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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
(Mark One)
xQUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended September 30, 20172020
OR
oTRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from to
Commission file number 001-34950
SABRA HEALTH CARE REIT, INC.
(Exact Name of Registrant as Specified in Its Charter)
Maryland
27-2560479
Maryland27-2560479
(State of Incorporation)(I.R.S. Employer Identification No.)
18500 Von Karman Avenue, Suite 550
Irvine, CA 92612
(888) 393-8248
(Address, zip code and telephone number of Registrant)
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading symbol(s)Name of each exchange on which registered
Common stock, $.01 par valueSBRAThe Nasdaq Stock Market LLC
 
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  x    No  o
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).    Yes  x    No  o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act. (Check one):
Large accelerated filerxAccelerated filero
Non-accelerated filer
o  (Do not check if a smaller reporting company)
Smaller reporting companyo
Emerging growth companyo
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. o
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes  o    No  x
As of October 30, 2017,29, 2020, there were 178,232,213206,928,325 shares of the registrant’s $0.01 par value Common Stock outstanding.



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SABRA HEALTH CARE REIT, INC. AND SUBSIDIARIES
Index
 
Page
Numbers
Item 1.
Page
Numbers
Item 1.
Item 2.
Item 3.
Item 4.
Item 1.
Item 1a.
Item 6.

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References throughout this document to “Sabra,” “we,” “our,” “ours” and “us” refer to Sabra Health Care REIT, Inc. and its direct and indirect consolidated subsidiaries and not any other person.
STATEMENT REGARDING FORWARD-LOOKING STATEMENTS
Certain statements in this Quarterly Report on Form 10-Q (this “10-Q”) contain “forward-looking” information as that term is defined by the Private Securities Litigation Reform Act of 1995. Any statements that do not relate to historical or current facts or matters are forward-looking statements. Examples of forward-looking statements include all statements regarding our expected future financial position, results of operations, cash flows, liquidity, financing plans, business strategy, tenants, the expected amounts and timing of dividends and other distributions, projected expenses and capital expenditures, competitive position, growth opportunities, potential investments, potential dispositions, plans and objectives for future operations, and compliance with and changes in governmental regulations. You can identify some of the forward-looking statements by the use of forward-looking words such as “anticipate,” “believe,” “plan,” “estimate,” “expect,” “intend,” “should,” “may” and other similar expressions, although not all forward-looking statements contain these identifying words.
Our actual results may differ materially from those projected or contemplated by our forward-looking statements as a result of various factors, including, among others, the following:
the ongoing COVID-19 pandemic and measures intended to prevent its spread, including the impact on our tenants, operators and Senior Housing - Managed communities (as defined below);
our dependence on the operating success of our tenants;
the potential variability of our reported rental and related revenues following the adoption of Topic 842 (as defined below) on January 1, 2019;
operational risks with respect to our Senior Housing - Managed communities;
the effect of our tenants declaring bankruptcy or becoming insolvent;
our ability to find replacement tenants and the impact of unforeseen costs in acquiring new properties;
the impact of litigation and rising insurance costs on the business of our tenants;
the possibility that Sabra may not acquire the remaining majority interest in the Enlivant Joint Venture (as defined below);
risks associated with our investments in joint ventures;
changes in healthcare regulation and political or economic conditions;
the anticipated benefitsimpact of required regulatory approvals of transfers of healthcare properties;
competitive conditions in our merger with Care Capital Properties, Inc. (“CCP”) may not be realized;industry;
our concentration in the anticipatedhealthcare property sector, particularly in skilled nursing/transitional care facilities and unanticipated costs, fees, expenses and liabilities relatedsenior housing communities, which makes our profitability more vulnerable to our merger with CCP;a downturn in a specific sector than if we were investing in multiple industries;
our dependence on the operating success of our tenants;
our ability to implement the previously announced rent repositioning program for certain of our tenants who were legacy tenants of CCP on the timing or terms we have previously disclosed;
our ability to dispose of facilities currently leased to Genesis Healthcare, Inc. (“Genesis”) on the timing or terms we have previously disclosed;
•    the significant amount of and our ability to service our indebtedness;
covenants in our debt agreements that may restrict our ability to pay dividends, make investments, incur additional indebtedness and refinance indebtedness on favorable terms;
increases in market interest rates;
changes in foreign currency exchange rates;the potential phasing out of the London Interbank Offered Rate (“LIBOR”) benchmark after 2021;
our ability to raise capital through equity and debt financings;
the impact of required regulatory approvals of transfers of healthcare properties;changes in foreign currency exchange rates;
the relatively illiquid nature of real estate investments;
competitive conditions in our industry;
the loss of key management personnel or other employees;personnel;
the impact of litigation and rising insurance costs on the business of our tenants;
the effect of our tenants declaring bankruptcy or becoming insolvent;
uninsured or underinsured losses affecting our properties and the possibility of environmental compliance costs and liabilities;
the impact of a failure or security breach of information technology in our operations;
our ability to find replacement tenants and the impact of unforeseen costs in acquiring new properties;
the possibility that the conditions to closing the acquisition of a 49% equity interest in the Enlivant Joint Ventures (as defined below) may not be satisfied, such that the transaction will not close or that the closing may be delayed;
the possibility that Sabra may not acquire the remaining majority interest in the Enlivant Joint Ventures;
our ability to maintain our status as a real estate investment trust (“REIT”); under the federal tax laws;
changes in tax laws and regulations affecting REITs;REITs (including the potential effects of the Tax Cuts and Jobs Act);
compliance with REIT requirements and certain tax and tax regulatory matters related to our status as a REIT; and
the ownership limits and anti-takeovertakeover defenses in our governing documents and under Maryland law, which may restrict change of control or business combination opportunities.
We urge you to carefully consider these risks and review the additional disclosures we make concerning risks and other factors that may materially affect the outcome of our forward-looking statements and our future business and operating results, including those made in Part I, Item 1A, “Risk Factors” of our Annual Report on Form 10-K for the year ended December 31, 20162019 (our “2016“2019 Annual Report on Form 10-K”) and in Part II, Item 1A, “Risk Factors” of our Quarterly Report on Form 10-Q for the quarter ended March 31, 2017,2020, as such risk factors may be amended, supplemented or superseded from time to time
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by other reports we file with the Securities and Exchange Commission (the “SEC”), including subsequent Annual Reports on Form 10-K and Quarterly Reports on Form 10-Q. We caution you that any forward-looking statements made in this 10-Q are not guarantees of future performance, events or results, and you should not place undue reliance on these forward-looking

statements, which speak only as of the date of this report. We do not intend, and we undertake no obligation, to update any forward-looking information to reflect events or circumstances after the date of this 10-Q or to reflect the occurrence of unanticipated events, unless required by law to do so.



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PART I. FINANCIAL INFORMATION
 
ITEM 1.FINANCIAL STATEMENTS
SABRA HEALTH CARE REIT, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(dollars in thousands, except per share data)
 
September 30, 2020December 31, 2019
 (unaudited) 
Assets
Real estate investments, net of accumulated depreciation of $640,214 and $539,213 as of September 30, 2020 and December 31, 2019, respectively$5,306,272 $5,341,370 
Loans receivable and other investments, net103,820 107,374 
Investment in unconsolidated joint venture293,801 319,460 
Cash and cash equivalents35,034 39,097 
Restricted cash6,815 10,046 
Lease intangible assets, net85,943 101,509 
Accounts receivable, prepaid expenses and other assets, net159,933 150,443 
Total assets$5,991,618 $6,069,299 
Liabilities
Secured debt, net$78,975 $113,070 
Revolving credit facility56,000 
Term loans, net1,039,685 1,040,258 
Senior unsecured notes, net1,248,324 1,248,773 
Accounts payable and accrued liabilities143,742 108,792 
Lease intangible liabilities, net60,552 69,946 
Total liabilities2,627,278 2,580,839 
Commitments and contingencies (Note 12)
Equity
Preferred stock, $0.01 par value; 10,000,000 shares authorized, 0 shares issued and outstanding as of September 30, 2020 and December 31, 2019
Common stock, $0.01 par value; 500,000,000 shares authorized, 206,928,325 and 205,208,018 shares issued and outstanding as of September 30, 2020 and December 31, 2019, respectively2,069 2,052 
Additional paid-in capital4,101,269 4,072,079 
Cumulative distributions in excess of net income(689,828)(573,283)
Accumulated other comprehensive loss(49,170)(12,388)
Total equity3,364,340 3,488,460 
Total liabilities and equity$5,991,618 $6,069,299 
 September 30, 2017 December 31, 2016
 (unaudited)  
Assets   
Real estate investments, net of accumulated depreciation of $336,689 and $282,812 as of September 30, 2017 and December 31, 2016, respectively$5,972,785
 $2,009,939
Loans receivable and other investments, net149,766
 96,036
Cash and cash equivalents30,873
 25,663
Restricted cash12,489
 9,002
Lease intangible assets, net262,817
 26,250
Accounts receivable, prepaid expenses and other assets, net159,577
 99,029
Total assets$6,588,307
 $2,265,919
    
Liabilities   
Secured debt, net$257,571
 $160,752
Revolving credit facility251,000
 26,000
Term loans, net1,190,887
 335,673
Senior unsecured notes, net1,305,996
 688,246
Accounts payable and accrued liabilities116,146
 39,639
Lease intangible liabilities, net94,878
 
Total liabilities3,216,478
 1,250,310
    
Commitments and contingencies (Note 14)
 
    
Equity   
Preferred stock, $.01 par value; 10,000,000 shares authorized, 5,750,000 shares issued and outstanding as of September 30, 2017 and December 31, 201658
 58
Common stock, $.01 par value; 250,000,000 shares authorized, 175,832,213 and 65,285,614 shares issued and outstanding as of September 30, 2017 and December 31, 2016, respectively1,758
 653
Additional paid-in capital3,588,510
 1,208,862
Cumulative distributions in excess of net income(225,459) (192,201)
Accumulated other comprehensive income (loss)4,236
 (1,798)
Total Sabra Health Care REIT, Inc. stockholders’ equity3,369,103
 1,015,574
Noncontrolling interests2,726
 35
Total equity3,371,829
 1,015,609
Total liabilities and equity$6,588,307
 $2,265,919


See accompanying notes to condensed consolidated financial statements.

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SABRA HEALTH CARE REIT, INC.
CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(dollars in thousands, except per share data)
(unaudited)
 
Three Months Ended September 30,Nine Months Ended September 30,
 2020201920202019
Revenues:
Rental and related revenues$100,612 $110,104 $319,851 $339,291 
Interest and other income3,299 3,325 8,756 77,145 
Resident fees and services39,341 36,405 117,908 89,537 
   
Total revenues143,252 149,834 446,515 505,973 
  
Expenses:
Depreciation and amortization44,209 43,092 132,579 137,517 
Interest24,904 29,255 75,900 99,181 
Triple-net portfolio operating expenses5,249 5,611 15,481 17,140 
Senior housing - managed portfolio operating expenses27,745 23,979 82,976 60,258 
General and administrative7,216 8,709 24,650 24,952 
(Recovery of) provision for loan losses and other reserves(90)57 706 1,457 
Impairment of real estate3,154 13,966 3,154 119,102 
   
Total expenses112,387 124,669 335,446 459,607 
  
Other income (expense):
Loss on extinguishment of debt(139)(644)(531)(10,763)
Other income115 215 2,308 385 
Net gain (loss) on sales of real estate2,715 (19)2,828 1,216 
Total other income (expense)2,691 (448)4,605 (9,162)
Income before income (loss) from unconsolidated joint venture and income tax benefit (expense)33,556 24,717 115,674 37,204 
Income (loss) from unconsolidated joint venture2,766 (605)(13,037)(5,635)
Income tax benefit (expense)138 (826)(1,337)(2,292)
Net income36,460 23,286 101,300 29,277 
Net income attributable to noncontrolling interest(4)(22)
Net income attributable to common stockholders$36,460 $23,282 $101,300 $29,255 
  
Net income attributable to common stockholders, per:
Basic common share$0.18 $0.12 $0.49 $0.16 
    
Diluted common share$0.18 $0.12 $0.49 $0.16 
    
Weighted-average number of common shares outstanding, basic205,791,699 190,650,400 205,592,806 183,578,254 
 
Weighted-average number of common shares outstanding, diluted206,727,167 191,952,389 206,442,674 184,698,411 
 Three Months Ended September 30, Nine Months Ended September 30,
 2017 2016 2017 2016
Revenues:       
Rental income$100,145
 $56,833
 $213,273
 $167,442
Interest and other income4,090
 3,157
 8,062
 25,482
Resident fees and services7,554
 1,937
 17,840
 5,811
        
Total revenues111,789
 61,927
 239,175
 198,735
        
Expenses:       
Depreciation and amortization25,933
 17,102
 62,290
 51,273
Interest24,568
 15,794
 56,218
 49,139
Operating expenses5,102
 1,404
 11,929
 4,256
General and administrative12,944
 4,966
 24,159
 13,513
Merger and acquisition costs23,299
 1,051
 29,750
 1,222
Provision for doubtful accounts and loan losses5,149
 540
 7,454
 3,286
Impairment of real estate
 
 
 29,811
        
Total expenses96,995
 40,857
 191,800
 152,500
        
Other income (expense):       
Loss on extinguishment of debt(553) 
 (553) (556)
Other income51
 2,945
 3,121
 5,345
Net gain (loss) on sale of real estate582
 1,451
 4,614
 (3,203)
        
Total other income (expense)80
 4,396
 7,182
 1,586
        
Income before income tax expense14,874
 25,466
 54,557
 47,821
        
Income tax benefit (expense)195
 (154) (161) (786)
        
Net income15,069
 25,312
 54,396
 47,035
        
Net loss attributable to noncontrolling interests
26
 25
 42
 66
        
Net income attributable to Sabra Health Care REIT, Inc.15,095
 25,337
 54,438
 47,101
        
Preferred stock dividends(2,561) (2,561) (7,682) (7,682)
        
Net income attributable to common stockholders$12,534
 $22,776
 $46,756
 $39,419
        
Net income attributable to common stockholders, per:       
        
Basic common share$0.11
 $0.35
 $0.58
 $0.60
        
Diluted common share$0.11
 $0.35
 $0.57
 $0.60
        
Weighted-average number of common shares outstanding, basic112,149,638
 65,312,288
 81,150,846
 65,285,591
        
Weighted-average number of common shares outstanding, diluted112,418,100
 65,591,428
 81,429,044
 65,470,589
        
Dividends declared per common share$0.36
 $0.42
 $1.21
 $1.25


See accompanying notes to condensed consolidated financial statements.

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SABRA HEALTH CARE REIT, INC.
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
(in thousands)
(unaudited)
Three Months Ended September 30,Nine Months Ended September 30,
2020201920202019
Net income$36,460 $23,286 $101,300 $29,277 
Other comprehensive income (loss):
Unrealized (loss) gain, net of tax:
Foreign currency translation (loss) gain(359)917 814 924 
Unrealized gain (loss) on cash flow hedges6,830 (9,376)(37,596)(32,620)
Total other comprehensive income (loss)6,471 (8,459)(36,782)(31,696)
Comprehensive income (loss)42,931 14,827 64,518 (2,419)
Comprehensive income attributable to noncontrolling interest(4)(22)
Comprehensive income (loss) attributable to Sabra Health Care REIT, Inc.$42,931 $14,823 $64,518 $(2,441)
 Three Months Ended September 30, Nine Months Ended September 30,
 2017 2016 2017 2016
        
Net income$15,069
 $25,312
 $54,396
 $47,035
Other comprehensive income (loss):       
Unrealized gain (loss), net of tax:       
Foreign currency translation gain (loss)412
 (500) 552
 (749)
Unrealized gain (loss) on cash flow hedges (1)
4,657
 398
 5,482
 (1,300)
        
Total other comprehensive income (loss)5,069
 (102) 6,034
 (2,049)
        
Comprehensive income20,138
 25,210
 60,430
 44,986
        
Comprehensive loss attributable to noncontrolling interest26
 25
 42
 66
        
Comprehensive income attributable to Sabra Health Care REIT, Inc.$20,164
 $25,235
 $60,472
 $45,052

(1)
Amounts are net of provision for income taxes of $0.4 million and $0.6 million for the three and nine months ended September 30, 2017, respectively, and none for the three and nine months ended September 30, 2016.


See accompanying notes to condensed consolidated financial statements.



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SABRA HEALTH CARE REIT, INC.
CONDENSED CONSOLIDATED STATEMENTS OF EQUITY
(dollars in thousands, except per share data)
(unaudited)
 
Three Months Ended September 30, 2019
 Common StockAdditional
Paid-in Capital
Cumulative Distributions in Excess of Net IncomeAccumulated Other Comprehensive LossTotal
Stockholders’
Equity
Noncontrolling InterestTotal Equity
 SharesAmounts
Balance, June 30, 2019189,515,024 $1,895 $3,725,971 $(460,832)$(10,936)$3,256,098 $4,278 $3,260,376 
Net income— — — 23,282 — 23,282 23,286 
Other comprehensive loss— — — — (8,459)(8,459)— (8,459)
Buyout of noncontrolling interest— — 4,039 — — 4,039 (4,239)(200)
Distributions to noncontrolling interest— — — — — — (43)(43)
Amortization of stock-based compensation— — 3,930 — — 3,930 — 3,930 
Common stock issuance, net4,181,877 42 89,644 — — 89,686 — 89,686 
Common dividends ($0.45 per share)— — — (86,159)— (86,159)— (86,159)
Balance, September 30, 2019193,696,901 $1,937 $3,823,584 $(523,709)$(19,395)$3,282,417 $$3,282,417 
Three Months Ended September 30, 2020
 Common StockAdditional
Paid-in Capital
Cumulative Distributions in Excess of Net IncomeAccumulated Other Comprehensive Income (Loss)Total
Stockholders’
Equity
Noncontrolling InterestTotal Equity
SharesAmounts
Balance, June 30, 2020205,560,680 $2,056 $4,078,737 $(663,901)$(55,641)$3,361,251 $$3,361,251 
Net income— — — 36,460 — 36,460 — 36,460 
Other comprehensive income— — — — 6,471 6,471 — 6,471 
Amortization of stock-based compensation— — 1,625 — — 1,625 — 1,625 
Common stock issuance, net1,367,645 13 20,907 — — 20,920 — 20,920 
Common dividends ($0.30 per share)— — — (62,387)— (62,387)— (62,387)
Balance, September 30, 2020206,928,325 $2,069 $4,101,269 $(689,828)$(49,170)$3,364,340 $$3,364,340 
  Preferred Stock Common Stock Additional
Paid-in Capital
 Cumulative Distributions in Excess of Net Income Accumulated Other Comprehensive Loss Total
Stockholders’
Equity
 Noncontrolling Interests Total Equity
  Shares Amount Shares Amounts      
Balance, December 31, 2015 5,750,000
 $58
 65,182,335
 $652
 $1,202,541
 $(142,148) $(7,333) $1,053,770
 $106
 $1,053,876
Net income (loss) 
 
 
 
 
 47,101
 
 47,101
 (66) 47,035
Other comprehensive loss 
 
 
 
 
 
 (2,049) (2,049) 
 (2,049)
Amortization of stock-based compensation 
 
 
 
 6,775
 
 
 6,775
 
 6,775
Common stock issuance, net 
 
 108,731
 1
 (1,104) 
 
 (1,103) 
 (1,103)
Repurchase of common stock 
 
 (31,230) 
 (725) 
 
 (725) 
 (725)
Preferred dividends 
 
 
 
 
 (7,682) 
 (7,682) 
 (7,682)
Common dividends ($1.25 per share) 
 
 
 
 
 (82,240) 
 (82,240) 
 (82,240)
Balance, September 30, 2016 5,750,000
 $58
 65,259,836
 $653
 $1,207,487
 $(184,969) $(9,382) $1,013,847
 $40
 $1,013,887
                     
                     
  Preferred Stock Common Stock Additional
Paid-in Capital
 Cumulative Distributions in Excess of Net Income Accumulated Other Comprehensive Income (Loss) Total
Stockholders’
Equity
 Noncontrolling Interests Total Equity
  Shares Amount Shares Amounts      
Balance, December 31, 2016 5,750,000
 $58
 65,285,614
 $653
 $1,208,862
 $(192,201) $(1,798) $1,015,574
 $35
 $1,015,609
Net income (loss) 
 
 
 
 
 54,438
 
 54,438
 (42) 54,396
Other comprehensive income 
 
 
 
 
 
 6,034
 6,034
 
 6,034
Change in noncontrolling interests 
 
 
 
 
 
 
 
 2,733
 2,733
Amortization of stock-based compensation 
 
 
 
 8,768
 
 
 8,768
 
 8,768
Common stock issuance, net 
 
 110,546,599
 1,105
 2,370,880
 
 
 2,371,985
 
 2,371,985
Preferred dividends 
 
 
 
 
 (7,682) 
 (7,682) 
 (7,682)
Common dividends ($1.21 per share) 
 
 
 
 
 (80,014) 
 (80,014) 
 (80,014)
Balance, September 30, 2017 5,750,000
 $58
 175,832,213
 $1,758
 $3,588,510
 $(225,459) $4,236
 $3,369,103
 $2,726
 $3,371,829
                     


See accompanying notes to condensed consolidated financial statements.


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SABRA HEALTH CARE REIT, INC.
CONDENSED CONSOLIDATED STATEMENTS OF EQUITY (CONTINUED)
(dollars in thousands, except per share data)
(unaudited)
Nine Months Ended September 30, 2019
 Common StockAdditional
Paid-in Capital
Cumulative Distributions in Excess of Net IncomeAccumulated Other Comprehensive Income (Loss)Total
Stockholders’
Equity
Noncontrolling InterestTotal Equity
 SharesAmounts
Balance, December 31, 2018178,306,528 $1,783 $3,507,925 $(271,595)$12,301 $3,250,414 $4,333 $3,254,747 
Cumulative effect of Topic 842 adoption— — — (32,502)— (32,502)— (32,502)
Net income— — — 29,255 — 29,255 22 29,277 
Other comprehensive loss— — — — (31,696)(31,696)— (31,696)
Buyout of noncontrolling interest— — 4,039 — — 4,039 (4,239)(200)
Distributions to noncontrolling interest— — — — — — (116)(116)
Amortization of stock-based compensation— — 10,474 — — 10,474 — 10,474 
Common stock issuance, net15,390,373 154 301,146 — — 301,300 — 301,300 
Common dividends ($1.35 per share)— — — (248,867)— (248,867)— (248,867)
Balance, September 30, 2019193,696,901 $1,937 $3,823,584 $(523,709)$(19,395)$3,282,417 $$3,282,417 
Nine Months Ended September 30, 2020
 Common StockAdditional
Paid-in Capital
Cumulative Distributions in Excess of Net IncomeAccumulated Other Comprehensive LossTotal
Stockholders’
Equity
Noncontrolling InterestTotal Equity
SharesAmounts
Balance, December 31, 2019205,208,018 $2,052 $4,072,079 $(573,283)$(12,388)$3,488,460 $$3,488,460 
Cumulative effect of Topic 326 adoption— — — (167)— (167)— (167)
Net income— — — 101,300 — 101,300 — 101,300 
Other comprehensive loss— — — — (36,782)(36,782)— (36,782)
Amortization of stock-based compensation— — 7,582 — — 7,582 — 7,582 
Common stock issuance, net1,720,307 17 21,608 — — 21,625 — 21,625 
Common dividends ($1.05 per share)— — — (217,678)— (217,678)— (217,678)
Balance, September 30, 2020206,928,325 $2,069 $4,101,269 $(689,828)$(49,170)$3,364,340 $$3,364,340 

See accompanying notes to condensed consolidated financial statements.
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SABRA HEALTH CARE REIT, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands)
(unaudited)
 Nine Months Ended September 30,

2017 2016
Cash flows from operating activities:
 
Net income$54,396
 $47,035
Adjustments to reconcile net income to net cash provided by operating activities:
 
Depreciation and amortization62,290
 51,273
Amortization of above and below market lease intangibles, net637
 
Non-cash interest income adjustments
(137) 549
Amortization of deferred financing costs4,132
 3,767
Stock-based compensation expense8,329
 6,137
Amortization of debt premium/discount(99) 81
Loss on extinguishment of debt553
 556
Straight-line rental income adjustments(18,260) (16,710)
Provision for doubtful accounts and loan losses7,454
 3,286
Change in fair value of contingent consideration(552) 50
Net (gain) loss on sales of real estate(4,614) 3,203
Impairment of real estate
 29,811
Changes in operating assets and liabilities:

 

Accounts receivable, prepaid expenses and other assets(5,752) 1,381
Accounts payable and accrued liabilities(53,570) 6,217
Restricted cash(5,036) (2,820)

  
Net cash provided by operating activities49,771
 133,816
Cash flows from investing activities:
 
Acquisition of real estate(393,064) (109,619)
Cash received in CCP Merger77,858
 
Origination and fundings of loans receivable(5,642) (9,478)
Origination and fundings of preferred equity investments(2,713) (6,845)
Additions to real estate(3,233) (901)
Repayment of loans receivable8,710
 214,947
Repayments of preferred equity investments3,239
 
Net proceeds from the sales of real estate11,723
 85,449

  
Net cash (used in) provided by investing activities(303,122) 173,553
Cash flows from financing activities:
 
Net repayments of revolving credit facility(137,000) (255,000)
Proceeds from term loans181,000
 69,360
Principal payments on secured debt(3,094) (13,756)
Payments of deferred financing costs(15,316) (5,933)
Issuance of common stock, net319,026
 (1,289)
Dividends paid on common and preferred stock(86,813) (89,283)

  
Net cash provided by (used in) financing activities257,803
 (295,901)

  
Net increase in cash and cash equivalents4,452
 11,468
Effect of foreign currency translation on cash and cash equivalents758
 772
Cash and cash equivalents, beginning of period25,663
 7,434

  
Cash and cash equivalents, end of period$30,873
 $19,674
Supplemental disclosure of cash flow information:
 
Interest paid$48,836
 $49,009
Supplemental disclosure of non-cash investing and financing activities:




Acquisition of business in CCP Merger (see Note 3)$3,726,093
 $
Assumption of indebtedness in CCP Merger$(1,751,373) $
Stock exchanged in CCP Merger$(2,052,578) $
Real estate acquired through loan receivable foreclosure
$

$10,100
 Nine Months Ended September 30,
20202019
Cash flows from operating activities:
Net income$101,300 $29,277 
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization132,579 137,517 
Non-cash rental and related revenues1,340 (12,965)
Non-cash interest income(1,743)(1,680)
Non-cash interest expense6,527 7,846 
Stock-based compensation expense5,651 8,829 
Non-cash lease termination income(9,725)
Loss on extinguishment of debt531 10,763 
Provision for loan losses and other reserves706 1,457 
Net gain on sales of real estate(2,828)(1,216)
Impairment of real estate3,154 119,102 
Loss from unconsolidated joint venture13,037 5,635 
Distributions of earnings from unconsolidated joint venture11,318 10,162 
Changes in operating assets and liabilities:
Accounts receivable, prepaid expenses and other assets, net(3,523)(7,252)
Accounts payable and accrued liabilities(2,594)(20,769)
Net cash provided by operating activities265,455 276,981 
Cash flows from investing activities:
Acquisition of real estate(92,945)(14,977)
Origination and fundings of loans receivable(1,651)(9,441)
Origination and fundings of preferred equity investments(20,059)
Additions to real estate(32,416)(15,985)
Repayments of loans receivable3,095 13,761 
Repayments of preferred equity investments3,399 3,672 
Net proceeds from the sales of real estate8,754 321,715 
Distributions in excess of earnings from unconsolidated joint venture1,305 
Buyout of noncontrolling interests(200)
Net cash (used in) provided by investing activities(130,518)298,545 
Cash flows from financing activities:
Net borrowings from (repayments of) revolving credit facility56,000 (424,000)
Proceeds from issuance of senior unsecured notes297,039 
Principal payments on senior unsecured notes(500,000)
Principal payments on secured debt(2,396)(2,566)
Payments of deferred financing costs(819)(14,001)
Payments related to extinguishment of debt(6,897)
Distributions to noncontrolling interest(116)
Issuance of common stock, net20,961 302,030 
Dividends paid on common stock(215,747)(247,222)
Net cash used in financing activities(142,001)(595,733)
Net decrease in cash, cash equivalents and restricted cash(7,064)(20,207)
Effect of foreign currency translation on cash, cash equivalents and restricted cash(230)211 
Cash, cash equivalents and restricted cash, beginning of period49,143 59,658 
Cash, cash equivalents and restricted cash, end of period$41,849 $39,662 
Supplemental disclosure of cash flow information:
Interest paid$67,995 $100,230 
Supplemental disclosure of non-cash investing activities:
Decrease in loans receivable and other investments due to acquisition of real estate$20,731 $
Secured debt assumed by buyers in connection with sales of real estate$31,830 $
See accompanying notes to condensed consolidated financial statements.

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SABRA HEALTH CARE REIT, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
 
1.     BUSINESS
Overview
Sabra Health Care REIT, Inc. (“Sabra” or the “Company”) was incorporated on May 10, 2010 as a wholly owned subsidiary of Sun Healthcare Group, Inc. (“Sun”) and commenced operations on November 15, 2010 following Sabra'sSabra’s separation from Sun (the “Separation Date”).Sun. Sabra elected to be treated as a real estate investment trust (“REIT”) with the filing of its United States (“U.S.”) federal income tax return for the taxable year beginning January 1, 2011. Sabra believes that it has been organized and operated, and it intends to continue to operate, in a manner to qualify as a REIT. Sabra’s primary business consists of acquiring, financing and owning real estate property to be leased to third partythird-party tenants in the healthcare sector. Sabra primarily generates revenues by leasing properties to tenants and operators throughout the United StatesU.S. and Canada. Sabra owns substantially all of its assets and properties and conducts its operations through Sabra Health Care Limited Partnership, a Delaware limited partnership (the “Operating Partnership”), of which Sabra is the sole general partner and Sabra'sa wholly owned subsidiaries aresubsidiary of Sabra is currently the only limited partners,partner, or by subsidiaries of the Operating Partnership. The Company’s investment portfolio is primarily comprised of skilled nursing/transitional care facilities, senior housing communities (“Senior Housing - Leased”) and specialty hospitals and other facilities, in each case leased to third-party operators; senior housing communities operated by third-party property managers pursuant to property management agreements (“Senior Housing - Managed”); investments in loans receivable; and preferred equity investments.investments; and an investment in an unconsolidated joint venture.
On May 7, 2017,COVID-19
In March 2020, the World Health Organization declared COVID-19 a pandemic, and the United States declared a national emergency with respect to COVID-19. In the intervening months, COVID-19 has spread globally and led governments and other authorities around the world, including federal, state and local authorities in the United States, to impose measures intended to control its spread, including restrictions on freedom of movement and business operations such as travel bans, border closings, business closures, quarantines and shelter-in-place orders. Although some of these governmental restrictions have since been lifted or scaled back, a recent surge of COVID-19 infections has resulted in the re-imposition of certain restrictions and may lead to other restrictions being re-implemented in response to efforts to reduce the spread of COVID-19. These measures may remain in place for a significant amount of time. The COVID-19 pandemic and measures to prevent its spread have negatively impacted and are expected to continue to negatively impact the Company and its operations in a number of ways, including but not limited to:
Decreased occupancy and increased operating costs for the Operating Partnership, PR Sub, LLC, a Delaware limited liability companyCompany’s tenants and wholly owned subsidiaryborrowers, which has negatively impacted their operating results and may adversely impact their ability to make full and timely rental payments and debt service payments, respectively, to the Company. In some cases, the Company may have to restructure tenants’ long-term rent obligations and may not be able to do so on terms that are as favorable to the Company as those currently in place. Reduced or modified rental and debt service amounts could result in the determination that the full amounts of the Company (“Merger Sub”Company’s investments are not recoverable, which could result in an impairment charge. To date, the impact of COVID-19 on the Company’s skilled nursing/transitional care facility operators has been partially mitigated by the assistance they have received or expect to receive from state and federal assistance programs, including through the CARES Act (as defined and further described below under “Management’s Discussion and Analysis of Financial Condition and Results of Operations—Skilled Nursing Facility Reimbursement Rates” in Part I, Item 2), although these benefits on an individual operator basis vary and may not provide enough relief to meet their rental obligations to the Company. Prior to September 1, 2020, few of these programs were available to the Company’s senior housing operators; as of September 1, 2020, eligible assisted living facility operators may apply for funding through the CARES Act, and the assistance received or expected to be received will partially mitigate the negative impact of COVID-19 on the Company’s eligible assisted living facility operators. As of September 30, 2020, the Company’s tenants and borrowers have continued to pay expected cash rents and debt service obligations consistent with past practice. However, the longer the duration of the COVID-19 pandemic, the more likely that the Company’s tenants and borrowers will begin to default on these obligations. Such defaults could materially and adversely affect the Company’s results of operations and liquidity, in addition to resulting in potential impairment charges.
Decreased occupancy and increased operating costs within the Company’s Senior Housing - Managed portfolio and in the Company’s 49% equity interest in a joint venture with affiliates of Enlivant and TPG Real Estate, the real estate platform of TPG, that owns senior housing communities managed by Enlivant (the “Enlivant Joint Venture”), Care Capital Properties, Inc., a Delaware corporation (“CCP”),which have negatively impacted and Care Capital Properties, L.P. (“CCPLP”), a Delaware limited partnershipare expected to continue to negatively impact the operating results of these
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investments. As noted above, as of September 1, 2020, eligible assisted living facility operators may apply for funding through the CARES Act, and wholly-owned subsidiarythe assistance received or expected to be received will partially mitigate the negative impact of CCP, entered into an AgreementCOVID-19 on the Company’s Senior Housing - Managed portfolio and Planthe Enlivant Joint Venture. During each of Merger (the “Merger Agreement”), pursuant to which, on August 17, 2017, CCP merged withthe three and into Merger Sub, with Merger Sub continuing as the surviving corporation (the “CCP Merger”), following which Merger Sub merged with and intonine months ended September 30, 2020, the Company withrecognized government grants under the Company continuing asCARES Act of $4.2 million. In addition, on October 1, 2020, the surviving entity (the “Subsequent Merger”),Department of Health and simultaneous withHuman Services announced $20 billion of new funding for assisted living facility operators that have already received funds and to those who were previously ineligible. Prolonged deterioration in the Subsequent Merger, CCPLP merged withoperating results for the Company’s investments in its Senior Housing - Managed portfolio and into the Operating Partnership, withEnlivant Joint Venture could result in the Operating Partnership continuing asdetermination that the surviving entity.full amounts of the Company’s investments are not recoverable, which could result in an impairment charge.
Pursuant to the Merger Agreement,The Company’s financial results as of and for the effective timethree and nine months ended September 30, 2020 reflect the results of the CCP Merger, each share of CCP common stock, par value $0.01 per share, issued and outstanding immediately prior to the effective timeCompany’s evaluation of the CCP Merger (other than sharesimpact of CCP common stock owned directly by CCP, the CompanyCOVID-19 on its business including, but not limited to, its evaluation of potential impairments of long-lived or their respective subsidiaries, in each case not heldother assets, measurement of credit losses on behalf of third parties) was converted into the right to receive 1.123 newly issued shares of Company common stock, par value $0.01 per share, plus cash in lieufinancial instruments, evaluation of any fractional shares. See Note 3, “CCP Mergerlease modifications, evaluation of lease accounting impact, estimates of fair value and Recent Real Estate Acquisitions” for additional information regarding the CCP Merger.Company’s ability to continue as a going concern.
The acquisition of CCP has been reflected in the Company's condensed consolidated financial statements since the effective date of the CCP Merger.

2.     SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Principles of Consolidation and Basis of Presentation
The accompanying condensed consolidated financial statements include the accounts of Sabra and its wholly owned subsidiaries as of September 30, 20172020 and December 31, 20162019 and for the three and nine month periods ended September 30, 20172020 and 2016.2019. All significant intercompany transactions and balances have been eliminated in consolidation.
The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) for interim financial information as contained within the Financial Accounting Standards Board (“FASB”) Accounting Standards Codification (“ASC”) and the rules and regulations of the SEC, including the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, the unaudited condensed consolidated financial statements do not include all of the information and footnotes required by GAAP for financial statements. In the opinion of management, the financial statements for the unaudited interim periods presented include all adjustments, which are of a normal and recurring nature, necessary for a fair statement of the results for such periods. Operating results for the three and nine months ended September 30, 20172020 are not necessarily indicative of the results that may be expected for the year ending December 31, 2017.2020. For further information, refer to the Company’s consolidated financial statements and notes thereto

for the year ended December 31, 20162019 included in the Company’s Annual Report on Form 10-K for the year ended December 31, 20162019 filed with the SEC.
GAAP requires the Company to identify entities for which control is achieved through voting rights or other means and to determine which business enterprise is the primary beneficiary of variable interest entities (“VIEs”). A VIE is broadly defined as an entity with one or more of the following characteristics: (a) the total equity investment at risk is insufficient to finance the entity'sentity’s activities without additional subordinated financial support; (b) as a group, the holders of the equity investment at risk lack (i) the ability to make decisions about the entity'sentity’s activities through voting or similar rights, (ii) the obligation to absorb the expected losses of the entity, or (iii) the right to receive the expected residual returns of the entity; or (c) the equity investors have voting rights that are not proportional to their economic interests, and substantially all of the entity'sentity’s activities either involve, or are conducted on behalf of, an investor that has disproportionately few voting rights. If the Company were determined to be the primary beneficiary of the VIE, the Company would consolidate investments in the VIE. The Company may change its original assessment of a VIE due to events such as modifications of contractual arrangements that affect the characteristics or adequacy of the entity'sentity’s equity investments at risk and the disposal of all or a portion of an interest held by the primary beneficiary.
The Company identifies the primary beneficiary of a VIE as the enterprise that has both: (i) the power to direct the activities of the VIE that most significantly impact the entity'sentity’s economic performance; and (ii) the obligation to absorb losses or the right to receive benefits of the VIE that could be significant to the entity. The Company performs this analysis on an ongoing basis.
As of September 30, 2017,2020, the Company determined that it was 0t the primary beneficiary of two variable interest entities—a senior housing community and an exchange accommodation titleholder variable interest entity—and has consolidated the operations of these entities in the accompanying condensed consolidated financial statements. As of September 30, 2017, the Company determined that operations of these entities were not material to the Company’s results of operations, financial condition or cash flows.any VIEs.
As it relates to investments in loans, in addition to the Company'sCompany’s assessment of VIEs and whether the Company is the primary beneficiary of those VIEs, the Company evaluates the loan terms and other pertinent facts to determine ifwhether the loan investment should be accounted for as a loan or as a real estate joint venture. If an investment has the characteristics of a real estate joint venture, including if the Company participates in the majority of the borrower'sborrower’s expected residual profit, the
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Company would account for the investment as an investment in a real estate joint venture and not as a loan investment. Expected residual profit is defined as the amount of profit, whether called interest or another name, such as an equity kicker, above a reasonable amount of interest and fees expected to be earned by a lender. At September 30, 2017, none2020, NaN of the Company'sCompany’s investments in loans arewere accounted for as real estate joint ventures.
As it relates to investments in joint ventures, the Company assesses any limited partners'partners’ rights and their impact on the presumption of control of the limited partnership by any single partner. The Company also applies this guidance to managing member interests in limited liability companies.Thecompanies. The Company reassesses its determination of which entity controls the joint venture if: there is a change to the terms or in the exercisability of the rights of any partners or members, the sole general partner or managing member increases or decreases its ownership interests, or there is an increase or decrease in the number of outstanding ownership interests. As of September 30, 2017,2020, the Company'sCompany’s determination of which entity controls its investments in joint ventures has not changed as a result of any reassessment.
Use of Estimates
The preparation of the condensed consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amounts reported in the condensed consolidated financial statements and accompanying notes. Actual results could materially differ from those estimates.
Reclassifications
Certain amounts in the Company'sCompany’s condensed consolidated financial statements of cash flows for prior periods have been reclassified to conform to the current period presentation. These reclassifications have not changed the results of operationsoperations.
Out of prior periods. As a result,Period Adjustments
During the three months ended September 30, 2020, the Company identified certain reclassifications were madehistorical errors in the recording of depreciation and amortization expense related to the basis difference in the Enlivant Joint Venture and not correctly expensing the allocable portion of the basis difference upon the sale of assets in the Enlivant Joint Venture. These errors impacted the Company’s investment in unconsolidated joint venture and income (loss) from unconsolidated joint venture as well as its condensed consolidated balance sheetsstatements of income, condensed consolidated statements of comprehensive income (loss) and condensed consolidated statements of income.equity since 2018, which impacted the quarterly financial statements and annual periods previously issued. These errors resulted in understating (overstating) previously recorded income (loss) from unconsolidated joint venture and net income by $5.2 million for the six months ended June 30, 2020 and $0.1 million and ($1.7) million for the years ended December 31, 2019 and 2018, respectively. These out of period adjustments were recorded in the third quarter of 2020, resulting in an increase to income from unconsolidated joint venture and net income of $3.6 million. Management evaluated the impact of the errors to the current period and prior period financial statements and determined that the impact was not material to any of the impacted periods.
Net InvestmentGovernment Grants
Government assistance provided to the Company in Direct Financing Lease
the form of an income grant, which is not related to long-lived assets and is not required to be repaid, is recognized as grant income when there is reasonable assurance that the grant will be received and the Company will comply with any conditions associated with the grant. Additionally, grants are recognized over the periods in which the Company recognizes the qualifying expenses and/or lost income for which the grants are intended to compensate. As of September 30, 2017,2020, the amount of qualifying expenditures exceeded amounts recognized under the CARES Act, and the Company had a $22.9 million net investment in one skilled nursing/transitional care facility leased to an operator under a direct financing lease, as the tenant is obligated to purchase the property at the endcomplied with all grant conditions. Accordingly, during each of the

lease term. The net investment in direct financing lease is recorded in accounts receivable, prepaid expenses and other assets, net on the condensed consolidated balance sheets and represents the total undiscounted rental payments (including the tenant's purchase obligation), plus the estimated unguaranteed residual value, less the unearned lease income. Unearned lease income represents the excess of the minimum lease payments and residual values over the cost of the investment. Unearned lease income is deferred and amortized to income over the lease term to provide a constant yield when collectability of the lease payments is reasonably assured. Income from the Company's net investment in direct financing lease was $0.3 million for the three and nine months ended September 30, 20172020, the Company recognized $1.2 million of grants in resident fees and is reflectedservices and $3.0 million of grants in interest and other income onloss from unconsolidated joint venture in the condensed consolidated statements of income. Future minimum lease payments contractually due under the direct financing lease at September 30, 2017, were as follows: $0.5 million for the remainder of 2017; $2.2 million for 2018; $2.2 million for 2019; $2.3 million for 2020; and $2.1 million for 2021.
Recently Issued Accounting Standards Update
Between May 2014 and MayAdopted
In June 2016, the FASB issued three Accounting Standards Updates (each, an “ASU”Update (“ASU”) changing the requirements for recognizing and reporting revenue (together, herein referred to as the “Revenue ASUs”)2016-13, Financial Instruments—Credit Losses (Topic 326): (i) ASU No. 2014-09, Revenue from Contracts with CustomersMeasurement of Credit Losses on Financial Instruments (“ASU 2014-09”), (ii) ASU No. 2016-08, Principal versus Agent Considerations (Reporting Revenue Gross versus Net) (“ASU 2016-08”) and (iii) ASU No. 2016-12, Narrow-Scope Improvements and Practical Expedients (“ASU 2016-12”2016-13”). ASU 2014-09 provides guidance for revenue recognition to depict2016-13 requires that a financial asset (or a group of financial assets) measured at amortized cost basis be presented at the transfer of promised goods or services to customers in annet amount that reflects the consideration to which the entity expectsexpected to be entitled in exchangecollected. The allowance for those goods or services. ASU 2016-08credit losses is intended to improvea valuation account that is deducted from the operability and understandabilityamortized cost basis of the implementation guidance on principal versus agent considerations. ASU 2016-12 provides practical expedients and improvementsfinancial asset(s) to present the net carrying value at the amount expected to be collected on the previously narrowfinancial asset. The amendments in ASU 2016-13 are an improvement because they eliminate the probable initial recognition threshold under current GAAP and, instead, reflect an entity’s current estimate of all expected credit losses. Previously, when credit losses were measured under GAAP, an entity generally only considered past events and current conditions in measuring the incurred loss. In November 2018, the FASB
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issued ASU 2018-19, Codification Improvements to Topic 326, Financial Instruments—Credit Losses (“ASU 2018-19”), which amends ASU 2016-13 to clarify that receivables arising from operating leases are not within the scope of Subtopic 326-20, and instead, impairment of such receivables should be accounted for in accordance with ASU 2014-09.2016-02, Leases, as amended by subsequent ASUs (“Topic 842”). In August 2015,November 2019, the FASB issued ASU No. 2015-14, Revenue from Contracts with Customers (Topic 606): Deferral of the Effective Date2019-11, Codification Improvements to Topic 326, Financial Instruments—Credit Losses (“ASU 2015-14”2019-11”)., which amends ASU 2015-14 defers the effective date2016-13 to clarify or address stakeholders’ specific issues about certain aspects of ASU 2014-09 by one year to fiscal years, and interim periods within, beginning after December 15, 2017. All subsequent ASUs related to2016-13. ASU 2014-09, including2016-13, ASU 2016-082018-19 and ASU 2016-12, assumed the deferred effective date enforced by ASU 2015-14. Early adoption of the Revenue ASUs is permitted for annual periods, and interim periods within, beginning after December 15, 2016. A reporting entity may apply the amendments in the Revenue ASUs using either a modified retrospective approach, by recording a cumulative-effect adjustment to equity as of the beginning of the fiscal year of adoption or full retrospective approach. As the primary source of revenue for the Company is generated through leasing and financing arrangements, which2019-11 are excluded from the Revenue ASUs, the Company expects that the impact of the Revenue ASUs to the Company will be limited to the recognition of non-lease revenue, such as certain resident fees in its Senior Housing - Managed properties structures (a portion of which are not generated through leasing arrangements) ), and its recognition of real estate sale transactions. Under ASU 2014-09, revenue recognition for real estate sales is primarily based on the transfer of control versus continuing involvement under current guidance. Accordingly, the Company anticipates that the new guidance will result in more transactions qualifying as sales of real estate and gains on sale being recognized at an earlier date than under current accounting guidance. Additionally, upon adoption of the Revenue ASUs in 2018, the Company anticipates that it will be required to separately disclose the components of its total revenue between lease revenue accounted for under existing lease guidance and service revenue accounted for under the new Revenue ASUs, but does not anticipate a material change in the timing of revenue recognition. The Company has not yet elected a transition method and is evaluating the complete impact of the adoption of the Revenue ASUs on January 1, 2018 to its consolidated financial position, results of operations and disclosures. The Company expects to complete its evaluation of the impacts of the Revenue ASUs during the fourth quarter of 2017. 
In February 2016, the FASB issued ASU 2016-02, Leases (Topic 842) (“ASU 2016-02”). ASU 2016-02 supersedes guidance related to accounting for leases. ASU 2016-02 updates guidance around the recognition of lease assets and lease liabilities by lessees for those leases classified as operating leases under previous GAAP. The objective of ASU 2016-02 is to establish the principles that lessees and lessors shall apply to report useful information to users of financial statements about the amount, timing, and uncertainty of cash flows arising from a lease. ASU 2016-02 does not fundamentally change lessor accounting; however, some changes have been made to lessor accounting to conform and align that guidance with the lessee guidance and other areas within GAAP. ASU 2016-02 is effective for fiscal years and interim periods within those years beginning after December 15, 2018,2019, with early adoption permitted. The Company is currently evaluating the impact this guidance will have on its consolidated financial statements when adopted.
In January 2017, the FASB issued ASU 2017-01, Business Combinations (Topic 805): Clarifying the definition of a business (“ASU 2017-01”). ASU 2017-01 clarifies the definition of a business with the objective of providing guidance to assist entities with evaluating whether transactions should be accounted forpermitted as acquisitions (or disposals) of businesses. When substantially all of the fair value of gross assets acquired is concentrated in a single asset (or a group of similar assets), the assets acquired would not represent a business. To be considered a business, an acquisition would have to include an input and a substantive process that together significantly contribute to the ability to create outputs. To be a business without outputs, there will now need to be an organized workforce. ASU 2017-01 is effective for fiscal years and interim periods within those

years beginning after December 15, 2017, with early adoption permitted.2018. An entity will apply the amendments in these updates through a cumulative-effect adjustment to retained earnings as of the beginning of the first reporting period in which the guidance is effective (that is, a modified-retrospective approach). The Company adopted ASU 2017-012016-13, ASU 2018-19 and ASU 2019-11 (collectively, “Topic 326”) on OctoberJanuary 1, 20162020.
The financial assets within the scope of Topic 326 are the Company’s investments in a direct financing lease and loans receivable, including the portion of unfunded loan commitments expected to be funded. The allowance for credit losses is calculated using the related amortization schedules, payment histories and loan-to-value ratios. The following rates are applied to determine the aggregate expected losses, which is recorded as the allowance for credit losses: (i) a default rate, (ii) a liquidation cost rate and (iii) a distressed property reduction rate. If no loan-to-value ratio is available, a loss severity rate is applied in place of the liquidation cost rate and the distressed property reduction rate. The default rate is based on average charge-off and delinquency rates from the Federal Reserve, and the other rates are based on industry research and historical performance of a prospective basis. The Company expects that the majoritysimilar portfolio of its future acquisitionsfinancial assets. Related interest income receivable balances are evaluated separately for collectability, and reserves are established based on management’s estimate of real estate will be accounted for as asset acquisitions under the new guidance. Thislosses.
Upon adoption will impact howof these standards, the Company accountsrecognized the cumulative effect on the opening balance of the allowance for mergercredit losses in the condensed consolidated balance sheets, which resulted in an increase to cumulative distributions in excess of net income and acquisition costs and contingent consideration, which may result in lower expensed merger and acquisition costs and eliminate fair value adjustments relateda decrease to future contingent consideration arrangements.total assets of $0.2 million.
Issued but Not Yet Adopted
In May 2017,March 2020, the FASB issued ASU 2017-09, Compensation—Stock compensation2020-04, Reference Rate Reform (Topic 718)848): ScopeFacilitation of modification accountingthe Effects of Reference Rate Reform on Financial Reporting (“ASU 2017-09”2020-04”). ASU 2017-09 clarifies2020-04 provides temporary optional guidance that provides transition relief for reference rate reform, including optional expedients and reduces both (1) diversity in practiceexceptions for applying GAAP to contract modifications, hedging relationships and (2) cost and complexity when applying the guidance in Topic 718, Compensation—Stock Compensation,other transactions that reference LIBOR or a reference rate that is expected to be discontinued as a change to the terms or conditionsresult of a share-based payment award. The amendments inreference rate reform if certain criteria are met. ASU 2017-09 provide guidance about which changes to the terms or conditions of a share-based payment award require an entity to apply modification accounting in Topic 718. ASU 2017-092020-04 is effective for fiscal yearsupon issuance, and interim periods within those years beginning afterthe provisions generally can be applied prospectively as of January 1, 2020 through December 15, 2017, with early adoption permitted. The31, 2022. During the first quarter of 2020, the Company does not expect the adoption of ASU 2017-09elected to have a material impact on its consolidated financial statements.
In August 2017, the FASB issued ASU 2017-12, Derivatives and Hedging (Topic 815): Targeted Improvements to Accounting for Hedging Activities (“ASU 2017-12”). ASU 2017-12 is intended to improve the financial reporting of hedging relationships to better portray the economic results of an entity's risk management activities in its financial statements and to simplify the application ofapply the hedge accounting guidance in current GAAP. ASU 2017-12 is effectiveexpedients related to probability and the assessments of effectiveness for fiscal years and interim periods within those years beginning after December 15, 2018,future LIBOR-indexed cash flows to assume that the index upon which future hedged transactions will be based matches the index on the corresponding derivatives. Application of these expedients preserves the presentation of derivatives consistent with early adoption permitted.past presentation. The Company is currently evaluatingcontinues to evaluate the impact thisof the guidance will have on its consolidated financial statements when adopted.and may apply other elections as applicable as additional changes in the market occur.


3.     CCP MERGER AND     RECENT REAL ESTATE ACQUISITIONS
CCP Merger
On August 17, 2017, the Company completed the CCP Merger. Under the terms of the Merger Agreement, each share of CCP common stock issued and outstanding immediately prior to the effective time of the CCP Merger (other than any shares owned directly by CCP, the Company or their respective subsidiaries, in each case not held on behalf of third parties) was converted into the right to receive 1.123 newly issued shares of Company common stock, resulting in the issuance of approximately 94.0 million shares of Company common stock at the effective time of the CCP Merger. As a result of the CCP Merger, the Company acquired 330 properties (consisting of 296 skilled nursing/transitional care facilities, 13 senior housing communities and 21 specialty hospitals and other facilities), one skilled nursing/transitional care facility leased to an operator under a direct financing lease (see Note 2, “Summary of Significant Accounting Policies—Net Investment in Direct Financing Lease”), 18 investments in loans receivable (see Note 6, “Loans Receivable and Other Investments”) and one specialty valuation firm. Sabra also assumed certain outstanding equity awards and other debt and liabilities of CCP (see Note 7, “Debt”). Based on the closing price of Sabra’s common stock on August 16, 2017, the Company estimates the fair value of the consideration exchanged or assumed to be approximately $2.1 billion. The Company’s estimated fair values of CCP’s assets acquired and liabilities assumed on the closing date of the CCP Merger are determined based on certain valuations and analyses that have yet to be finalized, and accordingly, the assets acquired and liabilities assumed, as detailed below, are preliminary and are subject to adjustment once the analyses are completed.

The following table summarizes the preliminary purchase price allocation for the CCP Merger based on the Company's initial valuation, including estimates and assumptions of the acquisition date fair value of the tangible and intangible assets acquired and liabilities assumed on August 17, 2017 (in thousands):
Real estate investments$3,629,447
Loans receivable and other investments57,064
Cash and cash equivalents77,858
Restricted cash779
Lease intangible assets, net234,426
Accounts receivable, prepaid expenses and other assets, net35,829
Secured debt, net(98,500)
Revolving credit facility(362,000)
Unsecured term loans(674,000)
Senior unsecured notes, net(616,873)
Accounts payable and accrued liabilities(132,860)
Lease intangible liabilities, net(95,859)
Noncontrolling interests(2,733)
Total consideration$2,052,578
  
The lease intangible assets and lease intangible liabilities acquired in connection with the CCP Merger have weighted-average amortization periods as of the closing date of the CCP Merger of 11 years and 10 years, respectively.
For the three and nine months ended September 30, 2017, the Company recognized $45.1 million of total revenues and $30.6 million of net income attributable to common stockholders, excluding acquisition related costs, from the CCP Merger investments. Acquisition related costs associated with the CCP Merger were $23.3 million and $29.7 million, respectively, during the three and nine months ended September 30, 2017.
Recent Real Estate Acquisitions
During the nine months ended September 30, 2017, in addition to the properties acquired as a result of the CCP Merger,2020, the Company acquired 21 skilled nursing/transitional care facilities3 Senior Housing - Leased communities and one senior housing1 Senior Housing - Managed community. These investments were part of the Company’s proprietary development pipeline, and $20.7 million was previously funded through its preferred equity investments in these developments. During the nine months ended September 30, 2016,2019, the Company acquired one skilled nursing/transitional care facility and three senior housing communities.2 specialty hospitals/other facilities. The consideration was allocated as follows (in thousands):
 Nine Months Ended September 30,Nine Months Ended September 30,
 2017 201620202019
Land $55,579
 $5,521
Land$5,800 $2,040 
Building and improvements 329,462
 102,094
Building and improvements104,952 12,652 
Tenant origination and absorption costs 6,143
 1,565
Tenant relationship 1,880
 439
    
Tenant origination and absorption costs intangible assetsTenant origination and absorption costs intangible assets2,578 234 
Tenant relationship intangible assetsTenant relationship intangible assets347 51 
Total consideration $393,064
 $109,619
Total consideration$113,677 $14,977 
    
The tenant origination and absorption costs intangible assets and tenant relationship intangible assets acquired in connection with these acquisitions have weighted-averagehad weighted-
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average amortization periods as of the respective dates of acquisition of 13seven years and 2325 years, respectively.respectively, for acquisitions completed during the nine months ended September 30, 2020, and 15 years and 25 years, respectively, for acquisitions completed during the nine months ended September 30, 2019.
For the three and nine months ended September 30, 2017,2020, the Company recognized $1.5$3.4 million and $1.6$9.2 million of total revenues, respectively, and $1.4 million and $3.7 million of net income attributable to common stockholders, respectively, from the facilities acquired during the nine months ended September 30, 2020. For each of the three and nine months ended September 30, 2019, the Company recognized $0.2 million of total revenues and $0.2 million of net income attributable to common stockholders from the facilities acquired during the nine months ended September 30, 2017. For the three and nine months ended September 30, 2016, the Company recognized $1.7 million of total revenues and $0.1 million of net income attributable to common stockholders from the facilities acquired during the nine months ended September 30, 2016.2019.



4.    INVESTMENT IN REAL ESTATE PROPERTIES HELD FOR INVESTMENT
The Company’s real estate properties held for investment consisted of the following (dollars in thousands):
As of September 30, 2017
Property Type 
Number of
Properties
 
Number of
Beds/Units
 
Total
Real Estate
at Cost
 
Accumulated
Depreciation
 
Total
Real Estate
Investments, Net
Skilled Nursing/Transitional Care 409
 45,710
 $4,386,543
 $(215,921) $4,170,622
Senior Housing - Leased(1)
 88
 8,110
 1,149,278
 (96,790) 1,052,488
Senior Housing - Managed(1)
 11
 999
 170,866
 (10,884) 159,982
Specialty Hospitals and Other 22
 1,085
 602,339
 (12,820) 589,519
  530
 55,904
 6,309,026
 (336,415) 5,972,611
Corporate Level     448
 (274) 174
      $6,309,474
 $(336,689) $5,972,785
As of December 31, 2016
Property Type 
Number of
Properties
 
Number of
Beds/Units
 
Total
Real Estate
at Cost
 
Accumulated
Depreciation
 
Total
Real Estate
Investments, Net
Skilled Nursing/Transitional Care 97
 10,819
 $1,042,754
 $(190,038) $852,716
Senior Housing - Leased(1)
 83
 7,855
 1,153,739
 (80,449) 1,073,290
Senior Housing - Managed(1)
 2
 134
 34,212
 (1,682) 32,530
Specialty Hospitals and Other 1
 70
 61,640
 (10,387) 51,253
  183
 18,878
 2,292,345
 (282,556) 2,009,789
Corporate Level     406
 (256) 150
      $2,292,751
 $(282,812) $2,009,939

 September 30, 2017 December 31, 2016
Building and improvements$5,410,572
 $1,983,769
Furniture and equipment234,901
 85,196
Land improvements3,563
 3,744
Land660,438
 220,042
 6,309,474
 2,292,751
Accumulated depreciation(336,689) (282,812)
 $5,972,785
 $2,009,939
(1)
During the nine months ended September 30, 2017, the Company transitioned nine senior housing communities into a managed property structure whereby the Company owns the operations of the communities and the communities are operated by a third-party property manager.
Contingent Consideration Arrangements
In connection with three of its prior real estate acquisitions, the Company entered into contingent consideration arrangements pursuant to which it could be required to pay out additional amounts based on incremental value created through the improvement of operations of the applicable acquired facility (a contingent consideration liability). The estimated value of the contingent consideration liabilities at the time of purchase was $3.2 million. The contingent consideration amounts would be determined based on portfolio performance and the facility achieving certain performance hurdles during 2017. During the nine months ended September 30, 2017, one earn-out arrangement expired and resulted in a $0 payout and a second earn-out arrangement was terminated in connection with the transition of the eight senior housing communities to Senior Housing - Managed properties. To determine the value of the remaining contingent consideration arrangement, the Company used significant inputs not observable in the market to estimate the contingent consideration, made assumptions regarding the probability of the facility achieving the incremental value and then applied an appropriate discount rate. As of September 30, 2017, based on the performance2020
Property TypeNumber of
Properties
Number of
Beds/Units
Total
Real Estate
at Cost
Accumulated
Depreciation
Total
Real Estate
Investments, Net
Skilled Nursing/Transitional Care287 32,019 $3,642,653 $(360,742)$3,281,911 
Senior Housing - Leased64 4,242 707,379 (83,105)624,274 
Senior Housing - Managed47 4,924 931,655 (134,056)797,599 
Specialty Hospitals and Other27 1,193 663,982 (61,909)602,073 
425 42,378 5,945,669 (639,812)5,305,857 
Corporate Level817 (402)415 
$5,946,486 $(640,214)$5,306,272 
As of this facility, the contingent consideration liability had an estimated value of $0.3 million, which is included in accounts payable and accrued liabilities on the accompanying condensed consolidated balance sheets.December 31, 2019

Property TypeNumber of
Properties
Number of
Beds/Units
Total
Real Estate
at Cost
Accumulated
Depreciation
Total
Real Estate
Investments, Net
Skilled Nursing/Transitional Care296 33,290 $3,701,666 $(306,565)$3,395,101 
Senior Housing - Leased62 3,820 630,688 (72,278)558,410 
Senior Housing - Managed46 4,809 907,771 (112,893)794,878 
Specialty Hospitals and Other25 1,193 639,721 (47,124)592,597 
429 43,112 5,879,846 (538,860)5,340,986 
Corporate Level737 (353)384 
$5,880,583 $(539,213)$5,341,370 
During the three and nine months ended September 30, 2017, the Company recorded an increase of $0.3 million and a decrease of $0.6 million, respectively, to the contingent consideration liability. These amounts are included in other income on the accompanying condensed consolidated statements of income.
September 30, 2020December 31, 2019
Building and improvements$5,107,022 $5,042,435 
Furniture and equipment243,265 239,229 
Land improvements1,917 1,534 
Land594,282 597,385 
5,946,486 5,880,583 
Accumulated depreciation(640,214)(539,213)
$5,306,272 $5,341,370 
Operating Leases
As of September 30, 2017,2020, the substantial majority of the Company’s real estate properties (excluding 1147 Senior Housing - Managed properties)communities) were leased under triple-net operating leases with expirations ranging from less than one year to 15 years. As of September 30, 2017,2020, the leases had a weighted-average remaining term of nineeight years. The leases generally include
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provisions to extend the lease terms and other negotiated terms and conditions. The Company, through its subsidiaries, retains substantially all of the risks and benefits of ownership of the real estate assets leased to the tenants. In addition, theThe Company may receive additional security under these operating leases in the form of letters of credit and security deposits from the lessee or guarantees from the parent of the lessee. Security deposits received in cash related to tenant leases are included in accounts payable and accrued liabilities inon the accompanying condensed consolidated balance sheets and totaled $35.6$11.7 million as of September 30, 2017 and $2.7$10.5 million as of December 31, 2016. As of September 30, 2017, the Company had a $3.5 million reserve for unpaid cash rents and a $2.8 million reserve associated with accumulated straight-line rental income. As of December 31, 2016, the Company had a $3.2 million reserve for unpaid cash rents and a $3.7 million reserve associated with accumulated straight-line rental income.
The following table provides information regarding significant tenant relationships representing 10% or more of the Company's total revenues as of September 30, 2017 (dollars in thousands):
    Three Months Ended Nine Months Ended
    September 30, 2017
  Number of Investments Rental Revenue % of Total Revenue Rental Revenue % of Total Revenue
           
Genesis Healthcare, Inc. 76
 $20,257
 18.1% $60,470
 25.3%
Holiday AL Holdings, LP 21
 9,813
 8.8
 29,438
 12.3
           
The2020 and December 31, 2019, respectively, and letters of credit deposited with the Company has entered into memoranda of understanding with Genesis to market for sale 35 skilled nursing facilities (the “MOU Disposition Facilities”). Astotaled approximately $86 million and $83 million as of September 30, 2017,2020 and December 31, 2019, respectively. In addition, the Company’s tenants have deposited with the Company completed the sale$15.4 million and $14.3 million as of two of the MOU Disposition Facilities, and subsequent to September 30, 2017,2020 and December 31, 2019, respectively, for future real estate taxes, insurance expenditures and tenant improvements related to the Company’s properties and their operations, and these amounts are included in accounts payable and accrued liabilities on the accompanying condensed consolidated balance sheets.
Lessor costs that are paid by the lessor and reimbursed by the lessee are included in the measurement of variable lease revenue and the associated expense. As a result, the Company completedrecognized variable lease revenue and the saleassociated expense of two additional MOU Disposition Facilities. The Company has also entered into a definitive agreement to sell an additional 20 MOU Disposition Facilities, which is expected to be completed in$5.0 million and $15.7 million during the fourth quarter of 2017. The Company expectsthree and nine months ended September 30, 2020, respectively, and $4.0 million and $13.0 million during the remaining MOU Disposition Facilities to be sold by the end of the first quarter of 2018, though there can be no assurance that the sales will be completed in that timeframe, if at all. The Company has also begun the process of marketing for sale up to all of the remaining 43 facilities leased to Genesis, with sales expected to occur in 2018.three and nine months ended September 30, 2019, respectively.
The Company monitors the creditworthiness of its tenants by reviewing credit ratings (if available) and evaluating the ability of the tenants to meet their lease obligations to the Company based on the tenants’ financial performance, including the evaluation of any parent guarantees (or the guarantees of other related parties) of tenant lease obligations. BecauseAs formal credit ratings may not be available for most of the Company’s tenants, the primary basis for the Company’s evaluation of the credit quality of its tenants (and more specifically the tenant’s ability to pay their rent obligations to the Company) is the tenant’s lease coverage ratio or the parent’s fixed charge coverage ratio for those entities with a parent guarantee. These coverage ratios include earnings before interest, taxes, depreciation, amortization and rent (“EBITDAR”) to rent and earnings before interest, taxes, depreciation, amortization, rent and management fees (“EBITDARM”) to rent at the lease level and consolidated EBITDAR to total fixed charges at the parent guarantor level when such a guarantee exists. The Company obtains various financial and operational information from its tenants each month and reviews this information in conjunction with the above-described coverage metrics to identify financial and operational trends, evaluate the impact of the industry’s operational and financial environment (including the impact of government reimbursement), and evaluate the management of the tenant’s operations. These metrics help the Company identify potential areas of concern relative to its tenants’ credit quality and ultimately the tenant’s ability to generate sufficient liquidity to meet its obligations, including its obligation to continue to pay the rent due to the Company.

During the three months ended September 30, 2020, the auditors for Genesis Healthcare, Inc. (“Genesis”) and subsidiaries of Signature Healthcare (“Signature”) that lease facilities from the Company each expressed substantial doubt over the respective abilities of Genesis and Signature to continue as a going concern. Accordingly, the Company concluded that its leases with Genesis and Signature should no longer be accounted for on an accrual basis and wrote off $14.3 million of non-cash rent receivable balances and lease intangibles related to these leases.
For the three and nine months ended September 30, 2020, no tenant relationship represented 10% or more of the Company’s total revenues.
As of September 30, 2017,2020, the future minimum rental payments from the Company’s properties held for investment under non-cancelable operating leases waswere as follows and may materially differ from actual future rental payments received (in thousands):
October 1 through December 31, 2020$106,516 
2021431,202 
2022412,395 
2023402,083 
2024402,936 
Thereafter1,923,827 
$3,678,959 
Senior Housing - Managed Communities
The Company’s Senior Housing - Managed communities offer residents certain ancillary services that are not contemplated in the lease with each resident (i.e., housekeeping, laundry, guest meals, etc.). These services are provided and paid for in addition to the standard services included in each resident lease (i.e., room and board, standard meals, etc.). The
October 1, 2017 through December 31, 2017$146,223
2018590,222
2019599,100
2020592,748
2021582,633
Thereafter3,508,262
 $6,019,188
  
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Company bills residents for ancillary services one month in arrears and recognizes revenue as the services are provided, as the Company has no continuing performance obligation related to those services. Resident fees and services include ancillary service revenue of $0.3 million and $0.7 million for the three and nine months ended September 30, 2020, respectively, and $0.2 million and $0.5 million for the three and nine months ended September 30, 2019, respectively.
Investment in Unconsolidated Joint Venture
The Company has a 49% equity interest in the Enlivant Joint Venture with affiliates of Enlivant and TPG Real Estate, the real estate platform of TPG, that owns senior housing communities managed by Enlivant. During the nine months ended September 30, 2020, the Enlivant Joint Venture sold 12 senior housing communities for aggregate gross proceeds of $18.2 million, and the Company recorded an aggregate net loss on sale of real estate related to unconsolidated joint venture of $3.3 million. As of September 30, 2020, the Enlivant Joint Venture owned 158 senior housing communities, and the book value of the Company’s investment in the Enlivant Joint Venture was $293.8 million.
Net Investment in Direct Financing Lease
As of September 30, 2020, the Company had a $24.1 million net investment in 1 skilled nursing/transitional care facility leased to an operator under a direct financing lease, as the tenant is obligated to purchase the property at the end of the lease term. The net investment in direct financing lease is recorded in accounts receivable, prepaid expenses and other assets, net on the accompanying condensed consolidated balance sheets and represents the present value of total rental payments of $2.8 million, plus the estimated purchase price of $24.8 million, less the unearned lease income of $3.3 million and allowance for credit losses of $0.2 million as of September 30, 2020. Unearned lease income represents the excess of the minimum lease payments and residual value over the cost of the investment. Unearned lease income is deferred and amortized to income over the lease term to provide a constant yield when collectability of the lease payments is reasonably assured. Income from the Company’s net investment in direct financing lease was $0.7 million and $2.0 million for the three and nine months ended September 30, 2020, respectively, and $0.7 million and $2.0 million for the three and nine months ended September 30, 2019, respectively, and is reflected in interest and other income on the accompanying condensed consolidated statements of income. Upon adoption of Topic 326 on January 1, 2020 and as of the adoption date, the Company recorded a $0.2 million reduction in equity and increase to its allowance for credit losses due to the cumulative effect of the changes contemplated by Topic 326. During the three and nine months ended September 30, 2020, the Company reduced its allowance for credit losses by $1,000 and $38,000, respectively. Future minimum lease payments contractually due under the direct financing lease at September 30, 2020 were as follows: $0.6 million for the remainder of 2020, $2.3 million for 2021 and $0.1 million for 2022.

5.    ASSET HELD FOR SALEIMPAIRMENT OF REAL ESTATE AND DISPOSITIONS
2020
Asset Held for Sale
As of September 30, 2017,2020, the Company determined that one1 skilled nursing/transitional care facility with a net book value of $2.0$8.9 million met the criteria to be classified as an asset held for sale. The net book valuesale, and this balance is included in accounts receivable, prepaid expenses and other assets, net on the condensed consolidated balance sheets. Subsequent to September 30, 2020, the Company completed the sale of the facility for a gross sales price of $9.0 million.
2017 Impairment of Real Estate
During the nine months ended September 30, 2020, the Company recognized a $3.2 million real estate impairment related to 3 senior housing communities and 1 skilled nursing/transitional care facility.
Dispositions
During the nine months ended September 30, 2017,2020, the Company completed the sale of four7 skilled nursing/transitional care facilities for aggregate consideration, net of $11.7closing costs, of $41.1 million. The net carrying value of the assets and liabilities of these facilities was $7.1$38.3 million, which resulted in an aggregate $4.6$2.8 million net gain on sale.
2016 Dispositions
During the nine months ended September 30, 2016, the Company completed the sale of two skilled nursing/transitional care facilities and one acute care hospital for aggregate consideration of $85.4 million after selling expenses of $2.3 million. The net carrying value of the assets and liabilities of these facilities, after the impairment loss of $29.8 million recognized in relation to the acute care hospital, was $88.6 million, resulting in an aggregate $3.2 million loss on sale.
During the nine months ended September 30, 2017,2020, the Company recognized $0.3$3.9 million of net income, excludingwhich includes the $2.8 million net gain on sale, from the asset held for sale and the dispositions made during the nine months ended September 30, 2017. During the nine months ended September 30, 2016, the Company2019, recognized $38,000$11.0 million of net income, excluding the net loss, on sale andwhich includes $12.8 million of real estate impairment, in each case from the dispositions made during the nine months ended September 30, 2017 and 2016.these facilities. The sale of these facilities dodoes not represent a strategic shift that has or will have a major effect on the Company'sCompany’s operations and financial results, and therefore the results of operations attributable to these facilities have remained in continuing operations.

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2019
Impairment of Real Estate
During the nine months ended September 30, 2019, the Company recognized a $119.1 million real estate impairment, of which $95.2 million related to the 30 Senior Care Centers facilities that the Company sold and 1 additional Senior Care Centers facility that the Company transitioned to another operator, and the remaining $23.9 million related to 5 additional skilled nursing/transitional care facilities that were subsequently sold and 4 senior housing communities.
Dispositions
During the nine months ended September 30, 2019, the Company completed the sale of 31 skilled nursing/transitional care facilities and 7 senior housing communities for aggregate consideration, net of closing costs, of $315.0 million. The net carrying value of the assets and liabilities of these facilities was $313.8 million, which resulted in an aggregate $1.2 million net gain on sale.
During the nine months ended September 30, 2019, the Company recognized $65.1 million of net loss, which includes the $1.2 million net gain on sale and $69.1 million of real estate impairment, from these facilities. The sale of these facilities does not represent a strategic shift that has or will have a major effect on the Company’s operations and financial results, and therefore the results of operations attributable to these facilities have remained in continuing operations.

6.    LOANS RECEIVABLE AND OTHER INVESTMENTS
As of September 30, 20172020 and December 31, 2016,2019, the Company’s loans receivable and other investments consisted of the following (dollars in thousands):
September 30, 2020
InvestmentQuantity
as of
September 30,
2020
Property Type
Principal Balance
as of
September 30,
2020 (1)
Book Value
as of
September 30,
2020
Book Value
as of
December 31, 2019
Weighted Average Contractual Interest Rate / Rate of ReturnWeighted Average Annualized Effective Interest Rate / Rate of ReturnMaturity Date
as of
September 30,
2020
Loans Receivable:
MortgageSpecialty Hospital$19,000 $19,000 $19,000 10.0 %10.0 %01/31/27
ConstructionSenior Housing3,343 3,353 2,487 8.0 %7.8 %09/30/22
Other17 Multiple43,973 40,010 42,147 6.8 %6.9 %03/01/21- 08/31/28
19 66,316 62,363 63,634 7.8 %7.9 %
Allowance for loan losses— (1,287)(564)
$66,316 $61,076 $63,070 
Other Investments:
Preferred EquitySkilled Nursing / Senior Housing42,533 42,744 44,304 11.3 %11.3 %N/A
Total25 $108,849 $103,820 $107,374 9.2 %9.3 %
Investment Quantity as of September 30, 2017 Property Type 
Principal Balance as of September 30, 2017 (1)
 
Book Value as of
September 30, 2017
 Book Value as of
December 31, 2016
 Weighted Average Contractual Interest Rate / Rate of Return as of September 30, 2017 Maturity Date as of September 30, 2017
Loans Receivable:            
Mortgage 5
 Skilled Nursing / Senior Housing $45,064
 $42,664
 $38,262
 9.2% 11/07/16- 02/10/27
Construction 2
 Senior Housing 2,354
 2,418
 842
 8.0% 03/31/21- 05/31/22
Mezzanine 2
 Senior Housing 34,640
 28,391
 9,656
 10.3% 02/28/18- 05/25/20
Pre-development 1
 Senior Housing 2,357
 2,357
 4,023
 9.0% 04/01/20
Other 14
 Multiple 44,926
 27,859
 
 8.6% 10/28/17- 04/30/27
Debtor-in-possession 
 Acute Care Hospital 
 
 813
 N/A
 N/A
               
  24
   129,341
 103,689
 53,596
 9.3%  
               
Loan loss reserve   
 (6,211) (2,750)    
               
      $129,341
 $97,478
 $50,846
    
Other Investments:            
Preferred Equity 13
 Skilled Nursing / Senior Housing 51,833
 52,288
 45,190
 12.8% N/A
               
Total 37
   $181,174
 $149,766
 $96,036
 10.3%  
               
(1)
Principal balance includes amounts funded and accrued but unpaid interest / preferred return and excludes capitalizable fees.
In connection with the CCP Merger, the Company acquired 18 loan receivable investments with a book value of $54.1 million as of September 30, 2017.(1)    Principal balance includes amounts funded and accrued but unpaid interest / preferred return and excludes capitalizable fees.
As of September 30, 2017,2020 and December 31, 2019, the Company considered six loanhad 4 loans receivable investments, to be impaired. Thewith an aggregate principal balance of the impaired loans was $35.2$2.2 million asand $2.3 million, respectively, that were considered to have deteriorated credit quality. As of September 30, 20172020 and December 31, 2016. The Company recorded a provision for loan losses2019, the book value of $3.0the outstanding loans with deteriorated credit quality was $0.6 million and $4.8$0.8 million, related to four loan receivable investments duringrespectively.
The following table presents changes in the accretable yield for the three and nine months ended September 30, 2017, respectively, two2020 and 2019 (in thousands):
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Table of which were written-offContents
Three Months Ended September 30,Nine Months Ended September 30,
2020201920202019
Accretable yield, beginning of period$24 $112 $39 $449 
Accretion recognized in earnings(7)(53)(22)(357)
Reduction due to payoff(33)
Accretable yield, end of period$17 $59 $17 $59 
During the three months ended September 30, 2020, the Company decreased its allowance for loan losses by $0.1 million, and during the nine months ended September 30, 2017. 2020, the Company increased its allowance for loan losses by $0.7 million.
As of September 30, 2017, six2020, the Company had a $1.3 million allowance for loan losses. As of September 30, 2020, 2 loans receivable investments totaling $35.2 millionwith 0 book value were on nonaccrual status. As of September 30, 2020, the Company did not consider any preferred equity investments to be impaired, and no preferred equity investments were on nonaccrual status.
As of December 31, 2019, the Company had 0 asset-specific loan loss reserve and a $0.6 million portfolio-based loan loss reserve. As of December 31, 2019, the Company did 0t consider any loans receivable investments to be impaired. As of December 31, 2019, 2 loans receivable investments with 0 book value were on nonaccrual status. As of December 31, 2019, the Company did not consider any preferred equity investments to be impaired, and no preferred equity investments were on nonaccrual status.
During the three months ended September 30, 2019, the Company recorded 0 provision for specific loan losses, and during the nine months ended September 30, 2019, the Company recorded a $1.2 million provision for specific loan losses. During the three and nine months ended September 30, 2017,2019, the Company reducedincreased its portfolio-based loan loss reserve by $32,000 and $0.3 million, respectively. The Company's specific loan loss reserve was $6.1$0.1 million and the portfolio-based loan loss reserve was $0.1$0.2 million, as of September 30, 2017. The Company's specific loan loss reserve and portfolio-based loan loss reserve were $2.3 million and $0.4 million, respectively, as of December 31, 2016.respectively.


7.    DEBT
Secured Indebtedness
The Company’s secured debt consists of the following (dollars in thousands):
Interest Rate Type
Principal Balance as of
September 30, 2020
(1)
Principal Balance as of
December 31, 2019
(1)
Weighted Average
Interest Rate at
September 30, 2020
(2)
Maturity
Date
Fixed Rate$80,124 $114,777 3.68 %December 2021 - 
August 2051
(1)     Principal balance does not include deferred financing costs, net of $1.1 million and $1.7 million as of September 30, 2020 and December 31, 2019, respectively.
(2)     Weighted average interest rate includes private mortgage insurance.
18

Interest Rate Type
Book Value as of
September 30, 2017
(1)
 
Book Value as of
December 31, 2016
 (1)
 
Weighted Average
Effective Interest Rate at
September 30, 2017
(2)
 
Maturity
Date
Fixed Rate$161,871
 $163,638
 3.87% December 2021 - 
August 2051
Variable Rate98,500
 
 3.02% July 2019
 $260,371
 $163,638
 3.55%  
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(1)
Principal balance does not include deferred financing costs, net of $2.8 million and $2.9 million as of September 30, 2017 and December 31, 2016, respectively.
(2)
Weighted average effective interest rate includes private mortgage insurance.

On August 17, 2017, in connection with the CCP Merger (see Note 3, “CCP Merger and Recent Real Estate Acquisitions”),April 1, 2020, the Company sold 2 facilities that secured an aggregate $14.2 million of debt, which was assumed a $98.5by the buyer of the facilities. On August 1, 2020, the Company sold 1 facility that secured $17.6 million variable rate secured term loan that bears interest at LIBOR plus 1.80% and matures in July 2019.of debt, which was assumed by the buyer of the facility.
Senior Unsecured Notes
The Company’s senior unsecured notes consist of the following (dollars in thousands):
    Principal Balance as of
Title Maturity Date 
September 30, 2017 (1)
 
December 31, 2016 (1)
       
5.5% senior unsecured notes due 2021 (“2021 Notes”)

 February 1, 2021 $500,000
 $500,000
5.375% senior unsecured notes due 2023 (“2023 Notes”)

 June 1, 2023 200,000
 200,000
5.125% senior unsecured notes due 2026 (“2026 Notes”) August 15, 2026 500,000
 
5.38% senior unsecured notes due 2027 (“2027 Notes”) May 17, 2027 100,000
 
    $1,300,000
 $700,000
       
Principal Balance as of
TitleMaturity Date
September 30, 2020 (1)
December 31, 2019 (1)
4.80% senior unsecured notes due 2024 (“2024 Notes”)June 1, 2024$300,000 $300,000 
5.125% senior unsecured notes due 2026 (“2026 Notes”)August 15, 2026500,000 500,000 
5.88% senior unsecured notes due 2027 (“2027 Notes”)May 17, 2027100,000 100,000 
3.90% senior unsecured notes due 2029 (“2029 Notes”)October 15, 2029350,000 350,000 
$1,250,000 $1,250,000 
(1)
(1)    Principal balance does not include premium, net of $6.7 million and deferred financing costs, net of $8.4 million as of September 30, 2020 and does not include premium, net of $7.6 million and deferred financing costs, net of $8.8 million as of December 31, 2019.
Principal balance does not include premium, net of $16.3 million and deferred financing costs, net of $10.3 million as of September 30, 2017 and does not include discount, net of $0.5 million and deferred financing costs, net of $11.2 million as of December 31, 2016.
The 20212024 Notes and the 20232029 Notes were issued by the Operating Partnership and Sabra Capital Corporation, wholly owned subsidiaries of the Company, (the “Issuers”). The 2021 Notesand accrue interest at a rate of 5.5%4.80% and 3.90%, respectively, per annum payable semiannually on February 1 and August 1 of each year, and the 2023 Notes accrue interest at a rate of 5.375% per annumannum. Interest is payable semiannually on June 1 and December 1 of each year.year for the 2024 Notes and on April 15 and October 15 of each year for the 2029 Notes.
The 2026 Notes and the 2027 Notes were assumed as a result of the CCP Merger (see Note 3, “CCP Merger and Recent Real Estate Acquisitions”)Company’s merger with Care Capital Properties, Inc. in 2017 and accrue interest at a rate of 5.125% and 5.38%5.88%, respectively, per annum. Interest is payable semiannually on February 15 and August 15 of each year for the 2026 Notes and on May 17 and November 17 of each year for the 2027 Notes.
The obligations under the 2021 Notes, 20232024 Notes and 2027 Notes are fully and unconditionally guaranteed, jointly and severally, on an unsecured basis, by Sabra and certainone of its non-operating subsidiaries, of Sabra; provided, however, that such guarantees are subject to release under certain customary circumstances. The obligations under the 2026 Notes and 2029 Notes are fully and unconditionally guaranteed, on an unsecured basis, by Sabra; provided, however, that such guarantee is subject to release under certain customary circumstances. See Note 12, “Summarized Condensed Consolidating Information” for additional information concerning the circumstances pursuant to which the guarantors will be automatically and unconditionally released from their obligations under the guarantees.
The indentures and agreements (the “Senior Notes Indentures”) governing the 2021 Notes, 20232024 Notes, 2026 Notes, 2027 Notes and 20272029 Notes (collectively, the “Senior Notes”) include customary events of default and require the Company to comply with specified restrictive covenants. As of September 30, 2017,2020, the Company was in compliance with all applicable financial covenants under the Senior Notes Indentures.
Revolving Credit Facility and Term LoansAgreement
On January 14, 2016,September 9, 2019, the Operating Partnership and Sabra Canadian Holdings, LLC (together, the “Borrowers”), Sabra and the other parties thereto entered into a thirdfifth amended and restated unsecured credit facilityagreement (the “Prior Credit Facility”“Credit Agreement”).
The Prior Credit Facility includedAgreement includes a $1.0 billion revolving credit facility (the “Prior Revolving“Revolving Credit Facility”) and, $955.0 million in U.S. dollar term loans and a CAD $125.0 million Canadian dollar term loansloan (collectively, the “Prior Term“Term Loans”). The PriorFurther, up to $175.0 million of the Revolving Credit Facility provided for a borrowing capacity of $500.0 million and, in addition, provided for U.S. dollar and Canadian dollar term loans of $245.0 million and CAD $125.0 million, respectively. Further, up to $125.0 million of the Prior Revolving Credit Facility couldmay be used for borrowings in certain foreign currencies. The Prior Credit FacilityAgreement also containedcontains an accordion feature that allowed for ancan increase in the total available borrowings to $1.25$2.75 billion, subject to terms and conditions. In addition, the Canadian dollar term loan was re-designated as a net investment hedge (see Note 8, “Derivative and Hedging Instruments” for further information).
The Prior Revolving Credit Facility hadhas a maturity date of January 14, 2020,September 9, 2023, and included twoincludes 2 six-month extension options. The Prior$105.0 million of the U.S. dollar Term Loans hadhas a maturity date of January 14, 2021.September 9, 2022, $350.0 million of the U.S. dollar Term Loans has a maturity date of September 9, 2023, and the other Term Loans have a maturity date of September 9, 2024.
As of September 30, 2020, there was $56.0 million outstanding under the Revolving Credit Facility and $944.0 million available for borrowing.
Borrowings under the Prior Revolving Credit Facility borebear interest on the outstanding principal amount at a rate equal to ana ratings-based applicable percentageinterest margin plus, at the Operating Partnership'sPartnership’s option, either (a) LIBOR or (b) a base rate determined as the

greater of (i) the federal funds rate plus 0.5%, (ii) the prime rate, and (iii) one-month LIBOR plus 1.0% (the “Base Rate”). The applicable percentage for borrowings varied based on the Consolidated Leverage Ratio, as defined in the credit agreement for the Prior Credit Facility, and ranged from 1.80% to 2.40% per annum for LIBOR based borrowings and 0.80% to 1.40% per annum for borrowings at the Base Rate. In addition, the Operating Partnership paid an unused facility fee to the lenders equal to 0.25% or 0.30% per annum, which was determined by usage under the Prior Revolving Credit Facility.    
The Prior Term Loans bore interest as follows: the U.S. dollar term loan bore interest on the outstanding principal amount at a rate equal to an applicable percentage plus, at the Operating Partnership’s option, either (a) LIBOR or (b) the Base Rate (the applicable percentage varied based on the Consolidated Leverage Ratio, as defined in the credit agreement for the Prior Credit Facility, and ranged from 1.75% to 2.35% per annum for LIBOR based borrowings and 0.75% to 1.35% per annum for borrowings at the Base Rate); and the Canadian dollar term loan bore interest on the outstanding principal amount at a rate equal to the Canadian Dollar Offer Rate (“CDOR”) plus 1.75% to 2.35% depending on the Consolidated Leverage Ratio.
Effective on August 17, 2017, the Borrowers, Sabra and the other parties thereto entered into a fourth amended and restated unsecured credit facility (the “Credit Facility”). The Credit Facility amends and restates the Prior Credit Facility. The Company recognized a $0.6 million loss on extinguishment of debt related to write-offs of deferred financing costs in connection with amending and restating the Prior Credit Facility during the three and nine months ended September 30, 2017.
The Credit Facility includes a $1.0 billion revolving credit facility (the “Revolving Credit Facility”), $1.1 billion in U.S. dollar term loans and a CAD $125 million Canadian dollar term loan (collectively, the “Term Loans”). Further, up to $175 million of the Revolving Credit Facility may be used for borrowings in certain foreign currencies. The Credit Facility also contains an accordion feature that can increase the total available borrowings to $2.5 billion, subject to terms and conditions.
The Revolving Credit Facility has a maturity date of August 17, 2021, and includes two six-month extension options. $200 million of the U.S. dollar Term Loans has a maturity date of August 17, 2020, and the other Term Loans have a maturity date of August 17, 2022.
As of September 30, 2017, there was $251.0 million outstanding under the Revolving Credit Facility and $749.0 million available for borrowing.
Borrowings under the Revolving Credit Facility bear interest on the outstanding principal amount at a rate equal to an applicable interest margin plus, at the Operating Partnership’s option, either (a) LIBOR or (b) the Base Rate. On August 17, 2017, Sabra’s ratings met the Investment Grade Ratings Criteria (as defined in the credit agreement), and Sabra elected to use the ratings-based applicable interest margin for borrowings which will vary based on the Debt Ratings, (asas defined in the credit agreement)Credit Agreement, and will range from 0.875%0.775% to 1.65%1.45% per annum for LIBOR based borrowings and 0.00% to 0.65%0.45% per
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annum for borrowings at the Base Rate. As of September 30, 2017,2020, the interest rate on the Revolving Credit Facility was 2.47%1.25%. In addition, the Operating Partnership pays a facility fee ranging between 0.125% and 0.300% per annum based on the aggregate amount of commitments under the Revolving Credit Facility regardless of amounts outstanding thereunder.
The U.S. dollar Term Loans bear interest on the outstanding principal amount at a rate equal to ana ratings-based applicable interest margin plus, at the Operating Partnership'sPartnership’s option, either (a) LIBOR or (b) the Base Rate. The ratings-based applicable interest margin for borrowings will vary based on the Debt Ratings as defined in the credit agreement, and will range from 0.90%0.85% to 1.90%1.65% per annum for LIBOR based borrowings and 0.00% to 0.90%0.65% per annum for borrowings at the Base Rate. The Canadian dollar term loanTerm Loan bears interest on the outstanding principal amount at a rate equal to CDORthe Canadian Dollar Offered Rate (“CDOR”) plus an interest margin that will rangeranges from 0.90%0.85% to 1.90%1.65% depending on the Debt Ratings.
On June 10, 2015, theThe Company entered into anhas interest rate swap agreement to fix the CDOR portion of the interest rate for CAD $90.0 million of its Canadian term loan at 1.59%. In addition, CAD $90.0 million of the Canadian dollar term loan was designated as a net investment hedge. On August 10, 2016, the Company entered into two interest rate swap agreements to fix the LIBOR portion of the interest rate for $245.0 million of its U.S. dollar Term Loan at 0.90% and one interest rate swap agreement to fix the CDOR portion on CAD $35.0 million of its Canadian dollar term loan at 0.93%. See Note 8, “Derivative and Hedging Instruments” for further information.
As a result of the CCP Merger (see Note 3, “CCP Merger and Recent Real Estate Acquisitions”), the Company assumed eight interest rate swap agreementsswaps that fix the LIBOR portion of the interest rate for $600$845.0 million of the Company’sLIBOR-based borrowings under its U.S. dollar Term Loans at a weighted average rate of 1.31%1.24% and an interest rate swap that fixes the CDOR portion of the interest rate for $125.0 million of CDOR-based borrowings under its Canadian dollar Term Loan at a rate of 0.93%. In addition, CAD $125.0 million of the Canadian dollar Term Loan is designated as a net investment hedge. See Note 8, “Derivative and Hedging Instruments”Instruments,” for further information.
The obligations of the Borrowers under the Credit FacilityAgreement are fully and unconditionally guaranteed, jointly and severally, on an unsecured basis, by Sabra and one of its non-operating subsidiaries, subject to release under certain subsidiaries of Sabra.customary circumstances.
The Credit FacilityAgreement contains customary covenants that include restrictions or limitations on the ability to make acquisitions and other investments, pay dividends, incur additional indebtedness, engage in non-healthcare related business

activities, enter into transactions with affiliates and sell or otherwise transfer certain assets as well as customary events of default. The Credit FacilityAgreement also requires Sabra, through the Operating Partnership, to comply with specified financial covenants, which include a maximum total leverage ratio, a minimum secured debt leverage ratio, a minimum fixed charge coverage ratio, anda maximum unsecured leverage ratio, a minimum tangible net worth requirement.requirement and a minimum unsecured interest coverage ratio. As of September 30, 2017,2020, the Company was in compliance with all applicable financial covenants under the Credit Facility.Agreement.
Interest Expense
During the three and nine months ended September 30, 2017, theThe Company incurred interest expense of $24.6 million and $56.2 million, respectively, and $15.8$24.9 million and $49.1$75.9 million during the three and nine months ended September 30, 2016,2020, respectively, and $29.3 million and $99.2 million during the three and nine months ended September 30, 2019, respectively. Interest expense includes financing costs amortizationnon-cash interest expense of $1.6$2.1 million and $4.1$6.5 million for the three and nine months ended September 30, 2017,2020, respectively, and $1.3$2.5 million and $3.8$7.8 million for the three and nine months ended September 30, 2016,2019, respectively. As of September 30, 20172020 and December 31, 2016,2019, the Company had $15.4$18.1 million and $13.8$16.7 million,, respectively, of accrued interest included in accounts payable and accrued liabilities on the accompanying condensed consolidated balance sheets.
Maturities
The following is a schedule of maturities for the Company’s outstanding debt as of September 30, 20172020 (in thousands): 
Secured
Indebtedness
Revolving Credit
    Facility (1)
Term LoansSenior NotesTotal
October 1 through December 31, 2020$655 $$$$655 
202117,689 17,689 
20222,412 105,000 107,412 
20232,478 56,000 350,000 408,478 
20242,545 593,538 300,000 896,083 
Thereafter54,345 950,000 1,004,345 
Total Debt80,124 56,000 1,048,538 1,250,000 2,434,662 
Premium, net6,740 6,740 
Deferred financing costs, net(1,149)(8,853)(8,416)(18,418)
Total Debt, Net$78,975 $56,000 $1,039,685 $1,248,324 $2,422,984 
  
Secured
Indebtedness 
 
Revolving Credit
    Facility (1)
 Term Loans Senior Notes Total
October 1, 2017 through December 31, 2017 $1,054
 $
 $
 $
 $1,054
2018 4,304
 
 
 
 4,304
2019 102,948
 
 
 
 102,948
2020 4,598
 
 200,000
 
 204,598
2021 20,587
 251,000
 
 500,000
 771,587
Thereafter 126,880
 
 1,000,225
 800,000
 1,927,105
Total Debt 260,371
 251,000
 1,200,225
 1,300,000
 3,011,596
Premium, net 
 
 
 16,259
 16,259
Deferred financing costs, net (2,800) 
 (9,338) (10,263) (22,401)
Total Debt, Net $257,571
 $251,000
 $1,190,887
 $1,305,996
 $3,005,454
(1)    Revolving Credit Facility is subject to 2 six-month extension options.
(1)
Revolving Credit Facility is subject to two six-month extension options.
    
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8.    DERIVATIVE AND HEDGING INSTRUMENTS
The Company is exposed to various market risks, including the potential loss arising from adverse changes in interest rates and foreign exchange rates. The Company enters into derivative financial instruments to manage exposures that arise from business activities that result in the receipt or payment of future known and uncertain cash amounts, the value of which are determined by interest rates and foreign exchange rates. The Company’s derivative financial instruments are used to manage differences in the amount of the Company’s known or expected cash receipts and its known or expected cash payments principally related to the Company’s investments and borrowings.
Certain of the Company’s foreign operations expose the Company to fluctuations of foreign interest rates and exchange rates. These fluctuations may impact the value in the Company’s functional currency, the U.S. dollar, of the Company’s investment in foreign operations, the cash receipts and payments related to these foreign operations and payments of interest and principal under Canadian dollar denominated debt. The Company enters into derivative financial instruments to protect the value of its foreign investments and fix a portion of the interest payments for certain debt obligations. The Company does not enter into derivatives for speculative purposes.
Cash Flow Hedges
The Company’s objectives in using interest rate derivatives are to add stability to interest expense and to manage its exposure to interest rate movements. To accomplish these objectives, the Company primarily uses interest rate swaps and collars as part of its interest rate risk management strategy. Approximately $3.5 million of losses, which are included in accumulated other comprehensive loss, as of September 30, 2017, are expected to be reclassified into earnings inIn May 2019, the next 12 months. In 2016 the

Company terminated its3 forward starting interest rate cap, generating cash proceeds of $0.3swaps, resulting in a payment to counterparties totaling $12.6 million. The balance of the loss in other comprehensive income will be reclassified to earnings through 2019.2029. As of September 30, 2020, approximately $12.5 million of losses, which are included in accumulated other comprehensive income, are expected to be reclassified into earnings in the next 12 months.
Net Investment Hedges
The Company is exposed to fluctuations in foreign exchange rates on investments it holds in Canada. The Company uses cross currency interest rate swaps to hedge its exposure to changes in foreign exchange rates on these foreign investments.
The following presents the notional amount of derivativesderivative instruments as of the dates indicated (in thousands):
September 30, 2020December 31, 2019
Derivatives designated as cash flow hedges:
Denominated in U.S. Dollars (1)
$1,340,000 $1,490,000 
Denominated in Canadian Dollars (2)
$250,000 $125,000 
Derivatives designated as net investment hedges:
Denominated in Canadian Dollars$53,239 $54,489 
Financial instrument designated as net investment hedge:
Denominated in Canadian Dollars$125,000 $125,000 
Derivatives not designated as net investment hedges:
Denominated in Canadian Dollars$3,061 $1,811 
(1) Balance includes swaps with an aggregate notional value of $400.0 million, which accretes to $600.0 million in January 2023, and 2 forward starting interest rate swaps and 1 forward starting interest rate collar with an effective date of January 2021. The forward starting interest rate swaps and forward starting interest rate collar have an aggregate notional amount of $245.0 million. Balance as of September 30, 2020 also includes 6 forward starting interest rate swaps with an effective date of May 2024 and an aggregate notional amount of $250.0 million.
(2)    Balance as of September 30, 2020 includes 2 forward starting interest rate swaps with an effective date of January 2021 and an aggregate notional amount of CAD $125.0 million.
21

  September 30, 2017 December 31, 2016
Derivatives designated as cash flow hedges:

    
Denominated in U.S. Dollars $845,000
 $245,000
Denominated in Canadian Dollars $125,000
 $125,000
     
Derivatives designated as net investment hedges:    
Denominated in Canadian Dollars $56,300
 $56,300
     
Financial instrument designated as net investment hedge:    
Denominated in Canadian Dollars $125,000
 $125,000
     
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Derivative and Financial Instruments Designated as Hedging Instruments
The following is a summary of the derivative and financial instruments designated as hedging instruments held by the Company at September 30, 20172020 and December 31, 20162019 (dollars in thousands):    
   Fair Value Maturity Dates Count as of September 30, 2020Fair ValueMaturity Dates
Type Designation Count as of September 30, 2017 September 30, 2017 December 31, 2016 Balance Sheet LocationTypeDesignationSeptember 30, 2020December 31, 2019Balance Sheet Location
Assets:       Assets:
Interest rate swap Cash flow 12
 $18,957
 $8,083
 2020 - 2023 Accounts receivable, prepaid expenses and other assets, net
Interest rate swapsInterest rate swapsCash flow$$4,239 N/AAccounts receivable, prepaid expenses and other assets, net
Forward starting interest rate swapsForward starting interest rate swapsCash flow3,840 2034Accounts receivable, prepaid expenses and other assets, net
Cross currency interest rate swaps Net investment 2
 827
 3,157
 2025 Accounts receivable, prepaid expenses and other assets, netCross currency interest rate swapsNet investment4,633 3,238 2025Accounts receivable, prepaid expenses and other assets, net
   $19,784
 $11,240
 $8,473 $7,477 
       
Liabilities:       Liabilities:
Interest rate swap Cash flow 
 $
 $716
 2020 Accounts payable and accrued liabilities
Interest rate swapsInterest rate swapsCash flow11 $28,494 $2021- 2024Accounts payable and accrued liabilities
Forward starting interest rate swapsForward starting interest rate swapsCash flow10,742 494 2024Accounts payable and accrued liabilities
Forward starting interest rate collarsForward starting interest rate collarsCash flow902 132 2024Accounts payable and accrued liabilities
CAD term loan Net investment 1
 100,225
 93,000
 2022 Term loans, netCAD term loanNet investment93,538 96,025 2024Term loans, net
   $100,225
 $93,716
 $133,676 $96,651 
       
The following presents the effect of the Company’s derivative and financial instruments designated as hedging instruments on the condensed consolidated statements of income and the condensed consolidated statements of equity for the three and nine months ended September 30, 20172020 and 2019 (in thousands):
Gain (Loss) Recognized in Other Comprehensive Income (Loss)
Three Months Ended September 30,Nine Months Ended September 30,
2020201920202019Income Statement Location
Cash Flow Hedges:
Interest rate products$3,836 $(8,196)$(42,826)$(27,933)Interest expense
Net Investment Hedges:
Foreign currency products(1,044)1,273 1,544 (3)N/A
CAD term loan(1,913)1,088 2,488 (2,700)N/A
$879 $(5,835)$(38,794)$(30,636)
  Gain (Loss) Recognized in Other Comprehensive Income
(Effective Portion)
 Income Statement Location
  Three Months Ended September 30, Nine Months Ended September 30,  
  2017 2016 2017 2016  
           
Cash Flow Hedges:          
Interest rate products $4,372
 $(40) $4,462
 $(2,019) Interest expense
Net Investment Hedges:          
Foreign currency products (1,080) 102
 (2,239) (2,118) N/A
CAD term loan (3,938) 1,363
 (7,225) (5,863) N/A
           
  $(646) $1,425
 $(5,002) $(10,000)  
           

  Loss Reclassified from Accumulated Other Comprehensive Income into Income (Effective Portion) Income Statement Location
  Three Months Ended September 30, Nine Months Ended September 30,  
  2017 2016 2017 2016  
      
Cash Flow Hedges:          
Interest rate products $(535) $(413) $(1,404) $(802) Interest expense
Net Investment Hedges:          
Foreign currency products 
 
 
 
 N/A
CAD term loan 
 
 
 
 N/A
           
  $(535) $(413) $(1,404) $(802)  
           
The Company determined that a portion of a cash flow hedge was ineffective and recognized $30,000 and $0.1 million of unrealized losses during the three and nine months ended September 30, 2017, respectively, related to its interest rate swaps to other income in the condensed consolidated statements of income. During the three and nine months ended September 30, 2016, the Company determined that a portion of a cash flow hedge was ineffective and recognized $0.4 million of unrealized gains related to its interest rate swaps to other income in the condensed consolidated statements of income.
Derivatives Not Designated as Hedging Instruments
(Loss) Gain Reclassified from Accumulated Other Comprehensive Income (Loss) into Income
Three Months Ended September 30,Nine Months Ended September 30,
2020201920202019Income Statement Location
Cash Flow Hedges:
Interest rate products$(2,985)$1,173 $(5,148)$4,781 Interest expense
During the three and nine months ended September 30, 2017,2020 and 2019, 0 cash flow hedges were determined to be ineffective.
Derivatives Not Designated as Hedging Instruments
As of September 30, 2020, the Company had 1 outstanding cross currency interest rate swap, of which a portion was not designated as a hedging instrument, in an asset position with a fair value of $0.3 million and included this amount in accounts receivable, prepaid expenses and other assets, net on the condensed consolidated balance sheets. During the three and nine months ended September 30, 2020, the Company recorded $0$0.1 million of other expense and $8,000,$13,000 of other income, respectively, related to this portion of the derivative not designated as a hedging instrument. During the three and nine months
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ended September 30, 2019, the Company recorded $38,000 and $31,000, respectively, of other expenseincome related to a portion of a cross currency interest rate swap not designated as a hedging instrument. As of September 30, 2017 and December 31, 2016, the Company's derivatives were all designated as hedging instruments.
Offsetting Derivatives
The Company enters into master netting arrangements, which reduce credit risk by permitting net settlement of transactions with the same counterparty. The table below presents a gross presentation, the effects of offsetting, and a net presentation of the Company’s derivatives as of September 30, 20172020 and December 31, 20162019 (in thousands):
As of September 30, 2020
Gross Amounts of Recognized Assets / LiabilitiesGross Amounts Offset in the Balance SheetNet Amounts of Assets / Liabilities presented in the Balance SheetGross Amounts Not Offset in the Balance Sheet
Financial InstrumentsCash Collateral ReceivedNet Amount
Offsetting Assets:
Derivatives$8,473 $$8,473 $(7,405)$$1,068 
Offsetting Liabilities:
Derivatives$40,138 $$40,138 $(7,405)$$32,733 
 As of September 30, 2017As of December 31, 2019
       Gross Amounts Not Offset in the Balance Sheet  Gross Amounts of Recognized Assets / LiabilitiesGross Amounts Offset in the Balance SheetNet Amounts of Assets / Liabilities presented in the Balance SheetGross Amounts Not Offset in the Balance Sheet
 Gross Amounts of Recognized Assets / Liabilities Gross Amounts Offset in the Balance Sheet Net Amounts of Assets / Liabilities presented in the Balance Sheet Financial Instruments Cash Collateral Received Net AmountFinancial InstrumentsCash Collateral ReceivedNet Amount
Offsetting Assets:            Offsetting Assets:
Derivatives $20,273
 $
 $20,273
 $
 $
 $20,273
Derivatives$7,477 $$7,477 $(544)$$6,933 
Offsetting Liabilities:            Offsetting Liabilities:
Derivatives $
 $
 $
 $
 $
 $
Derivatives$626 $$626 $(544)$$82 
            
  As of December 31, 2016
        Gross Amounts Not Offset in the Balance Sheet  
  Gross Amounts of Recognized Assets / Liabilities Gross Amounts Offset in the Balance Sheet Net Amounts of Assets / Liabilities presented in the Balance Sheet Financial Instruments Cash Collateral Received Net Amount
Offsetting Assets:            
Derivatives $11,240
 $
 $11,240
 $(716) $
 $10,524
Offsetting Liabilities:            
Derivatives $716
 $
 $716
 $(716) $
 $
             

Credit-risk-relatedCredit Risk-related Contingent Features
The Company has agreements with each of its derivative counterparties that contain a provision pursuant to which the Company could be declared in default on the derivative obligation if the Company defaults on any of its indebtedness, including a default where repayment of the indebtedness has not been accelerated by the lender.
As of September 30, 2017,2020, the Company had no derivatives with a fair value of derivatives in a net liability position.position, which includes accrued interest but excludes any adjustment for nonperformance risk, related to these agreements was $34.3 million. As of September 30, 2020, the Company has not posted any collateral related to these agreements. If the Company had breached any of these provisions at September 30, 2020, it could have been required to settle its obligations under the agreements at their termination value of $32.7 million.


9.    FAIR VALUE DISCLOSURES
Financial Instruments
The fair value for certain financial instruments is derived using a combination of market quotes, pricing models and other valuation techniques that involve significant management judgment. The price transparency of financial instruments is a key determinant of the degree of judgment involved in determining the fair value of the Company’s financial instruments.
Financial instruments for which actively quoted prices or pricing parameters are available and whose markets contain orderly transactions will generally have a higher degree of price transparency than financial instruments whose markets are inactive or consist of non-orderly trades. The Company evaluates several factors when determining if a market is inactive or when market transactions are not orderly. The carrying values of cash and cash equivalents, restricted cash, accounts payable, accrued liabilities and the Credit FacilityAgreement are reasonable estimates of fair value because of the short-term maturities of these instruments. Fair values for other financial instruments are derived as follows:
Loans receivable: These instruments are presented inon the accompanying condensed consolidated balance sheets at their amortized cost and not at fair value. The fair values of the loans receivable were estimated using an internal valuation model that considered the expected cash flows for the loans receivable, as well as the underlying collateral value and other credit
23

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enhancements as applicable. The Company utilized discount rates ranging from 6% to 16% with a weighted average rate of 12% in its fair value calculation. As such, the Company classifies these instruments as Level 3.
Preferred equity investments: These instruments are presented inon the accompanying condensed consolidated balance sheets at their cost and not at fair value. The fair values of the preferred equity investments were estimated using an internal valuation model that considered the expected future cash flows for the preferred equity investment,investments, the underlying collateral value and other credit enhancements. The Company utilized discount rates ranging from 10% to 15% with a weighted average rate of 11% in its fair value calculation. As such, the Company classifies these instruments as Level 3.
Derivative instruments: The Company’s derivative instruments are presented at fair value on the accompanying condensed consolidated balance sheets. The Company estimates the fair value of derivative instruments, including its interest rate swaps and cross currency swaps, using the assistance of a third party using inputs that are observable in the market, which include forward yield curves and other relevant information. Although the Company has determined that the majority of the inputs used to value its derivative financial instruments fall within Level 2 of the fair value hierarchy, the credit valuation adjustments associated with its derivative financial instruments utilize Level 3 inputs, such as estimates of current credit spreads, to evaluate the likelihood of default by itself and its counterparties. The Company has assessed the significance of the impact of the credit valuation adjustments on the overall valuation of its derivative positions and has determined that the credit valuation adjustments are not significant to the overall valuation of its derivative financial instruments. As a result, the Company has determined that its derivative financial instruments valuations in their entirety are classified in Level 2 of the fair value hierarchy.
Senior Notes: These instruments are presented inon the accompanying condensed consolidated balance sheets at their outstanding principal balance, net of unamortized deferred financing costs and premiums/discounts and not at fair value. The fair values of the Senior Notes were determined using third-party market quotes derived from orderly trades. As such, the Company classifies these instruments as Level 2.
Secured indebtedness: These instruments are presented inon the accompanying condensed consolidated balance sheets at their outstanding principal balance, net of unamortized deferred financing costs and premiums/discounts and not at fair value. The fair values of the Company’s secured debt were estimated using a discounted cash flow analysis based on management’s estimates of current market interest rates for instruments with similar characteristics, including remaining loan term, loan-to-value ratio, type of collateral and other credit enhancements. The Company utilized rates ranging from 2% to 3% with a weighted average rate of 3% in its fair value calculation. As such, the Company classifies these instruments as Level 3.

The following are the face values, carrying amounts and fair values of the Company’s financial instruments as of September 30, 20172020 and December 31, 20162019 whose carrying amounts do not approximate their fair value (in thousands):
 September 30, 2020December 31, 2019
 
Face
Value
(1)
Carrying
Amount (2)
Fair
Value
Face
Value
(1)
Carrying
Amount
(2)
Fair
Value
Financial assets:
Loans receivable$66,316 $61,076 $56,956 $67,527 $63,070 $59,832 
Preferred equity investments42,533 42,744 43,039 43,893 44,304 44,493 
Financial liabilities:
Senior Notes1,250,000 1,248,324 1,311,354 1,250,000 1,248,773 1,328,714 
Secured indebtedness80,124 78,975 79,249 114,777 113,070 105,510 
(1)    Face value represents amounts contractually due under the terms of the respective agreements.
(2)    Carrying amount represents the book value of financial instruments, including unamortized premiums/discounts and deferred financing costs.
24

 September 30, 2017 December 31, 2016
 
Face
Value
(1)
 
Carrying
Amount (2)
 
Fair
Value
 
Face
Value
(1)
 
Carrying
Amount
(2)
 
Fair
Value
Financial assets:           
Loans receivable$129,341
 $97,478
 $97,722
 $53,484
 $50,846
 $51,914
Preferred equity investments51,833
 52,288
 52,926
 44,882
 45,190
 48,332
Financial liabilities:           
Senior Notes1,300,000
 1,305,996
 1,341,106
 700,000
 688,246
 709,500
Secured indebtedness260,371
 257,571
 248,041
 163,638
 160,752
 150,091
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(1)
Face value represents amounts contractually due under the terms of the respective agreements.
(2)
Carrying amount represents the book value of financial instruments, including unamortized premiums/discounts and deferred financing costs.
The Company determined the fair value of financial instruments as of September 30, 20172020 whose carrying amounts do not approximate their fair value with valuation methods utilizing the following types of inputs (in thousands):
  Fair Value Measurements UsingFair Value Measurements Using
  Quoted Prices in Active Markets for Identical Assets Significant Other Observable Inputs Significant Unobservable InputsQuoted Prices in Active Markets for Identical Assets
(Level 1)
Significant Other Observable Inputs
(Level 2)
Significant Unobservable Inputs
(Level 3)
Total (Level 1) (Level 2) (Level 3)Total
Financial assets:       Financial assets:
Loans receivable$97,722
 $
 $
 $97,722
Loans receivable$56,956 $$$56,956 
Preferred equity investments52,926
 
 
 52,926
Preferred equity investments43,039 43,039 
Financial liabilities:       Financial liabilities:
Senior Notes1,341,106
 
 1,341,106
 
Senior Notes1,311,354 1,311,354 
Secured indebtedness248,041
 
 
 248,041
Secured indebtedness79,249 79,249 
Disclosure of the fair value of financial instruments is based on pertinent information available to the Company at the applicable dates and requires a significant amount of judgment. Despite increased capital market and credit market activity, transactionTransaction volume for certain of the Company’s financial instruments remains relatively low. Thislow, which has made the estimation of fair values difficult and, therefore,difficult. Therefore, both the actual results and the Company’s estimate of fair value at a future date could be materially different.

Items Measured at Fair Value on a Recurring Basis
During the nine months ended September 30, 2017,2020, the Company recorded the following amounts measured at fair value (in thousands):
Fair Value Measurements Using
Quoted Prices in Active Markets for Identical Assets
(Level 1)
Significant Other Observable Inputs
(Level 2)
Significant Unobservable Inputs
(Level 3)
Total
Recurring Basis:
Financial assets:
Forward starting interest rate swaps$3,840 $$3,840 $
Cross currency interest rate swaps4,633 4,633 
Financial liabilities:
Interest rate swaps28,494 28,494 
Forward starting interest rate swaps10,742 10,742 
Forward starting interest rate collars902 902 

10.    EQUITY
   Fair Value Measurements Using
   Quoted Prices in Active Markets for Identical Assets Significant Other Observable Inputs Significant Unobservable Inputs
 Total (Level 1) (Level 2) (Level 3)
Recurring Basis:       
Financial assets:       
Interest rate swap$18,957
 $
 $18,957
 $
Cross currency swap827
 
 827
 
Financial liabilities:       
Contingent consideration liability266
 
 266
 
Common Stock
On December 11, 2019, the Company established an at-the-market equity offering program (the “ATM Program”) pursuant to which shares of its common stock having an aggregate gross sales price of up to $400.0 million may be sold from time to time (i) by the Company through a consortium of banks acting as sales agents or directly to the banks acting as principals or (ii) by a consortium of banks acting as forward sellers on behalf of any forward purchasers pursuant to a forward sale agreement. The use of a forward sale agreement would allow the Company to lock in a share price on the sale of shares at the time the agreement is effective, but defer receiving the proceeds from the sale of the shares until a later date. The Company entered into contingent consideration arrangements asmay also elect to cash settle or net share settle all or a resultportion of its obligations under any forward sale agreement.
During the three acquisitionsmonths ended September 30, 2020, the Company sold 1.4 million shares under the ATM Program at an average price of real estate (see Note 4, “Real Estate Properties Held for Investment”).$15.70 per share, generating gross proceeds of $21.4 million, before $0.3 million of commissions. During the nine months ended September 30, 2017, one earn-out arrangement expired and resulted in a $0 payout and a second earn-out arrangement was terminated in connection with the transition of the eight senior housing communities to Senior Housing - Managed properties. In order to determine the fair value of the Company’s remaining contingent consideration arrangement,2020, the Company used significant inputs not observable insold 1.6 million shares under the marketATM Program at an average price of

to estimate the contingent consideration. The Company used financial information provided by the facility to estimate the possible payout.$16.26 per share, generating gross proceeds of $25.3 million, before $0.4 million of commissions. As of September 30, 2017, the total contingent consideration liability had an estimated value of $0.3 million.
The following reconciliation provides the details of activity for contingent consideration liability recorded at fair value using Level 3 inputs (in thousands):
Balance as of December 31, 2016$818
Decrease in contingent consideration liability(552)
Balance as of September 30, 2017$266
During the three and nine months ended September 30, 2017,2020, the Company recorded an increase of $0.3 million and a decrease of $0.6 million, respectively, tohas not utilized the contingent consideration liability. These amounts are included in other income on the accompanying condensed consolidated statements of income.

10.    EQUITY
Preferred Stock
On March 21, 2013, the Company completed an underwritten public offering of 5.8 million shares of 7.125% Series A Cumulative Redeemable Preferred Stock (the “Series A Preferred Stock”) at a price of $25.00 per share, pursuant to an effective registration statement. The Company received net proceeds of $138.3 million from the offering, after deducting underwriting discounts and other offering expenses. The Company classified the par value as preferred equity on its condensed consolidated balance sheets with the balanceforward feature of the liquidation preference, net of any issuance costs, recorded as an increase in paid-in capital.
The holders of the Company’s Series A Preferred Stock rank senior to the Company’s common stock with respect to dividend rightsATM Program and rights upon the Company’s liquidation, dissolution or winding up of its affairs. At September 30, 2017, there were no dividends in arrears.
The Series A Preferred Stock does not have a stated maturity date, but the Company may redeem the Series A Preferred Stock on or after March 21, 2018, for $25.00 per share, plus any accrued and unpaid dividends. The Company may redeem the Series A Preferred Stock prior to March 21, 2018, in limited circumstances to preserve its status as a REIT or pursuant to a specified change of control. Upon the occurrence of a specified change of control (which did not include the CCP Merger), each holder of Series A Preferred Stock will have the right to convert some or all of the shares of Series A Preferred Stock held by such holder into a number of shares of the Company’s common stock equivalent to $25.00 plus accrued and unpaid dividends, but not to exceed a cap of 1.7864 shares of common stock per share of Series A Preferred Stock (subject to certain adjustments).
Common Stock
As a result of the CCP Merger completed on August 17, 2017, the Company issued approximately 94.0had $314.7 million shares of its common stock in exchange for shares of CCP common stock and shares underlying share-based awards assumed by the Company outstanding as of the effective time of the CCP Merger.
On September 28, 2017, the Company completed an underwritten public offering of 16.0 million newly issued shares of its common stock pursuant to an effective registration statement. The Company received net proceeds, before expenses, of $322.6 million from the offering, after giving effect to the issuance and sale of all 16.0 million shares of common stock, at a price of $21.00 per share. These proceeds were used to repay borrowings outstandingavailable under the Revolving Credit Facility.ATM Program.
The underwriters exercised their option to purchase additional shares, and on October 2, 2017, the Company issued an additional 2.4 million newly issued shares of its common stock pursuant to an effective registration statement at a price of $21.00 per share, resulting in additional net proceeds, before expenses, of $48.4 million.
The following table lists the cash dividends on common stock declared and paid by the Company during the nine months ended September 30, 2017:
Declaration Date Record Date Amount Per Share Dividend Payable Date
February 3, 2017 February 15, 2017 $0.42
 February 28, 2017
May 8, 2017 May 18, 2017 $0.43
 May 31, 2017
August 2, 2017 August 16, 2017 $0.3598913
(1) 
August 18, 2017

(1) Represents the previous full quarter dividend of $0.43 per share, prorated based on the time from the prior dividend payable date of May 31, 2017 through August 16, 2017.
During the nine months ended September 30, 2017,2020:
Declaration DateRecord DateAmount Per ShareDividend Payable Date
February 4, 2020February 14, 2020$0.45 February 28, 2020
May 6, 2020May 18, 2020$0.30 May 29, 2020
August 5, 2020August 17, 2020$0.30 August 31, 2020
During the nine months ended September 30, 2020, the Company issued 0.1 million164,224 shares of common stock as a result of restricted stock unit vestings and in connection with amounts payable under the Company's 2016 Bonus Plan pursuant to an election by certain participants to receive their bonus in the form of an equity award.vestings.
Upon any payment of shares to employees as a result of restricted stock unit vestings, the employees’ related tax withholding obligation will generally be satisfied by the Company, reducing the number of shares to be delivered by a number of shares necessary to satisfy the related applicable tax withholding obligation. During the nine months ended September 30, 2017,2020 and 2019, the Company incurred $2.8$0.9 million and $1.3 million, respectively, in tax withholding obligations on behalf of its employees that were satisfied through a reduction in the number of shares delivered to those participants.
Accumulated Other Comprehensive Income (Loss)Loss

The following is a summary of the Company’s accumulated other comprehensive loss (in thousands):
  September 30, 2017 December 31, 2016
Foreign currency translation loss $(2,515) $(3,067)
Unrealized gains on cash flow hedges 6,751
 1,269
     
Total accumulated other comprehensive income (loss) $4,236
 $(1,798)
     
September 30, 2020December 31, 2019
Foreign currency translation loss$(702)$(1,516)
Unrealized loss on cash flow hedges(48,468)(10,872)
Total accumulated other comprehensive loss$(49,170)$(12,388)


11.    EARNINGS PER COMMON SHARE
The following table illustrates the computation of basic and diluted earnings per share for the three and nine months ended September 30, 20172020 and 20162019 (in thousands, except share and per share amounts):
Three Months Ended September 30,Nine Months Ended September 30,
2020201920202019
Numerator
Net income attributable to common stockholders$36,460 $23,282 $101,300 $29,255 
Denominator
Basic weighted average common shares and common equivalents205,791,699 190,650,400 205,592,806 183,578,254 
Dilutive restricted stock units935,468 1,301,989 849,868 1,120,157 
Diluted weighted average common shares206,727,167 191,952,389 206,442,674 184,698,411 
Net income attributable to common stockholders, per:
Basic common share$0.18 $0.12 $0.49 $0.16 
Diluted common share$0.18 $0.12 $0.49 $0.16 
  Three Months Ended September 30, Nine Months Ended September 30,
  2017 2016 2017 2016
Numerator        
Net income attributable to common stockholders $12,534
 $22,776
 $46,756
 $39,419
         
Denominator        
Basic weighted average common shares and common equivalents 112,149,638
 65,312,288
 81,150,846
 65,285,591
Dilutive restricted stock units 268,462
 279,140
 278,198
 184,998
         
Diluted weighted average common shares 112,418,100
 65,591,428
 81,429,044
 65,470,589
         
Net income attributable to common stockholders, per:        
         
Basic common share $0.11
 $0.35
 $0.58
 $0.60
         
Diluted common share $0.11
 $0.35
 $0.57
 $0.60
         
During the three and nine months ended September 30, 2017,2020, approximately 6,80099,700 and 23,100113,300 restricted stock units, respectively, were not included in computing diluted earnings per share because they were considered anti-dilutive. During the three months ended September 30, 2019, 0 restricted stock units were considered anti-dilutive, and during the nine months ended September 30, 2016,2019, approximately 1,200 and 15,600430 restricted stock units respectively, were not included in computing diluted earnings per share because they were considered anti-dilutive. No stock options were considered


anti-dilutive during the three and nine months ended September 30, 2017 and no stock options were outstanding during three and nine months ended September 30, 2016.
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12.    SUMMARIZED CONDENSED CONSOLIDATING INFORMATION
In connection with the offerings of the 2021 Notes and the 2023 Notes by the Issuers, the Company and certain 100% owned subsidiaries of the Company (the “Guarantors”) have, jointly and severally, fully and unconditionally guaranteed the 2021 Notes and the 2023 Notes, subject to release under certain customary circumstances as described below. In connection with the assumption of the 2026 Notes as a result of the CCP Merger (see Note 3, “CCP Merger and Recent Real Estate Acquisitions”), the Company has fully and unconditionally guaranteed the 2026 Notes, subject to release under certain circumstances as described below. These guarantees are subordinated to all existing and future senior debt and senior guarantees of the Guarantors and are unsecured. The Company conducts all of its business through and derives virtually all of its income from its subsidiaries. Therefore, the Company’s ability to make required payments with respect to its indebtedness (including the Senior Notes) and other obligations depends on the financial results and condition of its subsidiaries and its ability to receive funds from its subsidiaries.
A Guarantor will be automatically and unconditionally released from its obligations under the guarantees with respect to the 2021 Notes and the 2023 Notes in the event of:
Any sale of the subsidiary Guarantor or of all or substantially all of its assets;
A merger or consolidation of a subsidiary Guarantor with an issuer of the 2021 Notes or the 2023 Notes or another Guarantor, provided that the surviving entity remains a Guarantor;
A subsidiary Guarantor is declared “unrestricted” for covenant purposes under the indentures governing the 2021 Notes or the 2023 Notes;
The requirements for legal defeasance or covenant defeasance or to discharge the indentures governing the 2021 Notes or the 2023 Notes have been satisfied;
A liquidation or dissolution, to the extent permitted under the indentures governing the 2021 Notes or the 2023 Notes, of a subsidiary Guarantor; or
The release or discharge of the guaranty that resulted in the creation of the subsidiary guaranty, except a discharge or release by or as a result of payment under such guaranty.
The Company will be automatically and unconditionally released from its obligations under the guarantees with respect to the 2026 Notes in the event of:
A liquidation or dissolution, to the extent permitted under the indenture governing the 2026 Notes;
A merger or consolidation, provided that the surviving entity remains a Guarantor; or
The requirements for legal defeasance or covenant defeasance or to discharge the indenture governing the 2026 Notes have been satisfied.
Pursuant to Rule 3-10 of Regulation S-X, the following summarized condensed consolidating information is provided for the Company (the “Parent Company”), the Issuers, the Guarantors, and the Company’s non-Guarantor subsidiaries with respect to the 2021 Notes and the 2023 Notes. This summarized financial information has been prepared from the books and records maintained by the Company, the Issuers, the Guarantors and the non-Guarantor subsidiaries. The summarized financial information may not necessarily be indicative of the results of operations or financial position had the Issuers, the Guarantors or non-Guarantor subsidiaries operated as independent entities. Sabra’s investments in its consolidated subsidiaries are presented based upon Sabra's proportionate share of each subsidiary's net assets. The Guarantor subsidiaries’ investments in the non-Guarantor subsidiaries and non-Guarantor subsidiaries’ investments in Guarantor subsidiaries are presented under the equity method of accounting. Intercompany activities between subsidiaries and the Parent Company are presented within operating activities on the condensed consolidating statement of cash flows.
Condensed consolidating financial statements for the Company and its subsidiaries, including the Parent Company only, the Issuers, the combined Guarantor subsidiaries and the combined non-Guarantor subsidiaries, are as follows:

CONDENSED CONSOLIDATING BALANCE SHEET
September 30, 2017
(in thousands)
(unaudited)
     
Combined Non-Guarantor Subsidiaries of 2026 Notes(6)
    
 
Parent
Company
(1)
 
Operating Partnership(2)
 
Sabra Capital Corporation(3)
 
Combined
Guarantor
Subsidiaries of 2021 Notes and 2023 Notes
(4)
 
Combined Non-
Guarantor
Subsidiaries of 2021 Notes and 2023 Notes
(5)
 Elimination Consolidated
Assets             
Real estate investments, net of accumulated depreciation$174
 $
 $
 $1,832,335
 $4,140,276
 $
 $5,972,785
Loans receivable and other investments, net(140) 
 
 89,911
 59,995
 
 149,766
Cash and cash equivalents25,214
 
 
 1,014
 4,645
 
 30,873
Restricted cash
 
 
 2,038
 10,451
 
 12,489
Lease intangible assets, net
 
 
 22,801
 240,016
 
 262,817
Accounts receivable, prepaid expenses and other assets, net2,219
 30,483
 
 87,304
 43,771
 (4,200) 159,577
Intercompany2,618,618
 2,339,272
 
 
 
 (4,957,890) 
Investment in subsidiaries744,470
 1,040,196
 
 12,833
 
 (1,797,499) 
Total assets$3,390,555
 $3,409,951
 $
 $2,048,236
 $4,499,154
 $(6,759,589) $6,588,307
              
Liabilities             
Secured debt, net$
 $
 $
 $
 $257,571
 $
 $257,571
Revolving credit facility
 251,000
 
 
 
 
 251,000
Term loans, net
 1,091,939
 
 98,948
 
 
 1,190,887
Senior unsecured notes, net
 1,305,996
 
 
 
 
 1,305,996
Accounts payable and accrued liabilities21,452
 16,546
 
 7,230
 75,118
 (4,200) 116,146
Lease intangible liabilities, net
 
 
 
 94,878
 
 94,878
Intercompany
 
 
 941,667
 4,016,223
 (4,957,890) 
Total liabilities21,452
 2,665,481
 
 1,047,845
 4,443,790
 (4,962,090) 3,216,478
              
Total Sabra Health Care REIT, Inc. stockholders' equity3,369,103
 744,470
 
 1,000,391
 52,638
 (1,797,499) 3,369,103
Noncontrolling interests
 
 
 
 2,726
 
 2,726
Total equity3,369,103
 744,470
 
 1,000,391
 55,364
 (1,797,499) 3,371,829
Total liabilities and equity$3,390,555
 $3,409,951
 $
 $2,048,236
 $4,499,154
 $(6,759,589) $6,588,307
(1)
The Parent Company guarantees the 2021 Notes, the 2023 Notes and the 2026 Notes.
(2)
The Operating Partnership is the co-issuer of the 2021 Notes and the 2023 Notes and the issuer of the 2026 Notes.
(3)
Sabra Capital Corporation is the co-issuer of the 2021 Notes and the 2023 Notes.
(4)
The Combined Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes guarantee the 2021 Notes and the 2023 Notes.
(5)
The Combined Non-Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes consist of the subsidiaries that do not guarantee the 2021 Notes and the 2023 Notes.
(6)
None of Sabra Capital Corporation, the Combined Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes, nor the Combined Non-Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes guarantee the 2026 Notes.

CONDENSED CONSOLIDATING BALANCE SHEET
December 31, 2016
(in thousands)
(unaudited)
     
Combined Non-Guarantor Subsidiaries of 2026 Notes(6)
    
 
Parent
Company
(1)
 
Operating Partnership(2)
 
Sabra Capital Corporation(3)
 
Combined
Guarantor
Subsidiaries of 2021 Notes and 2023 Notes
(4)
 
Combined Non-
Guarantor
Subsidiaries of 2021 Notes and 2023 Notes
(5)
 Elimination Consolidated
Assets             
Real estate investments, net of accumulated depreciation$150
 $
 $
 $1,860,850
 $148,939
 $
 $2,009,939
Loans receivable and other investments, net(410) 
 
 96,446
 
 
 96,036
Cash and cash equivalents18,168
 
 
 2,675
 4,820
 
 25,663
Restricted cash
 
 
 57
 8,945
 
 9,002
Lease intangible assets, net
 
 
 25,489
 761
 
 26,250
Accounts receivable, prepaid expenses and other assets, net2,859
 18,023
 
 70,812
 9,244
 (1,909) 99,029
Intercompany368,281
 687,493
 
 
 25,125
 (1,080,899) 
Investment in subsidiaries640,238
 907,136
 
 12,364
 
 (1,559,738) 
Total assets$1,029,286
 $1,612,652
 $
 $2,068,693
 $197,834
 $(2,642,546) $2,265,919
              
Liabilities             
Secured debt, net$
 $
 $
 $
 $160,752
 $
 $160,752
Revolving credit facility
 26,000
 
 
 
 
 26,000
Term loans, net
 243,626
 
 92,047
 
 
 335,673
Senior unsecured notes, net
 688,246
 
 
 
 
 688,246
Accounts payable and accrued liabilities13,712
 14,542
 
 11,606
 1,688
 (1,909) 39,639
Intercompany
 
 
 1,080,899
 
 (1,080,899) 
Total liabilities13,712
 972,414
 
 1,184,552
 162,440
 (1,082,808) 1,250,310
              
Total Sabra Health Care REIT, Inc. stockholders' equity1,015,574
 640,238
 
 884,141
 35,359
 (1,559,738) 1,015,574
Noncontrolling interests
 
 
 
 35
 
 35
Total equity1,015,574
 640,238
 
 884,141
 35,394
 (1,559,738) 1,015,609
Total liabilities and equity$1,029,286
 $1,612,652
 $
 $2,068,693
 $197,834
 $(2,642,546) $2,265,919
(1)
The Parent Company guarantees the 2021 Notes, the 2023 Notes and the 2026 Notes.
(2)
The Operating Partnership is the co-issuer of the 2021 Notes and the 2023 Notes and the issuer of the 2026 Notes.
(3)
Sabra Capital Corporation is the co-issuer of the 2021 Notes and the 2023 Notes.
(4)
The Combined Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes guarantee the 2021 Notes and the 2023 Notes.
(5)
The Combined Non-Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes consist of the subsidiaries that do not guarantee the 2021 Notes and the 2023 Notes.
(6)
None of Sabra Capital Corporation, the Combined Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes, nor the Combined Non-Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes guarantee the 2026 Notes.


CONDENSED CONSOLIDATING STATEMENT OF INCOME
For the Three Months EndedSeptember 30, 2017
(dollars in thousands, except per share amounts)
(unaudited)
     
Combined Non-Guarantor Subsidiaries of 2026 Notes(6)
    
 
Parent
Company
(1)
 
Operating Partnership(2)
 
Sabra Capital Corporation(3)
 
Combined
Guarantor
Subsidiaries of 2021 Notes and 2023 Notes
(4)
 
Combined Non-
Guarantor
Subsidiaries of 2021 Notes and 2023 Notes
(5)
 Elimination Consolidated
Revenues:             
Rental income$
 $
 $
 $54,640
 $48,692
 $(3,187) $100,145
Interest and other income8
 47
 
 1,991
 2,091
 (47) 4,090
Resident fees and services
 
 
 
 7,554
 
 7,554
Total revenues8
 47
 
 56,631
 58,337
 (3,234) 111,789
Expenses:             
Depreciation and amortization217
 
 
 15,500
 10,216
 
 25,933
Interest
 21,765
 
 792
 2,011
 
 24,568
Operating expenses
 
 
 
 8,289
 (3,187) 5,102
General and administrative10,058
 16
 
 1,671
 1,199
 
 12,944
Merger and acquisition costs23,287
 
 
 12
 
 
 23,299
Provision for doubtful accounts and loan losses533
 
 
 4,616
 
 
 5,149
Total expenses34,095
 21,781
 
 22,591
 21,715
 (3,187) 96,995
Other income (expense):             
Loss on extinguishment of debt
 (422) 
 (131) 
 
 (553)
Other income (expense)349
 688
 
 (986) 
 
 51
Net gain (loss) on sales of real estate
 
 
 614
 (32) 
 582
Total other income (expense)349
 266
 
 (503) (32) 
 80
              
Income in subsidiary49,145
 70,613
 
 1,808
 
 (121,566) 
Income before income tax expense15,407
 49,145
 
 35,345
 36,590
 (121,613) 14,874
Income tax benefit (expense)(265) 
 
 482
 (22) 
 195
Net income15,142
 49,145
 
 35,827
 36,568
 (121,613) 15,069
Net income attributable to noncontrolling interests
 
 
 
 26
 
 26
Net income attributable to Sabra Health Care REIT, Inc.15,142
 49,145
 
 35,827
 36,594
 (121,613) 15,095
Preferred stock dividends(2,561) 
 
 
 
 
 (2,561)
Net income attributable to common stockholders$12,581
 $49,145
 $
 $35,827
 $36,594
 $(121,613) $12,534
              
Net loss attributable to common stockholders, per:             
Basic common share            $0.11
Diluted common share            $0.11
Weighted-average number of common shares outstanding, basic            112,149,638
Weighted-average number of common shares outstanding, diluted            112,418,100
(1)
The Parent Company guarantees the 2021 Notes, the 2023 Notes and the 2026 Notes.
(2)
The Operating Partnership is the co-issuer of the 2021 Notes and the 2023 Notes and the issuer of the 2026 Notes.
(3)
Sabra Capital Corporation is the co-issuer of the 2021 Notes and the 2023 Notes.
(4)
The Combined Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes guarantee the 2021 Notes and the 2023 Notes.
(5)
The Combined Non-Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes consist of the subsidiaries that do not guarantee the 2021 Notes and the 2023 Notes.
(6)
None of Sabra Capital Corporation, the Combined Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes, nor the Combined Non-Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes guarantee the 2026 Notes.

CONDENSED CONSOLIDATING STATEMENT OF INCOME
For the Three Months EndedSeptember 30, 2016
(dollars in thousands, except per share amounts)
(unaudited)
     
Combined Non-Guarantor Subsidiaries of 2026 Notes(6)
    
 
Parent
Company
(1)
 
Operating Partnership(2)
 
Sabra Capital Corporation(3)
 
Combined
Guarantor
Subsidiaries of 2021 Notes and 2023 Notes
(4)
 
Combined Non-
Guarantor
Subsidiaries of 2021 Notes and 2023 Notes
(5)
 Elimination Consolidated
Revenues:             
Rental income$
 $
 $
 $52,233
 $5,187
 $(587) $56,833
Interest and other income1
 
 
 3,156
 68
 (68) 3,157
Resident fees and services
 
 
 
 1,937
 
 1,937
Total revenues1
 
 
 55,389
 7,192
 (655) 61,927
Expenses:             
Depreciation and amortization211
 
 
 15,320
 1,571
 
 17,102
Interest
 13,215
 
 878
 1,701
 
 15,794
Operating expenses
 
 
 
 1,991
 (587) 1,404
General and administrative4,527
 21
 
 375
 43
 
 4,966
Merger and acquisition costs(105) 
 
 1,156
 
 
 1,051
Provision for doubtful accounts and loan losses
566
 
 
 (26) 
 
 540
Total expenses5,199
 13,236
 
 17,703
 5,306
 (587) 40,857
Other income (expense):             
Other income (expense)2,636
 400
 
 (91) 
 
 2,945
Net gain on sales of real estate
 
 
 1,451
 
 
 1,451
Total other income (expense)2,636
 400
 
 1,360
 
 
 4,396
              
Income in subsidiary28,073
 40,909
   1,711
 
 (70,693) 
Income before income tax expense25,511
 28,073
 
 40,757
 1,886
 (70,761) 25,466
Income tax expense(106) 
 
 (27) (21) 
 (154)
Net income25,405
 28,073
 
 40,730
 1,865
 (70,761) 25,312
Net loss attributable to noncontrolling interests
 
 
 
 25
 
 25
Net income attributable to Sabra Health Care REIT, Inc.25,405
 28,073
 
 40,730
 1,890
 (70,761) 25,337
Preferred stock dividends(2,561) 
 
 
 
 
 (2,561)
Net income attributable to common stockholders$22,844
 $28,073
 $
 $40,730
 $1,890
 $(70,761) $22,776
              
Net loss attributable to common stockholders, per:             
Basic common share            $0.35
Diluted common share            $0.35
Weighted-average number of common shares outstanding, basic            65,312,288
Weighted-average number of common shares outstanding, diluted            65,591,428
(1)
The Parent Company guarantees the 2021 Notes, the 2023 Notes and the 2026 Notes.
(2)
The Operating Partnership is the co-issuer of the 2021 Notes and the 2023 Notes and the issuer of the 2026 Notes.
(3)
Sabra Capital Corporation is the co-issuer of the 2021 Notes and the 2023 Notes.
(4)
The Combined Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes guarantee the 2021 Notes and the 2023 Notes.
(5)
The Combined Non-Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes consist of the subsidiaries that do not guarantee the 2021 Notes and the 2023 Notes.
(6)
None of Sabra Capital Corporation, the Combined Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes, nor the Combined Non-Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes guarantee the 2026 Notes.

CONDENSED CONSOLIDATING STATEMENT OF INCOME
For the Nine Months Ended September 30, 2017
(dollars in thousands, except per share amounts)
(unaudited)
     
Combined Non-Guarantor Subsidiaries of 2026 Notes(6)
    
 
Parent
Company
(1)
 
Operating Partnership(2)
 
Sabra Capital Corporation(3)
 
Combined
Guarantor
Subsidiaries of 2021 Notes and 2023 Notes
(4)
 
Combined Non-
Guarantor
Subsidiaries of 2021 Notes and 2023 Notes
(5)
 Elimination Consolidated
Revenues:             
Rental income$
 $
 $
 $160,121
 $58,316
 $(5,164) $213,273
Interest and other income21
 47
 
 6,014
 2,045
 (65) 8,062
Resident fees and services
 
 
 
 17,840
 
 17,840
Total revenues21
 47
 
 166,135
 78,201
 (5,229)��239,175
Expenses:             
Depreciation and amortization649
 
 
 47,882
 13,759
 
 62,290
Interest
 48,689
 
 2,237
 5,292
 
 56,218
Operating expenses
 
 
 
 17,111
 (5,182) 11,929
General and administrative19,380
 47
 
 3,429
 1,303
 
 24,159
Merger and acquisition costs29,703
 
 
 47
 
 
 29,750
Provision for doubtful accounts and loan losses615
 
 
 6,839
 
 
 7,454
Total expenses50,347
 48,736
 
 60,434
 37,465
 (5,182) 191,800
Other income (expense):             
Loss on extinguishment of debt
 (422) 
 (131) 
 
 (553)
Other income (expense)2,634
 707
 
 (220) 
 
 3,121
Net gain (loss) on sale of real estate
 
 
 4,640
 (26) 
 4,614
Total other income (expense)2,634
 285
 
 4,289
 (26) 
 7,182
              
Income in subsidiary102,474
 150,879
 
 5,372
 
 (258,725) 
Income before income tax expense54,782
 102,475
 
 115,362
 40,710
 (258,772) 54,557
Income tax expense(297) (1) 
 255
 (118) 
 (161)
Net income54,485
 102,474
 
 115,617
 40,592
 (258,772) 54,396
Net loss attributable to noncontrolling interests
 
 
 
 42
 
 42
Net income attributable to Sabra Health Care REIT, Inc.54,485
 102,474
 
 115,617
 40,634
 (258,772) 54,438
Preferred stock dividends(7,682) 
 
 
 
 
 (7,682)
Net income attributable to common stockholders$46,803
 $102,474
 $
 $115,617

$40,634
 $(258,772) $46,756
              
Net loss attributable to common stockholders, per:             
Basic common share            $0.58
Diluted common share            $0.57
Weighted-average number of common shares outstanding, basic            81,150,846
Weighted-average number of common shares outstanding, diluted            81,429,044
(1)
The Parent Company guarantees the 2021 Notes, the 2023 Notes and the 2026 Notes.
(2)
The Operating Partnership is the co-issuer of the 2021 Notes and the 2023 Notes and the issuer of the 2026 Notes.
(3)
Sabra Capital Corporation is the co-issuer of the 2021 Notes and the 2023 Notes.
(4)
The Combined Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes guarantee the 2021 Notes and the 2023 Notes.
(5)
The Combined Non-Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes consist of the subsidiaries that do not guarantee the 2021 Notes and the 2023 Notes.
(6)
None of Sabra Capital Corporation, the Combined Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes, nor the Combined Non-Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes guarantee the 2026 Notes.

CONDENSED CONSOLIDATING STATEMENT OF INCOME
For the Nine Months Ended September 30, 2016
(dollars in thousands, except per share amounts)
(unaudited)
     
Combined Non-Guarantor Subsidiaries of 2026 Notes(6)
    
 
Parent
Company(1)
 
Operating Partnership(2)
 
Sabra Capital Corporation(3)
 
Combined
Guarantor
Subsidiaries of 2021 Notes and 2023 Notes(4)
 
Combined Non-
Guarantor
Subsidiaries of 2021 Notes and 2023 Notes(5)
 Elimination Consolidated
Revenues:             
Rental income$
 $
 $
 $153,658
 $15,533
 $(1,749) $167,442
Interest and other income3
 
 
 25,490
 196
 (207) 25,482
Resident fees and services
 
 
 
 5,811
 
 5,811
Total revenues3
 
 
 179,148
 21,540
 (1,956) 198,735
Expenses:             
Depreciation and amortization595
 
 
 45,955
 4,723
 
 51,273
Interest
 41,238
 
 2,772
 5,129
 
 49,139
Operating expenses
 
 
 
 6,016
 (1,760) 4,256
General and administrative12,440
 42
 
 902
 129
 
 13,513
Merger and acquisition costs50
 
 
 1,171
 1
 
 1,222
Provision for doubtful accounts and loan losses
(89) 
 
 3,375
 
 
 3,286
Impairment of real estate
 
 
 29,811
 
 
 29,811
Total expenses12,996
 41,280
 
 83,986
 15,998
 (1,760) 152,500
Other income (expense):             
Loss on extinguishment of debt
 (468) 
 (88) 
 
 (556)
Other income (expense)4,732
 916
 
 (230) (73) 
 5,345
Net gain on sales of real estate
 
 
 (3,203) 
 
 (3,203)
Total other income (expense)4,732
 448
 
 (3,521) (73) 
 1,586
              
Income in subsidiary55,783
 96,616
 
 5,081
 
 (157,480) 
Income before income tax expense47,522
 55,784
 
 96,722
 5,469
 (157,676) 47,821
Income tax expense(225) (1) 
 (512) (48) 
 (786)
Net income47,297
 55,783
 
 96,210
 5,421
 (157,676) 47,035
Net loss attributable to noncontrolling interests
 
 
 
 66
 
 66
Net income attributable to Sabra Health Care REIT, Inc.47,297
 55,783
 
 96,210
 5,487
 (157,676) 47,101
Preferred stock dividends(7,682) 
 
 
 
 
 (7,682)
Net income attributable to common stockholders$39,615
 $55,783
 $
 $96,210
 $5,487
 $(157,676) $39,419
              
Net loss attributable to common stockholders, per:             
Basic common share            $0.60
Diluted common share            $0.60
Weighted-average number of common shares outstanding, basic            65,285,591
Weighted-average number of common shares outstanding, diluted            65,470,589
(1)
The Parent Company guarantees the 2021 Notes, the 2023 Notes and the 2026 Notes.
(2)
The Operating Partnership is the co-issuer of the 2021 Notes and the 2023 Notes and the issuer of the 2026 Notes.
(3)
Sabra Capital Corporation is the co-issuer of the 2021 Notes and the 2023 Notes.
(4)
The Combined Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes guarantee the 2021 Notes and the 2023 Notes.
(5)
The Combined Non-Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes consist of the subsidiaries that do not guarantee the 2021 Notes and the 2023 Notes.
(6)
None of Sabra Capital Corporation, the Combined Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes, nor the Combined Non-Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes guarantee the 2026 Notes.

CONDENSED CONSOLIDATING STATEMENT OF COMPREHENSIVE INCOME
For the Three Months EndedSeptember 30, 2017
(dollars in thousands)
(unaudited)
     
Combined Non-Guarantor Subsidiaries of 2026 Notes(6)
    
 
Parent
Company
(1)
 
Operating Partnership(2)
 
Sabra Capital Corporation(3)
 
Combined
Guarantor
Subsidiaries of 2021 Notes and 2023 Notes
(4)
 
Combined Non-
Guarantor
Subsidiaries of 2021 Notes and 2023 Notes
(5)
 Elimination Consolidated
Net income$15,142
 $49,145
 $
 $35,827
 $36,568
 $(121,613) $15,069
Other comprehensive income (loss):             
Unrealized gain (loss), net of tax:             
Foreign currency translation gain (loss)
 (1,352) 
 1,335
 429
 
 412
Unrealized gain (loss) on cash flow hedges(7)

 4,964
 
 (307) 
 
 4,657
Total other comprehensive income (loss)
 3,612
 
 1,028
 429
 
 5,069
Comprehensive income15,142
 52,757
 
 36,855
 36,997
 (121,613) 20,138
Comprehensive income attributable to noncontrolling interest
 
 
 
 26
 
 26
Comprehensive income attributable to Sabra Health Care REIT, Inc.$15,142
 $52,757
 $
 $36,855
 $37,023
 $(121,613) $20,164
(1)
The Parent Company guarantees the 2021 Notes, the 2023 Notes and the 2026 Notes.
(2)
The Operating Partnership is the co-issuer of the 2021 Notes and the 2023 Notes and the issuer of the 2026 Notes.
(3)
Sabra Capital Corporation is the co-issuer of the 2021 Notes and the 2023 Notes.
(4)
The Combined Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes guarantee the 2021 Notes and the 2023 Notes.
(5)
The Combined Non-Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes consist of the subsidiaries that do not guarantee the 2021 Notes and the 2023 Notes.
(6)
None of Sabra Capital Corporation, the Combined Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes, nor the Combined Non-Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes guarantee the 2026 Notes.
(7)
Amounts are net of provision for income taxes of $0.4 million for the three months ended September 30, 2017.


CONDENSED CONSOLIDATING STATEMENT OF COMPREHENSIVE INCOME
For the Three Months Ended September 30, 2016
(dollars in thousands)
(unaudited)
     
Combined Non-Guarantor Subsidiaries of 2026 Notes(6)
    
 
Parent
Company
(1)
 
Operating Partnership(2)
 
Sabra Capital Corporation(3)
 
Combined
Guarantor
Subsidiaries of 2021 Notes and 2023 Notes
(4)
 
Combined Non-
Guarantor
Subsidiaries of 2021 Notes and 2023 Notes
(5)
 Elimination Consolidated
Net income$25,405
 $28,073
 $
 $40,730
 $1,865
 $(70,761) $25,312
Other comprehensive income (loss):             
Unrealized gain (loss), net of tax:             
Foreign currency translation gain (loss)
 153
 
 (512) (141) 
 (500)
Unrealized gain on cash flow hedges
 398
 
 
 
 
 398
Total other comprehensive income (loss)
 551
 
 (512) (141) 
 (102)
Comprehensive income25,405
 28,624
 
 40,218
 1,724
 (70,761) 25,210
Comprehensive loss attributable to noncontrolling interest
 
 
 
 25
 
 25
Comprehensive income attributable to Sabra Health Care REIT, Inc.$25,405
 $28,624
 $
 $40,218
 $1,749
 $(70,761) $25,235
(1)
The Parent Company guarantees the 2021 Notes, the 2023 Notes and the 2026 Notes.
(2)
The Operating Partnership is the co-issuer of the 2021 Notes and the 2023 Notes and the issuer of the 2026 Notes.
(3)
Sabra Capital Corporation is the co-issuer of the 2021 Notes and the 2023 Notes.
(4)
The Combined Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes guarantee the 2021 Notes and the 2023 Notes.
(5)
The Combined Non-Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes consist of the subsidiaries that do not guarantee the 2021 Notes and the 2023 Notes.
(6)
None of Sabra Capital Corporation, the Combined Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes, nor the Combined Non-Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes guarantee the 2026 Notes.

CONDENSED CONSOLIDATING STATEMENT OF COMPREHENSIVE INCOME
For the Nine Months Ended September 30, 2017
(dollars in thousands)
(unaudited)
     
Combined Non-Guarantor Subsidiaries of 2026 Notes(6)
    
 
Parent
Company
(1)
 
Operating Partnership(2)
 
Sabra Capital Corporation(3)
 
Combined
Guarantor
Subsidiaries of 2021 Notes and 2023 Notes
(4)
 
Combined Non-
Guarantor
Subsidiaries of 2021 Notes and 2023 Notes
(5)
 Elimination Consolidated
Net income$54,485
 $102,474
 $
 $115,617
 $40,592
 $(258,772) $54,396
Other comprehensive income (loss):             
Unrealized gain (loss), net of tax:             
Foreign currency translation gain (loss)
 (2,718) 
 2,466
 804
 
 552
Unrealized gain (loss) on cash flow hedges(7)

 5,977
 
 (495) 
 
 5,482
Total other comprehensive income (loss)
 3,259
 
 1,971
 804
 
 6,034
Comprehensive income54,485
 105,733
 
 117,588
 41,396
 (258,772) 60,430
Comprehensive loss attributable to noncontrolling interest
 
 
 
 42
 
 42
Comprehensive income attributable to Sabra Health Care REIT, Inc.$54,485
 $105,733
 $
 $117,588
 $41,438
 $(258,772) $60,472
(1)
The Parent Company guarantees the 2021 Notes, the 2023 Notes and the 2026 Notes.
(2)
The Operating Partnership is the co-issuer of the 2021 Notes and the 2023 Notes and the issuer of the 2026 Notes.
(3)
Sabra Capital Corporation is the co-issuer of the 2021 Notes and the 2023 Notes.
(4)
The Combined Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes guarantee the 2021 Notes and the 2023 Notes.
(5)
The Combined Non-Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes consist of the subsidiaries that do not guarantee the 2021 Notes and the 2023 Notes.
(6)
None of Sabra Capital Corporation, the Combined Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes, nor the Combined Non-Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes guarantee the 2026 Notes.
(7)
Amounts are net of provision for income taxes of $0.6 million for the nine months ended September 30, 2017.


CONDENSED CONSOLIDATING STATEMENT OF COMPREHENSIVE INCOME
For the Nine Months Ended September 30, 2016
(dollars in thousands)
(unaudited)
     
Combined Non-Guarantor Subsidiaries of 2026 Notes(6)
    
 
Parent
Company
(1)
 
Operating Partnership(2)
 
Sabra Capital Corporation(3)
 
Combined
Guarantor
Subsidiaries of 2021 Notes and 2023 Notes
(4)
 
Combined Non-
Guarantor
Subsidiaries of 2021 Notes and 2023 Notes
(5)
 Elimination Consolidated
Net income$47,297
 $55,783
 $
 $96,210
 $5,421
 $(157,676) $47,035
Other comprehensive income (loss):             
Unrealized gain (loss), net of tax:             
Foreign currency translation gain (loss)
 (2,204) 
 1,144
 311
 
 (749)
Unrealized loss on cash flow hedges
 (1,300) 
 
 
 
 (1,300)
Total other comprehensive income (loss)
 (3,504) 
 1,144
 311
 
 (2,049)
Comprehensive income47,297
 52,279
 
 97,354
 5,732
 (157,676) 44,986
Comprehensive loss attributable to noncontrolling interest
 
 
 
 66
 
 66
Comprehensive income attributable to Sabra Health Care REIT, Inc.$47,297
 $52,279
 $
 $97,354
 $5,798
 $(157,676) $45,052
(1)
The Parent Company guarantees the 2021 Notes, the 2023 Notes and the 2026 Notes.
(2)
The Operating Partnership is the co-issuer of the 2021 Notes and the 2023 Notes and the issuer of the 2026 Notes.
(3)
Sabra Capital Corporation is the co-issuer of the 2021 Notes and the 2023 Notes.
(4)
The Combined Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes guarantee the 2021 Notes and the 2023 Notes.
(5)
The Combined Non-Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes consist of the subsidiaries that do not guarantee the 2021 Notes and the 2023 Notes.
(6)
None of Sabra Capital Corporation, the Combined Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes, nor the Combined Non-Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes guarantee the 2026 Notes.

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS
For the Nine Months Ended September 30, 2017
(in thousands)
(unaudited)
     
Combined Non-Guarantor Subsidiaries of 2026 Notes(6)
    
 
Parent
Company
(1)
 
Operating Partnership(2)
 
Sabra Capital Corporation(3)
 
Combined
Guarantor
Subsidiaries of 2021 Notes and 2023 Notes
(4)
 
Combined Non-
Guarantor
Subsidiaries of 2021 Notes and 2023 Notes
(5)
 Elimination Consolidated
Net cash provided by operating activities$40,567
 $
 $
 $4,122
 $5,082
 $
 $49,771
Cash flows from investing activities:
 
 
 
 
 
 
Acquisition of real estate
 
 
 (393,064) 
 
 (393,064)
Cash received in CCP Merger77,858
 
 
 
 
 
 77,858
Origination and fundings of loans receivable
 
 
 (1,488) (4,154) 
 (5,642)
Origination and fundings of preferred equity investments
 
 
 (2,713) 
 
 (2,713)
Additions to real estate(22) 
 
 (2,847) (364) 
 (3,233)
Repayment of loans receivable
 
 
 2,221
 6,489
 
 8,710
Repayments of preferred equity investments
 
 
 3,239
 
 
 3,239
Net proceeds from the sales of real estate
 
 
 11,328
 395
 
 11,723
Distribution from subsidiaries2,474
 2,474
 
 
 
 (4,948) 
Intercompany financing(346,044) (374,728) 
 
 
 720,772
 
Net cash provided by (used in) investing activities(265,734) (372,254) 
 (383,324) 2,366
 715,824
 (303,122)
Cash flows from financing activities:
 
 
 
 
 
 
Net repayments of revolving credit facility
 (137,000) 
 
 
 
 (137,000)
Proceeds from term loans
 181,000
 
 
 
 
 181,000
Principal payments on secured debt
 
 
 
 (3,094) 
 (3,094)
Payments of deferred financing costs
 (15,316) 
 
 
 
 (15,316)
Issuance of common stock, net319,026
 
 
 
 
 
 319,026
Dividends paid on common and preferred stock(86,813) 
 
 
 
 
 (86,813)
Distribution to parent
 (2,474) 
 
 (2,474) 4,948
 
Intercompany financing
 346,044
 
 377,458
 (2,730) (720,772) 
Net cash provided by (used in) financing activities232,213
 372,254
 
 377,458
 (8,298) (715,824) 257,803
Net increase (decrease) in cash and cash equivalents7,046
 
 
 (1,744) (850) 
 4,452
Effect of foreign currency translation on cash and cash equivalents
 
 
 83
 675
 
 758
Cash and cash equivalents, beginning of period18,168
 
 
 2,675
 4,820
 
 25,663
Cash and cash equivalents,
end of period
$25,214
 $
 $
 $1,014
 $4,645
 $
 $30,873
(1)
The Parent Company guarantees the 2021 Notes, the 2023 Notes and the 2026 Notes.
(2)
The Operating Partnership is the co-issuer of the 2021 Notes and the 2023 Notes and the issuer of the 2026 Notes.
(3)
Sabra Capital Corporation is the co-issuer of the 2021 Notes and the 2023 Notes.
(4)
The Combined Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes guarantee the 2021 Notes and the 2023 Notes.
(5)
The Combined Non-Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes consist of the subsidiaries that do not guarantee the 2021 Notes and the 2023 Notes.
(6)
None of Sabra Capital Corporation, the Combined Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes, nor the Combined Non-Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes guarantee the 2026 Notes.

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS
For the Nine Months Ended September 30, 2016
(in thousands)
(unaudited)
     
Combined Non-Guarantor Subsidiaries of 2026 Notes(6)
    
 
Parent
Company
(1)
 
Operating Partnership(2)
 
Sabra Capital Corporation(3)
 
Combined
Guarantor
Subsidiaries of 2021 Notes and 2023 Notes
(4)
 
Combined Non-
Guarantor
Subsidiaries of 2021 Notes and 2023 Notes
(5)
 Elimination Consolidated
Net cash provided by (used in) operating activities$113,886
 $
 $
 $10,683
 $9,247
 $
 $133,816
Cash flows from investing activities:             
Acquisitions of real estate
 
 
 (109,619) 
 
 (109,619)
Origination and fundings of loans receivable
 
 
 (9,478) 
 
 (9,478)
Origination and fundings of preferred equity investments
 
 
 (6,845) 
 
 (6,845)
Additions to real estate(124) 
 
 (400) (377) 
 (901)
Repayment of loans receivable
 
 
 214,947
 
 
 214,947
Investment in subsidiaries(200) (200) 
 
 
 400
 
Net proceeds from the sale of real estate
 
 
 85,449
 
 
 85,449
Distribution from subsidiaries6,404
 6,404
 
 
 
 (12,808) 
Intercompany financing(17,684) 197,638
 
 
 
 (179,954) 
Net cash provided by (used in) investing activities(11,604) 203,842
 
 174,054
 (377) (192,362) 173,553
Cash flows from financing activities:
 
   
 
 
 
Net repayments of revolving credit facility
 (255,000) 
 
 
 
 (255,000)
Proceeds from term loans
 45,000
 
 24,360
 
 
 69,360
Principal payments on secured debt
 
 
 (10,766) (2,990) 
 (13,756)
Payments of deferred financing costs
 (5,322) 
 (611) 
 
 (5,933)
Issuance of common stock, net(1,289) 
 
 
 
 
 (1,289)
Dividends paid on common and preferred stock(89,283) 
 
 
 
 
 (89,283)
Contribution from parent
 200
 
 
 200
 (400) 
Distribution to parent
 (6,404) 
 
 (6,404) 12,808
 
Intercompany financing
 17,684
 
 (197,638) 
 179,954
 
Net cash provided by (used in) financing activities(90,572) (203,842) 
 (184,655) (9,194) 192,362
 (295,901)
Net increase (decrease) in cash and cash equivalents11,710
 
 
 82
 (324) 
 11,468
Effect of foreign currency translation on cash and cash equivalents
 
 
 756
 16
 
 772
Cash and cash equivalents, beginning of period2,548
 
 
 1,008
 3,878
 
 7,434
Cash and cash equivalents,
end of period
$14,258
 $
 $
 $1,846
 $3,570
 $
 $19,674
(1)
The Parent Company guarantees the 2021 Notes, the 2023 Notes and the 2026 Notes.
(2)
The Operating Partnership is the co-issuer of the 2021 Notes and the 2023 Notes and the issuer of the 2026 Notes.
(3)
Sabra Capital Corporation is the co-issuer of the 2021 Notes and the 2023 Notes.
(4)
The Combined Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes guarantee the 2021 Notes and the 2023 Notes.
(5)
The Combined Non-Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes consist of the subsidiaries that do not guarantee the 2021 Notes and the 2023 Notes.
(6)
None of Sabra Capital Corporation, the Combined Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes, nor the Combined Non-Guarantor Subsidiaries of the 2021 Notes and the 2023 Notes guarantee the 2026 Notes.

13.    PRO FORMA FINANCIAL INFORMATION
The following table summarizes, on an unaudited pro forma basis, the consolidated results of operations of the Company for the three and nine months ended September 30, 2017 and 2016 to give effect to the CCP Merger completed during the nine months ended September 30, 2017 and the acquisition of one skilled nursing/transitional care facility and three senior housing communities during the nine months ended September 30, 2016. The following unaudited pro forma information has been prepared to give effect to the acquisitions completed during the three and nine months ended September 30, 2017 and 2016 as if these acquisitions occurred on January 1, 2016 and 2015, respectively. This pro forma information does not purport to represent what the actual results of operations of the Company would have been had these acquisitions occurred on January 1, 2016 and 2015, nor does it purport to predict the results of operations for future periods.
  Three Months Ended September 30, Nine Months Ended September 30,
  2017 2016 2017 2016
  (in thousands, except share and per share amounts)
Revenues $162,128
 $158,245
 $480,287
 $491,049
Net income attributable to common stockholders 37,823
 78,483
 209,674
 177,067
         
Net income attributable to common stockholders, per:        
Basic common share $0.24
 $0.49
 $1.31
 $1.11
Diluted common share $0.24
 $0.49
 $1.31
 $1.11
         
Weighted-average number of common shares outstanding, basic 160,189,442
 159,347,649
 159,685,873
 159,320,952
Weighted-average number of common shares outstanding, diluted 160,457,904
 159,626,789
 159,964,071
 159,505,950
Merger and acquisition costs of $29.7 million related to the CCP Merger completed during the nine months ended September 30, 2017 are reflected above as if they were incurred on January 1, 2016.

14.    COMMITMENTS AND CONTINGENCIES

Environmental
As an owner of real estate, the Company is subject to various environmental laws of federal, state and local governments. The Company is not aware of any environmental liability that could have a material adverse effect on its financial condition or results of operations. However, changes in applicable environmental laws and regulations, the uses and conditions of properties in the vicinity of the Company’s properties, the activities of its tenants and other environmental conditions of which the Company is unaware with respect to the properties could result in future environmental liabilities. As of September 30, 2017,2020, the Company does not expect that compliance with existing environmental laws will have a material adverse effect on the Company’s financial condition and results of operations.
Legal Matters
From time to time, the Company is party to legal proceedings that arise in the ordinary course of its business. Management is not aware of any legal proceedings where the likelihood of a loss contingency is reasonably possible and the amount or range of reasonably possible losses is material to the Company'sCompany’s results of operations, financial condition or cash flows.
In addition, subsequent to its entry into the Merger Agreement, the Company, the Operating Partnership and Merger Sub were named, in addition to CCP and each member of CCP’s board of directors (collectively, “CCP Defendants”), in two putative class action lawsuits (Loeb v. Care Capital Properties, Inc., et al., Case No. 1:17-cv-00866-UNA (D. Del. June 30, 2017), and Klein v.Care Capital Properties, Inc., et al., Case No 1:99-mc-09999 (D. Del. July 10, 2017)) filed in the United States District Court for the District of Delaware. Four other related actions have been filed against only the CCP Defendants, three in the U.S. District Court for the District of Delaware (Gordon v. Care Capital Properties, Inc., et al., Case No. 1:17-cv-00859-LPS; Vineyard v. Care Capital Properties, Inc., et al., Case No. 1:17-cv-00878-LPS; and Parrish v. Care Capital Properties, Inc., et al., Case No. 1:17-cv-00909-LPS) and one in the U.S. District Court for the Northern District of Illinois (Douglas v. Care Capital Properties, Inc., et al., Case No. 1:17-cv-04942). The lawsuits all sought to recover under federal securities laws on the basis that the joint proxy statement/prospectus included in the registration statement filed by the

Company with the SEC purportedly omitted to disclose information necessary to make the statements therein not materially false or misleading. The lawsuits sought, among other things, an injunction of the CCP Merger; dissemination of a revised registration statement; declarations that the registration statement violated federal securities laws; damages, including rescissory damages; and an award of costs and attorneys’ fees. On July 25, 2017, the five actions filed in the United States District Court for the District of Delaware were consolidated under the lead-case caption In re Care Capital Properties, Inc. Shareholder Litigation, Civil Action No. 1:17-cv-00859-LPS. During the three months ended September 30, 2017, the lawsuits were dismissed without prejudice by the plaintiffs. The Company expects that any award of attorneys’ fees payable by the Company to the plaintiffs will not have a material adverse effect on the Company’s financial condition, results of operations or cash flows.

15.13.    SUBSEQUENT EVENTS
The Company evaluates subsequent events up until the date the condensed consolidated financial statements are issued.
Dividend Declaration
On November 1, 2017,5, 2020, the Company announced that itsCompany’s board of directors declared a quarterly cash dividend of $0.5201087$0.30 per share of common stock, which consists of (i) a full quarter dividend of $0.45 per share and (ii) $0.0701087 per share, which is the difference between the prorated dividend paid on August 18, 2017 and the Company's previous full quarter dividend of $0.43 per share.stock. The dividend will be paid on November 30, 20172020 to common stockholders of record as of the close of business on November 15, 2017.16, 2020.
On November 1, 2017, the Company also announced that its board
26

Table of directors declared a quarterly cash dividend of $0.4453125 per share of Series A Preferred Stock. The dividend will be paid on November 30, 2017 to preferred stockholders of record as of the close of business on November 15, 2017.Contents
Common Stock Issuance
On October 2, 2017, in connection with the exercise by the underwriters of their option to purchase additional shares, the Company issued 2.4 million newly issued shares of its common stock pursuant to an effective registration statement, at a price
of $21.00 per share, resulting in net proceeds, before expenses, of $48.4 million. See Note 10, “Equity.”


ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS.OPERATIONS
The discussion below contains forward-looking statements that involve risks and uncertainties. Our actual results could differ materially from those anticipated in these forward-looking statements as a result of various factors, including those which are discussed in the “Risk Factors” section in Part I, Item 1A of our 20162019 Annual Report on Form 10-K and Part II, Item 1A of our Quarterly Report on Form 10-Q for the quarter ended March 31, 2017.2020. Also see “Statement Regarding Forward-Looking Statements” preceding Part I.
The following discussion and analysis should be read in conjunction with our accompanying condensed consolidated financial statements and the notes thereto.
Our Management’s Discussion and Analysis of Financial Condition and Results of Operations is organized as follows:
Overview
Critical Accounting Policies
Recently Issued Accounting Standards Update
Results of Operations
Liquidity and Capital Resources
Concentration of Credit Risk
Skilled Nursing Facility Reimbursement Rates
Obligations and Commitments
Off-Balance Sheet Arrangements
Overview
We operate as a self-administered, self-managed REIT that, through our subsidiaries, owns and invests in real estate serving the healthcare industry.
Our primary business consists of acquiring, financing and owning real estate property to be leased to third party tenants in the healthcare sector using triple-net operating leases.sector. We primarily generate revenues by leasing properties to tenants and operatorsowning properties operated by third-party property managers throughout the United States (“U.S.”) and Canada.
Our investment portfolio is primarily comprised of skilled nursing/transitional care facilities, senior housing communities (“Senior Housing - Leased”) and specialty hospitals and other facilities, in each case leased to third-party operators; senior housing communities operated by third-party property managers pursuant to property management agreements (“Senior Housing - Managed”); investments in loans receivable; and preferred equity investments.investments and an investment in an unconsolidated joint venture.
FollowingRecent disruptions in the completionequity and debt markets have significantly increased our cost of our merger with Care Capital Properties, Inc.,capital and have made it difficult to establish market values for potential real estate investments, and accordingly we do not expect to make any material real estate investments as long as these market conditions persist.
Should market conditions improve, we expect to continue to grow our investment portfolio while diversifying our portfolio by tenant, asset classfacility type and geography within the healthcare sector. We plan to achieve these objectives primarily through making investments directly or indirectly in healthcare real estate.estate, including the development of purpose-built healthcare facilities with select developers. We may also intend to achieve our objective of diversifying our portfolio by tenant and asset classfacility type through select asset sales and other arrangements with Genesis and otherour tenants. We have entered into memoranda of understanding with Genesis to market for sale 35 skilled nursing facilities (the “MOU Disposition Facilities”). As of September 30, 2017, we completed the sale of two of the MOU Disposition Facilities, and subsequent to September 30, 2017, we completed the sale of two additional MOU Disposition Facilities. We have also entered into a definitive agreement to sell an additional 20 MOU Disposition Facilities, which we expect to be completed in the fourth quarter of 2017. We expect the remaining MOU Disposition Facilities to be sold by the end of the first quarter of 2018, though there can be no assurance that the sales will be completed in that timeframe, if at all. We have also begun the process of marketing for sale up to all of the remaining 43 facilities leased to Genesis, with sales expected to occur in 2018. We believe that a significant reduction in our facilities leased to Genesis will ultimately improve our portfolio by reducing our exposure from the remaining skilled nursing operator in our portfolio that does not fit our preferred profile to an immaterial level.
We expect to continue to grow our portfolio primarily through the acquisition of assisted living, independent living and memory care communities in the United StatesU.S. and Canada and through the acquisition of skilled nursing/transitional care and behavioral health facilities in the United States.U.S. We have and, should market conditions improve, expect to continue to opportunistically acquire other types of healthcare real estate, originate financing secured directly or indirectly by healthcare facilities and invest in the development of senior housing communities and skilled nursing/transitional care facilities. We also expect to expand our portfolio through the development of purpose-built healthcare facilities through pipeline agreements and other arrangements with select developers. We further expect to work with existing operators to identify strategic development opportunities. These opportunities may

involve replacing, renovating or expanding facilities in our portfolio that may have become less competitive and new development opportunities that present attractive risk-adjusted returns. In addition to pursuing acquisitions with triple-net leases, we expect to continue to pursue other forms of investment, including investments in Senior Housing - Managed properties,communities, mezzanine and secured debt investments, and joint ventures for senior housing communities and skilled nursing/
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Table of Contents
transitional care facilities. We also expect to continue to enhance the strength of our investment portfolio by selectively disposing of underperforming facilities or working with new or existing operators to transfer underperforming but promising properties to new operators.
With respect to our debt and preferred equity investments, in general, we originate loans and make preferred equity investments when an attractive investment opportunity is presented and either (a) the property is in or near the development phase, or (b) the development of the property is completed but the operations of the facility are not yet stabilized.stabilized or (c) the loan investment will provide capital to existing relationships. A key component of our development strategy related to loan originations and preferred equity investments is our having the option to purchase the underlying real estate that is owned by our borrowers (and that directly or indirectly secures our loan investments) or by the entity in which we have an investment. These options become exercisable upon the occurrence of various criteria, such as the passage of time or the achievement of certain operating goals, and the method to determine the purchase price upon exercise of the option is set in advance based on the same valuation methods we use to value our investments in healthcare real estate. This proprietary development pipeline strategy allows us to diversify our revenue streams and build relationships with operators and developers, and provides us with the option to add new properties to our existing real estate portfolio if we determine that those properties enhance our investment portfolio and stockholder value at the time the options are exercisable.
We employ a disciplined, opportunistic approach in our healthcare real estate investment strategy by investing in assets that provide attractive opportunities for dividend growth and appreciation of asset values, while maintaining balance sheet strength and liquidity, thereby creating long-term stockholder value.
We elected to be treated as a REIT with the filing of our U.S. federal income tax return for the taxable year beginning January 1, 2011. We believe that we have been organized and have operated, and we intend to continue to operate, in a manner to qualify as a REIT. We operate through an umbrella partnership, commonly referred to as an UPREIT structure, in which substantially all of our properties and assets are held by Sabra Health Care Limited Partnership, a Delaware limited partnership (the “Operating Partnership”), inof which we are the sole general partner and oura wholly owned subsidiaries aresubsidiary of ours is currently the only limited partners,partner, or by subsidiaries of the Operating Partnership.
Care Capital Properties, Inc. MergerCOVID-19
On May 7, 2017, Sabra,In March 2020, the Operating Partnership, PR Sub, LLC,World Health Organization declared COVID-19 a Delawarepandemic, and the United States declared a national emergency with respect to COVID-19. In the intervening months, COVID-19 has spread globally and led governments and other authorities around the world, including federal, state and local authorities in the United States, to impose measures intended to control its spread, including restrictions on freedom of movement and business operations such as travel bans, border closings, business closures, quarantines and shelter-in-place orders. Although some of these governmental restrictions have since been lifted or scaled back, a recent surge of COVID-19 infections has resulted in the re-imposition of certain restrictions and may lead to other restrictions being re-implemented in response to efforts to reduce the spread of COVID-19. These measures may remain in place for a significant amount of time. The COVID-19 pandemic and measures to prevent its spread have negatively impacted and are expected to continue to negatively impact us and our operations in a number of ways, including but not limited liability companyto:
Decreased occupancy and wholly owned subsidiaryincreased operating costs for our tenants and borrowers, which has negatively impacted their operating results and may adversely impact their ability to make full and timely rental payments and debt service payments, respectively, to us. In some cases, we may have to restructure tenants’ long-term rent obligations and may not be able to do so on terms that are as favorable to us as those currently in place. Reduced or modified rental and debt service amounts could result in the determination that the full amounts of our investments are not recoverable, which could result in an impairment charge. To date, the impact of COVID-19 on our skilled nursing/transitional care facility operators has been partially mitigated by the assistance they have received or expect to receive from state and federal assistance programs, including through the CARES Act (as defined and further described below under “—Skilled Nursing Facility Reimbursement Rates”), although these benefits on an individual operator basis vary and may not provide enough relief to meet their rental obligations to us. Prior to September 1, 2020, few of these programs were available to our senior housing operators; as of September 1, 2020, eligible assisted living facility operators may apply for funding through the CARES Act, and the assistance received or expected to be received will partially mitigate the negative impact of COVID-19 on our eligible assisted living facility operators. As of September 30, 2020, our tenants and borrowers have continued to pay expected cash rents and debt service obligations consistent with past practice. However, the longer the duration of the Company (“Merger Sub”COVID-19 pandemic, the more likely that our tenants and borrowers will begin to default on these obligations. Such defaults could materially and adversely affect our results of operations and liquidity, in addition to resulting in potential impairment charges.
Decreased occupancy and increased operating costs within our Senior Housing - Managed portfolio and in our 49% equity interest in a joint venture with affiliates of Enlivant and TPG Real Estate, the real estate platform of TPG, that
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Table of Contents
owns senior housing communities managed by Enlivant (the “Enlivant Joint Venture”), Care Capital Properties, Inc., a Delaware corporation (“CCP”),which have negatively impacted and Care Capital Properties, L.P. (“CCPLP”), a Delaware limited partnership and wholly-owned subsidiaryare expected to continue to negatively impact the operating results of CCP, entered into an Agreement and Plan of Merger (the “Merger Agreement”), pursuant to which, on August 17, 2017, CCP merged with and into Merger Sub, with Merger Sub continuing as the surviving corporation (the “CCP Merger”), following which Merger Sub merged with and into the Company, with the Company continuing as the surviving entity (the “Subsequent Merger”), and, simultaneous with the Subsequent Merger, CCPLP merged with and into the Operating Partnership, with the Operating Partnership continuing as the surviving entity.
Pursuant to the Merger Agreement,these investments. As noted above, as of September 1, 2020, eligible assisted living facility operators may apply for funding through the effective timeCARES Act, and the assistance received or expected to be received will partially mitigate the negative impact of COVID-19 on our Senior Housing - Managed portfolio and the Enlivant Joint Venture. During each of the CCP Merger, each sharethree and nine months ended September 30, 2020, we recognized government grants under the CARES Act of CCP common stock, par value $0.01 per share, issued$4.2 million. In addition, on October 1, 2020, the Department of Health and outstanding immediately priorHuman Services announced $20 billion of new funding for assisted living facility operators that have already received funds and to those who were previously ineligible. Prolonged deterioration in the effective timeoperating results for our investments in our Senior Housing - Managed portfolio and the Enlivant Joint Venture could result in the determination that the full amounts of our investments are not recoverable, which could result in an impairment charge.
Our financial results as of and for the three and nine months ended September 30, 2020 reflect the results of our evaluation of the CCP Merger (other than sharesimpact of CCP common stock owned directly by CCP, the CompanyCOVID-19 on our business including, but not limited to, our evaluation of potential impairments of long-lived or their respective subsidiaries, in each case not heldother assets, measurement of credit losses on behalf of third parties) was converted into the right to receive 1.123 newly issued shares of Company common stock, par value $0.01 per share, plus cash in lieufinancial instruments, evaluation of any fractional shares.
The acquisition of CCP has been reflected in our consolidated financial statements since the effective date of the CCP
Merger.
On September 7, 2017, Sabra announced its strategy to reposition the CCP portfolio, which includes a combinationlease modifications, evaluation of lease modifications (including upaccounting impact, estimates of fair value and our ability to $33.5 million of reduction in rents), working capital advances, transitioning facilities to
other Sabra tenants and strategic sales or closures of underperforming facilities.
See Note 3, “CCP Merger and Recent Real Estate Acquisitions” in the Notes to Condensed Consolidated Financial Statements for additional information regarding the CCP Merger.

continue as a going concern.
Acquisitions
During the nine months ended September 30, 2017,2020, we invested $393.1 million for the acquisition of 21 skilled nursing/transitional care facilities located in two statesacquired three Senior Housing - Leased communities and one senior housingSenior Housing - Managed community located in Texas.for an aggregate $113.7 million. See Note 3, “CCP Merger and Recent“Recent Real Estate Acquisitions”Acquisitions,” in the Notes to Condensed Consolidated Financial Statements for additional information regarding these acquisitions.
In connection with the acquisition of the 21 skilled nursing/transitional care facilities, we entered into a definitive agreement to acquire two additional skilled nursing/transitional care facilities from the seller for a purchase price of $42.8 million; the acquisition is expected to occur by December 31, 2017 and is subject to customary conditions.
Dispositions
During the nine months ended September 30, 2017,2020, we completed the sale of fourseven skilled nursing/transitional care facilities for aggregate consideration, net of $11.7closing costs, of $41.1 million. The net carrying value of the assets and liabilities of these facilities was $7.1$38.3 million, which resulted in an aggregate $4.6$2.8 million net gain on sale.
Senior Housing - Managed Properties
During the nine months ended September 30, 2017, we terminated the lease of nine senior housing real estate investments in Canada and concurrently entered into a management agreement with Sienna Senior Living (“Sienna”), whereby we own the operations, through a wholly-owned foreign taxable REIT subsidiary, of the communities and the communities are operated by Sienna.
Credit Facility
Effective on August 17, 2017, we and certain of our subsidiaries entered into the Credit Facility (as defined below). See “—Liquidity and Capital Resources—Loan Agreements—Credit Facility.”
Enlivant Joint Ventures
On September 15, 2017, we entered into a definitive agreement with affiliates of Enlivant and TPG Real Estate, the real estate platform of TPG, to acquire a 49% equity interest in entities that collectively own 183 senior housing communities managed by Enlivant (the “Enlivant Joint Ventures”). We will pay $371.0 million for the 49% minority interest, which implies an aggregate portfolio value for the Enlivant Joint Ventures of $1.62 billion, inclusive of the outstanding indebtedness of $863 million for the portfolio. The joint venture agreements include an option for us to acquire the remaining majority interest in the Enlivant Joint Ventures during the first three years after the closing date and a right of first offer if TPG desires to sell its 51% interest. In addition, Sabra will have the right to designate three directors on the seven member boards of directors of the Enlivant Joint Ventures and will have other customary minority rights. The acquisition of the 49% equity interest in the Enlivant Joint Ventures, which is subject to customary closing conditions including regulatory approvals and lender consents, is expected to close by December 31, 2017.
Critical Accounting Policies
Our condensed consolidated interim financial statements have been prepared in accordance with GAAPU.S. generally accepted accounting principles (“GAAP”) and in conjunction with the rules and regulations of the SEC. The preparation of our financial statements requires significant management judgments, assumptions and estimates about matters that are inherently uncertain. These judgments affect the reported amounts of assets and liabilities and our disclosure of contingent assets and liabilities at the dates of the financial statements and the reported amounts of revenue and expenses during the reporting periods. With different estimates or assumptions, materially different amounts could be reported in our financial statements. Additionally, other companies may utilize different estimates that may impact the comparability of our results of operations to those of companies in similar businesses. A discussion of the accounting policies that management considers critical in that they involve significant management judgments and assumptions, require estimates about matters that are inherently uncertain and because they are important for understanding and evaluating our reported financial results is included in Part II, Item 7 of our 20162019 Annual Report on Form 10-K filed with the SEC. There have been no significant changes to our critical accounting policies during the nine months ended September 30, 2017.2020.
Recently Issued Accounting Standards Update
See Note 2, “Summary of Significant Accounting Policies,” in the Notes to Condensed Consolidated Financial Statements for information concerning recently issued accounting standards updates.

Results of Operations
As of September 30, 2017,2020, our investment portfolio included 530425 real estate properties held for investment, one asset held for sale, one investment in a direct financing lease, 2419 investments in loans receivable, 13six preferred equity investments and one investment in a specialty valuation firm.an unconsolidated joint venture. As of September 30, 2016,2019, our investment portfolio included 182434 real estate properties held for investment, 11one investment in a direct financing lease, 20 investments in loans receivable, and 11nine preferred equity investments. The increaseinvestments and one investment in our investment portfolio during the three and nine months ended September 30, 2017 is primarily due to the CCP Merger completed in August 2017.an unconsolidated joint venture. In general, we expect that our income and expenses related to our portfolio will increasefluctuate in future periods in comparison to the corresponding prior periods as a result of owning acquired investments for an entire period, theinvestment and disposition activity and anticipated future acquisition of additional investments and completion of the CCP Merger.changes in our portfolio. The results of operations presented are not directly comparable due to ongoing acquisition and disposition activity.
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Comparison of results of operations for the three months ended September 30, 20172020 versus the three months ended September 30, 20162019 (dollars in thousands):
Three Months Ended September 30, Increase / (Decrease) 
Percentage
Difference
 
Variance due to the CCP Merger, Acquisitions, Originations and Dispositions (1)
 
Remaining Variance (2)
Three Months Ended September 30,Increase / (Decrease)Percentage
Difference
Variance due to Acquisitions, Originations and Dispositions (1)
Remaining Variance (2)
2017 2016 20202019
Revenues:           Revenues:
Rental income$100,145
 $56,833
 $43,312
 76 % $45,928
 $(2,616)
Rental and related revenuesRental and related revenues$100,612 $110,104 $(9,492)(9)%$1,717 $(11,209)
Interest and other income4,090
 3,157
 933
 30 % 1,240
 (307)Interest and other income3,299 3,325 (26)(1)%(283)257 
Resident fees and services7,554
 1,937
 5,617
 290 % 
 5,617
Resident fees and services39,341 36,405 2,936 %2,429 507 
Expenses:           Expenses:
Depreciation and amortization25,933
 17,102
 8,831
 52 % 9,114
 (283)Depreciation and amortization44,209 43,092 1,117 %854 263 
Interest24,568
 15,794
 8,774
 56 % 7,719
 1,055
Interest24,904 29,255 (4,351)(15)%(220)(4,131)
Operating expenses5,102
 1,404
 3,698
 263 % 
 3,698
Triple-net portfolio operating expensesTriple-net portfolio operating expenses5,249 5,611 (362)(6)%66 (428)
Senior housing - managed portfolio operating expensesSenior housing - managed portfolio operating expenses27,745 23,979 3,766 16 %1,764 2,002 
General and administrative12,944
 4,966
 7,978
 161 % 5,171
 2,807
General and administrative7,216 8,709 (1,493)(17)%— (1,493)
Merger and acquisition costs23,299
 1,051
 22,248
 2,117 % 22,248
 
Provision for doubtful accounts and loan losses5,149
 540
 4,609
 854 % 
 4,609
Other income:    

      
(Recovery of) provision for loan losses and other reserves(Recovery of) provision for loan losses and other reserves(90)57 (147)(258)%— (147)
Impairment of real estateImpairment of real estate3,154 13,966 (10,812)(77)%(3,131)(7,681)
Other income (expense):Other income (expense):
Loss on extinguishment of debt(553) 
 (553) NM
 
 (553)Loss on extinguishment of debt(139)(644)505 (78)%(139)644 
Other income51
 2,945
 (2,894) (98)% 
 (2,894)Other income115 215 (100)(47)%— (100)
Net gain on sales of real estate582
 1,451
 (869) (60)% (869) 
Net gain (loss) on sales of real estateNet gain (loss) on sales of real estate2,715 (19)2,734 NM2,734 — 
Income (loss) from unconsolidated joint ventureIncome (loss) from unconsolidated joint venture2,766 (605)3,371 (557)%7,538 (4,167)
Income tax benefit (expense)Income tax benefit (expense)138 (826)964 (117)%— 964 
(1)
(1)    Represents the dollar amount increase (decrease) for the three months ended September 30, 2020 compared to the three months ended September 30, 2019 as a result of investments/dispositions made after July 1, 2019.
(2)    Represents the dollar amount increase (decrease) for the three months ended September 30, 2020 compared to the three months ended September 30, 2019 that is not a direct result of investments/dispositions made after July 1, 2019.
Represents the dollar amount increase (decrease) for the three months ended September 30, 2017 compared to the three months ended September 30, 2016 as a result of the CCP Merger and investments/dispositions made after July 1, 2016.
(2)
Represents the dollar amount increase (decrease) for the three months ended September 30, 2017 compared to the three months ended September 30, 2016 that is not a direct result of the CCP Merger and investments/dispositions made after July 1, 2016.
Rental Incomeand Related Revenues
During the three months ended September 30, 2017,2020, we recognized $100.1$100.6 million of rental income compared to $56.8$110.1 million for the three months ended September 30, 2016.2019. The $43.3$9.5 million increasenet decrease in rental income is primarily duerelated to (i) a $12.1 million net decrease related to leases that we concluded should no longer be accounted for on an increase of $43.1accrual basis and (ii) a $1.0 million from properties acquired in the CCP Merger and an increase of $3.5 million from other properties acquired after July 1, 2016, partially offset by a decrease of $0.7 million from properties disposed of after July 1, 20162019. The $12.1 million net decrease consists of a $13.1 million decrease in non-cash rental revenues, which includes $14.3 million in write-offs related to Signature Healthcare and Genesis Healthcare, Inc., whose leases are no longer accounted for on an accrual basis as a decreaseresult of $2.3the going concern issues for these tenants, partially offset by a $1.0 million dueincrease in earned cash rents. These decreases are partially offset by (i) a $2.7 million increase from properties acquired after July 1, 2019 and (ii) a $1.0 million increase related to property tax recoveries.
Our reported rental and related revenues may be subject to increased variability in the nine senior housing communities that were transitioned to Senior Housing - Managed properties duringfuture as a result of adopting Topic 842. However, there can be no assurances regarding the nine months ended September 30, 2017.timing and amount of these collections. Amounts due under the terms of all of our lease agreements are subject to contractual increases, and contingent rental income may be derived from certain lease agreements. No material contingent rental income was derived during the three months ended September 30, 20172020 and 2016.2019.
Interest and Other Income
Interest and other income primarily consists of income earned on our loans receivable investments, preferred returns earned on our preferred equity investments and income on the direct financing lease. During each of the three months ended September 30, 2017,2020 and 2019, we recognized $4.1$3.3 million of interest and other income. During the three months ended September 30, 2020, we recognized $0.3 million of lease termination income related to the transition of a specialty hospital to a
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new operator. In addition, we recognized a $0.7 million decrease in income from investments that were repaid after July 1, 2019, partially offset by a $0.4 million increase in income from investments made after July 1, 2019.
Resident Fees and Services
During the three months ended September 30, 2020, we recognized $39.3 million of resident fees and services compared to $3.2$36.4 million for the three months ended September 30, 2016.2019. The $2.9 million net increase of $0.9 million is due to an increase of $2.0 million primarily related to interest

income(i) a $2.4 million increase from loan receivable investments, incometwo Senior Housing - Managed communities acquired after July 1, 2019 and (ii) a $1.1 million increase from one Senior Housing - Leased community that was transitioned to a direct finance lease and income from the specialty valuation firm acquiredSenior Housing - Managed community in the CCP Merger,November 2019, partially offset by a $1.1$0.6 million decrease from investments that were disposed afterSenior Housing - Managed communities acquired before July 1, 2016.
Resident Fees2019 primarily due to decreases in occupancy. Included in resident fees and Services
Duringservices is $1.2 million of government grant income recognized under the CARES Act during the three months ended September 30, 2017, we recognized $7.6 million of resident fees and services compared to $1.9 million for the three months ended September 30, 2016. The increase of $5.6 million is primarily due to the nine senior housing communities that were transitioned to Senior Housing - Managed properties in March and May 2017.2020.
Depreciation and Amortization
During the three months ended September 30, 2017,2020, we incurred $25.9$44.2 million of depreciation and amortization expense compared to $17.1$43.1 million for the three months ended September 30, 2016.2019. The $8.8$1.1 million net increase in depreciation and amortization expense is primarily due to ana $1.6 million increase of $8.6 million related to the properties acquired in the CCP Merger and an increase of $0.7 million from other properties acquired after July 1, 2016,2019, partially offset by a $0.7 million decrease of $0.3 million from properties disposed of after July 1, 2016 and a $0.2 million decrease from fully depreciated assets.2019.
Interest Expense
We incur interest expense comprised of costs of borrowings plus the amortization of deferred financing costs related to our indebtedness. During the three months ended September 30, 2017,2020, we incurred $24.6$24.9 million of interest expense compared to $15.8$29.3 million for the three months ended September 30, 2016.2019. The $8.8$4.4 million net increasedecrease is primarily related to (i) a $3.7$2.8 million increasedecrease in interest expense related to twothe redemption of the 5.375% senior unsecured notes assumeddue 2023 (the “2023 Notes”) in the CCP Merger (see Note 7, “Debt” for additional information),October 2019, (ii) a $3.1$2.1 million increasedecrease in interest expense related to ourthe partial pay down of the U.S. dollar term loans as a result of increasing U.S. term loan borrowings from $245.0 million to $1.1 billionand decrease in connection with the CCP Merger,interest rates, (iii) a $1.4$2.1 million increasedecrease in interest expense related to the borrowings outstanding on the Revolving Credit Facility (as defined below) and decrease in interest rates and (iv) a $0.5$0.6 million increase ofdecrease in non-cash interest expense related to our interest rate hedges.hedges, which decreases were partially offset by a $3.6 million increase in interest expense related to the issuance of the 2029 Notes (as defined below).
Triple-Net Portfolio Operating Expenses
During the three months ended September 30, 2017,2020, we recognized $5.1$5.2 million of triple-net portfolio operating expenses compared to $1.4$5.6 million for the three months ended September 30, 2016.2019. The $0.4 million net decrease is primarily related to property taxes paid during the three months ended September 30, 2019 on facilities that were transitioned to new operators who are now paying the property taxes directly.
Senior Housing - Managed Portfolio Operating Expenses
During the three months ended September 30, 2020, we recognized $27.7 million of Senior Housing - Managed portfolio operating expenses compared to $24.0 million for the three months ended September 30, 2019. The $3.8 million net increase of $3.7 million is primarily due to the nine senior housing(i) a $1.8 million increase from two Senior Housing - Managed communities acquired after July 1, 2019 and (ii) a $1.0 million increase from one Senior Housing - Leased community that werewas transitioned to Senior Housing - Managed propertiescommunities in MarchNovember 2019. The remaining increase is primarily due to increased supplies and May 2017.labor needs related to the COVID-19 pandemic.
General and AdministrativeAdministrative Expenses
General and administrative expenses include compensation-related expenses as well as professional services, office costs, and other costs associated with asset management.management, and merger and acquisition costs. During the three months ended September 30, 2017,2020, general and administrative expenses were $12.9$7.2 million compared to $5.0$8.7 million during the three months ended September 30, 2016.2019. The $8.0$1.5 million increasenet decrease is primarily related to (i) $4.3a $2.3 million of transition expenses for the CCP Merger primarily consisting of salaries and severance benefits, (ii)decrease in stock-based compensation expense, offset by a $1.8$0.9 million increase in legalemployee compensation as a result of increased staffing and professional feesemployees electing to receive their annual bonus opportunity in cash. The decrease in stock-based compensation expense, from $3.3 million during the three months ended September 30, 2019 to $0.9 million during the three months ended September 30, 2020, is primarily due to the managementa change in performance-based vesting assumptions on management’s equity compensation and employees electing to receive their annual bonus opportunity in cash. We expect stock-based compensation expense to fluctuate from period to period depending upon changes in our stock price and estimates associated with performance-based compensation.
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Table of the increased number of investments, (iii) $0.9 million in expenses incurred by our specialty valuation firmContents
(Recovery of) Provision for Loan Losses and (iv) a $0.7 million increase in payroll expenses related to the increased number of employees.
Merger and Acquisition CostsOther Reserves
During the three months ended September 30, 2017,2020, we incurred $23.3recognized a $0.1 million recovery of mergerloan losses and acquisition costs compared to $1.1 million forother reserves, primarily associated with loan loss reserves. During the three months ended September 30, 2016. The increase2019, we recognized a $0.1 million provision for loan losses and other reserves, all of $22.2 million is due to costs related to the CCP Merger.which was associated with loan loss reserves.
Provision for Doubtful Accounts and Loan LossesImpairment of Real Estate
During the three months ended September 30, 2017,2020, we recognized $5.1$3.2 million in provision for doubtful accountsof impairment of real estate related to three senior housing communities and loan losses. Of the $5.1 million provision, $2.9 million is due to an increase in loan loss reserves, $1.3 million is due to a reserve for other tenant-related receivables, $0.6 million is due to an increase in reserves on straight-line rental income and $0.3 million is due to an increase in reserves for cash rental income.one skilled nursing/transitional care facility. During the three months ended September 30, 2016,2019, we recognized $0.5$14.0 million in provision for doubtful accounts and loan losses, which is comprised of $0.5 millionimpairment of real estate related to an increase in general reserves on straight-line rental incomethree skilled nursing/transitional care facilities that were subsequently sold and $0.3 million related to an increase in loan loss reserves, partially offset by a $0.3 million recovery on previously reserved cash rents.

four senior housing communities.
Loss on Extinguishment of Debt
WeDuring the three months ended September 30, 2020, we recognized a $0.6$0.1 million loss on extinguishment of debt during the three months ended September 30, 2017 related to write-offs of deferred financing costs in connection with amending the Prior Credit Facility. We did not recognize any loss on extinguishmentassumption of debt duringa mortgage note by the buyer of the facility that secured the mortgage note. During the three months ended September 30, 2016.2019, we recognized a $0.6 million loss on extinguishment of debt related to the write-off of unamortized deferred financing costs in connection with entering into the Credit Agreement (as defined below).
Other Income
During the three months ended September 30, 2017,2020 and September 30, 2019, we recognized $0.1 million of other income. The $0.1and $0.2 million, respectively, of other income is comprised of $0.4 millionprimarily related to the amortization of lease terminationsettlement payments received related to a memorandum of understanding entered into with Genesis regarding five Genesis facilities (of which one was owned as of September 30, 2017), partially offset by $0.3 million of other expense as a result of adjusting the fair value of our contingent consideration liability related to the acquisition of a real estate property. During the three months ended September 30, 2016, we recognized $2.9 million of other income, of which $2.6 million related to lease termination payments related to the same memorandum of understanding with Genesis and $0.4 million related to an ineffectiveness gain related to our LIBOR interest rate swaps. These amounts were partially offset by $0.1 million of other expense as a result of adjusting the fair value of our contingent consideration liability related to the acquisition of a portfolio of real estate properties.legacy Care Capital Properties, Inc. (“CCP”) investment.
Net Gain (Loss) on Sales of Real Estate
During the three months ended September 30, 2017,2020, we recognized an aggregate net gain on the salesales of real estate of $0.6$2.7 million related to the disposition of threea skilled nursing/transitional care facilities.facility. During the three months ended September 30, 2016,2019, we recognized $19,000 of selling expenses related to previously completed sales.
Income (Loss) from Unconsolidated Joint Venture
During the three months ended September 30, 2020, we recognized $2.8 million of income from our unconsolidated joint venture compared to $0.6 million of loss for the three months ended September 30, 2019. The $3.4 million net increase is primarily related to (i) a gain$3.1 million net adjustment to our basis difference in the joint venture as a result of the completion of the joint venture’s strategic program to dispose of 14 senior housing communities and depreciation adjustments, partially offset by a $0.5 million loss on the sale of real estatethe final senior housing community in the joint venture’s strategic disposition program during the three months ended September 30, 2020, (ii) $3.0 million of $1.5government grant income recognized under the CARES Act and (iii) a $2.0 million decrease in interest expense primarily due to a decrease in interest rates, partially offset by (i) a $2.5 million increase in operating expenses from the facilities owned by the joint venture as of September 30, 2020 due to increased supplies and labor needs related to the dispositionCOVID-19 pandemic and increased insurance expense and (ii) a $1.7 million decrease in revenuefrom the facilities owned by the joint venture as of one skilled nursing/transitional care facility. See Note 5, “Dispositions”September 30, 2020 primarily due to decreased occupancy.
Income Tax Benefit (Expense)
During the three months ended September 30, 2020, we recognized $0.1 million of income tax benefit compared to $0.8 million of income tax expense for additional information.the three months ended September 30, 2019. The decrease is primarily due to lower taxable income from Senior Housing - Managed communities.
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Comparison of results of operations for the nine months ended September 30, 20172020 versus the nine months ended September 30, 20162019 (dollars in thousands):
Nine Months Ended September 30, Increase / (Decrease) Percentage
Difference
 
Variance due to the CCP Merger, Acquisitions, Originations and Dispositions (1)
 
Remaining Variance (2)
Nine Months Ended September 30,Increase / (Decrease)Percentage
Difference
Variance due to Acquisitions, Originations and Dispositions (1)
Remaining Variance (2)
2017 2016 20202019
Revenues:           Revenues:
Rental income$213,273
 $167,442
 $45,831
 27 % $51,922
 $(6,091)
Rental and related revenuesRental and related revenues$319,851 $339,291 $(19,440)(6)%$(7)$(19,433)
Interest and other income8,062
 25,482
 (17,420) (68)% (16,934) (486)Interest and other income8,756 77,145 (68,389)(89)%(1,794)(66,595)
Resident fees and services17,840
 5,811
 12,029
 207 % 
 12,029
Resident fees and services117,908 89,537 28,371 32 %7,095 21,276 
Expenses:           Expenses:
Depreciation and amortization62,290
 51,273
 11,017
 21 % 9,653
 1,364
Depreciation and amortization132,579 137,517 (4,938)(4)%218 (5,156)
Interest56,218
 49,139
 7,079
 14 % 7,719
 (640)Interest75,900 99,181 (23,281)(23)%(375)(22,906)
Operating expenses11,929
 4,256
 7,673
 180 % 
 7,673
Triple-net portfolio operating expensesTriple-net portfolio operating expenses15,481 17,140 (1,659)(10)%(1,225)(434)
Senior housing - managed portfolio operating expensesSenior housing - managed portfolio operating expenses82,976 60,258 22,718 38 %5,100 17,618 
General and administrative24,159
 13,513
 10,646
 79 % 5,171
 5,475
General and administrative24,650 24,952 (302)(1)%— (302)
Merger and acquisition costs29,750
 1,222
 28,528
 2,335 % 28,528
 
Provision for doubtful accounts and loan losses7,454
 3,286
 4,168
 127 % 
 4,168
Provision for loan losses and other reservesProvision for loan losses and other reserves706 1,457 (751)(52)%— (751)
Impairment of real estate
 29,811
 (29,811) NM
 (29,811) 
Impairment of real estate3,154 119,102 (115,948)(97)%(102,238)(13,710)
Other (expense) income:           
Other income (expense):Other income (expense):
Loss on extinguishment of debt(553) (556) (3) NM
 
 (3)Loss on extinguishment of debt(531)(10,763)10,232 (95)%(531)10,763 
Other income3,121
 5,345
 (2,224) (42)% 
 (2,224)Other income2,308 385 1,923 499 %— 1,923 
Net gain (loss) on sale of real estate4,614
 (3,203) 7,817
 NM
 7,817
 
Net gain on sales of real estateNet gain on sales of real estate2,828 1,216 1,612 133 %1,612 — 
Loss from unconsolidated joint ventureLoss from unconsolidated joint venture(13,037)(5,635)(7,402)131 %(1,580)(5,822)
Income tax expenseIncome tax expense(1,337)(2,292)955 (42)%— 955 
(1)
Represents the dollar amount increase (decrease) for the nine months ended September 30, 2017 compared to the nine months ended September 30, 2016 as a result of the CCP Merger and investments/dispositions made after January 1, 2016.
(2)
Represents the dollar amount increase (decrease) for the nine months ended September 30, 2017 compared to the nine months ended September 30, 2016 that is not a direct result of the CCP Merger and investments/dispositions made after January 1, 2016.

(1)    Represents the dollar amount increase (decrease) for the nine months ended September 30, 2020 compared to the nine months ended September 30, 2019 as a result of investments/dispositions made after January 1, 2019.
(2)    Represents the dollar amount increase (decrease) for the nine months ended September 30, 2020 compared to the nine months ended September 30, 2019 that is not a direct result of investments/dispositions made after January 1, 2019.
Rental Incomeand Related Revenues
During the nine months ended September 30, 2017,2020, we recognized $213.3$319.9 million of rental income compared to $167.4$339.3 million for the nine months ended September 30, 2016.2019. The $45.8$19.4 million increasenet decrease in rental income is primarily duerelated to (i) a $14.1 million decrease related to leases that we concluded should no longer be accounted for on an increase of $43.1accrual basis, (ii) a $10.1 million decrease from properties acquired in the CCP Merger21 Holiday communities and an increase of $10.9 million from other properties acquired after January 1, 2016, partially offset by a decrease of $2.1 million from properties disposed of after January 1, 2016 and a decrease of $5.4 million due to the nine senior housing communitiesone Senior Housing - Leased community that were transitioned to Senior Housing - Managed communities in April 2019 and November 2019, respectively, and (iii) a $7.4 million decrease from properties duringdisposed of after January 1, 2019. The $14.1 million decrease consists of a $13.7 million decrease in non-cash rental revenues, which includes $14.3 million in write-offs related to Signature Healthcare and Genesis Healthcare, Inc., whose leases are no longer accounted for on an accrual basis as a result of the nine months ended September 30, 2017.going concern issues for these tenants, and a $0.4 million decrease in earned cash rents. These amounts were partially offset by (i) a $7.4 million increase from properties acquired after January 1, 2019 and (ii) a $2.7 million increase related to property tax recoveries.
Our reported rental and related revenues may be subject to increased variability in the future as a result of adopting Topic 842. However, there can be no assurances regarding the timing and amount of these collections. Amounts due under the terms of all of our lease agreements are subject to contractual increases, and contingent rental income may be derived from certain lease agreements. No material contingent rental income was derived during the nine months ended September 30, 2017 or 2016.2020 and 2019.
Interest and Other Income
Interest and other income primarily consists of income earned on our loans receivable investments, preferred returns earned on our preferred equity investments and income from ouron the direct financefinancing lease. During the nine months ended
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September 30, 2017,2020, we recognized $8.1$8.8 million of interest and other income compared to $25.5$77.1 million for the nine months ended September 30, 2016.2019. The net decrease of $17.4$68.4 million is primarily due to a decrease(i) $66.9 million of $19.3 million primarilyincome related to interest income recognized at the default ratetransition of the 21 Holiday communities to our Senior Housing - Managed portfolio in April 2019, consisting of a $57.2 million lease termination payment and late feesa $9.7 million gain related to ourthe assumption of fixed assets net of liabilities, and (ii) a $2.4 million decrease in income from investments in the Forest Park - Fort Worth construction loan and the Forest Park - Dallas mortgage loan during the nine months ended September 30, 2016. Both loansthat were repaid during the nine months ended September 30, 2016. The decrease isafter January 1, 2019, partially offset by ana $0.6 million increase of $2.0 million related to interestin income from loan receivable investments income from a direct finance lease and income from the specialty valuation firm acquired in the CCP Merger.made after January 1, 2019.
Resident Fees and Services
During the nine months ended September 30, 2017,2020, we recognized $17.8$117.9 million of resident fees and services compared to $5.8$89.5 million for the nine months ended September 30, 2016.2019. The $28.4 million net increase of $12.0 million is primarily duerelated to (i) a $20.6 million increase from the nine senior housing21 Holiday communities and one Senior Housing - Leased community that were transitioned to Senior Housing - Managed propertiescommunities in MarchApril 2019 and May 2017.November 2019, respectively, and (ii) a $7.1 million increase from two Senior Housing - Managed communities acquired after January 1, 2019. Included in resident fees and services is $1.2 million of government grant income recognized under the CARES Act during the nine months ended September 30, 2020.
Depreciation and Amortization
During the nine months ended September 30, 2017,2020, we incurred $62.3$132.6 million of depreciation and amortization expense compared to $51.3$137.5 million for the nine months ended September 30, 2016.2019. The $11.0$4.9 million net increase in depreciation and amortization expensedecrease is primarily due to an increase of $8.6 from properties acquired in the CCP Merger, an increase of $3.1(i) a $5.7 million from other properties acquired after January 1, 2016 as well as a $1.8 million increasedecrease due to the acceleration of lease intangible amortization related to the nine senior housingtransition of the 21 Holiday communities transitioned to Senior Housing - Managed properties, partially offset bycommunities in April 2019 and (ii) a $4.3 million decrease of $2.1 million from properties disposed of after January 1, 2016 and2019, partially offset by a $0.4$4.6 million decreaseincrease from fully depreciated assets.properties acquired after January 1, 2019.
Interest Expense
We incur interest expense comprised of costs of borrowings plus the amortization of deferred financing costs related to our indebtedness. During the nine months ended September 30, 2017,2020, we incurred $56.2$75.9 million of interest expense compared to $49.1$99.2 million for the nine months ended September 30, 2016.2019. The $7.1$23.3 million net increasedecrease is primarily related to (i) a $3.7an aggregate $23.1 million increasedecrease in interest expense related to twothe redemptions of the 5.5% senior unsecured notes assumeddue 2021 (the “2021 Notes”) in June 2019 and the CCP Merger (see Note 7, “Debt” for additional information),2023 Notes in October 2019, (ii) a $3.2 million increase in interest expense related to our U.S. term loans as a result of increasing U.S. term loan borrowings from $245.0 million to $1.1 billion in connection with the CCP Merger and (iii) a $0.9 million increase of non-cash interest expense related to our interest rate hedges. These increases are partially offset by a $0.3$9.1 million decrease in interest expense related to the borrowings outstanding on the Revolving Credit Facility and decrease in interest rates, (iii) a $0.2$6.5 million decrease in interest expense related to secured debt.the partial pay down of the U.S. dollar term loans and decrease in interest rates and (iv) a $1.3 million decrease in non-cash interest expense related to our interest rate hedges, which decreases were partially offset by an aggregate $17.2 million increase in interest expense related to the issuances of the 2024 Notes (as defined below) and 2029 Notes.
Triple-Net Portfolio Operating Expenses
During the nine months ended September 30, 2020, we recognized $15.5 million of triple-net portfolio operating expenses compared to $17.1 million for the nine months ended September 30, 2019. The $1.7 million net decrease is primarily related to a $1.2 million decrease related to properties disposed of after January 1, 2019 and the remaining decrease is primarily related to property taxes paid during the nine months ended September 30, 2020 on facilities that were transitioned to new operators who are now paying the property taxes directly.
Senior Housing - Managed Portfolio Operating Expenses
During the nine months ended September 30, 2017,2020, we recognized $11.9$83.0 million of operating expenses compared to $4.3$60.3 million for the nine months ended September 30, 2016.2019. The $22.7 million net increase of $7.7 million is primarily due to (i) a $14.8 million increase from the nine senior housing21 Holiday communities and one Senior Housing - Leased community that were transitioned to Senior Housing - Managed propertiescommunities in MarchApril 2019 and May 2017.November 2019, respectively, and (ii) a $5.1 million increase from two Senior Housing - Managed communities acquired after January 1, 2019. The remaining increase is primarily due to increased supplies and labor needs related to the COVID-19 pandemic.
General and Administrative Expenses
General and administrative expenses include compensation-related expenses as well as professional services, office costs, and other costs associated with asset management.management, and merger and acquisition costs. During the nine months ended September 30, 2017,2020, general and administrative expenses were $24.2$24.7 million compared to $13.5$25.0 million during the nine months ended September 30, 2016.2019. The

$10.6 $0.3 million increasenet decrease is primarily related to a (i) $4.3$3.2 million of transition expenses for the CCP Merger primarily consisting of salaries and severance benefits, (ii) a $3.1 million increase in legal and professional fees primarily due to the management of the increased number of investments, (iii) a $1.0 million increase in payroll expense primarily due to the increased number of employees, (iv) $0.9 million in expenses incurred by our specialty valuation firm and (v) a $0.8 million increasedecrease in stock-based compensation expense, offset by a $2.7 million increase in employee compensation as a result of increased staffing and employees electing to receive their annual bonus opportunity in cash. The decrease in stock-based compensation expense, from $8.8 million during
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the nine months ended September 30, 2019 to $5.7 million during the nine months ended September 30, 2020, is primarily due to the increased number of employees.a change in performance-based vesting assumptions on management’s equity compensation and employees electing to receive their annual bonus opportunity in cash. We expect stock-based compensation expense to fluctuate from period to period depending upon changes in our stock price and estimates associated with performance-based compensation.
MergerProvision for Loan Losses and Acquisition CostsOther Reserves
During the nine months ended September 30, 2017,2020, we incurred $29.8recognized a $0.7 million of mergerprovision for loan losses and acquisition costs compared to $1.2 million for the nine months ended September 30, 2016. The increase of $28.6 million is due to costs related to the CCP Merger.
Provision for Doubtful Accounts and Loan Losses
other reserves, primarily associated with loan loss reserves. During the nine months ended September 30, 2017,2019, we recognized $7.5a $1.5 million in provision for doubtful accountsloan losses and loan losses. The $7.5 million provision is primarily due to a $4.9 million increase inother reserves, all of which was associated with loan loss reserves, a $0.9 million increase in general reserves on straight-line rental income, a $1.3 million reserve for other tenant-related receivables and a $0.4 million increase in reserves on cash rental income. reserves.
Impairment of Real Estate
During the nine months ended September 30, 2016,2020, we recognized $3.3 million in provision for doubtful accounts and loan losses, which is comprised of $2.3 million related to an increase in loan loss reserves and $1.3 million related to an increase in general reserves on straight-line rental income, partially offset by a $0.3 million recovery on previously reserved cash rents.
Impairment of Real Estate
No impairment of real estate was recognized during the nine months ended September 30, 2017. During the nine months ended September 30, 2016, we recognized $29.8$3.2 million of impairment of real estate related to three senior housing communities and one skilled nursing/transitional care facility. During the salenine months ended September 30, 2019, we recognized $119.1 million of impairment of real estate, consisting of (i) $95.2 million related to the Forest Park - Frisco hospital.30 Senior Care Centers facilities that we sold and one additional Senior Care Centers facility that we transitioned to another operator, which amount included $10.2 million related to our estimated contractual indemnification obligations, and (ii) $23.9 million related to five skilled nursing/transitional care facilities that were subsequently sold and four senior housing communities.
Loss on Extinguishment of Debt
During the nine months ended September 30, 2017,2020, we recognized a $0.6$0.5 million loss on extinguishment of debt related to write-offs of deferred financing costs in connection with amending the Prior Revolving Credit Facility. Wesale of three facilities that secured three mortgage notes. During the nine months ended September 30, 2019, we recognized a $0.6$10.8 million loss on extinguishment of debt, duringconsisting of (i) $10.1 million in connection with the nine months ended September 30, 2016redemption of the 2021 Notes, including $6.9 million in payments made to noteholders and legal fees for early redemption and $3.2 million of write-offs associated with unamortized deferred financing and premium costs and (ii) $0.6 million related to write-offsthe write-off of unamortized deferred financing costs in connection with amendingentering into the 2014 revolving credit facility and 2015 Canadian term loan.Credit Agreement.
Other Income
During the nine months ended September 30, 2017,2020 and September 30, 2019, we recognized $3.1$2.3 million and $0.4 million, respectively, of other income. Of the $3.1 million in other income $2.6 million is due to the amortization of lease termination payments related to a memorandum of understanding entered into with Genesis regarding five Genesis facilities (one of which was owned as of September 30, 2017) and $0.5 million relates to other income as a result of adjusting the fair value of our contingent consideration liability related to the acquisition of a real estate property, partially offset by $0.1 million of ineffectiveness loss related to our LIBOR interest rate swaps. During the nine months ended September 30, 2016, we recognized $5.3 million in other income, of which $5.0 million primarily related to lease terminationsettlement payments received related to the same memoranda of understanding with Genesis and $0.4 million related to an ineffectiveness gain related to our LIBOR interest rate swaps. These amounts were partially offset by $0.1 million of other expense as a result of adjusting the fair value of our contingent consideration liability related to the acquisition of a portfolio of real estate properties.legacy CCP investments.
Net Gain (Loss) on Sales of Real Estate
During the nine months ended September 30, 2017,2020, we recognized an aggregate net gain on the salesales of real estate of $4.6$2.8 million related to the disposition of fourseven skilled nursing/transitional care facilities. During the nine months ended September 30, 2016,2019, we recognized aan aggregate net lossgain on the salesales of real estate of $3.2 million. The $3.2$1.2 million net loss is due to a $4.7 million loss related to the disposition of one31 skilled nursing/transitional care facilityfacilities and one acute care hospital,seven senior housing communities.
Loss from Unconsolidated Joint Venture
During the nine months ended September 30, 2020, we recognized $13.0 million of loss from our unconsolidated joint venture compared to $5.6 million of loss for the nine months ended September 30, 2019. The $7.4 million net increase is primarily related to (i) a $6.3 million increase in operating expenses from the facilities owned by the joint venture as of September 30, 2020 primarily due to increased supplies and labor needs related to the COVID-19 pandemic and increased insurance expense, (ii) a $4.9 million depreciation adjustment related to our basis difference in the joint venture, (iii) a $2.4 million decrease in revenues from the facilities owned by the joint venture as of September 30, 2020 primarily due to decreases in occupancy and (iv) a $1.6 million increase in loss on sale primarily related to the sale of 12 senior housing communities, partially offset by (i) a $1.5$4.6 million gain relateddecrease in interest expense primarily due to a decrease in interest rates and (ii) $3.0 million of government grant income recognized under the dispositionCARES Act.
Income Tax Expense
During the nine months ended September 30, 2020, we recognized $1.3 million of one skilled nursing/transitional care facility. See Note 5, “Dispositions” inincome tax expense compared to $2.3 million of income tax expense recognized during the Notesnine months ended September 30, 2019. The decrease is primarily due to Condensed Consolidated Financial Statements for additional information.lower taxable income from Senior Housing - Managed communities.
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Funds from Operations and Adjusted Funds from Operations
We believe that net income attributable to common stockholders as defined by GAAP is the most appropriate earnings measure. We also believe that funds from operations attributable to common stockholders (“FFO”), as defined in accordance with the definition used by the National Association of Real Estate Investment Trusts (“NAREIT”Nareit”), and adjusted funds from

operations attributable to common stockholders (“AFFO”) (and related per share amounts) are important non-GAAP supplemental measures of our operating performance. Because the historical cost accounting convention used for real estate assets requires straight-line depreciation (except on land), such accounting presentation implies that the value of real estate assets diminishes predictably over time. However, since real estate values have historically risen or fallen with market and other conditions, presentations of operating results for a REIT that uses historical cost accounting for depreciation could be less informative. Thus, NAREITNareit created FFO as a supplemental measure of operating performance for REITs that excludes historical cost depreciation and amortization, among other items, from net income attributable to common stockholders, as defined by GAAP. FFO is defined as net income attributable to common stockholders, computed in accordance with GAAP, excluding gains or losses from real estate dispositions and our share of gains or losses from real estate dispositions related to our unconsolidated joint venture, plus real estate depreciation and amortization, net of amounts related to noncontrolling interests, plus our share of depreciation and amortization related to our unconsolidated joint venture, and real estate impairment charges. AFFO is defined as FFO excluding straight-linemerger and acquisition costs, stock-based compensation expense, non-cash rental income adjustments, amortization of above and below market lease intangibles,related revenues, non-cash interest income, adjustments, stock-based compensationnon-cash interest expense, amortizationnon-cash portion of loss on extinguishment of debt, provision for loan losses and other reserves, non-cash lease termination income and deferred financing costs and merger and acquisition costs,income taxes, as well as other non-cash revenue and expense items (including provisionsineffectiveness gain/loss on derivative instruments, and write-offsnon-cash revenue and expense amounts related to straight-line rental income, provision for loan losses, changes in fair valuenoncontrolling interests) and our share of contingent consideration and amortization of debt premiums/discounts).non-cash adjustments related to our unconsolidated joint venture. We believe that the use of FFO and AFFO (and the related per share amounts), combined with the required GAAP presentations, improves the understanding of our operating results among investors and makes comparisons of operating results among REITs more meaningful. We consider FFO and AFFO to be useful measures for reviewing comparative operating and financial performance because, by excluding the applicable items listed above, FFO and AFFO can help investors compare our operating performance between periods or as compared to other companies. While FFO and AFFO are relevant and widely used measures of operating performance of REITs, they do not represent cash flows from operations or net income attributable to common stockholders as defined by GAAP and should not be considered an alternative to those measures in evaluating our liquidity or operating performance. FFO and AFFO also do not consider the costs associated with capital expenditures related to our real estate assets nor do they purport to be indicative of cash available to fund our future cash requirements. Further, our computation of FFO and AFFO may not be comparable to FFO and AFFO reported by other REITs that do not define FFO in accordance with the current NAREITNareit definition or that interpret the current NAREITNareit definition or define AFFO differently than we do.

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The following table reconciles our calculations of FFO and AFFO for the three and nine months ended September 30, 20172020 and 2016,2019, to net income attributable to common stockholders, the most directly comparable GAAP financial measure, for the same periods (in thousands, except share and per share amounts):
Three Months Ended September 30,Nine Months Ended September 30,
2020201920202019
Net income attributable to common stockholders$36,460 $23,282 $101,300 $29,255 
Depreciation and amortization of real estate assets44,209 43,092 132,579 137,517 
Depreciation and amortization of real estate assets related to noncontrolling interest— (14)— (93)
Depreciation and amortization of real estate assets related to unconsolidated joint venture10,391 5,439 21,525 16,102 
Net (gain) loss on sales of real estate(2,715)19 (2,828)(1,216)
Net (gain) loss on sales of real estate related to unconsolidated joint venture(7,537)— 3,271 1,690 
Impairment of real estate3,154 13,966 3,154 119,102 
 
FFO attributable to common stockholders83,962 85,784 259,001 302,357 
Merger and acquisition costs130 433 192 
Stock-based compensation expense916 3,259 5,651 8,829 
Non-cash rental and related revenues7,907 (4,958)1,340 (12,965)
Non-cash interest income(608)(555)(1,743)(1,680)
Non-cash interest expense2,069 2,523 6,527 7,846 
Non-cash portion of loss on extinguishment of debt139 642 531 3,866 
Provision for loan losses and other reserves(90)57 706 1,457 
Non-cash lease termination income— — — (9,725)
Other non-cash adjustments related to unconsolidated joint venture394 777 1,337 2,923 
Other non-cash adjustments110 (3)137 95 
 
AFFO attributable to common stockholders$94,804 $87,656 $273,920 $303,195 
 
FFO attributable to common stockholders per diluted common share
$0.41 $0.45 $1.25 $1.64 
  
AFFO attributable to common stockholders per diluted common share$0.46 $0.46 $1.32 $1.63 
 
Weighted average number of common shares outstanding, diluted:
FFO attributable to common stockholders206,727,167 191,952,389 206,442,674 184,698,411 
 
AFFO attributable to common stockholders207,523,386 192,590,320 207,288,178 185,480,674 
 
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 Three Months Ended September 30, Nine Months Ended September 30,
 2017 2016 2017 2016
Net income attributable to common stockholders$12,534
 $22,776
 $46,756
 $39,419
Depreciation and amortization of real estate assets25,933
 17,102
 62,290
 51,273
Net (gain) loss on sale of real estate(582) (1,451) (4,614) 3,203
Impairment of real estate
 
 
 29,811
        
FFO attributable to common stockholders37,885
 38,427
 104,432
 123,706
        
Merger and acquisition costs (1)
23,299
 1,051
 29,750
 1,222
Stock-based compensation expense (1)
2,669
 2,485
 6,988
 6,137
Straight-line rental income adjustments(8,682) (5,593) (18,260) (16,710)
Amortization of above and below market lease intangibles, net637
 
 637
 
Non-cash interest income adjustments(188) 106
 (137) 549
Amortization of deferred financing costs1,574
 1,273
 4,132
 3,767
Non-cash portion of loss on extinguishment of debt553
 
 553
 556
Change in fair value of contingent consideration270
 100
 (552) 50
Provision for doubtful straight-line rental income, loan losses and other reserves4,886
 830
 6,810
 3,445
Other non-cash adjustments (2)
500
 (230) 1,371
 (25)
        
AFFO attributable to common stockholders$63,403
 $38,449
 $135,724
 $122,697
        
FFO attributable to common stockholders per diluted common share
$0.34
 $0.59
 $1.28
 $1.89
        
AFFO attributable to common stockholders per diluted common share$0.56
 $0.58
 $1.66
 $1.86
        
Weighted average number of common shares outstanding, diluted:       
FFO attributable to common stockholders112,418,100
 65,591,428
 81,429,044
 65,470,589
        
AFFO attributable to common stockholders112,693,779
 65,872,688
 81,741,288
 65,854,782
        
(1)
Merger and acquisition costs incurred during the three and nine months ended September 30, 2017 primarily relate to the CCP Merger. Merger and acquisition costs include $1.3 million of stock-based compensation expense related to former CCP employees.
(2)
Other non-cash adjustments include amortization of debt premiums/discounts and non cash interest expense related to our interest rate hedges.
SetThe following table sets forth below is additional information related to certain other items included in net income attributable to common stockholders above, and the portions of each that are included in FFO and AFFO attributable to common stockholders, which may be helpful in assessing our operating results. Please see the accompanying condensed consolidated statementsrefer to “—Results of cash flowsOperations” above for details of our operating, investing, and financing cash activities.additional information regarding these items (in millions):
Significant Items Included in FFO and AFFO Attributable to Common Stockholders:
During the three and nine months ended September 30, 2017, we incurred $23.3 million and $29.8 million, respectively, of merger and acquisition costs in connection with the CCP Merger. These entire amounts are included in FFO for the three and nine months ended September 30, 2017 and $4.3 million is included in AFFO for the three and nine months ended September 30, 2017.
During the three and nine months ended September 30, 2017, we incurred $4.3 million of transition expenses in connection with the CCP Merger primarily consisting of salaries and severance benefits. This entire amount is included in FFO and AFFO for the three and nine months ended September 30, 2017.
During the three and nine months ended September 30, 2017, we recognized $0.1 million and $3.1 million of other income, respectively. Other income includes $0.4 million and $2.7 million, respectively, related to the amortization of lease termination payments related to a memorandum of understanding entered into with Genesis regarding five Genesis facilities (of which one was owned as of September 30, 2017). Other income also includes ($0.3) million and

$0.5 million, respectively, related to adjusting the value of our contingent consideration liability related to the acquisition of a senior housing community. These amounts in their entirety are included in FFO for the three and nine months ended September 30, 2017, and $0.4 million and $2.8 million is included in AFFO for the three and nine months ended September 30, 2017, respectively.
During the three and nine months ended September 30, 2017, we recognized $5.1 million and $7.5 million, respectively, in provision for doubtful accounts. Loan loss reserves increased by $2.9 million and $4.9 million, respectively, general reserves on straight-line rental income increased by $0.6 million and $0.9 million, respectively, and reserves for cash rental income increased by $0.3 million and $0.4 million, respectively, during the three and nine months ended September 30, 2017. These amounts in their entirety are included in FFO for the three and nine months ended September 30, 2017 and $0.3 million and $0.4 million is included in AFFO for the three and nine months ended September 30, 2017, respectively.
During the three and nine months ended September 30, 2017, we recognized $0.6 million of loss on extinguishment of debt related to write-offs of deferred financing costs in connection with amending the Prior Credit Facility. During the nine months ended September 30, 2016, we recognized $0.6 million of loss on extinguishment of debt related to write-offs of deferred financing costs in connection with amending the 2014 revolving credit facility and 2015 Canadian term loan. These amounts in their entirety are included in FFO for the three and nine months ended September 30, 2017 and the nine months ended September 30, 2016.
During the three and nine months ended September 30, 2016, we recognized $0.5 million and $3.3 million, respectively, in provision for doubtful accounts. Loan loss reserves increased by $0.3 million and $2.3 million, respectively, general reserves on straight-line rental income increased by $0.5 million and $1.3 million, respectively, and reserves for cash renal income decreased by $0.3 million during the three and nine months ended September 30, 2016. These amounts in their entirety are included in FFO for the three and nine months ended September 30, 2016 and ($0.3) million and ($0.2) million, respectively, are included in AFFO for the three and nine months ended September 30, 2016.
During the three and nine months ended September 30, 2016, we recognized $0.6 million and $4.4 million of default interest income related to various investments in loans receivable. These amounts in their entirety are included in FFO and AFFO for the three and nine months ended September 30, 2016.
During the three and nine months ended September 30, 2016, we recognized $2.9 million and $5.3 million of other income, respectively, primarily due to lease termination payments related to a memorandum of understanding entered into with Genesis regarding five Genesis facilities. These amounts in their entirety are included in FFO for the three and nine months ended September 30, 2016, and $2.6 million and $5.0 million, respectively, are included in AFFO for the three and nine months ended September 30, 2016.
During the three and nine months ended September 30, 2016, we recognized $0.6 million of merger and acquisition costs not typically incurred related to the acquisition of one skilled nursing/transitional care facility. This entire amount is included in FFO for the three and nine months ended September 30, 2016.
Three Months Ended September 30,Nine Months Ended September 30,
202020192020201920202019202020192020201920202019
Net IncomeFFOAFFONet IncomeFFOAFFO
Rental and related revenues:
Reduction of revenues related to non-cash receivable balances / lease intangible write-offs$14.3 $1.5 $14.3 $1.5 $— $— $20.8 $7.4 $20.8 $7.4 $— $— 
Resident fess and services:
CARES Act grant income1.2 — 1.2 — 1.2 — 1.2 — 1.2 — 1.2 — 
Interest and other income:
Lease termination income0.3 — 0.3 — 0.3 — 0.3 66.9 0.3 66.9 0.3 57.2 
Incremental interest expense related to the redemption of the 2021 Notes— — — — — — — 1.0 — 1.0 — 1.0 
Senior housing - managed portfolio operating expenses:
COVID-19 pandemic related expenses1.2 — 1.2 — 1.2 — 3.2 — 3.2 — 3.2 — 
General and administrative expense:
CCP transition expenses— 0.1 — 0.1 — 0.1 0.1 0.2 0.1 0.2 0.1 0.2 
Merger and acquisition costs— 0.1 — 0.1 — — 0.4 0.2 0.4 0.2 — — 
(Recovery of) provision for doubtful accounts(0.1)0.1 (0.1)0.1 — — 0.7 1.5 0.7 1.5 — — 
Loss on extinguishment of debt0.1 0.6 0.1 0.6 — — 0.5 10.8 0.5 10.8 — 6.9 
Other income0.1 0.2 0.1 0.2 0.2 0.2 2.3 0.4 2.3 0.4 2.3 0.4 
Loss from unconsolidated joint venture:
CARES Act grant income3.0 — 3.0 — 3.0 — 3.0 — 3.0 — 3.0 — 
Deferred income tax benefit (expense)0.1 (0.6)0.1 (0.6)— — (0.3)(1.7)(0.3)(1.7)— — 
COVID-19 pandemic related expenses1.3 — 1.3 — 1.3 — 4.1 — 4.1 — 4.1 — 
Liquidity and Capital Resources
As of September 30, 2017,2020, we had approximately $779.6$979.0 million in liquidity, consisting of unrestricted cash and cash equivalents of $30.6$35.0 million (excluding joint venture cash and cash equivalents), and available borrowings under our Revolving Credit Facility of $749.0$944.0 million. The Credit FacilityAgreement also contains an accordion feature that can increase the total available borrowings to $2.5$2.75 billion (from U.S. $2.1$2.0 billion plus CAD $125.0 million), subject to terms and conditions.
We have filed a shelf registration statement on Form S-3 with the SEC that expires in January 2020,December 2022, which will allowallows us to offer and sell shares of common stock, preferred stock, warrants, rights, units, and certain of our subsidiaries to offer and sell debt securities, through underwriters, dealers or agents or directly to purchasers, on a continuous or delayed basis, in amounts, at prices and on terms we determine at the time of the offering, subject to market conditions.
On September 28, 2017,December 11, 2019, we completedestablished an underwritten publicat-the-market equity offering of 16.0 million newly issuedprogram (the “ATM Program”) pursuant to which shares of our common stock having an aggregate gross sales price of up to $400.0 million may be sold from time to time (i) by us through a consortium of banks acting as sales agents or directly to the banks acting as principals or (ii) by a consortium of banks acting as forward sellers on behalf of any forward purchasers pursuant to an effective registration statement. The underwriters exercised their option to purchase additional shares, and on October 2, 2017,a forward sale agreement. During the three months ended September 30, 2020, we issued an additional 2.4 million newly issued shares of our common stock pursuant to an effective registration statement. We received net proceeds, before expenses, of $370.9 million from the offering, after giving effect to the issuance and sale of all 18.4sold 1.4 million shares of common stock,under the ATM Program at aan average price of $21.00$15.70 per share. Theseshare, generating gross proceeds were used to repay borrowings outstandingof $21.4 million, before $0.3 million of commissions. During the nine months ended September 30, 2020, we sold 1.6 million shares under the Revolving Credit Facility.ATM Program at an average price of $16.26 per share, generating gross proceeds of
We
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$25.3 million, before $0.4 million of commissions. As of September 30, 2020, we have not utilized the forward feature of the ATM Program and we had $314.7 million available under the ATM Program. Subject to market conditions, we expect to use proceeds from our ATM Program to reduce our outstanding indebtedness and to finance future investments in properties.
Based on our current assessment of the impact of the COVID-19 pandemic on our company, we believe that our available cash, operating cash flows and borrowings available to us under theour Revolving Credit Facility provide sufficient funds for our operations, scheduled debt service payments with respect to our Senior Notes, secured

indebtedness on our properties, and dividend requirements for the next twelve months. In addition, we do not believe that the restrictions under our Senior Notes Indentures (as defined below) or Credit Agreement significantly limit our ability to use our available liquidity for these purposes.
WeGiven current market conditions, we expect to use our available liquidity for general corporate purposes and to fund operations as necessary. Recent disruptions in the equity and debt markets have significantly increased our cost of capital and have made it difficult to establish market values for potential real estate investments, and accordingly we do not expect to make any material real estate investments as long as these market conditions persist.
Should market conditions improve, we intend to once again invest in additional healthcare properties as suitable opportunities arise and adequate sources of financing are available. We expect that future investments in properties, including any improvements or renovations of current or newly-acquired properties, will depend on and will be financed, in whole or in part, by our existing cash, borrowings available to us under our Revolving Credit Facility, future borrowings or the proceeds from issuances of common stock (including through our ATM Program), preferred stock, debt or other securities. In addition, we may seek financing from U.S. government agencies, including through Fannie Mae, Freddie Mac and HUD,the U.S. Department of Housing and Urban Development, in appropriate circumstances in connection with acquisitions. We also use derivative instruments in the normal course of business to mitigate interest rate and foreign currency risk.
Cash Flows from Operating Activities
Net cash provided by operating activities was $49.8$265.5 million for the nine months ended September 30, 2017.2020. Operating cash inflows were derived primarily from the rental payments received under our lease agreements, resident fees and services net of the corresponding operating expenses and interest payments from borrowers under our loan investments. Operating cash outflows consisted primarily of interest payments on borrowings and payment of general and administrative expenses, including mergercorporate overhead. We expect our annualized cash flows provided by operating activities to fluctuate as a result of completed investment and acquisition costs primarily related to the CCP Mergerdisposition activity and corporate overhead.anticipated future changes in our portfolio.
Cash Flows from Investing Activities
During the nine months ended September 30, 2017,2020, net cash used in investing activities was $303.1$130.5 million and consisted of $393.1included $92.9 million used infor the acquisition of 21 skilled nursing/transitional carefour facilities, $32.4 million used for additions to real estate, $20.1 million used to provide funding for a preferred equity investment and one senior housing community, $5.6$1.7 million used to provide additional funding for existing loans receivable, $2.7 million used to fund preferred equity investments and $3.2 million used for tenant improvements, partially offset by $77.9 million in cash acquired in the CCP Merger, $11.7$8.8 million in sales proceeds related to the disposition of four skilled nursing/transitional careseven real estate facilities, $8.7$3.4 million in repayments of preferred equity investments, $3.1 million in repayments of loans receivable and $3.2$1.3 million in repaymentsdistributions in excess of preferred equity investments.
We expect to continue using available liquidity in connection with anticipated future real estate investments, loan originations and preferred equity investments.earnings from unconsolidated joint venture.
Cash Flows from Financing Activities
During the nine months ended September 30, 2017,2020, net cash provided byused in financing activities consistedwas $142.0 million and included $215.7 million of $319.0dividends paid to stockholders, $2.4 million inof principal repayments on secured debt and $0.8 million of payments of deferred financing costs, partially offset by $21.0 million of net proceeds from the September 2017 common stock offering lessshares sold through our ATM Program, net of payroll tax payments related to the issuance of common stock pursuant to equity compensation arrangements and $181.0 million in proceeds from the U.S. term loans, partially offset by $86.8 million of dividends paid to stockholders, $3.1 million of principal repayments of secured debt and $15.3 million of payments for deferred financing costs primarily associated with the new Credit Facility.arrangements. In addition, during the nine months ended September 30, 2017,2020, we repaidborrowed a net amount of $137.0$56.0 million on our Revolving Credit Facility.
In March 2020, we announced a significant reduction to our quarterly dividend, which reduction was implemented by our board of directors on May 6, 2020 when it declared a quarterly cash dividend of $0.30 per share of common stock. We took this step to help focus our capital resources and liquidity on maintaining our balance sheet strength and enhancing our ability to assist our operators in their time of need. We expect that our board of directors will re-evaluate the quarterly dividend once the COVID-19 pandemic has passed.
Please see the accompanying condensed consolidated statements of cash flows for details of our operating, investing and financing cash activities.
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Loan Agreements
20212024 Notes. On January 23, 2014,May 29, 2019, the Operating Partnership and Sabra Capital Corporation, wholly owned subsidiaries of Sabra (together, the Company (the “Issuers”), issued $350.0$300.0 million aggregate principal amount of 5.5%4.80% senior unsecured notes due 20212024 (the “Existing 2021“2024 Notes”), providing net proceeds of approximately $340.8$295.3 million after deducting underwriting discounts and other offering expenses. On October 10, 2014, the Issuers issued an additional $150.0 million aggregate principal amount of 5.5% senior unsecured notes due 2021 (together with the Existing 2021 Notes, the “2021 Notes”), providing net proceeds of approximately $145.6 million (not including pre-issuance accrued interest), after deducting underwriting discounts and other offering expenses and a yield-to-maturity of 5.593%.
2023 Notes. On May 23, 2013, the Issuers issued $200.0 million aggregate principal amount of 5.375% senior notes due 2023 (the “2023 Notes”), providing net proceeds of approximately $194.6 million after deducting underwriting discounts and other offering expenses.
2026 and 2027 Notes.In connection with the October 2019 redemption of other senior notes of the Issuers, Sabra Capital Corporation’s obligations as a co-issuer were automatically released and discharged.
2026 and 2027 Notes. In connection with our merger with CCP, Merger, on August 17, 2017, Sabra assumed $500 million aggregate principal amount of 5.125% senior notes due 2026 (the “2026 Notes”) and $100 million aggregate principal amount of 5.38%5.88% senior notes due 2027 (the “2027 Notes”).
2029 Notes. On October 7, 2019, the Issuers issued $350.0 million aggregate principal amount of 3.90% senior notes due 2029 (the “2029 Notes” and, together with the 20212024 Notes, the 20232026 Notes and the 20262027 Notes, the “Senior Notes”)., providing net proceeds of $340.5 million after deducting underwriting discounts and other offering expenses. In connection with the October 2019 redemption of other senior notes of the Issuers, Sabra Capital Corporation’s obligations as a co-issuer were automatically released and discharged.
See Note 7, “Debt,” in the Notes to Condensed Consolidated Financial Statements for additional information concerning the Senior Notes, including information regarding the indentures and agreements governing the Senior Notes (the “Senior Notes Indentures”). As of September 30, 2017,2020, we were in compliance with all applicable covenants under the Senior Notes Indentures.

Guarantor Financial Information. The 2024 Notes are issued by the Operating Partnership and fully and unconditionally guaranteed, jointly and severally, by us and one of our non-operating subsidiaries, subject to release under certain customary circumstances as described below. In connection with the Operating Partnership’s assumption of the 2026 Notes, we have fully and unconditionally guaranteed the 2026 Notes, subject to release under certain circumstances as described below. The 2029 Notes are issued by the Operating Partnership and guaranteed, fully and unconditionally, by us.
These guarantees are subordinated to all existing and future senior debt and senior guarantees of the applicable guarantors and are unsecured. We conduct all of our business through and derive virtually all of our income from our subsidiaries. Therefore, our ability to make required payments with respect to our indebtedness (including the Senior Notes) and other obligations depends on the financial results and condition of our subsidiaries and our ability to receive funds from our subsidiaries.
A guarantor will be automatically and unconditionally released from its obligations under the guarantee with respect to the 2024 Notes in the event of:
Any sale of the subsidiary guarantor or of all or substantially all of its assets;
A merger or consolidation of the subsidiary guarantor with the Operating Partnership or Sabra, provided that the surviving entity remains a guarantor;
The requirements for legal defeasance or covenant defeasance or to discharge the indentures governing the 2024 Notes have been satisfied;
A liquidation or dissolution, to the extent permitted under the indenture governing the 2024 Notes, of the subsidiary guarantor;
The release or discharge of the guaranty that resulted in the creation of the subsidiary guaranty, except a discharge or release by or as a result of payment under such guaranty; or
If the subsidiary guarantor is not a guarantor or is not otherwise liable in respect of any obligations under any credit facility (as defined in the indenture governing the 2024 Notes) of us or any of our subsidiaries.
We will be automatically and unconditionally released from our obligations under the guarantee with respect to the 2026 Notes in the event of:
A liquidation or dissolution, to the extent permitted under the indenture governing the 2026 Notes;
A merger or consolidation, provided that the surviving entity remains a guarantor; or
The requirements for legal defeasance or covenant defeasance or to discharge the indenture governing the 2026 Notes have been satisfied.
Pursuant to amendments to Regulation S-X, the following aggregate summarized financial information is provided for Sabra, the Operating Partnership and Sabra Health Care, L.L.C. (the guarantor subsidiary of the 2024 Notes). This aggregate summarized financial information has been prepared from the books and records maintained by us, the Operating Partnership
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and Sabra Health Care, L.L.C. The aggregate summarized financial information does not include the investments in non-guarantor subsidiaries nor the earnings from non-guarantor subsidiaries and therefore is not necessarily indicative of the results of operations or financial position had the Operating Partnership and Sabra Health Care, L.L.C. operated as independent entities. Intercompany transactions have been eliminated. The aggregate summarized balance sheet information as of September 30, 2020 and December 31, 2019 and aggregate summarized statement of loss information for the nine months ended September 30, 2020 is as follows (in thousands):
September 30, 2020December 31, 2019
Total assets$49,462 $52,597 
Total liabilities2,336,531 2,241,501 
Nine Months Ended September 30, 2020
Total revenues342 
Total expenses88,917 
Net loss(88,963)
Net loss attributable to common stockholders(88,963)
Credit FacilityAgreement. Effective on August 17, 2017,September 9, 2019, the Operating Partnership and Sabra Canadian Holdings, LLC (together, the “Borrowers”), Sabra and the other parties thereto entered into a fourthfifth amended and restated unsecured credit facilityagreement (the “Credit Facility”Agreement”).
The Credit FacilityAgreement includes a $1.0 billion Revolvingrevolving credit facility (the “Revolving Credit Facility, $1.1 billionFacility”), $955.0 million in U.S. dollar term loans and a CAD $125$125.0 million Canadian dollar term loan (collectively, the “Term Loans”). Further, up to $175$175.0 million of the Revolving Credit Facility may be used for borrowings in certain foreign currencies. The Credit FacilityAgreement also contains an accordion feature that can increase the total available borrowings to $2.5$2.75 billion, subject to terms and conditions.
The Revolving Credit Facility has a maturity date of August 17, 2021,September 9, 2023, and includes two six-month extension options. $200$105.0 million of the U.S. dollar Term Loans has a maturity date of August 17, 2020,September 9, 2022, $350.0 million of the U.S. dollar Term Loans has a maturity date of September 9, 2023, and the other Term Loans have a maturity date of August 17, 2022.September 9, 2024.
The obligations of the Borrowers under the Credit FacilityAgreement are fully and unconditionally guaranteed, jointly and severally, on an unsecured basis, by us and certainone of our subsidiaries.non-operating subsidiaries, subject to release under certain customary circumstances.
See Note 7, “Debt,” in the Notes to Condensed Consolidated Financial Statements for additional information concerning the Credit Facility,Agreement, including information regarding covenants contained in the Credit Facility.Agreement. As of September 30, 2017,2020, we were in compliance with all applicable covenants under the Credit Facility.Agreement.
Secured Indebtedness
OfAs of September 30, 2020 and December 31, 2019, 13 and 16 of our530 properties held for investment 30 arewere subject to secured indebtedness to third parties, that, asrespectively. As of September 30, 2017, totaled approximately $260.4 million. As of September 30, 20172020 and December 31, 2016,2019, our secured debt consisted of the following (dollars in thousands):
Interest Rate Type
Principal Balance as of
September 30, 2020 (1)
Principal Balance as of
December 31, 2019 (1)
Weighted Average
Interest Rate at
September 30, 2020 (2)
Maturity
Date
Fixed Rate$80,124 $114,777 3.68 %December 2021 - 
August 2051
(1)    Principal balance does not include deferred financing costs, net of $1.1 million and $1.7 million as of September 30, 2020 and December 31, 2019, respectively.
(2)    Weighted average interest rate includes private mortgage insurance.
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Interest Rate Type 
Principal Balance as of
September 30, 2017
(1)
 
Principal Balance as of
December 31, 2016
(1)
 
Weighted Average
Effective Interest Rate at
September 30, 2017
(2)
 Maturity
Date
Fixed Rate $161,871
 $163,638
 3.87% December 2021 - 
August 2051
Variable Rate 98,500
 
 3.02% July 2019
  $260,371
 $163,638
 3.55%  
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(1)
Principal balance does not include deferred financing costs, net of $2.8 million and $2.9 million as of September 30, 2017 and December 31, 2016, respectively.
(2)
Weighted average effective interest rate includes private mortgage insurance.
On August 17, 2017, in connection with the CCP Merger, we assumed a $98.5 million secured term loan that bears interest at LIBOR plus 1.80% and matures in July 2019.
Capital Expenditures
There were $3.2We had $32.4 million and $0.9$16.0 million of capital expenditures for the nine months ended September 30, 20172020 and 2016,2019, respectively. The capital expenditures for the nine months ended September 30, 2017 and 2016 include $22,000 and $0.1 million, respectively, of capital expenditures for corporate office needs. There are no present plans for the improvement or development of any unimproved or undeveloped property; however, from time to time we may agree to fund improvements our tenants make at our facilities. Accordingly, we anticipate that our aggregate capital expenditure requirements for the next 12 months will not exceed $67.0 million, and that such expenditures will principally be for improvements to our facilities and will not exceed $64 million, of which $31 million will directly result in incremental rental income.
Dividends
We paid dividends of $86.8$215.7 million on our common and preferred stock during the nine months ended September 30, 2017.2020. On November 1, 2017,5, 2020, our board of directors declared a quarterly cash dividend of $0.5201087$0.30 per share of common stock, which consists of (i) a full quarter dividend of $0.45 per share and (ii) $0.0701087 per share, which is the difference between the prorated dividend paid on August 18, 2017 and our previous full quarter dividend of $0.43 per share.stock. The dividend will be paid on November 30, 20172020 to common stockholders of record as of November 15, 2017. Also on November 1, 2017, our board of directors declared a quarterly cash dividend of $0.4453125 per share of Series A Preferred Stock. The dividend will be paid on November 30, 2017 to preferred stockholders of record as of the close of business on November 15, 2017.

16, 2020.
Concentration of Credit Risk
Concentrations of credit risk arise when a number of operators, tenants or obligors related to our investments are engaged in similar business activities, or activities in the same geographic region, or have similar economic features that would cause their ability to meet contractual obligations, including those to us, to be similarly affected by changes in economic conditions. We regularly monitor our portfolio to assess potential concentrations of risks.
Management believes our current portfolio is reasonably diversified across healthcare related real estate and geographical location and does not contain any other significant concentration of credit risks. Our portfolio of 530425 real estate properties held for investment as of September 30, 20172020 is diversified by location across the United States and Canada.
The following table provides information regarding significantFor the three and nine months ended September 30, 2020, no tenant relationships representingrelationship represented 10% or more of our total revenues as of September 30, 2017 (dollars in thousands):
    Three Months Ended Nine Months Ended
    September 30, 2017
  Number of Investments Rental Revenue % of Total Revenue Rental Revenue % of Total Revenue
           
Genesis Healthcare, Inc. 76
 $20,257
 18.1% $60,470
 25.3%
Holiday AL Holdings, LP 21
 9,813
 8.8
 29,438
 12.3
           
revenues.
Skilled Nursing Facility Reimbursement Rates
A portionFor the nine months ended September 30, 2020 (excluding one-time lease termination income of $0.3 million), 53.1% of our revenue isrevenues was derived directly or indirectly from skilled nursing/transitional care facilities. Medicare reimburses skilled nursing facilities for Medicare Part A services under the Prospective Payment System (“PPS”), as implemented pursuant to the Balanced Budget Act of 1997 and modified pursuant to subsequent laws, most recently the Patient Protection and Affordable Care Act of 2010. PPS regulations predetermine a payment amount per patient, per day, based on a market basket index calculated for all covered costs. The
Prior to October 1, 2019, the amount to be paid iswas determined by classifying each patient into one of 66 Resource Utilization Group (“RUG”) categories that representrepresented the level of services required to treat different conditions and levels of acuity.
The current system of 66 RUG categories, or Resource Utilization Group, version IV (“RUG IV”), became effective as of October 1, 2010. RUG IV resulted from research performed by the Centers for Medicare & Medicaid Services (“CMS”) and was part of CMS'sCMS’s continuing effort to increase the correlation of the cost of services to the condition of individual patients.
On July 31, 2017,2018, CMS issued a final rule, CMS-1696-F, which includes changes to the case-mix classification system used under the PPS and fiscal year 2019 Medicare payment updates.
CMS-1696-F includes a new case-mix classification system called the skilled nursing facility Patient-Driven Payment Model (“PDPM”) that became effective on October 1, 2019. PDPM reflects significant changes to the Resident Classification System, Version I (“RCS-I”) that was being considered to replace RUG IV as outlined in an Advanced Notice of Proposed Rulemaking released by CMS in May 2017.
PDPM focuses on clinically relevant factors, rather than volume-based service, for determining Medicare payment. PDPM adjusts Medicare payments based on each aspect of a resident’s care, most notably for non-therapy ancillaries, which are items and services not related to the provision of therapy such as drugs and medical supplies, thereby more accurately addressing costs associated with medically complex patients. It further adjusts the skilled nursing facility per diem payments to reflect varying costs throughout the stay and incorporates safeguards against potential financial incentives to ensure that beneficiaries receive care consistent with their unique needs and goals.
On July 30, 2019, CMS released final fiscal year 20182020 Medicare rates for skilled nursing facilities providing an estimated net increase of 1.0% over fiscal year 2017 payments. The new payment rates became effective on October 1, 2017. In its final rule, CMS also revised and rebased the market basket index by updating the base year from fiscal year 2010 to fiscal year 2014.
On July 29, 2016, CMS released final fiscal year 2017 Medicare rates for skilled nursing facilities providing a net increase of 2.4% over fiscal year 20162019 payments (comprised of a market basket increase of 2.7%2.8% less the productivity adjustment of 0.3%0.4%). The new payment rates became effective on October 1, 2016.2019.
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On November 16, 2015,July 31, 2020, CMS finalized the Comprehensive Carereleased final fiscal year 2021 Medicare rates for Joint Replacement model, which began April 1, 2016 and holds hospitals accountable for the quality of care they deliver to Medicare fee-for-service beneficiaries for hip and knee replacements and/or other major leg procedures from surgery through recovery. Through this payment model, hospitals in 67 geographic areas receive additional payments if quality and spending performance are strong or, if not, potentially have to repay Medicare for a portion of the spending for care surrounding a lower extremity joint replacement (LEJR) procedure. As a result, Medicare revenues derived at skilled nursing facilities relatedproviding an estimated net increase of 2.2% over fiscal year 2020 payments (comprised of a market basket increase of 2.2% and no productivity adjustment). The new payment rates became effective on October 1, 2020.
In response to lower extremity joint replacementthe COVID-19 pandemic, several federal relief packages were approved that could benefit our tenants, especially our tenants that operate skilled nursing/transitional care facilities.
On March 18, 2020, President Trump signed into law the Families First Coronavirus Response Act (“Families First Act”). Under the Families First Act, a temporary 6.2% increase in Federal Medical Assistance Percentages (“FMAP”) was approved retroactive to January 1, 2020, and several states have directed FMAP funds to skilled nursing/transitional care facilities.
On March 27, 2020, President Trump signed into law The Coronavirus Aid, Relief, and Economic Security Act (the “CARES Act”). The CARES Act provides for a $175 billion fund for eligible health care providers, which includes skilled nursing/transitional care operators, and as of September 1, 2020 also includes assisted living facility operators. The CARES Act also includes a temporary suspension of 2% Medicare sequestration cut beginning May 1, 2020 through December 31, 2020, a deferral of the employer’s Social Security remittances through December 31, 2020, and the establishment of the Paycheck Protection Program, a Small Business Administration loan to businesses with fewer than 500 employees that may be partially forgivable.
In addition to the above, there have been other actions taken that benefit skilled nursing/transitional care operators, including the waiver of the requirement for skilled nursing/transitional care patients to have stayed in a hospital discharges could be positively or negatively impactedfor three days in those geographic areas identified by CMSorder for mandatory participationservices rendered in a skilled nursing/transitional care facility to qualify for Medicare Part A, the bundled payment program.acceleration and advance of three months of Medicare billing, and relaxation of certification requirements for employees performing non-clinical services in these facilities.

The Department of Health and Human Services (“HHS”) extended the COVID-19 Public Health Emergency for another 90 days, effective October 23, 2020, which allows HHS to continue providing temporary regulatory waivers and new rules to equip skilled nursing facilities and some assisted living operators with flexibility to respond to the COVID-19 pandemic. The extension of the COVID-19 Public Health Emergency also extends the Federal Medical Assistance Percentages funding increase through March 31, 2021.
Obligations and Commitments
The following table summarizes our contractual obligations and commitments in future years, including our Senior Notes, our Revolving Credit Facility, our Term Loans, our secured indebtedness to third parties on certain of our properties, our Revolving Credit Facility, our Term Loans, our Senior Notes and our operating leases. The following table is presented as of September 30, 20172020 (in thousands):
  October 1 through December 31, 2020 Year Ending December 31,  
 Total2021202220232024After 2024
Secured indebtedness (1)
$105,872 $1,280 $20,062 $4,161 $4,161 $4,161 $72,047 
Revolving Credit Facility (2)
65,543 818 3,243 3,243 58,239 — — 
Term Loans (3)
1,136,413 6,292 26,177 130,370 370,390 603,184 — 
Senior Notes (4)
1,635,885 16,715 59,055 59,055 59,055 359,055 1,082,950 
Operating leases2,561 108 445 467 507 529 505 
Total$2,946,274 $25,213 $108,982 $197,296 $492,352 $966,929 $1,155,502 
   October 1 Through   Year Ending December 31,    
 Total December 31, 2017 2018 2019 2020 2021 After 2021
Secured indebtedness (1)
$344,361
 $3,207
 $12,804
 $109,972
 $9,784
 $25,619
 $182,975
Revolving Credit Facility (2)
285,281
 2,226
 8,830
 8,830
 8,855
 256,540
 
Term Loans (3)
1,346,671
 8,169
 32,408
 32,408
 230,303
 26,520
 1,016,863
Senior Notes (4)
1,745,175
 8,065
 69,255
 69,255
 69,255
 555,505
 973,840
Operating leases4,108
 139
 651
 440
 426
 445
 2,007
Total$3,725,596
 $21,806
 $123,948
 $220,905
 $318,623
 $864,629
 $2,175,685
(1)Secured indebtedness includes principal payments and interest payments through the applicable maturity dates. Total interest on secured indebtedness, based on contractual rates, is $25.7 million, which is attributable to fixed rate debt.
(2)Revolving Credit Facility includes interest payments and payments related to the facility fee due to the lenders based on the amount of commitments under the Revolving Credit Facility through the maturity date (assuming no exercise of our two six-month extension options) totaling $9.5 million.
(1)
(3)Term Loans includes interest payments through the applicable maturity dates totaling $87.9 million, which reflects the impact of interest rate swaps.
(4)Senior Notes includes interest payments through the applicable maturity dates totaling $385.9 million.
Secured indebtedness includes principal payments and interest payments through the maturity dates. Total interest on secured indebtedness, based on contractual rates, is $84.0 million, of which $5.5 million is attributable to variable rate debt.
(2)
Revolving Credit Facility includes payments related to the facility fee due to the lenders based on the amount of commitments under the Revolving Credit Facility and also includes interest payments through the maturity date (assuming no exercise of its two six-month extension options). Total interest on the Revolving Credit Facility is $34.3 million.
(3)
Term Loans include interest payments through the applicable maturity dates totaling $146.4 million.
(4)
Senior Notes includes interest payments through the maturity dates. Total interest on the Senior Notes is $445.2 million.
In addition to the above, as of September 30, 2017,2020, we have committed to provide up to $13.5$2.2 million of future funding related to five loan receivable investments. The loanfour loans receivable investments havewith maturity dates ranging from January 2018March 2021 to February 2027.December 2022.
Off-Balance Sheet Arrangements
None.We have a 49% interest in an unconsolidated joint venture. See Note 4, “Investment in Real Estate Properties—Investment in Unconsolidated Joint Venture,” in the Notes to Condensed Consolidated Financial Statements for additional

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information. We have no other off-balance sheet arrangements that we expect would materially affect our liquidity and capital resources.

ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
We are exposed to various market risks, primarily related to adverse changes in interest rates and the exchange rate for Canadian dollars. We use derivative instruments in the normal course of business to mitigate interest rate and foreign currency risk. We do not use derivative financial instruments for speculative or trading purposes. See Note 8, “Derivative and Hedging Instruments,” in the Notes to the Condensed Consolidated Financial Statements for further discussion onof our derivative instruments.
Interest rate risk. As of September 30, 2017,2020, our indebtedness included $1.3 billion aggregate principal amount of Senior Notes outstanding, $260.4$80.1 million of secured indebtedness to third parties on certain of the properties that our subsidiaries own, $1.2$1.0 billion in Term Loans and $251.0$56.0 million outstanding under the Revolving Credit Facility. As of September 30, 2017,2020, we had $1.5$1.1 billion of outstanding variable rate indebtedness. In addition, as of September 30, 2017, we had $749.0indebtedness and $944.0 million available for borrowing under our Revolving Credit Facility. Additionally, as of September 30, 2020, our share of unconsolidated joint venture debt was $376.0 million, all of which was variable rate indebtedness.
We expect to manage our exposure to interest rate risk by maintaining a mix of fixed and variable rates for our indebtedness. We also may manage, or hedge, interest rate risks related to our borrowings through interest rate swap agreements. As of September 30, 2017,2020, we had 10 interest rate swaps that fix the LIBOR portion of the interest rate for $845.0 million of LIBOR-based borrowings under the U.S. dollar Term Loans at a weighted average rate of 1.19%1.24% and twoan interest rate swapsswap that fixfixes the CDORCanadian Dollar Offered Rate (“CDOR”) portion of the interest rate for CAD $90.0 million and CAD $35.0$125.0 million of CDOR-based borrowings under the Canadian dollar Term Loan at 1.59% anda rate of 0.93%, respectively.. As of September 30, 2020, our share of unconsolidated joint venture debt included $368.4 million of LIBOR-based borrowings subject to interest rate cap agreements that cap the LIBOR portion of the interest rate at a weighted average rate of 2.89%.
From time to time, we may borrow under the Revolving Credit Facility to finance future investments in properties, including any improvements or renovations of current or newly acquired properties, or for other purposes. Because borrowings under the Revolving Credit Facility bear interest on the outstanding principal amount at a rate equal to an applicable interest margin plus, at our option, either (a) LIBOR or (b) a base rate determined as the greater of (i) the federal funds rate plus 0.5%, (ii) the prime rate, and (iii) one-month LIBOR plus 1.0%, the interest rate we will be required to pay on any such borrowings will depend on then applicable rates and may vary. An increase in interest rates could make the financing of any investment by us more costly. Rising interest rates could also limit our ability to refinance our debt when it matures or cause us to pay higher interest rates upon refinancing and increase interest expense on refinanced indebtedness.
As of September 30, 2020, the index underlying our variable rate debt and our share of unconsolidated joint venture debt was below 100 basis points. Assuming a 100 basis point increase/decreaseincrease in the interest rate relatedindex or a reduction of this index to our variable rate debtzero, and after giving effect to the impact of interest rate swap derivative instruments, interest expensenet income would increase/decrease by $6.0$5.4 million or increase by $0.8 million, respectively, for the twelve months following September 30, 2017.2020.

Foreign currency risk. We are exposed to changes in foreign exchange rates as a result of our investments in Canadian real estate. Our foreign currency exposure is partially mitigated through the use of Canadian dollar denominated debt totaling CAD $147.8$145.7 million and cross currency swap instruments. Based on our operating results for the three months ended September 30, 2017,2020, if the value of the Canadian dollar relative to the U.S. dollar were to increase or decrease by 10% compared to the average exchange rate during the three months ended September 30, 2017,2020, our cash flows would have decreased or increased, as applicable, by $0.2$0.1 million.

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ITEM 4. CONTROLS AND PROCEDURES
Disclosure Controls and Procedures
As of the end of the period covered by this report, management, including our chief executive officer and chief financial officer, evaluated the effectiveness of the design and operation of our disclosure controls and procedures. Based upon, and as of the date of, the evaluation, our chief executive officer and chief financial officer concluded that our disclosure controls and procedures were effective as of September 30, 20172020 to ensure that information required to be disclosed in the reports we file or submit under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed by us in the reports we file or submit under the Exchange Act is accumulated and communicated to our management, including our chief executive officer and our chief financial officer, as appropriate to allow timely decisions regarding required disclosure.
Changes in Internal Control Over Financial Reporting
There were no changes in our internal control over financial reporting during the quarter ended September 30, 20172020 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
On August 17, 2017, we completed the CCP Merger. We are continuing to integrate the acquired CCP operations into our overall internal control over financial reporting and will evaluate as part
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Table of our first internal control assessment that includes anContents

assessment of CCP whether the CCP Merger resulted in any changes in our internal control over financial reporting that materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.


PART II. OTHER INFORMATION
ITEM 1. LEGAL PROCEEDINGS
ForNone of the Company or any of its subsidiaries is a descriptionparty to, and none of their respective property is the subject of, any material legal proceeding, although we are from time to time party to legal proceedings that arise in the ordinary course of our legal proceedings, see “Legal Matters” in Part I, Item 1, Note 14 of the Notes to Condensed Consolidated Financial Statements included in this Quarterly Report on Form 10-Q, which is incorporated by reference in response to this item.business.

ITEM 1A. RISK FACTORS

There have been no material changes in our assessment of our risk factors from those set forth in Part I, Item 1A of our 20162019 Annual Report on Form 10-K, as updated by the risk factorsfactor set forth in Part II, Item 1A of our Quarterly Report on Form 10-Q for the quarter ended March 31, 2017.2020.

ITEM 6. EXHIBITS
Ex.Description
2.1
2.2
2.3
3.1
3.1.1
3.1.2
3.23.1.2
3.2
4.122.1
4.2
4.3
4.4
4.5

Ex.31.1*Description
10.1
Fourth Amended and Restated Credit Agreement, dated as of August 17, 2017, among Sabra Health Care Limited Partnership and Sabra Canadian Holdings, LLC, as Borrowers; Sabra Health Care REIT, Inc., as REIT Guarantor; the other guarantors party thereto; the lenders party thereto; Bank of America, N.A., as Administrative Agent, Swing Line Lender and L/C Issuer; Citizens Bank, National Association, Credit Agricole Corporate and Investment Bank and Wells Fargo Bank, N.A, as Co-Syndication Agents, Swing Line Lenders and L/C Issuers; BMO Harris Bank N.A., The Bank of Tokyo-Mitsubishi UFJ, LTD., Barclays Bank PLC, Compass Bank, Citibank, N.A., J.P. Morgan Chase Bank, N.A., Sumitomo Mitsui Banking Corporation, Suntrust Bank and UBS Securities LLC, as Co-Documentation Agents; and Merrill Lynch, Pierce, Fenner & Smith Incorporated, as Joint Lead Arranger and Sole Bookrunner; and Citizens Bank, National Association, Credit Agricole Corporate and Investment Bank and Wells Fargo Securities, LLC, as Joint Lead Arrangers (incorporated by reference to Exhibit 10.1 of the Current Report on Form 8-K filed by Sabra Health Care REIT, Inc. on August 17, 2017).
10.2+
10.3+*
12.1*
31.1*
31.2*
32.1**
32.2**
101.INS*XBRL Instance Document.Document - the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.
101.SCH*XBRL Taxonomy Extension Schema Document.
101.CAL*XBRL Taxonomy Extension Calculation Linkbase Document.
101.DEF*XBRL Taxonomy Extension Definition Linkbase Document.
101.LAB*XBRL Taxonomy Extension Label Linkbase Document.
101.PRE*XBRL Taxonomy Extension Presentation Linkbase Document.
46

Ex.Description
*104*Filed herewith.
**Furnished herewith.
+Designates a management compensation plan, contract or arrangement.Cover Page Interactive Data File - the cover page interactive data file does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.

*Schedules and exhibits have been omitted pursuant to Item 601(b)(2) of Regulation S-K. The Registrants hereby agree to furnish supplementally copies of any of the omitted schedules and exhibits upon request by the Securities and Exchange Commission.Filed herewith.
**Furnished herewith.

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Table of Contents
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.
 
SABRA HEALTH CARE REIT, INC.
SABRA HEALTH CARE REIT, INC.
Date: November 1, 20175, 2020By:/S/    RICHARD K. MATROS
Richard K. Matros
Chairman, President and
Chief Executive Officer
(Principal Executive Officer)
Date: November 1, 20175, 2020By:/S/    HAROLD W. ANDREWS, JR.
Harold W. Andrews, Jr.
Executive Vice President,
Chief Financial Officer and Secretary
(Principal Financial and Accounting Officer)

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