raton FL 
 2,415
 17,923
 2,062
 2,415
 18,960
 21,375
 (5,124) 2006 
1963 Boynton Beach FL 
 2,550
 31,521
 4,971
 2,550
 35,827
 38,377
 (11,022) 2011 
1964 Boynton Beach FL 
 570
 5,649
 2,550
 570
 8,006
 8,576
 (3,052) 2011 
2602 Boynton Beach FL 
 1,270
 4,773
 4,124
 1,270
 7,123
 8,393
 (1,589) 2003 
2520 Clearwater FL 
 2,250
 2,627
 2,284
 2,250
 4,331
 6,581
 (1,353) 2015 
2604 Coconut Creek FL 
 2,461
 16,006
 3,026
 2,461
 17,598
 20,059
 (4,568) 2006 
2601 Delray Beach FL 
 850
 6,637
 3,139
 850
 8,863
 9,713
 (2,587) 2002 
2517 Ft Lauderdale FL 
 2,867
 43,126
 4,806
 2,867
 47,776
 50,643
 (6,847) 2015 
2592 Lantana FL 
 3,520
 26,452
 1,317
 3,520
 26,969
 30,489
 (10,731) 2006 
2522 Lutz FL 
 902
 15,169
 2,494
 902
 17,663
 18,565
 (1,759) 2015 
2523 Orange City FL 
 912
 9,724
 1,320
 912
 11,044
 11,956
 (1,599) 2015 
2775 Port Orange FL 
 2,340
 9,898
 1,498
 2,340
 10,875
 13,215
 (3,737) 2005 
2524 Port St Lucie FL 
 893
 10,333
 1,319
 893
 11,652
 12,545
 (1,802) 2015 
1971 Sarasota FL 
 3,050
 29,516
 7,938
 3,050
 37,025
 40,075
 (11,489) 2011 
2861 Springtree FL 
 1,066
 15,874
 1,451
 1,066
 8,429
 9,495
 (3,258) 2013 
2526 Tamarac FL 
 970
 16,037
 1,577
 970
 17,614
 18,584
 (1,943) 2015 
2527 Vero Beach FL 
 1,048
 17,392
 1,762
 1,048
 19,154
 20,202
 (2,124) 2015 
2858 Canton GA 
 401
 17,888
 473
 401
 6,609
 7,010
 (2,881) 2012 
2859 Bufford GA 
 562
 3,604
 500
 562
 4,104
 4,666
 (994) 2015 
2860 Bufford GA 
 536
 3,142
 343
 536
 3,485
 4,021
 (803) 2012 
2200 Deer Park IL 
 4,172
 2,417
 44,603
 4,229
 44,546
 48,775
 (3,584) 2014 
1961 Olympia Fields IL 
 4,120
 29,400
 4,420
 4,120
 33,294
 37,414
 (9,914) 2011 
1952 Vernon Hills IL 
 4,900
 45,854
 7,677
 4,900
 52,835
 57,735
 (16,017) 2011 
2595 Indianapolis IN 
 1,197
 7,718
 1,092
 1,197
 8,578
 9,775
 (2,448) 2006 
2596 W Lafayette IN 
 813
 10,876
 1,432
 813
 8,011
 8,824
 (3,433) 2006 

                  Encumbrances at December 31, 2018 Initial Cost to Company    Costs Capitalized Subsequent to Acquisition    Gross Amount at Which Carried
As of December 31, 2018
    
Accumulated Depreciation(2)
    Year Acquired/ Constructed    

 City State     Land    Buildings and Improvements  Land    Buildings and Improvements    
Total(1)
   
2778 Louisville KY 
 1,499
 26,252
 734
 1,513
 26,138
 27,651
 (7,869) 2006 
2787 Plymouth MA 
 2,434
 9,027
 1,033
 2,438
 9,260
 11,698
 (2,855) 2006 
2746 Watertown MA 
 8,828
 29,317
 203
 8,828
 29,520
 38,348
 (923) 2017 
2583 Ellicott City MD 18,985
 3,607
 31,720
 1,626
 3,607
 33,346
 36,953
 (2,413) 2016 
2584 Hanover MD 8,839
 4,513
 25,625
 1,208
 4,513
 26,833
 31,346
 (1,907) 2016 
2585 Laurel MD 5,733
 3,895
 13,331
 1,279
 3,895
 14,610
 18,505
 (1,381) 2016 
2541 Olney MD 
 1,580
 33,802
 228
 1,580
 34,030
 35,610
 (3,309) 2015 
2586 Parkville MD 20,485
 3,854
 29,061
 1,209
 3,854
 30,270
 34,124
 (2,558) 2016 
2587 Waldorf MD 8,289
 392
 20,514
 868
 392
 21,382
 21,774
 (1,507) 2016 
2788 Westminster MD 
 768
 5,251
 1,963
 768
 6,902
 7,670
 (2,908) 1998 
2776 Mooresville NC 
 2,538
 37,617
 2,114
 2,538
 39,731
 42,269
 (6,653) 2012 
2780 Cherry Hill NJ 
 2,420
 11,042
 2,545
 2,420
 13,037
 15,457
 (4,374) 2010 
2781 Manahawkin NJ 
 921
 9,927
 891
 921
 10,352
 11,273
 (3,544) 2005 
2779 Voorhees Township NJ 
 900
 7,629
 934
 900
 8,224
 9,124
 (3,542) 1998 
2589 Albuquerque NM 
 767
 9,324
 539
 767
 9,364
 10,131
 (4,322) 1996 
2516 Centerville OH 
 1,065
 10,901
 1,658
 1,065
 12,559
 13,624
 (2,337) 2015 
2512 Cincinnati OH 
 1,180
 6,157
 2,702
 1,180
 8,859
 10,039
 (2,137) 2015 
2597 Fairborn OH 
 298
 10,704
 3,983
 298
 14,456
 14,754
 (4,140) 2006 
2789 Portland OR 
 
 16,087
 486
 
 16,573
 16,573
 (2,512) 2012 
1962 Warwick RI 
 1,050
 17,389
 5,807
 1,050
 22,841
 23,891
 (6,867) 2011 
2401 Germantown TN 
 3,640
 64,588
 528
 3,640
 65,116
 68,756
 (7,538) 2015 
2784 Arlington TX 
 2,494
 12,192
 576
 2,540
 12,012
 14,552
 (3,622) 2006 
2608 Arlington TX 
 2,002
 19,110
 239
 2,002
 18,968
 20,970
 (5,553) 2006 
2531 Austin TX 
 607
 15,972
 573
 607
 16,545
 17,152
 (1,624) 2015 
2786 Friendswood TX 
 400
 7,354
 723
 400
 7,756
 8,156
 (2,776) 2002 
2529 Grand Prairie TX 
 865
 10,650
 1,395
 865
 12,045
 12,910
 (1,728) 2015 
1955 Houston TX 
 9,820
 50,079
 11,978
 9,820
 60,746
 70,566
 (19,773) 2011 
1957 Houston TX 
 8,170
 37,285
 6,545
 8,170
 42,999
 51,169
 (13,451) 2011 
2785 Houston TX 
 835
 7,195
 671
 835
 7,866
 8,701
 (3,557) 1997 
2402 Houston TX 
 1,740
 32,057
 153
 1,740
 32,210
 33,950
 (3,840) 2015 
2606 Houston TX 
 2,470
 21,710
 4,132
 2,470
 24,992
 27,462
 (11,297) 2002 
2530 N Richland Hills TX 
 1,190
 17,756
 1,493
 1,190
 19,249
 20,439
 (2,434) 2015 
2532 San Antonio TX 
 613
 5,874
 1,027
 613
 6,901
 7,514
 (1,367) 2015 
2607 San Antonio TX 
 730
 3,961
 421
 730
 4,067
 4,797
 (1,500) 2002 
2533 San Marcos TX 
 765
 18,175
 996
 765
 19,171
 19,936
 (1,980) 2015 
1954 Sugar Land TX 
 3,420
 36,846
 6,275
 3,420
 42,422
 45,842
 (13,190) 2011 
2510 Temple TX 
 2,354
 52,859
 1,384
 2,354
 54,243
 56,597
 (5,438) 2015 
2400 Victoria TX 
 1,032
 7,743
 2,406
 1,032
 9,253
 10,285
 (1,347) 2015 
2605 Victoria TX 
 175
 4,290
 5,589
 175
 8,424
 8,599
 (2,878) 1995 
1953 Webster TX 
 4,780
 30,854
 8,547
 4,780
 35,409
 40,189
 (9,958) 2011 
2582 Fredericksburg VA 
 2,370
 19,725
 157
 2,370
 19,882
 22,252
 (1,260) 2016 
2581 Leesburg VA 12,039
 1,340
 17,605
 1,054
 1,340
 18,659
 19,999
 (1,304) 2016 
2514 Richmond VA 
 2,981
 54,203
 2,437
 2,981
 56,640
 59,621
 (5,253) 2015 
2777 Sterling VA 
 1,046
 15,788
 599
 1,046
 16,378
 17,424
 (2,690) 2012 
2790 Bellevue WA 
 3,734
 16,171
 775
 3,737
 16,224
 19,961
 (5,014) 2006 
2791 Kenmore WA 
 3,284
 16,641
 694
 3,284
 17,335
 20,619
 (2,954) 2012 
2745 Madison WI 
 834
 10,050
 449
 834
 10,499
 11,333
 (2,116) 2012 
      $74,370
 $186,684
 $1,700,398
 $233,184
 $186,853
 $1,875,576
 $2,062,429
 $(388,038)   

                  Encumbrances at December 31, 2018 Initial Cost to Company    Costs Capitalized Subsequent to Acquisition    Gross Amount at Which Carried
As of December 31, 2018
    
Accumulated Depreciation(2)
    Year Acquired/ Constructed    

 City State     Land    Buildings and Improvements  Land    Buildings and Improvements    
Total(1)
   
Life science                       
1483 Brisbane CA $
 $8,498
 $500
 $5,740
 $8,498
 $6,240
 $14,738
 $
 2007 
1484 Brisbane CA 
 11,331
 689
 8,775
 11,331
 9,464
 20,795
 
 2007 
1485 Brisbane CA 
 11,331
 600
 7,648
 11,331
 8,248
 19,579
 
 2007 
1486 Brisbane CA 
 11,331
 
 75,700
 11,331
 75,700
 87,031
 
 2007 
1487 Brisbane CA 
 8,498
 
 6,940
 8,498
 6,940
 15,438
 
 2007 
1401 Hayward CA 
 900
 7,100
 1,746
 900
 7,992
 8,892
 (2,077) 2007 
1402 Hayward CA 
 1,500
 6,400
 3,682
 1,719
 9,863
 11,582
 (4,881) 2007 
1403 Hayward CA 
 1,900
 7,100
 4,722
 1,900
 11,568
 13,468
 (3,734) 2007 
1404 Hayward CA 
 2,200
 17,200
 1,402
 2,200
 18,602
 20,802
 (4,987) 2007 
1405 Hayward CA 
 1,000
 3,200
 7,478
 1,000
 10,678
 11,678
 (7,239) 2007 
1549 Hayward CA 
 1,006
 4,259
 3,463
 1,055
 6,409
 7,464
 (3,005) 2007 
1550 Hayward CA 
 677
 2,761
 5,583
 710
 2,836
 3,546
 (1,695) 2007 
1551 Hayward CA 
 661
 1,995
 4,632
 693
 5,489
 6,182
 (3,885) 2007 
1552 Hayward CA 
 1,187
 7,139
 1,346
 1,222
 8,094
 9,316
 (3,874) 2007 
1553 Hayward CA 
 1,189
 9,465
 7,361
 1,225
 16,265
 17,490
 (6,377) 2007 
1554 Hayward CA 
 1,246
 5,179
 3,332
 1,283
 7,599
 8,882
 (3,070) 2007 
1555 Hayward CA 
 1,521
 13,546
 6,401
 1,566
 19,888
 21,454
 (8,316) 2007 
1556 Hayward CA 
 1,212
 5,120
 3,661
 1,249
 5,828
 7,077
 (2,324) 2007 
1424 La Jolla CA 
 9,600
 25,283
 9,309
 9,719
 32,286
 42,005
 (10,326) 2007 
1425 La Jolla CA 
 6,200
 19,883
 431
 6,276
 20,228
 26,504
 (5,764) 2007 
1426 La Jolla CA 
 7,200
 12,412
 12,379
 7,287
 21,690
 28,977
 (6,393) 2007 
1427 La Jolla CA 
 8,700
 16,983
 6,273
 8,767
 21,894
 30,661
 (8,488) 2007 
1949 La Jolla CA 
 2,686
 11,045
 769
 2,686
 11,474
 14,160
 (3,106) 2011 
2229 La Jolla CA 
 8,753
 32,528
 7,427
 8,777
 39,791
 48,568
 (5,363) 2014 
1470 Poway CA 
 5,826
 12,200
 6,048
 5,826
 12,542
 18,368
 (3,515) 2007 
1471 Poway CA 
 5,978
 14,200
 4,253
 5,978
 14,200
 20,178
 (4,053) 2007 
1472 Poway CA 
 8,654
 
 11,906
 8,654
 11,906
 20,560
 (1,692) 2007 
1473 Poway CA 
 11,024
 2,405
 26,213
 11,024
 28,618
 39,642
 
 2007 
1474 Poway CA 
 5,051
 
 8,345
 5,051
 8,345
 13,396
 
 2007 
1475 Poway CA 
 5,655
 
 9,051
 5,655
 9,051
 14,706
 
 2007 
1478 Poway CA 
 6,700
 14,400
 6,145
 6,700
 14,400
 21,100
 (4,110) 2007 
1499 Redwood City CA 
 3,400
 5,500
 2,631
 3,407
 7,231
 10,638
 (2,881) 2007 
1500 Redwood City CA 
 2,500
 4,100
 1,220
 2,506
 4,563
 7,069
 (1,657) 2007 
1501 Redwood City CA 
 3,600
 4,600
 860
 3,607
 5,024
 8,631
 (1,892) 2007 
1502 Redwood City CA 
 3,100
 5,100
 954
 3,107
 5,801
 8,908
 (2,157) 2007 
1503 Redwood City CA 
 4,800
 17,300
 3,794
 4,818
 21,076
 25,894
 (6,984) 2007 
1504 Redwood City CA 
 5,400
 15,500
 10,450
 5,418
 25,932
 31,350
 (4,889) 2007 
1505 Redwood City CA 
 3,000
 3,500
 826
 3,006
 4,115
 7,121
 (1,842) 2007 
1506 Redwood City CA 
 6,000
 14,300
 14,556
 6,018
 28,230
 34,248
 (6,207) 2007 
1507 Redwood City CA 
 1,900
 12,800
 13,559
 1,912
 26,347
 28,259
 (8,935) 2007 
1508 Redwood City CA 
 2,700
 11,300
 12,120
 2,712
 23,408
 26,120
 (7,055) 2007 
1509 Redwood City CA 
 2,700
 10,900
 10,476
 2,712
 20,841
 23,553
 (8,950) 2007 
1510 Redwood City CA 
 2,200
 12,000
 5,515
 2,212
 13,621
 15,833
 (3,912) 2007 
1511 Redwood City CA 
 2,600
 9,300
 2,031
 2,612
 10,764
 13,376
 (2,992) 2007 
1512 Redwood City CA 
 3,300
 18,000
 12,425
 3,300
 30,425
 33,725
 (9,824) 2007 
1513 Redwood City CA 
 3,300
 17,900
 14,794
 3,326
 32,668
 35,994
 (11,920) 2007 
0678 San Diego CA 
 2,603
 11,051
 3,143
 2,603
 14,194
 16,797
 (4,995) 2002 
0679 San Diego CA 
 5,269
 23,566
 21,860
 5,669
 41,726
 47,395
 (13,463) 2002 
0837 San Diego CA 
 4,630
 2,028
 8,982
 4,630
 7,850
 12,480
 (4,139) 2006 
0838 San Diego CA 
 2,040
 903
 5,111
 2,040
 6,014
 8,054
 (2,710) 2006 
0839 San Diego CA 
 3,940
 3,184
 5,733
 4,047
 5,591
 9,638
 (2,245) 2006 
0840 San Diego CA 
 5,690
 4,579
 789
 5,830
 4,802
 10,632
 (1,747) 2006 
1418 San Diego CA 
 11,700
 31,243
 6,408
 11,700
 37,651
 49,351
 (14,414) 2007 
1420 San Diego CA 
 6,524
 
 5,327
 6,524
 5,327
 11,851
 
 2007 
1421 San Diego CA 
 7,000
 33,779
 1,209
 7,000
 34,988
 41,988
 (10,073) 2007 
1422 San Diego CA 
 7,179
 3,687
 4,681
 7,336
 8,211
 15,547
 (2,911) 2007 
1423 San Diego CA 
 8,400
 33,144
 466
 8,400
 33,610
 42,010
 (9,467) 2007 
1514 San Diego CA 
 5,200
 
 
 5,200
 
 5,200
 
 2007 
1558 San Diego CA 
 7,740
 22,654
 3,461
 7,888
 24,736
 32,624
 (7,051) 2007 
1947 San Diego CA 
 2,581
 10,534
 4,164
 2,581
 14,698
 17,279
 (3,905) 2011 
1948 San Diego CA 
 5,879
 25,305
 2,619
 5,879
 26,741
 32,620
 (7,767) 2011 
2197 San Diego CA 
 7,621
 3,913
 8,150
 7,626
 10,767
 18,393
 (2,868) 2007 
2476 San Diego CA 
 7,661
 9,918
 5,388
 7,661
 15,306
 22,967
 (194) 2016 
2477 San Diego CA 
 9,207
 14,613
 6,543
 9,207
 21,156
 30,363
 (1,779) 2016 
2478 San Diego CA 
 6,000
 
 517
 6,000
 517
 6,517
 
 2016 
2617 San Diego CA 
 2,734
 5,195
 8,494
 2,734
 13,689
 16,423
 
 2017 
2618 San Diego CA 
 4,100
 12,395
 69
 4,100
 12,464
 16,564
 (860) 2017 
2622 San Diego CA 
 
 
 5,899
 
 5,899
 5,899
 
 2004 
2872 San Diego CA 
 10,120
 38,351
 1,265
 10,120
 39,616
 49,736
 (121) 2018 
2873 San Diego CA 
 6,052
 14,122
 
 6,052
 14,122
 20,174
 (52) 2018 
1407 South San Francisco CA 
 7,182
 12,140
 9,752
 7,186
 13,134
 20,320
 (4,173) 2007 
1408 South San Francisco CA 
 9,000
 17,800
 1,460
 9,000
 18,237
 27,237
 (5,160) 2007 
1409 South San Francisco CA 
 18,000
 38,043
 5,248
 18,000
 43,291
 61,291
 (12,226) 2007 
1410 South San Francisco CA 
 4,900
 18,100
 6,506
 4,900
 24,606
 29,506
 (5,067) 2007 
1411 South San Francisco CA 
 8,000
 27,700
 2,812
 8,000
 30,512
 38,512
 (7,701) 2007 
1412 South San Francisco CA 
 10,100
 22,521
 2,222
 10,100
 24,504
 34,604
 (6,981) 2007 
1413 South San Francisco CA 
 8,000
 28,299
 7,826
 8,000
 36,125
 44,125
 (8,450) 2007 
1414 South San Francisco CA 
 3,700
 20,800
 2,248
 3,700
 22,845
 26,545
 (6,881) 2007 
1430 South San Francisco CA 
 10,700
 23,621
 9,224
 10,700
 31,485
 42,185
 (6,318) 2007 
1431 South San Francisco CA 
 7,000
 15,500
 5,096
 7,000
 20,596
 27,596
 (4,608) 2007 
1435 South San Francisco CA 
 13,800
 42,500
 37,058
 13,800
 79,558
 93,358
 (22,319) 2008 
1436 South San Francisco CA 
 14,500
 45,300
 36,935
 14,500
 82,235
 96,735
 (22,804) 2008 
1437 South San Francisco CA 
 9,400
 24,800
 50,276
 9,400
 73,506
 82,906
 (18,430) 2008 

                  Encumbrances at December 31, 2018 Initial Cost to Company    Costs Capitalized Subsequent to Acquisition    Gross Amount at Which Carried
As of December 31, 2018
    
Accumulated Depreciation(2)
    Year Acquired/ Constructed    

 City State     Land    Buildings and Improvements  Land    Buildings and Improvements    
Total(1)
   
1439 South San Francisco CA 
 11,900
 68,848
 95
 11,900
 68,943
 80,843
 (19,674) 2007 
1440 South San Francisco CA 
 10,000
 57,954
 448
 10,000
 58,402
 68,402
 (16,543) 2007 
1441 South San Francisco CA 
 9,300
 43,549
 8
 9,300
 43,557
 52,857
 (12,432) 2007 
1442 South San Francisco CA 
 11,000
 47,289
 91
 11,000
 47,380
 58,380
 (13,561) 2007 
1443 South San Francisco CA 
 13,200
 60,932
 2,642
 13,200
 63,574
 76,774
 (17,643) 2007 
1444 South San Francisco CA 
 10,500
 33,776
 360
 10,500
 34,136
 44,636
 (9,874) 2007 
1445 South San Francisco CA 
 10,600
 34,083
 9
 10,600
 34,092
 44,692
 (9,730) 2007 
1458 South San Francisco CA 
 10,900
 20,900
 8,704
 10,909
 24,372
 35,281
 (8,268) 2007 
1459 South San Francisco CA 
 3,600
 100
 276
 3,600
 376
 3,976
 (94) 2007 
1460 South San Francisco CA 
 2,300
 100
 145
 2,300
 245
 2,545
 (100) 2007 
1461 South San Francisco CA 
 3,900
 200
 267
 3,900
 467
 4,367
 (200) 2007 
1462 South San Francisco CA 
 7,117
 600
 4,939
 7,117
 5,191
 12,308
 (2,438) 2007 
1463 South San Francisco CA 
 10,381
 2,300
 20,647
 10,381
 20,599
 30,980
 (4,210) 2007 
1464 South San Francisco CA 
 7,403
 700
 11,638
 7,403
 7,987
 15,390
 (1,670) 2007 
1468 South San Francisco CA 
 10,100
 24,013
 4,774
 10,100
 26,642
 36,742
 (8,863) 2007 
1480 South San Francisco CA 
 32,210
 3,110
 11,653
 32,210
 14,763
 46,973
 
 2007 
1559 South San Francisco CA 
 5,666
 5,773
 12,970
 5,695
 18,645
 24,340
 (12,153) 2007 
1560 South San Francisco CA 
 1,204
 1,293
 2,627
 1,210
 3,799
 5,009
 (1,421) 2007 
1983 South San Francisco CA 
 8,648
 
 95,927
 8,648
 95,927
 104,575
 (10,795) 2016 
1984 South San Francisco CA 
 7,845
 
 84,580
 7,844
 84,581
 92,425
 (6,250) 2017 
1985 South San Francisco CA 
 6,708
 
 120,735
 6,708
 120,735
 127,443
 (7,119) 2017 
1986 South San Francisco CA 
 6,708
 
 106,278
 6,708
 106,278
 112,986
 (4,392) 2018 
1987 South San Francisco CA 
 8,544
 
 143,536
 8,544
 143,536
 152,080
 
 2011 
1988 South San Francisco CA 
 10,120
 
 11,437
 10,120
 11,437
 21,557
 
 2011 
1989 South San Francisco CA 
 9,169
 
 22,380
 9,169
 22,380
 31,549
 
 2011 
2553 South San Francisco CA 
 2,897
 8,691
 2,824
 2,897
 11,515
 14,412
 (1,297) 2015 
2554 South San Francisco CA 
 995
 2,754
 1,930
 995
 4,684
 5,679
 (276) 2015 
2555 South San Francisco CA 
 2,202
 10,776
 578
 2,202
 11,354
 13,556
 (1,048) 2015 
2556 South San Francisco CA 
 2,962
 15,108
 210
 2,962
 15,318
 18,280
 (1,356) 2015 
2557 South San Francisco CA 
 2,453
 13,063
 3,616
 2,453
 16,679
 19,132
 (1,418) 2015 
2558 South San Francisco CA 
 1,163
 5,925
 58
 1,163
 5,983
 7,146
 (531) 2015 
2614 South San Francisco CA 
 5,079
 8,584
 1,330
 5,083
 9,261
 14,344
 (3,110) 2007 
2615 South San Francisco CA 
 7,984
 13,495
 3,243
 7,988
 16,719
 24,707
 (6,514) 2007 
2616 South San Francisco CA 
 8,355
 14,121
 1,876
 8,358
 14,565
 22,923
 (4,722) 2007 
2624 South San Francisco CA 
 25,502
 42,910
 5,081
 25,502
 47,945
 73,447
 (2,064) 2017 
2870 South San Francisco CA 
 23,297
 41,797
 5,324
 23,297
 47,121
 70,418
 
 2018 
2871 South San Francisco CA 
 20,293
 41,262
 12,476
 20,293
 53,738
 74,031
 (125) 2018 
9999 Denton TX 
 100
 
 
 100
 
 100
 
 2016 
2630 Lexington MA 
 16,411
 49,681
 415
 16,411
 50,096
 66,507
 (2,502) 2017 
2631 Lexington MA 
 7,759
 142,081
 14,269
 7,759
 156,350
 164,109
 (4,724) 2017 
2632 Lexington MA 
 
 21,390
 21,055
 
 42,445
 42,445
 
 2018 
2011 Durham NC 5,399
 448
 6,152
 21,524
 448
 27,639
 28,087
 (6,291) 2011 
2030 Durham NC 
 1,920
 5,661
 34,187
 1,920
 39,848
 41,768
 (8,964) 2012 
0464 Salt Lake City UT 
 630
 6,921
 2,562
 630
 9,483
 10,113
 (3,571) 2001 
0465 Salt Lake City UT 
 125
 6,368
 68
 125
 6,436
 6,561
 (2,527) 2001 
0466 Salt Lake City UT 
 
 14,614
 7
 
 14,621
 14,621
 (5,200) 2001 
0507 Salt Lake City UT 
 280
 4,345
 231
 280
 4,350
 4,630
 (1,593) 2002 
0799 Salt Lake City UT 
 
 14,600
 90
 
 14,690
 14,690
 (4,343) 2005 
1593 Salt Lake City UT 
 
 23,998
 
 
 23,998
 23,998
 (6,121) 2010 
      $5,399
 $833,745
 $1,976,797
 $1,461,433
 $835,829
 $3,347,365
 $4,183,194
 $(647,977)   


                  Encumbrances at December 31, 2018 Initial Cost to Company    Costs Capitalized Subsequent to Acquisition    Gross Amount at Which Carried
As of December 31, 2018
    
Accumulated Depreciation(2)
    Year Acquired/ Constructed    

 City State     Land    Buildings and Improvements  Land    Buildings and Improvements    
Total(1)
   
Medical office                       
0638 Anchorage AK $
 $1,456
 $10,650
 $12,360
 $1,456
 $22,957
 $24,413
 $(7,603) 2006 
2572 Springdale AR 
 
 27,714
 
 
 27,714
 27,714
 (1,833) 2016 
0520 Chandler AZ 
 3,669
 13,503
 6,460
 3,749
 18,696
 22,445
 (5,558) 2002 
2040 Mesa AZ 
 
 17,314
 1,303
 
 18,431
 18,431
 (2,990) 2012 
0468 Oro Valley AZ 
 1,050
 6,774
 983
 1,084
 7,148
 8,232
 (3,093) 2001 
0356 Phoenix AZ 
 780
 3,199
 2,795
 865
 4,987
 5,852
 (2,228) 1999 
0470 Phoenix AZ 
 280
 877
 166
 280
 1,008
 1,288
 (386) 2001 
1066 Scottsdale AZ 
 5,115
 14,064
 4,215
 4,839
 17,150
 21,989
 (5,695) 2006 
2021 Scottsdale AZ 
 
 12,312
 2,153
 
 14,238
 14,238
 (4,586) 2012 
2022 Scottsdale AZ 
 
 9,179
 1,684
 
 10,713
 10,713
 (3,598) 2012 
2023 Scottsdale AZ 
 
 6,398
 1,597
 
 7,860
 7,860
 (2,380) 2012 
2024 Scottsdale AZ 
 
 9,522
 905
 
 10,427
 10,427
 (2,930) 2012 
2025 Scottsdale AZ 
 
 4,102
 1,805
 
 5,756
 5,756
 (1,999) 2012 
2026 Scottsdale AZ 
 
 3,655
 2,112
 
 5,692
 5,692
 (1,389) 2012 
2027 Scottsdale AZ 
 
 7,168
 2,179
 
 9,230
 9,230
 (2,627) 2012 
2028 Scottsdale AZ 
 
 6,659
 3,658
 
 10,317
 10,317
 (2,384) 2012 
0453 Tucson AZ 
 215
 6,318
 1,464
 326
 7,113
 7,439
 (3,710) 2000 
0556 Tucson AZ 
 215
 3,940
 1,613
 267
 5,073
 5,340
 (1,783) 2003 
1041 Brentwood CA 
 
 30,864
 3,135
 309
 32,911
 33,220
 (10,485) 2006 
1200 Encino CA 
 6,151
 10,438
 4,890
 6,646
 13,427
 20,073
 (5,175) 2006 
0436 Murietta CA 
 400
 9,266
 4,755
 638
 12,319
 12,957
 (6,168) 1999 
0239 Poway CA 
 2,700
 10,839
 4,239
 2,887
 12,603
 15,490
 (6,904) 1997 
2654 Riverside CA 
 2,758
 9,908
 214
 2,758
 10,122
 12,880
 (443) 2017 
0318 Sacramento CA 
 2,860
 37,566
 27,503
 2,911
 65,005
 67,916
 (14,223) 1998 
2404 Sacramento CA 
 1,268
 5,109
 594
 1,299
 5,672
 6,971
 (926) 2015 
0234 San Diego CA 
 2,848
 5,879
 1,450
 3,009
 4,981
 7,990
 (3,361) 1997 
0235 San Diego CA 
 2,863
 8,913
 2,913
 3,068
 8,154
 11,222
 (5,437) 1997 
0236 San Diego CA 
 4,619
 19,370
 4,023
 4,711
 16,004
 20,715
 (9,933) 1997 
0421 San Diego CA 
 2,910
 19,984
 16,349
 2,964
 34,960
 37,924
 (10,037) 1999 
0564 San Jose CA 
 1,935
 1,728
 2,756
 1,935
 3,283
 5,218
 (1,476) 2003 
0565 San Jose CA 
 1,460
 7,672
 958
 1,460
 8,149
 9,609
 (3,215) 2003 
0659 Los Gatos CA 
 1,718
 3,124
 662
 1,758
 3,632
 5,390
 (1,487) 2000 
0439 Valencia CA 
 2,300
 6,967
 4,054
 2,404
 8,855
 11,259
 (4,035) 1999 
1211 Valencia CA 
 1,344
 7,507
 797
 1,383
 7,965
 9,348
 (2,552) 2006 
0440 West Hills CA 
 2,100
 11,595
 4,472
 2,259
 12,284
 14,543
 (6,231) 1999 
0728 Aurora CO 
 
 8,764
 3,082
 
 9,273
 9,273
 (3,701) 2005 
1196 Aurora CO 
 210
 12,362
 7,310
 210
 18,828
 19,038
 (4,677) 2006 
1197 Aurora CO 
 200
 8,414
 5,729
 285
 13,482
 13,767
 (3,935) 2006 
0882 Colorado Springs CO 
 
 12,933
 11,273
 
 19,512
 19,512
 (5,300) 2006 
1199 Denver CO 
 493
 7,897
 1,865
 622
 9,367
 9,989
 (3,916) 2006 
0808 Englewood CO 
 
 8,616
 9,472
 11
 16,904
 16,915
 (7,304) 2005 
0809 Englewood CO 
 
 8,449
 4,510
 
 11,508
 11,508
 (4,680) 2005 
0810 Englewood CO 
 
 8,040
 13,144
 
 18,828
 18,828
 (5,465) 2005 
0811 Englewood CO 
 
 8,472
 5,951
 
 12,747
 12,747
 (4,403) 2005 
2658 Highlands Ranch CO 
 1,637
 10,063
 
 1,637
 10,063
 11,700
 (387) 2017 
0812 Littleton CO 
 
 4,562
 2,561
 257
 5,816
 6,073
 (2,497) 2005 
0813 Littleton CO 
 
 4,926
 2,326
 106
 6,456
 6,562
 (2,375) 2005 
0570 Lone Tree CO 
 
 
 20,148
 
 19,410
 19,410
 (7,306) 2003 
0666 Lone Tree CO 
 
 23,274
 3,384
 
 25,328
 25,328
 (8,783) 2000 
2233 Lone Tree CO 
 
 6,734
 30,176
 
 37,573
 37,573
 (4,704) 2014 
1076 Parker CO 
 
 13,388
 1,112
 8
 14,240
 14,248
 (4,728) 2006 
0510 Thornton CO 
 236
 10,206
 4,332
 454
 13,741
 14,195
 (5,710) 2002 
0434 Atlantis FL 
 
 2,027
 462
 5
 2,269
 2,274
 (1,152) 1999 
0435 Atlantis FL 
 
 2,000
 1,190
 
 2,578
 2,578
 (1,210) 1999 
0602 Atlantis FL 
 455
 2,231
 1,006
 455
 2,879
 3,334
 (1,079) 2000 
0604 Englewood FL 
 170
 1,134
 495
 226
 1,346
 1,572
 (561) 2000 
0609 Kissimmee FL 
 788
 174
 649
 788
 721
 1,509
 (290) 2000 
0610 Kissimmee FL 
 481
 347
 790
 494
 901
 1,395
 (484) 2000 
0671 Kissimmee FL 
 
 7,574
 2,637
 
 8,483
 8,483
 (3,016) 2000 
0603 Lake Worth FL 
 1,507
 2,894
 1,807
 1,507
 4,562
 6,069
 (2,211) 2000 
0612 Margate FL 
 1,553
 6,898
 1,811
 1,553
 8,364
 9,917
 (3,025) 2000 
0613 Miami FL 
 4,392
 11,841
 5,072
 4,392
 14,740
 19,132
 (5,581) 2000 
2202 Miami FL 
 
 13,123
 4,918
 
 17,903
 17,903
 (3,791) 2014 
2203 Miami FL 
 
 8,877
 3,245
 
 12,111
 12,111
 (2,243) 2014 
1067 Milton FL 
 
 8,566
 356
 
 8,903
 8,903
 (2,781) 2006 
2577 Naples FL 
 
 29,186
 97
 
 29,283
 29,283
 (1,805) 2016 
2578 Naples FL 
 
 18,819
 433
 
 19,252
 19,252
 (989) 2016 
0563 Orlando FL 
 2,144
 5,136
 14,659
 11,769
 8,479
 20,248
 (4,606) 2003 
0833 Pace FL 
 
 10,309
 3,528
 26
 11,517
 11,543
 (3,302) 2006 
0834 Pensacola FL 
 
 11,166
 478
 
 11,644
 11,644
 (3,612) 2006 
0614 Plantation FL 
 969
 3,241
 1,754
 1,017
 4,246
 5,263
 (1,638) 2000 
0673 Plantation FL 
 1,091
 7,176
 2,002
 1,091
 8,724
 9,815
 (2,970) 2002 
2579 Punta Gorda FL 
 
 9,379
 
 
 9,379
 9,379
 (559) 2016 
2833 St. Petersburg FL 
 
 13,754
 10,904
 
 22,810
 22,810
 (6,704) 2006 
2836 Tampa FL 
 1,967
 6,602
 7,747
 2,425
 11,056
 13,481
 (4,844) 2006 
1058 Blue Ridge GA 
 
 3,231
 260
 
 3,473
 3,473
 (1,030) 2006 
2576 Statesboro GA 
 
 10,234
 120
 
 10,354
 10,354
 (823) 2016 
1065 Marion IL 
 99
 11,538
 2,075
 100
 13,184
 13,284
 (3,883) 2006 
1057 Newburgh IN 
 
 14,019
 5,383
 
 19,394
 19,394
 (5,950) 2006 
2039 Kansas City KS 
 440
 2,173
 17
 448
 2,182
 2,630
 (438) 2012 
2043 Overland Park KS 
 
 7,668
 947
 
 8,615
 8,615
 (1,603) 2012 
0483 Wichita KS 
 530
 3,341
 713
 530
 3,617
 4,147
 (1,323) 2001 
1064 Lexington KY 
 
 12,726
 1,381
 
 13,863
 13,863
 (4,851) 2006 

                  Encumbrances at December 31, 2018 Initial Cost to Company    Costs Capitalized Subsequent to Acquisition    Gross Amount at Which Carried
As of December 31, 2018
    
Accumulated Depreciation(2)
    Year Acquired/ Constructed    

 City State     Land    Buildings and Improvements  Land    Buildings and Improvements    
Total(1)
   
0735 Louisville KY 
 936
 8,426
 8,002
 1,232
 13,584
 14,816
 (10,052) 2005 
0737 Louisville KY 
 835
 27,627
 7,344
 878
 33,344
 34,222
 (12,665) 2005 
0738 Louisville KY 
 780
 8,582
 6,189
 851
 12,514
 13,365
 (8,055) 2005 
0739 Louisville KY 
 826
 13,814
 1,992
 832
 14,277
 15,109
 (5,127) 2005 
2834 Louisville KY 
 2,983
 13,171
 5,188
 2,991
 17,068
 20,059
 (7,916) 2005 
1944 Louisville KY 
 788
 2,414
 
 788
 2,414
 3,202
 (773) 2010 
1945 Louisville KY 
 3,255
 28,644
 1,393
 3,291
 29,700
 32,991
 (8,126) 2010 
1946 Louisville KY 
 430
 6,125
 197
 430
 6,322
 6,752
 (1,682) 2010 
2237 Louisville KY 
 1,519
 15,386
 3,741
 1,618
 19,022
 20,640
 (3,185) 2014 
2238 Louisville KY 
 1,334
 12,172
 1,786
 1,511
 13,701
 15,212
 (2,590) 2014 
2239 Louisville KY 
 1,644
 10,832
 5,748
 2,041
 16,183
 18,224
 (2,886) 2014 
1324 Haverhill MA 
 800
 8,537
 2,327
 869
 9,128
 9,997
 (2,763) 2007 
1213 Ellicott City MD 
 1,115
 3,206
 3,001
 1,222
 5,203
 6,425
 (2,362) 2006 
0361 GlenBurnie MD 
 670
 5,085
 
 670
 5,085
 5,755
 (2,857) 1999 
1052 Towson MD 
 
 14,233
 3,754
 
 12,684
 12,684
 (3,816) 2006 
2650 Biddeford ME 
 1,949
 12,244
 
 1,949
 12,244
 14,193
 (458) 2017 
0240 Minneapolis MN 
 117
 13,213
 4,070
 117
 16,704
 16,821
 (9,159) 1997 
0300 Minneapolis MN 
 160
 10,131
 4,659
 160
 13,604
 13,764
 (7,418) 1997 
2032 Independence MO 
 
 48,025
 2,304
 
 50,329
 50,329
 (7,787) 2012 
1078 Flowood MS 
 
 8,413
 1,233
 
 8,979
 8,979
 (2,619) 2006 
1059 Jackson MS 
 
 8,868
 167
 
 9,027
 9,027
 (2,759) 2006 
1060 Jackson MS 
 
 7,187
 2,217
 
 9,161
 9,161
 (3,329) 2006 
1068 Omaha NE 
 
 16,243
 1,499
 17
 17,367
 17,384
 (5,560) 2006 
2651 Charlotte NC 
 2,001
 11,217
 37
 2,001
 11,254
 13,255
 (419) 2017 
2655 Wilmington NC 
 1,341
 17,376
 
 1,341
 17,376
 18,717
 (704) 2017 
2656 Wilmington NC 
 2,071
 11,592
 
 2,071
 11,592
 13,663
 (429) 2017 
2657 Shallotte NC 
 918
 3,609
 
 918
 3,609
 4,527
 (184) 2017 
2647 Concord NH 
 1,961
 23,516
 85
 1,961
 23,601
 25,562
 (925) 2017 
2648 Concord NH 
 815
 8,902
 136
 815
 9,038
 9,853
 (371) 2017 
2649 Epsom NH 
 919
 5,868
 18
 919
 5,886
 6,805
 (320) 2017 
0729 Albuquerque NM 
 
 5,380
 757
 
 5,746
 5,746
 (1,880) 2005 
0348 Elko NV 
 55
 2,637
 22
 55
 2,659
 2,714
 (1,509) 1999 
0571 Las Vegas NV 
 
 
 19,618
 
 18,200
 18,200
 (6,870) 2003 
0660 Las Vegas NV 
 1,121
 4,363
 6,756
 1,328
 8,395
 9,723
 (3,362) 2000 
0661 Las Vegas NV 
 2,305
 4,829
 6,057
 2,447
 9,458
 11,905
 (4,481) 2000 
0662 Las Vegas NV 
 3,480
 12,305
 6,385
 3,480
 15,850
 19,330
 (5,842) 2000 
0663 Las Vegas NV 
 1,717
 3,597
 11,588
 1,724
 13,468
 15,192
 (3,086) 2000 
0664 Las Vegas NV 
 1,172
 
 633
 1,805
 
 1,805
 (116) 2000 
0691 Las Vegas NV 
 3,244
 18,339
 7,961
 3,338
 24,718
 28,056
 (10,680) 2004 
2037 Mesquite NV 
 
 5,559
 491
 34
 5,905
 5,939
 (974) 2012 
1285 Cleveland OH 
 823
 2,726
 1,259
 853
 3,031
 3,884
 (1,225) 2006 
0400 Harrison OH 
 
 4,561
 300
 
 4,861
 4,861
 (2,738) 1999 
1054 Durant OK 
 619
 9,256
 1,925
 659
 11,100
 11,759
 (3,440) 2006 
0817 Owasso OK 
 
 6,582
 1,543
 
 5,614
 5,614
 (1,670) 2005 
0404 Roseburg OR 
 
 5,707
 700
 
 6,407
 6,407
 (3,555) 1999 
2570 Limerick PA 
 925
 20,072
 51
 925
 20,123
 21,048
 (1,561) 2016 
2234 Philadelphia PA 
 24,264
 99,904
 36,386
 24,288
 136,146
 160,434
 (12,528) 2014 
2403 Philadelphia PA 
 26,063
 97,646
 14,725
 26,110
 112,324
 138,434
 (16,206) 2015 
2571 Wilkes-Barre PA 
 
 9,138
 
 
 9,138
 9,138
 (729) 2016 
2573 Florence SC 
 
 12,090
 91
 
 12,181
 12,181
 (769) 2016 
2574 Florence SC 
 
 12,190
 88
 
 12,278
 12,278
 (774) 2016 
2575 Florence SC 
 
 11,243
 56
 
 11,299
 11,299
 (875) 2016 
2841 Greenville SC 
 627
 38,391
 
 627
 38,391
 39,018
 (746) 2018 
2842 Greenville SC 
 809
 41,260
 
 809
 41,260
 42,069
 (824) 2018 
2843 Greenville SC 
 610
 22,251
 
 610
 22,251
 22,861
 (451) 2018 
2844 Greenville SC 
 799
 18,914
 
 799
 18,914
 19,713
 (403) 2018 
2845 Greenville SC 
 944
 40,841
 
 944
 40,841
 41,785
 (744) 2018 
2846 Greenville SC 
 921
 38,416
 
 921
 38,416
 39,337
 (715) 2018 
2847 Greenville SC 
 621
 26,358
 
 621
 26,358
 26,979
 (649) 2018 
2848 Greenville SC 
 318
 5,816
 
 318
 5,816
 6,134
 (116) 2018 
2849 Greenville SC 
 310
 5,675
 
 310
 5,675
 5,985
 (126) 2018 
2850 Greenville SC 
 201
 6,590
 
 201
 6,590
 6,791
 (143) 2018 
2853 Greenville SC 
 503
 6,522
 
 503
 6,522
 7,025
 (225) 2018 
2854 Greenville SC 
 804
 13,719
 
 804
 13,719
 14,523
 (352) 2018 
2855 Greenville SC 
 377
 496
 
 377
 496
 873
 (53) 2018 
2856 Greenville SC 
 246
 416
 
 246
 416
 662
 (50) 2018 
2857 Greenville SC 
 186
 210
 
 186
 210
 396
 (27) 2018 
2851 Travelers Rest SC 
 498
 1,015
 
 498
 1,015
 1,513
 (66) 2018 
2862 Myrtle Beach SC 
 
 
 2,852
 
 2,882
 2,882
 
 2018 
0624 Hendersonville TN 
 256
 1,530
 2,541
 256
 3,372
 3,628
 (1,169) 2000 
0559 Hermitage TN 
 830
 5,036
 12,083
 851
 15,024
 15,875
 (3,735) 2003 
0561 Hermitage TN 
 596
 9,698
 6,642
 596
 14,544
 15,140
 (6,241) 2003 
0562 Hermitage TN 
 317
 6,528
 3,199
 317
 8,860
 9,177
 (4,403) 2003 
0154 Knoxville TN 
 700
 4,559
 5,016
 700
 9,119
 9,819
 (4,890) 1994 
0625 Nashville TN 
 955
 14,289
 4,470
 955
 16,768
 17,723
 (5,977) 2000 
0626 Nashville TN 
 2,050
 5,211
 4,631
 2,055
 8,738
 10,793
 (3,646) 2000 
0627 Nashville TN 
 1,007
 181
 752
 1,060
 813
 1,873
 (495) 2000 
0628 Nashville TN 
 2,980
 7,164
 3,993
 2,980
 11,202
 14,182
 (5,152) 2000 
0630 Nashville TN 
 515
 848
 437
 528
 1,085
 1,613
 (383) 2000 
0631 Nashville TN 
 266
 1,305
 1,644
 266
 2,461
 2,727
 (1,033) 2000 
0632 Nashville TN 
 827
 7,642
 4,532
 827
 10,111
 10,938
 (3,855) 2000 
0633 Nashville TN 
 5,425
 12,577
 6,397
 5,425
 18,049
 23,474
 (8,895) 2000 
0634 Nashville TN 
 3,818
 15,185
 11,118
 3,818
 24,285
 28,103
 (10,002) 2000 
0636 Nashville TN 
 583
 450
 360
 583
 717
 1,300
 (233) 2000 

                  Encumbrances at December 31, 2018 Initial Cost to Company    Costs Capitalized Subsequent to Acquisition    Gross Amount at Which Carried
As of December 31, 2018
    
Accumulated Depreciation(2)
    Year Acquired/ Constructed    

 City State     Land    Buildings and Improvements  Land    Buildings and Improvements    
Total(1)
   
2611 Allen TX 
 1,330
 5,960
 426
 1,330
 6,386
 7,716
 (439) 2016 
2612 Allen TX 
 1,310
 4,165
 596
 1,310
 4,761
 6,071
 (378) 2016 
0573 Arlington TX 
 769
 12,355
 4,678
 769
 15,695
 16,464
 (6,049) 2003 
2621 Cedar Park TX 
 1,617
 11,640
 
 1,617
 11,640
 13,257
 (427) 2017 
0576 Conroe TX 
 324
 4,842
 3,068
 324
 6,491
 6,815
 (2,253) 2000 
0577 Conroe TX 
 397
 7,966
 2,469
 397
 9,764
 10,161
 (3,966) 2000 
0578 Conroe TX 
 388
 7,975
 4,540
 388
 10,986
 11,374
 (3,941) 2006 
0579 Conroe TX 
 188
 3,618
 1,343
 188
 4,805
 4,993
 (1,943) 2000 
0581 Corpus Christi TX 
 717
 8,181
 5,953
 717
 11,728
 12,445
 (4,542) 2000 
0600 Corpus Christi TX 
 328
 3,210
 4,468
 328
 5,801
 6,129
 (2,168) 2000 
0601 Corpus Christi TX 
 313
 1,771
 2,047
 325
 3,098
 3,423
 (1,197) 2000 
2839 Cypress TX 
 
 
 34,265
 11
 34,254
 34,265
 (3,795) 2015 
0582 Dallas TX 
 1,664
 6,785
 4,588
 1,746
 9,642
 11,388
 (3,775) 2000 
1314 Dallas TX 
 15,230
 162,971
 42,680
 23,992
 193,414
 217,406
 (60,706) 2006 
0583 Fort Worth TX 
 898
 4,866
 3,626
 898
 7,643
 8,541
 (2,557) 2000 
0805 Fort Worth TX 
 
 2,481
 1,315
 2
 3,329
 3,331
 (1,755) 2005 
0806 Fort Worth TX 
 
 6,070
 1,155
 5
 6,928
 6,933
 (2,221) 2005 
2231 Fort Worth TX 
 902
 
 44
 946
 
 946
 (17) 2014 
2619 Fort Worth TX 
 1,180
 13,432
 6
 1,180
 13,438
 14,618
 (458) 2017 
2620 Fort Worth TX 
 1,961
 14,155
 138
 1,961
 14,293
 16,254
 (503) 2017 
1061 Granbury TX 
 
 6,863
 1,125
 
 7,848
 7,848
 (2,309) 2006 
0430 Houston TX 
 1,927
 33,140
 17,718
 2,200
 48,704
 50,904
 (21,111) 1999 
0446 Houston TX 
 2,200
 19,585
 21,378
 2,936
 33,668
 36,604
 (19,818) 1999 
0589 Houston TX 
 1,676
 12,602
 6,758
 1,706
 16,361
 18,067
 (6,139) 2000 
0670 Houston TX 
 257
 2,884
 1,606
 318
 3,689
 4,007
 (1,406) 2000 
0702 Houston TX 
 
 7,414
 2,906
 7
 9,239
 9,246
 (3,219) 2004 
1044 Houston TX 
 
 4,838
 3,498
 
 6,634
 6,634
 (2,112) 2006 
2542 Houston TX 
 304
 17,764
 
 304
 17,764
 18,068
 (1,909) 2015 
2543 Houston TX 
 116
 6,555
 
 116
 6,555
 6,671
 (832) 2015 
2544 Houston TX 
 312
 12,094
 
 312
 12,094
 12,406
 (1,548) 2015 
2545 Houston TX 
 316
 13,931
 
 316
 13,931
 14,247
 (1,357) 2015 
2546 Houston TX 
 408
 18,332
 
 408
 18,332
 18,740
 (2,804) 2015 
2547 Houston TX 
 470
 18,197
 
 470
 18,197
 18,667
 (2,358) 2015 
2548 Houston TX 
 313
 7,036
 
 313
 7,036
 7,349
 (1,167) 2015 
2549 Houston TX 
 530
 22,711
 
 530
 22,711
 23,241
 (1,952) 2015 
0590 Irving TX 
 828
 6,160
 3,153
 828
 8,743
 9,571
 (3,658) 2000 
0700 Irving TX 
 
 8,550
 3,980
 8
 11,513
 11,521
 (5,226) 2006 
1202 Irving TX 
 1,604
 16,107
 1,203
 1,633
 16,971
 18,604
 (6,550) 2006 
1207 Irving TX 
 1,955
 12,793
 2,219
 1,986
 14,902
 16,888
 (5,058) 2006 
2840 Kingwood TX 
 3,035
 28,373
 958
 3,035
 29,331
 32,366
 (2,223) 2016 
1062 Lancaster TX 
 172
 2,692
 1,134
 185
 3,520
 3,705
 (1,500) 2006 
2195 Lancaster TX 
 
 1,138
 700
 131
 1,707
 1,838
 (492) 2006 
0591 Lewisville TX 
 561
 8,043
 2,347
 561
 9,796
 10,357
 (3,681) 2000 
0144 Longview TX 
 102
 7,998
 824
 102
 8,379
 8,481
 (4,469) 1992 
0143 Lufkin TX 
 338
 2,383
 321
 338
 2,664
 3,002
 (1,313) 1992 
0568 Mckinney TX 
 541
 6,217
 3,396
 541
 8,659
 9,200
 (3,061) 2003 
0569 Mckinney TX 
 
 636
 8,655
 
 8,406
 8,406
 (2,960) 2003 
1079 Nassau Bay TX 
 
 8,942
 1,748
 
 10,271
 10,271
 (3,488) 2006 
0596 N Richland Hills TX 
 812
 8,883
 3,395
 812
 11,648
 12,460
 (4,394) 2000 
2048 North Richland Hills TX 
 1,385
 10,213
 2,135
 1,400
 12,048
 13,448
 (3,080) 2012 
2835 Pearland TX 
 
 4,014
 4,693
 
 7,276
 7,276
 (2,217) 2006 
2838 Pearland TX 
 
 
 17,622
 
 17,622
 17,622
 (1,521) 2014 
0447 Plano TX 
 1,700
 7,810
 6,454
 1,792
 13,388
 15,180
 (7,113) 1999 
0597 Plano TX 
 1,210
 9,588
 4,924
 1,224
 13,357
 14,581
 (5,188) 2000 
0672 Plano TX 
 1,389
 12,768
 3,332
 1,389
 14,616
 16,005
 (5,119) 2002 
1284 Plano TX 
 2,049
 18,793
 2,445
 2,101
 18,657
 20,758
 (8,188) 2006 
1286 Plano TX 
 3,300
 
 
 3,300
 
 3,300
 
 2006 
2653 Rockwall TX 
 788
 9,020
 
 788
 9,020
 9,808
 (315) 2017 
0815 San Antonio TX 
 
 9,193
 2,917
 87
 11,083
 11,170
 (3,984) 2006 
0816 San Antonio TX 3,115
 
 8,699
 3,218
 175
 10,930
 11,105
 (4,170) 2006 
1591 San Antonio TX 
 
 7,309
 730
 43
 7,957
 8,000
 (2,434) 2010 
2837 San Antonio TX 
 
 26,191
 1,847
 
 27,775
 27,775
 (7,742) 2011 
2852 Shenandoah TX 
 
 
 28,557
 
 28,557
 28,557
 (1,396) 2016 
0598 Sugarland TX 
 1,078
 5,158
 3,397
 1,170
 7,350
 8,520
 (2,808) 2000 
0599 Texas City TX 
 
 9,519
 582
 
 9,944
 9,944
 (3,138) 2000 
0152 Victoria TX 
 125
 8,977
 394
 125
 9,371
 9,496
 (5,112) 1994 
2550 The Woodlands TX 
 115
 5,141
 
 115
 5,141
 5,256
 (565) 2015 
2551 The Woodlands TX 
 296
 18,282
 
 296
 18,282
 18,578
 (1,729) 2015 
2552 The Woodlands TX 
 374
 25,125
 
 374
 25,125
 25,499
 (2,118) 2015 
1592 Bountiful UT 
 999
 7,426
 913
 1,019
 8,265
 9,284
 (2,304) 2010 
0169 Bountiful UT 
 276
 5,237
 1,665
 396
 6,327
 6,723
 (3,208) 1995 
0346 Castle Dale UT 
 50
 1,818
 163
 50
 1,918
 1,968
 (1,036) 1998 
0347 Centerville UT 
 300
 1,288
 234
 300
 1,352
 1,652
 (753) 1999 
2035 Draper UT 4,928
 
 10,803
 516
 
 11,212
 11,212
 (1,764) 2012 
0469 Kaysville UT 
 530
 4,493
 226
 530
 4,719
 5,249
 (1,920) 2001 
0456 Layton UT 
 371
 7,073
 1,303
 389
 8,009
 8,398
 (3,978) 2001 
2042 Layton UT 
 
 10,975
 537
 27
 11,485
 11,512
 (1,837) 2012 
0359 Ogden UT 
 180
 1,695
 240
 180
 1,730
 1,910
 (977) 1999 
0357 Orem UT 
 337
 8,744
 2,834
 306
 9,026
 9,332
 (4,675) 1999 
0353 Salt Lake City UT 
 190
 779
 196
 234
 869
 1,103
 (499) 1999 
0354 Salt Lake City UT 
 220
 10,732
 2,955
 220
 12,819
 13,039
 (6,815) 1999 
0355 Salt Lake City UT 
 180
 14,792
 2,826
 180
 16,844
 17,024
 (9,358) 1999 
0467 Salt Lake City UT 
 3,000
 7,541
 2,592
 3,145
 9,629
 12,774
 (4,188) 2001 
0566 Salt Lake City UT 
 509
 4,044
 2,733
 509
 6,248
 6,757
 (2,651) 2003 

                  Encumbrances at December 31, 2018 Initial Cost to Company    Costs Capitalized Subsequent to Acquisition    Gross Amount at Which Carried
As of December 31, 2018
    
Accumulated Depreciation(2)
    Year Acquired/ Constructed    

 City State     Land    Buildings and Improvements  Land    Buildings and Improvements    
Total(1)
   
2041 Salt Lake City UT 
 
 12,326
 635
 
 12,940
 12,940
 (2,024) 2012 
2033 Sandy UT 
 867
 3,513
 1,694
 1,153
 4,794
 5,947
 (1,395) 2012 
0482 Stansbury UT 
 450
 3,201
 1,204
 529
 3,966
 4,495
 (1,392) 2001 
0351 Washington Terrace UT 
 
 4,573
 2,511
 17
 6,176
 6,193
 (3,722) 1999 
0352 Washington Terrace UT 
 
 2,692
 1,364
 15
 3,348
 3,363
 (1,819) 1999 
2034 West Jordan UT 
 
 12,021
 323
 
 12,344
 12,344
 (1,960) 2012 
2036 West Jordan UT 330
 
 1,383
 1,544
 
 2,798
 2,798
 (709) 2012 
0495 West Valley City UT 
 410
 8,266
 1,002
 410
 9,268
 9,678
 (4,897) 2002 
0349 West Valley City UT 
 1,070
 17,463
 142
 1,036
 17,595
 18,631
 (10,002) 1999 
1208 Fairfax VA 
 8,396
 16,710
 13,723
 8,828
 28,900
 37,728
 (9,984) 2006 
2230 Fredericksburg VA 
 1,101
 8,570
 
 1,101
 8,570
 9,671
 (1,081) 2014 
0572 Reston VA 
 
 11,902
 967
 
 12,027
 12,027
 (4,890) 2003 
0448 Renton WA 
 
 18,724
 4,560
 
 22,145
 22,145
 (11,288) 1999 
0781 Seattle WA 
 
 52,703
 16,748
 
 65,633
 65,633
 (26,312) 2004 
0782 Seattle WA 
 
 24,382
 13,599
 126
 35,209
 35,335
 (15,444) 2004 
0783 Seattle WA 
 
 5,625
 1,635
 183
 6,929
 7,112
 (6,432) 2004 
0785 Seattle WA 
 
 7,293
 6,215
 
 12,112
 12,112
 (5,983) 2004 
1385 Seattle WA 
 
 45,027
 8,973
 
 53,757
 53,757
 (17,481) 2007 
2038 Evanston WY 
 
 4,601
 1,009
 
 5,542
 5,542
 (799) 2012 
      $8,373
 $279,768
 $3,025,955
 $977,128
 $308,003
 $3,783,938
 $4,091,941
 $(1,037,768)   


                  Encumbrances at December 31, 2018 Initial Cost to Company    Costs Capitalized Subsequent to Acquisition    Gross Amount at Which Carried
As of December 31, 2018
    
Accumulated Depreciation(2)
    Year Acquired/ Constructed    

 City State     Land    Buildings and Improvements  Land    Buildings and Improvements    
Total(1)
   
Other non-reportable segments                     
Other-Hospitals                       
0126 Sherwood AR $
 $709
 $9,604
 $
 $709
 $9,599
 $10,308
 $(5,914) 1989 
0113 Glendale AZ 
 1,565
 7,050
 20
 1,565
 7,067
 8,632
 (4,290) 1988 
1038 Fresno CA 
 3,652
 29,113
 21,935
 3,652
 51,048
 54,700
 (17,545) 2006 
0423 Irvine CA 
 18,000
 70,800
 
 18,000
 70,800
 88,800
 (38,777) 1999 
0127 Colorado Springs CO 
 690
 8,338
 
 690
 8,346
 9,036
 (5,072) 1989 
0887 Atlanta GA 
 4,300
 13,690
 
 4,300
 11,890
 16,190
 (7,035) 2007 
0112 Overland Park KS 
 2,316
 10,681
 24
 2,316
 10,693
 13,009
 (6,837) 1988 
1383 Baton Rouge LA 
 690
 8,545
 87
 690
 8,496
 9,186
 (4,656) 2007 
0886 Dallas TX 
 1,820
 8,508
 26
 1,820
 7,454
 9,274
 (2,205) 2007 
1319 Dallas TX 
 18,840
 155,659
 2,950
 18,840
 158,606
 177,446
 (53,011) 2007 
1384 Plano TX 
 6,290
 22,686
 5,707
 6,290
 28,203
 34,493
 (15,193) 2007 
2198 Webster TX 
 2,220
 9,602
 
 2,220
 9,282
 11,502
 (1,949) 2013 
Other-Post-acute/skilled nursing                     
2469 Rural Retreat VA 
 1,876
 14,720
 
 1,876
 14,904
 16,780
 (1,719) 2013 
      $
 $62,968
 $368,996
 $30,749
 $62,968
 $396,388
 $459,356
 $(164,203)   
                        
Total     $138,470
 $1,606,862
 $9,027,478
 $2,809,912
 $1,637,506
 $11,414,891
 $13,052,397
 $(2,842,947)   

(1)At December 31, 2018, the tax basis of the Company’s net real estate assets is less than the reported amounts by $1.0 billion (unaudited).
(2)Buildings and improvements are depreciated over useful lives ranging up to 60 years.
(in thousands)
    Encumbrances at December 31, 2021Initial Cost to CompanyCosts Capitalized Subsequent to AcquisitionGross Amount at Which Carried
As of December 31, 2021
Accumulated Depreciation(5)
Year Acquired/ Constructed
CityState
Land(1)
    
Buildings and Improvements(2)
Land    Buildings and Improvements    
Total(3)(4)
Continuing operations:
Life science
1483 Brisbane CA$— $8,498 $500 $77,109 $8,498 $77,609 $86,107 $— 2007
1484 Brisbane CA— 11,331 689 153,367 11,331 154,056 165,387 — 2007
1485 Brisbane CA— 11,331 600 136,814 11,331 137,414 148,745 (392)2007
1486 Brisbane CA— 11,331 — 135,352 11,331 135,352 146,683 (11,031) 2020
1487 Brisbane CA— 8,498 — 76,328 8,498 76,328 84,826 (2,028) 2020
2874 Brisbane CA— 64,186 62,318 17,425 64,186 79,119 143,305 (6,558) 2019
2875 Brisbane CA— 58,410 56,623 8,527 58,410 64,701 123,111 (6,575) 2019
1401  Hayward  CA — 900 7,100 7,554 1,244 13,457 14,701 (2,959) 2007
1402  Hayward  CA — 1,500 6,400 4,332 1,719 6,838 8,557 (2,326) 2007
1403  Hayward  CA — 1,900 7,100 11,768 1,900 17,164 19,064 (5,572) 2007
1404  Hayward  CA — 2,200 17,200 7,622 2,200 24,822 27,022 (7,250) 2007
1405  Hayward  CA — 1,000 3,200 8,110 1,000 3,837 4,837 (1,270) 2007
1549  Hayward  CA — 1,006 4,259 6,730 1,055 8,510 9,565 (3,242) 2007
1550 Hayward CA— 677 2,761 5,837 710 3,057 3,767 (1,915)2007
1551  Hayward  CA — 661 1,995 4,789 693 2,565 3,258 (1,428) 2007
1552  Hayward  CA — 1,187 7,139 2,543 1,222 8,539 9,761 (4,519) 2007
1553  Hayward  CA — 1,189 9,465 7,361 1,225 16,230 17,455 (9,976) 2007
1554  Hayward  CA — 1,246 5,179 10,542 1,283 13,923 15,206 (3,628) 2007
1555  Hayward  CA — 1,521 13,546 7,541 1,566 20,982 22,548 (11,751) 2007
1556 Hayward CA— 1,212 5,120 4,726 1,249 6,856 8,105 (3,730)2007
1424 La Jolla CA— 9,600 25,283 33,183 9,719 52,874 62,593 (10,149)2007
1425  La Jolla  CA — 6,200 19,883 1,661 6,276 21,369 27,645 (8,215) 2007
1426  La Jolla  CA — 7,200 12,412 14,394 7,286 23,357 30,643 (11,497) 2007 
1427 La Jolla CA— 8,700 16,983 8,794 8,767 22,804 31,571 (10,536)2007
1949  La Jolla  CA — 2,686 11,045 18,054 2,686 28,565 31,251 (5,028) 2011 
2229 La Jolla CA— 8,753 32,528 10,755 8,777 42,811 51,588 (11,027)2014
1470  Poway  CA — 5,826 12,200 6,048 5,826 12,541 18,367 (4,462) 2007 
1471  Poway  CA — 5,978 14,200 4,253 5,978 14,200 20,178 (5,118) 2007 
1472  Poway  CA — 8,654 — 11,906 8,654 11,906 20,560 (2,911) 2007 
1473 Poway CA— 11,024 2,405 26,607 11,024 29,012 40,036 (7,448)2019
1474 Poway CA— 5,051 — 19,939 5,051 19,939 24,990 (2,974) 2019
1475 Poway CA— 5,655 — 10,302 5,655 10,302 15,957 (322) 2020
1478  Poway  CA — 6,700 14,400 6,145 6,700 14,400 21,100 (5,190) 2007 
1499  Redwood City  CA — 3,400 5,500 3,378 3,407 7,252 10,659 (3,015) 2007 
1500  Redwood City  CA — 2,500 4,100 1,695 2,506 5,033 7,539 (2,098) 2007 
1501  Redwood City  CA — 3,600 4,600 2,331 3,607 6,487 10,094 (2,496) 2007 
1502  Redwood City  CA — 3,100 5,100 1,618 3,107 6,347 9,454 (2,696) 2007 
1503  Redwood City  CA — 4,800 17,300 10,013 4,818 25,528 30,346 (6,998) 2007 
1504  Redwood City  CA — 5,400 15,500 11,976 5,418 27,441 32,859 (9,043) 2007 
1505  Redwood City  CA — 3,000 3,500 4,250 3,006 7,275 10,281 (2,207) 2007 
1506  Redwood City  CA — 6,000 14,300 14,666 6,018 28,323 34,341 (12,058) 2007 
1507  Redwood City  CA — 1,900 12,800 17,220 1,912 25,715 27,627 (8,456) 2007 
1508  Redwood City  CA — 2,700 11,300 22,736 2,712 28,461 31,173 (6,318) 2007 
1509  Redwood City  CA — 2,700 10,900 10,476 2,712 16,114 18,826 (7,618) 2007 
1510  Redwood City  CA — 2,200 12,000 10,584 2,212 18,386 20,598 (6,171) 2007 
1511  Redwood City  CA — 2,600 9,300 21,480 2,612 30,157 32,769 (6,711) 2007 
1512  Redwood City  CA — 3,300 18,000 13,420 3,300 31,392 34,692 (14,828) 2007 
1513  Redwood City  CA — 3,300 17,900 15,835 3,326 29,842 33,168 (13,568) 2007 
678 San Diego CA— 2,603 11,051 3,341 2,603 14,392 16,995 (6,112)2002
679  San Diego  CA — 5,269 23,566 32,229 5,669 52,094 57,763 (18,818) 2002 
837  San Diego  CA — 4,630 2,028 9,147 4,630 5,240 9,870 (2,019) 2006 
838  San Diego  CA — 2,040 903 5,268 2,040 4,217 6,257 (1,095) 2006 
839  San Diego  CA — 3,940 3,184 7,320 4,046 5,951 9,997 (1,814) 2006 
840  San Diego  CA — 5,690 4,579 1,114 5,830 5,126 10,956 (2,252) 2006 
1418  San Diego  CA — 11,700 31,243 61,052 11,700 85,932 97,632 (9,191) 2007 
1419 San Diego  CA— 2,324 — 29,811 2,324 29,811 32,135 —  2007
1420  San Diego  CA — 4,200 — 33,662 4,200 33,662 37,862 —  2007 
1421  San Diego  CA — 7,000 33,779 1,209 7,000 34,988 41,988 (13,228) 2007 
1422  San Diego  CA — 7,179 3,687 5,174 7,336 8,661 15,997 (4,864) 2007 
1423 San Diego CA— 8,400 33,144 32,176 8,400 65,312 73,712 (14,492)2007
1514 San Diego CA— 5,200 — — 5,200 — 5,200 — 2007
1558 San Diego CA— 7,740 22,654 21,623 7,888 40,559 48,447 (22,683)2007
1947 San Diego CA— 2,581 10,534 4,444 2,581 14,979 17,560 (6,253)2011
1948 San Diego CA— 5,879 25,305 9,844 5,879 32,844 38,723 (9,683)2011
2197 San Diego CA— 7,621 3,913 8,761 7,626 11,372 18,998 (5,189)2007
2476 San Diego CA— 7,661 9,918 13,711 7,661 23,629 31,290 (1,384)2016
2477 San Diego CA— 9,207 14,613 6,641 9,207 21,254 30,461 (5,140)2016
2478 San Diego CA— 6,000 — 16,650 6,000 16,650 22,650 — 2016
2617 San Diego CA— 2,734 5,195 16,693 2,734 21,888 24,622 (4,899) 2017
2618 San Diego CA— 4,100 12,395 22,854 4,100 35,249 39,349 (6,078) 2017
2622 San Diego CA— — — 17,025 — 17,025 17,025 (792) 2020
2872 San Diego CA— 10,120 38,351 1,044 10,120 39,996 50,116 (5,396)2018
2873 San Diego CA— 6,052 14,122 1,307 6,052 15,566 21,618 (1,909)2018
126

    Encumbrances at December 31, 2021Initial Cost to CompanyCosts Capitalized Subsequent to AcquisitionGross Amount at Which Carried
As of December 31, 2021
Accumulated Depreciation(5)
Year Acquired/ Constructed
CityState
Land(1)
    
Buildings and Improvements(2)
Land    Buildings and Improvements    
Total(3)(4)
3069 San Diego CA— 7,054 7,794 19,581 7,054 27,037 34,091 (881) 2019
3110 San Diego CA— 20,543 — (31)20,543 (31)20,512 —  2021
1407 South San Francisco CA— 7,182 12,140 12,619 7,186 15,429 22,615 (6,797)2007
1408 South San Francisco CA— 9,000 17,800 1,498 9,000 17,903 26,903 (10,734)2007
1409 South San Francisco CA— 18,000 38,043 4,703 18,000 40,116 58,116 (23,924)2007
1410 South San Francisco CA— 4,900 18,100 12,945 4,900 30,570 35,470 (10,841)2007
1411 South San Francisco CA— 8,000 27,700 39,099 8,000 65,915 73,915 (16,138)2007
1412 South San Francisco CA— 10,100 22,521 4,591 10,100 25,082 35,182 (9,017)2007
1413 South San Francisco CA— 8,000 28,299 8,822 8,000 36,774 44,774 (14,040)2007
1414 South San Francisco CA— 3,700 20,800 2,460 3,700 21,286 24,986 (8,423)2007
1430 South San Francisco CA— 10,700 23,621 28,766 10,700 49,922 60,622 (9,642)2007
1431 South San Francisco CA— 7,000 15,500 9,962 7,000 25,402 32,402 (7,924)2007
1435 South San Francisco CA— 13,800 42,500 37,058 13,800 79,558 93,358 (30,980)2008
1436 South San Francisco CA— 14,500 45,300 36,935 14,500 82,235 96,735 (31,332)2008
1437 South San Francisco CA— 9,400 24,800 51,675 9,400 65,204 74,604 (21,850)2008
1439 South San Francisco CA— 11,900 68,848 550 11,900 69,398 81,298 (24,852)2007
1440 South San Francisco CA— 10,000 57,954 400 10,000 58,355 68,355 (20,943)2007
1441 South San Francisco CA— 9,300 43,549 9,300 43,557 52,857 (15,700)2007
1442 South San Francisco CA— 11,000 47,289 179 11,000 47,386 58,386 (17,049)2007
1443 South San Francisco CA— 13,200 60,932 2,642 13,200 62,319 75,519 (22,303)2007
1444 South San Francisco CA— 10,500 33,776 974 10,500 34,750 45,250 (12,611)2007
1445 South San Francisco CA— 10,600 34,083 10,600 34,092 44,692 (12,289)2007
1458 South San Francisco CA— 10,900 20,900 10,873 10,909 23,645 34,554 (7,995)2007
1459 South San Francisco CA— 9,800 400 37,120 9,800 37,126 46,926 — 2007
1462 South San Francisco CA— 7,117 600 5,892 7,117 4,706 11,823 (1,451)2007
1463 South San Francisco CA— 10,381 2,300 20,991 10,381 20,944 31,325 (6,798)2007
1464 South San Francisco CA— 7,403 700 11,638 7,403 7,987 15,390 (2,245)2007
1468 South San Francisco CA 10,100 24,013 15,570 10,100 35,828 45,928 (11,552)2007
1480 South San Francisco CA— 32,210 3,110 50,355 32,210 53,465 85,675 — 2007
1559  South San Francisco  CA—  5,666  5,773  12,970  5,695  18,645  24,340  (17,861) 2007 
1560  South San Francisco  CA—  1,204  1,293  2,888  1,210  3,970  5,180  (2,217) 2007 
1983  South San Francisco  CA—  8,648  —  96,596  8,648  96,596  105,244  (25,047) 2016 
1984  South San Francisco  CA—  7,845  —  93,570  7,844  93,192  101,036  (21,650) 2017 
1985  South San Francisco  CA—  6,708  —  122,891  6,708  122,891  129,599  (25,171) 2017 
1986 South San Francisco  CA— 6,708 — 108,717 6,708 108,717 115,425 (18,117) 2018
1987  South San Francisco  CA—  8,544  —  100,703  8,544  100,703  109,247  (13,741) 2019 
1988 South San Francisco  CA— 10,120 — 120,091 10,120 120,091 130,211 (17,262) 2019
1989  South San Francisco  CA — 9,169 — 100,023 9,169 100,023 109,192 (8,784) 2020 
2553  South San Francisco  CA—  2,897  8,691  4,951  2,897  13,642  16,539  (3,246) 2015 
2554  South San Francisco  CA—  995  2,754  3,090  995  5,229  6,224  (703) 2015 
2555  South San Francisco  CA—  2,202  10,776  2,200  2,202  12,908  15,110  (2,197) 2015 
2556  South San Francisco  CA—  2,962  15,108  1,107  2,962  16,215  19,177  (2,908) 2015 
2557  South San Francisco  CA— 2,453 13,063 3,616 2,453 16,679 19,132 (4,071) 2015 
2558 South San Francisco CA— 1,163 5,925 315 1,163 6,240 7,403 (1,062)2015
2614  South San Francisco  CA — 5,079 8,584 1,731 5,083 8,949 14,032 (6,519) 2007 
2615  South San Francisco  CA — 7,984 13,495 3,243 7,988 14,203 22,191 (10,325) 2007 
2616  South San Francisco  CA — 8,355 14,121 2,368 8,358 14,809 23,167 (8,088) 2007 
2624 South San Francisco  CA— 25,502 42,910 13,246 25,502 55,687 81,189 (8,875) 2017
2870 South San Francisco CA— 23,297 41,797 28,649 23,297 70,446 93,743 (8,892)2018
2871 South San Francisco CA— 20,293 41,262 21,501 20,293 62,763 83,056 (11,105)2018
3100 South San Francisco CA— 24,062 — 577 24,062 577 24,639 — 2021
3101 South San Francisco CA— 61,189 — 833 61,189 833 62,022 — 2021
3102 South San Francisco CA— 43,885 — 376 43,885 376 44,261 — 2021
2705 Cambridge MA— 24,371 128,498 41 24,371 128,539 152,910 (4,661)2020
2706 Cambridge MA— 15,473 149,051 15,473 149,059 164,532 (5,921)2020
2707 Cambridge MA— 25,549 229,547 991 25,549 230,538 256,087 (8,323) 2020
2708 Cambridge MA— — 17,751 227 — 17,977 17,977 (483) 2020
2709 Cambridge MA— — 15,451 — — 15,451 15,451 (418) 2020
2928 Cambridge MA— 44,215 24,120 2,630 44,215 25,521 69,736 (1,851) 2019
2929 Cambridge MA— 20,517 — 54,470 20,517 54,470 74,987 —  2019
3074 Cambridge MA— 78,762 252,153 8,946 78,762 261,099 339,861 (16,278) 2019
3106 Cambridge MA— 20,669 2,970 — 20,669 2,970 23,639 (34) 2021
3107 Cambridge MA— 19,009 12,327 — 19,009 12,327 31,336 (120) 2021
3108 Cambridge MA— 123,074 7,513 — 123,074 7,513 130,587 (97) 2021
3109 Cambridge MA— 5,903 — — 5,903 — 5,903 —  2021
3112 Cambridge MA— 23,402 47,637 — 23,402 47,637 71,039 (438) 2021
3113 Cambridge MA— 35,831 — 489 35,831 489 36,320 —  2021
3114 Cambridge MA— 22,969 — (329)22,969 (329)22,640 —  2021
3115 Cambridge MA— 66,786 — (18)66,786 (18)66,768 —  2021
3119 Cambridge MA— — 29,656 — — 29,656 29,656 (157) 2021
3120 Cambridge MA— 18,050 — 16 18,050 16 18,066 —  2021
3122 Cambridge MA— 25,247 — 106 25,247 106 25,353 —  2021
3136 Cambridge MA— 4,108 — (2)4,108 (2)4,106 —  2021
3137 Cambridge MA— 41,314 — 89 41,314 89 41,403 — 2021
2630 Lexington MA— 16,411 49,681 606 16,411 50,288 66,699 (9,471) 2017
2631 Lexington MA— 7,759 142,081 23,120 7,759 163,483 171,242 (20,200) 2017
2632 Lexington MA— — 21,390 125,368 — 146,758 146,758 (5,828) 2020
3070 Lexington MA— 14,013 17,083 37 14,013 17,120 31,133 (1,599) 2019
3071 Lexington MA— 14,930 16,677 231 14,930 16,153 31,083 (1,192)2019
3072 Lexington MA— 34,598 43,032 — 34,598 42,744 77,342 (4,130) 2019
3073  Lexington  MA — 37,050 44,647 53 37,050 44,699 81,749 (4,398) 2019 
3093  Waltham  MA — 47,791 275,556 17,027 47,791 290,923 338,714 (15,528) 2020 
127

    Encumbrances at December 31, 2021Initial Cost to CompanyCosts Capitalized Subsequent to AcquisitionGross Amount at Which Carried
As of December 31, 2021
Accumulated Depreciation(5)
Year Acquired/ Constructed
CityState
Land(1)
    
Buildings and Improvements(2)
Land    Buildings and Improvements    
Total(3)(4)
2011  Durham  NC — 448 6,152 22,660 448 23,154 23,602 (6,419) 2011 
2030  Durham  NC — 1,920 5,661 34,804 1,920 40,465 42,385 (14,789) 2012 
9999 Denton TX— 100 — 72 100 — 100 — 2016
464  Salt Lake City  UT — 630 6,921 2,562 630 9,484 10,114 (4,916) 2001 
465  Salt Lake City  UT — 125 6,368 68 125 6,436 6,561 (2,971) 2001 
466  Salt Lake City UT — — 14,614 73 — 13,213 13,213 (4,711) 2001
799  Salt Lake City UT — — 14,600 116 — 14,716 14,716 (5,354) 2007
1593  Salt Lake City UT — — 23,998 35 — 24,033 24,033 (8,302) 2010
   $ $1,876,425 $3,412,856 $2,958,828 $1,878,851 $6,172,710 $8,051,561 $(1,143,340) 

128

                Encumbrances at December 31, 2021Initial Cost to Company    Costs Capitalized Subsequent to Acquisition    Gross Amount at Which Carried
As of December 31, 2021
    
Accumulated Depreciation(5)
    Year Acquired/ Constructed    
CityState    
Land(1)
    
Buildings and Improvements(2)
Land    Buildings and Improvements    
Total(3)(4)
Medical office
638AnchorageAK$— $1,456 $10,650 $13,322 $1,456 $21,637 $23,093 $(8,880)2006
126SherwoodAR— 709 9,604 — 709 9,599 10,308 (6,471) 1989
2572SpringdaleAR— — 27,714 — — 27,714 27,714 (4,581)2016
520ChandlerAZ— 3,669 13,503 7,644 3,799 19,364 23,163 (7,702)2002
113GlendaleAZ— 1,565 7,050 20 1,565 7,225 8,790 (4,969) 1988
2040MesaAZ— — 17,314 2,128 — 18,748 18,748 (4,369)2012
1066ScottsdaleAZ— 5,115 14,064 6,565 4,839 18,403 23,242 (6,943) 2006
2021ScottsdaleAZ— — 12,312 6,940 — 18,193 18,193 (7,494) 2012
2022ScottsdaleAZ— — 9,179 3,740 — 12,228 12,228 (5,473) 2012
2023ScottsdaleAZ— — 6,398 2,351 — 8,309 8,309 (3,811)2012
2024ScottsdaleAZ— — 9,522 1,143 32 10,195 10,227 (4,055)2012
2025ScottsdaleAZ— — 4,102 2,507 — 6,210 6,210 (3,188)2012
2026ScottsdaleAZ— — 3,655 2,335 — 5,703 5,703 (2,273)2012
2027ScottsdaleAZ— — 7,168 3,015 — 9,756 9,756 (4,277)2012
2028ScottsdaleAZ— — 6,659 5,250 — 11,434 11,434 (4,083)2012
2696ScottsdaleAZ— 10,151 14,925 1,904 10,211 16,761 26,972 (1,957)2020
1041BrentwoodCA— — 30,864 3,135 309 32,769 33,078 (13,284)2006
1200EncinoCA— 6,151 10,438 7,662 6,756 14,969 21,725 (6,657)2006
1038FresnoCA— 3,652 29,113 21,935 3,652 51,048 54,700 (21,220)2006
436MurrietaCA— 400 9,266 5,295 749 12,215 12,964 (7,776) 1999
239PowayCA— 2,700 10,839 5,835 3,013 13,344 16,357 (8,386)1997
2654RiversideCA— 2,758 9,908 959 2,758 10,748 13,506 (1,779)2017
318SacramentoCA— 2,860 37,566 28,185 2,911 63,572 66,483 (21,962) 1998
2404SacramentoCA— 1,268 5,109 1,210 1,299 6,149 7,448 (1,967)2015
421San DiegoCA— 2,910 19,984 16,437 2,964 35,048 38,012 (14,595)1999
564San JoseCA— 1,935 1,728 3,437 1,935 3,204 5,139 (1,477)2003
565San JoseCA— 1,460 7,672 1,322 1,460 8,452 9,912 (3,955) 2003
659Los GatosCA— 1,718 3,124 1,191 1,758 3,837 5,595 (1,567)2000
439ValenciaCA— 2,300 6,967 5,062 2,404 9,736 12,140 (5,468)1999
440West HillsCA— 2,100 11,595 6,212 2,259 12,889 15,148 (7,186) 1999
3008West HillsCA12,010 5,795 13,933 546 5,795 14,399 20,194 (450) 2021
728AuroraCO— — 8,764 4,492 — 9,533 9,533 (4,055)2005
1196AuroraCO— 210 12,362 7,988 210 18,831 19,041 (6,745)2006
1197AuroraCO— 200 8,414 7,286 285 14,469 14,754 (5,512)2006
127 Colorado Springs CO—  690  8,338  —  690  8,415  9,105  (5,683) 1989 
882 Colorado Springs CO—  —  12,933  11,973  —  20,602  20,602  (8,610) 2006 
1199 Denver CO—  493  7,897  2,793  622  9,557  10,179  (4,360) 2006 
808 Englewood CO—  —  8,616  11,321  11  17,120  17,131  (9,071) 2005 
809EnglewoodCO— — 8,449 8,818 — 14,490 14,490 (5,490) 2005
810 Englewood CO—  —  8,040  14,422  —  18,288  18,288  (7,528) 2005 
811 Englewood CO—  —  8,472  14,365  —  19,838  19,838  (7,328) 2005 
2658 Highlands Ranch CO—  1,637  10,063  —  1,637  10,063  11,700  (1,548) 2017 
812LittletonCO— — 4,562 3,574 257 6,293 6,550 (2,947)2005
813 Littleton CO—  —  4,926  3,267  106  6,730  6,836  (2,691) 2005 
570 Lone Tree CO—  —  —  23,058  —  21,596  21,596  (9,069) 2003 
666 Lone Tree CO—  —  23,274  5,592  17  26,273  26,290  (10,676) 2000 
2233 Lone Tree CO—  —  6,734  32,347  —  38,472  38,472  (11,146) 2014 
3000 Lone Tree CO—  4,393  31,643  3,201  4,393  34,844  39,237  (746) 2021 
510ThorntonCO— 236 10,206 13,754 463 21,383 21,846 (5,870) 2002
434 Atlantis FL—  —  2,027  552   2,335  2,340  (1,422) 1999 
435 Atlantis FL—  —  2,000  1,206  —  2,533  2,533  (1,580) 1999 
602 Atlantis FL—  455  2,231  1,029  455  2,692  3,147  (1,334) 2000 
2963 Brooksville FL—  —  —  11,509  —  11,509  11,509  (308) 2019 
604 Englewood FL—  170  1,134  1,165  226  1,867  2,093  (628) 2000 
2962JacksonvilleFL— — — 11,751 — 11,751 11,751 —  2019
609 Kissimmee FL—  788  174  1,246  788  1,239  2,027  (426) 2000 
610 Kissimmee FL—  481  347  858  494  619  1,113  (332) 2000 
671 Kissimmee FL—  —  7,574  2,760  —  8,253  8,253  (3,617) 2000 
603 Lake Worth FL—  1,507  2,894  1,807  1,507  3,042  4,549  (1,450) 2000 
612 Margate FL—  1,553  6,898  2,598  1,553  8,683  10,236  (3,833) 2000 
613MiamiFL— 4,392 11,841 14,563 4,392 22,458 26,850 (6,372) 2000
2202 Miami FL—  —  13,123  10,989  —  23,516  23,516  (7,460) 2014 
2203MiamiFL— — 8,877 4,544 — 12,987 12,987 (4,067) 2014
1067 Milton FL—  —  8,566  1,043  —  9,528  9,528  (3,459) 2006 
2577 Naples FL—  —  29,186  1,805  —  30,991  30,991  (4,816) 2016 
2578 Naples FL—  —  18,819  667  —  19,486  19,486  (2,586) 2016 
2964 Okeechobee FL—  —  —  15,219  —  15,219  15,219  —  2019 
563 Orlando FL—  2,144  5,136  16,445  12,268  7,717  19,985  (5,849) 2003 
833 Pace FL—  —  10,309  4,168  54  11,744  11,798  (4,138) 2006 
834 Pensacola FL—  —  11,166  669  —  11,358  11,358  (3,969) 2006 
673 Plantation FL—  1,091  7,176  2,843  1,091  9,014  10,105  (3,654) 2002 
674 Plantantion FL—  —  8,273   —  8,282  8,282  (210) 2021 
2579 Punta Gorda FL—  —  9,379  279  —  9,658  9,658  (1,398) 2016 
2833 St. Petersburg FL—  —  13,754  14,478  —  23,083  23,083  (8,143) 2006 
2836TampaFL— 1,967 6,618 8,661 2,700 10,614 13,314 (6,370) 2006
887 Atlanta GA—  4,300  13,690  —  4,300  11,890  16,190  (8,818) 2007 
2576 Statesboro GA—  —  10,234  439  —  10,673  10,673  (2,111) 2016 
3006 Arlington Heights IL4,830  3,011  9,651  12  3,011  9,642  12,653  (316) 2021 
2702BolingbrookIL— — 21,237 612 — 21,833 21,833 (999) 2020
3004 Highland Park IL5,816  2,767  11,491  104  2,767  11,572  14,339  (302) 2021 
3005 Lockport IL10,942  3,106  22,645  —  3,106  22,645  25,751  (564) 2021 
129

                Encumbrances at December 31, 2021Initial Cost to Company    Costs Capitalized Subsequent to Acquisition    Gross Amount at Which Carried
As of December 31, 2021
    
Accumulated Depreciation(5)
    Year Acquired/ Constructed    
CityState    
Land(1)
    
Buildings and Improvements(2)
Land    Buildings and Improvements    
Total(3)(4)
1065 Marion IL—  99  11,538  2,192  100  13,254  13,354  (5,112) 2006 
2719MarionIL— — — 4,767 — 4,767 4,767 — 2021
2697 Indianapolis IN—  —  59,746  479  —  60,224  60,224  (2,199) 2020 
2699 Indianapolis IN—  —  23,211  590  —  23,800  23,800  (826) 2020 
2701IndianapolisIN— 478 1,637 86 478 1,724 2,202 (132) 2020
2698MooresvilleIN— — 20,646 640 — 21,280 21,280 (741)2020
1057NewburghIN— — 14,019 5,315 — 19,306 19,306 (8,422) 2006
2700ZionsvilleIN— 2,969 7,281 718 2,984 7,963 10,947 (385) 2020
2039 Kansas City KS—  440  2,173  153  448  2,273  2,721  (586) 2012 
112Overland ParkKS— 2,316 10,681 24 2,316 10,797 13,113 (7,673) 1988
2043Overland ParkKS— — 7,668 1,759 — 9,163 9,163 (2,664)2012
3062Overland ParkKS— 872 11,813 430 978 11,715 12,693 (1,471)2019
483WichitaKS— 530 3,341 713 530 3,617 4,147 (1,654)2001
3018WichitaKS— 3,946 39,795 — 3,946 39,795 43,741 (678)2021
1064 Lexington KY—  —  12,726  2,776  —  14,614  14,614  (5,659) 2006 
735LouisvilleKY— 936 8,426 18,685 936 23,267 24,203 (11,961)2005
737 Louisville KY—  835  27,627  10,975  878  35,836  36,714  (15,782) 2005 
738LouisvilleKY— 780 8,582 7,394 851 12,740 13,591 (9,881)2005
739 Louisville KY  826  13,814  3,418  832  15,461  16,293  (6,373) 2005 
2834LouisvilleKY— 2,983 13,171 8,797 2,991 18,899 21,890 (9,136) 2005
1945 Louisville KY—  3,255  28,644  2,930  3,339  30,992  34,331  (11,401) 2010 
1946LouisvilleKY— 430 6,125 276 430 6,401 6,831 (2,359) 2010
2237 Louisville KY—  1,519  15,386  4,701  1,672  19,916  21,588  (6,341) 2014 
2238 Louisville KY—  1,334  12,172  3,259  1,558  14,657  16,215  (4,532) 2014 
2239 Louisville KY—  1,644  10,832  6,440  2,091  16,247  18,338  (5,826) 2014 
3023 Covington LA—  9,490  21,915  —  9,490  21,915  31,405  (172) 2021 
3121 Cambrigde MA—  40,643  23,102  —  40,643  23,102  63,745  (137) 2021 
1213Ellicott CityMD — 1,115 3,206 3,945 1,336 5,403 6,739 (2,544) 2006 
1052 Towson MD—  —  14,233  4,619  —  13,528  13,528  (5,109) 2006 
2650 Biddeford ME—  1,949  12,244  29  1,949  12,273  14,222  (1,833) 2017 
3002 Burnsville MN7,689  2,801  17,779  180  2,818  17,943  20,761  (836) 2021 
3003 Burnsville MN5,126  516  13,200  161  533  13,090  13,623  (540) 2021 
3009 Burnsville MN18,927  4,640  38,064  40  4,640  38,104  42,744  (994) 2021 
240MinneapolisMN — 117 13,213 6,910 117 18,511 18,628 (10,621) 1997
300 Minneapolis MN — 160 10,131 6,094 214 13,564 13,778 (8,024) 1997 
2703ColumbiaMO— 4,141 20,364 — 4,141 20,364 24,505 (993) 2020
2032 Independence MO — — 48,025 3,212 — 49,900 49,900 (10,982) 2012 
2863 Lee's Summit MO — — — 15,877 — 15,877 15,877 (1,097) 2019 
1078FlowoodMS— — 8,413 1,839 — 9,564 9,564 (3,334) 2006
1059JacksonMS — — 8,868 614 — 9,463 9,463 (3,494) 2006
1060JacksonMS — — 7,187 3,009 — 9,118 9,118 (3,211) 2006
1068OmahaNE — — 16,243 2,114 33 17,626 17,659 (6,981) 2006
2651 Charlotte NC — 1,032 6,196 202 1,032 6,293 7,325 (784) 2017 
2695 Charlotte NC — 844 5,021 74 844 5,058 5,902 (619) 2017 
2655WilmingtonNC— 1,341 17,376 — 1,341 17,376 18,717 (2,817)2017
2656 Wilmington NC — 2,071 11,592 — 2,071 11,592 13,663 (1,717) 2017 
2657ShallotteNC— 918 3,609 — 918 3,609 4,527 (737) 2017
2647 Concord NH — 1,961 23,516 385 1,961 23,608 25,569 (3,188) 2017 
2648 Concord NH — 815 8,902 423 815 9,325 10,140 (1,671) 2017 
2649 Epsom NH — 919 5,868 49 919 5,909 6,828 (1,280) 2017 
3011 Cherry Hill NJ — 5,235 21,731 — 5,235 21,731 26,966 (674) 2021 
3012MorristownNJ— 21,703 32,504 1,327 21,703 33,831 55,534 (689) 2021
3013MorristownNJ— 14,567 20,537 374 14,567 20,910 35,477 (328)2021
3014MorristownNJ— 20,563 31,838 239 20,563 32,077 52,640 (430) 2021
729AlbuquerqueNM— — 5,380 1,978 — 6,820 6,820 (2,300) 2005
571Las VegasNV— — — 21,296 — 19,131 19,131 (8,502) 2003
660Las VegasNV— 1,121 4,363 10,787 1,328 10,923 12,251 (3,757) 2000
661Las VegasNV— 2,305 — 1,016 3,321 — 3,321 —  2000
662Las VegasNV— 3,480 12,305 10,631 1,000 6,915 7,915 (6,915) 2000
663Las VegasNV — 1,717 3,597 14,420 1,724 15,397 17,121 (5,516) 2000
664Las VegasNV — 1,172 — 633 1,805 — 1,805 (306) 2000
691Las VegasNV — 3,073 18,339 8,639 3,167 25,245 28,412 (13,957) 2004
2037MesquiteNV — — 5,559 961 34 6,366 6,400 (1,646) 2012
400 Harrison OH — — 4,561 300 — 4,561 4,561 (2,889) 1999 
1054 Durant OK — 619 9,256 2,982 659 12,045 12,704 (4,459) 2006 
817 Owasso OK — — 6,582 1,710 — 5,763 5,763 (2,320) 2005 
404 Roseburg OR — — 5,707 852 — 5,859 5,859 (3,561) 1999 
3010 Springfield OR 20,603 — 51,998 84 — 51,876 51,876 (1,478) 2021 
2570 Limerick PA — 925 20,072 51 925 19,953 20,878 (3,624) 2016 
2234 Philadelphia PA — 24,264 99,904 48,922 24,288 148,665 172,953 (29,718) 2014 
2403 Philadelphia PA — 26,063 97,646 35,265 26,134 132,787 158,921 (34,112) 2015 
2571 Wilkes-Barre PA — — 9,138 — — 9,138 9,138 (1,821) 2016 
2694 Anderson SC — 405 1,211 — 405 1,211 1,616 (151) 2020 
2573 Florence SC — — 12,090 91 — 12,180 12,180 (1,934) 2016 
2574 Florence SC — — 12,190 88 — 12,277 12,277 (1,947) 2016 
2575 Florence SC — — 11,243 56 — 11,299 11,299 (2,195) 2016 
2841GreenvilleSC— 634 38,386 1,047 647 38,769 39,416 (5,715) 2018
2842 Greenville SC — 794 41,293 560 794 41,058 41,852 (5,854) 2018 
2843 Greenville SC — 626 22,210 — 626 22,210 22,836 (3,732) 2018 
2844 Greenville SC — 806 18,889 377 806 19,266 20,072 (3,379) 2018 
2845 Greenville SC — 932 40,879 196 932 41,075 42,007 (6,074) 2018 
2846GreenvilleSC— 896 38,486 180 896 38,666 39,562 (5,799)2018
130

                Encumbrances at December 31, 2021Initial Cost to Company    Costs Capitalized Subsequent to Acquisition    Gross Amount at Which Carried
As of December 31, 2021
    
Accumulated Depreciation(5)
    Year Acquired/ Constructed    
CityState    
Land(1)
    
Buildings and Improvements(2)
Land    Buildings and Improvements    
Total(3)(4)
2847 Greenville SC — 600 26,472 4,031 600 30,503 31,103 (5,309) 2018 
2848 Greenville SC — 318 5,816 — 318 5,816 6,134 (954) 2018 
2849 Greenville SC — 319 5,836 98 319 5,935 6,254 (1,062) 2018 
2850GreenvilleSC— 211 6,503 15 211 6,518 6,729 (1,201)2018
2853GreenvilleSC— 534 6,430 229 534 6,659 7,193 (1,929)2018
2854GreenvilleSC— 824 13,645 109 824 13,755 14,579 (2,942)2018
2851Travelers RestSC— 498 1,015 — 498 1,015 1,513 (539)2018
2862Myrtle BeachSC— — — 26,238 — 26,238 26,238 (2,644)2018
2865BrentwoodTN— — — 32,671 — 32,671 32,671 (1,184)2019
624HendersonvilleTN— 256 1,530 3,306 256 3,782 4,038 (1,723)2000
559HermitageTN— 830 5,036 13,275 851 16,079 16,930 (5,863)2003
561HermitageTN— 596 9,698 8,570 596 14,982 15,578 (7,447)2003
562HermitageTN— 317 6,528 4,821 317 9,255 9,572 (4,418)2003
625NashvilleTN— 955 14,289 7,741 955 19,117 20,072 (7,845)2000
626NashvilleTN— 2,050 5,211 6,008 2,055 8,644 10,699 (3,869)2000
627NashvilleTN— 1,007 181 1,484 1,113 1,099 2,212 (402)2000
628NashvilleTN— 2,980 7,164 4,860 2,980 10,762 13,742 (5,444) 2000
630 Nashville TN — 515 848 520 528 1,083 1,611 (468) 2000 
631 Nashville TN — 266 1,305 2,084 266 2,669 2,935 (1,366) 2000 
632 Nashville TN — 827 7,642 6,086 827 10,919 11,746 (5,105) 2000 
633 Nashville TN — 5,425 12,577 10,579 5,425 19,633 25,058 (8,626) 2000 
634 Nashville TN — 3,818 15,185 13,976 3,818 24,201 28,019 (11,544) 2000 
636 Nashville TN — 583 450 481 604 758 1,362 (325) 2000 
2967 Nashville TN — — — 42,068 — 42,068 42,068 —  2019 
2720 Nashville TN — 102 10,925 531 102 11,450 11,552 (605) 2021 
2611 Allen TX — 1,330 5,960 837 1,374 6,754 8,128 (1,295) 2016 
2612 Allen TX — 1,310 4,165 949 1,310 5,093 6,403 (1,149) 2016 
573ArlingtonTX— 769 12,355 6,456 769 16,597 17,366 (7,501)2003
2621Cedar ParkTX— 1,617 11,640 544 1,617 12,185 13,802 (1,340)2017
576ConroeTX— 324 4,842 4,528 324 7,783 8,107 (3,305)2000
577ConroeTX— 397 7,966 4,027 397 10,739 11,136 (4,742)2000
578ConroeTX— 388 7,975 5,114 388 10,340 10,728 (4,367)2006
579ConroeTX— 188 3,618 1,632 188 4,558 4,746 (2,026) 2000
581Corpus ChristiTX— 717 8,181 7,061 717 12,220 12,937 (6,201) 2000
600Corpus ChristiTX— 328 3,210 5,077 328 6,152 6,480 (3,135)2000
601Corpus ChristiTX— 313 1,771 2,407 325 3,275 3,600 (1,650)2000
2839CypressTX— — — 37,153 11 36,283 36,294 (9,299)2015
582DallasTX— 1,664 6,785 6,631 1,747 10,829 12,576 (4,794) 2000
886DallasTX— 1,820 8,508 26 1,820 5,503 7,323 (2,717)2007
1314 Dallas TX — 15,230 162,970 30,361 24,093 183,211 207,304 (76,574) 2006 
1315 Dallas TX — — — 3,860 26 2,838 2,864 (1,160) 2006 
1316 Dallas TX — — — 7,285 — 4,078 4,078 (1,749) 2006 
1317DallasTX— — — 8,990 — 8,475 8,475 (1,165)2006
1319 Dallas TX — 18,840 155,659 7,097 18,840 162,204 181,044 (66,824) 2007 
2721 Dallas TX — 31,707 2,000 (2)31,707 1,998 33,705 (749) 2020 
3007 Denton TX 5,619 2,298 9,502 97 2,338 9,559 11,897 (322) 2021 
3020 Frisco TX — — 27,201 27 — 27,228 27,228 (336) 2021 
3021FriscoTX— — 26,181 381 — 26,562 26,562 (326)2021
583 Fort Worth TX — 898 4,866 5,035 898 8,421 9,319 (3,443) 2000 
805Fort WorthTX — — 2,481 2,092 45 3,745 3,790 (2,166) 2005
806Fort WorthTX— — 6,070 2,261 7,911 7,916 (3,197) 2005
2231Fort WorthTX — 902 — 44 946 — 946 (30) 2014
2619Fort Worth TX— 1,180 13,432 475 1,180 13,907 15,087 (1,383) 2017
2620Fort WorthTX— 1,961 14,155 354 2,000 14,470 16,470 (1,538)2017
2982Fort WorthTX— 2,720 6,225 4,836 2,720 11,020 13,740 (1,314) 2019
1061GranburyTX — — 6,863 1,157 — 7,880 7,880 (3,123) 2006
430HoustonTX— 1,927 33,140 22,362 2,200 51,804 54,004 (27,628) 1999
446 Houston TX — 2,200 19,585 23,958 2,945 32,682 35,627 (22,359) 1999 
589 Houston TX — 1,676 12,602 14,043 1,706 22,219 23,925 (7,609) 2000 
670HoustonTX— 257 2,884 1,693 318 2,310 2,628 (1,548)2000
702 Houston TX — — 7,414 3,966 9,926 9,933 (4,487) 2004 
1044Houston TX— — 4,838 6,279 1,321 7,888 9,209 (2,612) 2006
2542Houston TX— 304 17,764 — 304 17,764 18,068 (3,546) 2015
2543Houston TX— 116 6,555 — 116 6,439 6,555 (1,420) 2015
2544 Houston TX — 312 12,094 — 312 12,094 12,406 (2,874) 2015 
2545HoustonTX— 316 13,931 — 316 13,931 14,247 (2,521)2015
2546HoustonTX— 408 18,332 — 408 17,925 18,333 (4,766)2015
2547 Houston TX—  470  18,197  —  470  18,197  18,667  (4,379) 2015 
2548 Houston TX—  313  7,036  —  313  6,724  7,037  (1,829) 2015 
2549 Houston TX—  530  22,711  —  530  22,711  23,241  (3,625) 2015 
2966 Houston TX—  —  —  26,503  —  26,503  26,503  —  2020 
590 Irving TX—  828  6,160  5,313  828  9,676  10,504  (3,929) 2000 
700 Irving TX—  —  8,550  4,650   9,705  9,713  (4,309) 2006 
1207 Irving TX—  1,955  12,793  3,005  2,063  14,966  17,029  (6,052) 2006 
2840 Kingwood TX—  3,035  28,373  1,999  3,422  29,984  33,406  (5,779) 2016 
591 Lewisville TX—  561  8,043  2,684  561  9,568  10,129  (4,640) 2000 
144 Longview TX—  102  7,998  1,439  102  8,987  9,089  (5,164) 1992 
143 Lufkin TX—  338  2,383  299  338  2,602  2,940  (1,498) 1992 
568 McKinney TX—  541  6,217  4,693  541  9,434  9,975  (4,304) 2003 
569McKinneyTX— — 636 9,568 — 9,179 9,179 (3,914)2003
596 N Richland Hills TX—  812  8,883  3,961  812  10,755  11,567  (4,549) 2000 
2048 North Richland Hills TX—  1,385  10,213  2,357  1,400  12,026  13,426  (4,542) 2012 
131

                Encumbrances at December 31, 2021Initial Cost to Company    Costs Capitalized Subsequent to Acquisition    Gross Amount at Which Carried
As of December 31, 2021
    
Accumulated Depreciation(5)
    Year Acquired/ Constructed    
CityState    
Land(1)
    
Buildings and Improvements(2)
Land    Buildings and Improvements    
Total(3)(4)
2835 Pearland TX—  —  4,014  5,044  —  7,251  7,251  (2,739) 2006 
2838 Pearland TX—  —  —  19,966  —  19,342  19,342  (4,442) 2014 
447 Plano TX—  1,700  7,810  7,018  1,792  12,357  14,149  (7,434) 1999 
597 Plano TX—  1,210  9,588  7,961  1,225  15,502  16,727  (6,699) 2000 
672PlanoTX— 1,389 12,768 4,676 1,389 14,734 16,123 (5,951)2002
1384 Plano TX—  6,290  22,686  5,949  6,290  28,445  34,735  (20,768) 2007 
2653 Rockwall TX—  788  9,020  —  788  8,987  9,775  (1,227) 2017 
815 San Antonio TX—  —  9,193  3,595  87  11,367  11,454  (5,219) 2006 
816 San Antonio TX2,233  —  8,699  5,206  175  12,489  12,664  (5,593) 2006 
1591 San Antonio TX—  —  7,309  1,502  43  8,360  8,403  (3,046) 2010 
2837 San Antonio TX—  —  26,191  3,467  —  28,231  28,231  (10,370) 2011 
2852 Shenandoah TX—  —  —  30,275  —  30,275  30,275  (5,381) 2016 
598 Sugarland TX—  1,078  5,158  4,179  1,170  7,073  8,243  (3,119) 2000 
599 Texas City TX—  —  9,519  1,583  —  10,929  10,929  (4,382) 2000 
152VictoriaTX— 125 8,977 525 125 9,108 9,233 (5,414) 1994 
2198WebsterTX— 2,220 9,602 462 2,220 9,744 11,964 (3,112)2013
2550The WoodlandsTX— 115 5,141 — 115 5,141 5,256 (1,049) 2015
2551 The Woodlands TX—  296  18,282  —  296  18,282  18,578  (3,212) 2015 
2552 The Woodlands TX—  374  25,125  —  374  25,125  25,499  (3,933) 2015 
1592 Bountiful UT—  999  7,426  1,724  1,019  8,939  9,958  (3,388) 2010 
169 Bountiful UT—  276  5,237  3,583  653  7,496  8,149  (3,588) 1995 
2035 Draper UT4,341  —  10,803  954  —  11,603  11,603  (2,851) 2012 
469 Kaysville UT—  530  4,493  226  530  4,493  5,023  (2,030) 2001 
456LaytonUT— 371 7,073 1,717 389 8,176 8,565 (4,882)2001
2042 Layton UT—  —  10,975  1,262  44  11,960  12,004  (2,747) 2012 
2864 Ogden UT—  —  —  19,271  —  19,271  19,271  (1,125) 2019 
357 Orem UT—  337  8,744  3,718  306  9,307  9,613  (5,500) 1999 
353 Salt Lake City UT—  190  779  278  273  914  1,187  (626) 1999 
354 Salt Lake City UT—  220  10,732  3,938  220  13,068  13,288  (7,861) 1999 
355 Salt Lake City UT—  180  14,792  4,884  180  18,080  18,260  (10,648) 1999 
467 Salt Lake City UT—  3,000  7,541  3,229  3,145  9,868  13,013  (5,199) 2001 
566 Salt Lake City UT—  509  4,044  4,712  509  7,478  7,987  (3,277) 2003 
2041 Salt Lake City UT—  —  12,326  1,197  —  13,189  13,189  (2,984) 2012 
2033 Sandy UT—  867  3,513  2,338  1,356  5,215  6,571  (2,448) 2012 
482 Stansbury UT—  450  3,201  1,248  529  3,948  4,477  (1,861) 2001 
351 Washington Terrace UT—  —  4,573  3,346  17  6,013  6,030  (3,616) 1999 
352 Washington Terrace UT—  —  2,692  1,805  15  3,716  3,731  (2,381) 1999 
2034 West Jordan UT—  —  12,021  323  —  12,037  12,037  (2,668) 2012 
2036 West Jordan UT—  —  1,383  1,660  —  2,844  2,844  (1,377) 2012 
1208 Fairfax VA—  8,396  16,710  14,636  8,845  28,157  37,002  (13,630) 2006 
2230 Fredericksburg VA—  1,101  8,570  —  1,101  8,570  9,671  (1,816) 2014 
3001 Leesburg VA10,153  3,549  24,059  1,375  3,549  25,435  28,984  (918) 2021 
3015 Midlothian VA12,601  —  21,442  78   21,289  21,297  (405) 2021 
3016 Midlothian VA11,912  —  20,610  80  12  20,576  20,588  (565) 2021 
3017 Midlothian VA13,782  —  22,531  15  —  22,546  22,546  (707) 2021 
572 Reston VA—  —  11,902  1,295  —  11,701  11,701  (5,561) 2003 
448 Renton WA—  —  18,724  5,059  —  21,575  21,575  (13,620) 1999 
781 Seattle WA—  —  52,703  21,825  —  67,991  67,991  (32,518) 2004 
782 Seattle WA—  —  24,382  18,802  126  37,833  37,959  (18,524) 2004 
783 Seattle WA—  —  5,625  2,300  211  7,027  7,238  (6,345) 2004 
785 Seattle WA—  —  7,293  6,153  —  11,351  11,351  (7,543) 2004 
1385SeattleWA— — 45,027 19,328 — 62,978 62,978 (23,072) 2007
3022SeattleWA— 35,612 4,176 — 35,612 4,176 39,788 (211) 2021
2038EvanstonWY— — 4,601 1,170 — 5,695 5,695 (1,477) 2012
$146,584 $531,118 $3,875,267 $1,512,205 $560,962 $5,038,600 $5,599,562 $(1,501,828)


132

Encumbrances at December 31, 2021Initial Cost to CompanyCosts Capitalized Subsequent to AcquisitionGross Amount at Which Carried
As of December 31, 2021
Accumulated Depreciation(5)
Year Acquired/ Constructed
CityState
Land(1)
Buildings and Improvements(2)
LandBuildings and Improvements
Total(3)(4)
Continuing care retirement community
3089 Birmingham AL$— $6,218 $32,146 $2,219 $6,457 $34,126 $40,583 $(3,479)2020
3090 Bradenton FL— 5,496 95,671 10,091 5,947 105,310 111,257 (9,851)2020
2997 Clearwater FL70,303 6,680 132,521 7,436 6,768 139,869 146,637 (9,873)2020
3086 Jacksonville FL— 19,660 167,860 9,981 20,207 177,296 197,503 (13,894)2020
2996 Leesburg FL— 8,941 65,698 10,229 9,703 75,164 84,867 (6,748)2020
2995 Port Charlotte FL— 5,344 159,612 6,753 5,568 166,141 171,709 (11,230)2020
2998 Seminole FL45,883 14,080 77,485 5,640 14,925 82,280 97,205 (5,086)2020
3085 Seminole FL— 13,915 125,796 8,174 14,550 133,336 147,886 (10,852)2020
3092 Sun City Center FL89,313 25,254 175,535 8,377 25,650 183,516 209,166 (16,969)2020
3087 The Villages FL— 7,091 120,493 9,796 7,308 130,073 137,381 (9,955)2020
3084 Holland MI— 1,572 88,960 4,798 1,681 93,649 95,330 (7,123)2020
2991 Coatesville PA— 16,443 126,243 8,094 16,697 134,083 150,780 (9,499)2020
3080 Haverford PA— 16,461 108,816 26,139 16,461 124,266 140,727 (46,833)1989
3088 Spring TX— 3,210 30,085 2,103 3,345 32,054 35,399 (2,553)2020
3081 Ft Belvoir VA— 11,594 99,528 22,230 11,594 115,058 126,652 (44,643)1989
$205,499 $161,959 $1,606,449 $142,060 $166,861 $1,726,221 $1,893,082 $(208,588) 
Total real estate assets held for sale (2,527)(36,502)(4,584)(2,710)(34,837)(37,547)14,527 
Total continuing operations, excluding held for sale$352,083 $2,566,975 $8,858,070 $4,608,509 $2,603,964 $12,902,694 $15,506,658 $(2,839,229)
_______________________________________
(1)Assets with no initial land costs to the Company represent land that the Company leases from a third party (i.e., ground leases).
(2)Assets with no initial buildings and improvements costs to the Company represent development projects in process or completed.
(3)At December 31, 2021, the tax basis of the Company’s net real estate assets is less than the reported amounts by $1.0 billion.
(4)See Note 6 for information regarding impairment charges recognized during the year ended December 31, 2021.
(5)Buildings and improvements are depreciated over useful lives ranging up to 50 years.
133

A summary of activity for real estate and accumulated depreciation, excluding assets classified as discontinued operations, is as follows (in thousands):
Year ended December 31,
202120202019
Real estate:
Balances at beginning of year$13,528,893 $10,372,584 $9,707,488 
Acquisition of real estate and development and improvements2,157,539 3,460,556 1,621,739 
Sales and/or transfers to assets held for sale(72,819)(203,687)(852,480)
Impairments(21,294)(23,991)(19,067)
Other(1)
(85,661)(76,569)(85,096)
Balances at end of year$15,506,658 $13,528,893 $10,372,584 
Accumulated depreciation:
Balances at beginning of year$2,409,135 $2,141,960 $2,054,888 
Depreciation expense548,063 438,735 365,319 
Sales and/or transfers to assets held for sale(32,692)(93,220)(190,877)
Other(1)
(85,277)(78,340)(87,370)
Balances at end of year$2,839,229 $2,409,135 $2,141,960 

(1)Primarily represents real estate and accumulated depreciation related to fully depreciated assets or changes in lease classification.
A summary of activity for real estate and accumulated depreciation for assets classified as discontinued operations is as follows (in thousands):
Year ended December 31,
202120202019
Real estate:
Balances at beginning of year$2,930,566 $4,133,349 $3,440,706 
Acquisition of real estate and development and improvements8,238 119,333 812,827 
Sales and/or transfers to assets classified as discontinued operations(2,929,713)(1,114,792)(245,291)
Impairments(5,315)(198,048)(200,546)
Other(1)
(3,776)(9,276)325,653 
Balances at end of year$— $2,930,566 $4,133,349 
Accumulated depreciation:
Balances at beginning of year$615,708 $861,557 $817,931 
Depreciation expense— 91,726 122,792 
Sales and/or transfers to assets classified as discontinued operations(615,708)(333,654)(68,391)
Other(1)
— (3,921)(10,775)
Balances at end of year$— $615,708 $861,557 

(1)Primarily represents real estate and accumulated depreciation related to fully depreciated assets or changes in lease classification.
134
 Year ended December 31,
 2018 2017 2016
Real estate:     
Balances at beginning of year$13,473,573
 $13,974,760
 $14,330,257
Acquisition of real estate and development and improvements1,093,903
 995,443
 987,135
Sales and/or transfers to assets held for sale and discontinued operations(1,052,145) (589,391) (1,227,614)
Deconsolidation of real estate(325,580) (825,074) (10,306)
Impairments(49,729) (37,274) 
Other(1)
(87,625) (44,891) (104,712)
Balances at end of year$13,052,397
 $13,473,573
 $13,974,760
Accumulated depreciation:     
Balances at beginning of year$2,741,695
 $2,648,930
 $2,476,015
Depreciation expense461,664
 436,085
 465,945
Sales and/or transfers to assets held for sale and discontinued operations(239,231) (115,195) (239,112)
Deconsolidation of real estate(43,525) (152,572) (5,868)
Other(1)
(77,656) (75,553) (48,050)
Balances at end of year$2,842,947
 $2,741,695
 $2,648,930


Schedule IV: Mortgage Loans on Real Estate
(1)Represents real estate and accumulated depreciation related to fully depreciated assets, foreign exchange translation, or changes in lease classification.
(in thousands)
ITEM 9.Changes in and Disagreements with Accountants on Accounting and Financial Disclosure
LocationSegmentInterest RateFixed / VariableMaturity DatePrior LiensMonthly Debt ServiceFace Amount of MortgagesCarrying Amount of MortgagesPrincipal Amount Subject to Delinquent Principal or Interest
First mortgages relating to 1 property located in:
TexasOther7.5 %Fixed04/01/2022$— $14 $2,250 $2,191 $— 
CaliforniaOther4.25% + greater of 2.0% or LIBORVariable05/07/2026— 97 18,420 18,604 — 
FloridaOther4.0 %Fixed12/17/2022— 25 7,798 7,246 — 
FloridaOther4.0 %Fixed12/17/2022— 13 3,912 3,582 — 
FloridaOther4.0 %Fixed12/17/2022— 45 14,208 14,180 — 
CaliforniaOther4.0 %Fixed12/16/2022— 113 35,100 34,994 — 
First mortgages relating to 18 properties located in:
MultipleOther3.5% + greater of 0.5% or LIBORVariable02/01/2024— 569 165,093 161,618 — 
First mortgages relating to 16 properties located in:
MultipleOther4.0 %Fixed01/21/2023— 515 149,500 147,876 — 
$— $1,391 $396,281 $390,291 $— 
 Year Ended December 31,
 202120202019
Reconciliation of mortgage loans
Balance at beginning of year$157,572 $161,964 $42,037 
Additions:
New mortgage loans310,338 98,469 59,552 
Draws on existing mortgage loans9,370 19,182 60,375 
Total additions319,708 117,651 119,927 
Deductions:
Principal repayments(84,486)(113,200)— 
Reserve for loan losses(1)
(2,503)(8,843)— 
Total deductions(86,989)(122,043)— 
Balance at end of year$390,291 $157,572 $161,964 

(1)The years ended December 31, 2021 and 2020 include current expected credit loss reserves recognized under ASU 2016-13, which was adopted on January 1, 2020 (see Note 2 to the Consolidated Financial Statements). The year ended December 31, 2020 also includes an immaterial amount related to the cumulative-effect of adoption of ASU 2016-13. Refer to Note 8 for additional information on the Company’s reserve for loan losses.

ITEM 9.    Changes in and Disagreements with Accountants on Accounting and Financial Disclosure
None.

135



ITEM 9A.Controls and Procedures
ITEM 9A.    Controls and Procedures
Disclosure Controls and Procedures.  We maintain disclosure controls and procedures that are designed to ensure that information required to be disclosed in our reports under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms and that such information is accumulated and communicated to our management, including our Principal Executive Officer and Principal Financial Officer, to allow for timely decisions regarding required disclosure. In designing and evaluating the disclosure controls and procedures, management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives, and management is required to apply its judgment in evaluating the cost-benefit relationship of possible controls and procedures.
As required by Rules 13a-15(b) and 15d-15(b) of the Exchange Act, we carried out an evaluation, under the supervision and with the participation of our management, including our Principal Executive Officer and Principal Financial Officer, of the effectiveness of the design and operation of our disclosure controls and procedures as of December 31, 2018.2021. Based upon that evaluation, our Principal Executive Officer and Principal Financial Officer concluded that our disclosure controls and procedures were effective at the reasonable assurance level as of December 31, 2018, at the reasonable assurance level.2021.
Management’s Annual Report on Internal Control over Financial Reporting.  Management is responsible for establishing and maintaining adequate internal control over financial reporting, as such term is defined in Exchange Act Rules 13a-15(f) and 15d-15(f). Under the supervision and with the participation of our management, including our Principal Executive Officer and Principal Financial Officer, we conducted an evaluation of the effectiveness of our internal control over financial reporting based on the framework in Internal Control—Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission. Based on our evaluation under the framework in Internal Control—Integrated Framework (2013), our management concluded that our internal control over financial reporting was effective as of December 31, 2018.2021.
The effectiveness of our internal control over financial reporting as of December 31, 20182021 has been audited by Deloitte & Touche LLP, an independent registered public accounting firm, as stated in their report, which is included herein.
Changes in Internal Control Over Financial Reporting.  There were no changes in our internal control over financial reporting (as such term is defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) during the fourth quarter of 2018 to which this report relates2021 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.



136

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
To the stockholders and the Board of Directors of HCP,Healthpeak Properties, Inc.
Opinion on Internal Control over Financial Reporting
We have audited the internal control over financial reporting of HCP,Healthpeak Properties, Inc. and subsidiaries (the “Company”) as of December 31, 2018,2021, based on criteria established in Internal Control Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission (“COSO”). In our opinion, the Company maintained, in all material respects, effective internal control over financial reporting as of December 31, 2018,2021, based on criteria established in Internal Control Integrated Framework (2013) issued by COSO.
We have also audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (PCAOB), the consolidated financial statementsConsolidated Financial Statements as of and for the year ended December 31, 2018,2021, of the Company and our report dated February 14, 2019,9, 2022, expressed an unqualified opinion on those financial statements and included an explanatory paragraph regarding the Company’s adoption of Accounting Standards Update (“ASU”) No. 2017-05 and ASU No. 2017-01.statements.
Basis for Opinion
The Company’s management is responsible for maintaining effective internal control over financial reporting and for its assessment of the effectiveness of internal control over financial reporting, included in the accompanying Management’s Annual Report on Internal Control over Financial Reporting. Our responsibility is to express an opinion on the Company’s internal control over financial reporting based on our audit. We are a public accounting firm registered with the PCAOB and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audit in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in all material respects. Our audit included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, testing and evaluating the design and operating effectiveness of internal control based on the assessed risk, and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinionopinion.
Definition and Limitations of Internal Control over Financial Reporting
A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company’s internal control over financial reporting includes those policies and procedures that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s assets that could have a material effect on the financial statements.
Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

/s/ DELOITTE & TOUCHE LLP
Los Angeles,Costa Mesa, California
February 14, 20199, 2022

137
ITEM 9B.Other Information

ITEM 9B.    Other Information
None.

ITEM 9C.    Disclosure Regarding Foreign Jurisdictions that Prevent Inspections
None.
138

PART III
ITEM 10.Directors, Executive Officers and Corporate Governance
ITEM 10.    Directors, Executive Officers and Corporate Governance
Except as provided below, the information required under Item 10 is incorporated herein by reference to our definitive proxy statement to be filed with the SEC within 120 days after the end of our fiscal year ended December 31, 2021 in connection with our 2022 Annual Meeting of Stockholders.
We have adopted a Code of Business Conduct and Ethics that applies to all of our directors and employees, including our Chief Executive Officer and all senior financial officers, including our principal financial officer, principal accounting officer and controller. We have also adopted a Vendor Code of Business Conduct and Ethics applicable to our vendors and business partners. Current copies of our Code of Business Conduct and Ethics and Vendor Code of Business Conduct and Ethics are posted on our website at www.hcpi.com/codeofconduct.www.healthpeak.com/esg/governance. In addition, waivers from, and amendments to, our Code of Business Conduct and Ethics that apply to our directors and executive officers, including our principal executive officer, principal financial officer, principal accounting officer, or persons performing similar functions, will be timely posted in the Investor RelationsInvestors section of our website at www.hcpi.com.www.healthpeak.com.
We hereby incorporate
ITEM 11.    Executive Compensation
The information required under Item 11 is incorporated herein by reference the information appearing under the captions “Proposal No. 1 Election of Directors,” “Our Executive Officers,” “Board of Directors and Corporate Governance” and “Section 16(a) Beneficial Ownership Reporting Compliance” in theto our definitive proxy statement relating to be filed with the SEC within 120 days after the end of our 2019fiscal year ended December 31, 2021 in connection with our 2022 Annual Meeting of Stockholders to be held on April 25, 2019.Stockholders.
ITEM 11.Executive Compensation
We hereby incorporateITEM 12.    Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
The information required under Item 12 is incorporated herein by reference the information under the caption “Executive Compensation” into our definitive proxy statement relating to be filed with the SEC within 120 days after the end of our 2019fiscal year ended December 31, 2021 in connection with our 2022 Annual Meeting of Stockholders to be held on April 25, 2019.Stockholders.
ITEM 12.Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
We hereby incorporateITEM 13.    Certain Relationships and Related Transactions, and Director Independence
The information required under Item 13 is incorporated herein by reference the information under the captions “Security Ownership of Principal Stockholders, Directors and Management” and “Equity Compensation Plan Information” into our definitive proxy statement relating to be filed with the SEC within 120 days after the end of our 2019fiscal year ended December 31, 2021 in connection with our 2022 Annual Meeting of Stockholders to be held on April 25, 2019.Stockholders.
ITEM 13.Certain Relationships and Related Transactions, and Director Independence
We hereby incorporateITEM 14.    Principal Accountant Fees and Services
The information required under Item 14 is incorporated herein by reference the information under the caption “Board of Directors and Corporate Governance” into our definitive proxy statement relating to be filed with the SEC within 120 days after the end of our 2019fiscal year ended December 31, 2021 in connection with our 2022 Annual Meeting of Stockholders to be held on April 25, 2019.Stockholders.
139

ITEM 14.Principal Accounting Fees and Services
We hereby incorporate by reference under the caption “Audit and Non-Audit Fees” in our definitive proxy statement relating to our 2019 Annual MeetingTable of Stockholders to be held on April 25, 2019.Contents

PART IV
ITEM 15.Exhibits, Financial Statement Schedules
ITEM 15.    Exhibits and Financial Statement Schedules
(a) 1.  Financial Statement SchedulesStatements
The following Consolidated Financial Statements are included in Part II, Item 8-Financial8, Financial Statements and Supplementary Data of this Annual Report on Form 10-K.
Report of Independent Registered Public Accounting Firm
Consolidated Balance Sheets - December 31, 20182021 and 20172020
Consolidated Statements of Operations - for the years ended December 31, 2018, 20172021, 2020 and 20162019
Consolidated Statements of Comprehensive Income (Loss) - for the years ended December 31, 2018, 20172021, 2020 and 20162019
Consolidated Statements of Equity and Redeemable Noncontrolling Interests - for the years ended December 31, 2018, 20172021, 2020 and 20162019
Consolidated Statements of Cash Flows - for the years ended December 31, 2018, 20172021, 2020 and 20162019
Notes to Consolidated Financial Statements
(a) 2.  Financial Statement Schedules
The following Consolidated Financial StatementsStatement Schedules are included in Part II, Item 8-Financial8, Financial Statements and Supplementary Data of this Annual Report on Form 10-K.
Schedule II: Valuation and Qualifying Accounts
Schedule III: Real Estate and Accumulated Depreciation

Schedule IV: Mortgage Loans on Real Estate

(a) 3.    Exhibits
(a) 3.Exhibits
ExhibitIncorporated by reference herein
NumberDescriptionFormDate Filed
3.1QuarterlyAnnual Report on Form 10-Q10-K (File No. 001-08895)November 2, 2017February 13, 2020
3.2

Quarterly Report on Form 10-Q (File No. 001-08895)November 2, 2017
4.1
Registration Statement on Form S‑3/A
(Registration No. 333‑86654)
May 21, 2002
4.1.1
Current Report on Form 8‑K
(File8-K (File No. 001‑08895)
001-08895)
January 24, 2011October 30, 2019
4.24.1
Current Report on Form 8‑K

(File No. 001‑ 08895)
November 19, 2012
4.2.14.1.1
Current Report on Form 8‑K

(File No. 001‑08895)
November 19, 2012January 21, 2015
4.2.24.1.2
Current Report on Form 8‑K

(File No. 001‑08895)
November 13, 2013

140

(File No. 001‑08895)
January 21, 2015
4.2.64.1.6Current Report on Form 8‑K
(File8-K (File No. 001‑08895)001-08895)
May 20, 2015July 12, 2021
4.2.74.1.7Current Report on Form 8‑K
(File8-K (File No. 001‑08895)001-08895)
December 1, 2015November 24, 2021
4.34.2


Current Report on Form 8‑K

(File No. 001‑08895)
January 24, 2011


4.44.3Current Report on Form 8‑K
(File No. 001‑08895)
July 23, 2012
4.5Current Report on Form 8‑K
(File No. 001‑08895)
November 19, 2012
4.6Current Report on Form 8‑K
(File No. 001‑08895)
November 13, 2013
4.7Current Report on Form 8‑K
(File No. 001‑08895)
February 24, 2014
4.8Current Report on Form 8‑K
(File No. 001‑08895)
August 14, 2014
4.9Current Report on Form 8‑K

(File No. 001‑08895)
January 21, 2015
4.104.4Current Report on Form 8‑K
(File No. 001‑08895)
May 20, 2015
4.5Current Report on Form 8‑K
(File No. 001‑08895)
July 5, 2019
4.6Current Report on Form 8‑K
(File No. 001‑08895)
July 5, 2019
4.7Current Report on Form 8‑K
(File No. 001‑08895)
November 21, 2019
4.8Current Report on Form 8‑K
(File8-K (File No. 001‑08895)001-08895
May 20, 2015June 23, 2020
4.114.9Current Report on Form 8-K (File No. 001-08895)July 12, 2021
4.10Current Report on Form 8-K (File No. 001-08895)November 24, 2021
4.11Annual Report on Form 10-K (File No. 001-08895)February 13, 2020
10.1Current Report on Form 8‑K

(File No. 001‑08895)
December 1, 2015September 20, 2021
10.110.2Current Report on Form 8-K (File No. 001-08895)February 19, 2020
10.2.1
Quarterly Report on Form 10-Q
(File No. 001‑08895)
August 4, 2021
10.3Quarterly Report on Form 10‑Q

(File No. 001‑08895)
November 3, 2009
10.210.4Quarterly Report on Form 10-Q

(File No. 001‑08895)
August 5, 2014
10.310.5Quarterly Report on Form 10-Q

(File No. 001-08895)
November 1, 2016
10.410.6Quarterly Report on Form 10-Q (File No. 001 08895)November 1, 2016
10.510.7Annex 2 to HCP’s Proxy Statement

(File No. 001‑08895)
March 10, 2009
10.5.110.7.1Quarterly Report on Form 10‑Q

(File No. 001‑08895)
May 1, 2012
10.610.8CurrentAnnual Report on Form 8‑K
(File No. 001‑08895)
May 6, 2014
10.6.1Quarterly Report on Form 10-Q10-K (File No. 001-08895)May 3, 2018February 13, 2020
10.6.210.8.1Quarterly Report on Form 10-Q

(File No. 001‑08895)
August 5, 2014
141

10.6.310.8.2Quarterly Report on Form 10-Q

(File No. 001‑08895)
August 5, 2014

10.8.3
10.6.4Quarterly Report on Form 10-Q
(File No. 001‑08895)
May 5, 2015
10.6.5Quarterly Report on Form 10-Q
(File No. 001‑08895)
May 5, 2015
10.6.6Quarterly Report on Form 10-Q
(File No. 001‑08895)
May 5, 2015
10.6.7Quarterly Report on Form 10-Q
(File No. 001‑08895)
May 5, 2015
10.6.8Quarterly Report on Form 10-Q

(File No. 001‑08895)
May 3, 2018
10.6.910.8.4Quarterly Report on Form 10-Q

(File No. 001‑08895)
May 5, 20152, 2019
10.6.1010.8.5Quarterly Report on Form 10-Q
(File No. 001‑08895)
May 5, 2015
10.6.11Quarterly Report on Form 10-Q

(File No. 001‑08895)
May 3, 2018
10.6.1210.8.6Quarterly Report on Form 10-Q
(File No. 001‑08895)
May 2, 2019
10.8.7Quarterly Report on Form 10-Q

(File No. 001‑08895)
May 5, 2015
10.710.9Annual Report on Form 10‑K, as amended (File No. 001‑08895)February 12, 2008
10.810.10Registration Statement on Form S‑3

(Registration No. 333‑49746)
November 13, 2000
10.910.11Annual Report on Form 10‑K

(File No. 001‑ 08895)
March 29, 1999
10.9.110.11.1Annual Report on Form 10-K (File No. 001-08895)February 13, 2018
10.9.210.11.2Annual Report on Form 10-K (File No. 001-08895)February 14, 2019
10.1010.12Current Report on Form 8‑K

(File No. 001‑08895)
November 9, 2012
10.10.110.12.1Annual Report on Form 10-K (File No. 001-08895)February 14, 2019
10.1110.13Quarterly Report on Form 10‑Q

(File No. 001‑ 08895)
November 12, 2003
10.11.110.13.1Quarterly Report on Form 10‑Q

(File No. 001‑08895)
November 8, 2004
10.11.210.13.2Annual Report on Form 10‑K

(File No. 001‑08895)
March 15, 2005
10.11.310.13.3Quarterly Report on Form 10‑Q

(File No. 001‑08895)
November 1, 2005
10.11.410.13.4Annual Report on Form 10‑K, as amended (File No. 001‑08895)February 12, 2008

142

10.1310.15Quarterly Report on Form 10-Q

(File No. 001‑08895)
August 5, 2014
10.13.110.15.1
10.14Current Report on Form 8‑K
(File No. 001‑08895)
October 20, 2017
10.15Current Report on Form 8-K (File No. 001-08895)May 31, 2018
10.16Annual Report on Form 10-K (File No. 001-08895)February 13, 201814, 2019
10.16.110.16Quarterly Report on Form 10-Q
(File No. 001‑08895)
August 1, 2019
10.16.1Annual
Quarterly Report on Form 10-K (File10-Q
(File No. 001-08895)001‑08895)
February 13, 2018November 3, 2021
21.110.17Quarterly Report on Form 10-Q
(File No. 001‑08895)
October 31, 2019
10.17.1
Quarterly Report on Form 10-Q
(File No. 001‑08895)
November 3, 2021
21.1
23.1
31.1
31.2
32.1
32.2
101.INSXBRL Instance Document.Document – the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.
101.SCHXBRL Taxonomy Extension Schema Document.†
101.CALXBRL Taxonomy Extension Calculation Linkbase Document.†

101.DEFXBRL Taxonomy Extension Definition Linkbase Document.†
101.LABXBRL Taxonomy Extension LabelsLabel Linkbase Document.†
101.PREXBRL Taxonomy Extension Presentation Linkbase Document.†

*104Management Contract or Compensatory Plan or Arrangement.
Cover Page Interactive Data File (formatted as Inline XBRL document and contained in Exhibit 101).
**Portions of this exhibit have been omitted pursuant to a request for confidential treatment with the SEC.
Filed herewith.


*    Management Contract or Compensatory Plan or Arrangement.
†    Filed herewith.
ITEM 16.Form 10-K Summary
††    Furnished herewith.

ITEM 16.    Form 10-K Summary
None.

143

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.
Dated: February 14, 2019
9, 2022
Healthpeak Properties, Inc. (Registrant)
HCP, Inc. (Registrant)
/s/ THOMAS M. HERZOG
Thomas M. Herzog,
President and Chief Executive Officer
(Principal Executive Officer)
Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the Registrant and in the capacities and on the dates indicated.

SignatureTitleDate
/s/ THOMAS M. HERZOGChief Executive Officer, DirectorFebruary 9, 2022
Thomas M. Herzog(Principal Executive Officer)
SignatureTitleDate
/s/ THOMAS M. HERZOGPresident and Chief Executive OfficerFebruary 14, 2019
Thomas M. Herzog(Principal Executive Officer), Director
/s/ PETER A. SCOTTExecutive Vice President and Chief Financial OfficerFebruary 14, 20199, 2022
Peter A. Scott(Principal Financial Officer)
/s/ SHAWN G. JOHNSTONExecutive Vice President and Chief Accounting OfficerFebruary 14, 20199, 2022
Shawn G. Johnston(Principal Accounting Officer)
/s/ BRIAN G. CARTWRIGHTChairman of the BoardFebruary 14, 20199, 2022
Brian G. Cartwright
/s/ CHRISTINE N. GARVEYDirectorFebruary 14, 20199, 2022
Christine N. Garvey
/s/ R. KENT GRIFFIN, JR.DirectorFebruary 14, 20199, 2022
R. Kent Griffin, Jr.
/s/ DAVID B. HENRYDirectorFebruary 14, 20199, 2022
David B. Henry
/s/ LYDIA H. KENNARDDirectorFebruary 14, 20199, 2022
Lydia H. Kennard
/s/ PETER L. RHEINSARA GROOTWASSINK LEWISDirectorFebruary 14, 20199, 2022
Peter L. RheinSara Grootwassink Lewis
/s/ KATHERINE M. SANDSTROMDirectorFebruary 14, 20199, 2022
Katherine M. Sandstrom
/s/ JOSEPH P. SULLIVANDirectorFebruary 14, 2019
Joseph P. Sullivan

139144