UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

FORM 10-Q

(Mark One)

☒

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended

September 30, ~~2022~~2023

☐

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from

_____________

Commission File Number 001-10822

National Health Investors Inc

(Exact name of registrant as specified in its charter)


Maryland		62-1470956
(State or other jurisdiction of incorporation or organization)		(I.R.S. Employer Identification No.)

222 Robert Rose Drive
Murfreesboro	Tennessee	37129
(Address of principal executive offices)		(Zip Code)


(615)			890-9100
(Registrant’s telephone number, including area code)

Securities registered pursuant to Section 12(b) of the Act:


Title of each Class	Trading Symbol(s)	Name of each exchange on which registered
Common Stock, $0.01 par value	NHI	New York Stock Exchange

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See definition of “large accelerated filer”, “accelerated filer”, “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer

☒

Accelerated filer

☐

Non-accelerated filer

☐

Smaller reporting company

☐

Emerging growth company

☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒

There were ~~43,388,742~~43,409,841 shares of common stock outstanding of the registrant as of November 1, ~~2022.~~2023.

Table of Contents

PART I. FINANCIAL INFORMATION

Item 1. Financial Statements

NATIONAL HEALTH INVESTORS, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(in thousands, except share and per share amounts)


		September 30, 2022		December 31, 2021			September 30, 2023		December 31, 2022
		(unaudited)					(unaudited)
Assets:	Assets:					Assets:
Real estate properties:	Real estate properties:					Real estate properties:
Land	Land	$	176,795	$	186,658	Land	$	180,749	$	177,527
Buildings and improvements	Buildings and improvements	2,560,646		2,707,422		Buildings and improvements	2,588,823		2,549,019
Construction in progress	Construction in progress	2,835		468		Construction in progress	7,019		3,352
		2,740,276		2,894,548			2,776,591		2,729,898
Less accumulated depreciation	Less accumulated depreciation	(599,423)		(576,668)		Less accumulated depreciation	(656,155)		(611,688)
Real estate properties, net	Real estate properties, net	2,140,853		2,317,880		Real estate properties, net	2,120,436		2,118,210
Mortgage and other notes receivable, net of reserve of $6,940 and $5,210, respectively		207,169		299,952
Mortgage and other notes receivable, net of reserve of $15,808 and $15,338, respectively						Mortgage and other notes receivable, net of reserve of $15,808 and $15,338, respectively	242,960		233,141
Cash and cash equivalents	Cash and cash equivalents	28,811		37,412		Cash and cash equivalents	16,579		19,291
Straight-line rent receivable	Straight-line rent receivable	81,959		96,198		Straight-line rent receivable	83,549		76,895
Assets held for sale, net	Assets held for sale, net	32,608		66,398		Assets held for sale, net	10,875		43,302
Other assets, net	Other assets, net	17,385		21,036		Other assets, net	24,691		16,585
Total Assets	Total Assets	$	2,508,785	$	2,838,876	Total Assets	$	2,499,090	$	2,507,424

Liabilities and Stockholders’ Equity:	Liabilities and Stockholders’ Equity:					Liabilities and Stockholders’ Equity:
Debt	Debt	$	1,114,999	$	1,242,883	Debt	$	1,144,438	$	1,147,511
Accounts payable and accrued expenses	Accounts payable and accrued expenses	22,997		23,181		Accounts payable and accrued expenses	29,326		25,905
Dividends payable	Dividends payable	39,050		41,266		Dividends payable	39,069		39,050
Lease deposit liabilities		—		8,838

Deferred income	Deferred income	5,094		5,725		Deferred income	5,432		5,052
Total Liabilities	Total Liabilities	1,182,140		1,321,893		Total Liabilities	1,218,265		1,217,518

Commitments and contingencies	Commitments and contingencies					Commitments and contingencies

Redeemable noncontrolling interests		11,197		—
Redeemable noncontrolling interest						Redeemable noncontrolling interest	9,922		9,825

National Health Investors, Inc. Stockholders’ Equity:	National Health Investors, Inc. Stockholders’ Equity:					National Health Investors, Inc. Stockholders’ Equity:
Common stock, $0.01 par value, 100,000,000 shares authorized
43,388,742 and 45,850,599 shares issued and outstanding, respectively		434		459
Common stock, $0.01 par value, 100,000,000 shares authorized;						Common stock, $0.01 par value, 100,000,000 shares authorized;
43,409,841 and 43,388,742 shares issued and outstanding, respectively						43,409,841 and 43,388,742 shares issued and outstanding, respectively	434		434
Capital in excess of par value	Capital in excess of par value	1,598,385		1,591,182		Capital in excess of par value	1,602,892		1,599,427
Cumulative dividends in excess of net income		(292,449)		(84,558)
Retained earnings						Retained earnings	2,434,799		2,331,190
Cumulative dividends						Cumulative dividends	(2,778,014)		(2,660,826)

Total National Health Investors, Inc. Stockholders’ Equity	Total National Health Investors, Inc. Stockholders’ Equity	1,306,370		1,507,083		Total National Health Investors, Inc. Stockholders’ Equity	1,260,111		1,270,225
Noncontrolling interests	Noncontrolling interests	9,078		9,900		Noncontrolling interests	10,792		9,856
Total Equity	Total Equity	1,315,448		1,516,983		Total Equity	1,270,903		1,280,081
Total Liabilities and Stockholders’ Equity		$	2,508,785	$	2,838,876
Total Liabilities and Equity						Total Liabilities and Equity	$	2,499,090	$	2,507,424

The accompanying notes to condensed consolidated financial statements are an integral part of these condensed consolidated financial statements. The Condensed Consolidated Balance Sheet at December 31, ~~2021~~2022 was derived from the audited consolidated financial statements at that date.

Table of Contents

NATIONAL HEALTH INVESTORS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF INCOME

(in thousands, except share and per share amounts)


		Three Months Ended				Nine Months Ended					Three Months Ended				Nine Months Ended
		September 30,				September 30,					September 30,				September 30,
		2022		2021		2022		2021			2023		2022		2023		2022
		(unaudited)				(unaudited)					(unaudited)				(unaudited)
Revenues:	Revenues:									Revenues:
Rental income	Rental income	$	59,394	$	67,043	$	163,935	$	210,143	Rental income	$	62,255	$	59,394	$	188,505	$	163,935
Resident fees and services	Resident fees and services	12,013		—		24,005		—		Resident fees and services	12,367		12,013		35,860		24,005
Interest income and other	Interest income and other	4,891		6,790		19,584		18,905		Interest income and other	5,484		4,891		16,005		19,584
		76,298		73,833		207,524		229,048			80,106		76,298		240,370		207,524
Expenses:	Expenses:									Expenses:
Depreciation	Depreciation	17,533		20,035		53,577		61,499		Depreciation	17,515		17,533		52,862		53,577
Interest	Interest	11,412		12,715		32,472		38,528		Interest	15,086		11,412		43,308		32,472
Senior housing operating expenses	Senior housing operating expenses	9,239		—		18,352		—		Senior housing operating expenses	10,045		9,239		29,525		18,352
Legal	Legal	88		117		2,254		207		Legal	67		88		364		2,254
Franchise, excise and other taxes	Franchise, excise and other taxes	225		244		694		709		Franchise, excise and other taxes	2		225		443		694
General and administrative	General and administrative	4,744		3,650		17,893		15,229		General and administrative	4,430		4,744		14,390		17,893
Taxes and insurance on leased properties	Taxes and insurance on leased properties	2,358		3,182		7,553		7,519		Taxes and insurance on leased properties	2,908		2,358		8,738		7,553
Loan and realty losses	Loan and realty losses	11,329		22,425		39,951		23,596		Loan and realty losses	1,959		11,329		1,727		39,951
		56,928		62,368		172,746		147,287			52,012		56,928		151,357		172,746
Gains on sales of real estate, net	Gains on sales of real estate, net	14,840		19,941		28,342		26,426		Gains on sales of real estate, net	737		14,840		13,500		28,342
Gain (loss) on operations transfer, net	Gain (loss) on operations transfer, net	19		—		(710)		—		Gain (loss) on operations transfer, net	—		19		20		(710)
Gain on note payoff		—		—		1,113		—
Gain on note receivable payoff										Gain on note receivable payoff	—		—		—		1,113
Loss on early retirement of debt	Loss on early retirement of debt	—		—		(151)		(451)		Loss on early retirement of debt	—		—		(73)		(151)
(Losses) gains from equity method investment		—		(557)		569		(2,274)
Gains from equity method investment										Gains from equity method investment	—		—		—		569
Other non-operating income										Other non-operating income	202		—		202		—
Net income	Net income	34,229		30,849		63,941		105,462		Net income	29,033		34,229		102,662		63,941
Less: net loss (income) attributable to noncontrolling interests		239		(35)		599		(135)
Add: net loss attributable to noncontrolling interests										Add: net loss attributable to noncontrolling interests	313		239		946		599
Net income attributable to stockholders										Net income attributable to stockholders	29,346		34,468		103,608		64,540
Less: net income attributable to unvested restricted stock awards										Less: net income attributable to unvested restricted stock awards	(19)		—		(38)		—
Net income attributable to common stockholders	Net income attributable to common stockholders	$	34,468	$	30,814	$	64,540	$	105,327	Net income attributable to common stockholders	$	29,327	$	34,468	$	103,570	$	64,540

Weighted average common shares outstanding:	Weighted average common shares outstanding:									Weighted average common shares outstanding:
Basic	Basic	44,339,975		45,850,599		45,236,696		45,668,762		Basic	43,388,841		44,339,975		43,388,779		45,236,696
Diluted	Diluted	44,402,582		45,851,424		45,261,123		45,689,091		Diluted	43,388,841		44,402,582		43,389,675		45,261,123

Earnings per common share:
Net income attributable to common stockholders - basic		$	0.78	$	0.67	$	1.43	$	2.31
Net income attributable to common stockholders - diluted		$	0.78	$	0.67	$	1.43	$	2.31
Earnings per common share - basic										Earnings per common share - basic	$	0.68	$	0.78	$	2.39	$	1.43
Earnings per common share - diluted										Earnings per common share - diluted	$	0.68	$	0.78	$	2.39	$	1.43

The accompanying notes to condensed consolidated financial statements are an integral part of these condensed consolidated financial statements.

Table of Contents

NATIONAL HEALTH INVESTORS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF ~~COMPREHENSIVE INCOME~~CASH FLOWS

(in thousands)


	Nine Months Ended
	September 30,
	2023		2022
	(unaudited)
Cash flows from operating activities:
Net income	$	102,662	$	63,941
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation	52,862		53,577
Amortization of debt issuance costs, debt discounts and prepaids	3,392		3,216
Amortization of commitment fees and note receivable discounts	(323)		(802)
Amortization of lease incentives	1,798		7,477
Straight-line rent adjustments	(6,011)		11,360
Non-cash rental income	(2,500)		—
Non-cash interest income on mortgage and other notes receivable	(1,302)		(3,256)
Non-cash lease deposit liability recognized as rental income	—		(8,838)
Gains on sales of real estate, net	(13,500)		(28,342)
Gain on note receivable payoff	—		(1,113)
Gains from equity method investment	—		(569)
Loss on operations transfer, net	—		710
Loss on early retirement of debt	73		151
Loan and realty losses	1,727		39,951
Payment of lease incentive	(10,000)		—
Non-cash share-based compensation	3,740		7,576
Changes in operating assets and liabilities:
Other assets	(2,426)		(4,213)
Accounts payable and accrued expenses	1,317		(2,555)
Deferred income	(262)		712
Net cash provided by operating activities	131,247		138,983
Cash flows from investing activities:
Investments in mortgage and other notes receivable	(33,104)		(30,820)
Collections of mortgage and other notes receivable	11,231		117,973
Acquisitions of real estate	(38,081)		(4,876)
Proceeds from sales of real estate	51,542		168,957
Investments in existing real estate	(5,475)		(4,132)
Investments in equipment	(2,579)		(528)

Distributions from equity method investment	2,500		569
Net cash (used in) provided by investing activities	(13,966)		247,143
Cash flows from financing activities:
Proceeds from revolving credit facility	283,000		165,000
Payments on revolving credit facility	(120,000)		(155,000)
Borrowings on term loan	200,000		—
Payments on term loans	(365,304)		(135,290)

Debt issuance costs	(2,747)		(4,607)
Equity issuance costs	—		(21)

Distributions to noncontrolling interests	(1,004)		(757)

Dividends paid to stockholders	(117,169)		(122,721)
Taxes remitted on employee stock awards	—		(288)
Proceeds from noncontrolling interest	2,922		11,738
Payments to repurchase shares of common stock	—		(151,951)
Net cash used in financing activities	(120,302)		(393,897)
Decrease in cash and cash equivalents and restricted cash	(3,021)		(7,771)
Cash and cash equivalents and restricted cash, beginning of period	21,516		39,485
Cash and cash equivalents and restricted cash, end of period	$	18,495	$	31,714

The accompanying notes to condensed consolidated financial statements are an integral part of these condensed consolidated financial statements.

Table of Contents

NATIONAL HEALTH INVESTORS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (CONTINUED)

(in thousands)

Three Months Ended Nine Months Ended
September 30, September 30,
2022 2021 2022 2021
(unaudited) (unaudited)
Net income $ 34,229 $ 30,849 $ 63,941 $ 105,462
Other comprehensive income:
Increase in fair value of cash flow hedges — (46) — (128)
Reclassification for amounts recognized as interest expense — 1,851 — 5,449
Total other comprehensive income — 1,805 — 5,321
Comprehensive income 34,229 32,654 63,941 110,783
Less: comprehensive loss (income) attributable to noncontrolling interests 239 (35) 599 (135)
Comprehensive income attributable to common stockholders $ 34,468 $ 32,619 $ 64,540 $ 110,648


	Nine Months Ended
	September 30,
	2023		2022
	(unaudited)
Supplemental disclosure of cash flow information:
Interest paid, net of amounts capitalized	$	41,222	$	33,927
Supplemental disclosure of non-cash investing and financing activities:

Real estate acquired in exchange for mortgage notes receivable	$	14,200	$	9,071

Increase in notes receivable from sales of real estate	$	699	$	—

Change in other assets related to sales of real estate	$	—	$	102

Change in accounts payable related to investments in real estate construction	$	80	$	—

Change in accounts payable related to renovations of existing real estate	$	—	$	208
Change in accounts payable related to distributions to noncontrolling interests	$	(61)	$	6
Change in accounts payable related to equity issuance cost	$	—	$	64
Reclassification of prepaid equity issuance costs to capital in excess of par value	$	275	$	—
Operating equipment received in transfer of operations	$	—	$	1,287
Increase in accounts payable related to transfer of operations	$	—	$	300

The accompanying notes to condensed consolidated financial statements are an integral part of these condensed consolidated financial statements.

~~Table of Contents~~

~~NATIONAL HEALTH INVESTORS, INC.~~

~~CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS~~

~~(in thousands)~~
Nine Months Ended
September 30,
2022 2021
(unaudited)
Cash flows from operating activities:
Net income $ 63,941 $ 105,462
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation 53,577 61,499
Amortization of debt issuance costs, debt discounts and prepaids 3,216 3,281
Amortization of commitment fees and note receivable discounts (802) (645)
Amortization of lease incentives 7,477 774
Straight-line rent adjustments 11,360 (12,189)
Non-cash interest income on mortgage and other notes receivable (3,256) (1,351)
Non-cash lease deposit liability recognized as rental income (8,838) —
Gains on sales of real estate, net (28,342) (26,426)
Gain on note payoff (1,113) —
(Gains) losses from equity method investment (569) 2,274
Loss on operations transfer, net 710 —
Loss on early retirement of debt 151 451
Loan and realty losses 39,951 23,596
Payment of lease incentives — (1,042)
Non-cash share-based compensation 7,576 7,427
Changes in operating assets and liabilities:
Other assets (4,213) (3,138)
Accounts payable and accrued expenses (2,555) (2,591)
Deferred income 712 119
Net cash provided by operating activities 138,983 157,501
Cash flows from investing activities:
Investments in mortgage and other notes receivable (30,820) (54,887)
Collections of mortgage and other notes receivable 117,973 64,509
Acquisition of real estate (4,876) (46,817)
Proceeds from sales of real estate 168,957 203,147
Investments in renovations of existing real estate (4,132) (3,006)
Investments in equipment (528) (64)
Distributions from equity method investment 569 476
Net cash provided by investing activities 247,143 163,358
Cash flows from financing activities:
Proceeds from revolving credit facility 165,000 95,000
Payments on revolving credit facility (155,000) (393,000)
Payments on term loans (135,290) (250,277)
Proceeds from issuance of senior notes — 396,784
Debt issuance costs (4,607) (5,018)
Equity issuance costs (21) —
Proceeds from issuance of common shares, net — 47,904
Distributions to noncontrolling interests (757) (692)
Convertible note redemption — (66,076)
Dividends paid to stockholders (122,721) (141,632)
Taxes remitted on employee stock awards (288) —
Proceeds from redeemable noncontrolling interests 11,738 —
Payments to repurchase shares of common stock (151,951) —
Net cash used in financing activities (393,897) (317,007)
(Decrease) increase in cash and cash equivalents and restricted cash (7,771) 3,852
Cash and cash equivalents and restricted cash, beginning of period 39,485 46,343
Cash and cash equivalents and restricted cash, end of period $ 31,714 $ 50,195

~~The accompanying notes to condensed consolidated financial statements are an integral part of these condensed consolidated financial statements.~~

~~Table of Contents~~

~~NATIONAL HEALTH INVESTORS, INC.~~

~~CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (CONTINUED)~~

~~(in thousands)~~

Nine Months Ended
September 30,
2022 2021
(unaudited)
Supplemental disclosure of cash flow information:
Interest paid, net of amounts capitalized $ 33,927 $ 34,991
Supplemental disclosure of non-cash investing and financing activities:
Real estate acquired in exchange for mortgage notes receivable $ 9,071 $ —
Change in other assets related to sales of real estate $ 102 $ 12,814
Change in accounts payable related to investments in real estate construction $ — $ (112)
Change in accounts payable related to renovations of existing real estate $ 208 $ —
Change in accounts payable related to distributions to noncontrolling interests $ 6 $ 5
Change in accounts payable related to equity issuance cost $ 64 $ —
Operating equipment received in transfer of operations $ 1,287 $ —
Increase in accounts payable related to transfer of operations $ 300 $ —

~~The accompanying notes to condensed consolidated financial statements are an integral part of these condensed consolidated financial statements.~~

Table of Contents

NATIONAL HEALTH INVESTORS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF EQUITY

(unaudited, in thousands, except share and per share amounts)

Common Stock Capital in Excess of Par Value Cumulative Dividends in Excess of Net Income Accumulated Other Comprehensive Loss Total National Health Investors, Inc. Stockholders’ Equity Noncontrolling Interests Total Equity
Shares Amount
Balances at December 31, 2021 45,850,599 $ 459 $ 1,591,182 $ (84,558) $ — $ 1,507,083 $ 9,900 $ 1,516,983
Distributions declared to noncontrolling interests, excluding $24 attributable to redeemable noncontrolling interests — — — — — — (486) (486)
Total comprehensive income, excluding a loss of $227 attributable to redeemable noncontrolling interests — — — 30,072 — 30,072 (133) 29,939
Taxes remitted on employee stock awards — — (14) — — (14) — (14)
Shares issued on stock options exercised 732 — — — — — — —
Repurchases of common stock (1,196,175) (12) — (69,965) — (69,977) — (69,977)
Share-based compensation — — 6,511 — — 6,511 — 6,511
Dividends declared, $1.80 per common share — — — (81,455) — (81,455) — (81,455)
Activity for the six months ended June 30, 2022 (1,195,443) (12) 6,497 (121,348) — (114,863) (619) (115,482)
Distributions declared to noncontrolling interests, excluding $12 attributable to redeemable noncontrolling interests — — — — — — (241) (241)
Total comprehensive income, excluding a loss of $278 attributable to redeemable noncontrolling interests — — — 34,468 — 34,468 38 34,506
Equity issuance costs — — (85) — — (85) — (85)
Taxes remitted on employee stock awards — — (274) — — (274) — (274)
Shares issued on stock options exercised 5,765 — — — — — — —
Repurchases of common stock (1,272,179) (13) — (81,961) — (81,974) — (81,974)
Share-based compensation — — 1,065 — — 1,065 — 1,065
Dividends declared, $0.90 per common share — — — (39,050) — (39,050) — (39,050)
Activity for the three months ended September 30, 2022 (1,266,414) (13) 706 (86,543) — (85,850) (203) (86,053)
Balances at September 30, 2022 43,388,742 $ 434 $ 1,598,385 $ (292,449) $ — $ 1,306,370 $ 9,078 $ 1,315,448


	Common Stock			Capital in Excess of Par Value		Retained Earnings		Cumulative Dividends		Total National Health Investors, Inc. Stockholders’ Equity		Noncontrolling Interests		Total Equity
	Shares	Amount
Balances at December 31, 2022	43,388,742	$	434	$	1,599,427	$	2,331,190	$	(2,660,826)	$	1,270,225	$	9,856	$	1,280,081

Noncontrolling interest capital contribution	—	—		—		—		—		—		2,000		2,000
Distributions declared to noncontrolling interests	—	—		—		—		—		—		(563)		(563)
Net income, excluding a loss of $575, attributable to redeemable noncontrolling interests	—	—		—		74,263		—		74,263		(58)		74,205
Grants of restricted stock	21,000	—		—		—		—		—		—		—


Equity issuance costs	—	—		(275)		—		—		(275)		—		(275)

Shares issued on stock options exercised	99	—		—		—		—		—		—		—

Share-based compensation	—	—		2,874		—		—		2,874		—		2,874
Dividends declared, $1.80 per common share	—	—		—		—		(78,119)		(78,119)		—		(78,119)
Activity for the six months ended June 30, 2023	21,099	—		2,599		74,263		(78,119)		(1,257)		1,379		122


Distributions declared to noncontrolling interests	—	—		—		—		—		—		(380)		(380)
Net income, excluding a loss of $250, attributable to redeemable noncontrolling interests	—	—		—		29,346		—		29,346		(63)		29,283







Share-based compensation	—	—		866		—		—		866		—		866
Dividends declared, $0.90 per common share	—	—		—		—		(39,069)		(39,069)		—		(39,069)
Activity for the three months ended September 30, 2023	—	—		866		29,346		(39,069)		(8,857)		(443)		(9,300)
Balances at September 30, 2023	43,409,841	$	434	$	1,602,892	$	2,434,799	$	(2,778,014)	$	1,260,111	$	10,792	$	1,270,903

The accompanying notes to condensed consolidated financial statements are an integral part of these condensed consolidated financial statements.

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NATIONAL HEALTH INVESTORS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF EQUITY

(unaudited, in thousands, except share and per share amounts)

Common Stock Capital in Excess of Par Value Cumulative Dividends in Excess of Net Income Accumulated Other Comprehensive Loss Total National Health Investors Stockholders’ Equity Noncontrolling Interests Total Equity
Shares Amount
Balances at December 31, 2020 45,185,992 $ 452 $ 1,540,946 $ (22,015) $ (7,149) $ 1,512,234 $ 10,711 $ 1,522,945
Noncontrolling interests distribution — — — — — — (466) (466)
Total comprehensive income — — — 74,515 3,516 78,031 100 78,131
Equity component in redemption of convertible debt — — (6,076) — — (6,076) — (6,076)
Equity issuance cost — — (47) — — (47) — (47)
Issuance of common stock, net 661,951 7 47,944 — — 47,951 — 47,951
Shares issued on stock options exercised 2,656 — — — — — — —
Share-based compensation — — 6,438 — — 6,438 — 6,438
Dividends declared, $2.0025 per common share — — — (91,816) — (91,816) — (91,816)
Activity for the six months ended June 30, 2021 664,607 7 48,259 (17,301) 3,516 34,481 (366) 34,115
Noncontrolling interest distribution — — — — — — (231) (231)
Total comprehensive income — — — 30,814 1,805 32,619 35 32,654
Share-based compensation — — 989 — — 989 — 989
Dividends declared, $0.90 per common share — — — (41,266) — (41,266) — (41,266)
Activity for the three months ended September 30, 2021 — — 989 (10,452) 1,805 (7,658) (196) (7,854)
Balances at September 30, 2021 45,850,599 $ 459 $ 1,590,194 $ (49,768) $ (1,828) $ 1,539,057 $ 10,149 $ 1,549,206


	Common Stock			Capital in Excess of Par Value		Retained Earnings		Cumulative Dividends		Total National Health Investors Stockholders’ Equity		Noncontrolling Interests		Total Equity
	Shares	Amount
Balances at December 31, 2021	45,850,599	$	459	$	1,591,182	$	2,416,713	$	(2,501,271)	$	1,507,083	$	9,900	$	1,516,983


Distributions declared to noncontrolling interests, excluding $24 attributable to redeemable noncontrolling interests	—	—		—		—		—		—		(486)		(486)
Total comprehensive income, excluding a loss of $227 attributable to redeemable noncontrolling interests	—	—		—		30,072		—		30,072		(133)		29,939



Taxes remitted on employee stock awards	—	—		(14)		—		—		(14)		—		(14)
Shares issued on stock options exercised	732	—		—		—		—		—		—		—
Repurchases of common stock	(1,196,175)	(12)		—		(69,965)		—		(69,977)		—		(69,977)
Share-based compensation	—	—		6,511		—		—		6,511		—		6,511
Dividends declared, $1.80 per common share	—	—		—		—		(81,455)		(81,455)		—		(81,455)
Activity for the six months ended June 30, 2022	(1,195,443)	(12)		6,497		(39,893)		(81,455)		(114,863)		(619)		(115,482)
Distributions declared to noncontrolling interests, excluding $12 attributable to redeemable noncontrolling interests	—	—		—		—		—		—		(241)		(241)
Net income, excluding a loss of $278 attributable to redeemable noncontrolling interests	—	—		—		34,468		—		34,468		38		34,506

Equity issuance cost	—	—		(85)		—		—		(85)		—		(85)

Taxes remitted on employee stock awards	—	—		(274)		—		—		(274)		—		(274)
Shares issued on stock options exercised	5,765	—		—		—		—		—		—		—
Repurchases of common stock	(1,272,179)	(13)		—		(81,961)		—		(81,974)		—		(81,974)
Share-based compensation	—	—		1,065		—		—		1,065		—		1,065
Dividends declared, $0.90 per common share	—	—		—		—		(39,050)		(39,050)		—		(39,050)
Activity for the three months ended September 30, 2022	(1,266,414)	(13)		706		(47,493)		(39,050)		(85,850)		(203)		(86,053)
Balances at September 30, 2022	43,388,742	$	434	$	1,598,385	$	2,329,327	$	(2,621,776)	$	1,306,370	$	9,078	$	1,315,448

The accompanying notes to condensed consolidated financial statements are an integral part of these condensed consolidated financial statements.

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NATIONAL HEALTH INVESTORS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

September 30, ~~2022~~2023

(unaudited)

Note 1. Organization and Nature of Business

National Health Investors, Inc. (“NHI,” ~~“the Company,~~the “Company,” “we,” “us,” or “our”), established in 1991 as a Maryland corporation, is a self-managed real estate investment trust (“REIT”) specializing in sale-leaseback, joint venture and mortgage and mezzanine financing of need-driven and discretionary senior housing and medical facility investments. We operate through two reportable segments: Real Estate Investments and Senior Housing Operating Portfolio (“SHOP”). Our Real Estate Investments segment consists of ~~lease, mortgage~~real estate investments and leases, mortgages and other ~~note investments~~notes receivable in independent living facilities (“ILF”), assisted living facilities (“ALF”), entrance-fee communities (“EFC”), senior living campuses (“SLC”), skilled nursing facilities (“SNF”) and a hospital (“HOSP”). As of September 30, ~~2022,~~2023, we had gross investments of approximately $2.4 billion in ~~162~~163 health care real estate properties located in 3231 states and leased pursuant primarily to triple-net leases to ~~24 lessees~~25 tenants consisting of 9697 senior housing communities, 65 ~~skilled nursing facilities~~SNFs and one ~~hospital,~~HOSP, excluding ~~ten~~four properties classified as assets held for sale. Our portfolio of 1314 mortgages along with other notes receivable totaled ~~$214.1~~$258.8 million, excluding an allowance for expected credit losses of ~~$6.9~~$15.8 million, as of September 30, ~~2022.~~2023.

Our SHOP segment is comprised of two ventures that own the operations of ILFs. As of September 30, ~~2022,~~2023, we had gross investments of approximately ~~$336.6~~$344.4 million in 15 properties with a combined ~~1,731~~1,734 units located in eight states that are operated on behalf of the Company by ~~two~~ independent managers pursuant to the terms of separate management agreements that commenced April 1, 2022. The third-party managers, or related ~~affiliates~~parties of the managers, own equity interests in the respective ventures.

Note 2. Basis of Presentation and Significant Accounting Policies

Basis of Presentation

The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with ~~U.S.~~United States generally accepted accounting principles (“GAAP”) for interim financial statements. In our opinion, the accompanying unaudited condensed consolidated financial statements reflect all adjustments consisting of normal recurring adjustments necessary for a fair presentation. Interim results of operations are not necessarily indicative of the results that may be achieved for a full year. The condensed consolidated financial statements and related notes do not include all information and footnotes required by GAAP for annual reports. These interim condensed consolidated financial statements should be read in conjunction with our audited consolidated financial statements and notes thereto as of and for the year ended December 31, ~~2021,~~2022, included in our ~~2021~~ Annual Report on Form 10-K for the year ended December 31, 2022 filed with the Securities and Exchange Commission (the “SEC”).

Principles of Consolidation

The condensed consolidated financial statements include the accounts of the Company, and its wholly owned subsidiaries, joint ventures and subsidiaries in which we have a controlling interest. We also consolidate certain entities when control of such entities can be achieved through means other than voting rights (“variable interest entities” or “VIEs”) if the Company is deemed to be the primary beneficiary of such entities. All material intercompany transactions and balances are eliminated in consolidation.

Effective April 1, 2022 and at September 30, ~~2022,~~2023, our consolidated total assets and liabilities include two consolidated ventures comprising our SHOP activities, each formed with ~~two~~a separate ~~partners~~partner - Merrill Gardens, L.L.C. (“Merrill”) and DSHI NHI Holiday LLC (the “Discovery member”), a ~~controlled affiliate~~related party of Discovery Senior ~~Living.~~Living (“Discovery”). We consider both ventures to be VIEs as ~~either~~ the members of each, as a group, lack the characteristics of a controlling financial ~~interest or there are disproportionate voting rights but substantially all of the activities are performed on behalf of the Company.~~interest. We are deemed to be the primary beneficiary of each VIE because we have the ability to control the activities that most significantly impact each VIE’s economic performance. The assets of the ventures primarily consist of real estate properties, cash and cash equivalents, and resident fees and services (accounts receivable). ~~Their~~The obligations of the ventures primarily consist of operating expenses of the ILFs (accounts payable and accrued expenses) and capital expenditures for the properties. ~~As of and for the three and nine months ended September 30, 2022, our redeemable noncontrolling interests relate to these ventures. Assets~~Aggregate assets of the consolidated SHOP ventures that can be used only to settle obligations of each respective SHOP venture primarily include approximately ~~$261.3~~$260.1 million of real estate properties, net, ~~and $9.6~~$6.0 million of cash and cash ~~equivalents.~~equivalents, $2.0 million of prepaid expenses and other, and $0.6 million of accounts receivable, net. Liabilities of the consolidated SHOP ventures for which creditors do not have recourse to the general credit of the Company are ~~not material.~~$5.0 million. Reference Notes 5 and 910 for further discussion of these ~~new~~ ventures.

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We also consolidate two real estate partnerships formed with our partners, Discovery Senior Housing Investor XXIV, LLC, a ~~controlled affiliate~~related party of Discovery, ~~Senior Living,~~beginning in June 2019, and LCS Timber Ridge LLC (“LCS”), beginning in January 2020, to invest in senior housing facilities. We consider both partnerships to be VIEs, ~~based on our determination that~~as either the members, as a group, lack the characteristics of a controlling financial interest or the total equity at risk ~~in each~~ is insufficient to finance activities without additional subordinated financial support. NHI directs the activities that most significantly impact economic performance of these ~~ventures,~~partnerships, subject to limited protective rights extended to our partners for specified business decisions. Because of our control of these partnerships, we include their assets, liabilities, noncontrolling interests and operations in our ~~consolidated financial statements.~~

At September 30, 2022, we held interests in nine unconsolidated VIEs, and, because we lack either directly or through related parties the power to direct the activities that most significantly impact their economic performance, we have concluded that the Company is not the primary beneficiary. Accordingly, we account for our transactions with these entities and their subsidiaries at either amortized cost or net realizable value for straight-line rent receivables, excluding our investment accounted for under the equity method.

The Company’s unconsolidated VIEs are summarized below by date of initial involvement. For further discussion of the nature of the relationships, including the sources of exposure to these VIEs, see the notes to our condensed consolidated financial ~~statements cross-referenced below (~~$statements. The aggregate assets of these consolidated real estate partnerships that can be used only to settle obligations of each respective partnership include approximately $254.5 million of real estate properties, net, $9.7 million in ~~thousands~~).

Date Name Source of Exposure Carrying Amount Maximum Exposure to Loss Note Reference
2014 Senior Living Communities Notes and straight-line receivable $ 88,237 $ 94,268 Notes 3, 4
2016 Senior Living Management Notes and straight-line receivable $ 26,788 $ 26,788 —
2018 Bickford Senior Living Notes and funding commitment $ 46,769 $ 60,246 Notes 3, 4
2019 Encore Senior Living Notes and straight-line receivable $ 33,688 $ 53,303 Notes 3, 4
2020 Timber Ridge OpCo, LLC
Various1
$ (5,000) $ 5,000 Note 6
2020 Watermark Retirement Notes and straight-line receivable $ 7,691 $ 10,715 —
2021 Montecito Medical Real Estate Notes and funding commitment $ 20,255 $ 50,000 Note 4
2021 Vizion Health Notes and straight-line receivable $ 20,064 $ 22,869 —
2021 Navion Senior Solutions
Various2
$ 8,038 $ 13,988 —

1 ~~Loan commitment, equity method investment and~~ straight-line rents receivable,

2 ~~Notes, loan commitments, straight-line rents receivable,~~ $8.5 million of other assets, net, and ~~unamortized lease incentives~~

~~We are not obligated to provide support beyond our stated commitments to these tenants~~$2.6 million of cash and ~~borrowers whom we classify as VIEs, and accordingly, our maximum exposure to loss as a result~~cash equivalents. Liabilities of these relationships is limited to the amount of our commitments, as shown above and discussed in the notes. Economic loss on a lease, in excess of what is presented in the table above, if any, would be limited to that resulting from any period of non-payment of rent before we are able to take effective remedial action, as well as costs incurred in transitioning the lease to a new tenant. The potential extent of such loss would be dependent upon individual facts and circumstances, and is therefore not included in the table above.

~~In the future, NHI may be deemed the primary beneficiary of the operations if the tenants~~partnerships for which creditors do not have ~~adequate liquidity~~recourse to ~~accept~~ the ~~risks and rewards as the tenant and operator~~general credit of the ~~properties and might be required to consolidate the financial position and results of operations of the tenants into our consolidated financial statements.~~Company are not material.

We use the equity method of accounting when we own an interest in an entity whereby we can exert significant influence over but cannot control the entity’s operations. We discontinue equity method accounting if our investment in an entity (and net advances) is reduced to zero unless we have guaranteed obligations of the entity or are otherwise committed to provide further financial support for the entity. Reference Note 6 for further discussion of our equity method investment.

We structured our Timber Ridge OpCo, LLC (“Timber Ridge OpCo”) investment to be compliant with the provisions of the REIT Investment Diversification Empowerment Act of 2007 which permits us to receive rent payments through a triple-net lease between a property company and an operating company and allows us to receive distributions from the operating company to a taxable REIT subsidiary (“TRS”). Our TRS holds our equity interests in unconsolidated operating companies thus providing an organizational structure that allows the TRS to engage in a broad range of activities and share in revenues that are otherwise non-qualifying income under the REIT gross income tests.

We have concluded that the Company is not the primary beneficiary for certain investments where we lack either directly or through related parties the power to direct the activities that most significantly impact their economic performance. Accordingly, we account for our transactions with these entities and their subsidiaries at either amortized cost or net realizable value for straight-line rents receivable, excluding our investments accounted for under the equity method. See Note 16 for information on unconsolidated VIEs.

Noncontrolling Interests

Contingently redeemable noncontrolling interests are recorded at their initial carrying amounts upon issuance and are subsequently adjusted to reflect their share of gains or losses and distributions attributable to the noncontrolling interests. In periods where they are or will become probable of redemption, an adjustment to the redemption value of the noncontrolling interests is also recognized through “Capital in excess of par value” on the Company’s Condensed Consolidated Balance Sheets and included in our computation of earnings per share. As of September 30, ~~2022, these~~2023, the Merrill SHOP venture noncontrolling ~~interests were~~interest was classified asin mezzanine equity, as discussed further in Note 9.

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~~As of September 30, 2022 and December 31, 2021, the~~The noncontrolling interests associated with our two consolidated real estate partnerships ~~are~~and our Discovery member SHOP venture were classified in ~~equity.~~equity as of September 30, 2023.

Cash and Cash Equivalents and Restricted Cash

Cash equivalents consist of all highly liquid investments with an original maturity of three months or less. Restricted cash includes amounts required to be held on deposit or subject to an agreement ~~(e.g.~~(e.g., with a qualified intermediary subject to an exchange agreement pursuant to Section 1031 of the Internal Revenue Code ~~§1031 exchange agreement~~of 1986, as amended (the “Internal Revenue Code”) or in accordance with agency agreements governing our mortgages).

The following table sets forth our “Cash and cash equivalents and restricted cash” reported within the Company’s Condensed Consolidated Statements of Cash Flows (($ in ~~thousands)~~thousands):

September 30,
2022 September 30,
2021
Cash and cash equivalents $ 28,811 $ 48,393
Restricted cash (included in Other assets, net) 2,903 1,802
$ 31,714 $ 50,195

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	September 30, 2023		September 30, 2022
Beginning of period:
Cash and cash equivalents	$	19,291	$	37,412
Restricted cash (included in Other assets, net)	2,225		2,073
Cash, cash equivalents, and restricted cash	$	21,516	$	39,485
End of period:
Cash and cash equivalents	$	16,579	$	28,811
Restricted cash (included in Other assets, net)	1,916		2,903
Cash, cash equivalents, and restricted cash	$	18,495	$	31,714

Concentration of Credit Risks

Our credit risks primarily relate to cash and cash equivalents and investments in mortgage and other notes receivable. Cash and cash equivalents are primarily held in bank accounts and overnight investments. We maintain our bank deposit accounts with large financial institutions in amounts that may exceed federally insured limits. We have not experienced any losses in such accounts. Our mortgages and other notes receivable consist primarily of secured loans on facilities.

Our financial instruments, principally our investments in notes receivable, are subject to the possibility of loss of the carrying values as a result of the failure of other parties to perform according to their contractual obligations which may make the instruments less valuable. We obtain collateral in the form of mortgage liens and other protective rights for notes receivable and continually monitor these rights in order to reduce such possibilities of loss. We evaluate the need to provide for reserves for potential losses on our financial instruments based on management’s periodic review of our portfolio on an instrument-by-instrument basis.

Assets Held for Sale

We consider properties to be assets held for sale when (1) management commits to a plan to sell the property; (2) it is unlikely that the disposal plan will be significantly modified or discontinued; (3) the property is available for immediate sale in its present condition; (4) actions required to complete the sale of the property have been initiated; (5) sale of the property is probable and we anticipate the completed sale will occur within one year; and (6) the property is actively being marketed for sale at a price that is reasonable given our estimate of current market value. Upon designation of a property as an asset held for sale, we record the property’s value at the lower of its carrying value or its estimated fair value, less estimated transaction costs. Depreciation and amortization of the property are discontinued. If a property subsequently no longer meets the criteria to be classified as held for sale, it is reclassified as held and used and measured at the lower of i) its original carrying amount before the asset was classified as held for sale, adjusted for any depreciation expense not recognized while it was classified as held for sale, and ii) its fair value.

Impairment of Long-Lived Assets

We evaluate the recoverability of the carrying amount of our long-lived assets when events or circumstances, including significant physical changes, significant adverse changes in general economic conditions ~~and~~or significant deterioration of the underlying cash flows of the long-lived assets, indicate that the carrying amount of the long-lived assets may not be recoverable. The need to recognize an impairment charge is based on estimated undiscounted future cash flows compared to the carrying amount. If recognition of an impairment charge is necessary, it is measured as the amount by which the carrying amount of the property exceeds the estimated fair value of the long-lived asset.

During the three and nine months ended September 30, ~~2022,~~2023, we recognized impairment charges of approximately ~~$9.5~~$1.2 million and ~~$38.3~~$1.6 million, respectively, included in “Loan and realty losses” in our Condensed Consolidated Statements of Income. Reference Note 3 for more discussion.

Revenue Recognition

Rental Income - Our leases generally provide for rent escalators throughout the term of the lease. Base rental income is recognized using the straight-line method over the term of the lease to the extent that lease payments are considered collectible and the lease provides for specific contractual escalators. Under certain leases, we receive additional contingent rent, which is calculated on the increase in revenues of the tenant over a base year or base quarter. We recognize contingent rent annually or

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quarterly based on the actual revenues of the tenant once the target threshold has been achieved. Lease payments that depend on a factor directly related to future use of the property, such as an increase in annual revenues over a base year, are considered to be contingent rent and are excluded from the schedule of minimum lease payments.

The Company reviews its operating lease receivables for ~~collectibility~~collectability on a regular basis, taking into consideration changes in factors such as the tenant’s payment history, the financial condition of the tenant, business conditions in which the tenant operates and economic conditions in the area where the property is located. In the event that ~~collectibility~~collectability with respect to any tenant is not probable, a direct write-off of the receivable is made as an adjustment to rental income and any future rental revenue is recognized only when the tenant makes a rental payment.

~~During the second quarter~~As of ~~2022,~~September 30, 2023, we ~~placed~~had three tenants, including Bickford Senior Living (“Bickford”), on the cash basis of revenue recognition for their lease ~~purposes and recorded write offs of $18.1 million of straight-line rents receivable and $7.1 million of lease incentives related to our Bickford master lease agreements.~~arrangements. Reference Note 3 for further discussion.

Resident Fees and Services - Resident fee revenue associated with our SHOP activities is ~~recorded when services~~recognized as the related performance obligations are ~~rendered~~satisfied and includes resident room ~~and care~~ charges, community fees and other resident charges.

Residency agreements are generally

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short term (30 days to one year), ~~with~~and entitle the resident ~~fees~~to certain room and care services for a monthly fee billed ~~monthly~~ in advance. Revenue for certain related services is ~~recognized as services are provided and~~ billed monthly in arrears.

The Company has elected the lessor practical expedient within Accounting ~~for Lease Modifications related to the Coronavirus Pandemic~~

In April 2020, the FASB 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 the coronavirus (“COVID-19”) pandemic. The Lease Modification Q&A clarifies that entities may elect not to evaluate whether lease-related relief provided to mitigate the economic effects of the COVID-19 pandemic is a lease modification under Accounting StandardStandards Codification (“ASC”) 842, Leases, ~~(“ASC 842”). Instead, an entity that elects~~ not to ~~evaluate whether a concession directly related~~separate the lease and nonlease components within our resident agreements as the timing and pattern of transfer to the ~~COVID-19 pandemic, which does not substantially increase either its rights~~resident are the same. The Company has determined that the nonlease component is the predominant component within the contract and will recognize revenue under ASC 606, Revenue Recognition from Contracts with Customers.

Interest Incomefrom Mortgage and Other Notes Receivable

Interest income is recognized based on the interest rates and principal amounts outstanding on the notes receivable. We identify a mortgage note as ~~lessor or~~non-performing based on various criteria including timeliness of required payments, compliance with other provisions under the ~~obligations~~related note agreement, and an evaluation of the ~~tenant,~~borrower’s current financial condition for indicators that it is ~~a lease modification can decide whether or not~~probable it cannot pay its contractual amounts. A non-performing loan is returned to ~~apply~~accrual status at such time as the ~~modification guidance. An entity should apply~~note becomes contractually current and management believes all future principal and interest will be received according to the ~~election consistently to leases with similar characteristics and similar circumstances. We have elected not to apply~~contractual terms of the modification guidance under ASC 842 and have accounted for qualified rent concessions as variable lease payments when applicable, and recorded as rental income when received. During the nine months endednote. As of September 30, ~~2022,~~2023, we ~~provided $10.7~~have two mortgage note receivables and a mezzanine loan totaling an aggregate of $26.6 million ~~in lease concessions directly related to the COVID-19 pandemic,~~with affiliates of two operators/borrowers, including Bickford, designated as ~~discussed in more detail in Note 8. During the three months ended September 30, 2022, we did not provide any lease concessions directly related to the COVID-19 pandemic.~~non-performing.

Income ~~Tax~~Taxes

We intend at all times to qualify as a REIT under Sections 856 through 860 of the Internal Revenue ~~Code of 1986, as amended.~~Code. Accordingly, we will generally not be subject to U.S. federal income tax, provided that we continue to qualify as a REIT and make distributions to stockholders ~~at least~~ equal to or in excess of 90% our taxable income. Certain activities that we undertake may be conducted by entities that have elected to be treated as taxable REIT subsidiaries (TRSs). TRSs are subject to federal, state, and local income taxes. Accordingly, a provision for income taxes has been made in the consolidated financial statements. A failure to qualify under the applicable REIT qualification rules and regulations would have a material adverse impact on our financial position, results of operations and cash flows.

Certain activities that we undertake may be conducted by subsidiary entities that have elected to be treated as TRSs. TRSs are subject to federal, state, and local income taxes. Accordingly, a provision for income taxes has been made in the condensed consolidated financial statements.

Segments

We operate our business through two reportable segments: Real Estate Investments and SHOP. In our Real Estate Investments segment, we invest in i)(i) senior housing and healthcare real estate and lease those properties to healthcare operating companies under primarily triple-net leases that obligate tenants to pay all property-related expenses and ~~ii)~~(ii) mortgage and other notes receivable throughout the United States. Our SHOP segment is comprised of the operations of 15 ILFs located throughout the United States that are operated on behalf of the Company by ~~two~~ independent managers pursuant to the terms of separate management ~~agreements that commenced April 1, 2022.~~agreements. Reference Notes 5 and 1415 for additional information.

Earnings Per Share

Our unvested restricted stock awards contain non-forfeitable rights to dividends, and accordingly, these awards are deemed to be participating securities. Therefore, the Company applies the two-class method to calculate basic and diluted earnings. Under the two-class method, we allocate net income attributable to stockholders to common stockholders and holders of unvested

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restricted stock by using the weighted-average shares of each class outstanding for quarter-to-date and year-to-date periods, based on their respective participation rights to dividends declared and undistributed earnings. Basic earnings per common share is computed by dividing net income attributable to common stockholders by the weighted number of shares of common stock outstanding during the period. Diluted earnings per common share reflects the effect of dilutive securities.

Reclassifications

In prior years, the Company presented "Cumulative dividends in excess of net income" as a single line item on the Condensed Consolidated Balance Sheets and the Condensed Consolidated Statements of Equity. Beginning January 1, 2023, the Company separated this line item into two components, "Retained earnings" and "Cumulative dividends," and reclassified prior year information to conform to the current period presentation.

Note 3. Investment Activity

Asset ~~Acquisition~~Acquisitions

Since January 1, 2023, we have completed the following real estate investments ($ in thousands):


Operator	Date	Properties	Asset Class	Land		Building and Improvements		Total
Silverado Senior Living	Q1 2023	2	ALF	$	3,894	$	33,599	$	37,493
Bickford	Q1 2023	1	ALF	1,746		15,542		17,288
				$	5,640	$	49,141	$	54,781

In ~~the second quarter of 2022,~~February 2023, we acquired two memory care communities operated by Silverado Senior Living for approximately $37.5 million. The newly developed properties opened in 2022 and include a ~~53-unit assisted living facility located~~60-unit community in ~~Oshkosh, Wisconsin,~~Summerlin, Nevada and a 60-unit community in Frederick, Maryland. They are leased pursuant to 20-year leases with a first-year lease rate of 7.5% and annual escalators of 2.0%.

In February 2023, we also acquired a 64-unit ALF in Chesapeake, Virginia from ~~Encore Senior Living.~~Bickford. The acquisition price was ~~$13.3~~$17.3 million, ~~and included~~including the ~~full payment~~satisfaction of an outstanding construction note receivable ~~to us~~ of ~~$9.1~~$14.2 million including ~~interest. We have agreed to pay up to $0.8~~interest, cash consideration of $0.5 million and approximately $0.1 million in ~~additional cash consideration pending~~closing costs. The acquisition price also included a reduction of $2.5 million in Bickford’s outstanding pandemic-related rent deferrals that has been recognized in “Rental income” during the ~~results of an ongoing property tax appeal. As of~~nine months ended September 30, ~~2022, no amount of this consideration is expected to be paid.~~2023. We added the ~~facility~~community to an existing master lease ~~for a term of 15 years~~with Bickford at an initial ~~lease~~ rate of ~~7.25%, with an annual escalator of 2.5%~~8.0%.

Asset Dispositions

During the nine months ended September 30, ~~2022,~~2023, we completed the following dispositions of real estate ~~property dispositions~~properties within our Real Estate Investments ~~reportable segment~~portfolio as described below ($ in thousands):

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Operator Date Properties Asset Class Net Proceeds Net Real Estate Investment Gain
Impairment1
Hospital Corporation of America Q1 2022 1 MOB $ 4,868 $ 1,904 $ 2,964 $ —
Vitality Senior Living2
Q1 2022 1 SLC 8,302 8,285 17 —
Holiday Retirement (“Holiday”)2
Q2 2022 1 ILF 2,990 3,020 — 30
Chancellor Senior Living2
Q2 2022 2 ALF 7,305 7,357 — 52
Bickford2
Q2 2022 3 ALF 25,959 28,268 — 2,309
Comfort Care Q2 2022 4 ALF 40,000 38,445 1,556 —
Helix Healthcare Q2 2022 1 HOSP 19,500 10,535 8,965 —
Discovery Senior Living2
Q3 2022 2 ALF/SLC 16,379 15,159 1,220 —
National HealthCare Corporation (“NHC”) Q3 2022 7 SNF 43,686 30,066 13,620 —
$ 168,989 $ 143,039 $ 28,342 $ 2,391


Operator	Date	Properties	Asset Class	Net Proceeds		Net Real Estate Investment		Gain		Impairment2
BAKA Enterprises, LLC1,3	Q1 2023	1	ALF	$	7,478	$	7,505	$	—	$	(27)
Bickford1	Q1 2023	1	ALF	2,553		1,421		1,132		—
Chancellor Senior Living1,3	Q2 2023	1	ALF	2,355		1,977		378		—
Milestone Retirement1,3,4	Q2 2023	2	ALF	3,803		3,934		—		(131)
Chancellor Senior Living1,3	Q2 2023	1	ALF	7,633		6,140		1,493		—
Milestone Retirement1,3,4	Q2 2023	1	ALF	1,602		1,452		150		—
Chancellor Senior Living	Q2 2023	1	ALF	23,724		14,476		9,248		—
Chancellor Senior Living1,3	Q3 2023	1	ALF	2,923		2,292		631		—
				$	52,071	$	39,197	$	13,032	$	(158)

1Assets were previously classified as “Assets held for sale” in the Consolidated Balance Sheet at December 31, 2022.

2 Impairments are included in “Loan and realty losses” in the Condensed Consolidated Statements of Income ~~for the nine months ended September 30, 2022.~~

2 ~~Total impairment charges recognized on these properties were $65.4 million, of which $28.5 million were recognized in the nine months ended September 30, 2022.~~

~~The disposal transactions for the three Bickford properties in the second quarter of 2022 included~~ ~~$2.4 million~~ in contingent consideration representing cash placed in escrow that will be returned to the buyers to the extent the sold properties generate negative monthly cash flows over the twelve months following from the dates of sale. After the twelve-month period, any remaining funds not distributed will be paid to the Company. We have assessed that it was not probable that any of the escrowed funds would be received by the Company. To the extent this assessment changes, or funds are ultimately received, we will recognize the amount as a gain on the sale of real estate.

~~Discovery~~

In the third quarter of 2022, we sold an assisted living facility in Indiana and a senior living campus in Florida for approximately $16.9 million in cash consideration, and incurred $0.5 million of transaction costs, resulting in an approximate gain of $1.2 million. The properties were classified as assets held for sale on the Condensed Consolidated Balance Sheet for the quarter ended June 30, 2022. Prior impairment charges recognized on the properties totaled $23.7 million.

~~NHC~~

On September 1, 2022, we sold a portfolio of seven skilled nursing facilities in New Hampshire and Massachusetts for approximately $44.4 million in net cash consideration, and incurred $0.7 million of transaction costs. These properties were leased to NHC pursuant to a master lease agreement dated August 30, 2013 with an original maturity date of August 31, 2028 that was terminated upon completion of the sale. The properties were classified as assets held for sale on the Condensed Consolidated Balance Sheet for the quarter ended June 30, 2022. Rental income was $0.6 million and $2.4 million for the three and nine months ended September 30, ~~2022, respectively, and $0.9~~2023.

3 Total impairment charges previously recognized on these properties were $16.4 million ~~and $2.8~~in the aggregate.

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4 The Company provided aggregate financing of approximately $0.7 million, ~~for~~net of discounts, on these transactions in the ~~three and nine months ended September 30, 2021, respectively. In connection with the sale~~form of ~~this portfolio, we amended the master lease for 35 facilities dated October 17, 1991 by and between NHI and NHC/OP, L.P., an affiliate of NHC that is discussed below in “Tenant Concentration.~~”notes receivable.

Assets Held for Sale and Long-Lived Assets

~~At September 30, 2022, ten properties in~~The following is a summary of our ~~Real Estate Investments reportable segment, with an aggregate net real estate balance of $32.6 million, were classified as~~ assets held for sale ~~on our Condensed Consolidated Balance Sheet, including six properties that were transferred into~~($ in thousands):


	As of	As of
	September 30, 2023	December 31, 2022
Number of properties	4	13
Real estate, net	$10,875	$43,302

Rental income associated with assets held for sale ~~during the third quarter of 2022. Rental income associated with the ten properties was $1.1~~at September 30, 2023 totaled $0.6 million and ~~$2.0~~$1.9 million for the three and nine months ended September 30, 2023, respectively, and $0.6 million and $1.6 million for the three and nine months ended September 30, 2022, ~~respectively, and $1.2~~respectively. During the first quarter of 2023, one property in our Real Estate Investments portfolio was classified as held for sale with a net real estate balance of $5.0 million and ~~$3.5~~two properties, previously classified as held for sale with an aggregate net real estate balance of $12.3 million, were reclassified as held for ~~the three and nine months ended September 30, 2021, respectively.~~use.

During the three ~~and~~months ended September 30, 2023, we recorded impairment charges of approximately $1.2 million for one property in our Real Estate Investments segment. During the nine months ended September 30, ~~2022,~~2023, we recorded impairment charges of ~~$9.5~~approximately $1.6 million ~~and $38.3 million, respectively, including $5.7 million on two~~for four properties ~~held~~ in ~~use, related to~~ our Real Estate Investments ~~reportable segment.~~segment, of which $0.5 million related to three properties either sold or classified as assets held for sale. The impairment charges are included in “Loan and realty losses” in the Condensed Consolidated Statements of Income.

We reduce the carrying value of impaired properties to their estimated fair value or, with respect to the properties classified as held for sale, to estimated fair value less costs to sell. To estimate the fair values of the properties, we utilized a market approach

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which considered binding agreements for sales (Level 1 inputs), non-binding offers to purchase from unrelated third parties and/or broker quotes of estimated values (Level 3 inputs), and/or independent third-party valuations (Level 1 and 3 inputs).

Fourth Quarter 2023 Dispositions

During the fourth quarter of 2023, we sold three ALFs located in Florida for combined consideration of approximately $5.4 million in cash, net of transaction costs plus $1.6 million of seller financing in connection with one of the transactions. The properties were classified in assets held for sale on the Condensed Consolidated Balance Sheet as of September 30, 2023, with an aggregate book value of $5.9 million. Prior impairment charges recognized on the properties totaled $1.3 million.

Tenant Concentration

The following table contains information regarding ~~tenant~~ concentration ~~excluding $2.6 million for~~in our ~~corporate office, $336.6 million for SHOP, and a credit loss reserve~~Real Estate Investments portfolio of ~~$6.9 million, based on the percentage of revenues for the nine months ended September 30, 2022 and 2021, related to~~ tenants or affiliates of tenants, that exceed 10% of total revenues for the nine months ended September 30, 2023 and 2022, excluding $2.6 million for our corporate office, a credit loss reserve of $15.8 million and $344.4 million in real estate assets in the SHOP segment ($ in thousands):

as of September 30, 2022
Revenues1
Asset Gross Real Notes Nine Months Ended September 30,
Class
Estate2
Receivable 2022 2021
Senior Living Communities EFC $ 573,631 $ 46,669 $ 38,325 18% $ 38,094 17%
NHC SNF 133,770 — 27,875 13% 28,290 12%
Bickford3
ALF 412,304 46,422 N/A N/A 26,224 11%
Holiday3
ILF — — N/A N/A 22,811 10%
All others, net Various 1,313,238 121,018 109,766 53% 106,110 46%
Escrow funds from tenants
for property operating expenses Various — — 7,553 4% 7,519 4%
$ 2,432,943 $ 214,109 183,519 229,048
Resident fees and services4
24,005 12% — —%
$ 207,524 $ 229,048

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	as of September 30, 2023					Revenues1
	Asset	Gross Real		Notes		Nine Months Ended September 30,
	Class	Estate		Receivable		2023			2022

Senior Living Communities, LLC (“Senior Living”)	EFC	$	573,631	$	48,950	$	38,466	16%	$	38,325	18%
Bickford2	ALF	429,043		16,827		29,280		12%	N/A		N/A
National HealthCare Corporation (“NHC”)	SNF	133,770		—		28,159		12%	27,875		13%
All others, net	Various	1,293,210		192,991		99,867		41%	109,766		53%
Escrow funds received from tenants
for property operating expenses	Various	—		—		8,738		4%	7,553		4%
		$	2,429,654	$	258,768	204,510			183,519
Resident fees and services3						35,860		15%	24,005		12%
						$	240,370		$	207,524

1 Includes interest income on notes receivable and rental income from properties classified as held for sale.

2 ~~Amounts include any properties classified as held for sale.~~

3 ~~Below 10%~~Revenues for the nine months ended September 30, ~~2022. Therefore, revenues~~2022 are included in ~~All~~“All others, ~~net.~~net” since they are less than 10% for that period.

43 There is no tenant concentration in ~~resident~~“Resident fees and ~~services~~services” because these agreements are with individual residents.

At September 30, ~~2022,~~2023, the two states in which we had an investment concentration of 10% or more were South Carolina (12.1%) and Texas ~~(11.1%~~(10.7%).

Senior Living ~~Communities~~

As of September 30, ~~2022,~~2023, we leased ten retirement communities to Senior ~~Living Communities, LLC (“Senior Living”).~~Living. We recognized straight-line rent ~~revenue~~ of ~~$0.1~~$(0.9) million and $0.3 million from Senior Living for the ~~three and~~ nine months ended September 30, ~~2022, respectively,~~2023 and ~~$0.7 million and $1.8 million for the three and nine months ended September 30, 2021,~~2022, respectively.

NHC

~~Effective~~As of September ~~1, 2022,~~30, 2023, we ~~amended the~~leased three ILFs and 32 SNFs to NHC, a publicly held company, under a master lease ~~dated October 17, 1991, as previously amended~~(four of which are subleased to other parties for whom the lease payments are guaranteed to us by NHC). Straight-line rent of $(0.9) million and ~~between NHI and NHC/OP, L.P., an affiliate of~~$(0.1) million was recognized for NHC for ~~35 facilities. This amendment was executed concurrently with~~ the ~~sale of a portfolio of seven skilled nursing facilities as described above~~nine months ended September 30, 2023 and increases the annual base rent due each year through the expiration of the master lease on December 31, 2026. The annual base rent prior to the amendment was $30.8 million and was increased to $34.3 million for the year ended December 31, 2022, ~~with credit given for rent paid in 2022 related to the sold portfolio. In addition to the base rent, NHC will continue to pay any additional rent and percentage rent as required by the master lease.~~respectively.

Two of the members of our ~~board members,~~Board of Directors, including our chairman, are also members of NHC’s board of directors.

Bickford

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~~Bickford Senior Living~~

As of September 30, ~~2022,~~2023, we leased 3639 facilities ~~excluding two facilities classified as assets held for sale,~~to Bickford under four leases to Bickford. Revenues from Bickford reflect the impact of pandemic-related rent concessions of approximately $5.5 million for the nine months ended September 30, 2022 and $3.5 million and $13.8 million for the three and nine months ended September 30, 2021, respectively.leases. During ~~the three months ended September 30, 2022, we did not provide any lease concessions to Bickford.~~

In the second quarter of 2022, we converted Bickford to the cash basis of revenue recognition based upon information obtained from Bickford regarding its financial condition that raised substantial doubt as to its ability to continue as a going concern. As a result, we wrote off approximately $18.1 million of straight-line rents receivable and $7.1 million of lease incentives, that were included in “Other assets, net” on the Condensed Consolidated Balance Sheet, to rental income ~~upon converting~~in 2022.

During the three and nine months ended September 30, 2023, Bickford repaid $0.8 million and $1.3 million, respectively, of its outstanding pandemic-related deferrals in addition to the ~~cash basis~~reduction in deferrals of ~~accounting. These write offs~~$2.5 million recognized in connection with the acquisition of the ALF located in Chesapeake, Virginia from Bickford. As of September 30, 2023, Bickford’s outstanding pandemic-related deferrals were the result of a change in our evaluation of collectability of future rent payments due under its four master lease agreements based upon information we obtained from Bickford regarding its financial condition that raised substantial doubt as to its ability to continue as a going concern. $19.0 million.

Cash Basis Operators

Cash rent received from Bickford for the three and nine months ended September 30, ~~2022~~2023 was ~~$7.1~~$8.6 million and ~~$17.0~~$24.5 million, ~~respectively.~~

~~In addition~~respectively, which excludes $2.5 million of rental income related to the ~~three properties sold that are included~~reduction of pandemic-related rent deferrals recognized in connection with the acquisition of the ALF from Bickford in the ~~asset dispositions table above, we completed various restructuring activities in the Bickford leased property portfolio during the~~ first ~~and second quarters~~quarter of ~~2022. In March 2022, we transferred one assisted living facility~~2023 located in Pennsylvania from the Bickford portfolio to a new operator that is leased pursuant to a ten-year triple net lease and wrote off approximately $0.7 million in a straight-line rent receivable, reducing rental income. In the second quarter of 2022, we restructured and amended three of Bickford’s master lease agreements covering 27 properties and reached agreement on the repayment terms of the $26.0 million in outstanding pandemic-related deferrals. Significant terms of these agreements are as follows:Chesapeake, Virginia (discussed above).

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We placed two additional operators on the ~~maturity dates~~cash basis of ~~the modified~~accounting for their leases ~~to 2033~~during 2022. Rental income associated with these tenants totaled $3.4 million and ~~2035. The remaining master lease agreement covering 11 properties with an original maturity in 2023 was previously extended to 2028.~~

• ~~Reduces the combined rent~~$10.0 million for the portfolio to approximately $28.3 million per year through April 1, 2024, subject to a nominal annual increase, at which time the rent will be reset to a fair market value, not less than 8.0% of our initial gross investment.

• Requires monthly payments beginning October 2022 through December 2024 based on a percentage of Bickford’s monthly revenues exceeding an established threshold. The deferrals may be reduced by up to $6.0 million upon Bickford achieving certain performance targetsthree and ~~the sale or transition of certain properties to new operators.~~nine months ended September 30, 2023, respectively.

Tenant Purchase Options

Certain of our leases contain purchase options allowing tenants to acquire the leased ~~properties.~~properties by a fixed base price plus a specified share in any appreciation or a fixed base price. At September 30, ~~2022, we~~2023, tenants had ~~tenant~~ purchase options on three properties with an aggregate net investment of ~~$60.1~~$58.8 millionthat will become exercisable between 2027 and 2028. Rental income from these properties with tenant purchase options was $1.8 million and $5.4 million for the three and nine months ended September 30, 2023, respectively, and $1.8 million and $5.3 million for the three and nine months ended September 30, 2022, ~~respectively, and $1.7 million and $5.1 million for the three and nine months ended September 30, 2021,~~ respectively.

We cannot reasonably estimate at this time the probability that any purchase options will be exercised in the future. Consideration to be received from the exercise of any tenant purchase option is expected to exceed our net investment in the leased property or properties.

Future Minimum Base Rent

Future minimum lease payments to be received by us under our operating leases at September 30, ~~2022,~~2023, are as follows ($ in thousands):

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Remainder of 2022		$	47,241
2023		183,792
Remainder of 2023				Remainder of 2023	$	57,301
2024	2024	183,825		2024	237,531
2025	2025	186,425		2025	241,391
2026	2026	189,282		2026	246,792
2027	2027	149,849		2027	201,627
2028				2028	195,138
Thereafter	Thereafter	599,001		Thereafter	679,952
		$	1,539,415		$	1,859,732

Variable Lease Payments

Most of our existing leases contain annual escalators in rent payments. ~~For financial statement purposes, rental income is recognized on a straight-line basis over the term of the lease where the lease contains fixed escalators.~~ Some of our leases contain escalators that are determined annually based on a variable index or other factors that isare indeterminable at the inception of the lease. The table below indicates the ~~revenue~~rental income recognized as a result of fixed and variable lease escalators ($ in thousands):

Three Months Ended Nine Months Ended
September 30, September 30,
2022 2021 2022 2021
Lease payments based on fixed escalators, net of deferrals $ 53,394 $ 59,027 $ 172,767 $ 188,008
Lease payments based on variable escalators 1,224 1,288 2,452 3,201
Straight-line rent income 2,476 3,798 (11,360) 12,189
Escrow funds received from tenants for property operating expenses 2,358 3,182 7,553 7,519
Amortization and write-off of lease incentives (58) (252) (7,477) (774)
Rental income $ 59,394 $ 67,043 $ 163,935 $ 210,143


	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2023		2022		2023		2022
Lease payments based on fixed escalators	$	57,200	$	53,394	$	169,675	$	172,767
Lease payments based on variable escalators	1,830		1,224		5,879		2,452
Straight-line rent, net of write-offs	1,040		2,476		6,011		(11,360)
Escrow funds received from tenants for property operating expenses	2,908		2,358		8,738		7,553
Amortization and write-off of lease incentives	(723)		(58)		(1,798)		(7,477)
Rental income	$	62,255	$	59,394	$	188,505	$	163,935

Note 4. Mortgage and Other Notes Receivable

At September 30, ~~2022,~~2023, our investments in mortgage notes receivable totaled ~~$130.6~~$159.4 million secured by real estate and other assets of the ~~borrower~~borrowers (e.g., ~~UCC~~Uniform Commercial Code liens on personal property) related to 1314 facilities and in other notes receivable ~~totaling $83.5~~totaled $99.4 million, substantially all of which are guaranteed by significant parties to the notes or by cross-collateralization of properties with the same owner. These balances exclude a credit loss reserve of ~~$6.9~~$15.8 million at September 30, ~~2022. All our notes were on full accrual basis at~~2023. Our loans designated as non-performing as of September 30, ~~2022.~~

~~Mortgage~~2023 and ~~Other Notes Receivable~~

~~Life-Care Services - Sagewood~~

~~In the second quarter of~~December 31, 2022 ~~we received repayment of~~include a ~~$111.3 million~~ mortgage note receivable ~~along with all accrued interest~~of $10.0 million and a ~~prepayment fee~~mezzanine loan of ~~$1.1~~$14.5 million ~~which~~with affiliates of one operator/borrower. This operator/borrower is ~~reflected in “Gain on note payoff~~”also one of the tenants on the ~~Condensed Consolidated Statements~~cash basis of ~~Income~~accounting for its leases. During the ~~nine months ended September 30, 2022.~~third quarter of 2023, we designated

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as non-performing a mortgage note receivable of $2.1 million due from Bickford. Interest income recognized, representing cash received, from these non-performing loans was ~~$5.2 million for the nine months ended September 30, 2022, and $2.4~~$0.5 million and ~~$8.1~~$1.4 million, respectively for the three and nine months ended September 30, ~~2021, respectively.~~

~~Encore Senior Living~~

~~In January 2022, we entered into an agreement to fund a $28.5 million development loan with Encore Senior Living to construct a 108-unit assisted living~~2023. Interest income recognized for the three and memory care community in Fitchburg, Wisconsin. The four-year loan agreement has an annual interest rate of 8.5% and two one-year extensions. We have a purchase option on the property once it has stabilized. The total amount funded on the note was $8.7 million as ofnine months ended September 30, 2022 was $0.5 million and $1.4 million, respectively. All other loans were on full accrual basis at September 30, 2023 and December 31, 2022.

Capital Funding Group, Inc. Loan Extension

On September 21, 2023, we amended a mezzanine loan with Capital Funding Group, Inc. Pursuant to the terms of the agreement, the loan increased from its balance at June 30, 2023 of $8.1 million to $25.0 million. The interest rate on the loan was increased to 10% and the maturity was extended to December 31, 2028.

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Montecito Medical Real Estate

We have a $50.0 million mezzanine loan and security agreement with Montecito Medical Real Estate for a fund that invests in medical real estate, including medical office buildings, throughout the United States. ~~During the nine months ended September 30, 2022, we funded $4.5 million on two real estate investments.~~ As of September 30, ~~2022,~~2023, we have funded $20.3 million of our commitment that was used to acquire nine medical office buildings for a combined purchase price of approximately $86.7 million. For both the three and nine months ended September 30, 2023 and 2022, we ~~received~~recognized interest income of $0.5 million and ~~$1.3~~$1.4 million, respectively. ~~For the nine months ended September 30, 2022, we received principal of $0.3 million.~~

The mezzanine loan and security agreement was modified in April 2022, sosuch that ~~these~~the two real estate investments funded in the second quarter of 2022 accrue interest at an annual rate of 7.5% that is paid monthly in arrears ~~and~~plus an additional annual rate of 4.5% ~~per year in interest~~ to be paid upon certain future events including repayments, sales of fund investments, and refinancings (the “Deferred Interest”). Prior borrowings under the mezzanine loan and security agreement bear interest at an annual rate of 9.5% and accrue an additional 2.5% in Deferred Interest. The Deferred Interest will be recognized as interest income upon receipt. Funds drawn in accordance with this agreement are required to be repaid on a per-investment basis five years from deployment of the funds for the applicable investment, ~~and includes~~subject to two one-year extensions.

Bickford Construction and Mortgage Loans

As of September 30, 2023, we had one fully funded construction loan of $14.7 million to Bickford. The construction loan is secured by a first mortgage lien on substantially all of the related real and ~~mortgage loans~~personal property as well as a pledge of any and all leases or agreements which may grant a right of use to the property. Usual and customary covenants extend to the agreement, including the borrower’s obligation for payment of insurance and taxes. NHI has a fair market value purchase option on the property upon stabilization of the underlying operations. On certain development projects, Bickford is entitled to up to $2.0 million per project in incentives based on the achievement of predetermined operational milestones and, if funded, will increase NHI's future purchase price and eventual lease payments to NHI.

~~As part of the June 2021 sale of six properties to Bickford,~~At September 30, 2023, we ~~executed~~hold a ~~$13.0~~$12.7 million second mortgage as a component of the purchase price ~~consideration.~~consideration in connection with the sale of six properties to Bickford in 2021. This second mortgage note receivable bears interest at a 10% annual rate and matures in April 2026. Interest income was $0.3 million and $1.0 million ~~respectively,~~ for the three and nine months ended September 30, ~~2022.~~2023, respectively and $0.3 million and $1.0 million for the three and nine months ended September 30, 2022, respectively, related to the second mortgage. We did not include this note receivable in the determination of the gain ~~to be~~ recognized upon sale of the portfolio. Therefore, this note receivable is not reflected in “Mortgage and other notes receivable, net” in the Condensed Consolidated Balance Sheets as of September 30, ~~2022~~2023 and December 31, ~~2021.~~2022. During the three and nine months ended September 30, 2023, Bickford repaid $0.1 million and $0.3 million of principal, respectively, on this note receivable which is reflected in “Gains on sale of real estate, net” in the Condensed Consolidated Statements of Income.

As noted previously, we designated a mortgage note receivable of ~~September 30, 2022, we had two fully funded construction loans of $28.7~~$2.1 million and one $14.2 million construction loan with $13.8 million funded to Bickford. The construction loans are secured by first mortgage liens on substantially all real and personal property as well as a pledge of any and all leases or agreements which may grant a right of use to the property. Usual and customary covenants extend to the agreements, including the borrower’s obligation for payment of insurance and taxes. NHI has a fair market value purchase option on the properties at stabilization of the underlying operations. On certain development projects,due from Bickford as ~~borrower, is entitled to up to $2.0 million per project in incentives based on~~non-performing during the ~~achievement~~third quarter of ~~predetermined operational milestones and, if funded, will increase NHI's future purchase price and eventual NHI lease payment.~~

~~We also have a mortgage loan of $4.0 million to Bickford due February 2025, bearing interest at 7%, that amortizes on a twenty-five-year basis.~~2023.

Senior Living ~~Communities~~

We have provided a $20.0 million revolving line of credit to Senior Living whose borrowings under the revolver are to be used for working capital needs and to finance construction projects within its portfolio, including building additional units. Beginning January 1, ~~2023,~~2025, availability under the revolver ~~reduces~~will reduce to $15.0 million. The revolver matures in December 2029 at the time of lease maturity. At September 30, ~~2022,~~2023, the ~~$14.0~~$16.3 million outstanding under the ~~facility~~revolver bears interest at ~~9.83%~~8.0% per ~~annum, the prevailing 10-year U.S. Treasury rate plus 6%.~~annum.

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The Company also has a mortgage loan of $32.7 million with Senior Living that originated in July 2019 for the acquisition of a 248-unit continuing care retirement community (“CCRC”) in Columbia, South Carolina. The mortgage loan is for a term of five years with two one-year extensions and carries an interest rate of 7.25%. Additionally, the loan conveys to NHI a purchase option at a stated minimum price of $38.3 million, subject to adjustment for market conditions.

Credit Loss Reserve

Our principal measures of credit quality, except for construction mortgages, are debt service coverage for amortizing loans and interest or fixed charge coverage for non-amortizing loans, collectively referred to as “Coverage.” A Coverage ratio provides a measure of the borrower’s ability to make scheduled principal and interest payments. The Coverage ratios presented in the ~~following~~ table below have been calculated utilizing the most recent date for which data is available, June 30, ~~2022,~~2023, using EBITDARM (earnings before interest, taxes, depreciation, amortization, rent and management fees) and the requisite debt service, interest service or fixed charges, as defined in the applicable loan agreement. We categorize Coverage into three levels: (i) more than 1.5x, (ii) between 1.0x and 1.5x, and (iii) less than 1.0x. We update the calculation of Coverage on a quarterly basis. Coverage is

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not a meaningful credit quality indicator for construction mortgages as either these developments are not generating any operating income, or they have insufficient operating income as occupancy levels necessary to stabilize the properties have not yet been achieved. We measure credit quality for these mortgages by considering the construction and stabilization timeline and the financial condition of the borrower as well as economic and market conditions. ~~As of September 30, 2022, we did not have any construction loans that we considered underperforming.~~

We consider the guidance in ASC 310-20, Receivables - Nonrefundable Fees and Other Costs, when determining whether a modification, extension or renewal constitutes a current period origination. The credit quality indicator as of September 30, ~~2022,~~2023, is presented below for the amortized cost, net by year of origination of ($ in thousands):


		2022		2021		2020		2019		2018		Prior		Total			2023		2022		2021		2020		2019		Prior		Total
Mortgages	Mortgages															Mortgages
more than 1.5x	more than 1.5x	$	8,571	$	—	$	36,173	$	32,700	$	14,000	$	4,106	$	95,550	more than 1.5x	$	—	$	68,463	$	—	$	22,307	$	—	$	2,641	$	93,411
between 1.0x and 1.5x	between 1.0x and 1.5x	—		—		—		—		14,700		—		14,700		between 1.0x and 1.5x	—		—		—		—		32,700		14,700		47,400
less than 1.0x	less than 1.0x	—		—		3,890		6,423		—		10,000		20,313		less than 1.0x	—		—		—		—		6,423		—		6,423

		8,571		—		40,063		39,123		28,700		14,106		130,563			—		68,463		—		22,307		39,123		17,341		147,234
Mezzanine	Mezzanine															Mezzanine
more than 1.5x	more than 1.5x	—		19,195		—		—		—		—		19,195		more than 1.5x	496		—		16,526		—		—		—		17,022
between 1.0x and 1.5x	between 1.0x and 1.5x	—		23,978		—		—		—		9,178		33,156		between 1.0x and 1.5x	216		—		23,943		—		—		—		24,159
less than 1.0x	less than 1.0x	—		—		—		—		—		14,500		14,500		less than 1.0x	—		—		—		—		—		25,000		25,000
No coverage available		—		—		—		750		—		—		750

																	712		—		40,469		—		—		25,000		66,181
Non-performing																Non-performing

less than 1.0x																less than 1.0x	—		—		—		2,127		—		24,500		26,627
		—		43,173		—		750		—		23,678		67,601			—		—		—		2,127		—		24,500		26,627
Revolver	Revolver															Revolver
more than 1.5x														1,976

between 1.0x and 1.5x	between 1.0x and 1.5x													13,969		between 1.0x and 1.5x													18,726
less than 1.0x														—
														15,945
										Credit loss reserve				(6,940)															18,726
														$	207,169										Credit loss reserve				(15,808)
																													$	242,960

Due to ~~the economic uncertainty created by the COVID-19 pandemic and~~ the continuing challenges in financial markets and the potential impact on the collectability of our mortgages and other notes receivable, we forecasted a 20% increase in the probability of a default and a 20% increase in the amount of loss from a default on all loans, other than those designated as non-performing, resulting in an effective adjustment of 44%. The methodology for estimating the reserves for non-performing loans incorporates the sufficiency of the underlying collateral and the current conditions and forecasts of future economic conditions of these loans, including qualitative factors, which may differ from conditions existing in the historical period.

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The allowance for expected credit losses is presented in the following table for the nine months ended September 30, ~~2022~~2023 ($ in thousands):


Beginning balance at January 1, ~~2022~~2023	$	~~5,210~~15,338
Provision for expected credit losses	~~1,730~~470


Balance at September 30, ~~2022~~2023	$	~~6,940~~15,808

Note 5. Senior Housing Operating Portfolio Formation Activities

Concurrently with the settlement of the outstanding litigation with Welltower discussed more fully in Note 8, we terminated the master lease with a Welltower-controlled subsidiary for the legacy Holiday properties effectiveEffective April 1, 2022 ~~and~~we transitioned the operations of 15 ILFs ~~from the Welltower-controlled tenant~~previously leased pursuant to a triple-net lease into two new ~~ventures.~~ventures comprising our SHOP activities. These new ventures, consolidated by the Company, are structured to comply with REIT requirements and utilize the TRS for activities that would otherwise be non-qualifying for REIT purposes. The properties in each venture are operated by a property manager in exchange for a management fee. The equity structure of these ventures is comprised of ~~65% and 35%~~ preferred and common equity ~~interests, respectively.~~interests. The Company owns 100% of the preferred equity interests in these ventures ~~and~~with an ~~aggregate blended common equity interest of 89%. As of September 30, 2022, the~~ annual fixed preferred return ~~was~~of approximately $10.2 ~~million.~~million as of September 30, 2023. Additionally, the managers, or ~~affiliates~~related parties of the managers, own common equity interests in their respective ventures. ~~Given certain provisions of the operating~~

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agreements, including provisions related to a Company change in control, the noncontrolling interests associated with the ventures were determined to be contingently redeemable, as discussed further in Note 9. Each venture is discussed in more detail below.

Merrill ~~Gardens~~ Managed Portfolio

We transferred six ILFs located in California and Washington into a consolidated venture with Merrill. Merrill initially contributed $10.6 million in cash for its 20% common equity interest in the venture. In the second quarter of 2023, the members of this venture contributed an additional $4.6 million to fund additional capital expenditures, of which Merrill contributed $0.9 million in cash in accordance with its common equity interest percentage in the venture. The operating agreement ~~includes additional~~for the venture provides for contingent distributions to the ~~partners~~members based on the attainment of certain yields on investment calculated on an annual basis.

The properties are managed by Merrill pursuant to a management agreement with an initial term through March 2032 that automatically renews on a year-to-year basis thereafter unless terminated by either party with notice. The management agreement entitles Merrill to a base management fee of 5% of net revenue and a real estate services fee of 5% of real estate costs incurred during any calendar year that exceed $1,000 times the number of units at each facility. Given certain provisions of the operating agreement, including provisions related to a Company change in control, the noncontrolling interest associated with the venture was determined to be contingently redeemable and classified in mezzanine equity, as discussed further in Note 10.

Discovery Managed Portfolio

We transferred nine ILFs located in Arkansas, Georgia, Ohio, Oklahoma, New Jersey, and South Carolina into a consolidated venture with the Discovery ~~member.~~member, a related party of Discovery. The Discovery member contributed $1.1 million in cash for its 2% common equity interest in the venture. In October 2023, the members contributed an additional $2.6 million to fund additional capital expenditures, which was funded in cash in accordance with each member’s common equity interest percentage in the venture. The operating agreement ~~includes additional~~for the venture provides for contingent distributions to the ~~partners~~members based on the attainment of certain yields on investment calculated on an annual basis. The noncontrolling interest is included in “Equity” on the Condensed Consolidated Balance Sheets as of September 30, 2023 and December 31, 2022.

The properties are managed by separate ~~controlled affiliates~~related parties of Discovery pursuant to management agreements, each with an initial term through March 2032 that automatically renews on a year-to-year basis thereafter unless terminated by either party with notice. The management ~~agreement entitles~~agreements entitle the managers to a base management fee of 5% of net revenue.

Note 6. Equity Method Investment

~~Our initial $0.9 million investment in the operating company, Timber Ridge OpCo, LLC (“Timber Ridge OpCo”) held by our TRS arose in conjunction~~Concurrently with the acquisition of a CCRC from LCS-Westminster Partnership III, LLP in January ~~2020. We structured our arrangement with our JV partner, LCS~~2020, we invested $0.9 million in the operating company, Timber Ridge ~~LLC,~~OpCo, representing a 25% equity interest. This investment is held by our TRS to be compliant with the provisions of the REIT Investment Diversification and Empowerment Act of 2007. Accordingly, the TRS holds our 25% equity interest in Timber Ridge OpCo, which permits the TRS to engage in activities and share in cash flows that would otherwise be non-qualifying income under the REIT gross income test. As part of our investment, we provided Timber Ridge OpCo a revolving credit facility of up to $5.0 million of which no funds have been drawn.

We account for our investment in Timber Ridge OpCo under the equity method and decrease the carrying value of our investment for losses in the entity and distributions to NHI for cumulative amounts up to and including our basis plus any guaranteed or implied commitments to fund operations. In February 2023, we received $2.5 million from Timber Ridge OpCo

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representing the Company’s proportionate share of the lease incentive earned, as discussed in Note 7, based on its equity interest in the entity. Our guaranteed and implied commitments are currently limited to the additional $5.0 million under the revolving credit ~~facility.~~facility and the $2.5 million lease incentive distribution received. As of September 30, ~~2022,~~2023, we have recognized our share of Timber Ridge OpCo’s operating losses in excess of our initial investment. These cumulative losses of $5.0 million in excess of our original basis and the $2.5 million lease incentive distribution received are included in “Accounts payable and accrued expenses” in our Condensed Consolidated Balance ~~Sheets~~Sheet as of September 30, ~~2022 and December 31, 2021.~~2023. Excess unrecognized equity method losses for the three and nine months ended September 30, ~~2022~~2023 were $0.6 million and $1.9 million, respectively, and $0.9 million and $2.6 million for the three and nine months ended September 30, 2022, respectively. Cumulative unrecognized losses were ~~$4.8~~$7.8 million through September 30, ~~2022.~~2023. We recognized gains of approximately $0.6 million, representing cash distributions received ~~for the nine months ended September 30, 2022, and losses of approximately $0.6 million and $2.3 million~~ related to our investment in Timber Ridge OpCo for the ~~three and~~ nine months ended September 30, ~~2021, respectively.~~2022.

The Timber Ridge property is subject to early resident mortgages secured by a Deed of Trust and Indenture of Trust (the “Deed and Indenture”). As part of our acquisition, NHI-LCS JV I, LLC (“Timber Ridge PropCo”) acquired the Timber Ridge CCRC property and a subordination agreement was entered into pursuant to which the trustee acknowledged and confirmed that the security interests created under the Deed and Indenture were subordinate to any security interests granted in connection with the loan made by NHI to Timber Ridge PropCo. In addition, byunder the terms of the resident loan assumption agreement, during the term of the lease (seven years with two renewal options), Timber Ridge OpCo is to indemnify Timber Ridge PropCo for any repayment by Timber Ridge PropCo of these liabilities under the guarantee. As a result of the subordination agreement and the resident loan assumption agreements, no liability has been recorded as of September 30, ~~2022.~~2023. The balance secured by the Deed and Indenture was ~~$14.7~~$12.5 million at September 30, ~~2022.~~2023.

Note 7. Other Assets

Other assets, net consist of the following ($in thousands):


	September 30, 2023		December 31, 2022
SHOP accounts receivable, net of allowance of $352 and $375, and other assets	$	792	$	1,341
Real estate investments accounts receivable and prepaid expenses	4,383		3,621
Lease incentive payments, net	11,392		3,190
Regulatory escrows	6,208		6,208
Restricted cash	1,916		2,225
	$	24,691	$	16,585

In February 2023, Timber Ridge PropCo, the consolidated senior housing partnership with LCS that owns the Timber Ridge CCRC, paid a $10.0 million lease incentive earned by Timber Ridge OpCo. The lease incentive is being amortized on a straight-line basis through the remaining initial lease term ending January 2027.

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Note 7.8. Debt

Debt consists of the following ($ in thousands):


		September 30, 2022		December 31, 2021			September 30, 2023		December 31, 2022
Revolving credit facility - unsecured	Revolving credit facility - unsecured	$	10,000	$	—	Revolving credit facility - unsecured	$	205,000	$	42,000
Bank term loans - unsecured	Bank term loans - unsecured	240,000		375,000		Bank term loans - unsecured	200,000		240,000
Senior notes - unsecured, net of discount of $2,680 and $2,921		397,320		397,079
Private placement term loans - unsecured		400,000		400,000
2031 Senior Notes - unsecured, net of discount of $2,358 and $2,600						2031 Senior Notes - unsecured, net of discount of $2,358 and $2,600	397,642		397,400
Private placement notes - unsecured						Private placement notes - unsecured	275,000		400,000
Fannie Mae term loans - secured, non-recourse	Fannie Mae term loans - secured, non-recourse	76,748		77,038		Fannie Mae term loans - secured, non-recourse	76,345		76,649

Unamortized loan costs	Unamortized loan costs	(9,069)		(6,234)		Unamortized loan costs	(9,549)		(8,538)
		$	1,114,999	$	1,242,883		$	1,144,438	$	1,147,511

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Aggregate principal maturities of debt as of September 30, ~~2022~~2023 are as follows ($ in thousands):


Remainder of 2022		$	99
2023		415,408
Remainder of 2023				Remainder of 2023	$	50,104
2024	2024	75,425		2024	75,425
2025	2025	125,816		2025	325,816
2026	2026	10,000		2026	205,000
2027	2027	100,000		2027	100,000
2028				2028	—
Thereafter	Thereafter	400,000		Thereafter	400,000
		1,126,748			1,156,345
Less: discount	Less: discount	(2,680)		Less: discount	(2,358)
Less: unamortized loan costs	Less: unamortized loan costs	(9,069)		Less: unamortized loan costs	(9,549)
		$	1,114,999		$	1,144,438

Unsecured revolving credit facility and bank term loans

On March 31, 2022, we entered into ~~a new~~an unsecured revolving credit agreement (the “2022 Credit Agreement”) providing us with a $700.0 million unsecured revolving credit facility, replacing our previous $550.0 million unsecured revolver. The 2022 Credit Agreement matures in March 2026, but may be extended at our option, subject to the satisfaction of certain conditions, for two additional six-month periods. Borrowings under the 2022 Credit Agreement bear interest, at our election, at ~~either~~one of the following (i) Term Secured Overnight Financing Rate (“SOFR”) (plus a credit spread adjustment) plus a margin ranging from 0.725% to 1.40%, (ii) Daily SOFR (plus a credit spread adjustment) plus a margin ranging from 0.725% to 1.40% or (iii) the base rate plus a margin ranging from 0.00% to 0.40%. In each election, the actual margin is determined according to our credit ratings. The base rate means, for any day, a fluctuating rate per annum equal to the highest of (i) the ~~Agent’s~~agent’s prime rate, (ii) the federal funds rate on such day plus 0.50% or (iii) the adjusted Term SOFR for a one-month tenor in effect on such day plus 1.0%.

In addition, the 2022 Credit Agreement requires a facility fee equal to 0.125% to 0.30%, based on our credit rating. We

In the first quarter of 2023, we repaid $20.0 million of a term loan with a maturity of September 2023 (the “2023 Term Loan”). In June 2023, we entered into a two-year $200.0 million term loan agreement (the “2025 Term Loan”) bearing interest at a variable rate which is SOFR-based with a margin determined according to our credit ratings plus a 0.10% credit spread adjustment. The Company incurred ~~$4.5~~approximately $2.7 million of deferred ~~costs in connection~~financing cost associated with ~~the 2022 Credit Agreement which are included as~~this loan. The 2025 Term Loan proceeds were used to repay a ~~component of “Debt” on the Condensed Consolidated Balance Sheet as of September 30, 2022.~~

~~Concurrently with the execution~~portion of the ~~2022 Credit Agreement, we amended our $300.0~~remaining $220.0 million ~~term loan, maturing in September 2023 (“~~2023 Term ~~Loan”).~~Loan balance, which was repaid in full in June 2023. The ~~amendment modifies the existing covenants to align with provisions in the 2022 Credit Agreement and to accrue~~2023 Term Loan accrued interest on borrowings ~~based on SOFR (plus a credit spread adjustment) that were previously based on LIBOR,~~consistent with ~~no change to~~ the existing applicable interest rate margins. We may also elect for the 2023 Term Loan to accrue interest at a base rate plus the applicable margin. As of September 30, 2022, we repaid $60.0 million of the 2023new 2025 Term Loan.

In March 2022, we repaid a $75.0 million term loan maturing August 2022 with proceeds from the revolving credit facility. The term loan bore interest at a rate of 30-day LIBOR (with a 50 basis point floor) plus 185 basis points (“bps”), based on our current leverage ratios. Upon repayment, we expensed approximately ~~$0.2~~$0.1 million of unamortized loan costs associated with this

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loan which isare included in “Loss on early retirement of debt” ~~in our Condensed Consolidated Statement of Income for the nine months ended September 30, 2022.~~.

The revolving facility fee was 25 bps per annum during the third quarter of 2022 and based on our current credit ratings, the facility provided for floating interest on the revolver and the term loans at SOFR CME Term Option one-month loan (plus a 10 bps spread adjustment) plus 105 bps and 125 bps. At September 30, 2022, the SOFR CME Term Option one-month was 304 bps.

At September 30, ~~2022,~~2023, we had ~~$690.0~~$495.0 million available to draw on the revolving portion of our credit facility, subject to usual and customary covenants. Among other stipulations, the unsecured credit facility agreement requires that we maintain certain financial ratios within limits set by our creditors. At September 30, ~~2022,~~2023, we were in compliance with these ratios.

Pinnacle Bank is a participating member of our banking group. A member of NHI’s Board of Directors and ~~chairman~~chairperson of ~~our audit committee~~the Audit Committee of the Board of Directors is also the chairman of Pinnacle Financial Partners, Inc., the holding company for Pinnacle Bank. NHI’s local banking transactions are conducted primarily through Pinnacle Bank.

2031 Senior Notes ~~2031~~

In January 2021, we issued $400.0 million aggregate principal amount of 3.00% senior notes that mature on February 1, 2031 and pay interest semi-annually (the “2031 Senior Notes”). ~~We used a portion~~The 2031 Senior Notes were sold at an issue price of 99.196% of face value before the underwriters’ discount. Our net proceeds from the 2031 Senior Notes offering, ~~to repay a $100.0 million term loan~~after deducting underwriting discounts and ~~recognized a loss on early retirement of debt of $0.5 million for the nine months ended September 30, 2021, representing the unamortized loan costs expensed upon early repayment of the term loan.~~

expenses, were approximately $392.3 million. The 2031 Senior Notes are subject to affirmative and negative covenants, including financial ~~covenants. As of September 30, 2022,~~covenants with which we were in compliance ~~with all affirmative and negative covenants, including financial covenants for our 2031 Senior Notes borrowings.~~at September 30, 2023.

Private Placement ~~Term Loans~~Notes

In January 2023, we repaid the $125.0 million of the private placement notes due January 2023 primarily with proceeds from the revolving credit facility.

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Our remaining unsecured private placement ~~term loans,~~notes as of September 30, 2023, payable interest-only, are summarized below ($ in thousands):


Amount	Amount	Inception	Maturity	Fixed Rate	Amount	Inception	Maturity	Fixed Rate
$	125,000	January 2015	January 2023	3.99%	50,000	November 2015	November 2023	3.99%
50,000		November 2015	November 2023	3.99%
75,000	75,000	September 2016	September 2024	3.93%	75,000	September 2016	September 2024	3.93%
50,000	50,000	November 2015	November 2025	4.33%	50,000	November 2015	November 2025	4.33%
100,000	100,000	January 2015	January 2027	4.51%	100,000	January 2015	January 2027	4.51%
$	400,000				275,000

In November 2023, the $50.0 million of private placement notes due November 2023 were repaid primarily with proceeds from the revolving credit facility.

Covenants pertaining to the private placement ~~term loans~~notes are generally conformed with those governing our credit facility, except for specific debt-coverage ratios that are more restrictive. Our unsecured private placement ~~term loan agreements~~notes include a rate increase provision that is effective if any rating agency lowers our credit rating on our senior unsecured debt below investment grade and our compliance leverage increases to 50% or more.

Fannie Mae Term Loans

As of September 30, ~~2022,~~2023, we had $60.1 million in Fannie Mae term-debt financing, ~~originating~~that originated in March 2015, ~~consisting of~~requiring interest-only payments at an annual rate of 3.79% ~~and~~with a 10-year maturity. The mortgages are non-recourse and secured by ~~eleven~~11 properties leased to Bickford. In a December 2017 acquisition, we assumed additional Fannie Mae debt that amortizes through 2025 when a balloon payment will be due, is subject to prepayment penalties until 2024, bears interest at a ~~nominal~~ rate of 4.6%, and has a remaining balance of ~~$16.6~~$16.2 million at September 30, ~~2022.~~2023. Collectively, ~~these notes are~~the Fannie Mae debt is secured by ~~facilities~~properties having a net book value of ~~$105.2~~$101.7 million at September 30, ~~2022.~~2023.

Interest Expense ~~and Rate Swap Agreements~~

The following table summarizes interest expense ($ in thousands):

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Three Months Ended Nine Months Ended
September 30, September 30,
2022 2021 2022 2021
Interest expense on debt at contractual rates $ 10,821 $ 10,234 $ 30,640 $ 31,055
Losses reclassified from accumulated other
comprehensive income into interest expense — 1,851 — 5,449
Capitalized interest (18) (6) (28) (40)
Amortization of debt issuance costs, debt discount and other 609 636 1,860 2,064
Total interest expense $ 11,412 $ 12,715 $ 32,472 $ 38,528

~~On December 31, 2021, our $400.0 million interest rate swap agreements matured that were in place to hedge against fluctuations in variable interest rates applicable to our bank loans.~~


	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2023		2022		2023		2022
Interest expense on debt at contractual rates	$	14,387	$	10,821	$	41,439	$	30,640
Capitalized interest	(21)		(18)		(61)		(28)
Amortization of debt issuance costs, debt discount and other	720		609		1,930		1,860
Total interest expense	$	15,086	$	11,412	$	43,308	$	32,472

Note 8.9. Commitments, Contingencies and Uncertainties

In the normal course of business, we enter into a variety of commitments, typically consisting of funding revolving credit arrangements, construction and mezzanine loans to our operators to conduct expansions and acquisitions for their own account, and commitments for the funding of construction for expansion or renovation to our existing properties under lease. In our leasing operations, we offer to our tenants and to sellers of newly acquired properties a variety of inducements that originate contractually as contingencies but which may become commitments upon the satisfaction of the contingent event. Contingent payments earned will be included in the respective lease bases when funded.

As of September 30, ~~2022,~~2023, we had working capital, construction and mezzanine loan commitments to ~~five~~six operators or borrowers for ~~$173.6~~an aggregate of $145.4 million, of which we had funded ~~$109.7~~$102.0 million toward these commitments.

~~As provided above, loans~~ Loan funded amounts do not ~~include~~reflect the effects of discounts or commitment fees.

As of September 30, ~~2022,~~2023, we had ~~$33.5~~$23.2 million of development commitments for construction and renovation for ~~nine~~seven properties of which we had funded ~~$24.2~~$18.8 million toward these commitments. ~~In addition to these commitments, we have agreed to pay up to $0.8 million in additional cash consideration pending the results~~One of ~~an ongoing property tax appeal related to a property acquired in the second quarter~~our consolidated real estate partnerships,

Table of ~~2022. As~~Contents

NHI REIT of ~~September 30, 2022, no amount of this consideration is expected to be paid. Discovery~~DSL PropCo, LLC, has committed to fund up to $2.0 million toward the purchase of condominium units located at one of the facilities of which $1.0 million had been funded as of September 30, ~~2022.~~2023.

As of September 30, ~~2022,~~2023, we had ~~$28.6~~an aggregate of $13.9 million ofin remaining contingent lease inducement commitments in ~~seven~~five lease agreements which are generally based on the performance of facility operations and may or may not be met by the tenant. AtIn the nine months ended September 30, ~~2022,~~2023, we ~~had~~ funded ~~$1.5~~$10.0 million ~~toward these commitments.~~to Timber Ridge OpCo based upon the achievement of all performance conditions as discussed in Note 7.

The credit loss liability for unfunded loan commitments is estimated using the same methodology as used for our funded mortgage and other notes receivable based on the estimated amount that we expect to fund. We applied the same ~~COVID-19 pandemic~~market adjustments as discussed in Note 4.

The liability for expected credit losses on our unfunded loans reflected in “Accounts payable and accrued expenses” on the Condensed Consolidated Balance Sheets as of September 30, ~~2022~~2023 and December 31, ~~2021~~2022 is presented in the following table for the nine months ended September 30, ~~2022~~2023 ($ in thousands):


Beginning balance January 1, ~~2022~~2023	$	~~955~~683
Provision for expected credit losses	~~(50)~~(385)
Balance at September 30, ~~2022~~2023	$	~~905~~298

The disposal transactions for three Bickford properties in 2022 included $2.4 million in contingent consideration representing cash placed in escrow to be returned to the buyers to the extent the sold properties generate negative monthly cash flows over the twelve months following the dates of sale. As of September 30, 2023, all the escrowed funds were returned to the buyers.

COVID-19 Pandemic Contingencies

~~Since~~Rental income for the ~~World Health Organization declared COVID-19 a pandemic on March 11, 2020, the continually evolving pandemic has resulted in a widespread health crisis adversely affecting governments, businesses,~~three and ~~financial markets. The COVID-19~~

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pandemic and related health and safety measures continue to impact the operations of many of the Company’s tenants, operators and borrowers. The federal government has provided economic assistance and other forms of assistance which mitigated to some extent the negative financial impact of the pandemic for certain of our tenants and operators who are eligible.

When applicable, we have accounted for rent concessions as variable lease payments, recorded as rental income when received, in accordance with the FASB's Lease Modification Q&A. Reference Note 2 for further discussion. We will evaluate any rent deferral requests as a result of the COVID-19 pandemic on a tenant-by-tenant basis. The extent of future concessions we make as a result of the COVID-19 pandemic, which could have a material impact on our future operating results, cannot be reasonably or reliably projected by us at this time.

As of September 30, 2022, aggregate pandemic-related rent concessions granted to tenants that have been accounted for as variable lease payments totaled approximately $53.2 million, net of cumulative repayments of $0.3 million and excluding any interest accrued. Of this total, net rent deferrals that are contractually agreed to be repaid are $47.3 million. During the threenine months ended September 30, ~~2022, we did not grant any~~2023 includes $2.1 million and $5.5 million, respectively, related to repayments and other reductions of pandemic-related rent deferrals. ~~During~~Rental income for the nine months ended September 30, ~~2022, we granted~~2023 includes the $2.5 million in reduced pandemic-related rent deferrals ~~of $9.2 million to seven tenants. In addition, we granted rent abatements~~in connection with the acquisition in the first quarter of ~~2022 to Bickford~~2023 of ~~approximately $1.5 million. Repayments of~~the ALF located in Chesapeake, Virginia discussed in Note 3. There were no pandemic-related rent ~~deferrals during the nine months ended September 30, 2022 were $0.2 million.~~

~~Rent deferrals~~concessions granted for the three and nine months ended September 30, ~~2021~~2023. As of September 30, 2023, aggregate pandemic-related rent concessions granted to tenants that were initially accounted for as variable lease payments totaled approximately ~~$5.8~~$26.9 million, net of cumulative repayments and other reductions of $9.2 million and ~~$19.9~~excluding any interest accrued.

There were no pandemic-related rent concessions granted for the three months ended September 30, 2022. Pandemic-related rent concessions granted for the nine months ended September 30, 2022 totaled approximately $10.7 million, ~~respectively,~~ of which Bickford accounted for approximately ~~$3.5 million and $13.8 million, respectively.~~

~~Litigation~~

Our facilities are subject to claims and suits in the ordinary course of business. Our lessees and borrowers have indemnified, and are obligated to continue to indemnify us, against all liabilities arising from the operation of the facilities, and are further obligated to indemnify us against environmental or title problems affecting the real estate underlying such facilities. In addition, such claims may include, among other things professional liability and general liability claims, as well as regulatory proceedings related to our SHOP segment where we are the holder of the applicable healthcare license. While there may be lawsuits pending against us and certain of the owners and/or lessees of the facilities, management believes that the ultimate resolution of all such pending proceedings will have no direct material adverse effect on our financial condition, results of operations or cash flows.

~~Welltower, Inc.~~

In June 2021, Welltower announced that it would acquire certain assets from the senior housing portfolio of Holiday, a privately held senior living management company, that included 17 senior living facilities governed by a master lease originally executed between a Holiday subsidiary and NHI in 2013. We received no rent due under the master lease from the tenant for these facilities after this change in tenant ownership occurred in late July 2021.

On December 20, 2021, NHI and its subsidiaries NHI-REIT of Next House, LLC, Myrtle Beach Retirement Resident LLC, and Voorhees Retirement Residence LLC filed suit against Welltower, Inc., Welltower Victory II TRS LLC, and Well Churchill Leasehold Owner LLC (collectively the "Defendants") in the Delaware Court of Chancery (Case No. 2021-1097-MTZ). In the litigation, we contended that the Defendants repeatedly failed to honor their legal obligations to NHI. In particular, we asserted that the Defendants acquired assets from a third party, Holiday, that included leases to NHI senior living facilities and fraudulently induced NHI to consent to the assignment of the leases, and then immediately failed to pay rent or provide a promised security agreement that was intended to secure against their default, all as part of an effort to pressure NHI to agree to new conditions outside the assignment agreement or force a sale of the properties to the Defendants. The lawsuit further asserted that the Defendants owed unpaid contractual rent.

In connection with a memorandum of understanding between the parties dated March 4, 2022, NHI applied the remaining approximately $8.8 million lease deposit to past due rents in the first quarter of 2022. Also, as provided by the memorandum of understanding, Welltower transferred approximately $6.9 million to an escrow account to be released upon satisfactory transition of the facility operations and mutual dismissal of the lawsuit. NHI and certain of its subsidiaries entered into a settlement agreement dated March 31, 2022 with Defendants formalizing the terms to settle the lawsuit.

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relationship and leased pursuant to an existing master lease, and (iii) the remaining 15 properties were transitioned into two new SHOP partnership ventures. See Note 5 for more information on these new ventures.

Also effective April 1, 2022, the parties agreed to dismiss the lawsuit and mutually release all claims related to or arising out of the litigation and the $6.9 million in escrowed funds were released to NHI and recognized as rental income during the second quarter of 2022. We recognized approximately $0.7 million as a “~~Gain (loss) on operations transfer, net”~~ on the Condensed Consolidated Statements of Income during the second quarter of 2022 with an immaterial true-up being recognized during the third quarter of 2022. This net loss represents the amount of net working capital deficit assumed by NHI in connection with the transfer of operations following the termination of the master lease. The net working capital assumed by NHI on April 1, 2022 was comprised primarily of facility furniture, fixtures and equipment, net resident accounts receivable, accounts payable and other accrued liabilities.$5.5 million.

Note 9.10. Redeemable Noncontrolling ~~Interests~~Interest

~~Interests~~The interest held by Merrill ~~and the Discovery member~~in its SHOP venture was classified as a “Redeemable noncontrolling interest” in the ~~SHOP ventures are noncontrolling interests.~~mezzanine section between “Total liabilities” and “Stockholders’ equity” on our Condensed Consolidated Balance Sheets as of September 30, 2023 and December 31, 2022. Certain provisions within the operating ~~agreements~~agreement of the ~~ventures~~Merrill venture provide ~~the noncontrolling interest holders~~Merrill with put rights upon certain contingent events that are not solely within the control of the Company. Therefore, ~~these~~Merrill’s noncontrolling ~~interests were~~interest was determined to be contingently ~~redeemable and are presented as “Redeemable noncontrolling interests” in the mezzanine section between Total liabilities and Stockholders’ equity on our Condensed Consolidated Balance Sheet at September 30, 2022.~~

~~At inception, the Company recorded noncontrolling interests of $11.7 million, representing the initial carrying amount of the noncontrolling interest holders’ ownership interests in the ventures.~~redeemable. The redeemable noncontrolling ~~interests are~~interest is not currently redeemable and we concluded a contingent redemption event is not probable to occur as of September 30, ~~2022.~~2023. Consequently, the noncontrolling ~~interests~~interest will not be subsequently remeasured to its redemption amount until such ~~contingency~~contingent event and the related redemption are probable to occur. We will continue to reflect the attribution of gains or losses to the redeemable noncontrolling ~~interests~~interest each ~~quarter.~~period.

The following table presents the change in “Redeemable noncontrolling ~~interests~~interest” for the nine months ended September 30, ~~2022~~2023 ($ in thousands):

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	Nine Months Ended
	September 30, ~~2022~~2023
Balance at January 1,	$	—9,825
~~Initial carrying amount~~Contributions	~~11,738~~922
Net loss	~~(505)~~(825)
~~Distributions~~	~~(36)~~
Balance at September 30,	$	~~11,197~~9,922

Note ~~10.~~11. Equity and Dividends

Share Repurchase Plan

On ~~April 15, 2022, the Company’s~~February 17, 2023, our Board of Directors ~~approved~~authorized a revised stock repurchase ~~plan~~program (the ~~“2022~~“Revised Repurchase Plan”) ~~for~~pursuant to which we may purchase up to ~~$240.0~~$160.0 million in shares of ~~the Company’s~~our issued and outstanding common ~~stock.~~stock, par value $0.01 per share. The ~~plan~~Revised Repurchase Plan is effective for a period of one ~~year.~~year and does not require us to repurchase any specific number of shares. The Revised Repurchase Plan may be suspended or discontinued at any time. Shares may be repurchased from time-to-time in open market transactions at prevailing market prices, in privately negotiated transactions or by other means in accordance with the terms of Rule 10b-18 of the Securities Exchange Act of 1934, as amended, and repurchases shall be made in accordance with all applicable laws and regulations in effect. The timing and number of shares repurchased, if any, will depend on a variety of factors, including price, general market and economic conditions, alternative investment opportunities and other corporate considerations.

~~During~~No common stock was repurchased during the three and nine months ended September 30, 2023. During 2022, ~~we repurchased~~cumulative repurchases through open market transactions ~~1,272,179 and~~totaled 2,468,354 shares of ~~our~~ common stock ~~respectively,~~ for ~~an average price of $64.44 and $61.56 per share, respectively, excluding commissions.~~approximately $151.6 million. All shares received were constructively retired upon receipt, and ~~the excess of the purchase price over the par value per share was recorded~~reflected as a reduction to “~~Cumulative dividends in excess of net income~~Retained earnings” in the Condensed Consolidated Balance ~~Sheet.~~Sheet as of December 31, 2022.

~~As of September 30, 2022,~~In March 2023, we ~~had~~renewed our automatic “shelf” registration statement on Form S-3 and concurrently entered into a new equity distribution agreement whereby we can sell up to $500.0 million in common stock through an at-the-market (“ATM”) equity program. We incurred approximately ~~$88.4~~$0.5 million ~~remaining under the 2022 Repurchase Plan.~~in costs for these programs.

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Dividends

The following table summarizes dividends declared by the Board of Directors or paid during the nine months ended September 30, ~~2022~~2023 and ~~2021:~~2022:

Nine Months Ended September 30, 2023

Date of Declaration

Date of Record

Date Paid/Payable

Quarterly Dividend

November 6, 2022

December 30, 2022

January 27, 2023

$0.90

February 17, 2023

March 31, 2023

May 5, 2023

$0.90

May 5, 2023

June 30, 2023

August 4, 2023

$0.90

August 4, 2023

September 29, 2023

November 3, 2023

$0.90

Nine Months Ended September 30, 2022

Date of Declaration

Date of Record

Date Paid/Payable

Quarterly Dividend

November 5, 2021

December 31, 2021

January 31, 2022

$0.90

February 16, 2022

March 31, 2022

May 6, 2022

$0.90

May 6, 2022

June 30, 2022

August 5, 2022

$0.90

August 5, 2022

September 30, 2022

November 4, 2022

$0.90

~~Nine Months Ended September 30, 2021~~

~~Date of Declaration~~

~~Date of Record~~

~~Date Paid/Payable~~

~~Quarterly Dividend~~

~~December 15, 2020~~

~~December 31, 2020~~

~~January 29, 2021~~

~~$1.1025~~

~~March 12, 2021~~

~~March 31, 2021~~

~~May 7, 2021~~

~~$1.1025~~

~~June 3, 2021~~

~~June 30, 2021~~

~~August 6, 2021~~

~~$0.90~~

~~August 3, 2021~~

~~September 30, 2021~~

~~November 5, 2021~~

~~$0.90~~

On November ~~6, 2022,~~3, 2023, the Board of Directors declared a $0.90 per share dividend payable to common stockholders of record on December ~~30, 2022,~~29, 2023, payable on January ~~27, 2023.~~26, 2024.

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Note ~~11.~~12. Share-Based Compensation

The Company’s outstanding stock incentive awards have been granted under two incentive plans – the 2012 Stock Incentive Plan ~~(“2012 Plan”)~~ and the 2019 Stock Incentive Plan, ~~(“2019~~which was amended and restated in May 2023 (collectively, the “2019 Plan”). During the nine months ended September 30, ~~2022,~~2023, we granted options to purchase ~~0.7 million~~385,500 shares of common stock under the 2019 Plan. As

The amendment and restatement of ~~September 30, 2022,~~the 2019 Plan, which was approved by stockholders in May 2023, increased the number of shares ~~available~~of common stock authorized for ~~future grants totaled 1.4 million~~issuance under the 2019 ~~Plan.~~ Plan from 3,000,000 to 6,000,000 and added the ability of the Company to award shares of restricted stock and restricted stock units subject to such conditions and restrictions as the Company may determine. In May 2023, 21,000 shares of restricted stock were issued to executive officers with a grant date fair value of $49.30 per share based on the market value of our common stock on the date of grant. The restricted stock will vest over five years, with 20% vesting on each anniversary of the date of grant. The restricted stock awards contain non-forfeitable rights to dividends or dividend equivalents during the vesting periods.

The weighted average fair value of options granted during the nine months ended September 30, 2023 and 2022 was $10.56 and $11.92 per option, respectively. The fair value of each grant is estimated on the date of grant using the Black-Scholes option-pricing model with the following weighted average assumptions:


	2023	2022
Dividend yield	6.9%	7.0%
Expected volatility	39.0%	49.3%
Expected lives	2.9 years	2.9 years
Risk-free interest rate	4.56%	1.75%

The following table summarizes our outstanding stock options:


			Weighted Average
	Number	Weighted Average	Remaining
	of Shares	Exercise Price	Contractual Life (Years)
Options outstanding, January 1, 2022	1,652,505	$78.10
Options granted	718,000	$53.62
Options exercised	(56,832)	$53.41
Options forfeited	(23,000)	$62.33
Options expired	(74,498)	$77.93
Options outstanding, September 30, 2022	2,216,175	$70.97

Exercisable at September 30, 2022	1,695,155	$74.73

Options outstanding, January 1, 2023	2,216,175	$70.97
Options granted	385,500	$54.73
Options exercised	(5,166)	$53.41
Options forfeited	(61,168)	$66.44
Options expired	(88,170)	$64.33
Options outstanding, September 30, 2023	2,447,171	$68.80	2.51

Exercisable at September 30, 2023	2,078,827	$71.40	2.25

At September 30, 2023, there was no intrinsic value of stock options outstanding and exercisable. The aggregate intrinsic value of stock options exercised during the nine months ended September 30, 2023 and 2022 was $1.23 per share or less than $0.1 million and $4.94 per share or $0.1 million, respectively.

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The following is a summary of share-based compensation expense, net of any forfeitures, included in “General and administrative expenses” in the Condensed Consolidated Statements of Income ($ in thousands):

Three Months Ended Nine Months Ended
September 30, September 30,
2022 2021 2022 2021
Non-cash share-based compensation expense $ 1,065 $ 989 $ 7,576 $ 7,427

The weighted average fair value of options granted during the nine months ended September 30, 2022 and 2021 was $11.92 and $14.54 per option, respectively. The fair value of each grant is estimated on the date of grant using the Black-Scholes option-pricing model with the following weighted average assumptions:

2022 2021
Dividend yield 7.0% 6.7%
Expected volatility 49.3% 48.1%
Expected lives 2.9 years 2.9 years
Risk-free interest rate 1.75% 0.33%

~~The following table summarizes our outstanding stock options:~~

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Weighted Average
Number Weighted Average Remaining
of Shares Exercise Price Contractual Life (Years)
Options outstanding, January 1, 2021 1,033,838 $83.54
Options granted 652,000 $69.20
Options exercised (20,000) $60.52
Options outstanding, September 30, 2021 1,665,838 $78.20
Exercisable at September 30, 2021 1,183,324 $79.25
Options outstanding, January 1, 2022 1,652,505 $78.10
Options granted 718,000 $53.62
Options exercised (56,832) $53.41
Options forfeited (23,000) $62.33
Options expired (74,498) $77.93
Options outstanding, September 30, 2022 2,216,175 $70.97 3.06
Exercisable at September 30, 2022 1,695,155 $74.73 2.75

At September 30, 2022, the aggregate intrinsic value of stock options outstanding and exercisable was $2.0 million and $0.9 million, respectively. The aggregate intrinsic value of stock options exercised during the nine months ended September 30, 2022 and 2021 was $0.1 million or $4.94 per share; and $0.2 million or $9.27 per share, respectively.


	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2023		2022		2023		2022
Share-based compensation components:
Restricted stock expense	$	119	$	—	$	191	$	—
Stock option expense	747		1,065		3,549		7,576
Total share-based compensation expense	$	866	$	1,065	$	3,740	$	7,576

As of September 30, ~~2022,~~2023, unrecognized compensation expense totaling $2.7 million associated with ~~unvested stock options~~stock-based awards is expected to be recognized over the following periods: remainder of ~~2022 - $1.0 million,~~ 2023 - ~~$1.5~~$0.9 million, 2024 - $1.3 million, 2025 - $0.3 million, 2026 - $0.1 million, and ~~2024~~thereafter - ~~$0.2~~$0.1 million.

Note ~~12.~~13. Earnings Per Common Share

The weighted average number of common shares outstanding during the reporting period is used to calculate basic earnings per common share. Diluted earnings per common share assume the exercise of stock options and the conversion of our convertible debt prior to its retirement using the treasury stock method, to the extent dilutive. Dilution resulting from the conversion option within our convertible debt that was repaid in April 2021 was determined by computing an average of incremental shares included in the three months ended March 31, 2021 diluted EPS computation.

The following table summarizes the average number of common shares and the net income used in the calculation of basic and diluted earnings per common share ($ in thousands, except share and per share amounts):

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		Three Months Ended				Nine Months Ended					Three Months Ended				Nine Months Ended
		September 30,				September 30,					September 30,				September 30,
		2022		2021		2022		2021			2023		2022		2023		2022
Net income attributable to common stockholders		$	34,468	$	30,814	$	64,540	$	105,327
Net income										Net income	$	29,033	$	34,229	$	102,662	$	63,941
Add: net loss attributable to noncontrolling interests										Add: net loss attributable to noncontrolling interests	313		239		946		599
Net income attributable to stockholders										Net income attributable to stockholders	29,346		34,468		103,608		64,540
Less: net income attributable to unvested restricted stock awards										Less: net income attributable to unvested restricted stock awards	(19)		—		(38)		—
Net income attributable to common stockholders - basic										Net income attributable to common stockholders - basic	$	29,327	$	34,468	$	103,570	$	64,540

BASIC:	BASIC:									BASIC:
Weighted average common shares outstanding	Weighted average common shares outstanding	44,339,975		45,850,599		45,236,696		45,668,762		Weighted average common shares outstanding	43,388,841		44,339,975		43,388,779		45,236,696

DILUTED:	DILUTED:									DILUTED:
Weighted average common shares outstanding	Weighted average common shares outstanding	44,339,975		45,850,599		45,236,696		45,668,762		Weighted average common shares outstanding	43,388,841		44,339,975		43,388,779		45,236,696
Stock options	Stock options	62,607		825		24,427		6,391		Stock options	—		62,607		896		24,427
Convertible senior notes		—		—		—		13,938
Weighted average dilutive common shares outstanding	Weighted average dilutive common shares outstanding	44,402,582		45,851,424		45,261,123		45,689,091		Weighted average dilutive common shares outstanding	43,388,841		44,402,582		43,389,675		45,261,123

Net income attributable to common stockholders - basic		$	0.78	$	0.67	$	1.43	$	2.31
Net income attributable to common stockholders - diluted		$	0.78	$	0.67	$	1.43	$	2.31
Earnings per common share - basic										Earnings per common share - basic	$	0.68	$	0.78	$	2.39	$	1.43
Earnings per common share - diluted										Earnings per common share - diluted	$	0.68	$	0.78	$	2.39	$	1.43

Incremental anti-dilutive shares excluded:	Incremental anti-dilutive shares excluded:									Incremental anti-dilutive shares excluded:
Net share effect of stock options with an exercise price in excess of the average market price for our common shares	Net share effect of stock options with an exercise price in excess of the average market price for our common shares	390,159		505,459		501,183		308,313		Net share effect of stock options with an exercise price in excess of the average market price for our common shares	816,353		390,159		781,727		501,183

Regular dividends declared per common share	Regular dividends declared per common share	$	0.90	$	0.90	$	2.70	$	2.9025	Regular dividends declared per common share	$	0.90	$	0.90	$	2.70	$	2.70

Note ~~13.~~14. Fair Value of Financial Instruments

Carrying amounts and fair values of financial instruments that are not carried at fair value at September 30, ~~2022~~2023 and December 31, ~~2021~~2022 in the Condensed Consolidated Balance Sheets are as follows ($ in thousands):

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		Carrying Amount				Fair Value Measurement					Carrying Amount				Fair Value Measurement
		September 30, 2022		December 31, 2021		September 30, 2022		December 31, 2021			September 30, 2023		December 31, 2022		September 30, 2023		December 31, 2022
Level 2	Level 2									Level 2
Variable rate debt	Variable rate debt	$	245,357	$	373,682	$	250,000	$	375,000	Variable rate debt	$	399,233	$	277,699	$	405,000	$	282,000
Fixed rate debt	Fixed rate debt	$	869,642	$	869,201	$	776,372	$	858,124	Fixed rate debt	$	745,205	$	869,812	$	642,539	$	773,994

Level 3	Level 3									Level 3
Mortgage and other notes receivable, net	Mortgage and other notes receivable, net	$	207,169	$	299,952	$	205,460	$	314,821	Mortgage and other notes receivable, net	$	242,960	$	233,141	$	228,282	$	227,611

Fixed rate debt. Fixed rate debt is classified as Level 2 and its fair value is based on quoted prices for similar instruments or calculated utilizing model derived valuations in which significant inputs are observable in active markets.

Variable rate debt. Variable rate debt is classified as Level 2 and the fair values of our borrowings under our revolving credit facility and other variable rate debt are reasonably estimated at their notional amounts due to the predominance of floating interest rates, which generally reflect market conditions.

Mortgage and other notes receivable. The fair value of mortgage and other notes receivable is based on credit risk and discount rates that are not observable in the marketplace and therefore represents a Level 3 measurement.

Carrying amounts of cash and cash equivalents and restricted cash, accounts receivable and accounts payable approximate fair value due to their short-term ~~nature. The fair values of our borrowings under our revolving credit facility~~nature and ~~other variable rate debt~~ are ~~reasonably estimated at their notional amounts at September 30, 2022 and December 31, 2021, due to the predominance of floating interest rates, which generally reflect market conditions.~~classified as Level 1.

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Note ~~14.~~15. Segment Reporting

We evaluate our business and make resource allocations on our two operating segments: Real Estate Investments and SHOP. Our Real Estate Investments segment includes ~~lease, mortgage~~leases, mortgages and other note investments in ~~independent living facilities, assisted living facilities, entrance-fee communities, senior living campuses, skilled nursing facilities~~ILFs, ALFs, EFCs, SLCs, SNFs and a ~~hospital.~~HOSP. Under the Real Estate ~~Investment~~Investments segment, we invest in senior housing and health care real estate through acquisition and financing of primarily single- tenant properties. Properties acquired are primarily leased under triple-net leases, and we are not involved in the management of the ~~property.~~properties. The SHOP segment includes multi-tenant ~~independent living facilities.~~ILFs. The SHOP properties and related operations are controlled by the Company and are operated by property managers in exchange for a management ~~fee (reference~~fee. See Note ~~5).~~5 for further discussion.

We formed the SHOP segment effective April 1, 2022 upon termination of the triple-net lease for the legacy Holiday Retirement portfolio at which time the operations and properties of 15 ILFs were transferred into two separate ventures, as discussed further in ~~Notes 5 and 8.~~Note 5. The results associated with the prior triple-net lease structure for these properties are included in the Real Estate Investments segment and the results from operating these SHOP properties after the transition are included in our ~~new~~ SHOP segment. There is no impact to the prior year’s presentation.

Our chief operating decision maker evaluates performance based upon segment ~~NOI.~~net operating income (“NOI”). We define NOI as total revenues, less tenant reimbursements and property operating expenses. We use NOI to make decisions about resource allocations and to assess the property level performance of our properties. There were no intersegment transactions for either the three ~~and~~or nine months ended September 30, 2023 and 2022. Capital expenditures for the nine months ended September 30, 2023 were approximately $56.5 million for the Real Estate Investments segment and $6.3 million for the SHOP segment. Capital expenditures for the nine months ended September 30, 2022 were approximately $7.6 million for the Real Estate Investments segment and $1.8 million for the SHOP segment.

Non-segment revenue consists mainly of other income. Non-segment assets consist of corporate assets including cash, deferred loan expenses and corporate offices and equipment among others. Non-property specific revenues and expenses are not allocated to individual segments in determining NOI.

The accounting policies of the segments are the same as those described in the summary of significant accounting policies ~~(see~~discussed in Note ~~2).~~2. The results of operations for all acquisitions described in ~~Notes~~Note 3 ~~and 4~~ are included in our consolidated results of operations from the acquisition dates and are components of the appropriate segments.

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Summary information for the reportable segments during the three and nine months ended September 30, 2023 and 2022 is as follows ($ in thousands):


For the three months ended September 30, 2022:		Real Estate Investment		SHOP		Non-segment/Corporate		Total
For the three months ended September 30, 2023:										For the three months ended September 30, 2023:	Real Estate Investments		SHOP		Non-segment/Corporate		Total
Rental income	Rental income	$	59,394	$	—	$	—	$	59,394	Rental income	$	62,255	$	—	$	—	$	62,255
Resident fees and services	Resident fees and services	—		12,013		—		12,013		Resident fees and services	—		12,367		—		12,367
Interest income and other	Interest income and other	4,820		—		71		4,891		Interest income and other	5,337		—		147		5,484
Total revenues	Total revenues	64,214		12,013		71		76,298		Total revenues	67,592		12,367		147		80,106
Senior housing operating expenses	Senior housing operating expenses	—		9,239		—		9,239		Senior housing operating expenses	—		10,045		—		10,045
Taxes and insurance on leased properties	Taxes and insurance on leased properties	2,358		—		—		2,358		Taxes and insurance on leased properties	2,908		—		—		2,908
NOI	NOI	61,856		2,774		71		64,701		NOI	64,684		2,322		147		67,153
Depreciation	Depreciation	15,390		2,129		14		17,533		Depreciation	15,211		2,292		12		17,515
Interest	Interest	837		—		10,575		11,412		Interest	773		—		14,313		15,086
Legal	Legal	—		—		88		88		Legal	—		—		67		67
Franchise, excise and other taxes	Franchise, excise and other taxes	—		—		225		225		Franchise, excise and other taxes	—		—		2		2
General and administrative	General and administrative	—		—		4,744		4,744		General and administrative	—		—		4,430		4,430
Loan and realty losses	Loan and realty losses	11,329		—		—		11,329		Loan and realty losses	1,959		—		—		1,959
Gains on sales of real estate, net	Gains on sales of real estate, net	(14,840)		—		—		(14,840)		Gains on sales of real estate, net	(737)		—		—		(737)
Gain on operations transfer		(19)		—		—		(19)

Other non-operating income										Other non-operating income	(202)		—		—		(202)

Net Income (loss)		$	49,159	$	645	$	(15,575)	$	34,229

Net income (loss)										Net income (loss)	$	47,680	$	30	$	(18,677)	$	29,033

Total assets	Total assets	$	2,214,475	$	290,708	$	3,602	$	2,508,785	Total assets	$	2,218,699	$	277,014	$	3,377	$	2,499,090


For the three months ended September 30, 2022:	Real Estate Investments		SHOP		Non-segment/Corporate		Total
Rental income	$	59,394	$	—	$	—	$	59,394
Resident fees and services	—		12,013		—		12,013
Interest income and other	4,820		—		71		4,891
Total revenues	64,214		12,013		71		76,298
Senior housing operating expenses	—		9,239		—		9,239
Taxes and insurance on leased properties	2,358		—		—		2,358
NOI	61,856		2,774		71		64,701
Depreciation	15,390		2,129		14		17,533
Interest	837		—		10,575		11,412
Legal	—		—		88		88
Franchise, excise and other taxes	—		—		225		225
General and administrative	—		—		4,744		4,744
Loan and realty losses	11,329		—		—		11,329
Gains on sales of real estate, net	(14,840)		—		—		(14,840)
Gain on operations transfer, net	(19)		—		—		(19)



Net income (loss)	$	49,159	$	645	$	(15,575)	$	34,229

Total assets	$	2,214,475	$	290,708	$	3,602	$	2,508,785

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For the nine months ended September 30, 2023:	Real Estate Investments		SHOP		Non-segment/Corporate		Total
Rental income	$	188,505	$	—	$	—	$	188,505
Resident fees and services	—		35,860		—		35,860
Interest income and other	15,727		—		278		16,005
Total revenues	204,232		35,860		278		240,370
Senior housing operating expenses	—		29,525		—		29,525
Taxes and insurance on leased properties	8,738		—		—		8,738
NOI	195,494		6,335		278		202,107
Depreciation	46,064		6,757		41		52,862
Interest	2,298		—		41,010		43,308
Legal	—		—		364		364
Franchise, excise and other taxes	—		—		443		443
General and administrative	—		—		14,390		14,390
Loan and realty losses	1,727		—		—		1,727
Gains on sales of real estate, net	(13,500)		—		—		(13,500)
Gain on operations transfer, net	(20)		—		—		(20)
Other non-operating income	(202)		—		—		(202)

Loss on early retirement of debt	—		—		73		73

Net income (loss)	$	159,127	$	(422)	$	(56,043)	$	102,662


For the nine months ended September 30, 2022:	Real Estate Investments		SHOP		Non-segment/Corporate		Total
Rental income	$	163,935	$	—	$	—	$	163,935
Resident fees and services	—		24,005		—		24,005
Interest income and other	19,362		—		222		19,584
Total revenues	183,297		24,005		222		207,524
Senior housing operating expenses	—		18,352		—		18,352
Taxes and insurance on leased properties	7,553		—		—		7,553
NOI	175,744		5,653		222		181,619
Depreciation	49,282		4,245		50		53,577
Interest	2,371		—		30,101		32,472
Legal	—		—		2,254		2,254
Franchise, excise and other taxes	—		—		694		694
General and administrative	—		—		17,893		17,893
Loan and realty losses	39,951		—		—		39,951
Gains on sales of real estate, net	(28,342)		—		—		(28,342)
Loss on operations transfer, net	710		—		—		710
Gain on note receivable payoff	(1,113)		—		—		(1,113)
Loss on early retirement of debt	—		—		151		151
Gains from equity method investment	(569)		—		—		(569)
Net income (loss)	$	113,454	$	1,408	$	(50,921)	$	63,941

Note 16. Unconsolidated Variable Interest Entities

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statements cross-referenced below ($ in thousands).

For the nine months ended September 30, 2022: Real Estate Investment SHOP Non-segment/Corporate Total
Rental income $ 163,935 $ — $ — $ 163,935
Resident fees and services — 24,005 — 24,005
Interest income and other 19,362 — 222 19,584
   Total revenues 183,297 24,005 222 207,524
Senior housing operating expenses — 18,352 — 18,352
Taxes and insurance on leased properties 7,553 — — 7,553
   NOI 175,744 5,653 222 181,619
Depreciation 49,282 4,245 50 53,577
Interest 2,371 — 30,101 32,472
Legal — — 2,254 2,254
Franchise, excise and other taxes — — 694 694
General and administrative — — 17,893 17,893
Loan and realty losses 39,951 — — 39,951
Gains on sales of real estate, net (28,342) — — (28,342)
Loss on operations transfer, net 710 — — 710
Gain on note payoff (1,113) — — (1,113)
Loss on early retirement of debt — — 151 151
Gains from equity method investment (569) — — (569)
    Net Income (loss) $ 113,454 $ 1,408 $ (50,921) $ 63,941


Date	Name	Source of Exposure	Carrying Amount		Maximum Exposure to Loss		Note Reference
2014	Senior Living	Notes and straight-line receivable	$	89,728	$	93,478	Notes 3, 4
2016	Senior Living Management	Notes	$	24,500	$	24,500	—
2018	Bickford	Notes and funding commitment	$	17,108	$	29,816	Notes 3, 4
2019	Encore Senior Living	Various1	$	54,161	$	56,536	—
2020	Timber Ridge OpCo	Various2	$	1,977	$	6,977	Notes 6, 7
2020	Watermark Retirement	Notes and straight-line receivable	$	8,921	$	11,445	—
2021	Montecito Medical Real Estate	Notes and funding commitment	$	20,514	$	50,260	Note 4
2021	Vizion Health	Notes and straight-line receivable	$	17,948	$	17,948	—
2021	Navion Senior Solutions	Various3	$	8,025	$	8,025	—
2023	Kindcare Senior Living	Notes4	$	733	$	733	—

1 Notes, straight-line rents receivable, and lease receivables

2 Loan commitment, equity method investment, straight-line rents receivable and unamortized lease incentive

3 Notes, loan commitments, straight-line rents receivable, and unamortized lease incentive

4 Represents two mezzanine loans originated from the sales of real estate

We are not obligated to provide support beyond our stated commitments to these tenants and borrowers whom we classify as VIEs, and accordingly, our maximum exposure to loss as a result of these relationships is limited to the amount of our commitments, as shown above and discussed in the notes. Economic loss on a lease, in excess of what is presented in the table above, if any, would be limited to that resulting from any period of non-payment of rent before we are able to take effective remedial action, as well as costs incurred in transitioning the lease to a new tenant. The potential extent of such loss would be dependent upon individual facts and circumstances, and is therefore not included in the table above.

In the future, NHI may be deemed the primary beneficiary of the operations if the tenants or borrowers do not have adequate liquidity to accept the risks and rewards as the tenants and operators of the properties and NHI may be required to consolidate the financial position and results of operations of the tenants or borrowers into our condensed consolidated financial statements.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations.

~~Forward Looking Statements~~

References throughout this document to “NHI” or the “Company” include National Health Investors, Inc., and its consolidated subsidiaries. In accordance with the Securities and Exchange Commission’s (“SEC”) “Plain English” guidelines, this Quarterly Report on Form 10-Q has been written in the first person. In this document, the words “we”, “our”, “ours” and “us” refer only to National Health Investors, Inc. and its consolidated subsidiaries and not any other person. Unless the context indicates otherwise, references herein to ~~“the Company”~~the “Company” include all of our consolidated subsidiaries.

Cautionary Statement Regarding Forward Looking Statements

This Quarterly Report on Form 10-Q and other materials we have filed or may file with the ~~Securities and Exchange Commission,~~SEC, as well as information included in oral statements made, or to be made, by our senior management contain certain “forward-looking” statements as that term is defined by the Private Securities Litigation Reform Act of 1995. All statements regarding our expected future financial position, results of operations, cash flows, funds from operations, continued performance improvements, ability to service and refinance our debt obligations, ability to finance growth opportunities, and similar statements including, without limitation, those containing words such as “may,” “will,” “should,” “believes,” “anticipates,” “expects,” “intends,” “estimates,” “plans,” “projects,” “likely” and other similar expressions, are forward-looking statements.

Forward-looking statements involve known and unknown risks and uncertainties that may cause our actual results in future periods to differ materially from those projected or contemplated in the forward-looking statements as a result of factors, many of which are outside of our control, including, but not limited to, the following:

* Actual or perceived risks associated with public health epidemics or outbreaks, such as the coronavirus (“COVID-19”), have had and may continue to have a material adverse effect on our business and results of operations;

* We depend on the operating success of our tenants, managers and borrowers ~~for collection~~and if their financial condition or business prospects deteriorate, our financial condition and results of ~~our lease and note payments;~~operations could be adversely affected;

* We are exposed to the risk that our managers, tenants and borrowers may become subject to bankruptcy or insolvency proceedings;

* Certain tenants in our portfolio account for a significant percentage of the rent we expect to generate from our portfolio, and the failure of any of these tenants to meet their obligations to us could materially and adversely affect our business, financial condition and results of operations and our ability to make distributions to our stockholders;

*Two members of our Board of Directors are also members of the board of directors of National HealthCare Corporation (“NHC”), and their interests may differ from those of our stockholders;

* We are exposed to risks related to governmental regulations and payors, principally Medicare and Medicaid, and the effect ~~that~~of changes to ~~government regulation or~~laws, regulations and reimbursement rates ~~would have~~ on our tenants’ and borrowers’ business;

* We are exposed to the risk that the cash flows of our tenants, managers and borrowers ~~would~~may be adversely affected by increased liability claims and liability insurance costs;

* We are exposed to the risk that we may not be fully indemnified by our ~~lessees~~tenants, managers and borrowers against future litigation;

* ~~We are subject to risks of damage from catastrophic weather and other natural or man-made disasters and the physical effects of climate change;~~

* We depend on the success of property development and construction activities, which may fail to achieve the operating results we expect;

*We are exposed to the risk that the illiquidity of real estate investments could impede our ability to respond to adverse changes in the performance of our properties;

*We are exposed to risks associated with our investments in unconsolidated entities, including our lack of sole ~~decision-making~~decision making authority and our reliance on the financial condition of other interests;

* We are subject to additional risks related to healthcare operations associated with our investments in unconsolidated entities, which could have a material adverse effect on our results of operations;

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* We are subject to risks associated with our joint venture investment with Life Care Services for Timber Ridge, ~~an entrance fee~~a continuing care retirement community (“CCRC”), associated with Type A benefits offered to the residents of the joint ~~venture's~~venture’s entrance fee community and related accounting requirements;

*We ~~may be~~are subject to additional risks related to healthcare operations associated with our investments in unconsolidated entities, which could have a material adverse effect on our results of operations;

*Adverse developments affecting the financial services industry, including events or concerns involving liquidity, defaults, or non-performance by financial institutions, could adversely affect our business, financial condition, results of operations, or our prospects;

*We are exposed to operational risks with respect to our Senior Housing Operating Portfolio (“SHOP”) structured communities;

* ~~If our efforts~~Breaches of, disruptions to, ~~maintain~~or other unauthorized interference with the privacy and security of Company information ~~are not successful, we~~ could cause us to incur substantial costs and reputational damage, and could ~~become~~ subject us to litigation and enforcement actions;

*We are exposed to risks related to environmental laws and the costs associated with liabilities related to hazardous substances;

*We are subject to risks of damage from catastrophic weather and other natural or man-made disasters and the physical effects of climate change;

* We depend on the success of our future acquisitions and investments;

* We depend on our ability to reinvest cash in real estate investments in a timely manner and on acceptable terms;

* Competition for acquisitions may result in increased prices for properties;

*We depend on our ability to retain our management team and other personnel and attract suitable replacements should any such personnel leave;

*We are exposed to the risk that our assets may be subject to impairment charges;

*Our ability to raise capital through equity sales is dependent, in part, on the market price of our common stock, and our failure to meet market expectations with respect to our business, or other factors we do not control, could negatively impact such market price and availability of equity capital;

* We may need to refinance existing debt or incur additional debt in the future, which may not be available on terms acceptable to us;

* We have covenants related to our indebtedness that impose certain operational limitations and a breach of those covenants could materially adversely affect our financial condition and results of operations;

* Downgrades in our credit ratings could have a material adverse effect on our cost and availability of capital;

* We depend on revenues derived mainly from fixed rate investments in real estate assets, while a portion of our debt used to finance those investments bears interest at variable rates;

*We rely on external sources of capital to fund future capital needs, and if we encounter difficulty in obtaining such capital, we may not be able to make future investments necessary to grow our business or meet maturing commitments;

*Inflation and increased interest rates may adversely affect our financial condition and results of operations;

* We depend on the ability to continue to qualify for taxation as a ~~REIT~~real estate investment trust (“REIT”) for U.S. federal income tax purposes;

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*~~We depend on our key personnel whose continued service is not guaranteed and~~There are no assurances of our ability to ~~identify, recruit and retain skilled personnel;~~pay dividends in the future;

* Complying with REIT requirements may cause us to forgo otherwise attractive acquisition opportunities or liquidate otherwise attractive investments, which could materially hinder our performance;

*Our ownership of and relationship with any ~~TRSs~~taxable REIT subsidiary (“TRS”) that we have formed or will form will be limited and a failure to comply with the limits would jeopardize our REIT status and may result in the application of a 100% excise tax;

* Complying with REIT requirements may cause us to forego otherwise attractive acquisition opportunities or liquidate otherwise attractive investments, which could materially hinder our performance;

* Legislative, regulatory, or administrative changes could adversely affect us or our security holders;

* We have ownership limits in our charter with respect to our common stock and other classes of capital stock which 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; and

* We are subject to certain provisions of Maryland law and our charter and bylaws that could hinder, delay or prevent a change in control transaction, even if the transaction involves a premium price for our common stock or our stockholders believe such transaction to be otherwise in their best interests.

See the notes to the annual audited consolidated financial statements in our most recent Annual Report on Form 10-K for the year ended December 31, ~~2021,~~2022, “Business” and “Risk Factors” under Part I, Item 1 and Item 1A, respectively, therein and ~~“Risk Factors”~~“RiskFactors” under Part II, Item 1A of this Quarterly Report on Form 10-Q for a further discussion of these and of various governmental regulations and other operating factors relating to the healthcare industry and the risk factors inherent ~~in them.~~therein. You should carefully consider these risks before making any investment decisions in the Company. These risks and uncertainties are not the only ones facing the

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Company. There may be additional risks that we do not presently know of and or that we currently deem immaterial. If any of the risks actually occur, our business, financial condition, results of operations, or cash flows could be materially and adversely affected. In that case, the trading price of our shares of stock could decline and you may lose part or all of your investment. Given these risks and uncertainties, we can give no assurance that these forward-looking statements will, in fact, ~~occur and, therefore,~~occur. We caution ~~investors~~readers not to place undue reliance on ~~them.~~such forward-looking statements, which speak only as of the dates made. We undertake no obligation to revise or update any of the forward-looking statements to reflect subsequent events or circumstances except to the extent required by applicable law.

Executive Overview

National Health Investors, Inc., established in 1991 as a Maryland corporation, is a self-managed ~~real estate investment trust (“REIT”)~~REIT specializing in sale leaseback, ~~joint venture,~~joint-venture, and mortgage and mezzanine financing of need-driven and discretionary senior housing and medical facility investments. We operate through two reportable business segments: Real Estate Investments and SHOP. Our Real Estate Investments segment consists of real estate investments and ~~mortgage~~leases, mortgages and other notes ~~receivables~~receivable in independent living facilities (“ILFs”), assisted living facilities (“ALF”), entrance-fee communities (“EFC”), senior living campuses (“SLC”), skilled nursing facilities (“SNF”) and a ~~specialty hospital.~~hospital (“HOSP”). We fund our real estate investments primarily through: (1) operating cash flow, (2) debt, including note offerings, ~~including~~ bank lines of credit and term debt, both unsecured and secured, and (3) the sale of equity securities. Our SHOP segment is comprised of the operations of 15 ~~independent living facilities (“ILFs”)~~ILFs that provide residential living and other services for residents located throughout the United States that are operated on behalf of the Company by ~~two~~ independent managers pursuant to the terms of separate management agreements. The third-party managers, or related ~~affiliates~~parties of the managers, own equity interests in the respective ventures.

Real Estate ~~Investment~~Investments Portfolio

As of September 30, ~~2022,~~2023, we had investments in real estate and mortgage and other notes receivable involving ~~175~~177 facilities located in 3231 states. These investments involve ~~106~~104 senior housing properties, ~~68 skilled nursing facilities~~72 SNFs and one ~~hospital,~~HOSP, excluding ~~ten~~four properties classified as assets held for sale. These investments consisted of properties with an original aggregate cost of approximately $2.4 billion, rented under primarily triple-net leases to ~~24 lessees,~~25 tenants, and ~~$214.1~~$258.8 million aggregate carrying value of ~~mortgage~~mortgages and other notes receivable, excluding an allowance for expected credit losses of ~~$6.9~~$15.8 million, due from ~~ten~~15 borrowers.

We classify all of the properties in our Real Estate Investments portfolio as either senior housing or medical properties. Because our leases represent different underlying revenue sources and result in differing risk profiles, we further classify our senior housing communities as either need-driven (assisted living and memory care communities and senior living campuses) or discretionary (independent living and entrance-fee communities).

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Senior Housing – Need-Driven includes ~~assisted living~~ALFs and ~~memory care communities (“ALF”) and senior living campuses (“SLC”)~~SLCs which primarily attract private payment for services from residents who require assistance with activities of daily living. Need-driven properties are subject to regulatory oversight.

Senior Housing – Discretionary includes ~~ILF~~ILFs and ~~entrance-fee communities (“EFC”)~~EFCs which primarily attract private payment for services from residents who are making the lifestyle choice of living in an age-restricted multi-family community that offers social programs, meals, housekeeping, and in some cases access to healthcare services. Discretionary properties are subject to limited regulatory oversight. There is a correlation between demand for this type of community and the strength of the housing market.

Medical Facilities within our portfolio receive payment primarily from Medicare, Medicaid and health insurance. These properties include ~~skilled nursing facilities (“SNF”)~~SNFs and a ~~specialty hospital~~HOSP that attract patients who have a need for acute or complex medical attention, preventative medicine, or rehabilitation services. Medical properties are subject to state and federal regulatory oversight and, in the case of hospitals, Joint Commission accreditation.

Senior Housing Operating Portfolio Structure

Effective April 1, 2022, 15 senior housing ILFs previously part of the legacy Holiday Retirement (“Holiday”) properties were transferred from a triple-net lease to two separate ventures comprising our SHOP ~~portfolio, which represents a new reportable~~ segment. These ventures, in which NHI owns a majority interest, own the underlying independent living operations ~~in which NHI has majority interests~~ and are structured to comply with REIT requirements that utilize the TRS for activities that would otherwise be non-qualifying for REIT purposes. These properties are operated by ~~two~~ third-party property managers that manage our communities in exchange for the receipt of a management fee, and as such, we are not directly exposed to the credit risk of the property managers in the same manner or to the same extent as we are to our triple-net tenants. However, we rely on the property managers’ personnel, expertise, technical resources and information systems, proprietary information, good faith and judgment to manage our communities efficiently and

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effectively. We also rely on the property managers to set appropriate resident fees and otherwise operate our communities in compliance with the terms of our management agreements and all applicable laws and regulations. As of September 30, ~~2022,~~2023, our SHOP ~~portfolio~~segment consisted of 15 ILFs located in eight states, with a combined ~~1,731 units located in eight states.~~ 1,734 units.

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The following tables summarize our portfolio, excluding $2.6 million for our corporate office, $10.9 million in assets held for sale and a credit loss reserve of ~~$6.9~~$15.8 million, as of and for the nine months ended September 30, ~~2022~~2023 ($ in thousands):


Real Estate Investments and SHOP Portfolio

Real Estate Investments and SHOP												Real Estate Investments and SHOP
				Properties	Beds/Units	NOI1		% Total		Investment					Properties	Beds/Units	NOI1		% Total		Gross Investment
Real Estate Properties	Real Estate Properties											Real Estate Properties
		Senior Housing - Need-Driven											Senior Housing - Need-Driven
			Assisted Living	68	3,657	$	8,133	4.5	%	$	703,667			Assisted Living	71	3,882	$	45,323	22.5	%	$	761,744
			Senior Living Campus	10	1,359	11,449		6.3	%	245,989				Senior Living Campus	8	995	12,063		6.0	%	214,693
			Total Senior Housing - Need-Driven	78	5,016	19,582		10.8	%	949,656				Total Senior Housing - Need-Driven	79	4,877	57,386		28.5	%	976,437
		Senior Housing - Discretionary											Senior Housing - Discretionary
			Independent Living	7	862	22,210		12.2	%	107,236				Independent Living	7	903	6,252		3.1	%	108,486
			Entrance-Fee Communities	11	2,707	46,305		25.5	%	745,944				Entrance-Fee Communities	11	2,917	45,382		22.5	%	746,485
			Total Senior Housing - Discretionary	18	3,569	68,515		37.7	%	853,180				Total Senior Housing - Discretionary	18	3,820	51,634		25.6	%	854,971
			Total Senior Housing	96	8,585	88,097		48.5	%	1,802,836				Total Senior Housing	97	8,697	109,020		54.1	%	1,831,408
		Medical Facilities											Medical Facilities
			Skilled Nursing Facilities	65	8,653	59,127		32.6	%	557,996				Skilled Nursing Facilities	65	8,614	62,335		30.9	%	557,996
			Hospitals	1	64	3,068		1.7	%	40,250				Hospitals	1	64	3,066		1.5	%	40,250

			Total Medical Facilities	66	8717	62,195		34.3	%	598,246				Total Medical Facilities	66	8,678	65,401		32.4	%	598,246
		Current Year Disposals and Held for Sale				6,092		3.4	%				Current Year Disposals and Held for Sale				5,346		2.6	%
			Total Real Estate Properties	162	17,302	156,384		86.2	%	2,401,082				Total Real Estate Properties	163	17,375	179,767		89.1	%	2,429,654

Mortgage and Other Notes Receivable	Mortgage and Other Notes Receivable											Mortgage and Other Notes Receivable
		Senior Housing - Need-Driven		9	620	5,519		3.0	%	93,757			Senior Housing - Need-Driven		6	472	4,825		2.4	%	81,662
		Senior Housing - Discretionary		1	248	1,778		1.0	%	32,700			Senior Housing - Discretionary		1	248	1,778		0.9	%	32,700
		Skilled Nursing Facilities		3	180	285		0.2	%	4,106			Skilled Nursing Facilities		7	731	2,584		1.3	%	45,000
		Other Notes Receivable		—	—	6,296		3.5	%	83,546			Other Notes Receivable		—	—	6,315		3.1	%	99,406
		Current Year Note Payoffs		—	—	5,482		3.0	%	—			Current Year Note Payoffs		—	—	225		0.1	%	—
			Total Mortgage and Other Notes Receivable	13	1,048	19,360		10.7	%	214,109				Total Mortgage and Other Notes Receivable	14	1,451	15,727		7.8	%	258,768

SHOP	SHOP											SHOP
		Independent Living		15	1,731	5,653		3.1	%	336,643			Independent Living		15	1,734	6,335		3.1	%	344,387

			Total	190	20,081	$	181,397			$	2,951,834			Total	192	20,560	$	201,829	100	%	$	3,032,809

1Excludes Non-segment/Corporate NOI	1Excludes Non-segment/Corporate NOI											1Excludes Non-segment/Corporate NOI

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Portfolio Summary	Portfolio Summary			Properties	NOI		% Portfolio		Investment		Portfolio Summary			Properties	NOI		% Portfolio		Gross Investment
		Real Estate Properties		162	$	156,384	86.2	%	$	2,401,082		Real Estate Properties		163	$	179,767	89.1	%	$	2,429,654
		Mortgage and Other Notes Receivable		13	19,360		10.7	%	214,109			Mortgage and Other Notes Receivable		14	15,727		7.8	%	258,768
		SHOP		15	5,653		3.1	%	336,643			SHOP		15	6,335		3.1	%	344,387
			Total Portfolio	190	$	181,397	100.0	%	$	2,951,834			Total Portfolio	192	$	201,829	100	%	$	3,032,809

Portfolio by Operator Type	Portfolio by Operator Type										Portfolio by Operator Type
		Public		55	$	45,162	27.5	%	$	411,740		Public		55	$	48,301	23.9	%	$	411,740
		National Chain (Privately Owned)		1	23,777		14.5	%	134,892			National Chain (Privately Owned)		3	8,280		4.1	%	172,385
		Regional		106	89,357		54.4	%	1,918,707			Regional		116	131,898		65.4	%	2,072,291
		Small		13	5,874		3.6	%	149,852			Small		3	1,444		0.8	%	32,006
Current Year Disposals and Held for Sale	Current Year Disposals and Held for Sale				6,092						Current Year Disposals and Held for Sale				5,346		2.6	%	—
Current Year Note Payoffs	Current Year Note Payoffs				5,482						Current Year Note Payoffs				225		0.1	%	—
			Total Real Estate Investments Portfolio	175	175,744		100.0	%	2,615,191				Total Real Estate Investments Portfolio	177	195,494		96.9	%	2,688,422
SHOP	SHOP			15	5,653				336,643		SHOP			15	6,335		3.1	%	344,387
			Total Portfolio	190	$	181,397			$	2,951,834			Total Portfolio	192	$	201,829	100	%	$	3,032,809

The following table summarizes the geographic concentration of ~~NOI~~net operating income (“NOI”) of our portfolio, excluding Non-segment/Corporate NOI, for the nine months ended September 30, ~~2022~~2023 and ~~2021, respectively~~2022 ($ in thousands).


		Nine Months Ended September 30,					Nine Months Ended September 30,
Location	Location	2022		2021		Location	2023		2022
South Carolina	South Carolina	$	25,369	$	25,356	South Carolina	$	24,972	$	25,955
Texas	Texas	21,124		20,903		Texas	23,572		21,124
Florida	Florida	18,727		22,118		Florida	20,588		19,407
Tennessee						Tennessee	13,339		12,189
Washington	Washington	10,733		12,814		Washington	10,157		11,521
California		6,230		10,375

All others	All others	99,214		129,963		All others	109,201		91,201
NOI	NOI	$	181,397	$	221,529	NOI	$	201,829	$	181,397

For the nine months ended September 30, ~~2022,~~2023, operators of facilities in our Real Estate Investments portfolio who provided 3% or more individually, and collectively 61% of our total revenues were (parent company, in alphabetical order): Bickford Senior Living (“Bickford”); Discovery Senior ~~Living;~~Living (“Discovery”); Encore Senior Living; Health Services Management; ~~Holiday;~~ Life Care Services; NHC; Senior Living ~~Communities;~~Communities (“Senior Living”); and The Ensign Group.

As of September 30, ~~2022,~~2023, our average effective annualized NOI for the Real Estate Investments reportable segment was ~~$9,252~~$9,536 per bed for SNFs, ~~$14,832~~$17,761 per unit for SLCs, ~~$13,875~~$15,977 per unit for ALFs, ~~excluding the non-cash write off of Bickford’s straight-line rents receivable and lease incentives discussed below in “Tenant Concentration”, $9,581~~$9,230 per unit for ILFs, ~~$22,842~~$20,623 per unit for EFCs and $63,899 per bed for ~~hospitals.~~the HOSP. As of September 30, ~~2022,~~2023, our average effective annualized NOI per unit for the SHOP reportable segment was ~~$13,064.~~$5,357.

Substantially all of our revenues and sources of cash flows from operations are rents paid under operating leases for real estate, revenues under resident agreements and interest earned on mortgages and other notes receivable. These revenues represent a primary source of liquidity to fund our distributions to stockholders and depend upon the performance of the operators. Operating difficulties experienced by our operators and managers could have a material adverse effect on their ability to meet their financial and other contractual obligations to us, as well as on our results of operations. We monitor operator performance through periodic reviews of operating results for each facility, covenant compliance and property inspections, among other activities.

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COVID-19 Pandemic Update

~~Since~~Rental income for the World Health Organization declared coronavirus disease 2019 a pandemic on March 11, 2020, the continually evolving pandemic has resulted in a widespread health crisis adversely affecting governments, businesses,three and ~~financial markets. The COVID-19 pandemic~~nine months ended September 30, 2023 includes $2.1 million and $5.5 million, respectively, related ~~health and safety measures continue~~ to ~~impact the operations of many of the Company’s tenants, operators and borrowers. The federal government has provided economic assistance~~repayments and other ~~forms~~reductions of ~~assistance which mitigated to some extent the negative financial impact of the pandemic~~pandemic-related rent deferrals. Rental income for ~~certain of our tenants and operators who are eligible.~~

Revenues from our SHOP ventures and the revenues for our borrowers and tenants of our leased properties are dependent on occupancy. With the reduction in COVID-19 cases and their severity, most of the protective measures put in place have been eliminated or reduced significantly, allowing a greater focus on new admissions and related marketing efforts. Future occupancy rates may be adversely affected by the COVID-19 pandemic, including the possibility of new COVID variants, increased resident move-outs, re-implementation of restrictions on new resident move-ins, and the possibility of potential residents foregoing or delaying a move.

Operating expenses of our SHOP ventures and those of our tenants of our leased properties may also be negatively impacted as a result of the additional enhanced health and safety precautions implemented in response to the COVID-19 pandemic. These expenses may remain elevated as these additional precautions become standard practice. A decrease in occupancy or increase in costs could have a material adverse effect on our results of operations and on the ability of our tenants of our leased properties and borrowers to meet their financial and other contractual obligations to us, including the payments of rent, interest and principal.

In the nine months ended September 30, ~~2022, we granted approximately $10.7~~2023 includes the $2.5 million in reduced pandemic-related rent deferrals in connection with the acquisition in the first quarter of 2023 of the ALF located in Chesapeake, Virginia discussed in Note 3. There were no pandemic-related rent concessions ~~related to~~granted for the ~~pandemic that have been accounted for as variable lease payments, net~~three and nine months ended September 30, 2023. As of ~~repayments of $0.2 million and excluding any interest accrued. Since the beginning of the pandemic,~~September 30, 2023, aggregate pandemic-related rent concessions granted to tenants that ~~have been~~were initially accounted for as variable lease payments totaled approximately ~~$53.2~~$26.9 million, net of cumulative repayments and other reductions of ~~$0.3~~$9.2 million and excluding any interest accrued. ~~Of this total, net~~

There were no pandemic-related rent ~~deferrals that are contractually agreed to be repaid are $47.3~~concessions granted for the three months ended September 30, 2022. Pandemic-related rent concessions granted for the nine months ended September 30, 2022 totaled approximately $10.7 million, of which Bickford accounted for approximately $5.5 million.

We anticipate that some tenants may need additional rent deferrals. The timing and amount of any additional deferrals cannot yet be determined. Reference Note 3 to the condensed consolidated financial statements for more discussion on the Bickford lease restructure and agreement to repay outstanding pandemic-related rent deferrals.

See ~~“Item 1A. Risk~~Part I. Item 1A “Risk Factors” in our most recent Annual Report on Form 10-K for the year ended December 31, 2022 for further information regarding the risks presented by the COVID-19 pandemic.

Critical Accounting Policies and Estimates

There have been no significant changes to our critical accounting policies and estimates from the information provided in Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations,” included in our Annual Report on Form 10-K for the year ended December 31, ~~2021 other than the following items resulting from our SHOP transition.~~

~~Principles of Consolidation~~

The consolidated financial statements include the accounts of the Company, its wholly owned subsidiaries and subsidiaries in which we have a controlling interest. We also consolidate certain entities when control of such entities can be achieved through means other than voting rights if the Company is deemed to be the primary beneficiary of such entities. We make judgments about which entities are variable interest entities (“VIEs”) based on an assessment of whether (i) the total equity investment at risk is insufficient to finance that entity’s activities without additional subordinated financial support, (ii) as a group, the holders of the equity investment at risk do not have a controlling financial interest, or (iii) the equity investors have voting rights that are not proportional to their economic interests, and substantially all of the entity’s activities either involve, or are conducted on behalf of, an investor that has disproportionately few voting rights. Additionally, we make judgments with respect to our level of influence or control of an entity and whether we are the primary beneficiary of a VIE. These considerations include, but are not limited to,

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our power to direct the activities that most significantly impact the entity's economic performance, the obligation to absorb losses or the right to receive benefits of the VIE that could be significant to the entity, and our ability and the rights of other investors to participate in policy making decisions, replace the manager and/or liquidate the entity. Our ability to correctly determine the primary beneficiary of a VIE at inception of our involvement impacts the presentation of these entities in our consolidated financial statements.2022.

~~2022 Activity~~Investment Highlights

•Since January 1, 2023, we have completed the following real estate investments (~~On April 1, 2022, we received $6.9 million~~$ in previously escrowed funds upon settlement and dismissal of the Welltower litigation related to the master lease for the legacy Holiday portfolio. Concurrently with the settlement and dismissal, we transitioned 15 of the legacy Holiday ILFs into two separate ventures that own the underlying independent living operations, forming our new SHOP segment.thousands):

•During second quarter of 2022, we converted Bickford to the cash basis of accounting for its four master lease agreements, and wrote off approximately $18.1 million of straight-line rents receivable and $7.1 million of lease incentives to rental income.


Operator	Date	Properties	Asset Class	Land		Building and Improvements		Total
Silverado Senior Living	Q1 2023	2	ALF	$	3,894	$	33,599	$	37,493
Bickford	Q1 2023	1	ALF	1,746		15,542		17,288
				$	5,640	$	49,141	$	54,781

•~~During~~Reference Note 3 to the ~~first and second quarter of 2022, we agreed to fund a $28.5 million development loan and acquired one 53-unit ALF~~condensed consolidated financial statements for ~~approximately $13.3 million with Encore Senior Living.~~

•During the three months ended September 30, 2022, we disposed of one ALF, one SLC and seven SNFs from our Real Estate Investments segment for net proceeds of $60.1 million. During the nine months ended September 30, 2022, we disposed of 22 facilities from our Real Estate Investments segment for net proceeds of $169.0 million.

•~~In the second quarter of 2022, we received repayment of a $111.3 million mortgage note receivable.~~

•~~During the nine months ended September 30, 2022, we repurchased through open market transactions 2.5 million shares of our common stock for an average price of $61.56 per share, excluding commissions.~~

~~Since~~more detail on real estate investments completed since January 1, ~~2022, we have completed or announced the following real estate or note investments:~~

~~Encore Senior Living~~

In the second quarter of 2022, we acquired a 53-unit ALF located in Oshkosh, Wisconsin, from Encore Senior Living. The acquisition price was $13.3 million and included the full payment of an outstanding construction note receivable to us of $9.1 million, including interest. We have agreed to pay up to $0.8 million in additional cash consideration pending the results of an ongoing property tax appeal. As of September 30, 2022, no amount of this consideration is expected to be paid. We added the facility to an existing master lease for a term of 15 years at an initial lease rate of 7.25%, with an annual escalator of 2.5%.

In January 2022, we entered into an agreement to fund a $28.5 million development loan with Encore Senior Living to construct a 108-unit assisted living and memory care community in Fitchburg, Wisconsin. The four-year loan agreement has an annual interest rate of 8.5% and two one-year extensions. We have a purchase option on the property once it has stabilized. The total amount funded on the note was $8.7 million as of September 30, 2022.2023.

Asset Dispositions

During the nine months ended September 30, ~~2022,~~2023, we completed the following dispositions of real estate property ~~dispositions~~ within our Real Estate Investments ~~reportable segment~~portfolio as described below ($ in thousands):

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Operator Date Properties Asset Class Net Proceeds Net Real Estate Investment Gain
Impairment1
Hospital Corporation of America Q1 2022 1 MOB $ 4,868 $ 1,904 $ 2,964 $ —
Vitality Senior Living2
Q1 2022 1 SLC 8,302 8,285 17 —
Holiday2
Q2 2022 1 ILF 2,990 3,020 — 30
Chancellor Senior Living2
Q2 2022 2 ALF 7,305 7,357 — 52
Bickford2,3
Q2 2022 3 ALF 25,959 28,268 — 2,309
Comfort Care Q2 2022 4 ALF 40,000 38,445 1,556 —
Helix Healthcare Q2 2022 1 HOSP 19,500 10,535 8,965 —
Discovery Senior Living2
Q3 2022 2 ALF/SLC 16,379 15,159 1,220 —
National HealthCare Corporation (“NHC”) Q3 2022 7 SNF 43,686 30,066 13,620 —
$ 168,989 $ 143,039 $ 28,342 $ 2,391


Operator	Date	Properties	Asset Class	Net Proceeds		Net Real Estate Investment		Gain		Impairment2
BAKA Enterprises, LLC 1,3	Q1 2023	1	ALF	$	7,478	$	7,505	$	—	$	(27)
Bickford1	Q1 2023	1	ALF	2,553		1,421		1,132		—
Chancellor Senior Living1,3	Q2 2023	1	ALF	2,355		1,977		378		—
Milestone Retirement1,3,4	Q2 2023	2	ALF	3,803		3,934		—		(131)
Chancellor Senior Living1,3	Q2 2023	1	ALF	7,633		6,140		1,493		—
Milestone Retirement1,3,4	Q2 2023	1	ALF	1,602		1,452		150		—
Chancellor Senior Living	Q2 2023	1	ALF	23,724		14,476		9,248		—
Chancellor Senior Living1,3	Q3 2023	1	ALF	2,923		2,292		631		—
				$	52,071	$	39,197	$	13,032	$	(158)

1 Assets were previously classified as “Assets held for sale” in the Consolidated Balance Sheet at December 31, 2022.

12 Impairments are included in “Loan and realty losses” in the Condensed Consolidated Statements of Income for the three and nine months ended September 30, ~~2022.~~2023.

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3 Total impairment charges recognized on these properties in prior periods were ~~$65.4~~$16.4 million ~~of which $28.5 million were recognized~~ in the ~~nine months ended September 30, 2022.~~aggregate.

34 AsThe Company provided aggregate financing of ~~September 30, 2022,~~approximately $0.7 million, net of discounts, on these transactions in the ~~net proceeds from these disposals exclude approximately $2.4 million in contingent consideration. Reference Note 3 to the condensed consolidated financial statements for more information.~~form of notes receivable.

~~Reference Note 3 to the condensed consolidated financial statements for more detail on third quarter 2022 dispositions.~~Capital Funding Group, Inc. Loan Extension

~~Notes Receivable Repayment~~

InOn September 21, 2023, we amended a mezzanine loan with Capital Funding Group, Inc. Pursuant to the ~~second quarter~~terms of ~~2022, we received repayment~~the agreement, the loan increased from its balance at June 30, 2023 of ~~a $111.3 million mortgage note receivable along with all accrued interest and a prepayment fee of approximately $1.1 million which is reflected in “Gain on note payoff” in the Condensed Consolidated Statements of Income for the nine months ended September 30, 2022. Interest income was $5.2 million for the nine months ended September 30, 2022, and $2.4 million and~~ $8.1 million ~~for~~to $25.0 million. The interest rate on the ~~three~~loan was increased to 10% and ~~nine months ended September 30, 2021, respectively.~~the maturity was extended to December 31, 2028.

Assets Held for Sale and Impairment of Long-Lived Assets

~~At September 30, 2022, ten~~Four properties in our Real Estate Investments ~~reportable segment,~~portfolio, with an aggregate net real estate balance of ~~$32.6~~$10.9 million, were classified as assets held for sale on our Condensed Consolidated Balance Sheet as of September 30, ~~2022, including six properties that were transferred into assets held for sale during the third quarter of 2022.~~2023. Rental income associated with the ~~ten~~four properties was ~~$1.1~~$0.6 million and ~~$2.0~~$1.9 million for the three and nine months ended September 30, 2023, respectively, and $0.6 million and $1.6 million for the three and nine months ended September 30, 2022, ~~respectively, and $1.2~~respectively. During the first quarter of 2023, one property in our Real Estate Investments portfolio was classified as held for sale with a net real estate balance of $5.0 million and ~~$3.5~~two properties, previously classified as held for sale with an aggregate net real estate balance of $12.3 million, were reclassified as held for ~~the three and nine months ended September 30, 2021, respectively.~~use on our Condensed Consolidated Balance Sheet.

Fourth Quarter 2023 Dispositions

Other

Our leases for real estate properties are typically structured as “triple-net leases” on single-tenant properties having an initial leasehold term of 10 to 15 years with one or more five-year renewal options. As such, there may be reporting periods in which we experience few, if any, lease renewals or expirations. During the nine months ended September 30, ~~2022,~~2023, we did not have any significant renewing or expiring leases. Most of our existing leases contain annual escalators in rent payments. For financial statement purposes, rental income is generally recognized on a straight-line basis over the term of the lease.

Certain of our leases ~~for real estate properties~~ contain purchase options allowing tenants to acquire the leased properties. At September 30, ~~2022,~~2023, tenants ~~held~~had purchase options on three properties with an aggregate net investment of ~~$60.1~~$58.8 million that will become exercisable between 2027 and 2028. Rental income from these properties with tenant purchase options was $1.8 million and $5.4 million for the three and nine months ended September 30, 2023, respectively, and $1.8 million and $5.3 million for the three and nine months ended September 30, 2022, ~~respectively, and $1.7 million and $5.1 million for the three and nine months ended September 30, 2021,~~ respectively.

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Tenant Concentration

As discussed in Note 3 to the condensed consolidated financial statements, we have two tenants (including their affiliated entities, which are the legal tenants) from whom we individually derive at least 10% of our total revenues. The following table contains information regarding ~~tenant~~ concentration in our Real Estate Investments portfolio of tenants or affiliates of tenants, that exceed 10% of total revenues for the nine months ended September 30, 2023 and 2022, excluding $2.6 million for our corporate office, ~~$336.6 million for SHOP, and~~ a credit loss reserve of ~~$6.9~~$15.8 million and $344.4 million in real estate assets for the SHOP segment ($ in thousands):

As of September 30, 2022
Revenues1
Asset Gross Real Notes Nine Months Ended September 30,
Class
Estate2
Receivable 2022 2021
Senior Living Communities EFC $ 573,631 $ 46,669 $ 38,325 18% $ 38,094 17%
NHC SNF 133,770 — 27,875 13% 28,290 12%
Bickford3
ALF 412,304 46,422 N/A N/A 26,224 11%
Holiday3
ILF — — N/A N/A 22,811 10%
All others, net Various 1,313,238 121,018 109,766 53% 106,110 46%
Escrow funds from tenants
for property operating expenses Various — — 7,553 4% 7,519 4%
$ 2,432,943 $ 214,109 183,519 229,048
Resident fees and services4
24,005 12% — —%
$ 207,524 $ 229,048

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	As of September 30, 2023					Revenues1
	Asset	Gross Real		Notes		Nine Months Ended September 30,
	Class	Estate		Receivable		2023			2022

Senior Living	EFC	$	573,631	$	48,950	$	38,466	16%	$	38,325	18%
Bickford2	ALF	429,043		16,827		29,280		12%	N/A		N/A
NHC	SNF	133,770		—		28,159		12%	27,875		13%
All others, net	Various	1,293,210		192,991		99,867		41%	109,766		53%
Escrow funds received from tenants
for property operating expenses	Various	—		—		8,738		4%	7,553		4%
		$	2,429,654	$	258,768	204,510			183,519
Resident fees and services3						35,860		15%	24,005		12%
						$	240,370		$	207,524

1 Includes interest income on notes receivable and rental income from properties classified as held for sale.

2 ~~Amounts include any properties classified as held for sale.~~

3 ~~Below 10%~~Revenues for the nine months ended September 30, ~~2022. Therefore, revenues~~2022 are included in ~~All~~“All others, ~~net.~~net” since they are less than 10% for that period.

43 There is no tenant concentration in ~~resident~~“Resident fees and ~~services~~services” because these agreements are with individual residents.

Straight-line rent of ~~$0.3~~$(0.9) million and ~~$1.8~~$0.3 million and interest income of ~~$2.7~~$2.8 million and ~~$2.4~~$2.7 million were recognized from the Senior Living ~~Communities lease~~investments for the nine months ended September 30, 2023 and 2022, respectively. Straight-line rent of $(0.9) million and ~~2021, respectively. No material straight-line rent~~$(0.1) million was recognized for NHC for the nine months ended September 30, 2023 and 2022, ~~and 2021. For NHC, rent escalations are based primarily on a percentage increase in revenue over a base year that does not give rise to non-cash, straight-line rental income. Straight-line rent~~respectively. Interest income of ~~$1.3~~$2.2 million and ~~interest income of $3.0~~$3.9 million was recognized from the Bickford ~~leases~~notes receivables for the nine months ended September 30, ~~2021,~~2023 and 2022, respectively. InReference Note 3 to the condensed consolidated financial statements included in this report.

Cash Basis Operators

We placed Bickford on cash basis of revenue recognition during the second quarter of 2022, we converted Bickford to the cash basis of accounting for its four master lease agreements, and wrote off approximately $18.1 million of straight-line rents receivable to rental income and $7.1 million of lease incentives. Straight-line rent of $4.3 million was recognized from the Holiday lease for the nine months ended September 30, 2021.

~~NHC~~

Effective September 1, 2022, we amended the master lease dated October 17, 1991, as previously amended by and between NHI and NHC/OP, L.P., an affiliate of NHC for 35 facilities. This amendment was executed concurrently with the sale of a portfolio of seven skilled nursing facilities included in the asset dispositions table above and increases the annual base rent due each year through the expiration of the master lease on December 31, 2026, in addition to the percentage rent increase based on revenue. The annual base rent prior to the amendment was approximately $30.8 million and was increased to approximately $34.3 million for the year ended December 31, 2022, with credit given for rent paid in 2022 related to the sold portfolio. In addition to the base rent, NHC will continue to pay any additional rent and percentage rent as required by the master lease which is estimated to be approximately $3.2 million for the year ended December 31, 2022.

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~~Bickford Senior Living~~

As of September 30, 2022, we leased 36 facilities, excluding two facilities classified as assets held for sale, under four leases to Bickford. Revenues from Bickford reflect the impact of pandemic-related rent concessions of approximately $5.5 million for the nine months ended September 30, 2022 and $3.5 million and $13.8 million for the three and nine months ended September 30, 2021, respectively. During the three months ended September 30, 2022, we did not provide any lease concessions to Bickford.

~~In the second quarter of 2022, we wrote off approximately $18.1 million of straight-line rents receivable and $7.1 million of lease incentives, that were included in “Other assets, net~~” on the Condensed Consolidated Balance Sheet, to rental income upon converting Bickford to the cash basis of accounting. These write offs were the result of a change in our evaluation of collectability of future rent payments due under its four master lease agreements based upon information we obtained from Bickford regarding its financial condition that raised substantial doubt as to its ability to continue as a going concern. Cash rent received from Bickford for the three and nine months ended September 30, ~~2022~~2023 was ~~$7.1~~$8.6 million and ~~$17.0~~$24.5 million, ~~respectively.~~

~~In addition~~respectively, which excludes $2.5 million of rental income related to the ~~three properties sold included~~reduction of pandemic-related rent deferrals recognized in connection with the ~~asset dispositions table above, we completed various restructuring activities in~~acquisition of the ~~Bickford leased property portfolio during the first and second quarters of 2022. In March 2022, we transferred one assisted living facility~~ALF located in ~~Pennsylvania~~Chesapeake, Virginia from the Bickford portfolio to a new operator that is leased pursuant to a ten-year triple net lease and wrote off approximately $0.7 million in a straight-line rent receivable, reducing rental income. In the second quarter of 2022, we restructured and amended three of Bickford’s master lease agreements covering 27 properties and reached agreement on the repayment terms of the $26.0 million in outstanding pandemic-related deferrals. Significant terms of these agreements are as follows:Bickford.

• ~~Extends~~We placed two additional operators on the ~~maturity dates~~cash basis of accounting for their leases during 2022. Rental income associated with these tenants totaled $3.4 million and $10.0 million, for the ~~modified leases to 2033~~three and ~~2035. The remaining master lease agreement covering 11 properties with an original maturity in~~nine months ended September 30, 2023, ~~was previously extended to 2028.~~respectively.

• Reduces the combined rent for the portfolio to approximately $28.3 million per year through April 1, 2024, subject to a nominal annual increase, at which time the rent will be reset to a fair market value, not less than 8.0% of our initial gross investment.

• Requires monthly payments beginning October 2022 through December 2024 based on a percentage of Bickford’s monthly revenues exceeding an established threshold. The deferrals may be reduced by up to $6.0 million upon Bickford achieving certain performance targets and the sale or transition of certain properties to new operators.Occupancy

The following table summarizes the average portfolio occupancy for Senior Living, ~~Communities,~~ Bickford and the SHOP segment for the periods indicated, excluding development properties in operation less than 24 months, notes receivable, and properties transitioned to new tenants or ~~disposed.~~disposed of.

Properties 3Q21 4Q21 1Q22 2Q22 3Q22 September 2022
Senior Living Communities 9 80.4% 81.7% 81.7% 82.3% 83.3% 83.0%
Bickford1
38 81.8% 83.5% 82.3% 82.7% 84.2% 84.0%
SHOP2
15 79.8% 80.6% 77.7% 76.5% 76.9% 76.6%


	Properties	2Q22	3Q22	4Q22	1Q23	2Q23	3Q23
Senior Living Same-Store	9	82.3%	83.3%	83.5%	83.5%	82.2%	81.9%
Senior Living	10	82.3%	83.2%	83.2%	82.7%	81.4%	81.0%
Bickford Same-Store1	38	83.8%	85.0%	83.6%	81.3%	81.6%	83.8%
Bickford2	39	82.8%	84.6%	83.9%	81.6%	82.0%	84.2%
SHOP	15	76.5%	76.9%	75.8%	75.2%	75.5%	79.0%

1~~Prior~~All prior periods restated ~~to reflect~~for the ~~removal~~sale of ~~one property that was transitioned to a new operator~~an ALF in ~~March 2022.~~Iowa.

2~~These properties were leased pursuant to a triple-net master lease prior to Q2~~Includes Chesapeake, Virginia building which opened in the second quarter of 2022. NHI exercised its purchase option in February 2023.

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Tenant Monitoring

Our operators report to us the results of their operations on a periodic basis, which we in turn subject to further analysis as a means of monitoring potential concerns within our portfolio. We have identified EBITDARM (earnings before interest, taxes, depreciation, amortization, rent and management fees) as a primary performance measure for our tenants, based on results they have reported to us. We believe EBITDARM is useful in our most fundamental analyses, as it is a property-level measure of our operators’ success, by eliminating the effects of ~~the~~an operator’s method of acquiring the use of its assets (interest and rent), its non-cash expenses (depreciation and amortization), and expenses that are dependent on its level of success (income taxes), and also excluding the effect of the operator’s payment of its management fees, as typically those fees are contractually subordinate to our lease payment. For operators of our ~~entrance-fee communities,~~EFCs, our calculation of EBITDARM includes other cash flow adjustments typical of the industry which may include, but are not limited to, net cash flows from entrance fees; amortization of deferred entrance fees; adjustments for tenant rent obligations, and management fee true-ups. The eliminations and adjustments reflect covenants in our leases and provide a comparable basis for assessing our various relationships.

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We believe that EBITDARM is a useful way to analyze the cash potential of a group of assets. From EBITDARM we calculate a coverage ratio (EBITDARM/cash rent), measuring the ability of the operator to meet its monthly obligation. In addition to EBITDARM and the coverage ratio, we rely on a careful balance sheet analysis and other analytical procedures to help us identify potential areas of concern relative to our operators’ ability to generate sufficient liquidity to meet their obligations, including their obligation to continue to pay the amount due to us. Typical among our operators is a varying lag in reporting to us the results of their operations. Across our portfolio, however, our operators report their results, typically within either 30 or 45 days and at the latest, within 90 days of month’s end. For computational purposes, we exclude mortgages and other notes receivable, and development and lease-up properties that have been in operation less than 24 months. For stabilized acquisitions in the portfolio less than 24 months and renewing leases with changes in scheduled rent, we include pro forma cash rent. Same-store portfolio coverage excludes properties that have transitioned operators in the past 24 months or assets subsequently sold except as noted.

The results of our coverage ratio analysis are presented below on a trailing twelve-month basis, as of June 30, ~~2022~~2023 and ~~2021~~2022 (the most recent periods available).

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NHI Real Estate Investments Portfolio

By asset type

SHO

SNF

MEDICAL NON-SNF

TOTAL

By asset type

SHO

SNF

MEDICAL NON-SNF

TOTAL

Properties

168

Properties

158

2Q21

1.11x

2.74x

2.59x

1.69x

2Q22

1.14x

2.47x

2.60x

1.63x

2Q22

1.18x

2.47x

2.60x

1.66x

2Q22 Occupancy

83.7%

76.5%

74.1%

80.0%

2Q23

1.32x

2.62x

2.73x

1.84x

2Q23 Occupancy

84.6%

79.7%

76.5%

82.0%

Market served

Need Driven

Need Driven excl. Bickford

Discretionary

Discretionary excl. SLC

Medical

Medical excl. NHC

Market served

Need Driven

Need Driven excl. Bickford

Discretionary

Discretionary excl. SLC

Medical

Medical excl. NHC

Properties

2Q21

0.91x

0.80x

1.37x

1.57x

2.74x

1.97x

2Q22

0.96x

0.91x

1.38x

1.70x

2.47x

1.95x

2Q22

1.01x

0.98x

1.38x

1.70x

2.47x

1.95x

2Q22 Occupancy

84.4%

84.9%

82.8%

84.9%

76.5%

68.8%

2Q23

1.26x

1.09x

1.38x

1.50x

2.62x

2.12x

2Q23 Occupancy

85.2%

87.0%

83.6%

84.5%

79.7%

72.2%

Major tenants

NHC1

SLC2

Bickford2

Major tenants

NHC1

SLC2

Bickford2

Properties

2Q21

3.82x

1.28x

1.04x

2Q22

3.24x

1.25x

1.00x

2Q22

3.24x

1.25x

1.04x

2Q22 Occupancy

82.8%

81.3%

83.7%

2Q23

3.29x

1.31x

1.45x

2Q23 Occupancy

86.0%

82.7%

82.9%

NHI Real Estate Investments Same-Store Portfolio3

By asset type

SHO

SNF

MEDICAL NON-SNF

TOTAL

Properties

163

2Q21

1.12x

2.76x

N/A

1.70x

2Q22

1.16x

2.47x

N/A

1.62x

Market served

Need Driven

Need Driven excl. Bickford

Discretionary

Discretionary excl. SLC

Medical

Medical excl. NHC

Properties

2Q21

0.92x

0.81x

1.41x

1.74x

2.76x

1.93x

2Q22

0.97x

0.93x

1.41x

1.83x

2.47x

1.88x

Major tenants

NHC1

SLC2

Bickford2

Properties

2Q21

3.82x

1.28x

1.04x

2Q22

3.24x

1.25x

1.00x

1 NHC ~~based on corporate-level~~ Fixed Charge Coverage Ratio and ~~includes three ILFs and excludes seven sold~~displayed occupancies are on corporate-level. The occupancies are for the SNF ~~assets (four~~portfolio only as can be seen in ~~MA and three in NH) during 2022.~~NHC’s public filings.

2 ~~Excluding~~There are no longer any significant PPP funds ~~received from~~included in any of the coverages above. SLC operates nine discretionary CCRC properties and one need driven assisted living community. Bickford coverage through the second quarter ~~2021, SLC and Bickford~~of 2023 represents coverage ~~was 1.09x and 0.88x, respectively. Bickford proforma coverage at~~under the restructured ~~lease amount would be 1.32x for second quarter 2022.~~

3 ~~Excludes properties that have transitioned operators in past 24 months and includes properties classified as held for sale.~~lease.

~~These results~~Coverage ratios may include ~~any~~ amounts ~~received~~provided by state and ~~recognized~~federal government programs to support businesses, including health care providers, that have been impacted by the ~~operators from~~COVID-19 pandemic. These funds were largely distributed in 2020 and 2021 and as such do not substantially impact the HHS CARES Act Provider Relief Fund and funds received under the Paycheck Protection Program if the loan has been forgiven. Our operators may not consistently account for any COVID-19 pandemic relief funds received which can impact comparability among operators and across periods.reported coverage ratios.

Fluctuations in portfolio coverage are a result of market and economic trends, local market competition, and regulatory factors as well as the operational success of our tenants. We use the results of individual leases to inform our decision making with respect to specific tenants, but trends described above by property type and operator bear analysis. ~~Our senior housing portfolio shows a decline brought about primarily by a softening in occupancy and rising expenses, including wage pressures.~~

~~Table of Contents~~

~~Additionally, the COVID-19 pandemic in the U.S. has further softened coverage for these operators as well as across our portfolio.~~ For many of the affected operators, as is typical of our portfolio in general, NHI has security deposits in place and/or corporate guarantees should actual cash rental shortfalls eventually materialize. In certain instances, our operators may increase their security deposits with us in an amount equal to the coverage shortfall, and, upon subsequent compliance with the required lease coverage ratio, the operator would then be entitled to a full refund. The sufficiency of credit enhancements (e.g. tenant deposits and guarantees) as a protection against economic downturn will be a focus as we monitor economic and financial ~~conditions, including the effects of the COVID-19 pandemic.~~conditions. The metrics presented in the tables above give no effect to the presence of these security deposits. Because of the recent disposals of the Florida medical office building and the behavioral hospital, we combined the medical office building (“MOB”) and Hospital categories previously presented into the “Medical Non-SNF” category.

Real Estate and Mortgage Write-downs

In addition to inflation risk and increased interest rates, ~~and new COVID-19 pandemic variants,~~ our borrowers and tenants experience periods of significant financial pressures and difficulties similar to those encountered by other health care providers. Our condensed consolidated financial statements for the three and nine months ended September 30, ~~2022~~2023 reflect impairment charges of our long-lived assets of approximately ~~$9.5~~$1.2 million and ~~$38.3~~$1.6 million, ~~as a result of economic and financial factors, including the effects of the COVID-19 pandemic.~~respectively. We reduced the carrying value of any impaired ~~properties~~property to estimated fair ~~values,~~value, or with respect to the properties classified as held for sale, to estimated fair value less ~~costs to sell.~~estimated transaction costs. We have no significant intangible assets currently recorded on our Condensed Consolidated Balance Sheet as of September 30, ~~2022,~~2023, that would require assessment for impairment.

Table of Contents

We have established a reserve for estimated credit losses of ~~$6.9~~$15.8 million and a liability of ~~$0.9~~$0.3 million for estimated credit losses on unfunded loan commitments as of September 30, ~~2022.~~2023. We evaluate the reserves for estimated credit losses on a quarterly basis and make adjustments based on current circumstances as considered necessary.

We believe that the carrying amounts of our real estate properties are recoverable and that mortgage and other notes receivable, net of reserves, are realizable and supported by the value of the underlying collateral. However, it is possible that future events could require us to make additional significant adjustments to these carrying amounts. Refer to Notes 3 and 4 in the condensed consolidated financial statements included in this report for more information.

4342

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Results of Operations

The significant items affecting revenues and expenses are described below ($ in thousands):


		Three Months Ended									Three Months Ended
		September 30,				Period Change					September 30,				Period Change
		2022		2021		$		%			2023		2022		$		%
Revenues:	Revenues:									Revenues:
Rental income	Rental income									Rental income
SHOs leased to Bickford										SHOs leased to Bickford	$	8,607	$	6,953	$	1,654	23.8	%
SHOs leased to Discovery Senior Living										SHOs leased to Discovery Senior Living	2,662		1,737		925		53.3	%

SHOs leased to Chancellor Health Care	SHOs leased to Chancellor Health Care	$	1,395	$	1,892	$	(497)	(26.3)	%	SHOs leased to Chancellor Health Care	1,800		1,096		704		64.2	%
SHOs leased to Discovery Senior Living		1,737		2,180		(443)		(20.3)	%
SHOs leased to Wingate Healthcare		1,043		340		703		NM
SHOs leased to Silverado Senior Living										SHOs leased to Silverado Senior Living	699		—		699		NM

SNFs leased to NHC										SNFs leased to NHC	9,484		8,787		697		7.9	%

SHOs leased to Senior Living Communities		11,775		11,199		576		5.1	%

SHOs leased to Holiday		—		1,523		(1,523)		(100.0)	%
Other new and existing leases	Other new and existing leases	36,868		36,405		463		1.3	%	Other new and existing leases	35,035		33,759		1,276		3.8	%
Current year disposals and assets held for sale	Current year disposals and assets held for sale	1,742		6,524		(4,782)		(73.3)	%	Current year disposals and assets held for sale	743		2,286		(1,543)		(67.5)	%
											59,030		54,618		4,412		8.1	%
		54,560		60,063		(5,503)		(9.2)	%
Straight-line rent adjustments, new and existing leases	Straight-line rent adjustments, new and existing leases	2,476		3,798		(1,322)		(34.8)	%	Straight-line rent adjustments, new and existing leases	1,040		2,476		(1,436)		(58.0)	%
Amortization of lease incentives										Amortization of lease incentives	(723)		(58)		(665)		NM
Escrow funds received from tenants for taxes and insurance	Escrow funds received from tenants for taxes and insurance	2,358		3,182		(824)		(25.9)	%	Escrow funds received from tenants for taxes and insurance	2,908		2,358		550		23.3	%
Total Rental Income	Total Rental Income	59,394		67,043		(7,649)		(11.4)	%	Total Rental Income	62,255		59,394		2,861		4.8	%
Resident fees and services	Resident fees and services	12,013		—		12,013		NM		Resident fees and services	12,367		12,013		354		2.9	%
Interest income and other	Interest income and other									Interest income and other

Montecito Medical Real Estate loan		458		53		405		NM
Encore Senior Living mortgage loan	Encore Senior Living mortgage loan	664		306		358		NM		Encore Senior Living mortgage loan	1,065		664		401		60.4	%
Capital Funding Group										Capital Funding Group	809		—		809		NM

Loan payoffs	Loan payoffs	—		2,617		(2,617)		(100.0)	%	Loan payoffs	—		648		(648)		(100.0)	%
Other new and existing mortgages and notes	Other new and existing mortgages and notes	3,698		3,393		305		9.0	%	Other new and existing mortgages and notes	3,463		3,508		(45)		(1.3)	%
Total Interest Income from Mortgage and Other Notes	Total Interest Income from Mortgage and Other Notes	4,820		6,369		(1,549)		(24.3)	%	Total Interest Income from Mortgage and Other Notes	5,337		4,820		517		10.7	%
Other income	Other income	71		421		(350)		(83.1)	%	Other income	147		71		76		NM
Total Revenues	Total Revenues	76,298		73,833		2,465		3.3	%	Total Revenues	80,106		76,298		3,808		5.0	%
Expenses:	Expenses:									Expenses:
Depreciation	Depreciation									Depreciation
ALFs leased to Bickford										ALFs leased to Bickford	2,948		2,723		225		8.3	%

SHOs leased to Silverado										SHOs leased to Silverado	254		—		254		NM
Current year disposals and assets held for sale	Current year disposals and assets held for sale	169		2,479		(2,310)		(93.2)	%	Current year disposals and assets held for sale	—		416		(416)		(100.0)	%
Other new and existing assets	Other new and existing assets	17,364		17,556		(192)		(1.1)	%	Other new and existing assets	14,313		14,394		(81)		(0.6)	%
Total Depreciation	Total Depreciation	17,533		20,035		(2,502)		(12.5)	%	Total Depreciation	17,515		17,533		(18)		(0.1)	%
Interest	Interest	11,412		12,715		(1,303)		(10.2)	%	Interest	15,086		11,412		3,674		32.2	%
Senior housing operating expenses	Senior housing operating expenses	9,239		—		9,239		NM		Senior housing operating expenses	10,045		9,239		806		8.7	%

Legal										Legal	67		88		(21)		(23.9)	%
Non-cash share-based compensation expense										Non-cash share-based compensation expense	866		1,065		(199)		(18.7)	%
Taxes and insurance on leased properties	Taxes and insurance on leased properties	2,358		3,182		(824)		(25.9)	%	Taxes and insurance on leased properties	2,908		2,358		550		23.3	%
Loan and realty losses	Loan and realty losses	11,329		22,425		(11,096)		(49.5)	%	Loan and realty losses	1,959		11,329		(9,370)		(82.7)	%

Other expenses	Other expenses	5,057		4,011		1,046		26.1	%	Other expenses	3,566		3,904		(338)		(8.7)	%
Total Expenses	Total Expenses	56,928		62,368		(5,440)		(8.7)	%	Total Expenses	52,012		56,928		(4,916)		(8.6)	%
Income before investment and other gains and losses	Income before investment and other gains and losses	19,370		11,465		7,905		68.9	%	Income before investment and other gains and losses	28,094		19,370		8,724		45.0	%
Gains on sales of real estate, net	Gains on sales of real estate, net	14,840		19,941		(5,101)		(25.6)	%	Gains on sales of real estate, net	737		14,840		(14,103)		(95.0)	%
Gain on operations transfer		19		—		19		NM
Losses from equity method investment		—		(557)		557		(100.0)	%
Gain on operations transfer, net										Gain on operations transfer, net	—		19		(19)		(100.0)	%

Other non-operating income										Other non-operating income	202		—		202		NM

Net income	Net income	34,229		30,849		3,380		11.0	%	Net income	29,033		34,229		(5,196)		(15.2)	%
Less: net loss (income) attributable to noncontrolling interests		239		(35)		274		NM
Add: net loss attributable to noncontrolling interests										Add: net loss attributable to noncontrolling interests	313		239		74		31.0	%
Net income attributable to stockholders										Net income attributable to stockholders	29,346		34,468		(5,122)		(14.9)	%
Less: net income attributable to unvested restricted stock awards										Less: net income attributable to unvested restricted stock awards	(19)		—		(19)		NM
Net income attributable to common stockholders	Net income attributable to common stockholders	$	34,468	$	30,814	$	3,654	11.9	%	Net income attributable to common stockholders	$	29,327	$	34,468	$	(5,141)	(14.9)	%

NM - not meaningful	NM - not meaningful									NM - not meaningful

4443

Table of Contents

Financial highlights offor the three months ended September 30, ~~2022,~~2023, compared to the same period of ~~2021~~2022, were as follows:

•Rental income recognized from our tenants ~~decreased $7.6~~increased $2.9 million, or ~~11.4%~~4.8%, primarily as a result of ~~$4.8~~an increase in pandemic-related rent repayments of approximately $2.0 million ~~attributed to~~and new investments funded since September 2022, partially offset by properties disposed of since September ~~2021, $1.5 million from properties transitioned to our SHOP portfolio,~~2022 and a reduction ofin straight-line rent of ~~$1.3~~$1.4 million.

•Funds received for reimbursement of property operating expenses totaled $2.9 million for the three months ended September 30, 2023, compared to $2.4 million for the three months ended September 30, 2022, ~~compared to $3.2 million for the three months ended September 30, 2021,~~ and are reflected as a component of rental income. These property operating expenses are recognized in operating expenses in the line item “Taxes and insurance on leased properties.” The ~~decrease~~increase in the reimbursement income and corresponding property expenses is ~~primarily from property dispositions since September 2021, resulting in decreased~~due to increased amounts received from tenants and expenses paid on their behalf.

•Resident fees and services ~~and~~less senior housing operating expenses ~~include revenues and~~decreased $0.5 million, or 16%, primarily due to increased operating expenses from our SHOP activities ~~which commenced on April 1, 2022.~~in the current year. See Note 5 to the condensed consolidated financial ~~statements.~~statements included in this report.

•Interest income from ~~mortgage~~mortgages and other notes ~~decreased $1.5~~increased $0.5 million, or ~~24.3%~~10.7%, primarily due to ~~paydowns on loans, net of~~ new and existing loan ~~fundings.~~fundings, net of paydowns on loans.

•Interest expense ~~decreased $1.3~~increased $3.7 million, or ~~10.2%~~32.2%, primarily as the result of increased interest rates and borrowings on the unsecured revolving credit facility, offset by partial repayments of ~~indebtedness.~~term loans.

•Non-cash share-based compensation expense decreased $0.2 million, or 18.7%, due primarily to the reduced number of stock options granted in the first quarter of 2023 compared to the prior year’s grants.

•Loan and realty losses were ~~$11.3~~$2.0 million associated with ~~the~~real estate impairment charges on ~~seven real estate properties~~one property of ~~$9.5~~$1.2 million in the third quarter of ~~2022~~2023 as described under the heading “Assets Held for Sale and Long-Lived Assets” in Note 3 to the condensed consolidated financial statements included in this report and an increase in the credit loss reserve of $0.8 million. During the third quarter of 2022, seven real estate properties were impaired resulting in a total of $9.5 million in impairment charges and an increase in credit loss reserve of $1.8 ~~million. During the third quarter of 2021, five real estate properties were impaired for a total of $22.5~~ million.

•Gains on sales of real estate, net were ~~$14.8~~$0.7 million primarily associated with the disposition of ~~nine properties~~one property in the third quarter of ~~2022 as described~~2023 included in the assets disposition table under the heading “Assets Dispositions” in Note 3 to the condensed consolidated financial ~~statements.~~statements included in this report. During the third quarter of ~~2021,~~2022, we ~~sold seven~~disposed of nine properties ~~generating gains on sales~~that resulted in a gain of ~~real estate totaling $19.9~~approximately $14.8 million.

4544

Table of Contents

The significant items affecting revenues and expenses are described below (in thousands):


		Nine Months Ended									Nine Months Ended
		September 30,				Period Change					September 30,				Period Change
		2022		2021		$		%			2023		2022		$		%
Revenues:	Revenues:									Revenues:
Rental income	Rental income									Rental income
ALFs leased to Bickford										ALFs leased to Bickford	$	26,003	$	19,456	$	6,547	33.7	%
SNFs leased to NHC										SNFs leased to NHC	29,083		25,619		3,464		13.5	%

ALFs leased to Bickford Senior Living		$	11,935	$	19,723	$	(7,788)	(39.5)	%
SHOs leased to Discovery Senior Living		4,770		6,936		(2,166)		(31.2)	%

SHOs leased to Discovery										SHOs leased to Discovery	6,985		4,770		2,215		46.4	%
ALFs leased to Chancellor Health Care	ALFs leased to Chancellor Health Care	2,039		6,332		(4,293)		(67.8)	%	ALFs leased to Chancellor Health Care	3,477		1,456		2,021		NM

ALFs leased to Silverado										ALFs leased to Silverado	1,741		—		1,741		NM
EFCs leased to Senior Living Communities										EFCs leased to Senior Living Communities	36,627		35,407		1,220		3.4	%
SHOs leased to Holiday										SHOs leased to Holiday	—		15,588		(15,588)		(100.0)	%

Other new and existing leases	Other new and existing leases	140,774		136,111		4,663		3.4	%	Other new and existing leases	66,292		63,420		2,872		4.5	%
Current year disposals and assets held for sale	Current year disposals and assets held for sale	8,224		21,333		(13,109)		(61.4)	%	Current year disposals and assets held for sale	5,346		9,503		(4,157)		(43.7)	%
		167,742		190,435		(22,693)		(11.9)	%		175,554		175,219		335		0.2	%
Straight-line rent adjustments, new and existing leases	Straight-line rent adjustments, new and existing leases	(11,360)		12,189		(23,549)		NM		Straight-line rent adjustments, new and existing leases	6,011		(11,360)		17,371		NM
Amortization of lease incentives										Amortization of lease incentives	(1,798)		(7,477)		5,679		(76.0)	%
Escrow funds received from tenants for taxes and insurance	Escrow funds received from tenants for taxes and insurance	7,553		7,519		34		0.5	%	Escrow funds received from tenants for taxes and insurance	8,738		7,553		1,185		15.7	%
Total Rental Income	Total Rental Income	163,935		210,143		(46,208)		(22.0)	%	Total Rental Income	188,505		163,935		24,570		15.0	%
Resident fees and services	Resident fees and services	24,005		—		24,005		NM		Resident fees and services	35,860		24,005		11,855		49.4	%
Interest income and other	Interest income and other									Interest income and other
Bickford loans		3,910		2,959		951		32.1	%
Vizion Health loan		1,300		594		706		NM
Montecito Medical Real Estate loan		1,334		69		1,265		NM
Capital Funding Group										Capital Funding Group	2,400		—		2,400		NM
Encore Senior Living										Encore Senior Living	2,882		1,792		1,090		60.8	%

Loan payoffs	Loan payoffs	5,482		8,097		(2,615)		(32.3)	%	Loan payoffs	225		7,283		(7,058)		(96.9)	%
Other new and existing mortgages and notes	Other new and existing mortgages and notes	7,335		6,626		709		10.7	%	Other new and existing mortgages and notes	10,220		10,286		(66)		(0.6)	%
Total Interest Income from Mortgage and Other Notes	Total Interest Income from Mortgage and Other Notes	19,361		18,345		1,016		5.5	%	Total Interest Income from Mortgage and Other Notes	15,727		19,361		(3,634)		(18.8)	%
Other income	Other income	223		560		(337)		(60.2)	%	Other income	278		223		55		24.7	%
Total Revenues	Total Revenues	207,524		229,048		(21,524)		(9.4)	%	Total Revenues	240,370		207,524		32,846		15.8	%
Expenses:	Expenses:									Expenses:
Depreciation	Depreciation									Depreciation
ALFs leased to Chancellor		1,802		2,651		(849)		(32.0)	%
ALFs leased to Silverado										ALFs leased to Silverado	678		—		678		NM

ALFs leased to Bickford		8,340		9,061		(721)		(8.0)	%

SHOs leased to Holiday										SHOs leased to Holiday	—		2,326		(2,326)		(100.0)	%
SHOP depreciation										SHOP depreciation	6,757		4,245		2,512		59.2	%
Current year disposals and assets held for sale	Current year disposals and assets held for sale	1,680		7,314		(5,634)		(77.0)	%	Current year disposals and assets held for sale	268		2,422		(2,154)		(88.9)	%
Other new and existing assets	Other new and existing assets	41,755		42,473		(718)		(1.7)	%	Other new and existing assets	45,159		44,584		575		1.3	%
Total Depreciation	Total Depreciation	53,577		61,499		(7,922)		(12.9)	%	Total Depreciation	52,862		53,577		(715)		(1.3)	%
Interest	Interest	32,472		38,528		(6,056)		(15.7)	%	Interest	43,308		32,472		10,836		33.4	%
Senior housing operating expenses	Senior housing operating expenses	18,352		—		18,352		NM		Senior housing operating expenses	29,525		18,352		11,173		60.9	%
Legal	Legal	2,254		207		2,047		NM		Legal	364		2,254		(1,890)		(83.9)	%
Non-cash share-based compensation expense										Non-cash share-based compensation expense	3,740		7,576		(3,836)		(50.6)	%
Taxes and insurance on leased properties										Taxes and insurance on leased properties	8,738		7,553		1,185		15.7	%
Loan and realty losses	Loan and realty losses	39,951		23,596		16,355		69.3	%	Loan and realty losses	1,727		39,951		(38,224)		(95.7)	%

Other expenses	Other expenses	26,140		23,457		2,683		11.4	%	Other expenses	11,093		11,011		82		0.7	%
Total Expenses	Total Expenses	172,746		147,287		25,459		17.3	%	Total Expenses	151,357		172,746		(21,389)		(12.4)	%
Income before investment and other gains and losses	Income before investment and other gains and losses	34,778		81,761		(46,983)		(57.5)	%	Income before investment and other gains and losses	89,013		34,778		54,235		NM
Gains (losses) from equity method investment		569		(2,274)		2,843		NM
Gains on sales of real estate, net	Gains on sales of real estate, net	28,342		26,426		1,916		7.3	%	Gains on sales of real estate, net	13,500		28,342		(14,842)		(52.4)	%
Loss on operations transfer, net		(710)		—		(710)		NM
Gain on note payoff		1,113		—		1,113		NM
Gain (loss) on operations transfer, net										Gain (loss) on operations transfer, net	20		(710)		730		NM
Gain on note receivable payoff										Gain on note receivable payoff	—		1,113		(1,113)		(100.0)	%
Loss on early retirement of debt	Loss on early retirement of debt	(151)		(451)		300		(66.5)	%	Loss on early retirement of debt	(73)		(151)		78		(51.7)	%
Gains from equity method investment										Gains from equity method investment	—		569		(569)		(100.0)	%
Other non-operating income										Other non-operating income	202		—		202		NM

Net income	Net income	63,941		105,462		(41,521)		(39.4)	%	Net income	102,662		63,941		38,721		60.6	%
Less: net loss (income) attributable to noncontrolling interest		599		(135)		734		NM
Add: net loss attributable to noncontrolling interests										Add: net loss attributable to noncontrolling interests	946		599		347		57.9	%
Net income attributable to stockholders										Net income attributable to stockholders	103,608		64,540		39,068		60.5	%
Less: net income attributable to unvested restricted stock awards										Less: net income attributable to unvested restricted stock awards	(38)		—		(38)		NM
Net income attributable to common stockholders	Net income attributable to common stockholders	$	64,540	$	105,327	$	(40,787)	(38.7)	%	Net income attributable to common stockholders	$	103,570	$	64,540	$	39,030	60.5	%

NM - not meaningful	NM - not meaningful									NM - not meaningful

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Financial highlights offor the nine months ended September 30, ~~2022,~~2023, compared to the same period in ~~2021~~2022, were as follows:

•Rental income recognized from our tenants ~~decreased $46.2~~increased $24.6 million, or ~~22.0%~~15.0%, primarily as a result of a decrease in pandemic-related rent concessions granted of approximately ~~$13.1~~$10.7 million ~~attributed to property dispositions, net of~~and new investments funded since September ~~2021.~~2022. Included in rental income for the nine months ended September 30, 2022 are write offs in the second quarter of 2022 of $18.1 million of straight-line rents receivable and $7.1 million of lease incentives related to ~~our~~placing Bickford ~~master~~on the cash basis of revenue recognition, partially offset by the recognition of the Holiday lease ~~agreements. Reference Note 3 to the condensed consolidated financial statements for further discussion.~~deposit and escrow of $15.7 million in prior year rental income.

•Resident fees and services ~~and~~less senior housing operating expenses ~~include revenues and expenses from~~increased $0.7 million, or 12%, primarily due to our SHOP activities ~~which~~that commenced on April 1, 2022. See Note 5 to the condensed consolidated financial ~~statements.~~statements included in this report.

•Interest income from mortgage and other notes ~~increased $1.0~~decreased $3.6 million, or ~~5.5%~~18.8%, primarily due to paydowns on loans, net of new and existing loan ~~fundings, net of paydowns on loans.~~

•~~Depreciation expense decreased $7.9 million or 12.9%, primarily as a result of property dispositions of approximately $165.9 million since September 2021.~~fundings.

•Interest expense ~~decreased $6.1~~increased $10.8 million, or ~~15.7%~~33.4%, primarily as the result of ~~repayments of indebtedness, including~~increased interest rates and borrowings on the ~~payoffs of the convertible bond that matured in April 2021 and $250.0 million~~unsecured revolving credit facility, offset by partial repayments on term loans.

•Non-cash share-based compensation expense decreased $3.8 million, or 50.6%, due primarily to the reduced number of stock options granted in the first quarter of 2023 compared to the prior year’s grants.

•Legal expenses ~~increased $2.0~~decreased $1.9 million primarily related to the Welltower, Inc. litigation and transition activities for the legacy Holiday ~~portfolio.~~portfolio in the prior year.

•Loan and realty losses ~~increased $16.4~~decreased $38.2 million primarily as a result of impairment charges on 15 real estate properties of $38.3 million in the nine months ended September 30, 2022, ~~as described under the heading “Assets Held for Sale and Long-Lived Assets”~~ ~~in Note 3 to the condensed consolidated financial statements and an increase~~offset by a decrease in credit loss ~~reserve~~expense of ~~$0.5 million. Impairment charges were $22.5~~$1.6 million ~~in the nine months ended September 30, 2021.~~

•~~For more information on Gains (losses) from equity method investment reference Note 6~~compared to the ~~condensed consolidated financial statements.~~same period in 2022.

•Gains on sales of real estate, net ~~increased $1.9~~decreased $14.8 million, for the nine months ended September 30, ~~2022~~2023, as compared to the same period in the prior year. For the nine months ended September 30, ~~2022,~~2023, we recorded ~~$28.3~~$13.5 million in gains from dispositions of real estate assets as described under “Asset Dispositions” in Note 3 to the condensed consolidated financial ~~statements.~~statements included in this report. For the nine months ended September 30, ~~2021,~~2022, we sold 1722 properties generating gains on sales of real estate totaling ~~$26.4~~$28.3 million.

•~~Loss~~Gain (loss) on operations transfer, net ~~includes~~represents the ~~amount of~~ net ~~working capital liabilities assumed~~impact upon terminating the master lease with Well Churchill Leasehold Owner, LLC, a subsidiary of Welltower, Inc., on April 1, ~~2022, for the ILFs previously leased to Holiday. See Note 8 to the condensed consolidated financial statements.~~2022.

•Gain on note receivable payoff of $1.1 million reflects the prepayment fee from the early repayment of a $111.3 million mortgage note receivable in the second quarter of 2022. ~~See Note 4 to the condensed consolidated financial statements.~~

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Liquidity and Capital Resources

At September 30, ~~2022,~~2023, we had ~~$690.0~~$495.0 million available to draw on our revolving credit facility, ~~$28.8~~$16.6 million in unrestricted cash and cash equivalents, and the potential to access ~~the remaining $415.7~~$500.0 million through the issuance of common stock under the Company’s ~~$500.0 million ATM~~at-the-market (“ATM”) equity program. In addition, the Company maintains an effective automatic shelf registration statement through which capital could be raised via the issuance of debt and or equity securities.

Sources and Uses of Funds

Our primary sources of cash include rent payments, receipts from residents, principal and interest payments on mortgage and other notes receivable, proceeds from the sales of real property, net proceeds from offerings of equity securities and borrowings from our loans and revolving credit facility. Our primary uses of cash include debt service payments (both principal and interest), new investments in real estate and notes receivable, dividend distributions to our stockholders, operating expenses for the SHOP activities and general corporate overhead.

These sources and uses of cash are reflected in our Condensed Consolidated Statements of Cash Flows as summarized below (($ in thousands):


		Nine Months Ended September 30,				One Year Change					Nine Months Ended September 30,				One Year Change
		2022		2021		$		%			2023		2022		$		%
Cash and cash equivalents and restricted cash, January 1	Cash and cash equivalents and restricted cash, January 1	$	39,485	$	46,343	$	(6,858)	(14.8)	%	Cash and cash equivalents and restricted cash, January 1	$	21,516	$	39,485	$	(17,969)	(45.5)	%
Net cash provided by operating activities	Net cash provided by operating activities	138,983		157,501		(18,518)		(11.8)	%	Net cash provided by operating activities	131,247		138,983		(7,736)		(5.6)	%
Net cash provided by investing activities		247,143		163,358		83,785		51.3	%
Net cash (used in) provided by investing activities										Net cash (used in) provided by investing activities	(13,966)		247,143		(261,109)		(105.7)	%
Net cash used in financing activities	Net cash used in financing activities	(393,897)		(317,007)		(76,890)		24.3	%	Net cash used in financing activities	(120,302)		(393,897)		273,595		(69.5)	%
Cash and cash equivalents and restricted cash, September 30	Cash and cash equivalents and restricted cash, September 30	$	31,714	$	50,195	$	(18,481)	(36.8)	%	Cash and cash equivalents and restricted cash, September 30	$	18,495	$	31,714	$	(13,219)	(41.7)	%

Operating Activities – Net cash provided by operating activities for the nine months ended September 30, ~~2022,~~2023, which includes new investments completed, ~~the creation of~~ the SHOP ventures, lease payment collections arising from escalators on existing leases and interest payments on new real estate and note investments completed, was impacted by the disposition of 25nine senior housing properties for net proceeds of approximately ~~$191.9~~$112.1 million since September ~~2021,~~2022, offset by ~~the decrease of~~reduced pandemic-related rent concessions granted byof approximately ~~$9.2~~$10.7 million.

Investing Activities – Net cash (used in) provided by investing activities for the nine months ended September 30, ~~2022~~2023 was comprised primarily of ~~approximately $40.4 million of investments in mortgage and other notes and renovations and acquisitions of real estate, offset by the~~ proceeds from the sales of real estate of approximately ~~$169.0~~$51.5 million and the collection of principal on mortgage and other notes receivable of approximately ~~$118.0 million.~~$11.2 million, offset by $79.2 million of investments in mortgage and other notes receivable and renovations and acquisitions of real estate and equipment.

Financing Activities – Net cash used in financing activities for the nine months ended September 30, ~~2022~~2023 differs from the same period in ~~2021~~2022 primarily as a result of an approximately ~~$26.2~~$123.0 million ~~decrease~~increase in net borrowings, ~~inclusive~~a decrease of ~~a $400.0~~$8.8 million ~~senior note offering in the first quarter of 2021, an approximately $47.9 million decrease~~ in proceeds from ~~issuance~~noncontrolling interests, a decrease of ~~common shares and dividend payments which decreased approximately $18.9 million over the same period in 2021 and~~ the repurchase of common stock of approximately $152.0 ~~million.~~million, a decrease in debt issuance cost of $1.9 million and a decrease in dividend payments approximately of $5.6 million over the same period in 2022.

Debt Obligations

As of September 30, ~~2022,~~2023, we had outstanding debt of $1.1 billion. Reference Note 78 to the condensed consolidated financial statements included in this report for additional information about our outstanding indebtedness. Also, reference ~~“Item 3. Quantitative~~Part I, Item 3 “Quantitative and Qualitative Disclosures About Market Risk” for more details on our indebtedness and the impact of interest rate risk.

Unsecured Bank Credit Facility - On March 31, 2022, we entered into ~~a new~~an unsecured revolving credit agreement (the “2022 Credit Agreement”) providing us with a $700.0 million unsecured revolving credit facility, replacing our previous $550.0 million unsecured revolver. The credit facility provided by the 2022 Credit Agreement matures in March 2026, but may be extended at our option, subject to the satisfaction of certain conditions, for two additional six-month periods. Borrowings under the 2022 Credit Agreement bear interest, at our election, at ~~either~~one of the following (i) Term Secured Overnight Financing Rate (“SOFR”) (plus a credit spread adjustment) plus a margin ranging from 0.725% to 1.40%, (ii) Daily SOFR (plus a credit spread adjustment) plus a margin ranging from 0.725% to 1.40% or (iii) the base rate plus a margin ranging from 0.00% to 0.40%. In each election,

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the actual margin is determined according to our credit ratings. The base rate means, for any day, a fluctuating rate per annum equal to the highest of (i) the

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~~Agent’s~~ agent’s prime rate, (ii) the federal funds rate on such day plus 0.50% or (iii) the adjusted Term SOFR for a one-month tenor in effect on such day plus 1.0%. We incurred $4.5 million of deferred costs in connection with the 2022 Credit Agreement.

Concurrently with the execution of the 2022 Credit Agreement, we amended our $300.0 million term loan, maturing in September 2023 (“2023 Term Loan”). The amendment modifies the existing covenants to align with provisions in the 2022 Credit Agreement and to accrue interest on borrowings based on SOFR (plus a credit spread adjustment) that were previously based on LIBOR, with no change to the existing applicable interest rate margins. We may also elect for the 2023 Term Loan to accrue interest at a base rate plus the applicable margin. As of September 30, 2022, we repaid $60.0 million of the 2023 Term Loan.

In March 2022, we repaid a $75.0 million term loan maturing August 2022 with proceeds from the revolving credit facility. The term loan bore interest at a rate of 30-day LIBOR plus 135 basis points (“bps”), based on our credit ratings. Upon repayment, we expensed approximately $0.2 million of unamortized loan costs associated with this loan which is included in “~~Loss on early retirement of debt” in our Condensed Consolidated Statement of Income for the nine months ended September 30, 2022.~~

As of September 30, 2022, the revolver and term loan bore interest at a rate of one-month Term SOFR (plus a 10 bps spread adjustment) plus 105 bps and 125 bps, based on our debt ratings, or 4.19% and 4.39%, respectively. The facility fee was 25 bps per annum. At October 31, 2022, no amount was outstanding under the revolving facility.

The current SOFR spreads and facility fee for our unsecured revolving credit facility and $240.0 million term loan reflect our ratings compliance based on the applicable margin for SOFR loans at a debt rating of BBB-/Baa3 in the Interest Rate Schedule provided below in summary format:

~~Interest Rate Schedule~~

SOFR Spread
Debt Ratings Revolver Revolver Facility Fee $300m Term Loan
A+/A1 0.725% 0.125% 0.75%
A/A2 0.725% 0.125% 0.80%
A-/A3 0.725% 0.125% 0.85%
BBB+/Baa1 0.775% 0.150% 0.90%
BBB/Baa2 0.850% 0.200% 1.00%
BBB-/Baa3 1.050% 0.250% 1.25%
Lower than BBB-/Baa3 1.400% 0.300% 1.65%

Beyond the applicable ratios detailed above, if our credit rating from at least two credit rating agencies is downgraded below “BBB-/Baa3”, the debt under our credit agreements will be subject to defined increases in interest rates and fees.

The 2022 Credit Agreement requires that we calculate specified financial statement metrics and meet or exceed a variety of financial ratios, which are usual and customary in nature. These ratios are calculated quarterly and as of September 30, ~~2022,~~2023, were within required limits. The calculation of our leverage ratio involves intermediate determinations of our “total indebtedness” and of our “total asset value,” as defined in the 2022 Credit Agreement.

In January 2023, we repaid the $125.0 million of the private placement notes due January 2023 primarily with proceeds from the revolving credit facility.

In November 2023, the $50.0 million of private placement notes due November 2023 were repaid primarily with proceeds from the revolving credit facility.

In the first quarter of 2023, we repaid $20.0 million of a term loan with a maturity of September 2023 (the “2023 Term Loan”). In June 2023, we entered into a two-year $200.0 million term loan agreement (the “2025 Term Loan”) bearing interest at a variable rate which is SOFR-based with a margin determined according to our credit ratings plus a 0.10% credit spread adjustment. The Company incurred approximately $2.7 million of deferred financing cost associated with this loan. The 2025 Term Loan proceeds were used to repay a portion of the remaining $220.0 million 2023 Term Loan balance, which was repaid in full in June 2023. The 2023 Term Loan accrued interest on borrowings consistent with the new 2025 Term Loan. Upon repayment, we expensed approximately $0.1 million of unamortized loan costs associated with this loan which are included in “Loss on early retirement of debt”.

As of September 30, 2023, the revolver and term loan bore interest at a rate of one-month Term SOFR (plus a 10 basis points (“bps”) spread adjustment) plus 105 bps and 125 bps, based on our debt ratings, or 6.47% and 6.67%, respectively. The facility fee was 25 bps per annum. At October 31, 2023, $194.0 million was outstanding under the revolving facility.

Interest Rate Schedule

The current SOFR spreads and facility fee for our revolving credit facility and the 2025 Term Loan reflect our ratings compliance based on the applicable margin for SOFR loans at a debt rating of BBB-/Baa3 in the Interest Rate Schedule provided below in summary format:


	SOFR Spread
Debt Ratings	Revolver	Revolver Facility Fee	$200m Term Loan
A+/A1	0.725%	0.125%	0.75%
A/A2	0.725%	0.125%	0.80%
A-/A3	0.725%	0.125%	0.85%
BBB+/Baa1	0.775%	0.150%	0.90%
BBB/Baa2	0.850%	0.200%	1.00%
BBB-/Baa3	1.050%	0.250%	1.25%
Lower than BBB-/Baa3	1.400%	0.300%	1.65%

If our credit rating from at least two credit rating agencies is downgraded below “BBB-/Baa3” the debt under our credit agreements will be subject to defined increases in interest rates and fees.

2031 Senior Notes ~~Offering~~ - In January 2021, we issued $400.0 million in aggregate principal amount of 3.00% senior notes that mature on February 1, 2031 and pay interest semi-annually (the “2031 Senior Notes”). ~~We remain in compliance with all debt covenants under the unsecured bank credit facility,~~The 2031 Senior Notes are subject to affirmative and ~~other debt agreements.~~negative covenants, including financial covenants with which we were in compliance at September 30, 2023.

Debt Maturities - Reference Note 78 to the condensed consolidated financial statements included in this report for more information on our debt maturities.

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Credit Ratings - ~~Moody's~~Moody’s Investors Services (“~~Moody's”~~Moody’s”) announced on November 5, 2020 that it assigned an investment grade issuer credit rating and a senior unsecured debt rating of ‘Baa3’ with a “Negative” outlook to the Company. Moody’s released a credit opinion on October 13, 2022 which affirmed the rating and revised the outlook to “Stable” for the Company. Both Fitch and S&P Global announced in November 2019 a public issuer credit rating of BBB- with an outlook of “Stable.” Fitch ~~confirmed~~reaffirmed its rating most recently on ~~December 9, 2021~~April 10, 2023 and S&P Global ~~confirmed~~reaffirmed its rating on November ~~16, 2021.~~14, 2022. Our unsecured private placement term loan agreements include a rate increase provision that is effective if any rating agency lowers

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our credit rating below investment grade and our compliance leverage increases to 50% or more. Any reduction in outlook or downgrade in our credit ratings from the rating agencies could negatively impact our costs of borrowings.

Debt Metrics - We believe that our fixed charge coverage ratio, which is the ratio of Adjusted EBITDA (earnings before interest, taxes, depreciation and amortization, including amounts in discontinued operations, excluding real estate asset impairments and gains on dispositions) to fixed charges (interest expense at contractual rates net of capitalized interest and principal payments on debt), and the ratio of consolidated net debt to Adjusted EBITDA are meaningful measures of our ability to service our debt. We use these two measures as a useful basis to compare the strength of our balance sheet with those in our peer group. We also believe our balance sheet gives us a competitive advantage when accessing debt markets.

We calculate our fixed charge coverage ratio as approximately ~~6.2x~~4.5x for the nine months ended September 30, ~~2022~~2023 (see our discussion under the heading “Adjusted ~~EBITDA~~EBITDA” below including a reconciliation to our net income). Giving effect to significant acquisitions, financings, disposals and payoffs on an annualized basis, our consolidated net debt to Annualized Adjusted EBITDA ratio is approximately ~~4.5x~~4.4x for the three months ended September 30, ~~2022~~2023 ($ in thousands):


Consolidated Total Debt	$	~~1,114,999~~1,144,438
Less: cash and cash equivalents	~~(28,811)~~(16,579)
Consolidated Net Debt	$	~~1,086,188~~1,127,859

Adjusted EBITDA	$	~~61,583~~63,441
Annualizing ~~Adjustment~~adjustment	~~184,749~~190,323
Annualized impact of recent investments, disposals and payoffs	~~(2,752)~~473
	$	~~243,580~~254,237

Consolidated Net Debt to Annualized Adjusted EBITDA	~~4.5x~~4.4x

Supplemental Guarantor Financial Information

The Company’s ~~$940.0~~$900.0 million bank credit ~~facility,~~facilities, unsecured private placement ~~term loans due January 2023 through January 2027~~notes with an aggregate principal amount of $275.0 million, and 2031 Senior Notes with an aggregate principal amount of $400.0 million ~~and 2031 Senior Notes~~ are fully and unconditionally guaranteed on a senior unsecured basis by each of the Company’s subsidiaries, except for certain excluded subsidiaries (“Guarantors”). The Guarantors are either owned or controlled by, or are affiliates of, the Company.

The following tables present summarized financial information for the Company and the Guarantors, on a combined basis after eliminating (i) intercompany transactions and balances among the guarantor entities and (ii) equity in earnings from, and any investments in, any subsidiary that is a non-guarantor ($ in thousands):

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	As of
	September 30, ~~2022~~2023
Real estate properties, net	$	~~1,810,630~~1,798,610
Other assets, net	~~334,456~~340,039
Note receivable due from non-guarantor subsidiary	81,383
Totals assets	$	~~2,226,469~~2,220,032

Debt	$	~~1,038,662~~1,068,480
Other liabilities	~~64,336~~70,700
Total liabilities	$	~~1,102,998~~1,139,180

Redeemable noncontrolling interest	$	9,922
Noncontrolling interests	$	~~11,197~~
~~Noncontrolling interest~~	$	76918

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	Nine Months Ended
	September 30, ~~2022~~2023
Revenues	$	~~181,241~~213,806
Interest revenue on note due from non-guarantor subsidiary	~~3,483~~3,484
Expenses	~~158,037~~136,602
~~Gains from equity method investee~~	~~569~~
Gains on sales of real estate	~~28,342~~13,500
Gain on operations transfer	20
Loss on early retirement of debt	~~(151)~~(73)
Other non-operating income	202
Net income	$	~~55,447~~94,337
Net income attributable to NHI and the subsidiary guarantors	$	~~56,450~~95,283

Equity

At September 30, ~~2022~~2023, we had ~~43,388,742~~43,409,841 shares of common stock outstanding with a market value of ~~$2.5~~$2.2 billion. Equity on our Condensed Consolidated Balance Sheet totaled $1.3 ~~billion.~~billion at September 30, 2023.

Share Repurchase Plan - On ~~April 15, 2022, the Company’s~~February 17, 2023, our Board of Directors ~~approved~~authorized a revised stock repurchase ~~plan for~~program (the “Revised Repurchase Plan”) pursuant to which we may purchase up to ~~$240.0~~$160.0 million in shares of ~~the Company’s~~our issued and outstanding common ~~stock (the “2022~~stock. The Revised Repurchase ~~Plan”). The plan~~Plan is effective for a period of one ~~year.~~year and does not require us to repurchase any specific number of shares. The Revised Repurchase Plan may be suspended or discontinued at any time. Shares may be repurchased from time-to-time in open market transactions at prevailing market prices, in privately negotiated transactions or by other means in accordance with the terms of Rule 10b-18 of the Securities and Exchange Act of 1934, as amended (the “Exchange Act”) and repurchases shall be made in accordance with all applicable laws and regulations in effect. The timing and number of shares repurchased, if any, will depend on a variety of factors, including price, general market and economic conditions, alternative investment opportunities and other corporate considerations. ~~The stock repurchase plan does not obligate the Company to repurchase any specific number of shares and may be suspended or discontinued at any time.~~

~~During~~No common stock was repurchased during the three and nine months ended September 30, 2023. During 2022, ~~we repurchased~~cumulative repurchases through open market transactions ~~1,272,179 and~~totaled 2,468,354 shares of common stock ~~respectively,~~ for ~~an average price of $64.44 and $61.56 per share, respectively, excluding commissions.~~approximately $151.6 million. All shares received were constructively retired upon receipt, and ~~the excess of the purchase price over the par value per share was recorded~~reflected as a reduction to “~~Cumulative dividends in excess of net income~~Retained earnings” in the ~~Condensed~~ Consolidated Balance ~~Sheet.~~

AsSheet as of ~~September 30, 2022, we had approximately $88.4 million remaining under the 2022 Repurchase Plan.~~December 31, 2022.

Dividends - Our Board of Directors approves a regular quarterly dividend which is reflective of expected taxable income on a recurring basis. Taxable income is determined in accordance with the Internal Revenue Code of 1986, as amended (the “Internal Revenue Code”) and differs from net income for financial statements purposes determined in accordance with U.S. generally accepted accounting ~~principles.~~principles (“GAAP”). Our Board of Directors has historically directed the Company toward maintaining a strong balance sheet. Therefore, we consider the competing interests of short and long-term debt (interest rates, maturities and

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other terms) versus the higher cost of new equity, and we accept some level of risk associated with leveraging our investments. We intend to continue to make new investments that meet our underwriting criteria and where the spreads over our cost of equity and debt capital on a leverage neutral basis will generate sufficient returns to our stockholders. We do not expect to utilize borrowings to satisfy the payment of dividends and project that cash flows from operations for the full year ~~2022~~2023 will be adequate to fund dividends at the current rate.

We intend to comply with REIT dividend requirements that we distribute at least 90% of our annual taxable income for the year ending December 31, ~~2022~~2023 and thereafter. Historically, the Company has distributed at least 100% of annual taxable income. Dividends declared for the fourth quarter of each fiscal year are paid by the end of the following January and are, with some exceptions, treated for tax purposes as having been paid in the fiscal year just ended as provided in ~~IRS~~Internal Revenue Code ~~Sec.~~Section 857(b)(8).

The following table summarizes dividends declared by the Board of Directors or paid during the nine months ended September 30, ~~2022~~2023 and ~~2021:~~2022:

Nine Months Ended September 30, 2023

Date of Declaration

Date of Record

Date Paid/Payable

Quarterly Dividend

November 6, 2022

December 30, 2022

January 27, 2023

$0.90

February 17, 2023

March 31, 2023

May 5, 2023

$0.90

May 5, 2023

June 30, 2023

August 4, 2023

$0.90

August 4, 2023

September 29, 2023

November 3, 2023

$0.90

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Nine Months Ended September 30, 2022

Date of Declaration

Date of Record

Date Paid/Payable

Quarterly Dividend

November 5, 2021

December 31, 2021

January 31, 2022

$0.90

February 16, 2022

March 31, 2022

May 6, 2022

$0.90

May 6, 2022

June 30, 2022

August 5, 2022

$0.90

August 5, 2022

September 30, 2022

November 4, 2022

$0.90

~~Nine Months Ended September 30, 2021~~

~~Date of Declaration~~

~~Date of Record~~

~~Date Paid/Payable~~

~~Quarterly Dividend~~

~~December 15, 2020~~

~~December 31, 2020~~

~~January 29, 2021~~

~~$1.1025~~

~~March 12, 2021~~

~~March 31, 2021~~

~~May 7, 2021~~

~~$1.1025~~

~~June 3, 2021~~

~~June 30, 2021~~

~~August 6, 2021~~

~~$0.90~~

~~August 3, 2021~~

~~September 30, 2021~~

~~November 5, 2021~~

~~$0.90~~

Shelf Registration Statement - We have an automatic shelf registration statement on file with the SEC that allows the Company to offer and sell to the public an unspecified amount of common stock, preferred stock, debt securities, warrants and or units at prices and on terms to be announced when and if such securities are offered. The details of any future offerings, along with the use of proceeds from any securities offered, will be described in a prospectus supplement or other offering materials, at the time of offering. Our shelf registration statement expires in March ~~2023.~~2026.

Material Cash Requirements

We had approximately ~~$31.7~~$21.4 million in corporate cash and cash equivalents on hand and ~~$700.0~~$506.0 million in availability under our unsecured revolving credit facility as of October 31, ~~2022.~~2023. Our expected material cash requirements for the twelve months ended September 30, ~~2023~~2024 and thereafter consist of long-term debt maturities; interest on long-term debt; and contractually obligated expenditures. We expect to meet our short-term liquidity needs largely through cash generated from operations and borrowings under our revolving credit facility ~~refer~~(refer to the discussion under “Unsecured Bank Credit ~~Facility~~Facility” ~~above,~~above) and sales from real estate investments, although we may choose to seek alternative sources of liquidity. Should we have additional liquidity needs, we believe that we could access long-term financing in the debt and equity capital markets.

We have mitigated our uninsured deposit risk for our cash and cash equivalents through the use of multiple demand deposit and money market accounts that are managed by our primary treasury management bank.

Contractual Obligations and Contingent Liabilities

As of September 30, ~~2022,~~2023, our contractual payment obligations were as follows ($ in thousands):

Total Less than 1 year 1-3 years 3-5 years More than 5 years
Debt, including interest1
$ 1,197,204 $ 407,515 $ 225,512 $ 166,857 $ 397,320
Loan commitments 63,944 34,199 29,745 — —
Development commitments 9,344 9,344 — — —
$ 1,270,492 $ 451,058 $ 255,257 $ 166,857 $ 397,320

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	Total		Less than 1 year		1-3 years		3-5 years		More than 5 years
Debt, including interest1	$	1,253,626	$	103,630	$	651,057	$	101,297	$	397,642
Loan commitments	43,419		13,674		29,745		—		—
Development commitments	4,322		4,322		—		—		—
	$	1,301,367	$	121,626	$	680,802	$	101,297	$	397,642

1 Interest is calculated based on the weighted average interest rate of outstanding debt balances as of September 30, ~~2022.~~2023. The calculation also includes a facility fee of ~~0.20%~~0.25%.

Commitments and Contingencies

The following tables summarize information as of September 30, ~~2022~~2023 related to our outstanding commitments and contingencies which are more fully described in the notes to the condensed consolidated financial statements ($ in thousands):

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		Asset Class	Type	Total		Funded		Remaining			Asset Class	Type	Total		Funded		Remaining
Loan Commitments:	Loan Commitments:									Loan Commitments:
Bickford Senior Living		SHO	Construction	$	42,900	$	(42,532)	$	368
Bickford										Bickford	SHO	Construction	$	14,700	$	(14,700)	$	—
Encore Senior Living	Encore Senior Living	SHO	Construction	50,725		(30,949)		19,776		Encore Senior Living	SHO	Construction	50,725		(48,325)		2,400
Senior Living Communities		SHO	Revolving Credit	20,000		(13,969)		6,031
Senior Living										Senior Living	SHO	Revolving Credit	20,000		(16,250)		3,750
Timber Ridge OpCo	Timber Ridge OpCo	SHO	Working Capital	5,000		—		5,000		Timber Ridge OpCo	SHO	Working Capital	5,000		—		5,000
Watermark Retirement	Watermark Retirement	SHO	Working Capital	5,000		(1,976)		3,024		Watermark Retirement	SHO	Working Capital	5,000		(2,476)		2,524
Montecito Medical Real Estate	Montecito Medical Real Estate	MOB	Mezzanine Loan	50,000		(20,255)		29,745		Montecito Medical Real Estate	MOB	Mezzanine Loan	50,000		(20,255)		29,745
				$	173,625	$	(109,681)	$	63,944				$	145,425	$	(102,006)	$	43,419

See Note 89 to our condensed consolidated financial statements included in this report for further details ofabout our loan commitments. As provided above, loans funded do not include the effects of discounts or commitment fees.

The credit loss liability for unfunded loan commitments was ~~$0.9~~$0.3 million as of September 30, ~~2022~~2023 and is estimated using the same methodology as used for our funded mortgage and other notes receivable based on the estimated amount that we expect to fund.
Asset Class Type Total Funded Remaining
Development Commitments:
Woodland Village SHO Renovation $ 7,515 $ (7,425) $ 90
Senior Living Communities SHO Renovation 9,930 (9,930) —
   Watermark Retirement SHO Renovation 6,500 (4,436) 2,064
   Navion SHO Renovation 3,500 (1,050) 2,450
   Other SHO Various 4,550 (1,310) 3,240
   SHOP ILF Renovation 1,500 — 1,500
$ 33,495 $ (24,151) $ 9,344

As part of the formation of the SHOP ventures and reflected in the table above, we agreed to fund improvements on one of the ILFs up to $1.5 million, of which no amount had been funded as of September 30, 2022.


	Asset Class	Type	Total		Funded		Remaining
Development Commitments:
Woodland Village	SHO	Renovation	$	7,515	$	(7,425)	$	90
Watermark Retirement	SHO	Renovation	6,500		(6,500)		—
Navion	SHO	Renovation	3,500		(1,655)		1,845
Other	Various	Various	4,150		(2,150)		2,000
SHOP	ILF	Renovation	1,500		(1,113)		387
			$	23,165	$	(18,843)	$	4,322

In addition to the commitments listed above, ~~we have agreed to pay up to $0.8 million in additional cash consideration pending the results~~one of ~~an ongoing property tax appeal related to a property acquired in the second quarter~~our consolidated real estate partnerships, NHI REIT of ~~2022. As of September 30, 2022, no amount of this consideration is expected to be paid as discussed in Note 3 in the condensed consolidated financial statements. Discovery~~DSL PropCo, LLC, has committed to Discovery to fund up to $2.0 million toward the purchase of condominium units located at one of the facilities, of which $1.0 million has been funded as of September 30, ~~2022.~~2023.

Asset Class Total Funded Remaining
Contingencies (Lease Inducements):
Timber Ridge OpCo SHO $ 10,000 $ — $ 10,000
Wingate Healthcare SHO 5,000 — 5,000
Navion Senior Solutions SHO 4,850 (1,500) 3,350
Discovery Senior Living SHO 4,000 — 4,000
Ignite Medical Resorts SNF 2,000 — 2,000
Sante Partners SHO 2,000 — 2,000
IntegraCare SHO 750 — 750
$ 28,600 $ (1,500) $ 27,100

We adjust rental income for the amortization of lease inducements paid to our tenants. Amortization of lease inducement payments against revenues was less than $0.1 million and $7.5 million for the three and nine months ended September 30, 2022, respectively, which includes the write off of $7.1 million of lease incentives related to Bickford as discussed in more detail in Note 3 to the condensed consolidated financial statements. Amortization of lease inducement payments against revenues was $0.3 million and $0.8 million for the three and nine months ended September 30, 2021, respectively.

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In late September 2022, Hurricane Ian made landfall in southwest Florida. Our properties incurred minimal to no damage. We or our tenants may incur unplanned costs for minor repairs and restoring operations, as well as costs to evacuate employees and residents. Our lease agreements require our tenants to maintain sufficient property and business interruption insurance, subject to certain deductibles.


	Asset Class	Total		Funded		Remaining
Contingencies (Lease Inducements):
Timber Ridge OpCo	SHO	$	10,000	$	(10,000)	$	—
Wingate Healthcare	SHO	5,000		—		5,000
Navion Senior Solutions	SHO	4,850		(2,700)		2,150
Discovery	SHO	4,000		—		4,000
Ignite Medical Resorts	SNF	2,000		—		2,000
IntegraCare	SHO	750		—		750
		$	26,600	$	(12,700)	$	13,900

Litigation

Our facilities are subject to claims and suits in the ordinary course of business. Our ~~lessees~~managers, tenants and borrowers have indemnified, and are obligated to continue to indemnify us against all liabilities arising from the operation of the facilities, and are further obligated to indemnify us against environmental or title problems affecting the real estate underlying such facilities. In addition, such claims may include, among other things professional liability and general liability claims, as well as regulatory proceedings relate to our SHOP ~~segment where we are the holder of the applicable healthcare license.~~segment. While there may be lawsuits pending against us and certain of the owners and/or lessees of the facilities, management believes that the ultimate resolution of all such pending proceedings will have no direct material adverse effect on our financial condition, results of operations or cash flows.

~~Welltower, Inc.~~

NHI and certain of its subsidiaries terminated the master lease with Well Churchill Leasehold Owner, LLC as successor in interest to NHI Master Tenant LLC, effective April 1, 2022, upon completion of the transition of the properties subject to the master lease, as follows: (i) one property was sold to a third party, (ii) one property was transitioned to an existing operator relationship and leased pursuant to an existing master lease, and (iii) the remaining 15 properties were transitioned into two new SHOP partnership ventures. See Note 5 to the condensed consolidated financial statements for more information on these new ventures.

Also effective April 1, 2022, the parties agreed to dismiss the lawsuit and mutually release all claims related to or arising out of the litigation and the $6.9 million in escrowed funds were released to NHI and recognized in rental income during the second quarter of 2022. We recognized approximately $0.7 million as a “~~Gain (loss) on operations transfer, net”~~ on the Condensed Consolidated Statements of Income during the second quarter of 2022 with an immaterial true-up being recognized during the third quarter of 2022. This net loss represents the amount of net working capital deficit assumed by NHI in connection with the transfer of operations following the termination of the master lease. The net working capital assumed by NHI on April 1, 2022 was comprised primarily of facility furniture, fixtures and equipment, net resident accounts receivable, accounts payable and other accrued liabilities.

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FFO & FAD

~~These~~The supplemental performance measures described below may not be comparable to similarly titled measures used by other REITs. Consequently, our Funds From Operations (“FFO”), Normalized FFO and Normalized Funds Available for Distribution (“FAD”) may not provide a meaningful measure of our performance as compared to that of other REITs. Since other REITs may not use our definition of these measures, caution should be exercised when comparing our FFO, Normalized FFO and Normalized FAD to that of other REITs. These measures do not represent cash generated from operating activities in accordance with ~~generally accepted accounting principles (“GAAP”)~~GAAP (these measures do not include changes in operating assets and liabilities) and therefore should not be considered an alternative to net earnings as an indication of performance, or to net cash flow from operating activities as determined by GAAP as a measure of liquidity, and are not necessarily indicative of cash available to fund cash needs.

Funds From Operations - FFO

Our FFO per diluted common share for the nine months ended September 30, ~~2022 decreased $0.74~~2023 increased $0.49 or ~~20.8%~~17.4% over the same period in ~~2021~~2022 due primarily to the ~~write offs~~write-offs in 2022 of Bickford’s straight-line rents receivable and unamortized lease incentives totaling approximately ~~$25.2~~$25.4 million, ~~increased~~a reduction of legal fees ~~of $1.7 million for the Welltower litigation~~ and ~~transition activities for the legacy Holiday portfolio and property dispositions completed~~pandemic-related rent concessions since September ~~2021,~~2022, partially offset by the recognition of the Holiday lease deposit ~~of $8.8 million~~ and escrow of ~~$6.9~~$15.7 million in prior year rental income, ~~reduced~~increased interest ~~expense.~~expense in 2023 and the repurchase of common stock in the prior year. FFO, as defined by the National Association of Real Estate Investment Trusts (“NAREIT”) and applied by us, is calculated using the two-class method with net income allocated to common stockholders and holders of unvested restricted stock by applying the respective weighted-average shares outstanding during each period. The calculation of FFO begins with net income attributable to common stockholders (computed in accordance with GAAP), ~~excluding~~and excludes gains (or losses) from sales of real estate property, impairments of real estate, and real estate depreciation and amortization ~~and~~ after ~~adjustments~~adjusting for unconsolidated partnerships and joint ventures, if any. ~~The Company’s computation of~~Diluted FFO ~~may not be comparable~~attributable to FFO reported by other REITs that do not define the term in accordance with the current NAREIT definition or have a different interpretation of the current NAREIT definition from that of the Company; therefore, caution should be exercised when comparing our Company’s FFO to that of other REITs. Diluted FFOcommon stockholders per share assumes the exercise of stock options and other potentially dilutive securities.

Our Normalized FFO per diluted common share for the nine months ended September 30, ~~2022~~2023 decreased ~~$0.12~~$0.19, or ~~3.4%~~5.5%, over the same period in ~~the same period in 2021.~~2022. Normalized FFO excludes from FFO certain items which, due to their infrequent or unpredictable nature, may create some difficulty in comparing FFO for the current period to similar prior periods, and may include, but are not limited to, impairment of non-real estate assets, gains and losses attributable to the acquisition and disposition of non-real estate assets and liabilities, and recoveries of previous write-downs.

FFO and Normalized FFO are important supplemental measures of operating performance for a REIT. Because the historical cost accounting convention used for real estate assets requires 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 uses historical cost accounting for depreciation

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could be less informative, and should be supplemented with a measure such as FFO. The term FFO was designed by the REIT industry to address this issue.

Funds Available for Distribution - FAD

Our Normalized FAD for the nine months ended September 30, ~~2022~~2023 decreased ~~$7.5~~$15.6 million or ~~4.59%~~9.97% over the same period in ~~2021~~2022 due primarily to ~~increased legal fees of $1.7 million for the Welltower litigation and transition activities for the legacy Holiday portfolio~~an increase in interest expense and property dispositions completed since September ~~2021, partially offset by the recognition of the Holiday lease deposit of $8.8 million and escrow of $6.9 million in rental income and reduced interest expense.~~2022. In addition to the adjustments included in the calculation of Normalized FFO, Normalized FAD excludes the impact of any straight-line lease revenue, amortization of the original issue discount on our senior unsecured notes and amortization of debt issuance ~~costs and non-cash share based compensation.~~costs. We also adjust Normalized FAD for the net change in our allowance for expected credit losses, non-cash ~~share based~~share-based compensation as well as certain non-cash items related to our equity method ~~investments~~investment such as straight-line lease expense and amortization of purchase accounting adjustments.

Normalized FAD is an important supplemental performance measure for a REIT and a useful measure of liquidity as an indicator of the ability to distribute dividends to stockholders. GAAP requires a lessor to recognize contractual lease payments ~~into~~as income on a straight-line basis over the expected term of the lease. This straight-line adjustment has the effect of reporting lease income that is significantly more or less than the contractual cash flows received pursuant to the terms of the lease agreement. GAAP also requires any discount or premium related to indebtedness and debt issuance costs to be amortized as non-cash adjustments to earnings.

~~Table of Contents~~

The following table reconciles ~~net~~“Net income attributable to common stockholders”, the most directly comparable GAAP metric, to FFO, Normalized FFO and Normalized FAD and is presented for both basic and diluted weighted average common shares ($ in thousands, except share and per share amounts):

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		Three Months Ended				Nine Months Ended					Three Months Ended				Nine Months Ended
		September 30,				September 30,					September 30,				September 30,
		2022		2021		2022		2021			2023		2022		2023		2022
Net income attributable to common stockholders	Net income attributable to common stockholders	$	34,468	$	30,814	$	64,540	$	105,327	Net income attributable to common stockholders	$	29,327	$	34,468	$	103,570	$	64,540
Elimination of certain non-cash items in net income:	Elimination of certain non-cash items in net income:									Elimination of certain non-cash items in net income:
Real estate depreciation	Real estate depreciation	17,467		20,035		53,511		61,499		Real estate depreciation	17,380		17,467		52,507		53,511
Real estate depreciation related to noncontrolling interests	Real estate depreciation related to noncontrolling interests	(394)		(210)		(998)		(629)		Real estate depreciation related to noncontrolling interests	(396)		(394)		(1,187)		(998)
Gains on sales of real estate, net	Gains on sales of real estate, net	(14,840)		(19,941)		(28,342)		(26,426)		Gains on sales of real estate, net	(737)		(14,840)		(13,500)		(28,342)
Impairments of real estate	Impairments of real estate	9,526		22,462		38,271		22,462		Impairments of real estate	1,173		9,526		1,642		38,271
NAREIT FFO attributable to common stockholders	NAREIT FFO attributable to common stockholders	46,227		53,160		126,982		162,233		NAREIT FFO attributable to common stockholders	46,747		46,227		143,032		126,982
(Gain) loss on operations transfer, net	(Gain) loss on operations transfer, net	(19)		—		710		—		(Gain) loss on operations transfer, net	—		(19)		(20)		710
Portfolio transition costs, net of noncontrolling interests	Portfolio transition costs, net of noncontrolling interests	—		—		329		—		Portfolio transition costs, net of noncontrolling interests	—		—		—		329
Gain on note payoff		—		—		(1,113)		—
Gain on note receivable payoff										Gain on note receivable payoff	—		—		—		(1,113)
Loss on early retirement of debt	Loss on early retirement of debt	—		—		151		451		Loss on early retirement of debt	—		—		73		151
Non-cash write-offs of straight-line receivable and lease incentives	Non-cash write-offs of straight-line receivable and lease incentives	1,001		—		28,403		—		Non-cash write-offs of straight-line receivable and lease incentives	—		1,001		—		28,403
Non-cash rental income										Non-cash rental income	—		—		(2,500)		—

Recognition of unamortized note receivable commitment fees		—		(375)		—		(375)
Litigation settlement		—		(266)		—		(266)

Normalized FFO attributable to common stockholders	Normalized FFO attributable to common stockholders	47,209		52,519		155,462		162,043		Normalized FFO attributable to common stockholders	46,747		47,209		140,585		155,462
Straight-line lease revenue, net	Straight-line lease revenue, net	(3,477)		(3,798)		(10,020)		(12,189)		Straight-line lease revenue, net	(1,040)		(3,477)		(6,011)		(10,020)
Straight-line lease revenue, net, related to noncontrolling interests	Straight-line lease revenue, net, related to noncontrolling interests	35		20		100		65		Straight-line lease revenue, net, related to noncontrolling interests	11		35		56		100
Non-real estate depreciation	Non-real estate depreciation	66		—		66		—		Non-real estate depreciation	135		66		355		66
Non-real estate depreciation related to noncontrolling interest		(4)		—		(4)		—
Non-real estate depreciation related to noncontrolling interests										Non-real estate depreciation related to noncontrolling interests	(13)		(4)		(32)		(4)
Amortization of lease incentives	Amortization of lease incentives	58		252		175		774		Amortization of lease incentives	723		58		1,798		175
Amortization of lease incentive related to noncontrolling interests										Amortization of lease incentive related to noncontrolling interests	(127)		—		(307)		—
Amortization of original issue discount	Amortization of original issue discount	80		80		241		214		Amortization of original issue discount	80		80		241		241
Amortization of debt issuance costs	Amortization of debt issuance costs	529		556		1,619		1,849		Amortization of debt issuance costs	640		529		1,689		1,619
Amortization related to equity method investment	Amortization related to equity method investment	(167)		268		(572)		1,324		Amortization related to equity method investment	(425)		(167)		(1,126)		(572)
Straight-line lease expense related to equity method investment	Straight-line lease expense related to equity method investment	(2)		11		(13)		56		Straight-line lease expense related to equity method investment	(4)		(2)		(11)		(13)
Note receivable credit loss expense	Note receivable credit loss expense	1,803		(37)		1,680		1,134		Note receivable credit loss expense	786		1,803		85		1,680

Non-cash share-based compensation	Non-cash share-based compensation	1,065		989		7,576		7,427		Non-cash share-based compensation	866		1,065		3,740		7,576
Equity method investment capital expenditures	Equity method investment capital expenditures	(105)		(105)		(315)		(315)		Equity method investment capital expenditures	—		(105)		(210)		(315)
Equity method investment non-refundable fees received	Equity method investment non-refundable fees received	418		418		884		1,179		Equity method investment non-refundable fees received	435		418		890		884
Equity method investment distributions	Equity method investment distributions	—		—		(569)		—		Equity method investment distributions	—		—		—		(569)
Senior housing portfolio recurring capital expenditures	Senior housing portfolio recurring capital expenditures	(130)		—		(260)		—		Senior housing portfolio recurring capital expenditures	(722)		(130)		(1,406)		(260)
SHOP recurring capital expenditures related to noncontrolling interests										SHOP recurring capital expenditures related to noncontrolling interests	78		—		158		—
Normalized FAD attributable to common stockholders	Normalized FAD attributable to common stockholders	$	47,378	$	51,173	$	156,050	$	163,561	Normalized FAD attributable to common stockholders	$	48,170	$	47,378	$	140,494	$	156,050

BASIC	BASIC									BASIC
Weighted average common shares outstanding	Weighted average common shares outstanding	44,339,975		45,850,599		45,236,696		45,668,762		Weighted average common shares outstanding	43,388,841		44,339,975		43,388,779		45,236,696
NAREIT FFO attributable to common stockholders per share	NAREIT FFO attributable to common stockholders per share	$	1.04	$	1.16	$	2.81	$	3.55	NAREIT FFO attributable to common stockholders per share	$	1.08	$	1.04	$	3.30	$	2.81
Normalized FFO attributable to common stockholders per share	Normalized FFO attributable to common stockholders per share	$	1.06	$	1.15	$	3.44	$	3.55	Normalized FFO attributable to common stockholders per share	$	1.08	$	1.06	$	3.24	$	3.44

DILUTED	DILUTED									DILUTED
Weighted average common shares outstanding	Weighted average common shares outstanding	44,402,582		45,851,424		45,261,123		45,689,091		Weighted average common shares outstanding	43,388,841		44,402,582		43,389,675		45,261,123
NAREIT FFO attributable to common stockholders per share	NAREIT FFO attributable to common stockholders per share	$	1.04	$	1.16	$	2.81	$	3.55	NAREIT FFO attributable to common stockholders per share	$	1.08	$	1.04	$	3.30	$	2.81
Normalized FFO attributable to common stockholders per share	Normalized FFO attributable to common stockholders per share	$	1.06	$	1.15	$	3.43	$	3.55	Normalized FFO attributable to common stockholders per share	$	1.08	$	1.06	$	3.24	$	3.43

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Adjusted EBITDA

We consider Adjusted EBITDA to be an important supplemental measure because it provides information which we use to evaluate our performance and serves as an indication of our ability to service debt. We define Adjusted EBITDA as consolidated earnings before interest, taxes, depreciation and amortization, excluding real estate asset impairments, ~~and~~ gains on dispositions and certain items which, due to their infrequent or unpredictable nature, may create some difficulty in comparing Adjusted EBITDA for the current period to similar prior periods. These items include, but are not limited to, impairment of non-real estate assets, gains and losses attributable to the acquisition and disposition of assets and liabilities, and recoveries of previous write-downs. Adjusted EBITDA also includes our proportionate share of unconsolidated equity method ~~investments~~investment presented on a similar basis. Since others may not use our definition of Adjusted EBITDA, caution should be exercised when comparing our Adjusted EBITDA to that of other companies.

The following table reconciles ~~net~~“Net income”, the most directly comparable GAAP metric, to Adjusted EBITDA ($ in thousands):

Three Months Ended Nine Months Ended
September 30, September 30,
2022 2021 2022 2021
Net income $ 34,229 $ 30,849 $ 63,941 $ 105,462
Interest expense 11,412 12,715 32,472 38,528
Franchise, excise and other taxes 225 244 694 709
Depreciation 17,533 20,035 53,577 61,499
NHI’s share of EBITDA adjustments for unconsolidated entities 713 678 1,287 2,164
Note receivable credit loss expense 1,803 (37) 1,680 1,134
Gains on sales of real estate, net (14,840) (19,941) (28,342) (26,426)
(Gain) loss on operations transfer, net (19) — 710 —
Gain on note payoff — — (1,113) —
Loss on early retirement of debt — — 151 451
Impairment of real estate 9,526 22,462 38,271 22,462
Recognition of unamortized note receivable commitment fees — (375) — (375)
Litigation settlement — (266) — (266)
Non-cash write-off of straight-line rents receivable and lease amortization 1,001 — 28,403 —
Adjusted EBITDA $ 61,583 $ 66,364 $ 191,731 $ 205,342
Interest expense at contractual rates $ 10,821 $ 10,234 $ 30,640 $ 31,055
Interest rate swap payments, net — 1,851 — 5,448
Principal payments 290 92 290 276
Fixed Charges $ 11,111 $ 12,177 $ 30,930 $ 36,779
Fixed Charge Coverage 5.5x 5.4x 6.2x 5.6x


	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2023		2022		2023		2022
Net income	$	29,033	$	34,229	$	102,662	$	63,941
Interest expense	15,086		11,412		43,308		32,472
Franchise, excise and other taxes	2		225		443		694
Depreciation	17,515		17,533		52,862		53,577
NHI’s share of EBITDA adjustments for unconsolidated entities	583		713		1,783		1,287
Note receivable credit loss expense	786		1,803		85		1,680
Gains on sales of real estate, net	(737)		(14,840)		(13,500)		(28,342)
(Gain) loss on operations transfer, net	—		(19)		(20)		710
Gain on note receivable payoff	—		—		—		(1,113)
Loss on early retirement of debt	—		—		73		151
Impairments of real estate	1,173		9,526		1,642		38,271



Non-cash write-off of straight-line rent receivable and lease inducements amortization	—		1,001		—		28,403
Non-cash rental income	—		—		(2,500)		—
Adjusted EBITDA	$	63,441	$	61,583	$	186,838	$	191,731

Interest expense at contractual rates	$	14,387	$	10,821	$	41,439	$	30,640

Principal payments	101		290		303		290
Fixed Charges	$	14,488	$	11,111	$	41,742	$	30,930

Fixed Charge Coverage	4.4x		5.5x		4.5x		6.2x

For all periods presented, EBITDA reflects GAAP interest expense, which excludes amounts capitalized during the period.

Net Operating Income

Net operating income (“NOI”) is a U.S. non-GAAP supplemental financial measure used to evaluate the operating performance of real estate. We define NOI as total revenues, less tenant reimbursements and property operating expenses. We believe NOI provides investors relevant and useful information as it measures the operating performance of our properties at the property level on an unleveraged basis. We use NOI to make decisions about resource allocations and to assess the property level performance of our properties.

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The following table reconciles NOI to net income, the most directly comparable GAAP metric ($ in thousands):

~~Table of Contents~~


		Three Months Ended				Nine Months Ended					Three Months Ended				Nine Months Ended
		September 30				September 30					September 30				September 30
NOI Reconciliations:	NOI Reconciliations:	2022		2021		2022		2021		NOI Reconciliations:	2023		2022		2023		2022
Net income	Net income	$	34,229	$	30,849	$	63,941	$	105,462	Net income	$	29,033	$	34,229	$	102,662	$	63,941
Losses (gains) from equity method investment		—		557		(569)		2,274
Other non-operating income										Other non-operating income	(202)		—		(202)		—
Gains from equity method investment										Gains from equity method investment	—		—		—		(569)

Loss on early retirement of debt	Loss on early retirement of debt	—		—		151		451		Loss on early retirement of debt	—		—		73		151
Gain on note payoff		—		—		(1,113)		—
Gain on note receivable payoff										Gain on note receivable payoff	—		—		—		(1,113)
(Gain) loss on operations transfer, net	(Gain) loss on operations transfer, net	(19)		—		710		—		(Gain) loss on operations transfer, net	—		(19)		(20)		710
Gains on sales of real estate, net	Gains on sales of real estate, net	(14,840)		(19,941)		(28,342)		(26,426)		Gains on sales of real estate, net	(737)		(14,840)		(13,500)		(28,342)
Loan and realty losses	Loan and realty losses	11,329		22,425		39,951		23,596		Loan and realty losses	1,959		11,329		1,727		39,951
General and administrative	General and administrative	4,744		3,650		17,893		15,229		General and administrative	4,430		4,744		14,390		17,893
Franchise, excise and other taxes	Franchise, excise and other taxes	225		244		694		709		Franchise, excise and other taxes	2		225		443		694
Legal	Legal	88		117		2,254		207		Legal	67		88		364		2,254
Interest	Interest	11,412		12,715		32,472		38,528		Interest	15,086		11,412		43,308		32,472
Depreciation	Depreciation	17,533		20,035		53,577		61,499		Depreciation	17,515		17,533		52,862		53,577
Consolidated net operating income (NOI)		$	64,701	$	70,651	$	181,619	$	221,529
Consolidated NOI										Consolidated NOI	$	67,153	$	64,701	$	202,107	$	181,619
NOI by segment:	NOI by segment:									NOI by segment:
Real Estate Investments	Real Estate Investments	$	61,856	$	70,230	$	175,744	$	220,969	Real Estate Investments	$	64,684	$	61,856	$	195,494	$	175,744
SHOP	SHOP	2,774		—		5,653		—		SHOP	2,322		2,774		6,335		5,653
Non-Segment/Corporate	Non-Segment/Corporate	71		421		222		560		Non-Segment/Corporate	147		71		278		222
Total NOI	Total NOI	$	64,701	$	70,651	$	181,619	$	221,529	Total NOI	$	67,153	$	64,701	$	202,107	$	181,619

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Item 3. Quantitative and Qualitative Disclosures About Market Risk

Interest Rate Risk

At September 30, ~~2022,~~2023, we were exposed to market risks related to fluctuations in interest rates on approximately ~~$250.0~~$405.0 million of variable-rate indebtedness and on our mortgage and other notes receivable. The unused portion ($~~690.0~~495.0 million at September 30, ~~2022)~~2023) of our revolving credit facility, should it be drawn upon, is subject to variable rates.

Interest rate fluctuations will generally not affect our future earnings or cash flows on our fixed rate debt and loans receivable unless such instruments mature or are otherwise terminated. However, interest rate changes will affect the fair value of our fixed rate instruments. Conversely, changes in interest rates on variable rate debt and investments would change our future earnings and cash flows, but not significantly affect the fair value of those instruments. Assuming a 50 basis-point increase or decrease in the interest rate related to variable-rate debt, and assuming no change in the outstanding balance as of September 30, ~~2022,~~2023, net interest expense would increase or decrease annually by approximately ~~$1.3~~$2.0 million or ~~$0.03~~$0.05 per common share on a diluted basis.

~~Our derivative financial instruments matured on December 31, 2021.~~ We have historically used derivative financial instruments in the normal course of business to mitigate interest rate risk. We do not use derivative financial instruments for speculative purposes. ~~Derivatives are included in the Condensed Consolidated Balance Sheets at their fair value.~~ We currently have no derivative financial instruments but may engage in hedging strategies to manage our exposure to market risks in the future, depending on an analysis of the interest rate environment and the costs and risks of such strategies.

The following table sets forth certain information with respect to our debt ($ in thousands):

September 30, 2022 December 31, 2021
Balance1
% of total
Rate2
Balance1
% of total
Rate2
Fixed rate:
Private placement term loans - unsecured $ 400,000 35.5 % 4.15 % $ 400,000 31.9 % 4.15 %
Senior notes - unsecured 400,000 35.5 % 3.00 % 400,000 31.9 % 3.00 %
Fannie Mae term loans - secured, non-recourse 76,748 6.8 % 3.97 % 77,038 6.2 % 3.97 %
Variable rate:
Bank term loans - unsecured 240,000 21.3 % 4.39 % 375,000 30.0 % 1.41 %
Revolving credit facility - unsecured 10,000 0.9 % 4.19 % — — % — %
$ 1,126,748 100.0 % 3.74 % $ 1,252,038 100.0 % 2.95 %
1 Differs from carrying amount due to unamortized discounts and loan costs.
2 Total is weighted average rate


	September 30, 2023						December 31, 2022
	Balance1		% of total		Rate2		Balance1		% of total		Rate2
Fixed rate:

Private placement term loans - unsecured	$	275,000	23.8	%	4.22	%	$	400,000	34.5	%	4.15	%
2031 Senior notes - unsecured	400,000		34.6	%	3.00	%	400,000		34.5	%	3.00	%

Fannie Mae term loans - secured, non-recourse	76,345		6.6	%	3.96	%	76,649		6.6	%	3.96	%

Variable rate:
Bank term loans - unsecured	200,000		17.3	%	6.67	%	240,000		20.8	%	5.71	%
Revolving credit facility - unsecured	205,000		17.7	%	6.47	%	42,000		3.6	%	5.51	%
	$	1,156,345	100.0	%	4.60	%	$	1,158,649	100.0	%	3.91	%

1 Differs from carrying amount due to unamortized discounts and loan costs.
2 Total is weighted average rate.

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To highlight the sensitivity of our fixed rate debt to changes in interest rates, the following summary shows the effects on fair value (“FV”) assuming a parallel shift of 50 bps in market interest rates for a contract with similar maturities as of September 30, ~~2022~~ 2023 (($ in ~~thousands)~~thousands):

Balance
Fair Value1
FV reflecting change in interest rates
Fixed rate: -50 bps +50 bps
Private placement term loans - unsecured $ 400,000 $ 385,855 $ 389,583 $ 382,186
Senior notes 400,000 318,054 329,952 306,627
Fannie Mae loans 76,748 72,463 73,348 71,589
1 The change in fair value of our fixed rate debt was due primarily to the overall change in interest rates.


	Balance1		Fair Value2		FV reflecting change in interest rates
Fixed rate:					-50 bps		+50 bps
Private placement term loans - unsecured	$	275,000	$	261,545	$	263,856	$	259,266
2031 Senior notes	400,000		314,092		324,477		304,071
Fannie Mae term loans	76,345		73,042		73,598		72,492
1 Differs from carrying amount due to unamortized discounts and loan costs.
2 The change in fair value of our fixed rate debt was due primarily to the overall change in interest rates.

At September 30, ~~2022,~~2023, the fair value of our mortgage and other notes receivable, discounted for estimated changes in the risk-free rate, was approximately ~~$205.5~~$228.3 million. A 50 basis-point increase in market rates would decrease the estimated fair value of our mortgage and other loans by approximately ~~$2.3~~$2.7 million, while a 50 ~~basis point~~bps decrease in such rates would increase their estimated fair value by approximately ~~$6.4~~$2.8 million.

Inflation Risk

Our real estate leases generally provide for annual increases in contractual rent due based on a fixed amount or percentage or based on increases in the Consumer Price Index (“CPI”). Leases with increases based on CPI may contain a minimum increase or a cap on the maximum annual increase. Substantially all of our leases require the tenant to pay all operating expenses for the property, whether paid directly by the tenant or reimbursed to us. We believe that inflationary increases will be at least partially offset by the contractual rent increases and expense reimbursements described above.

Item 4. Controls and Procedures.

Evaluation of Disclosure Control and Procedures. As of September 30, ~~2022,~~2023, an evaluation was performed under the supervision and with the participation of our management, including the Chief Executive Officer (“CEO”) and Chief Financial Officer (“CFO”), of the effectiveness of the design and operation of management’s disclosure controls and procedures (as defined in rules 13a-15(e) and 15d-15(e) under the ~~Securities and~~ Exchange ~~Act of 1934)~~Act) to ensure information required to be disclosed in our filings ~~under the Securities and Exchange Act of 1934,~~ is (i) recorded, processed, summarized, and reported within the time periods specified in the SEC rules and forms; and (ii) accumulated and communicated to our management, including our CEO and our CFO, as appropriate, to allow timely decisions regarding required disclosure. Management recognizes that any controls and procedures, no matter how well designed and operated, can only provide reasonable assurance of achieving desired control objectives, and management is necessarily required to apply its judgment when evaluating the cost-benefit relationship of potential controls and procedures. Based upon the evaluation, the CEO and CFO concluded that the design and operation of these disclosure controls and procedures were effective as of September 30, ~~2022.~~2023.

There were no significant changes in our internal controls or in other factors that could significantly affect these controls subsequent to the date of their evaluation, including any corrective actions with regard to significant deficiencies and material weaknesses.

Changes in Internal Control over Financial Reporting. There were no changes in our internal control over financial reporting identified in management’s evaluation during the three months ended September 30, ~~2022,~~2023, that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

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PART II. OTHER INFORMATION

Item 1. Legal Proceedings.

Our health care facilities are subject to claims and suits in the ordinary course of business. Our lessees and borrowers have indemnified, and are obligated to continue to indemnify us, against all liabilities arising from the operation of the facilities, and are further obligated to indemnify us against environmental or title problems affecting the real estate underlying such facilities. In addition, such claims may include, among other things professional liability and general liability claims, as well as regulatory proceedings related to our SHOP ~~segment where we are the holder of the applicable healthcare license.~~segment. While there may be lawsuits pending against us and certain of the owners and/or lessees of our facilities, management believes that the ultimate resolution of all such pending proceedings will have no direct material adverse effect on our financial condition, results of operations or cash flows.

~~Welltower, Inc.~~

In June 2021, Welltower announced that it would acquire certain assets from the senior housing portfolio of Holiday, a privately held senior living management company that included 17 senior living facilities governed by a master lease originally executed between a Holiday subsidiary and NHI in 2013. We received no rent due under the master lease from the tenant for these facilities after this change in tenant ownership occurred in late July 2021.

On December 20, 2021, NHI and its subsidiaries NHI-REIT of Next House, LLC, Myrtle Beach Retirement Resident LLC, and Voorhees Retirement Residence LLC filed suit against Welltower, Inc., Welltower Victory II TRS LLC, and Well Churchill Leasehold Owner LLC (collectively the "Defendants") in the Delaware Court of Chancery (Case No. 2021-1097-MTZ). In the litigation, we contended that the Defendants failed repeatedly to honor their legal obligations to NHI. In particular, we asserted that the Defendants acquired assets from a third party, Holiday, that included leases to NHI senior living facilities and fraudulently induced NHI to consent to the assignment of the leases, and then immediately failed to pay rent or provide a promised security agreement that was intended to secure against their default, all as part of an effort to pressure NHI to agree to new conditions outside the assignment agreement or force a sale of the properties to the Defendants. The lawsuit further asserted that the Defendants owed unpaid contractual rent.

Item 1A. Risk Factors.

There have been no material changes from the risk factors previously disclosed in ~~that~~Part I, Item 1A of our Annual Report on Form 10-K for the year ended December 31, 2022, except as amended and supplemented by the additional risk ~~factor~~factors below. The risks described in our Annual Report on Form 10-K and the additional risk factor below are not the only risks facing our Company. Additional risks and uncertainties not currently known to us or that we currently deem to be immaterial also may materially adversely affect our business, financial condition or future results. The Company believes the following additional risk factor has become more important given the Company’s expansion into the SHOP segment.

~~We depend on our ability to retain our management team~~Inflation and ~~other personnel and attract suitable replacements should any such personnel leave.~~

~~Table of Contents~~

The management and governance of the Company depends on the services of certain key personnel, including senior management. The departure of any key personnel could have an adverse effect on the Company andincreased interest rates may adversely impact our financial condition and results of operations. Our senior management team possesses substantial experience and expertise and has strong business relationships with our tenants and operators and other members of the business communities and industries in which we operate. As a result, the loss of these personnel could jeopardize our relationships and operations. We cannot predict the impact that any such departures could have on our ability to achieve our objectives. Furthermore, such a loss could be negatively perceived in the capital markets. Other than Mr. Mendelsohn, our Chief Executive Officer, we do not have employment agreements with any of our management team. In addition, we do not have key man insurance on any of our key employees. Our ability to retain and motivate our management team and other personnel and attract suitable replacements should any such personnel leave, could have a significant impact onaffect our financial condition and results of operations.

Although inflation has not materially impacted our operations in the recent past, inflation is at a 40-year high and beginning in March of 2022, the Federal Reserve began raising the federal funds rate in an effort to curb inflation. The Federal Reserve’s action, coupled with other macroeconomic factors, may trigger a recession in the United States and/or globally. Increased inflation and interest rates could have an adverse impact on our variable rate debt, our ability to borrow money, and general and administrative expenses, as these costs could increase at a rate higher than our rental and other revenue. Increases in the costs of owning and operating our properties due to inflation could reduce our net operating income and the value of an investment in us to the extent such increases are not reimbursed or paid by our tenants. If we are materially impacted by increasing inflation because, for example, inflationary increases in costs are not sufficiently offset by the contractual rent increases and operating expense reimbursement provisions or escalations in the leases with our tenants, our results of operations could be adversely affected. In addition, due to rising interest rates, we may experience restrictions in our liquidity based on certain financial covenant requirements, our inability to refinance maturing debt in part or in full as it comes due and higher debt service costs and reduced yields relative to cost of debt. If we are unable to find alternative credit arrangements or other funding in a high interest environment, our financial results may be negatively impacted.

Adverse developments affecting the financial services industry, including events or concerns involving liquidity, defaults, or non-performance by financial institutions, could adversely affect our business, financial condition, results of operations, or our prospects.

The funds in our accounts are held in banks or other financial institutions. Our cash held in non-interest bearing and interest-bearing accounts may periodically exceed any applicable Federal Deposit Insurance Corporation (“FDIC”) insurance limits. Should events, including limited liquidity, defaults, non-performance or other adverse developments occur with respect to the banks or other financial institutions that hold our funds, or that affect financial institutions or the financial services industry generally, or concerns or rumors about any events of these kinds or other similar risks, our liquidity may be adversely affected. For example, on March 10, 2023, the FDIC announced that Silicon Valley Bank had been closed by the California Department of Financial Protection and Innovation. Although we did not have any funds in Silicon Valley Bank or other institutions that have been closed, we cannot guarantee that the banks or other financial institutions that hold our funds will not experience similar issues.

In addition, investor concerns regarding the U.S. or international financial systems could result in less favorable commercial financing terms, including higher interest rates or costs and tighter financial and operating covenants, or systemic limitations on access to credit and liquidity sources, thereby making it more difficult for us to acquire financing on terms favorable to us in connection with a potential business combination, or at all, and could have material adverse impacts on our liquidity, our business, financial condition or results of operations, and our prospects.

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

On ~~April 15, 2022, the Company’s~~February 17, 2023, our Board of Directors ~~approved a stock repurchase plan~~authorized (the ~~“2022~~“Revised Repurchase Plan”), pursuant to which ~~is scheduled to expire on April 15, 2023. Under this plan,~~ we may ~~repurchase~~purchase up to $160.0 million in shares of our issued and outstanding common stock. The Revised Repurchase Plan is effective for a period of one year and does not require us to repurchase any specific number of shares. The Revised Repurchase Plan may

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be suspended or discontinued at any time. Shares may be repurchased from time-to-time in open market transactions at prevailing market prices, in privately negotiated transactions or by other means in accordance with the ~~Company’s common stock, par value $0.01 per share,~~terms of Rule 10b-18 of the Exchange Act and repurchases shall be made in accordance with ~~an aggregate gross purchase~~all applicable laws and regulations in effect. The timing and number of shares repurchased, if any, will depend on a variety of factors, including price, ~~of up to $240.0 million. We repurchased 1.3 million~~general market and ~~2.5 million shares under the stock repurchase plan during~~economic conditions, alternative investment opportunities and other corporate considerations.During the three and nine months ended September 30, ~~2022, respectively. No repurchases of the Company’s~~2023, no common stock ~~were completed during the three and nine months ended September 30, 2021. As of September 30, 2022, we had approximately $88.4 million available under this plan.~~

Period Total Number of Shares Purchased Average Price Paid per Share Total Number of Shares Purchased as Part of Publicly Announced Plans or Programs
Approximate Dollar Value of Shares that May Yet Be Purchased Under the Plan ($ in thousands)
April 1, 2022-April 30, 2022 — $ — — $ 240,000
May 1, 2022- May 31, 2022 465,507 59.70 465,507 212,209
June 1, 2022- June 30, 2022 730,668 57.28 730,668 170,357
July 1, 2022- July 31, 2022 — — — 170,357
August 1, 2022-August 31, 2022 432,146 66.45 432,146 141,640
September 1, 2022-September 30, 2022 840,033 63.43 840,033 88,357
Total 2,468,354 $ 61.56

was repurchased.

Item 5. Other Information.

None of the Company’s directors or officers adopted, modified, or terminated a Rule 10b5-1 trading arrangement or a non-Rule 10b5-1 trading arrangement during the Company’s fiscal quarter ended September 30, 2023.

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Item 6. Exhibits.


Exhibit No.			Description
3.1			Articles of Incorporation of National Health Investors, Inc. (incorporated by reference to Exhibit 3.1 to Form S-3 Registration Statement No. 333-192322)
3.2			Articles of Amendment to Articles of Incorporation of National Health Investors, Inc. dated as of June 8, 1994, (incorporated by reference to Exhibit 3.2 to the Registration Statement on Form S-3 Registration Statement No. 333-194653 of National Health Investors, Inc.)
3.3			Amendment to Articles of Incorporation (incorporated by reference to Exhibit A to the Company’s Definitive Proxy Statement filed March ~~21,~~23, 2009)
3.4			Amendment to Articles of Incorporation approved by shareholders on May 2, 2014 (incorporated by reference to Exhibit 3.3 to the Company’s Form 10-Q filed August 4, 2014)
3.5			~~Restated Bylaws~~ ~~(incorporated by reference to Exhibit 3.3 to the Company’s Form 10-K filed February 15, 2013)~~
~~3.6~~			~~Amendment No. 1 to Restated Bylaws dated February 14, 2014~~ ~~(incorporated by reference to Exhibit 3.3 to the Company’s Form 10-K filed February 14, 2014)~~
~~3.7~~			Amendment to Articles of Incorporation approved by shareholders on May 6, 2020 (incorporated by reference to Exhibit 3.6 to the Company’s Form 10-Q filed August 10, 2020)
~~4.1~~			Form of Common Stock Certificate (incorporated by reference to Exhibit 39 to Form S-11 Registration Statement No. 33-41863, filed in paper - hyperlink is not required pursuant to Rule 105 of Regulation S-T)
~~4.2~~3.6			~~Indenture, dated~~Amended and Restated Bylaws as ~~of March 25, 2014, between National Health Investors, Inc. and The Bank of New York Mellon Trust Company, N.A.,~~approved February 17, 2023, as ~~Trustee~~amended April 27, 2023 (incorporated by reference to Exhibit ~~4.1 to the Company’s Form 8-K filed March 31, 2014)~~
~~4.3~~			First Supplemental Indenture, dated as of March 25, 2014, to the Indenture, dated as of March 25, 2014, between National Health Investors, Inc. and The Bank of New York Mellon Trust Company, N.A., as Trustee ~~(incorporated by reference to Exhibit 4.2 to the Company’s Form 8-K filed March 31, 2014)~~
~~4.4~~			~~Indenture dated as of January 26, 2021, among National Health Investors, Inc. and Regions Bank, as trustee~~ ~~(incorporated by reference to Exhibit 4.1 to Form 8-K dated January 26, 2021)~~
~~4.5~~			~~First Supplemental Indenture dated as of January 26, 2021, among National Health Investors, Inc. Regions Bank, as trustee, and the subsidiary guarantors set forth therein~~ ~~(incorporated by reference to Exhibit 4.2 to Form 8-K dated January 26, 2021)~~
~~4.6~~			~~Second Supplemental Indenture, dated as of March 31, 2022, among National Health Investors, Inc., Regions Bank, as trustee, and the subsidiary guarantors set forth therein~~ ~~(incorporated by reference to Exhibit 4.6~~3.5 to the Company’s Form 10-Q filed May 9, ~~2022)~~
~~10.1~~			~~Amendment~~ ~~No. 10 to Master Lease Agreement to Lease with NHC~~) ~~(incorporated by reference to Exhibit 10.1 to Form 8-K filed September 8, 2022)~~2023)
31.1			Certification of Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 (filed herewith)
31.2			Certification of Principal Financial Officer pursuant to 18 U.S.C Section 1350, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 (filed herewith)
32			Certification of Chief Executive Officer and Principal Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (filed herewith)
101.INS			XBRL Instance Document - the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document
101.SCH			Inline XBRL Taxonomy Extension Schema Document
101.CAL			Inline XBRL Taxonomy Extension Calculation Linkbase Document
101.LAB			Inline XBRL Taxonomy Extension Label Linkbase Document
101.PRE			Inline XBRL Taxonomy Extension Presentation Linkbase Document
101.DEF			Inline XBRL Taxonomy Extension Definition Linkbase Document
104			Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101)

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SIGNATURES

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


		NATIONAL HEALTH INVESTORS, INC.
		(Registrant)


Date:	November ~~8, 2022~~7, 2023	/s/ D. Eric Mendelsohn
		D. Eric Mendelsohn
		President, Chief Executive Officer and Director
		(duly authorized officer)



Date:	November ~~8, 2022~~7, 2023	/s/ John L. Spaid
		John L. Spaid
		Chief Financial Officer
		(Principal Financial Officer)

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			Page
Part I. Financial Information

Item 1. Financial Statements			3

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations.			31

Item 3. Quantitative and Qualitative Disclosures About Market Risk.			6058

Item 4. Controls and Procedures.			6159

Part II. Other Information

Item 1. Legal Proceedings			6260

Item 1A. Risk Factors			6260


Item 2. Unregistered Sales of Equity Securities and Use of Proceeds			6360

Item 5. Other Information			61

Item 6. Exhibits			6462

Signatures			6563


	September 30, 2022		September 30, 2021
Cash and cash equivalents	$	28,811	$	48,393
Restricted cash (included in Other assets, net)	2,903		1,802
	$	31,714	$	50,195


	as of September 30, 2022					Revenues1
	Asset	Gross Real		Notes		Nine Months Ended September 30,
	Class	Estate2		Receivable		2022			2021

Senior Living Communities	EFC	$	573,631	$	46,669	$	38,325	18%	$	38,094	17%
NHC	SNF	133,770		—		27,875		13%	28,290		12%
Bickford3	ALF	412,304		46,422		N/A		N/A	26,224		11%
Holiday3	ILF	—		—		N/A		N/A	22,811		10%
All others, net	Various	1,313,238		121,018		109,766		53%	106,110		46%
Escrow funds from tenants
for property operating expenses	Various	—		—		7,553		4%	7,519		4%
		$	2,432,943	$	214,109	183,519			229,048
Resident fees and services4						24,005		12%	—		—%
						$	207,524		$	229,048


	Properties	3Q21	4Q21	1Q22	2Q22	3Q22	September 2022
Senior Living Communities	9	80.4%	81.7%	81.7%	82.3%	83.3%	83.0%
Bickford1	38	81.8%	83.5%	82.3%	82.7%	84.2%	84.0%
SHOP2	15	79.8%	80.6%	77.7%	76.5%	76.9%	76.6%


	Balance		Fair Value1		FV reflecting change in interest rates
Fixed rate:					-50 bps		+50 bps
Private placement term loans - unsecured	$	400,000	$	385,855	$	389,583	$	382,186
Senior notes	400,000		318,054		329,952		306,627
Fannie Mae loans	76,748		72,463		73,348		71,589
1 The change in fair value of our fixed rate debt was due primarily to the overall change in interest rates.


Period	Total Number of Shares Purchased	Average Price Paid per Share		Total Number of Shares Purchased as Part of Publicly Announced Plans or Programs	Approximate Dollar Value of Shares that May Yet Be Purchased Under the Plan ($ in thousands)
April 1, 2022-April 30, 2022	—	$	—	—	$	240,000
May 1, 2022- May 31, 2022	465,507	59.70		465,507	212,209
June 1, 2022- June 30, 2022	730,668	57.28		730,668	170,357
July 1, 2022- July 31, 2022	—	—		—	170,357
August 1, 2022-August 31, 2022	432,146	66.45		432,146	141,640
September 1, 2022-September 30, 2022	840,033	63.43		840,033	88,357
Total	2,468,354	$	61.56