Segment Reporting

3 Months Ended

Mar. 31, 2020

During the three months ended March 31, 2020 and 2019, the Company operated in three reportable business segments for management and internal financial reporting purposes: MOBs, triple-net leased healthcare facilities, and SHOPs.

The Company evaluates performance and makes resource allocations based on its three business segments. The medical office building segment primarily consists of MOBs leased to healthcare-related tenants under long-term leases, which may require such tenants to pay a pro rata share of property-related expenses. The triple-net leased healthcare facilities segment primarily consists of investments in seniors housing properties, hospitals, inpatient rehabilitation facilities and skilled nursing facilities under long-term leases, under which tenants are generally responsible to directly pay property-related expenses. The SHOP segment consists of direct investments in seniors housing properties, primarily providing assisted living, independent living and memory care services, which are operated through engaging independent third-party operators. There were no intersegment sales or transfers during the periods presented.

As described in more detail below, on April 1, 2019 the Company transitioned one property located in Wellington, Florida (the “Transition Property”) from its triple-net leased healthcare facilities segment to its Seniors Housing — Operating Properties segment. See Note 3 — Real Estate Investments for further information about this property and the transition. The results of operations from the Transition Property are presented within the Seniors Housing — Operating Properties segment for and three months ended March 31, 2020 and 2019.

In 2018, we had also transitioned (i.e. this asset is now operating as a SHOP asset and is not leased to a third party) a property located in Lutz, Florida from our triple-net leased healthcare facilities segment to our SHOP segment. The results of this property had previously been reclassified in our Same Store operating results in 2018 and, according, require no additional adjustment in 2019.

Net Operating Income

The Company evaluates the performance of the combined properties in each segment based on net operating income (“NOI”). NOI is defined as total revenues from tenants less property operating and maintenance expense. NOI excludes all other items of expense and income included in the financial statements in calculating net income (loss). The Company uses NOI to assess and compare property level performance and to make decisions concerning the operation of the properties. The Company believes that NOI is useful as a performance measure because, when compared across periods, NOI reflects the impact on operations from trends in occupancy rates, rental rates, operating expenses and acquisition activity on an unleveraged basis, providing perspective not immediately apparent from net income (loss).

NOI excludes certain components from net income (loss) in order to provide results that are more closely related to a property’s results of operations. For example, interest expense is not necessarily linked to the operating performance of a real estate asset and is often incurred at the corporate level. In addition, depreciation and amortization, because of historical cost accounting and useful life estimates, may distort operating performance at the property level. NOI presented by the Company may not be comparable to NOI reported by other REITs that define NOI differently. The Company believes that in order to facilitate a clear understanding of the Company’s operating results, NOI should be examined in conjunction with net income (loss) as presented in the Company’s consolidated financial statements. NOI should not be considered as an alternative to net income (loss) as an indication of the Company’s performance or to cash flows as a measure of the Company’s liquidity or ability to pay distributions.

The following tables reconcile the segment activity, adjusted for the Transition Property to consolidated net loss for the periods presented:



	Three Months Ended March 31,
	2020
(In thousands)	Medical Office Buildings		Triple-Net Leased Healthcare Facilities ⁽¹⁾		Seniors Housing — Operating Properties ⁽¹⁾		Consolidated
Revenue from tenants	$	26,370	$	4,707	$	69,158	$	100,235
Property operating and maintenance	7,610		1,474		52,639		61,723
NOI	$	18,760	$	3,233	$	16,519	38,512
Impairment charges							(18,038		)
Operating fees to related parties							(6,049		)
Acquisition and transaction related							(327		)
General and administrative							(6,730		)
Depreciation and amortization							(20,195		)
Interest expense							(13,257		)
Interest and other income							5
Gain on sale of real estate investments							2,306
Gain on non-designated derivatives							16
Income tax expense							(332		)
Net loss attributable to non-controlling interests							87
Preferred stock dividends							(742		)
Net loss attributable to stockholders							$	(24,744	)

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⁽¹⁾ The results of operations from the Transition Property are presented within the Seniors Housing — Operating Properties segment for the three months ended March 31, 2020.



	Three Months Ended March 31,
	2019
(In thousands)	Medical Office Buildings		Triple-Net Leased Healthcare Facilities⁽¹⁾		Seniors Housing — Operating Properties ⁽¹⁾		Consolidated
Revenue from tenants	$	25,257	$	3,536	$	59,925	$	88,718
Property operating and maintenance	6,947		411		45,441		52,799
NOI	$	18,310	$	3,125	$	14,484	35,919
Impairment charges							—
Operating fees to related parties							(5,768		)
Acquisition and transaction related							(18		)
General and administrative							(6,298		)
Depreciation and amortization							(20,685		)
Interest expense							(13,943		)
Interest and other income							4
Gain on sale of real estate investment							6,078
Loss on non-designated derivative instruments							(43		)
Income tax expense							(338		)
Net income attributable to non-controlling interests							(19		)
Net loss attributable to stockholders							$	(5,111	)

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⁽¹⁾ The results of operations from the Transition Property are presented within the Seniors Housing — Operating Properties segment for the three months ended March 31, 2019.

The following table reconciles the segment activity to consolidated total assets as of the periods presented:



(In thousands)	March 31, 2020		December 31, 2019
ASSETS
Investments in real estate, net:
Medical office buildings	$	904,865	$	891,477
Triple-net leased healthcare facilities ⁽¹⁾	306,404		305,250
Seniors housing — operating properties ⁽¹⁾	971,691		856,864
Total investments in real estate, net	2,182,960		2,053,591
Assets held for sale	10,784		70,839
Cash and cash equivalents	90,534		95,691
Restricted cash	16,036		15,908
Derivative assets, at fair value	66		392
Straight-line rent receivable, net	22,321		21,182
Operating lease right-of-use assets	14,335		14,351
Prepaid expenses and other assets	39,651		39,707
Deferred costs, net	14,212		13,642
Total assets	$	2,390,899	$	2,325,303

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⁽¹⁾ The Transition Property is presented within the Seniors Housing — Operating Properties segment as of March 31, 2020 and December 31, 2019.

⁽²⁾ Included in the triple net leased healthcare facilities segment.

The following table reconciles capital expenditures by reportable business segment, excluding corporate non-real estate expenditures, for the periods presented:



	Three Months Ended March 31,
(In thousands)	2020		2019
Medical office buildings	$	2,301	$	201
Triple-net leased healthcare facilities	3,684		34
Seniors housing — operating properties ⁽¹⁾	5,112		1,552
Total capital expenditures	$	11,097	$	1,787

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⁽¹⁾The results of operations from the Transition Property are presented within the Seniors Housing — Operating Properties segment for the three and three months ended March 31, 2020 and 2019.