0001628280-24-004094.txt : 20240209 0001628280-24-004094.hdr.sgml : 20240209 20240209161740 ACCESSION NUMBER: 0001628280-24-004094 CONFORMED SUBMISSION TYPE: 10-K PUBLIC DOCUMENT COUNT: 170 CONFORMED PERIOD OF REPORT: 20231231 FILED AS OF DATE: 20240209 DATE AS OF CHANGE: 20240209 FILER: COMPANY DATA: COMPANY CONFORMED NAME: HEALTHPEAK PROPERTIES, INC. CENTRAL INDEX KEY: 0000765880 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] ORGANIZATION NAME: 05 Real Estate & Construction IRS NUMBER: 330091377 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-K SEC ACT: 1934 Act SEC FILE NUMBER: 001-08895 FILM NUMBER: 24615209 BUSINESS ADDRESS: STREET 1: 4600 SOUTH SYRACUSE STREET STREET 2: SUITE 500 CITY: DENVER STATE: CO ZIP: 80237 BUSINESS PHONE: 949-407-0700 MAIL ADDRESS: STREET 1: 4600 SOUTH SYRACUSE STREET STREET 2: SUITE 500 CITY: DENVER STATE: CO ZIP: 80237 FORMER COMPANY: FORMER CONFORMED NAME: HCP, INC. DATE OF NAME CHANGE: 20070911 FORMER COMPANY: FORMER CONFORMED NAME: HEALTH CARE PROPERTY INVESTORS INC DATE OF NAME CHANGE: 19920703 10-K 1 peak-20231231.htm 10-K peak-20231231
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-K
(Mark One)
ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the fiscal year ended December 31, 2023
or
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from             to             
Commission file number 001-08895
Healthpeak Properties, Inc.
(Exact name of registrant as specified in its charter)
Maryland33-0091377
(State or other jurisdiction of
incorporation or organization)
(I.R.S. Employer
Identification No.)
4600 South Syracuse Street, Suite 500
Denver, CO 80237
(Address of principal executive offices) (Zip Code)
(720) 428-5050
(Registrant’s telephone number, including area code)
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading Symbol(s)Name of each exchange
on which registered
Common Stock, $1.00 par valuePEAKNew York Stock Exchange
Securities registered pursuant to Section 12(g) of the Act:
None
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.  Yes  No ☐
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act.  Yes ☐ No 
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.  Yes   No ☐
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).  Yes   No ☐
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filerAccelerated filer
Non-accelerated filerSmaller reporting company
Emerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.   ☐
Indicate by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the effectiveness of its internal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered public accounting firm that prepared or issued its audit report.   
If securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of the registrant included in the filing reflect the correction of an error to previously issued financial statements.
Indicate by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive-based compensation received by any of the registrant’s executive officers during the relevant recovery period pursuant to §240.10D-1(b). ☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act.) Yes  No 
State the aggregate market value of the voting and non-voting common equity held by non-affiliates computed by reference to the price at which the common equity was last sold, or the average bid and asked price of such common equity, as of the last business day of the registrant’s most recently completed second fiscal quarter: $9.2 billion.
As of February 7, 2024, there were 547,172,983 shares of the registrant’s $1.00 par value common stock outstanding.
DOCUMENTS INCORPORATED BY REFERENCE
Portions of the definitive Proxy Statement for the registrant’s 2024 Annual Meeting of Stockholders, to be filed with the Securities and Exchange Commission no later than 120 days after December 31, 2023, have been incorporated by reference into Part III of this Report.


Healthpeak Properties, Inc.
Form 10-K
For the Fiscal Year Ended December 31, 2023
Table of Contents


On February 10, 2023, we completed our corporate reorganization (the “Reorganization”) into an umbrella partnership REIT (“UPREIT”). Substantially all of our business is conducted through Healthpeak OP, LLC (“Healthpeak OP”). We are the managing member of Healthpeak OP and do not have material assets or liabilities, other than through our investment in Healthpeak OP.
All references in this report to “Healthpeak,” the “Company,” “we,” “us,” or “our” mean Healthpeak Properties, Inc., together with its consolidated subsidiaries. Unless the context suggests otherwise, references to “Healthpeak Properties, Inc.” mean the parent company without its subsidiaries.
Cautionary Language Regarding Forward-Looking Statements
Statements in this Annual Report on Form 10-K that are not historical factual statements are “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). Forward-looking statements include, among other things, statements regarding our and our officers’ intent, belief or expectation as identified by the use of words such as “may,” “will,” “project,” “expect,” “believe,” “intend,” “anticipate,” “seek,” “target,” “forecast,” “plan,” “potential,” “estimate,” “could,” “would,” “should” and other comparable and derivative terms or the negatives thereof. Forward-looking statements in this Annual Report on Form 10-K include statements regarding the proposed transactions involving Healthpeak and Physicians Realty Trust (as discussed in further detail in this report), including but not limited to, statements about the anticipated benefits of the proposed transactions involving Healthpeak and Physicians Realty Trust, as well as statements regarding future financial and operating results, plans, objectives, expectations, and intentions. Forward-looking statements reflect our current expectations and views about future events and are subject to risks and uncertainties that could cause actual results, including our future financial condition and results of operations, to differ materially from those expressed or implied by any forward-looking statements. You are urged to carefully review the disclosures we make concerning risks and uncertainties that may affect our business and future financial performance, including those made below under “Summary Risk Factors” and in “Item 1A, Risk Factors” in this report.
Forward-looking statements are based on certain assumptions and analysis made in light of our experience and perception of historical trends, current conditions and expected future developments as well as other factors that we believe are appropriate under the circumstances. While forward-looking statements reflect our good faith belief and assumptions we believe to be reasonable based upon current information, we can give no assurance that our expectations or forecasts will be attained. Further, we cannot guarantee the accuracy of any such forward-looking statement contained in this Annual Report. Except as required by law, we do not undertake, and hereby disclaim, any obligation to update any forward-looking statements, which speak only as of the date on which they are made.
Risk Factors Summary
Investors should consider the risks and uncertainties described below that may affect our business and future financial performance. These and other risks and uncertainties are more fully described in “Item 1A, Risk Factors” in this report. Additional risks not presently known to us or that we currently deem immaterial may also affect us. If any of these risks occur, our business, financial condition or results of operations could be materially and adversely affected.
As more fully set forth under “Item 1A, Risk Factors” in this report, principal risks and uncertainties that may affect our business, financial condition, or results of operations include:
macroeconomic trends, including inflation, interest rates, construction and labor costs, and unemployment;
risks associated with the Mergers (as defined below), including, but not limited to, our ability to consummate the Mergers on the proposed terms or on the anticipated timeline, or at all; potential loss or disruption of current and prospective commercial relationships due to the uncertainties about the Mergers; and the outcome of legal proceedings instituted against us, our Board of Directors, and others related to the Mergers;
our ability to integrate the operations of the Company and Physicians Realty Trust successfully and realize the anticipated synergies and other benefits of the Mergers or do so within the anticipated time frame;
changes within the industries in which we operate;
significant regulation, funding requirements, and uncertainty faced by our lab tenants;
factors adversely affecting our tenants’, operators’, or borrowers’ ability to meet their financial and other contractual obligations to us;
the insolvency or bankruptcy of one or more of our major tenants, operators, or borrowers;
our concentration of real estate investments in the healthcare property sector, which makes us more vulnerable to a downturn in that specific sector than if we invested across multiple sectors;
1

the illiquidity of real estate investments;
our ability to identify and secure new or replacement tenants and operators;
our property development, redevelopment, and tenant improvement risks, including project abandonments, project delays, and lower profits than expected;
the ability of the hospitals on whose campuses our outpatient medical buildings are located and their affiliated healthcare systems to remain competitive or financially viable;
our ability to develop, maintain, or expand hospital and health system client relationships;
operational risks associated with third party management contracts, including the additional regulation and liabilities of our properties operated through structures permitted by the Housing and Economic Recovery Act of 2008, which includes most of the provisions previously proposed in the REIT Investment Diversification and Empowerment Act of 2007 (commonly referred to as “RIDEA”);
economic conditions, natural disasters, weather, and other conditions that negatively affect geographic areas where we have concentrated investments;
uninsured or underinsured losses, which could result in significant losses and/or performance declines by us or our tenants and operators;
our use of joint ventures may limit our returns on and our flexibility with jointly owned investments;
our use of fixed rent escalators, contingent rent provisions, and/or rent escalators based on the Consumer Price Index;
competition for suitable healthcare properties to grow our investment portfolio;
our ability to foreclose or exercise rights on collateral securing our real estate-related loans;
any requirement that we recognize reserves, allowances, credit losses, or impairment charges;
investment of substantial resources and time in transactions that are not consummated;
our ability to successfully integrate or operate acquisitions;
the potential impact on us and our tenants, operators, and borrowers from litigation matters, including rising liability and insurance costs;
environmental compliance costs and liabilities associated with our real estate investments;
environmental, social, and governance (“ESG”) and sustainability commitments and requirements, as well as stakeholder expectations;
epidemics, pandemics, or other infectious diseases, including the coronavirus disease (“Covid”), and health and safety measures intended to reduce their spread;
human capital risks, including the loss or limited availability of our key personnel;
our reliance on information technology systems and any material failure, inadequacy, interruption, or security failure of that technology;
volatility, disruption, or uncertainty in the financial markets;
increased borrowing costs, including due to rising interest rates;
cash available for distribution to stockholders and our ability to make dividend distributions at expected levels;
the availability of external capital on acceptable terms or at all, including due to rising interest rates, changes in our credit ratings and the value of our common stock, bank failures or other events affecting financial institutions, and other factors;
our ability to manage our indebtedness level and covenants in and changes to the terms of such indebtedness;
the failure of our tenants, operators, and borrowers to comply with federal, state, and local laws and regulations, including resident health and safety requirements, as well as licensure, certification, and inspection requirements;
required regulatory approvals to transfer our senior housing properties;
compliance with the Americans with Disabilities Act and fire, safety, and other regulations;
laws or regulations prohibiting eviction of our tenants;
the requirements of, or changes to, governmental reimbursement programs such as Medicare or Medicaid;
2

legislation to address federal government operations and administrative decisions affecting the Centers for Medicare and Medicaid Services;
our participation in the Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”) Provider Relief Fund and other Covid-related stimulus and relief programs;
our ability to maintain our qualification as a real estate investment trust (“REIT”);
our taxable REIT subsidiaries being subject to corporate level tax;
tax imposed on any net income from “prohibited transactions”;
changes to U.S. federal income tax laws, and potential deferred and contingent tax liabilities from corporate acquisitions;
calculating non-REIT tax earnings and profits distributions;
ownership limits in our charter that restrict ownership in our stock;
provisions of Maryland law and our charter that could prevent a transaction that may otherwise be in the interest of our stockholders;
conflicts of interest between the interests of our stockholders and the interests of holders of Healthpeak OP common units;
provisions in the operating agreement of Healthpeak OP and other agreements that may delay or prevent unsolicited acquisitions and other transactions; and
our status as a holding company of Healthpeak OP.
Important Information Regarding Our Disclosure to Investors
We may use our website (www.healthpeak.com) and our LinkedIn account (https://www.linkedin.com/company/healthpeak) to communicate with our investors and disclose company information. The information disclosed through those channels may be considered to be material, so investors should monitor them in addition to our press releases, SEC filings, and public conference calls and webcasts. The contents of our website or social media channels referenced herein are not incorporated by reference into this Annual Report on Form 10-K.
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PART I
ITEM 1.    Business
General Overview
Healthpeak Properties, Inc. is a Standard & Poor’s (“S&P”) 500 company that acquires, develops, owns, leases, and manages healthcare real estate across the United States (“U.S.”). Our company was originally founded in 1985. As noted above, we completed our Reorganization on February 10, 2023, and following that date, we hold substantially all of our assets and conduct our operations through the operating subsidiary, Healthpeak OP, LLC, a consolidated subsidiary of which we are the managing member. We are a Maryland corporation and qualify as a self-administered REIT. Our corporate headquarters are located in Denver, Colorado, and we have additional offices in California, Tennessee, and Massachusetts.
Our strategy is to invest in and manage real estate focused on healthcare discovery and delivery. We have a diversified portfolio of high-quality healthcare properties across three core asset classes of lab, outpatient medical, and continuing care retirement community (“CCRC”) real estate. Under the lab and outpatient medical segments, we invest through the acquisition, development, and management of lab buildings, outpatient medical buildings, and hospitals. Under the CCRC segment, our properties are operated through RIDEA structures. We have other non-reportable segments that are comprised primarily of loans receivable and an interest in an unconsolidated joint venture that owns 19 senior housing assets (our “SWF SH JV”). These non-reportable segments have been presented on an aggregate basis herein.
At December 31, 2023, our portfolio of investments, including properties in our unconsolidated joint ventures, consisted of interests in 477 properties. The following table summarizes information for our reportable and other non-reportable segments for the year ended December 31, 2023 (dollars in thousands):
Segment
Total Portfolio Adjusted NOI(1)
Percentage of Total Portfolio Adjusted NOI(1)
Number of Properties
Lab$617,541 51.3 %146 
Outpatient medical452,725 37.6 %297 
CCRC112,511 9.3 %15 
Other non-reportable22,210 1.8 %19 
$1,204,987 100.0 %477 
_______________________________________
(1)Total Portfolio metrics include results of operations from disposed properties through the disposition date. See “Item 7, Management’s Discussion and Analysis of Financial Condition and Results of Operations—Non-GAAP Financial Measures” for additional information regarding Adjusted NOI and see Note 15 to the Consolidated Financial Statements for a reconciliation of Adjusted NOI by segment to net income (loss).
For a description of our significant activities during 2023, see “Item 7, Management’s Discussion and Analysis of Financial Condition and Results of Operations—Company Highlights” in this report.
In 2020, we concluded that the dispositions of our senior housing triple-net and senior housing operating property (“SHOP”) portfolios represented a strategic shift that had a major effect on our operations and financial results. Therefore, the results of senior housing triple-net and SHOP assets are classified as discontinued operations in all periods presented herein. See Note 4 to the Consolidated Financial Statements for further information regarding discontinued operations.
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The Merger Agreement
On October 29, 2023, we entered into an Agreement and Plan of Merger (the “Merger Agreement”) with Physicians Realty Trust, Physicians Realty L.P. (the “Physicians Partnership”), and certain of our subsidiaries, pursuant to which, among other things, and through a series of transactions (the “Mergers”), (i) each outstanding common share of Physicians Realty Trust (other than Physicians Realty Trust common shares to be canceled in accordance with the Merger Agreement) will be automatically converted into the right to receive 0.674 (the “Exchange Ratio”) shares of our common stock, and (ii) each outstanding common unit of the Physicians Partnership will be automatically converted into and become common units in the successor entity to the Physicians Partnership equal to the Exchange Ratio. Following the transactions contemplated in the Merger Agreement, the successor entities to Physicians Realty Trust and the Physicians Partnership will be direct and indirect subsidiaries of Healthpeak OP, respectively. In connection with the Mergers, we filed a Registration Statement on Form S-4 with the U.S. Securities and Exchange Commission (“SEC”) on December 15, 2023, as amended on January 9, 2024, and a definitive joint proxy statement/prospectus for the Company and Physicians Realty Trust on January 11, 2024 in connection with our respective special meetings of stockholders and shareholders, as applicable, which will be held on February 21, 2024. Consummation of the Mergers are subject to the satisfaction or waiver of customary closing conditions, including the approval of our stockholders and the shareholders of Physicians Realty Trust. We expect the Mergers to close on March 1, 2024. If the Mergers are not consummated by July 31, 2024 (unless extended under certain circumstances), either we or Physicians Realty Trust may terminate the Merger Agreement.
Business Strategy
Our strategy is to invest in and manage real estate focused on healthcare discovery and delivery. We manage our real estate portfolio for the long-term to maximize risk-adjusted returns and support the growth of our dividends. Our strategy consists of four core elements:
(i)Our real estate: Our portfolio consists of high-quality properties in desirable locations. Our portfolio is focused on lab and outpatient medical buildings, favorable sectors that benefit from the universal desire for improved health. We have built scale and fostered deep industry relationships, two unique factors that provide us with a competitive advantage.
(ii)Our financials: We maintain a strong investment-grade balance sheet with ample liquidity as well as long-term fixed-rate debt financing with staggered maturities to reduce our exposure to interest rate volatility and refinancing risk.
(iii)Our partnerships: We work with leading pharmaceutical, biotechnology, and medical device companies, as well as healthcare delivery systems, specialty physician groups, and other healthcare service providers, to meet their real estate needs. We provide high-quality property management services to encourage tenants to renew, expand, and relocate into our properties, which drives increased occupancy, rental rates, and property values.
(iv)Our platform: We have a people-first culture that we believe attracts, develops, and retains top talent. We continually strive to create and maintain an industry-leading platform, with systems and tools that allow us to effectively and efficiently manage our assets and investment activity.
Internal Growth Strategies
We believe our real estate portfolio holds the potential for increased future cash flows as it is well-maintained and in desirable locations. Our strategy for maximizing the benefits from these opportunities is to: (i) work with new or existing tenants to address their space and capital needs and (ii) provide high-quality property management services in order to motivate tenants to renew, expand, or relocate into our properties.
We expect to continue our internal growth as a result of our ability to:
Build and maintain long-term leasing and management relationships with quality tenants. In choosing locations for our properties, we focus on the physical environment, adjacency to established businesses (e.g., hospital systems or life science submarkets) and educational centers, proximity to sources of business growth, and other local demographic factors.
Replace tenants at the best available market terms and lowest possible transaction costs. We believe we are well-positioned to attract new tenants and achieve attractive rental rates and operating cash flow as a result of the location, design, and maintenance of our properties, together with our reputation for high-quality building services, responsiveness to tenants, and our ability to offer space alternatives within our portfolio.
Extend and modify terms of existing leases prior to expiration. We selectively structure lease extensions, early renewals, or modifications, which reduce the cost associated with lease downtime, while securing the tenancy and relationship of our high-quality tenants on a long-term basis.
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Investment Strategies
The discovery and delivery of healthcare services requires real estate and, as a result, tenants depend on our real estate, in part, to maintain and grow their businesses. We believe the healthcare real estate market provides investment opportunities due to the: (i) compelling long-term demographics driving the demand for healthcare services; (ii) specialized nature of healthcare real estate investing; and (iii) ongoing consolidation of the fragmented healthcare real estate sector.
While we emphasize healthcare real estate ownership, we may also provide real estate secured financing to, or invest in equity or debt securities of, healthcare operators or other entities engaged in healthcare real estate ownership. We may also acquire all or substantially all of the securities or assets of other REITs, operating companies, or similar entities where such investments would be consistent with our investment strategies. We may co-invest alongside institutional or development investors through partnerships or limited liability companies.
We monitor our investments based on the percentage of our total assets that may be invested in any one property type, investment vehicle, or geographic location, the number of properties that may be leased to a single tenant or operator, or loans that may be made to a single borrower. In allocating capital, we target opportunities with the most attractive risk/reward profile for our portfolio as a whole. We may take additional measures to mitigate risk, including diversifying our investments (by sector, geography, and tenant), structuring transactions as master leases, requiring tenant or operator insurance and indemnifications, and/or obtaining credit enhancements in the form of guarantees, letters of credit, or security deposits.
We believe we are well-positioned to achieve external growth through acquisitions, development, and redevelopment. Other factors that contribute to our competitive position include:
our reputation gained through decades of successful operations and the strength of our existing portfolio of properties;
our relationships with leading pharmaceutical and biotechnology tenants, healthcare operators and systems, investment banks and other market intermediaries, corporations, private equity firms, not-for-profit organizations, and companies seeking to monetize existing assets or develop new facilities;
our relationships with institutional buyers and sellers of high-quality healthcare real estate;
our track record and reputation for executing acquisitions responsively and efficiently, which provides confidence to domestic and foreign institutions and private investors who seek to sell healthcare real estate in our market areas;
our relationships with nationally recognized financial institutions that provide capital to the healthcare and real estate industries; and
our control of land sites held for future development.
Financing Strategies
Our REIT qualification requires us to distribute at least 90% of our REIT taxable income (excluding net capital gains); therefore, we do not retain a significant amount of earnings. As a result, we regularly access the public equity and debt markets to raise the funds necessary to finance acquisitions and debt investments, develop and redevelop properties, and refinance maturing debt. 
We may finance acquisitions and other investments in a variety of ways, including:
cash flow from operations;
sale or exchange of ownership interests in properties or other investments;
borrowings under our credit facility or commercial paper program;
issuance of additional debt, including unsecured notes, term loans, and mortgage debt; and/or
issuance of common stock or preferred stock or its equivalent.
We maintain a disciplined investment-grade balance sheet by actively managing our debt to equity levels and maintaining access to multiple sources of liquidity. Our debt obligations are primarily long-term fixed rate with staggered maturities.
We finance our investments based on our evaluation of available sources of funding. For short-term purposes, we may utilize our revolving line of credit facility or commercial paper program, arrange for other short-term borrowings from banks or other sources, or issue equity securities pursuant to our at-the-market equity offering program. We arrange for longer-term financing by offering debt and equity, placing mortgage debt, and obtaining capital from institutional lenders and joint venture partners.
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In addition, capital recycling through dispositions and redeployment through acquisitions, developments, and redevelopments is an important facet of our investment and financing strategies. We routinely have multiple transactions involving both individual properties and portfolios under consideration that are in varying stages of evaluation, underwriting, negotiation, and due diligence review, some of which, if consummated or completed, may have a material effect on our liquidity, results of operations, and financial condition.
Segments
Lab
Our lab properties, which contain laboratory and office space, are leased primarily to biotechnology, medical device and pharmaceutical companies, scientific research institutions, government agencies, and other organizations involved in the life science industry. While these properties have certain characteristics similar to commercial office buildings, they generally accommodate heavier floor loads and contain more advanced electrical, mechanical, heating, ventilating, and air conditioning systems. The facilities generally have specialty equipment including emergency generators, fume hoods, lab bench tops, and related amenities. In addition to improvements funded by us as the landlord, many of our lab tenants make significant investments to improve their leased space to accommodate biology, chemistry, or medical device research initiatives.
Lab properties are primarily configured in business park or campus settings and include multiple buildings. The business park and campus settings allow us the opportunity to provide flexible, contiguous/adjacent expansion to accommodate the growth of existing tenants. Our properties are located in well-established geographical markets known for scientific research and drug discovery, including San Francisco (50%) and San Diego (23%), California, and Boston, Massachusetts (25%) (based on total square feet). At December 31, 2023, 90% of our lab properties were triple-net leased (based on leased square feet).
The following table provides information about our most significant lab tenant concentration for the year ended December 31, 2023:
TenantsPercentage of
Segment Revenues
Percentage of
Total Revenues
Amgen, Inc.%%
Outpatient Medical
Our outpatient medical segment includes outpatient medical buildings and hospitals. Outpatient medical buildings typically contain physicians’ offices and examination rooms, and may also include pharmacies, hospital ancillary service space, and outpatient services such as diagnostic centers, rehabilitation clinics, and day-surgery operating rooms. While these facilities have certain similarities to commercial office buildings, they require additional plumbing, electrical, and mechanical systems to accommodate multiple exam rooms that may require sinks in every room and specialized equipment such as x-ray machines and MRIs. Outpatient medical buildings are often built to accommodate higher structural loads for such specialized equipment and may contain vaults or other unique construction. Our outpatient medical buildings are typically multi-tenant properties leased to healthcare providers (hospitals and physician practices), with approximately 87% of our outpatient medical buildings located on or adjacent to hospital campuses and 98% affiliated with hospital systems as of December 31, 2023 (based on total square feet). Occasionally, we invest in outpatient medical buildings located on hospital campuses subject to ground leases. At December 31, 2023, approximately 65% of our outpatient medical buildings were triple-net leased (based on leased square feet) with the remaining leased under gross or modified gross leases.
The following table provides information about our most significant outpatient medical tenant concentration for the year ended December 31, 2023:
TenantPercentage of
Segment Revenues
Percentage of
Total Revenues
HCA Healthcare, Inc. (HCA)23 %%
Our outpatient medical segment also includes nine hospitals. Services provided by our tenants and operators in hospitals are paid for by private sources, third-party payors (e.g., insurance and HMOs), or through Medicare and Medicaid programs. Our hospital property types include acute care, long-term acute care, and specialty and rehabilitation hospitals. All of our hospitals are triple-net leased.
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Continuing care retirement community, or CCRC
CCRCs are retirement communities that include independent living, assisted living, memory care, and skilled nursing units to provide a continuum of care in an integrated campus. Our CCRCs are owned through RIDEA structures, which is permitted by the Housing and Economic Recovery Act of 2008, and includes most of the provisions previously proposed in the REIT Investment Diversification and Empowerment Act of 2007. The services provided by our third-party manager-operators under a RIDEA structure at our properties are primarily paid for by the residents directly or through private insurance and are less reliant on government reimbursement programs such as Medicare and Medicaid.
A RIDEA structure allows us, through a taxable REIT subsidiary (“TRS”), to receive cash flow from the operations of a healthcare facility in compliance with REIT tax requirements. The criteria for operating a healthcare facility through a RIDEA structure require us to lease the facility to an affiliate TRS and for such affiliate TRS to engage an independent qualifying management company (also known as an eligible independent contractor or third-party operator) to manage and operate the day-to-day business of the facility in exchange for a management fee. As a result, under a RIDEA structure, we are required to rely on a third-party operator to hire and train all facility employees, enter into third-party contracts for the benefit of the facility, including resident/patient agreements, comply with laws, including healthcare laws, and provide resident care. We are substantially limited in our ability to control or influence day-to-day operations under a RIDEA structure, and thus rely on the third-party operator to manage and operate the business.
Through our TRS entities, we bear all operational risks and liabilities associated with the operation of these properties, with limited exceptions, such as a third-party operator’s gross negligence or willful misconduct. These operational risks and liabilities include those relating to any employment matters of our operator, compliance with healthcare and other laws, liabilities relating to personal injury-tort matters, resident-patient quality of care claims, and any governmental reimbursement matters, even though we have limited ability to control or influence our third-party operators’ management of these risks.
The management agreements we have in RIDEA structures related to CCRCs have original terms ranging from 10 to 15 years, with mutual renewal options. There are base management fees and incentive management fees payable to our third-party operators if operating results of the RIDEA properties exceed pre-established thresholds. Conversely, there are also provisions in the management agreements that reduce management fees payable to our third-party operators if operating results do not meet certain pre-established thresholds.
CCRCs are different from other housing and care options for seniors because they typically provide written agreements or long-term contracts between residents and the communities (frequently lasting the term of the resident’s lifetime), which offer a continuum of housing, services, and healthcare on one campus or site. CCRCs are appealing as they allow residents to “age in place” and typically the individual is independent and in relatively good health upon entry.
As third-party operators manage our RIDEA properties in exchange for the receipt of a management fee, we are not directly exposed to the credit risk of these operators in the same manner or to the same extent as a triple-net tenant.
Other non-reportable segment
At December 31, 2023, we had the following investments in our other non-reportable segments: (i) our unconsolidated joint venture with a sovereign wealth fund that owns 19 senior housing assets (which we refer to as our SWF SH JV) and (ii) loans receivable.
The properties in our SWF SH JV are owned through RIDEA structures and include independent living facilities and assisted living facilities, which cater to different segments of the elderly population based upon their personal needs. These facilities are often in apartment-like buildings with private residences ranging from single rooms to large apartments.
Competition
Investing in real estate serving the healthcare industry is highly competitive. We face competition from other REITs, investment companies, pension funds, private equity investors, sovereign funds, healthcare operators, lenders, developers, and other institutional investors, some of whom may have greater flexibility (e.g., non-REIT competitors), greater resources, and lower costs of capital than we do. Increased competition and resulting capitalization rate compression, as well as the impacts of inflation and higher interest rates, make it more challenging for us to identify and successfully capitalize on opportunities that meet our objectives. Our ability to compete may also be impacted by global, national, and local economic trends, availability of investment alternatives, availability and cost of capital, construction and renovation costs, existing laws and regulations, new legislation, and population trends.
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Income from our investments depends on our tenants’ and operators’ ability to compete with other companies on multiple levels, including: (i) the quality of care provided, (ii) reputation, (iii) success of product or drug development, (iv) price, (v) the range of services offered, (vi) the physical appearance of a property, (vii) alternatives for healthcare delivery, (viii) the supply of competing properties, (ix) physicians, (x) staff, (xi) referral sources, (xii) location, (xiii) the size and demographics of the population in surrounding areas, and (xiv) the financial condition of our tenants and operators. For a discussion of the risks associated with competitive conditions affecting our business, see “Item 1A, Risk Factors” in this report.
Government Regulation, Licensing, and Enforcement
Overview
Our healthcare facility operators (which include our TRS entities when we use a RIDEA structure) and tenants are subject to extensive and complex federal, state, and local healthcare laws and regulations relating to quality of care, licensure and certificate of need, resident rights (including abuse and neglect), consumer protection, government reimbursement, fraud and abuse practices, and similar laws governing the operation of healthcare facilities. We expect the healthcare industry, in general, will continue to face increased regulation and pressure in the areas of fraud, waste and abuse, cost control, healthcare management, and provision of services, among others. Federal, state, and local officials are increasingly focusing their efforts on enforcement of these laws and regulations. In addition, our operators are subject to a variety of laws, regulations, and executive orders, including those relating to operators’ response to Covid and other infectious diseases, which can vary based on the provider type and jurisdiction, complicating compliance efforts. These regulations are wide ranging and can subject our tenants and operators to civil, criminal, and administrative sanctions, including enhanced or additional penalties, sanctions, and other adverse actions that may arise under new regulations adopted in response to Covid. Affected tenants and operators may find it increasingly difficult to comply with this complex and evolving regulatory environment because of a relative lack of guidance in many areas as certain of our healthcare properties are subject to oversight from several government agencies, and the laws may vary from one jurisdiction to another. Changes in laws, regulations, reimbursement enforcement activity, and regulatory non-compliance by our tenants and operators can all have a significant effect on their operations and financial condition, which in turn may adversely impact us, as detailed below and set forth under “Item 1A, Risk Factors” in this report.
The following is a discussion of certain laws and regulations generally applicable to our operators, and in certain cases, to us.
Fraud and Abuse Enforcement
There are various extremely complex U.S. federal and state laws and regulations governing healthcare providers’ referrals, relationships and arrangements and prohibiting fraudulent and abusive practices by such providers. These laws include: (i) U.S. federal and state false claims acts, which, among other things, prohibit providers from filing false claims or making false statements to receive payment from Medicare, Medicaid, or other U.S. federal or state healthcare programs; (ii) U.S. federal and state anti-kickback and fee-splitting statutes, including the Medicare and Medicaid anti-kickback statute, which prohibit or restrict the payment or receipt of remuneration to induce referrals or recommendations of healthcare items or services; (iii) U.S. federal and state physician self-referral laws (commonly referred to as the “Stark Law”), which generally prohibit referrals by physicians to entities with which the physician or an immediate family member has a financial relationship; and (iv) the federal Civil Monetary Penalties Law, which prohibits, among other things, the knowing presentation of a false or fraudulent claim for certain healthcare services. Violations of U.S. healthcare fraud and abuse laws carry civil, criminal, and administrative sanctions, including punitive sanctions, monetary penalties, imprisonment, denial of Medicare and Medicaid reimbursement, payment suspensions, and potential exclusion from Medicare, Medicaid, or other federal or state healthcare programs. These laws are enforced by a variety of federal, state, and local agencies and in the U.S. can also be enforced by private litigants through, among other things, federal and state false claims acts, which allow private litigants to bring qui tam or “whistleblower” actions. Our tenants and operators that participate in government reimbursement programs are subject to these laws and may become the subject of governmental enforcement actions or whistleblower actions if they fail to comply with applicable laws. Additionally, the licensed operators of our U.S. long-term care facilities that participate in government reimbursement programs are required to have compliance and ethics programs that meet the requirements of federal laws and regulations relating to the Social Security Act. Where we have used a RIDEA structure, we are dependent on management companies to fulfill our compliance obligations, and we have developed a program to periodically monitor compliance with such obligations.
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Laws and Regulations Governing Privacy and Security
There are various U.S. federal and state privacy laws and regulations, including the privacy and security rules contained in the Health Insurance Portability and Accountability Act of 1996 (commonly referred to as “HIPAA”), that provide for the privacy and security of personal health information. An increasing focus of the U. S. Federal Trade Commission’s (“FTC’s”) consumer protection regulation is the impact of technological change on protection of consumer privacy. The FTC, as well as state attorneys general, have taken enforcement action against companies that do not abide by their representations to consumers regarding electronic security and privacy. To the extent we or our affiliated operating entities are a covered entity or business associate under HIPAA and the Health Information Technology for Economic and Clinical Health Act (the “HITECH Act”), compliance with those requirements require us to, among other things, conduct a risk analysis, implement a risk management plan, implement policies and procedures, and conduct employee training. In most cases, we are dependent on our tenants and management companies to fulfill our compliance obligations, and we have developed a program to periodically monitor compliance with such obligations. Because of the far reaching nature of these laws, there can be no assurance we would not be required to alter one or more of our systems and data security procedures to be in compliance with these laws. Our failure to protect health information could subject us to civil or criminal liability and adverse publicity, and could harm our business and impair our ability to attract new customers and residents. We may be required to notify individuals, as well as government agencies and the media, if we experience a data breach.
Reimbursement
Sources of revenue for some of our tenants and operators include, among others, governmental healthcare programs, such as the federal Medicare programs and state Medicaid programs, and non-governmental third-party payors, such as insurance carriers and HMOs. Our tenants and operators who participate in governmental healthcare programs are subject to government reviews, audits, and investigations to verify compliance with these programs and applicable laws and regulations. As federal and state governments focus on healthcare reform initiatives, and as the federal government and many states face significant current and future budget deficits, efforts to reduce costs by these payors will likely continue, which may result in reduced or slower growth in reimbursement for certain services provided by some of our tenants and operators. Governmental healthcare programs are highly regulated and are subject to frequent and substantial legislative, regulatory, and interpretive changes, which could adversely affect reimbursement rates and the method and timing of payment under these programs. Additionally, new and evolving payor and provider programs in the U.S., including Medicare Advantage, Dual Eligible, Accountable Care Organizations, Post-Acute Care Payment Models, SNF Value-Based Purchasing Programs, and Bundled Payments could adversely impact our tenants’ and operators’ liquidity, financial condition, or results of operations.
Effective January 16, 2024, Medicare and Medicaid nursing facilities are required to disclose new data about the facility’s ownership, management, and the owners of real property lessors upon initial enrollment and revalidation. In addition, the nursing facilities are required to timely report any changes, including in connection with any change of ownership. The Centers for Medicare and Medicaid Services (“CMS”) defines the new disclosable parties to include members of the facility’s governing body, persons, or entities who are an officer, director, member, partner, trustee, or managing employee of the facility, persons, or entities that exercise operational, financial, or managerial control, lease or sublease real property to the facility, own a direct or indirect interest of five percent or greater of the real property, or provide management or administrative services to the facility. Additionally, facilities will be required to disclose whether any entity on the enrollment form is a private equity company or REIT. CMS will make the information publicly available. This new disclosure requirement involves reporting extensive information and may complicate our healthcare facility operators’ efforts to comply with Medicare and Medicaid requirements. Failure to comply with the new disclosure requirements could negatively affect our healthcare facility operators’ participation in Medicare and state Medicaid programs.
Healthcare Licensure and Certificate of Need
Certain healthcare facilities in our portfolio are subject to extensive national, federal, state, and local licensure, certification, and inspection laws and regulations. A healthcare facility’s failure to comply with these laws and regulations could result in a revocation, suspension, restriction, or non-renewal of the facility’s license and loss of a certificate of need, which could adversely affect the facility’s operations and ability to bill for items and services provided at the facility. In addition, various licenses and permits are required to handle controlled substances (including narcotics), operate pharmacies, handle radioactive materials, and operate equipment. Many states in the U.S. require certain healthcare providers to obtain a certificate of need, which requires prior approval for the construction, expansion, or closure of certain healthcare facilities. The approval process related to state certificate of need laws may impact the ability of some of our tenants and operators to expand or change their businesses.
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Product Approvals
While our lab tenants include some well-established companies, other tenants are less established and, in some cases, may not yet have a product approved by the Food and Drug Administration, or other regulatory authorities, for commercial sale. Creating a new pharmaceutical product or medical device requires substantial investments of time and capital, in part because of the extensive regulation of the healthcare industry. It also entails considerable risk of failure in demonstrating that the product is safe and effective and in gaining regulatory approval and market acceptance.
Entrance Fee Communities
Our CCRCs are operated as entrance fee communities. Generally, an entrance fee is an upfront fee or consideration paid by a resident, a portion of which may be refundable, in exchange for some form of long-term benefit, typically consisting of a right to receive certain personal or health care services. In certain states (including the ones in which we operate) entrance fee communities are subject to significant state regulatory oversight, including, for example, oversight of each facility’s financial condition, establishment and monitoring of reserve requirements and other financial restrictions, the right of residents to cancel their contracts within a specified period of time, the right of residents to receive a refund of their entrance fees, lien rights in favor of the residents, restrictions on change of ownership, and similar matters.
Americans with Disabilities Act (“ADA”)
Our properties must comply with the ADA and any similar state or local laws to the extent that such properties are “public accommodations” as defined in those statutes. The ADA may require removal of barriers to access by persons with disabilities in certain public areas of our properties where such removal is readily achievable. To date, we have not received any notices of noncompliance with the ADA that have caused us to incur substantial capital expenditures to address ADA concerns. Should barriers to access by persons with disabilities be discovered at any of our properties, we may be directly or indirectly responsible for additional costs that may be required to make facilities ADA-compliant. Noncompliance with the ADA could result in the imposition of fines or an award of damages to private litigants. The obligation to make readily achievable accommodations pursuant to the ADA is an ongoing one, and we continue to assess our properties and make modifications as appropriate in this respect.
Environmental Matters
A wide variety of federal, state, and local environmental and occupational health and safety laws and regulations affect healthcare facility operations. These complex federal and state statutes, and their enforcement, involve a myriad of regulations, many of which involve strict liability on the part of the potential offender. Some of these federal and state statutes may directly impact us. Under various federal, state, and local environmental laws, ordinances, and regulations, an owner of real property or a secured lender, such as us, may be liable for the costs of removal or remediation of hazardous or toxic substances at, under or disposed of in connection with such property, as well as other potential costs relating to hazardous or toxic substances (including government fines and damages for injuries to persons and adjacent property). The cost of any required remediation, removal, fines, personal or property damages, and any related liability therefore could exceed or impair the value of the property and/or the assets. In addition, the presence of such substances, or the failure to properly dispose of or remediate such substances, may adversely affect the value of such property and the owner’s ability to sell or rent such property or to borrow using such property as collateral, which, in turn, could reduce our earnings. For a description of the risks associated with environmental matters, see “Item 1A, Risk Factors” in this report.
Insurance
We obtain various types of insurance to mitigate the impact of property, business interruption, liability, flood, windstorm, earthquake, fire, environmental, and terrorism-related losses. We attempt to obtain appropriate policy terms, conditions, limits, and deductibles considering the relative risk of loss, the cost of such coverage, and current industry practice. There are, however, certain types of extraordinary losses, such as those due to acts of war or other events, that may be either uninsurable or not economically insurable. In addition, we have a large number of properties that are exposed to earthquake, flood, and windstorm occurrences, which carry higher deductibles.
We maintain property insurance for all of our properties. Tenants under triple-net leases are required to provide primary property, business interruption, and liability insurance. We maintain separate general and professional liability insurance for our CCRCs and the senior housing facilities owned by our SWF SH JV. Additionally, our corporate general liability insurance program also extends coverage for all of our properties beyond the aforementioned. We periodically review whether we or our RIDEA operators will bear responsibility for maintaining the required insurance coverage for the applicable CCRCs and senior housing facilities owned by our SWF SH JV, but the costs of such insurance are facility expenses paid from the revenues of those properties, regardless of who maintains the insurance.
We also maintain directors and officers liability insurance, which provides protection for claims against our directors and officers arising from their responsibilities as directors and officers. Such insurance also extends to us in certain situations.
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Sustainability
We believe that ESG initiatives are a vital part of corporate responsibility, which supports our primary goal of increasing stockholder value through profitable growth. We continue to advance our commitment to sustainability, with a focus on achieving goals in each of the ESG dimensions. Our Board of Directors oversees ESG matters, with the Nominating and Corporate Governance Committee overseeing sustainability and corporate governance matters, the Audit Committee overseeing risk management, and the Compensation and Human Capital Committee overseeing human capital management. We use an integrated approach to ESG throughout our business to identify risks and opportunities, capture efficiencies and cost savings, and report on the issues most relevant to stakeholders.
Environment: Our environmental management programs strive to make our buildings more sustainable and capture cost efficiencies that ultimately benefit our investors, employees, tenants, business partners, and other stakeholders, while reducing our carbon footprint and providing a positive impact on the communities in which we operate. We regularly assess the risks and financial impacts to our business posed by climate change, including transition risks, physical climate risks, potential business disruption, and regulatory requirements, and work with our property managers, operators, and tenants to implement projects to mitigate these risks and impacts. For a description of the risks associated with climate risk matters, see “Item 1A, Risk Factors” in this report.
Social: See “—Human Capital Matters” below.
Governance: Our transparent corporate governance initiatives incorporate sustainability as a critical component in achieving our business objectives and properly managing risks.
Our recent ESG highlights include:
Reported a reduction of 4.2% in Scope 1 and Scope 2 greenhouse gas emissions (“GHG”) in 2022 compared to 2021 on a like-for-like comparative basis (as defined below)
4 LEED certifications and 132 new ENERGY STAR certifications obtained in 2023
Named an ENERGY STAR Partner of the Year in 2023, marking our third time receiving the award
Received a Green Star rating from the Global Real Estate Sustainability Benchmark (“GRESB”) for the twelfth consecutive year, recognizing top ESG performance in our sector
Named to CDP’s Leadership band for our climate disclosure for the eleventh consecutive year, most recently with a score of “A-” in 2023
Named to Newsweek’s America’s Most Responsible Companies list for the fifth consecutive year
Named a constituent in the FTSE4Good Index for the twelfth consecutive year
Named a constituent in the S&P Global Dow Jones Sustainability World Index for the fourth time and S&P Global North America Dow Jones Sustainability Index for the eleventh consecutive year
Named to the S&P Global Sustainability Yearbook for the ninth consecutive year
Named Winner for Best Proxy Statement (Mid Cap), and Finalist for Best ESG Reporting (Small to Mid Cap) by IR Magazine and Governance Intelligence
Included in Fortune’s Best Workplaces in Real Estate list for the second consecutive year
Under our “like-for-like” methodology, direct and indirect GHG emissions are compared on a year-over-year rolling basis using Scope 1 and Scope 2 GHG emissions for the properties that we have owned for two full consecutive calendar years, excluding non-stabilized developments and redevelopments in each year of the calculation. Base data utilized in the calculation of Scope 1 and Scope 2 GHG emissions is obtained from third-party invoices or estimates.
For additional information regarding our ESG initiatives, methodologies, and approach to climate change, please visit our website at www.healthpeak.com/ESG.
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Human Capital Matters
Our employees represent our greatest asset, and as of December 31, 2023, we had 193 full-time employees. Our Board of Directors, through its Compensation and Human Capital Committee, retains oversight of human capital management, including corporate culture, diversity, inclusion, talent acquisition, retention, employee satisfaction, engagement, and succession planning. We report on human capital matters at each regularly scheduled Board of Directors meeting and periodically throughout the year. The most significant human capital measures or objectives that we focus on in managing our business and our related human capital initiatives include the following:
Workforce Diversity: We believe we are a stronger organization when our workforce represents a diversity of ideas and experiences. We value and embrace such diversity in our employee recruiting, hiring, and development practices. Our workforce was made up of 48% female employees and 37% racially or ethnically diverse employees as of December 31, 2023.
Inclusion and Belonging: We promote a work environment that emphasizes respect, fairness, inclusion, and dignity. We are committed to providing equal opportunity and fair treatment to all individuals based on merit, without discrimination based on race, color, religion, national origin, citizenship, marital status, gender (including pregnancy), gender identity, gender expression, sexual orientation, age, disability, veteran status, or other characteristics protected by law. We do not tolerate discrimination or harassment. All employees are required to attend a biennial training on unconscious bias.
Engagement: High employee engagement and satisfaction are both critical to attracting and retaining top talent and benefit our business in many ways. We conduct a regular employee engagement survey through an independent third party, measuring our progress on important employee issues and identifying opportunities for growth and improvement.
Training and Development: We conduct annual employee training on our Code of Business Conduct and Ethics, as well as annual training on harassment prevention or unconscious bias. We also provide training and development to all employees, focusing on career development, professional development, and REIT essentials.
Compensation and Benefits: We aim to ensure merit-based, equitable compensation practices to attract, retain, and recognize talent. We provide competitive compensation and benefit packages to our employees.
Health, Safety, and Wellness: The health, safety, and wellness of our employees are vital to our success. We are committed to protecting the well-being and safety of employees through special training and other measures. We maintain a hybrid work model, which we believe maximizes company-wide productivity, and provide employees with resources, including virtual tools and ergonomic equipment, to maximize work-from-home efficiency.
Community Partnership: Our Social Responsibility Committee is responsible for oversight of our charitable and volunteer activities. We partner with organizations that share our desire to support research, education, and other activities related to healthcare.
For additional information on human capital matters, please see our most recent proxy statement or ESG report, each of which is available on our website at www.healthpeak.com.
Available Information
Our website address is www.healthpeak.com. Our Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K and any amendments to those reports filed or furnished pursuant to Section 13(a) or 15(d) of the Exchange Act are available on our website, free of charge, as soon as reasonably practicable after we electronically file such materials with, or furnish them to, the SEC. Additionally, the SEC maintains a website that contains reports, proxy and information statements, and other information regarding issuers that file electronically with the SEC, including us, at www.sec.gov. References to our website throughout this Annual Report on Form 10-K are provided for convenience only and the content on our website does not constitute a part of this Annual Report on Form 10-K.
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ITEM 1A.    Risk Factors
The section below discusses the risk factors that may materially adversely affect our business, results of operations, and financial condition. Additional risks not presently known to us or that we currently deem immaterial may also adversely affect our business.
As set forth below, we believe that the risks we face generally fall into the following categories:
risks related to our business and operations;
risks related to our capital structure and market conditions;
risks related to the regulatory environment;
risks related to tax, including REIT-related risks, and related to our jurisdiction of incorporation and our structure as an UPREIT;
risks relating to the Mergers;
risks relating to the Combined Company following the Mergers;
risks relating to the status of Physicians Realty Trust as a REIT; and
risks relating to an investment in the Combined Company’s common stock following the Mergers and the transactions contemplated by the Merger Agreement.
Risks Related to Our Business and Operations
We may be negatively impacted by macroeconomic trends, including rising inflation and interest rates, increased construction and labor costs, and historically low unemployment.
Many of our costs, including labor costs, construction costs, utilities, and other operating and administrative costs, have been, and may continue to be, affected by inflation and price volatility. These macroeconomic trends have been, and may continue to be, exacerbated by responses to the Covid pandemic, supply chain disruptions, the conflicts between Russia and Ukraine and in the Middle East, federal government deficits, and other international and domestic events impacting the macroeconomic environment.
In addition, interest rates rose substantially in 2022 and 2023 and may continue to rise and remain elevated for the foreseeable future. U.S. government policies implemented to address inflation, including actions by the Federal Reserve System’s Federal Open Market Committee (the “FOMC”) to increase short-term interest rates, have led to increases in interest rates in the credit markets and other impacts on the macroeconomic environment. The FOMC may continue to raise the federal funds rate or maintain a higher federal funds rate for a longer period of time, either of which would likely lead to higher short-term interest rates and the possibility of lower asset values, slowing economic growth and increasing the possibility of a recession. Increased interest rates have caused, and may continue to cause, unfavorable financing terms and increased interest costs for variable rate debt and new debt. Further, actions by the FMOC to decrease short-term interest rates could lead to inflationary pressures. We may not be able to offset additional costs caused by inflation, increased interest rates, or other macroeconomic trends by passing them through, or increasing the rates we charge, to tenants and residents. These increased costs may hinder our ability to execute on accretive acquisitions or otherwise adversely affect our business, results of operations, and financial condition. Increased interest rates could also negatively impact consumer spending and our tenants’, operators’, and borrowers’ businesses and future demand for our properties.
Furthermore, rising labor costs and personnel shortages have increased, and may continue to increase, the cost of our, or our tenants’, operators’, and borrowers’, workforce. Competitive pressures, including historically low unemployment, may require that we or our tenants, operators, or borrowers enhance pay and benefits packages to compete effectively for such personnel. To the extent we or our tenants, operators, or borrowers cannot hire a sufficient number of qualified personnel, we or they may need to utilize high-cost alternatives to meet labor needs, including contract and overtime labor, or our business may operate below capacity, which may affect our ability to effectively manage risk and pursue potential revenue and growth opportunities.
Additionally, changing technologies and cultural trends could negatively impact future demand for our properties, which could have a material adverse effect on our business, results of operations, and financial condition.
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Life science industry changes could have a material adverse effect on our business, results of operations, and financial condition.
If economic, financial, regulatory, or industry conditions continue to adversely affect the life science industry, we may be unable to lease or re-lease our lab properties in a timely manner or at profitable rates or with favorable terms. In addition, because lab property infrastructure improvements are typically significantly more costly than improvements to other property types due to their highly specialized nature, and lab tenants typically require greater lease square footage relative to outpatient medical tenants, repositioning efforts would have a disproportionate adverse effect on our lab segment performance. Further, our lab investments could face decreased demand from biotech and life science companies relative to supply, and life science industry consolidation could reduce the rentable square footage requirements of our client tenants and prospective client tenants, which may adversely impact our revenues from lease payments. Finally, our lab investments could also be adversely affected if the life science industry migrates from the U.S. to other countries or to areas outside of our primary lab markets in the greater South San Francisco, San Diego, and Boston areas.
Our lab tenants face significant regulation, funding requirements, and uncertainty.
Our lab tenants face substantial requirements for, and risks related to, the research, development, clinical testing, manufacture, and commercialization of their products and technologies, including:
significant funding requirements, including for rent payments due to us;
federal, state, and foreign regulatory approvals that may be costly or difficult to obtain, may take several years and be subject to delay, may not be obtained at all, require validation through clinical trials that may face delays or difficulties, or ultimately be unsuccessful;
product and technology efficacy risks;
acceptance risks among doctors and patients;
significant regulatory and liability risks, including the possible later discovery of safety concerns and other defects and potential loss of approvals, competition from new products, and the expiration of patent protection;
healthcare reforms and reimbursement policies of government or private healthcare payors, including pricing controls for prescription drug prices;
intellectual property and technology risks under patent, copyright, and trade secret laws; and
economic conditions restricting growth opportunities.
Our lab tenants’ ability to raise capital depends on the actual or perceived viability of their products and technologies, their financial and operating condition and outlook, and the overall financial, banking, and economic environment. If venture capital firms, private investors, the public markets, companies in the life science industry, the government, or other sources of funding are difficult to obtain or unavailable to support our tenants’ activities, including as a result of general economic conditions or adverse market conditions that negatively impact our tenants’ ability to raise capital, our tenants’ business would be adversely affected or could fail. If our lab tenants’ businesses are adversely affected, they may fail to make their rent payments to us, which could have a material adverse effect on our business, results of operations, and financial condition.
Decreases in our tenants’, operators’, or borrowers’ revenues, or increases in their expenses, or other factors adversely affecting their ability to borrow money, could affect their ability to meet their financial and other contractual obligations to us.
Occupancy levels at, and rental income from, our outpatient medical and senior housing properties depend on our ability and the ability of our tenants, operators, and borrowers to compete with respect to (i) the quality of care provided, (ii) reputation, (iii) price, (iv) the range of services offered, (v) the physical appearance of a property, (vi) family preference, (vii) referral sources, and (viii) location.
In addition, our outpatient medical and senior housing tenants, operators, and borrowers compete with certain companies that have superior resources and attributes and/or provide similar healthcare services or alternatives such as home health agencies, telemedicine, life care at home, community-based service programs, retirement communities, and convalescent centers.
Furthermore, these tenants, operators, and borrowers face a competitive labor market. A shortage of care givers or other trained personnel, union activities (including strikes, labor slowdowns, or contract negotiations), wage laws, or general inflationary pressures on wages may require our tenants, operators, and borrowers to enhance pay and benefits packages, or to use more expensive contract personnel, and they may be unable to offset these added costs by increasing the rates charged to residents or patients. An inability to attract and retain qualified personnel, including personnel possessing the expertise needed to operate in the life science, outpatient medical, and senior housing sectors, could negatively impact the ability of our tenants, operators, and borrowers to meet their obligations to us.
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Our tenants, operators, and borrowers could also be adversely impacted by a bank failure or other event affecting financial institutions, including through disruptions in access to bank deposits or borrowing capacity, including access to letters of credit from certain of our tenants relating to lease obligations, and any resulting adverse effects to our tenants’, operators’, or borrowers’ liquidity or financial performance could affect their ability to meet their financial and other contractual obligations to us.
Although we generally have the right under specified circumstances to terminate a lease, evict a tenant or terminate an operator, demand immediate repayment of outstanding loan amounts or other obligations to us, or draw on a letter of credit, we may be unable to enforce these rights or we may determine not to do so if we believe that doing so would be more detrimental than alternative approaches. If widespread default or nonpayment of outstanding obligations from our tenants, operators, or borrowers occurs at a time when terminating our agreements with them and replacing them would be difficult or impossible, we could elect instead to amend our agreements on materially less favorable terms to us. The failure of our tenants, operators, or borrowers to meet their financial and other contractual obligations to us could have a material adverse effect on our business, results of operations, and financial condition.
We may be negatively impacted by the insolvency or bankruptcy of one or more of our major tenants, operators, or borrowers.
A downturn in our tenants’, operators’, or borrowers’ businesses has led, and could in the future lead, to voluntary or involuntary bankruptcy or similar insolvency proceedings, including assignment for the benefit of creditors, liquidation, or winding-up. Bankruptcy and insolvency laws afford certain rights to a defaulting tenant, operator, or borrower that has filed for bankruptcy or reorganization that has, and in the future may, render certain of our remedies unenforceable or, at the least, delay our ability to pursue such remedies and realize any related recoveries.
A debtor has the right to assume, or to assume and assign to a third party, or to reject its executory contracts and unexpired leases in a bankruptcy proceeding. We have been subject to rejection of our leases in the past and may experience such rejection in the future. When a debtor rejects its leases with us, obligations under such rejected leases cease. The claim against the rejecting debtor for remaining rental payments due under the lease is an unsecured claim limited by the statutory cap set forth in the U.S. Bankruptcy Code. This statutory cap may be substantially less than the remaining rent actually owed under the lease. In addition, a debtor may also assert in bankruptcy proceedings that certain leases should be re-characterized as financing agreements, which could result in our being deemed a lender instead of a landlord. A lender’s rights and remedies, as compared to a landlord’s, generally are materially less favorable, and our rights as a lender may be subject to lower priority for payment under the U.S. Bankruptcy Code.
Furthermore, the automatic stay provisions of the U.S. Bankruptcy Code preclude us from enforcing our remedies unless we first obtain relief from the court having jurisdiction over the bankruptcy case. This effectively limits or delays our ability to collect unpaid rent or interest payments, and we may ultimately not receive any payment at all. In addition, we have been, and may again be, required to fund certain expenses and obligations (e.g., real estate taxes, insurance, debt costs, and maintenance expenses) to preserve the value of our properties, avoid the imposition of liens on our properties, or transition our properties to a new tenant or operator.
If we are unable to transition affected properties, they would likely experience prolonged operational disruption, leading to lower occupancy rates and further depressed revenues. Publicity about the operator’s financial condition and insolvency proceeds may also negatively impact their and our reputations, decreasing customer demand and revenues. Any or all of these risks could have a material adverse effect on our revenues, results of operations, and cash flows. These risks could be magnified where we lease multiple properties to a single operator under a master lease, as an operator failure or default under a master lease would expose us to these risks across multiple properties.
We depend on real estate investments, particularly in the healthcare property sector, making us more vulnerable to a downturn or slowdown in that specific sector than if we were investing across multiple sectors.
We concentrate our investments in the healthcare property sector. A downturn or slowdown in this sector would have a greater adverse impact on our business than if we had investments across multiple sectors, and could negatively impact the ability of our tenants, operators, and borrowers to meet their obligations to us, as well as the ability to maintain historical rental and occupancy rates, which could have a material adverse effect on our business, results of operations, and financial condition. In addition, such downturns could have a material adverse effect on the value of our properties and our ability to sell properties at prices or on terms acceptable or favorable to us.
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The illiquidity of our real estate investments may prevent us from timely responding to economic or investment performance changes.
Our real estate investments can be relatively illiquid due to: (i) restrictions on our ability to sell properties under applicable REIT tax laws, (ii) other tax-related considerations, (iii) regulatory hurdles, and (iv) market conditions. As a result, we may be unable to recognize full value for any property that we seek to sell. Our inability to timely respond to economic or investment performance changes could have a material adverse effect on our business, results of operations, and financial condition.
Identifying and securing new or replacement tenants or operators can be time consuming and costly.
Healthcare properties can be highly customized, and the improvements generally required to conform a property to healthcare use are costly, sometimes tenant-specific, and may be subject to regulatory requirements. A new or replacement tenant or operator may require different features in a property, depending on that tenant’s or operator’s particular business. In addition, infrastructure improvements for lab properties typically are significantly more expensive than improvements to other property types due to the highly specialized nature of the properties and the greater lease square footage often required by lab tenants. Therefore, we may incur substantial expenditures to modify a lab property and experience delays before we are able to secure a new or replacement tenant or operator or to accommodate multiple tenants or operators, which may have a material adverse effect on our business, results of operations, and financial condition.
In addition, we may fail to identify suitable replacements or enter into leases, management agreements, or other arrangements with new tenants or operators on a timely basis or on terms as favorable to us as our current leases, if at all. We also may be required to fund certain expenses and obligations, such as real estate taxes, debt costs, insurance costs, and maintenance expenses, to preserve the value of, and avoid the imposition of liens on, our properties while they are being repositioned. In addition, we may incur certain obligations and liabilities, including obligations to indemnify the replacement tenant or operator. Identifying and securing new or replacement tenants or operators can be time consuming and costly, which could have a material adverse effect on our business, results of operations, and financial condition.
Property development, redevelopment, and tenant improvement risks can render a project less profitable or unprofitable and delay or prevent its undertaking or completion.
Our property development, redevelopment, and tenant improvement projects could be canceled, abandoned, delayed or, if completed, fail to perform in accordance with expectations due to, among other things:
the inability to obtain financing on favorable terms or at all, or the lack of liquidity we deem necessary or appropriate for the project;
legal and regulatory hurdles, including moratoriums on development and redevelopment activities;
the failure to obtain, or costs associated with obtaining, necessary zoning, entitlements, and permits;
cost increases; and
other factors over which we have limited or no control, including: (i) changes in market and economic conditions; (ii) natural disasters and other catastrophic events or physical climate risks, such as wildfires, earthquakes, and wind storms; (iii) pandemics or other health crises; (iv) labor conditions, including a labor shortage or work stoppage; (v) shortages of construction materials; (vi) environmental conditions; or (vii) civil unrest and acts of war or terrorism.
Project costs may materially exceed original estimates due to, among other things:
increased interest rates;
increased costs for materials, transportation, environmental remediation, labor, or other inputs, including those caused by a shortage of construction materials or labor;
negligent construction or construction defects;
damage, vandalism, or accidents; and
increased operating costs, including insurance premiums, utilities, real estate taxes, and costs of complying with changes in government regulations or increases in tariffs.
Delays in project completion also delay the commencement of related rental payments, including increases in rental payments following tenant improvement projects, and may provide tenants the right to terminate leases or cause us to incur additional costs, including through rent abatement.
Demand for a project may decrease prior to a project’s completion, and resulting lease-up rates, rental rates, lease commencement dates, and occupancy levels may fail to meet expectations. Tenants that have pre-leased at a project may file for bankruptcy or become insolvent, or elect to terminate their lease prior to delivery if they are acquired or for other reasons.
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Finally, a project may have defects that we do not discover through the inspection processes, including latent defects not discovered until after we put a property in service.
The foregoing risks could result in not achieving anticipated returns on investment and could have a material adverse effect on our business, results of operations, and financial condition.
The hospitals on whose campuses our outpatient medical buildings are located and their affiliated healthcare systems could fail to remain competitive or financially viable, which could adversely impact their ability to attract physicians and physician groups to our outpatient medical buildings and our other properties that serve the healthcare industry.
The viability of hospitals depends on factors such as: (i) the quality and mix of healthcare services provided, (ii) competition for patients and physicians, (iii) demographic trends in the surrounding community, (iv) market position, (v) growth potential, and (vi) changes to the reimbursement system, as well as the ability of the affiliated healthcare systems to provide economies of scale and access to capital. In addition, hospitals could be negatively affected by widespread cancellations of elective procedures due to health and safety measures or otherwise. If a hospital whose campus is located near one of our outpatient medical buildings is unable to meet its financial obligations, and if an affiliated healthcare system is unable to support that hospital or goes bankrupt, the hospital may be unable to successfully compete or could be forced to close or relocate, which could adversely impact its ability to attract physicians and other healthcare-related users. Because we rely on our proximity to, and affiliations with, these hospitals to create tenant demand for space in our outpatient medical buildings, their inability to remain competitive or financially viable, or to attract physicians and physician groups, could adversely affect our outpatient medical building operations and have a material adverse effect on us.
We may be unable to develop, maintain, or expand hospital and health system client relationships.
We invest significant time in developing, maintaining, and expanding relationships with both new and existing hospital and health system clients. If we fail to maintain these relationships, including through a lack of responsiveness, failure to adapt to the current market, or employment of individuals with inadequate experience, our reputation and relationships will be harmed and we may lose business to competitors, which could have a material adverse effect on us.
We assume operational risks with respect to our senior housing properties managed in RIDEA structures that could have a material adverse effect on our business, results of operations, and financial condition.
Although the RIDEA structure gives us certain oversight approval rights (e.g., budgets and material contracts) and the right to review operational and financial reporting information, our operators are ultimately in control of the day-to-day business of the property. As a result, we have limited rights to direct or influence the business or operations of our CCRCs and in the properties owned by our SWF SH JV, all of which are under RIDEA structures, and we depend on our operators to operate these properties in a manner that complies with applicable law, minimizes legal risk, and maximizes the value of our investment.
Under a RIDEA structure, our TRS is ultimately responsible for all operational risks and other liabilities of the properties, other than those arising out of certain actions by our operator, such as gross negligence or willful misconduct. Operational risks include, and our resulting revenues therefore depend on, among other things: (i) occupancy rates; (ii) the entrance fees and rental rates charged to residents; (iii) the requirements of, or changes to, governmental reimbursement programs such as Medicare or Medicaid, to the extent applicable, including changes to reimbursement rates; (iv) our operators’ reputations and ability to attract and retain residents; (v) general economic conditions and market factors that impact seniors, including general inflationary pressures; (vi) competition from other senior housing providers; (vii) compliance with federal, state, local, and industry-regulated licensure, certification and inspection laws, regulations and standards; (viii) litigation involving our properties or residents/patients; (ix) the availability and cost of general and professional liability insurance coverage or increases in insurance policy deductibles; and (x) the ability to control operating expenses.
Operators of our CCRCs and the SWF SH JV properties primarily depend on private sources for their revenues and the ability of their patients and residents to pay fees. Costs associated with independent and assisted living services are not generally reimbursable under governmental reimbursement programs such as Medicare and Medicaid. Accordingly, our operators of these properties depend on attracting seniors with appropriate levels of income and assets, which may be affected by many factors, including: (i) prevailing economic and market trends, including general inflationary pressures; (ii) consumer confidence; (iii) demographics; (iv) property condition and safety; (v) public perception about such properties; and (vi) social and environmental factors.
In addition, epidemics, pandemics, and severe flu seasons or any other widespread illness could result in early move-outs or delayed move-ins during quarantine periods or during periods when actual or perceived risks of such illnesses are heightened, and have reduced, and could continue to reduce, our operators’ revenues.
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If our operators fail to effectively conduct operations on our behalf, or to maintain and improve our properties, it could adversely affect our business reputation as the owner of the properties, as well as the business reputation of our operators and their ability to attract and retain patients and residents in our properties, which could have a material adverse effect on our and our operators’ business, results of operations, and financial condition.
Economic conditions, natural disasters, weather, and other events or conditions that negatively affect geographic areas where we have concentrated investments could have a material adverse effect on our business, results of operations, and financial condition.
We are subject to increased exposure to adverse conditions affecting the geographies in which our properties are located, including: (i) downturns in local economies and increases in unemployment rates; (ii) changes in local real estate conditions, including increases in real estate taxes and property insurance premiums; (iii) increased competition; (iv) decreased demand; (v) changes in state and local legislation, including changes affecting business or property taxes; (vi) local climate events and natural disasters and other catastrophic events, such as pandemics, earthquakes, hurricanes, windstorms, flooding, wildfires, and mudslides and other physical climate risks, including water stress and heat stress; and (vii) failures of regional banks. These risks could significantly disrupt our businesses in the region, harm our ability to compete effectively, result in increased costs or construction delays, and divert management attention, any or all of which could have a material adverse effect on our business, results of operations, and financial condition.
In addition, significant climate changes in areas where we own property could result in extreme weather and changes in precipitation, temperature, and other weather patterns, all of which could result in physical damage to or a decrease in demand for properties located in these areas or affected by these conditions or delays in construction. Moreover, an increase in volatility and difficulty predicting adverse weather events, such as freeze events in warmer climates in recent years, as well as increased hurricane intensity, may result in additional losses. Intensifying natural disasters including climate change and extreme weather events, coupled with the current economic climate have directly affected the availability of insurance, premiums, deductibles, and capacity that insurers are willing to underwrite. As a result, we may determine to self-insure more of our exposures, absorb more below deductible losses, and look for alternative means of risk transfer in order to avoid spiraling insurance costs. These events also have indirect effects on our business by increasing the costs of energy, maintenance, and snow removal at our properties. If changes in the climate have material effects, such as property destruction, or occur for extended periods, this could have a material adverse effect on business, results of operations, and financial condition.
Uninsured or underinsured losses could result in a significant loss of capital invested in a property, lower than expected future revenues, and unanticipated expense.
A large number of our properties are located in areas exposed to earthquakes, hurricanes, windstorms, flooding, water stress, heat stress, and other common natural disasters and physical climate risks. In particular, (i) a significant portion of our lab development projects and approximately 67% of our lab portfolio (based on gross asset value as of December 31, 2023) was concentrated in California, which is known to be subject to earthquakes, wildfires, and other natural disasters, and (ii) approximately 69% of our CCRC portfolio (based on gross asset value as of December 31, 2023) was concentrated in Florida, which is known to be subject to hurricanes. While we maintain insurance coverage for earthquakes, fires, hurricanes, windstorms, floods, and other natural disasters and physical climate risks, we may be unable to purchase the limits and terms we desire on a commercially reasonable basis due to increased insurance costs or the unavailability of insurance for certain exposures in other regions. We maintain additional earthquake insurance for our properties that are located in the vicinity of active earthquake zones in amounts and with deductibles we believe are commercially reasonable. Because of our significant concentration in the seismically active regions of South San Francisco, California, and San Diego, California, an earthquake in these areas could damage a significant portion of our lab portfolio. Similarly, a hurricane in Florida could damage a significant portion of our CCRC portfolio. As a result, aggregate deductible amounts may be material, and our insurance coverage may be materially insufficient to cover our losses. Furthermore, there are certain exposures for which we do not purchase insurance because we do not believe it is economically feasible to do so or there is no viable insurance market.
If one of our properties experiences a loss that is uninsured or that exceeds policy coverage limits, we could lose our investment in the damaged property as well as the anticipated future cash flows from such property. If the damaged property is subject to recourse indebtedness, we could continue to be liable for the indebtedness even if the property is irreparably damaged. In addition, even if damage to our properties is covered by insurance, a disruption of business caused by a casualty event may result in loss of revenues for us. Any business interruption insurance may not fully compensate the lender or us for such loss of revenue. Our insurance coverage does not include damages as a result of a pandemic (such as Covid), including business interruption, loss of revenue or earnings, or any related effects (e.g., increased costs related to personal protective equipment, sanitization/sterilization of surfaces and equipment, and additional staffing). Insurance coverage for pandemics is not generally available; if it does become available again, it may not be on commercially reasonable terms and we may be unable to receive insurance proceeds that would compensate us fully for our liabilities, costs, and expenses in the event of a pandemic.
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Our CCRC and senior housing operators also face various forms of class-action lawsuits from time to time, such as wage and hour and consumer rights actions, which generally are not covered by insurance. These class actions could result in significant defense costs, as well as settlements or verdicts that materially decrease anticipated revenues from a property and can result in the loss of a portion or all of our invested capital. We may also incur significant out-of-pocket costs associated with legal proceedings or other claims from residents and patients at our properties. Any of the foregoing risks could have a material adverse effect on our business, results of operations, and financial condition.
In addition, the rise in outsized jury verdicts and/or intensifying natural disasters could threaten policy limits and/or sublimits, which may result in the exhaustion of available insurance coverage for the remainder of the policy year. These events could also have a material adverse effect on our business, results of operations, and financial condition.
Our use of joint ventures may limit our returns on and our flexibility with jointly owned investments.
From time to time, we develop, acquire, and/or recapitalize properties in joint ventures with other persons or entities when circumstances warrant the use of these structures. Our participation in joint ventures is subject to risks that may not be present with other methods of ownership, including:
our joint venture partners could have investment and financing goals that are inconsistent with our objectives, including the timing, terms, and strategies for any investments, and what levels of debt to incur or carry;
because we lack sole decision-making authority, we could experience impasses or disputes relating to certain decisions, including those related to budget approvals, entitlements, construction and development, acquisitions, sales of assets, debt financing, execution of lease agreements, and vendor approvals, which could result in delayed decisions and missed opportunities and could require us to expend additional resources on litigation or arbitration to resolve;
our joint venture partners may have competing interests that create conflicts of interest in our markets;
our ability to transfer our interest in a joint venture to a third party may be restricted;
the market for our interest may be limited and/or valued lower than fair market value;
our joint venture partners may be structured differently than us for tax purposes, and this could create conflicts of interest and risks to our REIT status or could restrict the ways in which we are able to exit investments;
our joint venture partners might become insolvent, fail to fund their share of required capital contributions or fail to fulfill their obligations as a joint venture partner, which may require us to infuse our own capital into the venture on behalf of the partner despite other competing uses for such capital;
our joint venture agreements may contain anti-competitive restrictions that impact certain of our non-joint venture assets and require us to manage the non-joint venture assets in a manner we otherwise would not;
our joint venture agreements may in certain circumstances grant our partners a right of first refusal to acquire certain of our non-joint venture assets;
our joint venture agreements may give our partners management rights that allow them to make operational or other decisions with which we disagree or that we would manage differently; and
our joint venture agreements may impose limitations or caps on the property management fees that we otherwise would have been entitled to receive if the underlying property were wholly owned.
In addition, in some instances, our joint venture partner will have the right to cause us to sell our interest, or acquire their interest, at a time when we otherwise would not have initiated such a transaction. Our ability to acquire our partner’s interest will be limited if we lack sufficient capital resources. This could require us to sell our interest in the joint venture when we might otherwise prefer to retain it. Any of the foregoing risks could have a material adverse effect on our business, results of operations, and financial condition.
Rent escalators or contingent rent provisions in our leases could hinder our profitability and growth.
We derive a significant portion of our revenues from leasing properties pursuant to leases that generally provide for fixed rental rates, subject to annual escalations. If inflation exceeds our annual escalations, as it often recently has, our growth and profitability may be limited.
Under certain leases, a portion of the tenant’s rental payment to us is based on the property’s revenues (i.e., contingent rent). If a tenant’s revenue at a rental property with contingent rent declines, our rental revenues would decrease.
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Additionally, some of our leases provide that annual rent is modified based on changes in the Consumer Price Index or other thresholds (i.e., contingent rent escalators). If the Consumer Price Index does not increase or other applicable thresholds are not met, rental rates may not increase as anticipated or at all, which could hinder our profitability and growth. Furthermore, if economic conditions result in significant increases in the Consumer Price Index, but the escalations under our leases with contingent rent escalators are capped or the increase in the Consumer Price Index exceeds our tenants’ ability to pay, our growth and profitability also may be limited.
Competition may make it difficult to identify and purchase, or develop, suitable healthcare properties to grow our investment portfolio, to finance acquisitions on favorable terms, or to retain or attract tenants and operators.
We face significant competition from other REITs, investment companies, private equity and hedge fund investors, sovereign funds, healthcare operators, lenders, developers, and other institutional investors, some of whom may have greater resources and lower costs of capital than we do. Increased competition and resulting capitalization rate compression make it more challenging for us to identify and successfully capitalize on opportunities that meet our business goals and could improve the bargaining power of property owners seeking to sell, thereby impeding our investment, acquisition, and development activities. Similarly, our properties face competition for tenants and operators from other properties in the same market, which may affect our ability to attract and retain tenants and operators, or may reduce the rents we are able to charge. The failure to capitalize on our development pipeline, identify and purchase a sufficient quantity of healthcare properties at favorable prices, finance acquisitions on commercially favorable terms, or attract and retain profitable tenants could have a material adverse effect on our business, results of operations, and financial condition.
We may be unable to successfully foreclose or exercise rights on the collateral securing our real estate-related loans and, even if we are successful in our foreclosure or realization efforts, we may be unable to successfully operate, occupy, or reposition the underlying real estate.
If a borrower defaults under one of our mortgages, we may look to foreclose on the loan or take additional actions, including acquiring title to the collateral via statutory or judicial foreclosure or commencing collection litigation. We may determine that substantial improvements or repairs to the property are necessary in order to maximize the property’s investment potential. In some cases, because our collateral consists of the equity interests in an entity that directly or indirectly owns the applicable real property or interests in other operating properties, we may not have full recourse with respect to assets of that entity, or that entity may have incurred unexpected liabilities, either of which would preclude us from fully recovering our investment. Borrowers may contest enforcement of foreclosure or other remedies, seek bankruptcy protection against our exercise of enforcement or other remedies, and/or bring claims for lender liability in response to actions to enforce mortgage obligations. Because many of the properties securing our mortgage loans are licensed senior housing health care facilities, we would also need to navigate and comply with various healthcare regulatory matters in a variety of states in connection with any foreclosure effort. Foreclosure or collections-related costs, high loan-to-value ratios, healthcare regulatory issues or consents, or declines in the value of the property, may prevent us from realizing an amount equal to our mortgage balance upon foreclosure or conclusion of litigation, and we may be required to record a valuation allowance for such losses. Even if we are able to successfully foreclose on the collateral securing our real estate-related loans, we may acquire properties for which we may be unable to expeditiously secure tenants or operators, if at all, or that are burdened with healthcare regulatory compliance issues that need to be addressed, or we may acquire equity interests that we are unable to immediately resell or otherwise liquidate due to limitations under the securities laws, either of which would adversely affect our ability to fully recover our investment. Alternatively, we may determine to sell a distressed loan for less than full value, in which event we may incur a loss on the investment.
We may be required to recognize reserves, allowances, credit losses, or impairment charges.
Declines in the value of our properties or other assets or loan collateral, financial deterioration of our tenants, borrowers, or other obligors, or other factors may result in the recognition of reserves, allowances, credit losses, or impairment charges. Our determination of such reserves, allowances, or credit losses relies on estimates regarding the fair value of any loan collateral, which is a complex and subjective process. In addition, we evaluate our assets for impairments based on various triggers, including market conditions, our current intentions with respect to holding or disposing of the assets and the expected future undiscounted cash flows from the assets. Impairments, reserves, allowances, and credit losses are based on estimates and assumptions that are inherently uncertain, may increase or decrease in the future, and may not represent or reflect the ultimate value of, or loss that we ultimately realize with respect to, the relevant assets. Any such impairment, reserve, allowance, or credit loss, or any change in any of the foregoing, could have an adverse impact on our results of operations and financial condition.
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We may invest substantial resources and time in transactions that are not consummated.
We regularly review potential transactions in order to maximize stockholder value. Our review process may require significant management attention, and a potential transaction could be abandoned or rejected by us or the other parties involved after we expend significant resources and time. For additional information on risks related to the consummation of the Mergers, see “—Risks Relating to the Mergers” below.
We may not be able to successfully integrate or operate acquisitions, or may incur unanticipated liabilities.
Successful integration of acquired companies depends primarily on our ability to consolidate operations, systems, procedures, properties, and personnel, and to eliminate redundancies and reduce costs. We may encounter difficulties in these integrations. Potential difficulties associated with acquisitions include: (i) our ability to effectively monitor and manage our expanded portfolio of properties; (ii) the loss of key employees; (iii) the disruption of our ongoing business or that of the acquired entity; (iv) possible inconsistencies in standards, controls, procedures, and policies; and (v) the assumption of unexpected liabilities and claims, including:
liabilities relating to the cleanup or remediation of undisclosed environmental conditions;
unasserted claims of vendors, residents, patients, or other persons dealing with the seller;
liabilities, claims, and litigation, whether or not incurred in the ordinary course of business, relating to periods prior to our acquisition;
claims for indemnification by general partners, directors, officers, and others indemnified by the seller;
claims for return of government reimbursement payments; and
liabilities for taxes relating to periods prior to our acquisition.
In addition, acquired companies and their properties may fail to perform as expected, including with respect to estimated cost savings. Inaccurate assumptions regarding future rental or occupancy rates could result in overly optimistic estimates of future revenues. Similarly, we may underestimate future operating expenses or the costs necessary to bring properties up to standards established for their intended use or for property improvements.
If we have difficulties with any of these areas, or if we later discover additional liabilities or experience unforeseen costs relating to our acquired companies, we may not achieve the anticipated economic benefits from our acquisitions, and this may have a material adverse effect on our business, results of operations, and financial condition.
We may be affected by unfavorable resolution of litigation or disputes and rising liability and insurance costs as a result thereof or other market factors.
Our tenants, operators, property managers, and borrowers are from time to time parties to litigation, including, for example, disputes regarding the quality of care at healthcare properties. The effect of litigation may materially increase the costs incurred by our tenants, operators, property managers, and borrowers, including costs to monitor and report quality of care compliance. In addition, the cost of professional liability, medical malpractice, property, business interruption, general liability, and insurance policies can be significant and may increase or not be available at a reasonable cost or at all. Cost increases could cause our tenants and borrowers to be unable to make their lease or mortgage payments or fail to purchase the appropriate liability and malpractice insurance, or cause our borrowers to be unable to meet their obligations to us, potentially decreasing our revenues and increasing our collection and litigation costs. Cost increases could also lead our operators and property managers to increase the fees they charge, which could have a material adverse effect on our business, results of operations, and financial condition.
Furthermore, with respect to our CCRC properties and the properties in our SWF SH JV, all of which are operated in RIDEA structures, we generally directly bear the costs of any such increases in litigation, monitoring, reporting, and insurance due to our direct exposure to the cash flows of such properties. We are responsible for these claims, litigation, and liabilities, with limited indemnification rights against our operators, which are typically based on the gross negligence or willful misconduct by the operator. Although our leases provide us with certain information rights with respect to our tenants, one or more of our tenants may be or become party to pending litigation or investigation of which we are unaware or in which we do not have a right to participate or evaluate. In such cases, we would be unable to determine the potential impact of such litigation or investigation on our tenants or our business or results. Moreover, negative publicity of any of our operators’, property managers’, or tenants’ litigation, other legal proceedings or investigations may also negatively impact their and our reputation, resulting in lower customer demand and revenues, which could have a material adverse effect on our financial condition, results of operations, and cash flows.
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We may also be named as defendants in lawsuits arising out of our alleged actions or the alleged actions of our tenants, operators, or property managers for which such tenants, operators, or property managers may have agreed to indemnify us. Unfavorable resolution of any such litigation or negative publicity as a result of such litigation could have a material adverse effect on our business, results of operations, and financial condition. Regardless of the outcome, litigation or other legal proceedings may result in substantial costs, disruption of our normal business operations, and the diversion of management attention. We may be unable to prevail in, or achieve a favorable settlement of, any pending or future legal action against us.
Even when a tenant or operator is obligated to indemnify us for liability incurred as a result of a lawsuit pursuant to the terms of its agreement with us, the tenant may fail to satisfy those obligations and, in such event, we would have to incur the costs that should have been covered by the tenant, operator, or property manager and to determine whether to expend additional resources to seek the contractually owed indemnity from that tenant, operator, or property manager, including potentially through litigation or arbitration. In some instances, we may decide not to enforce our indemnification rights if we believe that enforcement of such rights would be more detrimental to our business than alternative approaches. Regardless, such an event would divert management attention and may result in a disruption to our normal business operations, any or all of which could have an adverse effect on our business, results of operations, and financial condition.
Environmental compliance costs and liabilities associated with our real estate-related investments may be substantial and may materially impair the value of those investments.
Federal, state and local laws, ordinances, and regulations may require us, as a current or previous owner of real estate, to investigate and clean up certain hazardous or toxic substances released at a property. We may be held liable to a governmental entity or to third parties for injury or property damage and for investigation and cleanup costs incurred in connection with the contamination. The costs of cleanup and remediation could be substantial. In addition, some environmental laws create a lien on the contaminated site in favor of the government for damages and the costs it incurs in connection with the contamination, and/or impose fines and penalties on the property owner with respect to such contamination.
Although we currently carry environmental insurance on our properties in an amount that we believe is commercially reasonable and generally require our tenants and operators to indemnify us for environmental liabilities they cause, such liabilities could exceed the amount of our insurance, the financial ability of the tenant or operator to indemnify us, or the value of the contaminated property. As the owner of a site, we may also be held liable to third parties for damages and injuries resulting from environmental contamination emanating from the site. We may also experience environmental costs and liabilities arising from conditions not known to us or disrupted during development. The cost of defending against these claims, complying with environmental regulatory requirements, conducting remediation of any contaminated property, or paying personal injury or other claims or fines could be substantial and could have a material adverse effect on our business, results of operations, and financial condition. In addition, the presence of contamination or the failure to remediate contamination may materially adversely affect our ability to use, develop, sell, or lease the property or to borrow using the property as collateral.
ESG and sustainability commitments and requirements, as well as stakeholder expectations, may impose additional costs and expose us to new risks.
Investors, tenants, business partners and other stakeholders, as well as regulators and other groups, are increasingly focusing on ESG and sustainability commitments and performance. Some investors may use ESG factors to guide their investment strategies and, in some cases, may choose not to invest in us if our ESG commitment and performance do not satisfy their criteria. Similarly, some business partners or tenants may use ESG factors to guide their business decisions and choose not to do business with us if they believe our ESG or sustainability policies are inadequate. Third-party providers of ESG ratings have increased in number, resulting in varied and, in some cases, inconsistent standards. In addition, the criteria by which companies’ ESG and sustainability practices are assessed are evolving, which could result in greater expectations for us to undertake costly initiatives to satisfy such new criteria. We have established corporate goals to reduce greenhouse gas emissions, energy, water and waste in our operations, and various regions in which we own properties are establishing building performance standards. Our reputation may be adversely affected if we do not meet our announced goals or these external standards. If we fail to satisfy the expectations of investors, tenants, business partners or other stakeholders, or our announced goals and other initiatives are not executed as planned, our reputation and financial results could be adversely affected, and our revenues, results of operations and ability to grow our business may be negatively impacted. In addition, we may incur significant costs in attempting to comply with ESG policies or third party expectations or demands.
In addition, changes in federal, state, and local legislation and regulation relating to climate change could require (i) increased capital expenditures to improve the energy efficiency or resiliency of our existing properties and increase the costs of new developments and (ii) increased compliance costs for us and our tenants, in each case without a corresponding increase in revenue. In addition, our reputation may be adversely affected if we do not meet stakeholder expectations to mitigate climate risk in a transition to a low-carbon economy.
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We may be impacted by epidemics, pandemics, or other infectious diseases, including Covid, and health and safety measures intended to reduce their spread.
Epidemics, pandemics, or other infectious diseases, including future outbreaks of Covid and its variants, as well as both future widespread and localized outbreaks of infectious diseases and other health concerns, and the health and safety measures taken to reduce the spread or lessen the impact, could cause a material disruption to our industry or deteriorate the economy as a whole. The impacts of such events could be severe and far-reaching, and may impact our operations in several ways, including: (i) tenants could experience deteriorating financial condition and be unable or unwilling to pay rent on time and in full; (ii) we may have to restructure tenants' obligations and may not be able to do so on terms that are favorable to us; (iii) inquiries and tours at our properties could decrease; (iv) move-ins, new tenanting efforts, and re-letting efforts could slow or stop altogether; (v) move-outs and potential early termination of leases thereunder could increase; (vi) operating expenses, including the costs of certain essential services or supplies, including payments to third-party contractors, service providers, and employees essential to ensure continuity in our building operations, may increase; (vii) procedures normally conducted on our properties may be disrupted, adversely affecting the economic viability of our tenants; and (viii) costs of development, including expenditures for materials utilized in construction and labor essential to complete existing developments in progress, may increase substantially.
Human capital risks, including the loss or limited availability of our key personnel, could disrupt or impair our operations.
We face rising labor costs and increased competition for talent. Insufficient employee development, inadequate succession planning or an inability to successfully implement a hybrid work model could negatively impact our business and operations. We also depend on the efforts of our executive officers for the success of our business. Although they are covered by our Executive Severance Plan and Change in Control Plan, which provide many of the benefits typically found in executive employment agreements, none of our executive officers have employment agreements with us. The loss or limited availability of the services of any of our executive officers, or our inability to recruit and retain qualified personnel, could, at least temporarily, disrupt, or impair our operations.
We rely on information technology in our operations, and any material failure, inadequacy, interruption, or security failure of that technology could harm our business.
We rely on information technology networks, enterprise applications, and other information systems to process, transmit, and store electronic information, and to manage or support a variety of business processes, including financial transactions and records, to maintain personal identifying information and tenant and lease data, and to operate building management systems. We utilize software and cloud-based technology from third-party service providers, on whom our information systems depend. We rely on commercially available systems, software, tools, and monitoring to provide security for the processing, transmission, and storage of confidential tenant and customer data, including individually identifiable information relating to financial accounts, as well as building access, security, and operations. Although we have taken steps to protect the security of our information systems, with multiple layers of controls around the data maintained in those systems, it is possible that our safety and security measures will not prevent the systems’ improper functioning or damage, or the improper access of systems or disclosure of personally identifiable information such as in the event of cyber-attacks or other cybersecurity incidents.
Furthermore, because our operators as well as other third-party service providers with whom we and they do business (including vendors, software creators and cloud solution and cybersecurity providers) also rely on the Internet, information technology networks, enterprise applications, systems, and software, some of our data may be vulnerable to cybersecurity incidents or cybersecurity threats involving our operators and third parties with whom we or they do business. We do not control the cybersecurity systems and protocols put in place by our operators or other third parties, and such parties may have limited indemnification obligations to us, which could cause us to be negatively impacted as a result.
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Cybersecurity incidents and cybersecurity threats affecting our or our operators’ or other third party providers’ information systems, including those caused by physical or electronic break-ins, computer viruses, malware, worms, attacks by hackers or foreign governments, ransomware attacks, disruptions from unauthorized access and tampering, including through social engineering such as phishing or vishing attacks, coordinated denial-of-service attacks, and similar breaches, could result in, among other things: (i) system disruptions; (ii) shutdowns; (iii) unauthorized access to or disclosure of confidential information, including as a result of impersonation of authorized users or manipulated communications; (iv) misappropriation of our or our business partners’ proprietary or confidential information; (v) breach of our legal, regulatory, or contractual obligations; (vi) inability to access or rely upon critical business records or systems; or (vii) other delays in our operations. In some cases, it may be difficult to anticipate or immediately detect such cybersecurity threats and cybersecurity incidents and the damage they cause. The risk of cybersecurity incidents and cybersecurity threats has generally increased as the number, intensity, and sophistication of attacks and intrusions affecting companies generally have increased, and we have seen a significant increase in cyber phishing attacks. The risk of security breaches has also increased under our hybrid work model. We may be required to expend significant financial resources to detect, protect against or remediate such cybersecurity incidents or cybersecurity threats. In addition, our technology infrastructure and information systems are vulnerable to damage or interruption from natural disasters, power loss, and telecommunications failures. Any failure to adequately train employees or to maintain proper function, security, and availability of our and our operators’ information systems and the data maintained in those systems could interrupt our operations, damage our reputation, subject us to liability claims or regulatory penalties, harm our business relationships, or increase our security and insurance costs, which could have a material adverse effect on our business, financial condition, and results of operations.
Our tenants and borrowers may also from time to time experience cybersecurity incidents or cybersecurity threats that compromise, damage or disrupt their information systems or result in the loss or misuse of confidential information, intellectual property or sensitive or personal information. Any resulting financial impact to our tenants or borrowers, including liability claims or regulatory penalties, increased security and insurance costs as well as business impacts resulting from any damage to their reputation or harm to their business relationships, could negatively impact the ability of our tenants and borrowers to meet their financial and other contractual obligations to us, which could have a material adverse effect on our business, financial condition and results of operations.
Risks Related to Our Capital Structure and Market Conditions
Volatility, disruption, or uncertainty in the financial markets may impair our ability to raise capital, obtain new financing or refinance existing obligations, and fund acquisition and development activities.
Increased or prolonged market disruption, volatility, or uncertainty could have a material adverse effect on our ability to raise capital, obtain new financing or refinance our existing obligations as they mature, and fund acquisition and development activities. Our lenders and other financial institutions could also require us to agree to more restrictive covenants, grant liens on our assets as collateral, and/or accept other terms that are not commercially beneficial to us in order to obtain financing. One or more of our lenders under our credit facility could refuse or fail to fund their financing commitment to us as a result of lender liquidity and/or viability challenges, which financing commitments we may not be able to replace on favorable terms, or at all. In addition, the failure of a bank, or events involving limited liquidity, defaults, non-performance or other adverse conditions in the financial or credit markets impacting financial institutions at which we maintain balances, or concerns or rumors about such events, could lead to disruptions in access to our bank deposits, our inability to access our bank deposits in excess of the Federal Deposit Insurance Corporation (FDIC) limits, or otherwise adversely impact our liquidity and financial performance, and our tenants, operators, and borrowers could be similarly adversely affected. Market volatility could also lead to significant uncertainty in the valuation of our investments and those of our joint ventures, which may result in a substantial decrease in the value of our properties and those of our joint ventures. As a result, we may be unable to recover the carrying amount of such investments and the associated goodwill, if any, which may require us to recognize impairment charges in earnings.
Increased borrowing costs could materially adversely impact our ability to refinance existing debt, sell properties, and conduct investment activities.
We currently have and may incur additional debt obligations that have variable interest rates and related payments that vary with the movement of certain indices. During inflationary periods, interest rates have historically increased. For example, in response to recent inflationary conditions, actions taken by the FOMC have led to rising interest rates, which may continue to rise and remain elevated for the foreseeable future. Increases in interest rates result in increased interest costs for our variable rate debt and our new debt, which adversely affects our cost of capital and makes the financing of any acquisition and development activity more costly. In addition, increased interest rates have lowered, and could continue to lower, the amount third parties are willing to pay for our properties, thereby negatively impacting our ability to reposition our portfolio promptly in response to changes in economic or other conditions.
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Rising borrowing costs could limit our ability to refinance existing debt when it matures, or cause us to pay higher interest rates upon refinancing and increased interest expense on refinanced indebtedness.
We manage a portion of our exposure to interest rate risk by accessing debt with staggered maturities and through the use of derivative instruments, primarily interest rate cap and swap agreements. These agreements involve risk, including that counterparties may fail to honor their obligations under these arrangements, that these arrangements may not be effective in reducing our exposure to interest rate changes, that the amount of income we earn from hedging transactions may be limited by federal tax provisions governing REITs, and that these arrangements may cause us to incur higher debt service costs than would otherwise be the case. Failure to hedge effectively against interest rate risk could adversely affect our results of operations and financial condition.
Additionally, increased borrowing costs and attendant negative impacts on our business can reduce the amount investors are willing to pay for our common stock. Because REIT stocks are often perceived as high-yield investments, investors may perceive less relative benefit to owning REIT stocks as borrowing costs increase.
Cash available for distribution to stockholders may be insufficient to make dividend distributions at expected levels and are made at the discretion of our Board of Directors.
Decreases in cash available for distributions may result in us being unable to make dividend distributions at expected levels. Our failure to make distributions commensurate with market expectations would likely result in a decrease in the market price of our common stock. Further, all distributions are made at the discretion of our Board of Directors in accordance with Maryland law and depend on: (i) our earnings; (ii) our financial condition; (iii) debt and equity capital available to us; (iv) our expectations for future capital requirements and operating performance; (v) covenants in our financial or other contractual arrangements, including those in our credit facility agreement; (vi) maintenance of our REIT qualification; and (vii) other factors as our Board of Directors may deem relevant from time to time.
If access to external capital is unavailable on acceptable terms or at all, it could have a material adverse effect on our ability to meet commitments as they become due or make investments necessary to grow our business.
We periodically rely on external sources of capital (including debt and equity financing) to fulfill our capital requirements. The availability of external capital sources depends upon several factors, some of which we have little or no control over, including:
general availability of capital, including less favorable terms, rising interest rates, and increased borrowing costs;
the market price of the shares of our equity securities and the credit ratings of our debt and any preferred securities we may issue;
the market’s perception of our growth potential and our current and potential future earnings and cash distributions;
our degree of financial leverage and operational flexibility;
the financial integrity of our lenders, which might impair their ability to meet their commitments to us or their willingness to make additional loans to us, and our inability to replace the financing commitment of any such lender on favorable terms, or at all;
bank failures or other events affecting financial institutions, which could adversely affect our or our tenants’, operators’, and borrowers’ liquidity and financial performance;
the stability of the market value of our properties;
the financial performance and general market perception of our tenants and operators;
changes in the credit ratings on U.S. government debt securities or default or delay in payment by the U.S. of its obligations;
issues facing the healthcare industry, including healthcare reform and changes in government reimbursement policies; and
the performance of the national and global economies generally, including any economic downturn and volatility in the financial markets.
If access to capital is unavailable on acceptable terms or at all, it could have a material adverse impact on our ability to fund operations, repay or refinance our debt obligations, fund dividend payments, acquire properties, and make the investments in development and redevelopment activities, as well as capital expenditures, needed to grow our business.
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Our level of indebtedness may increase and materially adversely affect our future operations.
Our outstanding indebtedness as of December 31, 2023 was approximately $6.9 billion. We may incur additional indebtedness, which may be substantial. Any significant additional indebtedness would likely negatively affect the credit ratings of our debt and require us to dedicate a growing portion of our cash flow to interest and principal payments. Greater demands on our cash resources may reduce funds available to us to pay dividends, conduct development activities, make capital expenditures and acquisitions, or carry out other aspects of our business strategy. Increased indebtedness can also make us more vulnerable to general adverse economic and industry conditions and create competitive disadvantages for us compared to other companies with comparatively lower debt levels. Increased future debt service obligations may limit our operational flexibility, including our ability to finance or refinance our properties, contribute properties to joint ventures, or sell properties as needed. In addition, any changes to benchmark rates, or uncertainty as to the nature of such potential changes, may increase the cost of our variable rate debt or cost of funds, adversely affect the trading market for our securities, have an unpredictable impact on the financial markets or otherwise affect our financial condition and results of operations.
Covenants in our debt instruments limit our operational flexibility, and breaches of these covenants could result in adverse actions by our creditors.
The terms of our current secured and unsecured debt instruments require us to comply with a number of customary financial and other covenants, such as maintaining leverage ratios, minimum tangible net worth requirements, REIT status, and certain levels of debt service coverage. Our ability to incur additional debt and to conduct business in general is subject to compliance with these covenants, which limits our operational flexibility. For example, mortgages on our properties contain customary covenants such as those that limit or restrict our ability, without the consent of the lender, to further encumber or sell the applicable properties, or to replace the applicable tenant or operator. Breaches of certain covenants may result in defaults under the mortgages on our properties and cross-defaults under certain of our other indebtedness, even if we satisfy our payment obligations to the respective obligee. Covenants that limit our operational flexibility, as well as defaults resulting from the breach of any of these covenants, could have a material adverse effect on our business, results of operations, and financial condition.
The market price and trading volume of our common stock may be volatile.
The market price of our common stock has been, and may in the future be, highly volatile and subject to wide fluctuations. In addition, the trading volume in our common stock may fluctuate and cause significant price variations to occur. The stock market has experienced extreme price and volume fluctuations that have affected the market price of many companies in industries similar or related to ours and that have been unrelated to these companies’ operating performances. If the market price of our common stock declines significantly, you may be unable to resell your shares at a gain. We cannot assure you that the market price of our common stock will not fluctuate or decline significantly in the future. Some of the factors that could negatively affect our share price or result in fluctuations in the price or trading volume of our common stock include:
actual or anticipated variations in our quarterly operating results, guidance, or distributions;
changes in market valuations of similar companies;
adverse market reaction to any increased indebtedness we may incur in the future;
issuance of additional equity securities;
actions by institutional stockholders;
the publication of research reports and articles (or false or misleading information) about us, our tenants, the real estate industry, or the industries in which our tenants operate;
speculation in the press or investment community and investor sentiment regarding commercial real estate generally, our industry sectors or other real estate sectors, the industries in which our tenants operate, and the regions in which our properties are located;
short selling of our common stock or related derivative securities; and
general market and economic conditions.
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Adverse changes in our credit ratings could impair our ability to obtain additional debt and equity financing on favorable terms.
Our credit ratings affect the amount and type of capital, as well as the terms of any financing we may obtain. The credit ratings of our senior unsecured debt are based on, among other things, our operating performance, liquidity and leverage ratios, geographic and tenant concentration, and pending or future changes in the regulatory framework applicable to our operators and our industry. If we are unable to maintain our current credit ratings, we would likely incur higher borrowing costs, which would make it more difficult or expensive to obtain additional financing or refinance existing obligations and commitments. An adverse change in our outlook may ultimately lead to a downgrade in our credit ratings, which would trigger additional borrowing costs or other potentially negative consequences under our current credit facilities and debt instruments. Also, if our credit ratings are downgraded, or general market conditions were to ascribe higher risk to our ratings, our industry, or us, our access to capital and the cost of any future debt financing will be further negatively impacted. In addition, the terms of future debt agreements could include more restrictive covenants, or require incremental collateral, which may further restrict our business operations or be unavailable due to our covenant restrictions then in effect. There is no guarantee that debt or equity financings will be available in the future to fund future acquisitions, developments, or general operating expenses, or that such financing will be available on terms consistent with our historical agreements or expectations.
Risks Related to the Regulatory Environment
Tenants, operators, and borrowers that fail to comply with federal, state, local, and international laws and regulations, including resident health and safety requirements, as well as licensure, certification, and inspection requirements, may cease to operate or be unable to meet their financial and other contractual obligations to us.
Our tenants, operators, and borrowers across our segments are subject to or impacted by extensive, frequently changing federal, state, and local laws and regulations. See “Item 1, Business—Government Regulation, Licensing and Enforcement—Healthcare Licensure and Certificate of Need” for a discussion of certain of these laws and regulations. Unannounced surveys, inspections, or audits occur frequently, including following a regulator’s receipt of a complaint about a facility, and these surveys, inspections, and audits can result in deficiencies and further adverse action. Our tenants’, operators’, or borrowers’ failure to comply with any of the laws, regulations, or requirements applicable to them could result in: (i) loss of accreditation; (ii) denial of reimbursement; (iii) imposition of fines; (iv) suspension or decertification from government healthcare programs; (v) civil liability; and (vi) in certain instances, suspension, or denial of admissions, criminal penalties, loss of license, or closure of the property and/or the incurrence of considerable costs arising from an investigation or regulatory action, which may have an adverse effect on properties that we own and lease to a third party tenant in our lab and outpatient medical segments, that we own and operate through a RIDEA structure in our CCRC segment or our SWF SH JV, or on which we hold a mortgage, and therefore may materially adversely impact us.
Furthermore, we are required under RIDEA to rely on our operators to oversee and direct these aspects of the properties’ operations to ensure compliance with applicable laws and regulations. If one or more of our healthcare properties fails to comply with applicable laws and regulations, our TRS would be responsible (except in limited circumstances, such as the gross negligence or willful misconduct of our operators, where we would have a contractual claim against them), which could subject our TRS to penalties including loss or suspension of licenses, certification or accreditation, exclusion from government healthcare programs (i.e., Medicare, Medicaid), administrative sanctions, and civil monetary penalties. Some states also reserve the right to sanction affiliates of a licensee when they take administrative action against the licensee, and require a licensee to report all healthcare-related administrative actions that have been brought against any of the licensee’s affiliates, even in other states. Additionally, when we receive individually identifiable health information relating to residents of our healthcare properties, we are subject to federal and state data privacy and security laws and rules, and could be subject to liability in the event of an audit, complaint, cybersecurity incident, or data breach. Furthermore, our TRS has exposure to professional liability claims that could arise out of resident claims, such as quality of care, and the associated litigation costs.
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Required regulatory approvals can delay or prohibit transfers of our senior housing properties.
Transfers of senior housing properties, including in connection with the foreclosure of a real-estate secured loan, to successor owners or operators are typically subject to regulatory approvals or ratifications, including change of ownership approvals for licensure and Medicare / Medicaid (if applicable) that are not required for transfers of other types of commercial operations and other types of real estate. The sale of, or replacement of any operator at, our senior housing facilities, or the foreclosure of a loan secured by senior housing real estate, could be delayed by the regulatory approval process of any federal, state, or local government agency necessary for the transfer of the property or the replacement of the operator licensed to manage the property, during which time the property may experience performance declines. We may also elect to use an interim licensing structure to facilitate such transfers, which structure expedites the transfer by allowing a third party to operate under our license until the required regulatory approvals are obtained, but could subject us to fines or penalties if the third party fails to comply with applicable laws and regulations and fails to indemnify us for such fines or penalties pursuant to the terms of its agreement with us.
Compliance with the Americans with Disabilities Act and fire, safety, and other regulations may require us to make expenditures that adversely affect our cash flows.
Our properties must comply with applicable ADA and any similar state and local laws. These laws may require removal of barriers to access by persons with disabilities in public areas of our properties. Noncompliance could result in the incurrence of additional costs associated with bringing the properties into compliance, the imposition of fines or an award of damages to private litigants in individual lawsuits or as part of a class action. We could also be required to expend funds to comply with the provisions of the ADA and similar state and local laws on behalf of tenants, which could adversely affect our results of operations and financial condition.
In addition, we are required to operate our properties in compliance with fire and safety regulations, building codes and other land use regulations. New and revised regulations and codes may be adopted by governmental agencies and bodies and become applicable to our properties. For example, new safety laws for senior housing properties were adopted following the particularly damaging 2018 hurricane season. Compliance could require substantial capital expenditures, both for significant upgrades and for tenant relocations that may be necessary depending on the scope and duration of upgrades, and may restrict our ability to renovate our properties. These expenditures and restrictions could have a material adverse effect on our financial condition and cash flows.
Laws or regulations prohibiting eviction of our tenants, even on a temporary basis, could have a material adverse effect on our revenues if our tenants fail to make their contractual rent payments to us.
Various federal, state, and local governments previously enacted, and may again enact, laws, regulations, and moratoriums or take other actions that could limit our ability to evict tenants until such laws, regulations, or moratoriums are reversed or lifted. In particular, several state and local governments implemented eviction moratoriums as a result of the Covid pandemic that applied to both residential and commercial tenants. Although these moratoriums have generally terminated or expired, federal, state, and local governments could enact moratoriums under similar circumstances in the future. While we generally have arrangements and other agreements that give us the right under specified circumstances to terminate a lease or evict a tenant for nonpayment of contractual rent, such laws, regulations, and moratoriums may restrict our ability to begin eviction proceedings even where no rent or only partial rent is being paid. Further, under current laws and regulations, eviction proceedings for delinquent tenants are already costly and time-consuming, and, if there are existing backlogs or backlogs develop in courts due to higher than normal eviction proceedings, we may incur significant costs and it may take a significant amount of time to ultimately evict any tenant who is not meeting their contractual rent obligations. If we are restricted, delayed, or prohibited from evicting tenants for failing to make contractual rent payments, it may have a material adverse effect on our business, results of operations, and financial condition.
The requirements of, or changes to, governmental reimbursement programs such as Medicare or Medicaid may adversely affect our tenants’, operators’, and borrowers’ ability to meet their financial and other contractual obligations to us.
Certain of our tenants, operators, and borrowers, as well as our owned assets in the CCRC segment and SWF SH JV, are affected, directly or indirectly, by a complex set of federal, state, and local laws and regulations pertaining to governmental reimbursement programs, including the CARES Act and other similar relief legislation enacted as a result of the Covid pandemic. These laws and regulations are subject to frequent and substantial changes that are sometimes applied retroactively. See “Item 1, Business—Government Regulation, Licensing and Enforcement.” For example, to the extent that our tenants, operators, or borrowers, or assets owned in our CCRC segment or through the SFW SH JV, receive a significant portion of their revenues from governmental payors, primarily Medicare and Medicaid, they are generally subject to, among other things:
statutory and regulatory changes, including changes that impact state reimbursement programs, particularly Medicaid reimbursement and managed care payments;
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retroactive rate adjustments and recoupment efforts;
recovery of program overpayments or set-offs;
federal, state, and local litigation and enforcement actions, including those relating to Covid and the failure to satisfy the terms and conditions of financial relief;
administrative proceedings;
policy interpretations;
payment or other delays by fiscal intermediaries or carriers;
government funding restrictions (at a program level or with respect to specific properties);
reduced reimbursement rates under managed care contracts;
changes in reimbursement rates, methods, or timing under governmental reimbursement programs, including changes that impact state reimbursement programs, particularly Medicaid reimbursement and managed care payments;
interruption or delays in payments due to any ongoing governmental investigations and audits at such properties or due to a partial or total federal or state government shutdown for a prolonged period of time; and
reputational harm of publicly disclosed enforcement actions, audits, or investigations related to billing and reimbursements.
We are unable to predict future changes to or interpretations of, or the intensity of enforcement efforts with respect to, these laws and regulations, including those that pertain to the Medicare and Medicaid programs. The failure to comply with the extensive laws, regulations, and other requirements applicable to their business and the operation of our properties could result in, among other challenges: (i) becoming ineligible to receive reimbursement from governmental reimbursement programs or being compelled to repay amounts received, including under the CARES Act; (ii) becoming subject to prepayment reviews or claims for overpayments; (iii) bans on admissions of new patients or residents; (iv) civil or criminal penalties; and (v) significant operational changes, including requirements to increase staffing or the scope of care given to residents. These laws and regulations are enforced by a variety of federal, state, and local agencies and can also be enforced by private litigants through, among other things, federal and state false claims acts, which allow private litigants to bring qui tam or “whistleblower” actions. Any changes in the regulatory framework or the intensity or extent of governmental or private enforcement actions could have a material adverse effect on our tenants, operators, borrowers, and/or assets.
The status of the Patient Protection and Affordable Care Act, along with the Health Care and Education Reconciliation Act of 2010 (collectively, the “Affordable Care Act”) and related regulations may be subject to change, and other health reform measures could be implemented as a result of political, legislative, regulatory, and administrative developments and judicial proceedings, including those with far reaching implications and effecting fundamental changes in the healthcare system. Federal and state authorities may continue to implement new or modified reimbursement methodologies that may negatively impact health care property operations. There can be no assurance that adequate reimbursements will be available for services provided by our operators and tenants. Additionally, the patient driven payment model utilized by the Centers for Medicare and Medicaid Services to calculate reimbursement rates for patients in skilled nursing properties (which is among the unit types in our CCRCs) could result in decreases in payments to our operators and tenants or increase our operators’ and tenants’ costs. We cannot make any assessment as to the ultimate timing or the effect that any future changes may have on our tenants’, operators’, and borrowers’ costs of doing business, or the cost of doing business for or the assets owned in our CCRC segment or through the SFW SH JV, and on the amount of reimbursement by government and other third-party payors. Any significant limits on the scope of services reimbursed, reductions in reimbursement rates and fees, or increases in provider or similar types of taxes, could materially adversely affect their ability to meet their financial and contractual obligations to us.
We could be negatively impacted by legislation to address federal government operations and administrative decisions affecting the Centers for Medicare and Medicaid Services.
Congressional consideration of legislation pertaining to the federal debt ceiling, the Affordable Care Act, tax reform, and entitlement programs, including reimbursement rates for physicians, could have a material adverse effect on our tenants’, operators’, and borrowers’ liquidity, financial condition, or results of operations. In particular, reduced funding for entitlement programs such as Medicare and Medicaid would result in increased costs and fees for programs such as Medicare Advantage Plans and additional reductions in reimbursements to providers. Amendments to the Affordable Care Act in whole or in part and decisions by the Centers for Medicare and Medicaid Services could impact the delivery of services and benefits under Medicare, Medicaid, or Medicare Advantage Plans and could affect our tenants and operators and the manner in which they are reimbursed by such programs. Any shutdown of the federal government that delays or disrupts payments or any other material adverse effect on payments to our tenants, operators, or borrowers could adversely affect their ability to satisfy their obligations to us and could have a material adverse effect on us.
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Our participation in the CARES Act Provider Relief Fund and other Covid-related stimulus and relief programs could subject us or our operators to disruptive government and financial audits, enforcement actions, and recovery activity.
Under the CARES Act and subsequent Covid relief legislation, Congress allocated more than $178 billion to eligible health care providers through the Public Health and Social Services Emergency Fund (the “Provider Relief Fund” or “PRF”). The U.S. Department of Health and Human Services (“HHS”) distributed PRF awards through various general and targeted distributions. We and our senior housing operators (including operators of senior housing facilities that we have subsequently disposed of) received relief funds through several distributions.
PRF funds are intended to reimburse eligible providers for unreimbursed health care-related expenses and lost revenues attributable to Covid and must be used only to prevent, prepare for, or respond to Covid. PRF funds received under certain targeted distributions are further limited to specific uses. Additionally, the PRF program imposes certain distribution-specific eligibility criteria and requires recipients to comply with various terms and conditions. PRF program terms and conditions include limitations and requirements governing use of PRF funds, implementation of controls, retention of records, audit and reporting to governmental authorities, and other PRF program requirements. Failure to comply with program requirements may result in payment recovery or other enforcement actions. HHS interpretation of applicable terms and requirements has evolved over time, and may continue to evolve. The interpretation and implementation of PRF requirements and related guidance remains uncertain, and there can be no assurance that we or our operators are or will remain in compliance with all PRF and Covid relief program requirements and interpretative guidance. PRF guidance or interpretations could change in ways that adversely impact the PRF funding we or our operators received, recognized, or are able to retain. We also may be subject to or incur costs related to PRF compliance activities, reporting, and financial audits, as well as government oversight and enforcement, including post-payment recovery and recoupment and government investigations, audits, enforcement activity, and penalties. Our current and former operators may similarly be impacted. Differences in operators’ PRF policies and protocols may adversely impact availability of data and our related reports and financial audits.
Risks Related to Tax, Including REIT-Related Risks, and Related to Our Jurisdiction of Incorporation and Our Structure as an UPREIT
Loss of our tax status as a REIT would substantially reduce our available funds and would have materially adverse consequences for us and the value of our common stock.
Qualification as a REIT involves the application of numerous highly technical and complex provisions of the Internal Revenue Code of 1986, as amended (the “Code”), for which there are limited judicial and administrative interpretations, as well as the determination of various factual matters and circumstances not entirely within our control. We intend to continue to operate in a manner that enables us to qualify as a REIT. However, our qualification and taxation as a REIT depend upon our ability to meet the various qualification tests imposed under the Code, through actual annual operating results, asset diversification, distribution levels, and diversity of stock ownership.
For example, to qualify as a REIT, at least 95% of our gross income in any year must be derived from qualifying sources, and we must make distributions to our stockholders aggregating annually to at least 90% of our REIT taxable income, excluding net capital gains. Rents we receive from a TRS in a RIDEA structure are treated as qualifying rents from real property for REIT tax purposes only if (i) they are paid pursuant to a lease of a “qualified healthcare property” and (ii) the operator qualifies as an “eligible independent contractor,” as each term is defined in the Code. If either of these requirements is not satisfied, then the rents we receive from the TRS will not be qualifying rents and we may not satisfy the REIT gross income requirements. Furthermore, new legislation, regulations, administrative interpretations, or court decisions could change the tax laws or interpretations of the tax laws regarding qualification as a REIT, or the federal income tax consequences of that qualification, in a manner that is materially adverse to our stockholders. Accordingly, we cannot assure you that we have operated or will continue to operate in a manner so as to qualify or remain qualified as a REIT.
If we lose our REIT status, we will face serious tax consequences that will substantially reduce the funds available to make payments of principal and interest on the debt securities we issue and to make distributions to stockholders. If we fail to qualify as a REIT:
we will not be allowed a deduction for distributions to stockholders in computing our taxable income;
we will be subject to corporate-level income tax on our taxable income at regular corporate rates;
we will be subject to increased state and local income taxes; and
unless we are entitled to relief under relevant statutory provisions, we will be disqualified from taxation as a REIT for the four taxable years following the year during which we fail to qualify as a REIT.
As a result of all these factors, our failure to qualify as a REIT could also impair our ability to expand our business and raise capital and could materially adversely affect the value of our common stock.
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Our taxable REIT subsidiaries (TRSs) may be subject to corporate level tax.
Certain of our subsidiaries have elected or will elect with us to be treated as TRSs. Other than some activities relating to lodging and health care facilities, a TRS may generally engage in any business, including the provision of customary or non-customary services to tenants of its parent REIT that the parent REIT could not provide directly. TRSs are taxed as regular C corporations, and are thus generally required to pay regular corporate income tax, and potentially the alternative minimum tax, on their earnings. Any taxes paid by our TRSs will reduce the amounts that our TRSs could otherwise distribute to us.
The tax imposed on any net income from “prohibited transactions” may limit our ability to engage in transactions which would be treated as sales for federal income tax purposes.
We will be required to pay a 100% tax on any net income from prohibited transactions. Prohibited transactions are, in general, sales or other taxable dispositions of property, other than foreclosure property, held as inventory or primarily for sale to customers in the ordinary course of business. A sale will not be considered a prohibited transaction, however, if it meets certain safe harbor requirements. Although we do not intend to hold any properties that would be characterized as held for sale to customers in the ordinary course of our business (other than through a TRS), such characterization is a factual determination and no guarantee can be given that the U.S. Internal Revenue Service (the “IRS”) would agree with our characterization of our properties or that we will always be able to take advantage of available safe harbors.
Further changes to U.S. federal income tax laws could materially and adversely affect us and our stockholders.
The present federal income tax treatment of REITs and various transactional structures that we utilize may be modified, possibly with retroactive effect, by legislative, judicial, or administrative action at any time, which could affect the federal income tax treatment of an investment in us. The federal income tax rules dealing with U.S. federal income taxation and REITs are constantly under review by persons involved in the legislative process, the IRS, and the U.S. Treasury Department, which results in statutory changes as well as revisions to regulations and interpretations. We cannot predict how changes in the tax laws might affect our investors or us. Revisions in federal tax laws and interpretations thereof could significantly and negatively affect our ability to qualify as a REIT, as well as the tax considerations relevant to an investment in us, or could cause us to change our investments and commitments.
Potential deferred and contingent tax liabilities from corporate acquisitions could limit or delay future property sales.
If, during the five-year period beginning on the date we acquire certain assets or companies in certain tax deferred transactions, we recognize a gain on the disposition of any property acquired, then, to the extent of the excess of (i) the fair market value of such property as of the acquisition date, over (ii) our adjusted income tax basis in such property as of that date, we will be required to pay a corporate-level federal income tax on this gain at the highest regular corporate rate. These potential tax effects could limit or delay future property sales. In addition, the IRS may assert liabilities against us for income taxes of certain entities we acquire for taxable years prior to the time that we acquire such entities, in which case we will owe these taxes plus interest and penalties, if any.
There are uncertainties relating to the calculation of non-REIT tax earnings and profits (“E&P”) in certain acquisitions, which may require us to distribute E&P.
In order to remain qualified as a REIT, we are required to distribute to our stockholders all of the accumulated non-REIT E&P of certain C corporations that we acquire, prior to the close of the first taxable year in which the acquisition occurs. Failure to make such E&P distributions could result in our disqualification as a REIT. The determination of the amount to be distributed in such E&P distributions is a complex factual and legal determination. We may have less than complete information at the time we undertake our analysis, or we may interpret the applicable law differently from the IRS. We currently believe that we have satisfied the requirements relating to such E&P distributions. There are, however, substantial uncertainties relating to the determination of E&P, including the possibility that the IRS could successfully assert that the taxable income of the companies acquired should be increased, which could increase our non-REIT E&P. Thus, we might fail to satisfy the requirement that we distribute all of our non-REIT E&P by the close of the first taxable year in which the acquisition occurs. Although there are procedures available to cure a failure to distribute all of our E&P, we cannot now determine whether we will be able to take advantage of these procedures or the economic impact on us of doing so.
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Tax protection agreements may limit our ability to sell or otherwise dispose of certain properties and may require us to maintain certain debt levels that otherwise would not be required to operate our business.
We acquired in the past and in the future may acquire properties or portfolios of properties through tax deferred contribution transactions in exchange for units in our DownREITs or Healthpeak OP. In connection with these transactions, our DownREITs have entered and, with Healthpeak OP, may in the future enter into tax protection agreements that enable contributing partners to defer the recognition of taxable gain resulting from the sale or other disposition of the contributed properties. Tax protection agreements may make it economically prohibitive to sell any properties that are subject to such agreements even though it may otherwise be in our stockholders’ best interests to do so. In addition, under these agreements, we may be required to maintain a minimum level of indebtedness throughout the term of the agreements regardless of whether such debt levels are otherwise required to operate our business. Physicians Realty Trust and the Physicians Partnership have also entered into similar tax protection arrangements with certain third parties and, as a result of the Mergers, we would inherit the obligations under such arrangements.
Our charter contains ownership limits with respect to our common stock and other classes of capital stock.
Our charter contains restrictions on the ownership and transfer of our common stock and preferred stock that are intended to assist us in preserving our qualification as a REIT. Under our charter, subject to certain exceptions, no person or entity may own, actually or constructively, more than 9.8% (by value or by number of shares, whichever is more restrictive) of the outstanding shares of our common stock or any class or series of our preferred stock.
Additionally, our charter has a 9.9% ownership limitation on the direct or indirect ownership of our voting shares, which may include common stock or other classes of capital stock. Our Board of Directors, in its sole discretion, may exempt a proposed transferee from either ownership limit. The ownership limits may delay, defer or prevent a transaction or a change of control that might involve a premium price for our common stock or might otherwise be in the best interests of our stockholders.
We are subject to certain provisions of Maryland law and our charter relating to business combinations that may prevent a transaction that may otherwise be in the interest of our stockholders.
We are subject to the Maryland Business Combination Act (the “MBCA”), which provides that unless exempted, a Maryland corporation may not engage in certain business combinations with an “interested stockholder” or an affiliate of an interested stockholder for five years after the most recent date on which the interested stockholder became an interested stockholder, and thereafter unless specified criteria are met. In addition to the restrictions on business combinations contained in the MBCA, our charter also requires that, except in certain circumstances, “business combinations” with a “related person” must be approved by the affirmative vote of the holders of at least 90% of our outstanding voting stock. These restrictions on business combinations may delay, defer, or prevent a change of control or other transaction even if such transaction involves a premium price for our common stock or our stockholders believe that such transaction is otherwise in their best interests.
Conflicts of interest may exist or could arise in the future between the interests of our stockholders and the interests of holders of Healthpeak OP common units, which may impede business decisions that could benefit our stockholders.
Conflicts of interest may exist or could arise in the future as a result of the relationships between us and our affiliates, on the one hand, and Healthpeak OP or any member thereof, on the other. Our directors and officers have duties to our company under Maryland law in connection with their management of our company. At the same time, we, as the managing member of Healthpeak OP, have certain fiduciary duties and obligations to Healthpeak OP and its members under Maryland law and the operating agreement of Healthpeak OP in connection with the management of Healthpeak OP. Our fiduciary duties and obligations as the managing member of Healthpeak OP may come into conflict with the duties of our directors and officers to our company.
Under Maryland law, a managing member of a Maryland limited liability company has fiduciary duties of loyalty and care to the limited liability company and its members and must discharge its duties and exercise its rights as managing member under the operating agreement or Maryland law consistent with the obligation of good faith and fair dealing. The operating agreement provides that, to the maximum extent permitted under the Maryland Limited Liability Company Act, the only duties that the managing member owes to Healthpeak OP, any member, or any other person, fiduciary or otherwise, are to perform its contractual obligations as expressly set forth in the operating agreement consistently with the implied contractual covenant of good faith and fair dealing. The operating agreement further provides that, in the event of a conflict between the interests of Healthpeak OP or any member, on the one hand, and the separate interests of our company or our stockholders, on the other hand, we, in our capacity as the managing member of Healthpeak OP, may give priority to the separate interests of our company or our stockholders (including with respect to tax consequences to members, assignees, or our stockholders), and, in the event of such a conflict, any action or failure to act on our part or on the part of our directors or officers that gives priority to the separate interests of our company or our stockholders that does not result in a violation of the contract rights of the members of Healthpeak OP under its operating agreement does not violate the duty of loyalty or any other duty that we, in our capacity as the managing member of Healthpeak OP, owe to Healthpeak OP and its members.
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Additionally, the operating agreement provides that we generally will not be liable to Healthpeak OP or any member for any action or omission taken in our capacity as managing member, for the debts or liabilities of Healthpeak OP or for the obligations of Healthpeak OP under the operating agreement, except for liability for our fraud, willful misconduct, or gross negligence, pursuant to any express indemnity we may give to Healthpeak OP, or in connection with a redemption. Healthpeak OP generally must indemnify us, our directors and officers, officers of Healthpeak OP, and our designees from and against any and all claims that relate to the operations of Healthpeak OP, unless (i) an act or omission of the person was material to the matter giving rise to the action and either was committed in bad faith or was the result of active and deliberate dishonesty, (ii) in the case of a criminal proceeding, the indemnified person had reasonable cause to believe that the act or omission was unlawful, or (iii) the person actually received an improper personal benefit in money, property, or services. Healthpeak OP must also pay or reimburse the reasonable expenses of any such person in advance of a final disposition of the proceeding upon its receipt of a written affirmation of the person’s good faith belief that the standard of conduct necessary for indemnification has been met and a written undertaking to repay any amounts paid or advanced if it is ultimately determined that the person did not meet the standard of conduct for indemnification. Healthpeak OP is not required to indemnify or advance funds to any person with respect to any action initiated by the person seeking indemnification without our approval (except for any proceeding brought to enforce such person’s right to indemnification under the operating agreement) or in respect of any proceeding in which the person is found to be liable to Healthpeak OP if the proceeding was one by or in the right of Healthpeak OP.
No reported decision of a Maryland appellate court has interpreted provisions similar to the provisions of the operating agreement of Healthpeak OP that modify and reduce our fiduciary duties or obligations as the managing member or reduce or eliminate our liability to Healthpeak OP and its members, and we have not obtained an opinion of counsel as to the enforceability of the provisions set forth in the operating agreement that purport to modify or reduce the fiduciary duties and obligations that would be in effect were it not for the operating agreement.
Certain provisions in the operating agreement of Healthpeak OP or other agreements may delay or prevent unsolicited acquisitions of us or certain other transactions.
Provisions of the operating agreement of Healthpeak OP may delay or make more difficult unsolicited acquisitions of us or changes of our control. These provisions could discourage third parties from making proposals involving an unsolicited acquisition of us or change of our control, although some of our stockholders or members of Healthpeak OP might consider such proposals, if made, desirable. These provisions include, among others:
redemption rights of qualifying parties;
a requirement that we may not be removed as the managing member of Healthpeak OP without our consent;
transfer restrictions on common units;
our ability, as managing member, in some cases, to amend the operating agreement and to cause Healthpeak OP to issue additional membership interests with terms that could delay, defer, or prevent a merger or other change of control of us or Healthpeak OP without the consent of our stockholders or the members of Healthpeak OP; and
the right of the non-managing members of Healthpeak OP to consent to certain transfers of our managing membership interest (whether by sale, disposition, statutory merger or consolidation, liquidation, or otherwise).
Our charter and bylaws, the operating agreement of Healthpeak OP, and Maryland law also contain other provisions that may delay, defer, or prevent a transaction or a change of control that might involve a premium price for our common stock or that our stockholders otherwise believe to be in their best interest.
In addition, provisions of certain agreements with our partners may delay or make more difficult certain other transactions, including involving issuances of common units.
We are a holding company with no direct operations and, as such, we will rely on funds received from Healthpeak OP to pay liabilities, and the interests of our stockholders will be structurally subordinated to all liabilities and obligations of Healthpeak OP and its subsidiaries.
We are a holding company and conduct substantially all of our operations through Healthpeak OP. We do not have, apart from an interest in Healthpeak OP, any independent operations. As a result, we rely on distributions from Healthpeak OP to continue to pay any dividends we might declare on shares of our common stock. We also rely on distributions from Healthpeak OP to meet any of our obligations, including any tax liability on taxable income allocated to us from Healthpeak OP. In addition, because we are a holding company, stockholder claims will be structurally subordinated to all existing and future liabilities and obligations (whether or not for borrowed money) of Healthpeak OP and its subsidiaries. Therefore, in the event of our bankruptcy, liquidation, or reorganization, our assets and those of Healthpeak OP and its subsidiaries will be available to satisfy the claims of our stockholders only after all of our and Healthpeak OP’s and its subsidiaries’ liabilities and obligations have been paid in full.
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Risks Relating to the Mergers
An adverse outcome in any litigation or other legal proceedings relating to the Merger Agreement, or the transactions contemplated thereby, could have a material adverse impact on our business and our ability to consummate the transactions contemplated by the Merger Agreement.
On October 29, 2023, the Company and Physicians Realty Trust entered into the Merger Agreement with DOC DR Holdco, LLC (formerly known as Alpine Sub, LLC), a Maryland limited liability company and a wholly owned subsidiary of the Company (“DOC DR Holdco”), DOC DR, LLC (formerly known as Alpine OP Sub, LLC), a Maryland limited liability company and a wholly owned subsidiary of Healthpeak OP (“DOC DR OP Sub”), and Physicians Realty L.P. (the “Physicians Partnership”). The Merger Agreement provides for (a) the merger of Physicians Realty Trust with and into DOC DR Holdco (the “Company Merger”), with DOC DR Holdco surviving as a wholly owned subsidiary of the Company (the “Company Surviving Entity”); (b) immediately following the effectiveness of the Company Merger, the contribution by the Company to Healthpeak OP, a Maryland limited liability company, of all of the outstanding equity interests in the Company Surviving Entity (the “Contribution”); and (c) immediately following the Contribution, the merger of the Physicians Partnership with and into DOC DR OP Sub (the “Partnership Merger”), with DOC DR OP Sub surviving as a wholly owned subsidiary of Healthpeak OP (the “Partnership Surviving Entity”).
Transactions like the Mergers are frequently the subject of litigation or other legal proceedings, including actions alleging that either our Board of Directors or Physicians Realty Trust’s board of trustees, as applicable, breached its respective duties to its stockholders or shareholders, respectively, or other equity holders by entering into the Merger Agreement; by failing to obtain a greater value in the transaction for the Company’s stockholders or Physicians Realty Trust’s shareholders or other equity holders; by failing to make adequate disclosures; or by otherwise failing to fulfill their fiduciary duties or statutory obligations. As discussed in Note 11 to the Consolidated Financial Statements, three purported stockholders of the Company and four purported shareholders of Physicians Realty Trust have filed (and additional shareholders or stockholders, as applicable, of Physicians Realty Trust and/or the Company may file) complaints relating to the Mergers, and Physicians Realty Trust has received correspondence from multiple purported shareholders of Physicians Realty Trust relating to the Mergers. With respect to such litigation, and if additional litigation or other legal proceedings are brought against us or against our Board of Directors in connection with the Merger Agreement, or the transactions contemplated thereby, we will defend against it, but we might not be successful in doing so. An adverse outcome in such matters, as well as the costs, time, and effort of a defense, even if successful, could have a material adverse effect on our ability to consummate the Mergers or on our business, results of operations, or financial position, including through the delay of the Mergers with consequent direct and indirect costs, the possible diversion of either company’s resources, or the distraction of key personnel.
The Exchange Ratio is fixed and will not be adjusted in the event of any change in the stock or share prices, respectively, of either us or Physicians Realty Trust.
As a result of the Mergers, and through a series of transactions, (i) each outstanding common share of Physicians Realty Trust (other than Physicians Realty Trust common shares to be canceled in accordance with the Merger Agreement) will be converted into the right to receive 0.674 shares of Company common stock (the “Merger Consideration”), without interest, plus cash in lieu of consideration for fractional shares, but subject to any withholding required under applicable tax laws, and (ii) each Partnership OP Unit (as defined in the Merger Agreement) will be converted into common units in the Partnership Surviving Entity equal to the 0.674 Exchange Ratio. The Exchange Ratio will not be adjusted for changes in the market prices of either shares of our common stock or Physicians Realty Trust’s common shares. Changes in the market price of Physicians Realty Trust common shares prior to the effective time of the Mergers will affect the market value of the Merger Consideration that Physicians Realty Trust shareholders will receive on the closing date of the Mergers. Share price changes may result from a variety of factors (many of which are beyond our or Physicians Realty Trust’s control), including the following factors:
market reaction to the prospects of Healthpeak and its subsidiaries after the Company Merger (the “Combined Company”);
changes in the respective businesses, operations, assets, liabilities, and prospects of the Company and Physicians Realty Trust;
changes in market assessments of the business, operations, financial position, and prospects of any of the Company, Physicians Realty Trust, or the Combined Company;
market assessments of the likelihood that the Mergers will be completed;
interest rates, general market and economic conditions, and other factors generally affecting the market prices of our common stock and Physicians Realty Trust’s common shares;
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federal, state and local legislation, governmental regulation, and legal developments in the businesses in which we and Physicians Realty Trust operate; and
other factors beyond the control of the Company and Physicians Realty Trust, including those described or referred to in this “Risk Factors” section.
The market price of Company common stock at the closing of the Mergers may vary from its price on the date the Merger Agreement was executed, on the date of the joint proxy statement/prospectus, and on the date of our special meeting. As a result, the market value of the Merger Consideration represented by the Exchange Ratio will also vary.
If the market price of shares of Company common stock increases between the date the Merger Agreement was signed or the date of the special meeting and the closing of the Mergers, Physicians Realty Trust’s shareholders will receive shares of Company common stock that have a market value upon completion of the Company Merger that is greater than the market value of such shares calculated pursuant to the Exchange Ratio on the date the Merger Agreement was signed or on the date of the special meeting, respectively. Alternatively, if the market price of shares of Company common stock declines between the date the Merger Agreement was signed or the date of the special meeting and the closing of the Mergers, including for any of the reasons described above, Physicians Realty Trust’s shareholders will receive shares of Company common stock that have a market value upon completion of the Company Merger that is less than the market value of such shares calculated pursuant to the Exchange Ratio on the date the Merger Agreement was signed or on the date of the special meeting, respectively.
Our stockholders will be significantly diluted by the Mergers.
The Mergers will significantly dilute the ownership position of our stockholders. Upon completion of the Mergers, based on the number of shares of Company common stock and Physicians Realty Trust common shares outstanding as of December 31, 2023, it is estimated that legacy Company common stockholders will own approximately 77% of the common stock of the Combined Company, and legacy Physicians Realty Trust common shareholders will own approximately 23% of the common stock of the Combined Company. Additionally, because the Company will be issuing shares of Company common stock to certain holders of Partnership OP Unit in the Partnership Merger, each outstanding share of Company common stock after the completion of the Mergers will represent a smaller percentage of the voting power of the Company than if such shares of common stock had not been issued in the Partnership Merger. The Company may also issue additional shares of common stock or preferred stock in the future, which would create further dilution. Consequently, our stockholders, as a general matter, will have less influence over the management and policies of the Combined Company after the effective time of the Mergers than they currently exercise over the management and policies of the Company.
Risks Relating to the Combined Company Following the Mergers
The Combined Company expects to incur substantial expenses related to the Mergers.
The Combined Company expects to incur substantial expenses in connection with completing the Mergers and integrating the operations and systems of the Company with those of Physicians Realty Trust. While the Company has assumed that a certain level of expenses would be incurred, there are a number of factors beyond its control that could affect the total amount or the timing of the Combined Company’s expenses relating to the completion of the Mergers and the integration of the Combined Company’s operations. Many of the expenses that will be incurred, by their nature, are difficult to estimate accurately at the present time. As a result, the expenses associated with the Mergers could, particularly in the near term, reduce the savings that the Combined Company expects to achieve from the elimination of duplicative expenses and the realization of economies of scale and cost savings related to the integration of the operations of the Company and Physicians Realty Trust following the completion of the Mergers.
Following the Mergers, the Combined Company may be unable to integrate the operations of the Company and Physicians Realty Trust successfully and realize the anticipated synergies and other benefits of the Mergers or do so within the anticipated time frame.
The Mergers involve the combination of two companies that currently operate as independent public companies and their respective operating partnerships. The Combined Company is expected to benefit from the elimination of duplicative costs associated with supporting a public company platform and the leveraging of state-of-the-art technology and systems. However, the Combined Company will be required to devote significant management attention and resources to integrating the operations of the Company and Physicians Realty Trust. Potential difficulties the Combined Company may encounter in the integration process include the following:
the inability to successfully combine the operations of the Company and Physicians Realty Trust, including the integration of employees, customer records and maintaining cybersecurity protections, in a manner that permits the Combined Company to achieve the cost savings anticipated to result from the Mergers, which would result in the anticipated benefits of the Mergers not being realized in the time frame currently anticipated or at all;
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the inability to dispose of assets or operations that the Combined Company desires to dispose of;
the complexities associated with managing the combined businesses out of different locations and integrating personnel from the two companies;
the failure to retain key employees of either of the two companies;
potential unknown liabilities and unforeseen increased expenses, delays, or regulatory conditions associated with the Mergers; and
performance shortfalls as a result of the diversion of management’s attention caused by completing the Mergers and integrating the companies’ operations.
For all these reasons, it is possible that the integration process could result in the distraction of the Combined Company’s management, the disruption of the Combined Company’s ongoing business, or inconsistencies in the Combined Company’s operations, services, standards, controls, procedures, and policies, any of which could adversely affect the ability of the Combined Company to maintain relationships with tenants, property managers, and employees or to achieve the anticipated benefits of the Mergers, or could otherwise adversely affect the business and financial results of the Combined Company.
Following the Mergers and the transactions contemplated by the Merger Agreement, the Combined Company may be unable to retain key employees.
The success of the Combined Company will depend in part upon its ability to retain key Company and Physicians Realty Trust employees. Key employees may depart either before or after the Mergers because of issues relating to the uncertainty and difficulty of integration or separation, a desire not to remain with the Combined Company following the Mergers, or due to compensation arrangements that differ from Physicians Realty Trust employees’ current compensation arrangements with Physicians Realty Trust. Accordingly, no assurance can be given that the Company, Physicians Realty Trust or, following the Mergers and the transactions contemplated by the Merger Agreement, the Combined Company will be able to retain key employees to the same extent as in the past.
The Mergers will result in changes to the board of directors of the Combined Company that may affect the strategy of the Combined Company as compared to that of the Company and Physicians Realty Trust individually.
Following the Mergers, the composition of the board of directors of the Combined Company will change from the current boards of the Company and Physicians Realty Trust individually. Pursuant to the Merger Agreement, at the date and time the Company Merger becomes effective (the “Company Merger Effective Time”), John T. Thomas, Physicians Realty Trust’s President and Chief Executive Officer, will be appointed to, and become the Vice Chair of, the Combined Company’s board of directors and will have an active role in the Combined Company’s strategy, relationships and business development. In addition, at the Company Merger Effective Time, Governor Tommy G. Thompson, Physicians Realty Trust’s Chair of the board of trustees, and Pamela J. Kessler, Ava E. Lias-Booker and Richard A. Weiss will also be appointed to the Combined Company’s board of directors. Following the consummation of the Mergers, pursuant to an amendment to our Bylaws, our Board of Directors is expected to be increased to 13 members, with Katherine M. Sandstrom continuing as the Chair of our Board of Directors and all then-current directors of our Board of Directors continuing as members. The senior management team of the Combined Company will be comprised primarily of the current senior management team of the Company.
This new composition of the board of directors, together with the management team, of the Combined Company may affect the business strategy and operating decisions of the Combined Company upon the completion of the Mergers.
The future results of the Combined Company will suffer if the Combined Company does not effectively manage its operations following the Mergers and the transactions contemplated by the Merger Agreement.
Following the Mergers, the Combined Company may continue to expand or materially alter its operations through additional acquisitions, development opportunities, dispositions, joint ventures, and other strategic or tactical transactions, some of which involve complex challenges. The future success of the Combined Company will depend, in part, upon the ability of the Combined Company to manage its expansion opportunities and operational changes, which pose substantial challenges for the Combined Company to execute in an efficient and timely manner, to successfully monitor its operations, costs, regulatory compliance and service quality, and to maintain other necessary internal controls. No assurance can be given that the Combined Company’s expansion, acquisition, disposition, or operational opportunities will be successful, or that it will realize its expected operating efficiencies, cost savings, revenue enhancements, synergies, or other benefits.
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The trading price of shares of the Combined Company common stock following the Mergers may be affected by factors different from those affecting the price of shares of our common stock before the Mergers.
The results of operations of the Combined Company, as well as the trading price of the Combined Company common stock, after the Mergers may be affected by factors different from those currently affecting our results of operations or the trading prices of our common stock. These different factors include:
a greater number of shares of the Combined Company common stock outstanding, as compared to the number of shares of our common stock currently outstanding;
different stockholders in the Combined Company;
the Combined Company managing a different portfolio of assets, including owning new assets and/or a different mix or concentration of assets; and
the Combined Company’s combined debt profile and capitalization.
Accordingly, the historical trading prices and financial results of the Company and Physicians Realty Trust may not be indicative of these matters for the Combined Company after the Mergers.
Counterparties to certain significant agreements with Physicians Realty Trust may exercise contractual rights under such agreements in connection with the Mergers, including in certain cases the right to acquire properties owned by Physicians Realty Trust.
Physicians Realty Trust is party to certain agreements that give the counterparty certain rights following a change of control or similar event, including in some cases the right to terminate the agreement. Under some such agreements, the Mergers may constitute a change of control or cause certain other triggering events and therefore the counterparty may exercise certain rights under its agreement with Physicians Realty Trust upon the closing of the Mergers, which may include termination rights, consent or notice obligations, fees or penalties, pre-payment obligations, and/or rights of first refusal, or similar arrangements pursuant to debt arrangements, leases, management and servicing contracts, and other arrangements. Specifically, Physicians Realty Trust is party to certain ground leases with certain hospitals, health systems or other ground lessors, whereby such hospitals, health systems or other ground lessors could exercise purchase rights and rights of first offer and first refusal with respect to sales of the property subject to such ground leases. Any such counterparty may request modifications of its agreement as a condition to granting a waiver or consent under its agreement, it may exercise or seek to exercise its rights triggered by such event, including to terminate or seek to terminate its agreement with Physicians Realty Trust as a result of such change of control (if permitted to do so by the applicable agreement). There is no assurance that such counterparties will grant their consent to the Mergers under such agreements, that such counterparties will elect not to exercise their rights under such agreements, including termination rights where available, that the exercise of any such rights will not result in a material adverse effect, or that any modifications of such agreements will not result in a material adverse effect.
The Combined Company’s anticipated level of indebtedness will increase upon completion of the Mergers and may increase the related risks Healthpeak currently faces.
Upon completion of the Mergers, the Combined Company intends to assume and/or refinance certain indebtedness of Physicians Realty Trust and the Physicians Partnership and, assuming that occurs, the Combined Company’s consolidated indebtedness will increase substantially and it will be subject to increased risks associated with debt financing, including an increased risk that the Combined Company’s cash flow could be insufficient to meet required payments on its debt securities or other indebtedness or to pay dividends on its common stock or any preferred stock it may issue.
The Combined Company’s increased indebtedness could have important consequences to holders of its common stock and its debt securities including:
increasing the Combined Company’s vulnerability to general adverse economic and industry conditions;
limiting the Combined Company’s ability to obtain additional financing to fund future working capital, capital expenditures and other general corporate requirements;
requiring the use of a substantial portion of the Combined Company’s cash flow from operations for the payment of principal and interest on its indebtedness, thereby reducing its ability to use its cash flow to fund working capital, acquisitions, capital expenditures, and general corporate requirements;
limiting the Combined Company’s flexibility in planning for, or reacting to, changes in its business and its industry; and
putting the Combined Company at a disadvantage compared to its competitors with less indebtedness.
If the Combined Company defaults under a debt instrument, it will be in default under any other debt instrument that has cross-default provisions, the holders of all such indebtedness may be entitled to demand its immediate repayment and, in the case of secured indebtedness, the Combined Company may lose any property securing that indebtedness.
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Risks Relating to the Status of Physicians Realty Trust as a REIT
We may incur adverse tax consequences if Physicians Realty Trust has failed to qualify as a REIT for U.S. federal income tax purposes.
The closing of the Mergers is conditioned on the receipt by the Company of an opinion of Physicians Realty Trust’s counsel to the effect that, commencing with Physicians Realty Trust’s taxable year ended December 31, 2015 and through the Company Merger Effective Time, Physicians Realty Trust has been organized and has operated in conformity with the requirements for qualification and taxation as a REIT under the Code. The foregoing REIT opinion, however, is limited to the factual representations provided by Physicians Realty Trust to its counsel and the assumptions set forth therein, and is not a guarantee that Physicians Realty Trust has, in fact, qualified as a REIT. Moreover, such opinion is not binding on the IRS, and neither the Company nor Physicians Realty Trust has requested or plans to request a ruling from the IRS that Physicians Realty Trust qualifies as a REIT. Qualification as a REIT involves the application of highly technical and complex Code provisions for which there are only limited judicial and administrative interpretations. The complexity of these provisions and of the applicable regulations (as in effect from time to time) of the U.S. Department of the Treasury under the Code is greater in the case of a REIT, like Physicians Realty Trust, that holds assets through a partnership.
If Physicians Realty Trust is determined to have lost its REIT status for a taxable year ending on or before the Company Merger, Physicians Realty Trust would be subject to adverse tax consequences similar to those described above in “Risks Related to Tax, Including REIT-Related Risks, and Related to Our Jurisdiction of Incorporation and Our Structure as an UPREIT—Loss of our tax status as a REIT would substantially reduce our available funds and would have materially adverse consequences for us and the value of our common stock” with respect to the failure of the Company to maintain its REIT status. This could substantially reduce the Combined Company’s cash available for distribution, including cash available to pay dividends to its stockholders, because, assuming that the Combined Company otherwise maintains its REIT qualification:
the Combined Company generally would be subject to corporate level federal income tax with respect to the built-in gain on each asset of Physicians Realty Trust existing at the time of the Company Merger if the Combined Company were to dispose of Physicians Realty Trust assets during the five-year period following the Company Merger, and may also be subject to corporate level state income tax on such built-in gains if the assets are disposed of during the applicable period prescribed by state law;
the Combined Company would succeed to any earnings and profits accumulated by Physicians Realty Trust for taxable periods that it did not qualify as a REIT, and the Combined Company would have to pay a special dividend and/or employ applicable deficiency dividend procedures (including interest payments to the IRS) to eliminate such earnings and profits (or if the Combined Company does not timely distribute those earnings and profits, the Combined Company could fail to qualify as a REIT); and
if Physicians Realty Trust incurred any unpaid tax liabilities prior to the Company Merger, those tax liabilities would be transferred to the Combined Company as a result of the Company Merger.
If there is an adjustment to Physicians Realty Trust’s taxable income or dividends paid deductions, the Combined Company could elect to use the deficiency dividend procedure in order to maintain Physicians Realty Trust’s REIT status. That deficiency dividend procedure could require the Combined Company to make significant distributions to its stockholders and to pay significant interest to the IRS.
As a result of all these factors, Physicians Realty Trust’s failure to qualify as a REIT could impair the Combined Company’s ability to expand its business and raise capital, and would materially adversely affect the value of its capital stock.
Risks Relating to an Investment in the Combined Company’s Common Stock following the Mergers and the Transactions Contemplated by the Merger Agreement
The market price of shares of the Combined Company common stock may decline as a result of the Mergers and the transactions contemplated by the Merger Agreement.
The market price of shares of the Combined Company common stock may decline as a result of the Mergers and the transactions contemplated by the Merger Agreement if, among other things, the Combined Company does not achieve the perceived benefits of the Mergers as rapidly or to the extent anticipated by financial or industry analysts, or the effect of the Mergers on the Combined Company’s results of operations or financial condition is not consistent with the expectations of financial or industry analysts or stockholders more generally.
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In addition, upon consummation of the Mergers and the transactions contemplated by the Merger Agreement, Company stockholders and Physicians Realty Trust shareholders will own interests in the Combined Company, which will operate an expanded business with a different mix of properties, risks and liabilities. Current stockholders of the Company and shareholders of Physicians Realty Trust may not wish to continue to invest in the Combined Company, or may wish to dispose of some or all of their shares of the Combined Company common stock. If, following the Company Merger Effective Time or while the Mergers are pending, large amounts of the Combined Company common stock or Company common stock, as applicable, are sold, the market price of the Combined Company common stock or Company common stock, as applicable, could decline, perhaps substantially.
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ITEM 1B.    Unresolved Staff Comments
None.
ITEM 1C.    Cybersecurity
Cybersecurity Risk Management and Strategy
In our business operations, we use information technology, enterprise applications, communications tools, cloud network solutions, and related systems to manage our operations, including to manage our building systems, tenant and vendor relationships, accounting and recordkeeping, and communications, among other aspects of our business.
We have developed and implemented a cybersecurity risk management program intended to protect our properties, confidential and proprietary data, and information technology and systems, from cybersecurity threats, including unauthorized access or attack. We leverage the National Institute of Standards and Technology (“NIST”) Cybersecurity Framework as a guide to help us identify, assess, and manage cybersecurity risks relevant to the business. This does not imply that we meet any particular technical standards, specifications, or requirements.
Our processes for assessing, identifying, and managing risks from cybersecurity threats, including operational risks, financial reporting risks, reputational risks, personal data theft, fraud, and other potential risks, are integrated into our overall enterprise risk management process, and share common methodologies, reporting channels, and governance processes that apply across the enterprise risk management process to other legal, compliance, strategic, operational, and financial risk areas.
Our cybersecurity risk management program includes the following:
a multidisciplinary team comprised of personnel from information technology (“IT”), internal audit, accounting, and legal, as well as third-party cybersecurity experts principally responsible for directing (i) our cybersecurity risk assessment processes, (ii) our security processes, and (iii) our response to cybersecurity incidents;
risk assessments designed to help identify material cybersecurity risks to our critical systems, information, services, and our broader enterprise IT environment;
internal and third-party security tools to monitor our systems, identify cybersecurity risks, and test our IT environment;
the use of third-party cybersecurity experts, where appropriate, to assess, test or otherwise assist with aspects of our security processes;
a cybersecurity incident response plan and business continuity plan;
cybersecurity training for employees and key business partners with access to our systems;
a third-party cybersecurity risk management process for service providers and vendors who access our systems;
requiring employees, as well as third parties who have access to our systems, to treat confidential and private information and data with care, including performing controls relating to such data; and
cybersecurity risk insurance.
We also seek to engage reputable service providers that maintain cybersecurity programs or controls.
We have not identified risks from known cybersecurity threats within the prior fiscal year, including as a result of any prior cybersecurity incident, that have materially affected or are reasonably likely to materially affect us, including our business strategy, results of operations, or financial condition. Please refer to “Item 1A, Risk Factors” in this report for additional information about certain ongoing risks related to our information technology that, if realized, are reasonably likely to materially affect us, including our operations, business strategy, results of operations, or financial condition.
Cybersecurity Governance
Cybersecurity is an important part of our overall risk management processes and an area of focus for our Board of Directors and management.
The Board, in coordination with the Audit Committee, oversees the Company’s enterprise risk management process, including the management of material risks arising from cybersecurity threats. The Audit Committee regularly receives updates from management and third-party cybersecurity experts about major cybersecurity risks, their potential impact on our business operations, and management’s processes to identify, monitor, and mitigate such risks, including, as relevant, the results of assessments or audits of our processes. The Audit Committee periodically provides updates on these matters to the Board of Directors.
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Our enterprise risk team consists of cross-functional professionals who collaborate with subject matter specialists, as necessary, including an independent third-party expert we have retained to functionally serve as a virtual chief information security officer (“CISO”), to identify and assess material risks from cybersecurity threats, their severity, and potential mitigation steps. The CISO is primarily responsible for leading our cybersecurity risk assessment and management processes. This expert has experience having served as the chief information security officer for an international commercial real estate services company and currently serves as chief executive officer of a cybersecurity firm focused on commercial real estate. He is supported by an internal cross-functional management team of IT and internal audit personnel who regularly review and assess cybersecurity initiatives, including our incident response plan, as well as cybersecurity compliance, training and risk management efforts.
ITEM 2.    Properties
Our strategy is to invest in and manage real estate focused on healthcare discovery and delivery. In evaluating potential investments, we consider a multitude of factors, including:
location, construction quality, age, condition, and design of the property;
geographic area, proximity to other healthcare facilities, type of property, and demographic profile, including new competitive supply;
whether the expected risk-adjusted return exceeds the incremental cost of capital;
whether the rent or operating income provides a competitive market return to our investors;
duration, rental rates, tenant and operator quality, and other attributes of in-place leases, including master lease structures and coverage;
current and anticipated cash flow and its adequacy to meet our operational needs;
availability of security such as letters of credit, security deposits, and guarantees;
potential for capital appreciation;
expertise and reputation of the tenant or operator;
occupancy and demand for similar healthcare facilities in the same or nearby communities;
availability of qualified operators or property managers and whether we can manage the property;
potential for environmentally sustainable and/or resilient features of the property;
potential alternative uses of the facilities;
the regulatory and reimbursement environment in which the properties operate;
tax laws related to REITs;
prospects for liquidity through financing or refinancing; and
our access to and cost of capital.
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Properties
The following table summarizes our consolidated property investments as of and for the year ended December 31, 2023 (square feet and dollars in thousands):
Facility LocationNumber of
Facilities
Capacity(1)
Gross Asset
Value(2)
Real Estate
Revenues(3)
Operating
Expenses(4)
Lab:(Sq. Ft.)
California115 8,094 $5,869,665 $629,657 $(157,795)
Massachusetts19 2,613 2,795,913 240,029 (70,259)
Other (1 State)240 54,236 8,640 (1,576)
Total lab138 10,947 $8,719,814 $878,326 $(229,630)
Outpatient medical:(Sq. Ft.)
Texas75 7,638 $1,549,757 $220,805 $(75,159)
Pennsylvania1,270 367,434 34,321 (15,603)
Colorado19 1,311 362,822 47,697 (18,366)
California15 862 355,026 40,057 (17,206)
South Carolina18 1,105 340,073 27,851 (5,315)
Florida25 1,438 309,246 41,609 (14,994)
Other (29 States)139 9,977 2,586,334 341,139 (116,489)
Total outpatient medical295 23,601 $5,870,692 $753,479 $(263,132)
CCRC:(Units)
Florida4,783 $1,398,609 $343,971 $(275,781)
Other (5 States)2,314 631,199 183,630 (137,691)
Total CCRC15 7,097 $2,029,808 $527,601 $(413,472)
Total properties448 $16,620,314 $2,159,406 $(906,234)
_______________________________________
(1)Excludes capacity associated with developments.
(2)Represents gross real estate which includes the carrying amount of real estate after adding back accumulated depreciation and amortization. Excludes gross real estate of $123 million related to two lab buildings and one outpatient medical building classified as held for sale.
(3)Represents the combined amount of rental and related revenues, resident fees and services, and government grant income.
(4)Excludes operating expenses related to corporate non-segment assets (see Note 15 to the Consolidated Financial Statements).
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Occupancy and Annual Rent Trends
The following table summarizes occupancy and average annual rent trends for our consolidated property and investments held under a direct financing lease (“DFL”) for the years ended December 31 (average occupied square feet in thousands):
202320222021
Lab:
Average occupancy percentage98 %98 %97 %
Average annual rent per square foot(1)
$82 $71 $66 
Average occupied square feet10,334 10,610 10,143 
Outpatient medical(2):
Average occupancy percentage90 %90 %90 %
Average annual rent per square foot(1)
$35 $33 $31 
Average occupied square feet21,337 21,472 21,046 
CCRC:
Average occupancy percentage84 %82 %79 %
Average annual rent per occupied unit(3)
$88,524 $84,664 $80,391 
Average occupied units5,960 5,926 5,881 
_______________________________________
(1)Presented as a ratio of revenues comprised of rental and related revenues and income from DFLs divided by average occupied square feet and annualized for acquisitions for the year in which they occurred. Average annual rent excludes termination fees and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, and DFL non-cash interest).
(2)During the first quarter of 2022, we sold our remaining hospital under a DFL.
(3)Presented as a ratio of revenues comprised of resident fees and services and government grant income divided by average occupied units of the facilities. Average annual rent excludes termination fees and non-cash revenue adjustments (i.e., the impact of deferred community fee income).
Tenant Lease Expirations
The following table shows tenant lease expirations for the next 10 years and thereafter at our consolidated properties, assuming that none of the tenants exercise any of their renewal or purchase options, and excludes properties in our CCRC segment and assets held for sale as of December 31, 2023 (dollars and square feet in thousands):
Expiration Year
SegmentTotal
2024(1)
202520262027202820292030203120322033Thereafter
Lab:
Square feet10,303 537 1,065 618 1,407 681 806 1,334 1,393 866 531 1,065 
Base rent(2)
$608,770 $36,709 $50,557 $30,694 $66,918 $36,728 $50,104 $94,051 $84,727 $55,504 $36,642 $66,136 
% of segment base rent100 11 16 14 11 
Outpatient medical:
Square feet21,414 2,848 2,830 2,049 1,870 2,539 1,419 1,310 1,637 1,357 918 2,637 
Base rent(2)
$546,589 $85,359 $68,994 $57,376 $51,438 $56,996 $38,197 $36,069 $40,803 $28,096 $27,376 $55,885 
% of segment base rent100 16 13 11 10 10 
Total:
Base rent(2)
$1,155,359 $122,068 $119,551 $88,070 $118,356 $93,724 $88,301 $130,120 $125,530 $83,600 $64,018 $122,021 
% of total base rent10011 10 10 11 11 11 
_______________________________________
(1)Includes month-to-month leases.
(2)The most recent month’s (or subsequent month’s, if acquired in the most recent month) base rent, including additional rent floors, annualized for 12 months. Base rent does not include tenant recoveries, additional rents in excess of floors, and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, and deferred revenues).
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ITEM 3.    Legal Proceedings
See the “Legal Proceedings” section of Note 11 to the Consolidated Financial Statements for information regarding legal proceedings, which information is incorporated by reference in this Item 3.
ITEM 4.    Mine Safety Disclosures
None.
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PART II
ITEM 5.    Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities
Our common stock is listed on the New York Stock Exchange under the symbol “PEAK.”
As of February 5, 2024, we had 6,797 stockholders of record, and there were 283,417 beneficial holders of our common stock.
Dividends (Distributions)
It has been our policy to declare quarterly dividends to common stockholders so as to comply with applicable provisions of the Code governing REITs. All distributions are made at the discretion of our Board of Directors in accordance with Maryland law. Distributions with respect to our common stock can be characterized for federal income tax purposes as ordinary dividends, capital gains, nondividend distributions, or a combination thereof. The following table shows the characterization of our annual common stock distributions per share:
Year Ended December 31,
202320222021
Ordinary dividends(1)
$0.909692 $0.872948 $0.152336 
Capital gains(2)(3)
0.116992 0.183208 0.379960 
Nondividend distributions0.173316 0.143844 0.667704 
$1.200000 $1.200000 $1.200000 
______________________________________
(1)For the year ended December 31, 2023, the amount includes $0.882312 of ordinary dividends qualified as business income for purposes of Code Section 199A and $0.027380 of qualified dividend income for purposes of Code Section 1(h)(11). For the year ended December 31, 2022, all $0.872948 of ordinary dividends qualified as business income for purposes of Code Section 199A. For the year ended December 31, 2021, the amount includes $0.137064 of ordinary dividends qualified as business income for purposes of Code Section 199A and $0.015272 of qualified dividend income for purposes of Code Section 1(h)(11).
(2)For the years ended December 31, 2023, 2022, and 2021, the amount includes $0.036256, $0.017760, and $0.379960, respectively, of unrecaptured Code Section 1250 gain. Pursuant to Treasury Regulation Section 1.1061-6(c), we are disclosing additional information related to the capital gain dividends for purposes of Section 1061 of the Code. Code Section 1061 is generally applicable to direct and indirect holders of “applicable partnership interests.” For the year ended December 31, 2023, the “One Year Amounts” and “Three Year Amounts” are each zero, since all capital gains relate to Code Section 1231 gains. For the year ended December 31, 2022, the “One Year Amounts” and “Three Year Amounts” are each 89.6708% of the total capital gain distributions and the remaining capital gain distributions are attributable to Code Section 1231 gains, which are not subject to Code Section 1061. For the year ended December 31, 2021, the “One Year Amounts” and “Three Year Amounts” are each zero, since all capital gains relate to Code Section 1231 gains.
(3)For the years ended December 31, 2023, 2022, and 2021, 100%, 10.3292%, and 100%, respectively, of the capital gain distributions represent gains from dispositions of U.S. real property interests pursuant to Code Section 897 for foreign shareholders.
On January 31, 2024, we announced that our Board of Directors declared a quarterly common stock cash dividend of $0.30 per share. The common stock dividend will be paid on February 26, 2024 to stockholders of record as of the close of business on February 14, 2024.
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Issuer Purchases of Equity Securities
The following table sets forth information with respect to purchases of our common stock made by or on our behalf during the three months ended December 31, 2023.
Period Covered
Total Number
of Shares
Purchased
Average Price
Paid per Share
Total Number of Shares
Purchased as
Part of Publicly
Announced Plans
or Programs(1)
Maximum Number (or
Approximate Dollar Value)
of Shares that May Yet
be Purchased Under
the Plans or Programs(1)
October 1-31, 2023— $— — $444,018,701 
November 1-30, 2023— — — 444,018,701 
December 1-31, 2023— — — 444,018,701 
— $— — $444,018,701 
_______________________________________
(1)On August 1, 2022, our Board of Directors approved a share repurchase program under which we may acquire shares of our common stock in the open market up to an aggregate purchase price of $500 million (the “Share Repurchase Program”). Purchases of common stock under the Share Repurchase Program may be exercised at our discretion with the timing and number of shares repurchased depending on a variety of factors, including price, corporate and regulatory requirements, and other corporate liquidity requirements and priorities. The Share Repurchase Program expires in August 2024 and may be suspended or terminated at any time without prior notice. During the year ended December 31, 2022, we repurchased 2.1 million shares of our common stock at a weighted average price of $27.16 per share. During the year ended December 31, 2023, there were no repurchases; therefore, at December 31, 2023, $444 million of our common stock remained available for repurchase under the Share Repurchase Program. Amounts do not include the shares of our common stock withheld under our equity incentive plans to offset tax withholding obligations as discussed in footnote 1.
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Performance Graph
The graph and table below compare the cumulative total return of Healthpeak, the S&P 500 Index, and the Equity REIT Index of Nareit, from January 1, 2019 to December 31, 2023. Total cumulative return is based on a $100 investment in Healthpeak common stock and in each of the indices at the close of trading on December 31, 2018 and assumes quarterly reinvestment of dividends before consideration of income taxes. Stockholder returns over the indicated periods should not be considered indicative of future stock prices or stockholder returns.
COMPARISON OF FIVE-YEAR CUMULATIVE TOTAL RETURN
AMONG S&P 500, EQUITY REITS AND HEALTHPEAK PROPERTIES, INC.
RATE OF RETURN TREND COMPARISON
JANUARY 1, 2019–DECEMBER 31, 2023
(JANUARY 1, 2019 = $100)
Performance Graph Total Stockholder Return

5043
December 31,
20192020202120222023
FTSE Nareit Equity REIT Index$128.66 $122.07 $172.49 $129.45 $144.16 
S&P 500131.47 155.65 200.29 163.98 207.04 
Healthpeak Properties, Inc. 129.11 119.21 147.52 106.94 89.40 
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ITEM 6.    [Reserved]
ITEM 7.    Management’s Discussion and Analysis of Financial Condition and Results of Operations
The information set forth in this Item 7 is intended to provide readers with an understanding of our financial condition, changes in financial condition, and results of operations. This section generally discusses the results of our operations for the year ended December 31, 2023 compared to the year ended December 31, 2022. For a discussion of the year ended December 31, 2022 compared to the year ended December 31, 2021, please refer to Part II, Item 7. “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in our Annual Report on Form 10-K for the fiscal year ended December 31, 2022 filed with the SEC on February 8, 2023.
We will discuss and provide our analysis in the following order:
Market Trends and Uncertainties
Company Highlights
Dividends
Results of Operations
Liquidity and Capital Resources
Non-GAAP Financial Measures Reconciliations
Critical Accounting Estimates
Recent Accounting Pronouncements
Market Trends and Uncertainties
Our operating results have been and will continue to be impacted by global and national economic and market conditions generally and by the local economic conditions where our properties are located.
Rising interest rates, high inflation, supply chain disruptions, ongoing geopolitical tensions, and increased volatility in public and private equity and fixed income markets have led to increased costs and limited the availability of capital. In addition, increased interest rates have negatively affected our borrowing costs, the fair value of our fixed rate instruments. and real estate values generally, including our real estate.
Our tenants and operators have also experienced increased costs, liquidity constraints, and financing difficulties due to the foregoing macroeconomic and market conditions, which could cause them to be unable or unwilling to make payments or perform their obligations when due.
We have also been affected by significant inflation in construction costs over the past few years, which, together with rising costs of capital, have negatively affected the expected yields on our development and redevelopment projects.
We continuously monitor the effects of domestic and global events, including but not limited to inflation, labor shortages, supply chain matters, rising interest rates, and challenges in the financial markets, on our operations and financial position, as well as on the operations and financial position of our tenants, operators, and borrowers, to ensure that we remain responsive and adaptable to the dynamic changes in our operating environment.
See “Item 1A, Risk Factors” in this report for additional discussion of the risks posed by macroeconomic conditions, as well as the uncertainties we and our tenants, operators, and borrowers may face as a result.
Company Highlights
As of February 10, 2023, we are structured as an UPREIT. This structure provides prospective sellers an alternative for disposing of property that has appreciated in value in a tax-deferred manner to Healthpeak OP and aligns our corporate structure with other publicly traded U.S. real estate investment trusts. Following the Reorganization, Healthpeak OP is the borrower under, and we are the guarantor of, all of the unsecured debt, which includes the Revolving Facility, Term Loan Facilities (each as defined below), commercial paper program, and senior unsecured notes. Our guarantee of the senior unsecured notes is full and unconditional and applicable to existing and future senior unsecured notes. The Reorganization did not have a material impact on our financial position, consolidated financial statements, outstanding debt securities, material debt facilities, or business operations.
49

On October 29, 2023, we entered into a Merger Agreement with Physicians Realty Trust, the Physicians Partnership, and certain of our subsidiaries, pursuant to which, among other things, and through a series of transactions (the “Mergers”), (i) each outstanding common share of Physicians Realty Trust (other than Physicians Realty Trust common shares to be canceled in accordance with the Merger Agreement) will be converted into the right to receive 0.674 (the “Exchange Ratio”) shares of our common stock, and (ii) each outstanding common unit of the Physicians Partnership will be converted into common units in the successor entity to the Physicians Partnership equal to the Exchange Ratio. In connection with the Mergers, we filed a Registration Statement on Form S-4 with the SEC on December 15, 2023, as amended on January 9, 2024, and a definitive joint proxy statement/prospectus for the Company and Physicians Realty Trust on January 11, 2024 in connection with our respective special meetings of stockholders and shareholders, as applicable, which will be held on February 21, 2024. We expect the Mergers to close on March 1, 2024. Following the transactions contemplated in the Merger Agreement, the successor entities to Physicians Realty Trust and the Physicians Partnership will be direct and indirect subsidiaries of Healthpeak OP, respectively. Consummation of the Mergers are subject to the satisfaction or waiver of customary closing conditions, including the approval of our stockholders and the shareholders of Physicians Realty Trust.
Real Estate Transactions
In January 2023, we sold two lab buildings in Durham, North Carolina for $113 million.
In January 2023, we acquired a lab land parcel in Cambridge, Massachusetts for $9 million.
In March 2023, we sold two outpatient medical buildings for $32 million.
In April 2023, we acquired the remaining 80% interest in one of the outpatient medical buildings in the Ventures IV unconsolidated joint venture for $4 million.
In January 2024, we sold a 65% interest in two lab buildings in San Diego, California to a third-party for net proceeds of $128 million.
Development and Redevelopment Activities
During the year ended December 31, 2023, the following projects were placed in service: (i) portions of two lab development projects with aggregate costs of $233 million, (ii) one lab development project with total costs of $171 million, (iii) a portion of one lab redevelopment project with total costs of $43 million, (iv) four outpatient medical redevelopment projects with aggregate costs of $42 million, (v) a portion of one lab redevelopment building held in one of our unconsolidated South San Francisco JVs of which our share of total project costs was $32 million, (vi) one lab redevelopment building held in one of our unconsolidated South San Francisco JVs of which our share of total project costs was $15 million, (vii) one lab redevelopment project with total costs of $14 million, and (viii) one CCRC redevelopment project with total costs of $7 million.
Financing Activities
In January 2023, we completed a public offering of $400 million aggregate principal amount of 5.25% senior unsecured notes due 2032.
In May 2023, we completed a public offering of $350 million aggregate principal amount of 5.25% senior unsecured notes due 2032, which constituted an additional issuance of, and are treated as a single series with, the $400 million of senior unsecured notes due 2032 issued in January 2023.
In December 2023, a mortgage loan secured by one CCRC with a principal balance of $85 million matured and was repaid.
We have secured commitments for a $750 million five-year unsecured term loan (the “2024 Term Loan”), to be incurred as an incremental facility under our existing term loan agreement. In January 2024, we entered into forward-starting interest rate swap instruments that are designated as cash flow hedges that will effectively establish a fixed interest rate for the 2024 Term Loan at a blended contractual rate of 4.5%.
Other Activities
In February 2023, we received a partial principal repayment of $102 million on one secured loan.
In February 2023, we received full repayment of the outstanding balance of one $35 million secured loan.
In April 2023, we received full repayment of the outstanding balance of one $14 million secured loan.
In May 2023, we received full repayment of two outstanding secured loans with an aggregate balance of $12 million.
In October 2023, we received full repayment of the outstanding balance of one $21 million secured loan.
50

Dividends
Quarterly cash dividends paid during 2023 aggregated to $1.20 per share. On January 31, 2024, our Board of Directors declared a quarterly cash dividend of $0.30 per common share. The dividend will be paid on February 26, 2024 to stockholders of record as of the close of business on February 14, 2024.
Results of Operations
We evaluate our business and allocate resources among our reportable business segments: (i) lab, (ii) outpatient medical, and (iii) CCRC. Under the lab and outpatient medical segments, we invest through the acquisition, development, and management of lab buildings, outpatient medical buildings, and hospitals. Our CCRCs are operated through RIDEA structures. We have other non-reportable segments that are comprised primarily of: (i) an interest in our unconsolidated SWF SH JV and (ii) loans receivable. These non-reportable segments have been presented on an aggregate basis herein. We evaluate performance based upon property adjusted net operating income (“Adjusted NOI” or “Cash NOI”) in each segment. The accounting policies of the segments are the same as those described in the summary of significant accounting policies in Note 2 to the Consolidated Financial Statements.
Non-GAAP Financial Measures
Net Operating Income
NOI and Adjusted NOI are non-U.S. generally accepted accounting principles (“GAAP”) supplemental financial measures used to evaluate the operating performance of real estate. NOI is defined as real estate revenues (inclusive of rental and related revenues, resident fees and services, income from direct financing leases, and government grant income and exclusive of interest income), less property level operating expenses; NOI excludes all other financial statement amounts included in net income (loss) as presented in Note 15 to the Consolidated Financial Statements. Adjusted NOI is calculated as NOI after eliminating the effects of straight-line rents, DFL non-cash interest, amortization of market lease intangibles, termination fees, actuarial reserves for insurance claims that have been incurred but not reported, and the impact of deferred community fee income and expense. NOI and Adjusted NOI are calculated as NOI and Adjusted NOI from consolidated properties, plus our share of NOI and Adjusted NOI from unconsolidated joint ventures (calculated by applying our actual ownership percentage for the period), less noncontrolling interests’ share of NOI and Adjusted NOI from consolidated joint ventures (calculated by applying our actual ownership percentage for the period). Management utilizes its share of NOI and Adjusted NOI in assessing its performance as we have various joint ventures that contribute to its performance. We do not control our unconsolidated joint ventures, and our share of amounts from unconsolidated joint ventures do not represent our legal claim to such items. Our share of NOI and Adjusted NOI should not be considered a substitute for, and should only be considered together with and as a supplement to, our financial information presented in accordance with GAAP.
Adjusted NOI is oftentimes referred to as “Cash NOI.” Management believes NOI and Adjusted NOI are important supplemental measures because they provide relevant and useful information by reflecting only income and operating expense items that are incurred at the property level and present them on an unlevered basis. We use NOI and Adjusted NOI to make decisions about resource allocations, to assess and compare property level performance, and to evaluate our Same-Store (“SS”) performance, as described below. We believe that net income (loss) is the most directly comparable GAAP measure to NOI and Adjusted NOI. NOI and Adjusted NOI should not be viewed as alternative measures of operating performance to net income (loss) as defined by GAAP since they do not reflect various excluded items. Further, our definitions of NOI and Adjusted NOI may not be comparable to the definitions used by other REITs or real estate companies, as they may use different methodologies for calculating NOI and Adjusted NOI. For a reconciliation of NOI and Adjusted NOI to net income (loss) by segment, refer to Note 15 to the Consolidated Financial Statements.
Operating expenses generally relate to leased outpatient medical and lab buildings, as well as CCRC facilities. We generally recover all or a portion of our leased outpatient medical and lab property expenses through tenant recoveries. We present expenses as operating or general and administrative based on the underlying nature of the expense.
Same-Store
Same-Store NOI and Adjusted (Cash) NOI information allows us to evaluate the performance of our property portfolio under a consistent population by eliminating changes in the composition of our portfolio of properties, excluding properties within the other non-reportable segments. We include properties from our consolidated portfolio, as well as properties owned by our unconsolidated joint ventures in Same-Store NOI and Adjusted NOI (see NOI definition above for further discussion regarding our use of pro-rata share information and its limitations). Same-Store NOI and Adjusted NOI exclude government grant income under the CARES Act. Same-Store Adjusted NOI also excludes amortization of deferred revenue from tenant-funded improvements and certain non-property specific operating expenses that are allocated to each operating segment on a consolidated basis.
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Properties are included in Same-Store once they are stabilized for the full period in both comparison periods. Newly acquired operating assets are generally considered stabilized at the earlier of lease-up (typically when the tenant(s) control(s) the physical use of at least 80% of the space and rental payments have commenced) or 12 months from the acquisition date. Newly completed developments and redevelopments are considered stabilized at the earlier of lease-up or 24 months from the date the property is placed in service. Properties that experience a change in reporting structure are considered stabilized after 12 months in operations under a consistent reporting structure. A property is removed from Same-Store when it is classified as held for sale, sold, placed into redevelopment, experiences a casualty event that significantly impacts operations, a change in reporting structure or operator transition has been agreed to, or a significant tenant relocates from a Same-Store property to a non Same-Store property and that change results in a corresponding increase in revenue. We do not report Same-Store metrics for our other non-reportable segments. For a reconciliation of Same-Store to total portfolio Adjusted NOI and other relevant disclosures by segment, refer to our Segment Analysis below.
Funds From Operations (“FFO”)
FFO encompasses Nareit FFO and FFO as Adjusted, each of which is described in detail below. We believe FFO applicable to common shares, diluted FFO applicable to common shares, and diluted FFO per common share are important supplemental non-GAAP measures of operating performance for a REIT. Because the historical cost accounting convention used for real estate assets utilizes straight-line depreciation (except on land), such accounting presentation implies that the value of real estate assets diminishes predictably over time. Since real estate values instead have historically risen and fallen with market conditions, presentations of operating results for a REIT that use historical cost accounting for depreciation could be less informative. The term FFO was designed by the REIT industry to address this issue.
Nareit FFO. FFO, as defined by the National Association of Real Estate Investment Trusts (“Nareit”), is net income (loss) applicable to common shares (computed in accordance with GAAP), excluding gains or losses from sales of depreciable property, including any current and deferred taxes directly associated with sales of depreciable property, impairments of, or related to, depreciable real estate, plus real estate and other real estate-related depreciation and amortization, and adjustments to compute our share of Nareit FFO and FFO as Adjusted (see below) from joint ventures. Adjustments for joint ventures are calculated to reflect our pro rata share of both our consolidated and unconsolidated joint ventures. We reflect our share of Nareit FFO for unconsolidated joint ventures by applying our actual ownership percentage for the period to the applicable reconciling items on an entity by entity basis. For consolidated joint ventures in which we do not own 100%, we reflect our share of the equity by adjusting our Nareit FFO to remove the third party ownership share of the applicable reconciling items based on actual ownership percentage for the applicable periods. Our pro rata share information is prepared on a basis consistent with the comparable consolidated amounts, is intended to reflect our proportionate economic interest in the operating results of properties in our portfolio and is calculated by applying our actual ownership percentage for the period. We do not control the unconsolidated joint ventures, and the pro rata presentations of reconciling items included in Nareit FFO do not represent our legal claim to such items. The joint venture members or partners are entitled to profit or loss allocations and distributions of cash flows according to the joint venture agreements, which provide for such allocations generally according to their invested capital.
The presentation of pro rata information has limitations, which include, but are not limited to, the following: (i) the amounts shown on the individual line items were derived by applying our overall economic ownership interest percentage determined when applying the equity method of accounting and do not necessarily represent our legal claim to the assets and liabilities, or the revenues and expenses and (ii) other companies in our industry may calculate their pro rata interest differently, limiting the usefulness as a comparative measure. Because of these limitations, the pro rata financial information should not be considered independently or as a substitute for our financial statements as reported under GAAP. We compensate for these limitations by relying primarily on our GAAP financial statements, using the pro rata financial information as a supplement.
Nareit FFO does not represent cash generated from operating activities in accordance with GAAP, is not necessarily indicative of cash available to fund cash needs and should not be considered an alternative to net income (loss). We compute Nareit FFO in accordance with the current Nareit definition; however, other REITs may report Nareit FFO differently or have a different interpretation of the current Nareit definition from ours.
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FFO as Adjusted. In addition, we present Nareit FFO on an adjusted basis before the impact of non-comparable items including, but not limited to, transaction and merger-related items, other impairments (recoveries) and other losses (gains), restructuring and severance-related charges, prepayment costs (benefits) associated with early retirement or payment of debt, litigation costs (recoveries), casualty-related charges (recoveries), deferred tax asset valuation allowances, and changes in tax legislation (“FFO as Adjusted”). These adjustments are net of tax, when applicable. Transaction and merger-related items include transaction expenses and gains/charges incurred as a result of mergers and acquisitions and lease amendment or termination activities. Prepayment costs (benefits) associated with early retirement of debt include the write-off of unamortized deferred financing fees, or additional costs, expenses, discounts, make-whole payments, penalties or premiums incurred as a result of early retirement or payment of debt. Other impairments (recoveries) and other losses (gains) include interest income associated with early and partial repayments of loans receivable and other losses or gains associated with non-depreciable assets including goodwill, DFLs, undeveloped land parcels, and loans receivable. Management believes that FFO as Adjusted provides a meaningful supplemental measurement of our FFO run-rate and is frequently used by analysts, investors, and other interested parties in the evaluation of our performance as a REIT. At the same time that Nareit created and defined its FFO measure for the REIT industry, it also recognized that “management of each of its member companies has the responsibility and authority to publish financial information that it regards as useful to the financial community.” We believe stockholders, potential investors, and financial analysts who review our operating performance are best served by an FFO run-rate earnings measure that includes certain other adjustments to net income (loss), in addition to adjustments made to arrive at the Nareit defined measure of FFO. FFO as Adjusted is used by management in analyzing our business and the performance of our properties and we believe it is important that stockholders, potential investors, and financial analysts understand this measure used by management. We use FFO as Adjusted to: (i) evaluate our performance in comparison with expected results and results of previous periods, relative to resource allocation decisions, (ii) evaluate the performance of our management, (iii) budget and forecast future results to assist in the allocation of resources, (iv) assess our performance as compared with similar real estate companies and the industry in general, and (v) evaluate how a specific potential investment will impact our future results. Other REITs or real estate companies may use different methodologies for calculating an adjusted FFO measure, and accordingly, our FFO as Adjusted may not be comparable to those reported by other REITs. For a reconciliation of net income (loss) to Nareit FFO and FFO as Adjusted and other relevant disclosure, refer to “Non-GAAP Financial Measures Reconciliations” below.
Adjusted FFO (“AFFO”). AFFO is defined as FFO as Adjusted after excluding the impact of the following: (i) stock-based compensation amortization expense, (ii) amortization of deferred financing costs, net, (iii) straight-line rents, (iv) deferred income taxes, (v) amortization of above (below) market lease intangibles, net, and (vi) other AFFO adjustments, which include: (a) non-cash interest related to DFLs and lease incentive amortization (reduction of straight-line rents), (b) actuarial reserves for insurance claims that have been incurred but not reported, and (c) amortization of deferred revenues, excluding amounts amortized into rental income that are associated with tenant funded improvements owned/recognized by us and up-front cash payments made by tenants to reduce their contractual rents. Also, AFFO is computed after deducting recurring capital expenditures, including second generation leasing costs and second generation tenant and capital improvements, and includes adjustments to compute our share of AFFO from our unconsolidated joint ventures. More specifically, recurring capital expenditures, including second generation leasing costs and second generation tenant and capital improvements (“AFFO capital expenditures”) excludes our share from unconsolidated joint ventures (reported in “other AFFO adjustments”). Adjustments for joint ventures are calculated to reflect our pro rata share of both our consolidated and unconsolidated joint ventures. We reflect our share of AFFO for unconsolidated joint ventures by applying our actual ownership percentage for the period to the applicable reconciling items on an entity by entity basis. We reflect our share for consolidated joint ventures in which we do not own 100% of the equity by adjusting our AFFO to remove the third party ownership share of the applicable reconciling items based on actual ownership percentage for the applicable periods (reported in “other AFFO adjustments”). See FFO for further disclosure regarding our use of pro rata share information and its limitations. We believe AFFO is an alternative run-rate earnings measure that improves the understanding of our operating results among investors and makes comparisons with: (i) expected results, (ii) results of previous periods, and (iii) results among REITs more meaningful. AFFO does not represent cash generated from operating activities determined in accordance with GAAP and is not necessarily indicative of cash available to fund cash needs as it excludes the following items which generally flow through our cash flows from operating activities: (i) adjustments for changes in working capital or the actual timing of the payment of income or expense items that are accrued in the period, (ii) transaction-related costs, (iii) litigation settlement expenses, and (iv) restructuring and severance-related charges. Furthermore, AFFO is adjusted for recurring capital expenditures, which are generally not considered when determining cash flows from operations or liquidity. Other REITs or real estate companies may use different methodologies for calculating AFFO, and accordingly, our AFFO may not be comparable to those reported by other REITs. Management believes AFFO provides a meaningful supplemental measure of our performance and is frequently used by analysts, investors, and other interested parties in the evaluation of our performance as a REIT, and by presenting AFFO, we are assisting these parties in their evaluation. AFFO is a non-GAAP supplemental financial measure and should not be considered as an alternative to net income (loss) determined in accordance with GAAP and should only be considered together with and as a supplement to our financial information prepared in accordance with GAAP. For a reconciliation of net income (loss) to AFFO and other relevant disclosures, refer to “Non-GAAP Financial Measures Reconciliations” below.
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Comparison of the Year Ended December 31, 2023 to the Year Ended December 31, 2022
Overview
2023 and 2022(1)
The following table summarizes results for the years ended December 31, 2023 and 2022 (in thousands):
Year Ended December 31,
20232022Change
Net income (loss) applicable to common shares$304,284 $497,792 $(193,508)
Nareit FFO985,180 895,166 90,014 
FFO as Adjusted978,306 940,933 37,373 
AFFO840,777 783,702 57,075 
_______________________________________
(1)For the reconciliation of non-GAAP financial measures, see “Non-GAAP Financial Measure Reconciliations” below.
Net income (loss) applicable to common shares decreased primarily as a result of the following:
a gain upon change of control related to the sale of a 30% interest and deconsolidation of seven previously consolidated lab buildings in South San Francisco, California during the third quarter of 2022;
an increase in depreciation, primarily as a result of development and redevelopment projects placed in service during 2022 and 2023;
an increase in interest expense, primarily as a result of: (i) senior unsecured notes issued during the first half of 2023, (ii) borrowings under the Term Loan Facilities, which were drawn during the fourth quarter of 2022, and (iii) higher interest rates on the commercial paper program, partially offset by lower borrowings on the commercial paper program;
a gain on sale associated with the disposition of a hospital under a DFL during the first quarter of 2022;
an increase in transaction and merger-related costs, primarily as a result of costs related to the Mergers, which are primarily comprised of legal, accounting, tax, and other costs that were incurred during the fourth quarter of 2023; and
a decrease in government grant income received under the CARES Act in 2023.
The decrease in net income (loss) applicable to common shares was partially offset by:
an increase in NOI generated from our lab and outpatient medical segments related to: (i) development and redevelopment projects placed in service during 2022 and 2023, (ii) new leasing activity during 2022 and 2023 (including the impact to straight-line rents), and (iii) 2022 acquisitions of real estate;
an increase in gains on sale of depreciable real estate related to lab and outpatient medical building sales during 2023 as compared to 2022;
a decrease in general and administrative expenses, primarily as a result of: (i) severance-related charges associated with the departures of our former Chief Executive Officer and our former Chief Legal Officer and General Counsel in the fourth quarter of 2022 and (ii) charges incurred in connection with the downsizing of our corporate headquarters in Denver, Colorado in the fourth quarter of 2022;
a decrease in depreciation related to the deconsolidation of seven previously consolidated lab buildings in South San Francisco, California during the third quarter of 2022;
a decrease in other expenses for tenant relocation and other costs associated with the demolition of an outpatient medical building, which were incurred in the first quarter of 2022;
an increase in income tax benefit primarily as a result of a $14 million tax benefit recognized in connection with the reversal of a deferred tax asset valuation allowance during the fourth quarter of 2023;
a decrease in loan loss reserves primarily as a result of principal repayments on seller financing;
an increase in equity income from unconsolidated joint ventures; and
a decrease in casualty-related charges from a hurricane during the third quarter of 2022.
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Nareit FFO increased primarily as a result of the aforementioned events impacting net income (loss) applicable to common shares, except for the following, which are excluded from Nareit FFO:
gain upon change of control;
gain on sales of depreciable real estate; and
depreciation and amortization expense.
FFO as Adjusted increased primarily as a result of the aforementioned events impacting Nareit FFO, except for the following, which are excluded from FFO as Adjusted:
severance-related charges;
gain on sale of a hospital under a DFL;
reversal of a valuation allowance on deferred tax assets;
expenses for tenant relocation and other costs associated with the demolition of an outpatient medical building;
loan loss reserves;
transaction and merger-related costs;
casualty-related charges; and
the charges incurred in connection with the downsizing of our corporate headquarters in Denver, Colorado.
AFFO increased primarily as a result of the aforementioned events impacting FFO as Adjusted, except for the impact of straight-line rents, which is excluded from AFFO and higher AFFO capital expenditures during the period.
Segment Analysis
The following tables provide selected operating information for our Same-Store and total property portfolio for each of our reportable segments. For the year ended December 31, 2023, our Same-Store consists of 403 properties representing properties acquired or placed in service and stabilized on or prior to January 1, 2022 and that remained in operations through December 31, 2023. Our total property portfolio consisted of 477 and 480 properties at December 31, 2023 and 2022, respectively. Included in our total property portfolio at each of December 31, 2023 and 2022 are 19 senior housing assets in our SWF SH JV.
55

Lab
The following table summarizes results at and for the years ended December 31, 2023 and 2022 (dollars and square feet in thousands, except per square foot data):
SS
Total Portfolio(1)
Year Ended December 31,Year Ended December 31,
20232022Change20232022Change
Rental and related revenues$663,859 $649,238 $14,621 $878,326 $817,573 $60,753 
Healthpeak’s share of unconsolidated joint venture total revenues6,589 9,613 (3,024)9,924 9,921 
Noncontrolling interests’ share of consolidated joint venture total revenues(133)(129)(4)(619)(268)(351)
Operating expenses(182,602)(166,433)(16,169)(229,630)(209,143)(20,487)
Healthpeak’s share of unconsolidated joint venture operating expenses(2,651)(2,305)(346)(4,092)(2,883)(1,209)
Noncontrolling interests’ share of consolidated joint venture operating expenses46 43 156 87 69 
Adjustments to NOI(2)
(23,979)(45,496)21,517 (36,524)(62,754)26,230 
Adjusted NOI$461,129 $444,531 $16,598 617,541 552,533 65,008 
Less: non-SS Adjusted NOI(156,412)(108,002)(48,410)
SS Adjusted NOI$461,129 $444,531 $16,598 
Adjusted NOI % change3.7 %
Property count(3)
116 116 146 149 
End of period occupancy(4)
96.5 %98.7 %96.9 %98.9 %
Average occupancy(4)
97.5 %98.5 %97.8 %98.7 %
Average occupied square feet8,786 8,856 10,524 10,727 
Average annual total revenues per occupied square foot(5)
$74 $69 $81 $72 
Average annual base rent per occupied square foot(6)
$56 $53 $63 $55 
_______________________________________
(1)Total Portfolio includes results of operations from disposed properties through the disposition date.
(2)Represents adjustments to NOI in accordance with our definition of Adjusted NOI. Refer to “Non-GAAP Financial Measures” above for the definitions of NOI and Adjusted NOI. See Note 15 to the Consolidated Financial Statements for a reconciliation of Adjusted NOI by segment to net income (loss).
(3)From our 2022 presentation of Same-Store, we added: (i) five stabilized acquisitions, (ii) three stabilized buildings that previously experienced a significant tenant relocation, (iii) two stabilized redevelopments placed in service, and (iv) one stabilized development placed in service, and we removed: (i) six buildings that were placed into redevelopment, (ii) one asset that was placed into land held for development, and (iii) one building that experienced a significant tenant relocation.
(4)Refer to “Non-GAAP Financial Measures” above for the definition of Same-Store. Total Portfolio occupancy excludes any of the following: (i) developments, (ii) significant redevelopments, (iii) newly completed properties under lease-up, and (iv) properties held for sale.
(5)Average annual total revenues does not include non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, and deferred revenues).
(6)Base rent does not include tenant recoveries, additional rents in excess of floors, and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, and deferred revenues).
Same-Store Adjusted NOI increased primarily as a result of the following:
annual rent escalations; and
new leasing activity; partially offset by
lower occupancy; and
higher operating expenses.
Total Portfolio Adjusted NOI increased primarily as a result of the aforementioned impacts to Same-Store and the following Non-Same-Store impacts:
increased NOI from developments and redevelopments placed in service in 2022 and 2023; partially offset by
decreased NOI from our 2022 and 2023 dispositions.
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Outpatient Medical
The following table summarizes results at and for the years ended December 31, 2023 and 2022 (dollars and square feet in thousands, except per square foot data):
SS
Total Portfolio(1)
Year Ended December 31,Year Ended December 31,
20232022Change20232022Change
Rental and related revenues$678,967 $656,588 $22,379 $753,479 $724,202 $29,277 
Income from direct financing leases— — — — 1,168 (1,168)
Healthpeak’s share of unconsolidated joint venture total revenues2,893 2,795 98 3,033 2,999 34 
Noncontrolling interests’ share of consolidated joint venture total revenues(34,053)(33,429)(624)(35,073)(35,717)644 
Operating expenses(229,310)(218,716)(10,594)(263,132)(253,309)(9,823)
Healthpeak’s share of unconsolidated joint venture operating expenses(1,183)(1,147)(36)(1,189)(1,178)(11)
Noncontrolling interests’ share of consolidated joint venture operating expenses9,738 9,492 246 9,921 10,317 (396)
Adjustments to NOI(2)
(11,685)(13,763)2,078 (14,314)(15,513)1,199 
Adjusted NOI$415,367 $401,820 $13,547 452,725 432,969 19,756 
Less: non-SS Adjusted NOI(37,358)(31,149)(6,209)
SS Adjusted NOI$415,367 $401,820 $13,547 
Adjusted NOI % change3.4 %
Property count(3)
272 272 297 297 
End of period occupancy(4)
91.9 %91.7 %90.7 %90.2 %
Average occupancy(4)
91.5 %91.6 %90.1 %89.9 %
Average occupied square feet20,218 20,233 21,531 21,685 
Average annual total revenues per occupied square foot(5)
$34 $33 $35 $34 
Average annual base rent per occupied square foot(6)
$28 $27 $29 $27 
_______________________________________
(1)Total Portfolio includes results of operations from disposed properties through the disposition date.
(2)Represents adjustments to NOI in accordance with our definition of Adjusted NOI. Refer to “Non-GAAP Financial Measures” above for the definitions of NOI and Adjusted NOI. See Note 15 to the Consolidated Financial Statements for a reconciliation of Adjusted NOI by segment to net income (loss).
(3)From our 2022 presentation of Same-Store, we added: (i) 25 stabilized acquisitions and (ii) 2 stabilized developments placed in service, and we removed: (i) 2 assets that were sold and (ii) 1 asset that was classified as held for sale.
(4)Refer to “Non-GAAP Financial Measures” above for the definition of Same-Store. Total Portfolio occupancy excludes any of the following: (i) developments, (ii) significant redevelopments, (iii) newly completed properties under lease-up, and (iv) properties held for sale.
(5)Average annual total revenues does not include non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, DFL non-cash interest, and deferred revenues).
(6)Base rent does not include tenant recoveries, additional rents in excess of floors, and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, DFL non-cash interest, and deferred revenues).
Same-Store Adjusted NOI increased primarily as a result of the following:
mark-to-market lease renewals; and
annual rent escalations; partially offset by
higher operating expenses.
Total Portfolio Adjusted NOI increased primarily as a result of the aforementioned increases to Same-Store and the following Non-Same-Store impacts:
increased NOI from our 2022 acquisitions;
business interruption proceeds related to a demolished asset; and
increased occupancy in former redevelopment and development properties that have been placed in service; partially offset by
decreased NOI from our 2022 and 2023 dispositions.
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Continuing Care Retirement Community
The following table summarizes results at and for the years ended December 31, 2023 and 2022 (dollars in thousands, except per unit data):
SSTotal Portfolio
Year Ended December 31,Year Ended December 31,
20232022Change20232022Change
Resident fees and services$526,769 $494,935 $31,834 $527,417 $494,935 $32,482 
Government grant income(1)
— — — 184 6,765 (6,581)
Healthpeak’s share of unconsolidated joint venture government grant income— — — — 380 (380)
Operating expenses(411,539)(398,915)(12,624)(413,472)(400,539)(12,933)
Adjustments to NOI(2)
(1,618)2,300 (3,918)(1,618)2,300 (3,918)
Adjusted NOI$113,612 $98,320 $15,292 112,511 103,841 8,670 
Plus (less): non-SS adjustments1,101 (5,521)6,622 
SS Adjusted NOI$113,612 $98,320 $15,292 
Adjusted NOI % change15.6 %
Property count(3)
15 15 15 15 
Average occupancy(4)
83.8 %81.6 %83.9 %81.6 %
Average occupied units(5)
5,952 5,926 5,960 5,926 
Average annual rent per occupied unit$88,503 $83,519 $88,524 $84,725 
_______________________________________
(1)Represents government grant income received under the CARES Act, which is recorded in other income (expense), net in the Consolidated Statements of Operations.
(2)Represents adjustments to NOI in accordance with our definition of Adjusted NOI. Refer to “Non-GAAP Financial Measures” above for the definitions of NOI and Adjusted NOI. See Note 15 to the Consolidated Financial Statements for a reconciliation of Adjusted NOI by segment to net income (loss).
(3)From our 2022 presentation of Same-Store, no properties were added or removed.
(4)Refer to “Non-GAAP Financial Measures” above for the definition of Same-Store. Total Portfolio occupancy excludes any of the following: (i) developments, (ii) significant redevelopments, (iii) newly completed properties under lease-up, and (iv) properties held for sale.
(5)Represents average occupied units as reported by the operators for the twelve-month period.
Same-Store Adjusted NOI increased primarily as a result of the following:
increased rates for resident fees; and
higher occupancy; partially offset by
higher costs of labor, management fees, insurance, real estate taxes, utilities, and food; and
lower business interruption insurance proceeds.
Total Portfolio Adjusted NOI increased primarily as a result of the aforementioned increases to Same-Store, partially offset by decreased government grant income received under the CARES Act.
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Other Income and Expense Items
The following table summarizes the results of our other income and expense items for the years ended December 31, 2023 and 2022 (in thousands):
Year Ended December 31,
20232022Change
Interest income$21,781 $23,300 $(1,519)
Interest expense200,331 172,944 27,387 
Depreciation and amortization749,901 710,569 39,332 
General and administrative95,132 131,033 (35,901)
Transaction and merger-related costs17,515 4,853 12,662 
Impairments and loan loss reserves (recoveries), net(5,601)7,004 (12,605)
Gain (loss) on sales of real estate, net86,463 9,078 77,385 
Other income (expense), net6,808 326,268 (319,460)
Income tax benefit (expense)9,617 4,425 5,192 
Equity income (loss) from unconsolidated joint ventures10,204 1,985 8,219 
Income (loss) from discontinued operations— 2,884 (2,884)
Noncontrolling interests’ share in continuing operations(28,748)(15,975)(12,773)
Interest income
Interest income decreased for the year ended December 31, 2023 primarily as a result of principal repayments on loans receivable in 2022 and 2023, partially offset by higher interest rates.
Interest expense
Interest expense increased for the year ended December 31, 2023 primarily as a result of: (i) senior unsecured notes issued during the first half of 2023, (ii) borrowings under the Term Loan Facilities, which were drawn during the fourth quarter of 2022, and (iii) higher interest rates on the commercial paper program, partially offset by lower borrowings on the commercial paper program.
Depreciation and amortization
Depreciation and amortization expense increased for the year ended December 31, 2023 primarily as a result of development and redevelopment projects placed in service during 2022 and 2023, partially offset by: (i) assets placed into redevelopment in 2023, (ii) dispositions of real estate in 2022 and 2023, and (iii) lower depreciation related to the deconsolidation of seven previously consolidated lab buildings in South San Francisco, California during the third quarter of 2022.
General and administrative
General and administrative expenses decreased for the year ended December 31, 2023 primarily as a result of: (i) severance-related charges associated with the departures of our former Chief Executive Officer and our former Chief Legal Officer and General Counsel in the fourth quarter of 2022 and (ii) charges incurred in connection with the downsizing of our corporate headquarters in Denver, Colorado in the fourth quarter of 2022.
Transaction and merger-related costs
Transaction and merger-related costs increased for the year ended December 31, 2023 primarily as a result of costs related to the Mergers, which are primarily comprised of legal, accounting, tax, and other costs that were incurred during the fourth quarter of 2023 (see Note 1 to the Consolidated Financial Statements).
Impairments and loan loss reserves (recoveries), net
Impairments and loan loss reserves (recoveries), net decreased for the year ended December 31, 2023 as a result of a decrease in loan loss reserves under the current expected credit losses model. The change in loan loss reserves for the year ended December 31, 2023 is primarily a result of: (i) principal repayments on seller financing, (ii) increased interest rates on variable rate loans, and (iii) macroeconomic conditions.
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Gain (loss) on sales of real estate, net
Gain on sales of real estate, net increased during the year ended December 31, 2023 primarily as a result of: (i) the $60 million gain on sales of two lab buildings in Durham, North Carolina, which were sold during the three months ended March 31, 2023 and (ii) the $21 million gain on sales of two outpatient medical buildings, which were sold during the three months ended March 31, 2023, partially offset by: (i) the $4 million gain on sale of one lab building, which was sold during the three months ended March 31, 2022, (ii) the $10 million gain on sales of three outpatient medical buildings and one outpatient medical land parcel, which were sold during the three months ended June 30, 2022, and (iii) the $1 million gain on sales of two outpatient medical buildings, which were sold during the three months ended September 30, 2022. Refer to Note 4 to the Consolidated Financial Statements for additional information regarding dispositions of real estate and the associated gain (loss) on sales recognized.
Other income (expense), net
Other income, net decreased for the year ended December 31, 2023 primarily as a result of: (i) a gain upon change of control related to the sale of a 30% interest and deconsolidation of seven previously consolidated lab buildings in South San Francisco, California during the third quarter of 2022, (ii) a gain on sale associated with the disposition of a hospital under a DFL during the first quarter of 2022, and (iii) a decrease in government grant income received under the CARES Act in 2023. The decrease in other income, net during the year ended December 31, 2023 was partially offset by: (i) other expenses for tenant relocation and other costs associated with the demolition of an outpatient medical building, which were incurred in the first quarter of 2022 and (ii) casualty losses from a hurricane in the third quarter of 2022.
Income tax benefit (expense)
Income tax benefit increased for the year ended December 31, 2023 primarily as a result of a $14 million tax benefit recognized in connection with the reversal of a deferred tax asset valuation allowance during the fourth quarter of 2023 (see Note 16 to the Consolidated Financial Statements), partially offset by an increase in operating income associated with our CCRCs.
Equity income (loss) from unconsolidated joint ventures
Equity income from unconsolidated joint ventures increased for the year ended December 31, 2023 primarily as a result of increased income from the South San Francisco JVs and the SWF SH JV.
Income (loss) from discontinued operations
Income from discontinued operations decreased for the year ended December 31, 2023 a result of the completion of dispositions of our senior housing portfolios.
Noncontrolling interests’ share in continuing operations
Noncontrolling interests’ share in continuing operations increased for the year ended December 31, 2023 primarily as a result of a gain on sale of an outpatient medical building in a consolidated joint venture that was sold during the second quarter of 2023.
Liquidity and Capital Resources
We anticipate that our cash flow from operations, available cash balances, and cash from our various financing activities will be adequate for the next 12 months and for the foreseeable future for purposes of: (i) costs incurred to consummate the Mergers and the other transactions contemplated in the Merger Agreement; (ii) funding recurring operating expenses; (iii) meeting debt service requirements; and (iv) satisfying funding of distributions to our stockholders and non-controlling interest members. Distributions are made using a combination of cash flows from operations, funds available under our bank line of credit (the “Revolving Facility”) and commercial paper program, proceeds from the sale of properties, and other sources of cash available to us.
In addition to funding the activities above, our principal liquidity needs for the next 12 months are to:
fund capital expenditures, including tenant improvements and leasing costs; and
fund future acquisition, transactional, and development and redevelopment activities.
Our longer term liquidity needs include the items listed above as well as meeting debt service requirements.
We anticipate satisfying these future needs using one or more of the following:
cash flow from operations;
sale of, or exchange of ownership interests in, properties or other investments;
borrowings under our Revolving Facility and commercial paper program;
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issuance of additional debt, including unsecured notes, term loans, and mortgage debt; and/or
issuance of common or preferred stock or its equivalent, including sales of common stock under the ATM Program (as defined below).
Our ability to access the capital markets impacts our cost of capital and ability to refinance maturing indebtedness, as well as our ability to fund future acquisitions and development through the issuance of additional securities or secured debt. Credit ratings impact our ability to access capital and directly impact our cost of capital as well. Our two senior unsecured delayed draw term loans with an aggregate principal amount of $500 million (the “Term Loan Facilities”) and our Revolving Facility accrue interest at the Secured Overnight Financing Rate (“SOFR”) plus a margin that depends on the credit ratings of our senior unsecured long-term debt. We also pay a facility fee on the entire commitment under our Revolving Facility that depends upon our credit ratings. As of February 7, 2024, we had long-term credit ratings of Baa1 from Moody’s and BBB+ from S&P Global, and short-term credit ratings of P-2 from Moody’s and A-2 from S&P Global.
A downgrade in credit ratings by Moody’s or S&P Global may have a negative impact on the interest rates of our Revolving Facility and Term Loan Facilities and facility fees for our Revolving Facility, and may negatively impact the pricing of notes issued under our commercial paper program and senior unsecured notes. While a downgrade in our credit ratings would adversely impact our cost of borrowing, we believe we would continue to have access to the unsecured debt markets, and we could also seek to enter into one or more secured debt financings, issue additional securities, including under our ATM Program, or dispose of certain assets to fund future operating costs, capital expenditures, or acquisitions, although no assurances can be made in this regard. Refer to “Market Trends and Uncertainties” above for a more comprehensive discussion of the potential impact of economic and market conditions on our business.
Material Cash Requirements
Our material cash requirements include the below contractual and other obligations.
Debt. As of December 31, 2023, we had total debt of $6.9 billion, including borrowings under our Revolving Facility and commercial paper program, senior unsecured notes, term loans, and mortgage debt. Of our total debt, the total amount payable within twelve months is comprised of $7 million of mortgage debt. Future interest payments associated with borrowings under our Revolving Facility, senior unsecured notes, term loans, and mortgage debt total $1.4 billion, $220 million of which are payable within twelve months. Future interest payments associated with commercial paper borrowings payable within the next twelve months total $21 million, assuming no change in interest rates and borrowings remain outstanding for the next twelve months. Commercial paper borrowings are backstopped by our Revolving Facility. As such, we calculate the weighted average remaining term of our commercial paper borrowings using the maturity date of our Revolving Facility. Additionally, we have secured commitments for the 2024 Term Loan, to be incurred as an incremental facility under our existing term loan agreement. In January 2024, we entered into forward-starting interest rate swap instruments that are designated as cash flow hedges that will effectively establish a fixed interest rate for the 2024 Term Loan at a blended contractual rate of 4.5%. See Note 10 to the Consolidated Financial Statements for additional information about our debt commitments.
Development and redevelopment commitments. Our development and redevelopment commitments represent construction and other commitments for development and redevelopment projects in progress and includes certain allowances for Company-owned tenant improvements that we have provided as a lessor. As of December 31, 2023, we had $152 million of development and redevelopment commitments, $135 million of which we expect to spend within the next twelve months.
Lease and other contractual commitments. Our lease and other contractual commitments represent our commitments, as lessor, under signed leases and contracts for operating properties and include allowances for Company-owned tenant improvements and leasing commissions. These commitments exclude allowances for Company-owned tenant improvements related to developments and redevelopments in progress for which we have executed an agreement with a general contractor to complete the tenant improvements, which are recognized as development and redevelopment commitments and are discussed further above. As of December 31, 2023, we had total lease and other contractual commitments of $28 million, $26 million of which we expect to spend within the next twelve months.
Construction loan commitments. Due to the terms of our SHOP seller financing notes receivable, as of December 31, 2023, we are obligated to provide additional loans up to $29 million to fund senior housing redevelopment capital expenditure projects, which extend through 2024. See Note 7 to the Consolidated Financial Statements for additional information.
Ground and other operating lease commitments. Our ground and other operating lease commitments represent our commitments as lessee under signed operating leases. As of December 31, 2023, we had total ground and other operating lease commitments of $542 million, $17 million of which are payable within twelve months. See Note 6 to the Consolidated Financial Statements for additional information.
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Redeemable noncontrolling interests. Certain of our noncontrolling interest holders have the ability to put their equity interests to us upon specified events or after the passage of a predetermined period of time. Each put option is subject to changes in redemption value in the event that the underlying property generates specified returns for us and meets certain promote thresholds pursuant to the respective agreements. As of December 31, 2023, three of the redeemable noncontrolling interests have met the conditions for redemption, but were not yet exercised. As of December 31, 2023, the redemption value of our redeemable noncontrolling interests was $49 million. See Note 12 to the Consolidated Financial Statements for additional information.
Success-Based Fees. We have engaged service providers, including investment banks and advisors, to help us negotiate the terms of the Mergers and to advise us on other merger-related matters. In connection with these services, we expect to be required to pay success-based fees to the extent that certain conditions, including the closing of the Mergers, are met. As of December 31, 2023, we expect to incur approximately $22 million of such success fees upon closing of the Mergers during the first quarter of 2024. As closing of the Mergers has not occurred, no such amounts have been paid or accrued through December 31, 2023. See Note 1 to the Consolidated Financial Statements for additional information.
Distribution and Dividend Requirements. Our dividend policy on our common stock is to distribute a percentage of our cash flow to ensure that we meet the dividend requirements of the Code, relative to maintaining our REIT status, while still allowing us to retain cash to fund capital improvements and other investment activities. Under the Code, REITs may be subject to certain federal income and excise taxes on undistributed taxable income. We paid quarterly cash dividends of $0.30 per common share in 2023. Our future common dividends, if and as declared, may vary and will be determined by the Board based upon the circumstances prevailing at the time, including our financial condition.
Off-Balance Sheet Arrangements
We own interests in certain unconsolidated joint ventures as described in Note 8 to the Consolidated Financial Statements. Two of these joint ventures have aggregate mortgage debt of $88 million, of which our share is $40 million. Except in limited circumstances, our risk of loss is limited to our investment in the applicable joint venture. We have no other material off-balance sheet arrangements that we expect would materially affect our liquidity and capital resources.
Inflation
A significant portion of our revenues are derived from leases that generally provide for fixed rental rates, subject to annual escalations. A period of high inflation could result in increases in the Consumer Price Index in excess of our fixed annual escalations. Certain of our leases provide that annual rent is modified based on changes in the Consumer Price Index or other thresholds.
Most of our outpatient medical leases require the tenant to pay a share of property operating costs such as real estate taxes, insurance, and utilities. Substantially all of our lab leases require the tenant or operator to pay all of the property operating costs or reimburse us for all such costs.
Labor costs, costs of construction materials, interest, utilities, and other operating costs may increase during periods of inflation. Inflationary increases in expenses will generally be offset, in whole or in part, by the tenant expense reimbursements and contractual rent increases described above.
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Cash Flow Summary
The following summary discussion of our cash flows is based on the Consolidated Statements of Cash Flows and is not meant to be an all-inclusive discussion of the changes in our cash flows for the periods presented below.
The following table sets forth changes in cash flows (in thousands):
Year Ended December 31,
20232022Change
Net cash provided by (used in) operating activities$956,242 $900,261 $55,981 
Net cash provided by (used in) investing activities(576,754)(876,343)299,589 
Net cash provided by (used in) financing activities(337,299)(116,532)(220,767)
Operating Cash Flows
Our cash flows from operations are dependent upon the occupancy levels of our buildings, rental rates on leases, our tenants’ performance on their lease obligations, the level of operating expenses, and other factors. Our net cash provided by operating activities increased $56 million for the year ended December 31, 2023 compared to the year ended December 31, 2022 primarily as a result of: (i) developments and redevelopments placed in service during 2022 and 2023, (ii) annual rent increases, (iii) higher nonrefundable entrance fee collections, and (iv) new leasing and renewal activity. The increase in net cash provided by operating activities was partially offset by: (i) an increase in interest expense and (ii) an increase in property operating expenses.
Investing Cash Flows
Our cash flows from investing activities are generally used to fund acquisitions, developments, and redevelopments of real estate, net of proceeds received from sales of real estate, sales of DFLs, and repayments on loans receivable. Our net cash used in investing activities decreased $300 million for the year ended December 31, 2023 compared to the year ended December 31, 2022 primarily as a result of the following: (i) a reduction in acquisitions of real estate, (ii) a reduction in development and redevelopment of real estate, (iii) an increase in proceeds from the sales of real estate, (iv) an increase in proceeds from principal repayments on loans receivable and marketable debt securities, and (v) an increase in proceeds from insurance recoveries. The decrease in cash used in investing activities was partially offset by: (i) proceeds received in 2022 from the sale of a 30% interest in seven previously consolidated lab buildings in South San Francisco, California and (ii) higher investments in unconsolidated joint ventures related to the funding of redevelopment projects.
Financing Cash Flows
Our cash flows from financing activities are generally impacted by issuances of equity, borrowings and repayments under our bank line of credit and commercial paper program, senior unsecured notes, term loans, and mortgage debt, net of dividends paid to common shareholders. Our net cash used in financing activities increased $221 million for the year ended December 31, 2023 compared to the year ended December 31, 2022 primarily as a result of the following: (i) issuance of the the Term Loan Facilities in 2022, (ii) settlement of contracts under our ATM Program in 2022, (iii) higher net repayments under the commercial paper program, (iv) higher repayments of mortgage debt, and (v) increased distributions to noncontrolling interests. The increase in net cash used in financing activities was partially offset by: (i) proceeds received from the senior unsecured notes issuances in January 2023 and May 2023 and (ii) a reduction in repurchases of common stock.
Discontinued Operations
Operating, investing, and financing cash flows in our Consolidated Statements of Cash Flows are reported inclusive of both cash flows from continuing operations and cash flows from discontinued operations. Certain significant cash flows from discontinued operations are disclosed in Note 17 to the Consolidated Financial Statements.
Debt
In January 2023 and May 2023, we completed public offerings of $750 million aggregate principal amount of 5.25% senior unsecured notes due 2032.
In February 2023, the Revolving Facility was amended to change the interest rate benchmark from LIBOR to SOFR.
Also in February 2023, the agreements associated with $142 million of variable rate mortgage debt were amended to change the interest rate benchmarks from LIBOR to SOFR, effective March 2023. Concurrently, we modified the related interest rate swap instruments to reflect the change in the interest rate benchmarks from LIBOR to SOFR.
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We have secured commitments for the 2024 Term Loan, to be incurred as an incremental facility under our existing term loan agreement. In January 2024, we entered into forward-starting interest rate swap instruments that are designated as cash flow hedges that will effectively establish a fixed interest rate for the 2024 Term Loan at a blended contractual rate of 4.5%.
In addition to the 2024 Term Loan, we anticipate that our principal indebtedness will increase due to debt assumed in connection with the Mergers.
See Note 10 to the Consolidated Financial Statements for additional information about our outstanding debt.
Approximately 90% and 85% of our consolidated debt was fixed rate debt as of December 31, 2023 and 2022, respectively. At December 31, 2023, our fixed rate debt and variable rate debt had weighted average interest rates of 3.70% and 5.72%, respectively. At December 31, 2022, our fixed rate debt and variable rate debt had weighted average interest rates of 3.46% and 4.91%, respectively. As of December 31, 2023, we had $142 million of variable rate mortgage debt and the $500 million Term Loan Facilities swapped to fixed rates through interest rate swap instruments. These interest rate swap instruments are designated as cash flow hedges. For purposes of classification of the amounts above, variable rate debt with a derivative financial instrument designated as a cash flow hedge is reported as fixed rate debt due to us having effectively established a fixed interest rate for the underlying debt instrument. For a more detailed discussion of our interest rate risk, see “Item 7A, Quantitative and Qualitative Disclosures About Market Risk” below.
Supplemental Guarantor Information
Healthpeak OP has issued the senior unsecured notes described in Note 10 to the Consolidated Financial Statements. The obligations of Healthpeak OP to pay principal, premiums, if any, and interest on such senior unsecured notes are guaranteed on a full and unconditional basis by the Company.
Subsidiary issuers of obligations guaranteed by the parent are not required to provide separate financial statements, provided that the parent guarantee is “full and unconditional”, the subsidiary obligor is a consolidated subsidiary of the parent company, the guaranteed security is debt or debt-like, and consolidated financial statements of the parent company have been filed. Accordingly, separate consolidated financial statements of Healthpeak OP have not been presented.
As permitted under Rule 13-01 of Regulation S-X, we have excluded the summarized financial information for the operating subsidiary because the Company and Healthpeak OP have no material assets, liabilities, or operations other than debt financing activities and their investments in non-guarantor subsidiaries, and management believes such summarized financial information would be repetitive and would not provide incremental value to investors.
Equity
At December 31, 2023, we had 547 million shares of common stock outstanding, equity totaled $6.9 billion, and our equity securities had a market value of $11.0 billion.
The Merger Agreement
Pursuant to the terms and subject to the conditions set forth in the Merger Agreement, each outstanding share of Physicians Realty Trust will be converted into the right to receive 0.674 shares of our common stock when the Mergers are consummated. Based on the number of outstanding Physicians Realty Trust common shares as of January 8, 2024 (the record date for the special meetings of stockholders), we expect to issue approximately 163 million shares of our common stock when the Mergers are consummated.
At-The-Market Program
In February 2023, in connection with the Reorganization, we terminated our previous at-the-market equity offering program and established a new at-the-market equity offering program (the “ATM Program”) that allows for the sale of shares of common stock having an aggregate gross sales price of up to $1.5 billion. In addition to the issuance and sale of shares of our common stock, we may also enter into one or more forward sales agreements (each, an “ATM forward contract”) with sales agents for the sale of our shares of common stock under our ATM Program.
During the year ended December 31, 2023, we did not issue any shares of our common stock under any ATM program.
At December 31, 2023, $1.5 billion of our common stock remained available for sale under the ATM Program. Actual future sales of our common stock will depend upon a variety of factors, including but not limited to market conditions, the trading price of our common stock, and our capital needs. We have no obligation to sell any shares under our ATM Program.
See Note 12 to the Consolidated Financial Statements for additional information about our ATM Program.
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Noncontrolling Interests
Healthpeak OP. Immediately following the Reorganization, Healthpeak Properties, Inc. was the initial sole member and 100% owner of Healthpeak OP. Subsequent to the Reorganization, certain of our employees (“OP Unitholders”) were issued approximately 2 million noncontrolling, non-managing member units in Healthpeak OP (“OP Units”), all of which were LTIP Units (see Note 14 to the Consolidated Financial Statements). When certain conditions are met, the OP Unitholders have the right to require redemption of part or all of their OP Units for cash or shares of our common stock, at our option as managing member of Healthpeak OP. The per unit redemption amount is equal to either one share of our common stock or cash equal to the fair value of a share of common stock at the time of redemption. We classify the OP Units in permanent equity because we may elect, in our sole discretion, to issue shares of our common stock to OP Unitholders who choose to redeem their OP Units rather than using cash. None of the outstanding OP Units met the criteria for redemption as of December 31, 2023.
DownREITs. At December 31, 2023, non-managing members held an aggregate of approximately 5 million units in seven limited liability companies (“DownREITs”) for which we are the managing member. The DownREIT units are exchangeable for an amount of cash approximating the then-current market value of shares of our common stock or, at our option, shares of our common stock (subject to certain adjustments, such as stock splits and reclassifications). At December 31, 2023, the outstanding DownREIT units were convertible into approximately 7 million shares of our common stock.
Share Repurchase Program
On August 1, 2022, our Board of Directors approved the Share Repurchase Program under which we may acquire shares of our common stock in the open market up to an aggregate purchase price of $500 million. Purchases of common stock under the Share Repurchase Program may be exercised at our discretion with the timing and number of shares repurchased depending on a variety of factors, including price, corporate and regulatory requirements, and other corporate liquidity requirements and priorities. The Share Repurchase Program expires in August 2024 and may be suspended or terminated at any time without prior notice. During the year ended December 31, 2022, we repurchased 2.1 million shares of our common stock at a weighted average price of $27.16 per share for a total of $56 million. During the year ended December 31, 2023, there were no repurchases under the Share Repurchase Program. Therefore, at December 31, 2023, $444 million of our common stock remained available for repurchase under the Share Repurchase Program.
Shelf Registration
In February 2024, the Company and Healthpeak OP jointly filed a prospectus with the SEC as part of a registration statement on Form S-3, using an automatic shelf registration process. This shelf registration statement expires on February 8, 2027 and at or prior to such time, we expect to file a new shelf registration statement. Under the “shelf” process, we may sell any combination of the securities described in the prospectus through one or more offerings. The securities described in the prospectus include future offerings of (i) the Company’s common stock, preferred stock, depositary shares, warrants, debt securities, and guarantees by the Company of debt securities issued by Healthpeak OP and/or by the Company’s existing and future subsidiaries, and (ii) Healthpeak OP’s debt securities and guarantees by Healthpeak OP of debt securities issued by the Company and/or by Healthpeak OP’s existing and future subsidiaries.
65

Non-GAAP Financial Measures Reconciliations
The following is a reconciliation from net income (loss) applicable to common shares, the most directly comparable financial measure calculated and presented in accordance with GAAP, to Nareit FFO, FFO as Adjusted, and AFFO (in thousands):
Year Ended December 31,
202320222021
Net income (loss) applicable to common shares$304,284 $497,792 $502,271 
Real estate related depreciation and amortization749,901 710,569 684,286 
Healthpeak’s share of real estate related depreciation and amortization from unconsolidated joint ventures 24,800 27,691 17,085 
Noncontrolling interests’ share of real estate related depreciation and amortization(18,654)(19,201)(19,367)
Loss (gain) on sales of depreciable real estate, net(1)
(86,463)(10,422)(605,311)
Healthpeak’s share of loss (gain) on sales of depreciable real estate, net, from unconsolidated joint ventures— 134 (6,737)
Noncontrolling interests’ share of gain (loss) on sales of depreciable real estate, net11,546 12 5,555 
Loss (gain) upon change of control, net(2)
(234)(311,438)(1,042)
Taxes associated with real estate dispositions— 29 2,666 
Impairments (recoveries) of depreciable real estate, net— — 25,320 
Nareit FFO applicable to common shares985,180 895,166 604,726 
Distributions on dilutive convertible units and other9,394 9,407 6,162 
Diluted Nareit FFO applicable to common shares$994,574 $904,573 $610,888 
Impact of adjustments to Nareit FFO:
Transaction and merger-related items(3)
$13,835 $4,788 $7,044 
Other impairments (recoveries) and other losses (gains), net(4)
(3,850)3,829 24,238 
Restructuring and severance-related charges(5)
1,368 32,749 3,610 
Loss (gain) on debt extinguishments— — 225,824 
Casualty-related charges (recoveries), net(6)
(4,033)4,401 5,203 
Recognition (reversal) of valuation allowance on deferred tax assets(7)
(14,194)— — 
Total adjustments$(6,874)$45,767 $265,919 
FFO as Adjusted applicable to common shares$978,306 $940,933 $870,645 
Distributions on dilutive convertible units and other9,402 9,326 8,577 
Diluted FFO as Adjusted applicable to common shares$987,708 $950,259 $879,222 
FFO as Adjusted applicable to common shares$978,306 $940,933 $870,645 
Stock-based compensation amortization expense14,480 16,537 18,202 
Amortization of deferred financing costs11,916 10,881 9,216 
Straight-line rents(8)
(14,387)(49,183)(31,188)
AFFO capital expenditures(113,596)(108,510)(111,480)
Deferred income taxes(816)(4,096)(8,015)
Amortization of above (below) market lease intangibles, net(25,791)(23,380)(17,978)
Other AFFO adjustments(9,335)520 (1,532)
AFFO applicable to common shares840,777 783,702 727,870 
Distributions on dilutive convertible units and other6,581 6,594 6,164 
Diluted AFFO applicable to common shares$847,358 $790,296 $734,034 
Refer to footnotes on the next page.
66

________________________________
(1)This amount can be reconciled by combining the balances from the corresponding line of the Consolidated Statements of Operations and the detailed financial information for discontinued operations in Note 4 to the Consolidated Financial Statements.
(2)The year ended December 31, 2022 includes a gain upon change of control related to the sale of a 30% interest to a sovereign wealth fund and deconsolidation of seven previously consolidated lab buildings in South San Francisco, California. The gain upon change of control is included in other income (expense), net in the Consolidated Statements of Operations.
(3)The year ended December 31, 2023 includes costs related to the Mergers, which are primarily comprised of legal, accounting, tax, and other costs that were incurred prior to year-end, partially offset by termination fee income associated with Graphite Bio, Inc., for which the lease terms have been modified to accelerate expiration of the lease to December 2024. Termination fee income is included in rental and related revenues on the Consolidated Statements of Operations.
(4)The year ended December 31, 2022 includes the following: (i) $7 million of charges incurred in connection with the downsizing of our corporate headquarters in Denver, Colorado, which are included in general and administrative expenses in the Consolidated Statements of Operations, (ii) $14 million of expenses incurred for tenant relocation and other costs associated with the demolition of an outpatient medical building, which are included in other income (expense), net in the Consolidated Statements of Operations, and (iii) a $23 million gain on sale of a hospital under a DFL, which is included in other income (expense), net in the Consolidated Statements of Operations. The year ended December 31, 2021 includes the following: (i) a $29 million goodwill impairment charge in connection with our senior housing triple-net and SHOP asset sales, which is reported in income (loss) from discontinued operations in the Consolidated Statements of Operations and (ii) $6 million of accelerated recognition of a mark-to-market discount, less loan fees, resulting from prepayments on loans receivable, which is included in interest income in the Consolidated Statements of Operations. The years ended December 31, 2023, 2022, and 2021 include reserves and (recoveries) for expected loan losses recognized in impairments and loan loss reserves (recoveries), net in the Consolidated Statements of Operations.
(5)The year ended December 31, 2022 includes $32 million of severance-related charges associated with the departures of our former Chief Executive Officer and former Chief Legal Officer and General Counsel in the fourth quarter of 2022. These expenses are included in general and administrative expenses in the Consolidated Statements of Operations.
(6)Casualty-related charges (recoveries), net are recognized in other income (expense), net and equity income (loss) from unconsolidated joint ventures in the Consolidated Statements of Operations.
(7)In conjunction with classifying the assets related to the Callan Ridge JV (see Note 8 to the Consolidated Financial Statements) as held for sale as of December 31, 2023, we concluded it was more likely than not that we would realize the future value of certain deferred tax assets generated by the net operating losses of taxable REIT subsidiaries. Accordingly, during the year ended December 31, 2023, we recognized the reversal of a portion of the associated valuation allowance and recognized a corresponding income tax benefit. See Note 16 to the Consolidated Financial Statements for additional information.
(8)The year ended December 31, 2023 includes a $9 million write-off of straight-line rent receivable associated with Sorrento Therapeutics, Inc., which commenced voluntary reorganization proceedings under Chapter 11 of the U.S. Bankruptcy Code. This activity is reflected as a reduction of rental and related revenues in the Consolidated Statements of Operations.
Critical Accounting Estimates
The preparation of financial statements in conformity with U.S. GAAP requires our management to use judgment in the application of critical accounting estimates and assumptions. We base estimates on the best information available to us at the time, our experience and on various other assumptions believed to be reasonable under the circumstances. These estimates could affect our financial position or results of operations. If our judgment or interpretation of the facts and circumstances relating to various transactions or other matters had been different, it is possible that different accounting would have been applied, resulting in a different presentation of our consolidated financial statements. From time to time, we re-evaluate our estimates and assumptions. In the event estimates or assumptions prove to be different from actual results, adjustments are made in subsequent periods to reflect more current estimates and assumptions about matters that are inherently uncertain. Below is a discussion of accounting estimates that we consider critical in that they may require complex judgment in their application or require estimates about matters that are inherently uncertain. For a more detailed discussion of our significant accounting policies, including those related to critical accounting estimates further discussed below, see Note 2 to the Consolidated Financial Statements.
Impairment of Long-Lived Assets
We assess the carrying value of our real estate assets and related intangibles (“real estate assets”) when events or changes in circumstances indicate that the carrying value may not be recoverable. Recoverability of real estate assets is measured by comparing the carrying amount of the real estate assets to the respective estimated future undiscounted cash flows. The expected future undiscounted cash flows reflect external market factors, and based on the specific facts and circumstances, may be probability-weighted to reflect multiple possible cash-flow scenarios, including selling the assets at various points in the future. Additionally, the estimated future undiscounted cash flows are calculated utilizing the lowest level of identifiable cash flows that are largely independent of the cash flows of other assets and liabilities. In order to review our real estate assets for recoverability, we make assumptions regarding external market conditions (including capitalization rates and growth rates), forecasted cash flows and sales prices, and our intent with respect to holding or disposing of the asset. If our analysis indicates that the carrying value of the real estate assets is not recoverable on an undiscounted cash flow basis, we recognize an impairment charge for the amount by which the carrying value exceeds the fair value of the real estate assets.
67

Determining the fair value of real estate assets, including assets classified as held for sale, involves significant judgment and generally utilizes market capitalization rates, comparable market transactions, estimated per unit or per square foot prices, negotiations with prospective buyers, and forecasted cash flows (primarily lease revenue rates, expense rates, and growth rates). Our ability to accurately predict future operating results and resulting cash flows, and estimate fair values, impacts the timing and recognition of impairments. While we believe our assumptions are reasonable, changes in these assumptions may have a material impact on our consolidated financial statements.
Recent Accounting Pronouncements
See Note 2 to the Consolidated Financial Statements for the impact of new accounting standards.
ITEM 7A.    Quantitative and Qualitative Disclosures About Market Risk
We are exposed to various market risks, primarily from the potential loss arising from adverse changes in interest rates. We use derivative and other financial instruments in the normal course of business to mitigate interest rate risk. We do not use derivative financial instruments for speculative or trading purposes. Derivatives are recorded on the Consolidated Balance Sheets at fair value (see Note 21 to the Consolidated Financial Statements).
To illustrate the effect of movements in the interest rate markets, we performed a market sensitivity analysis on our hedging instruments. We applied various basis point spreads to the underlying interest rate curves of our derivative portfolio in order to determine the change in fair value. At December 31, 2023, a one percentage point increase or decrease in the underlying interest rate curve would result in a corresponding increase or decrease in the fair value of the derivative instruments by up to $18 million.
Interest Rate Risk
At December 31, 2023, our exposure to interest rate risk was primarily on our variable rate debt. At December 31, 2023, $142 million of our variable rate mortgage debt and our $500 million Term Loan Facilities were swapped to fixed rates through interest rate swap instruments. The interest rate swap instruments are designated as cash flow hedges, with the objective of managing the exposure to interest rate risk by converting the interest rates on our variable rate debt to fixed interest rates. At December 31, 2023, both the fair value and carrying value of the interest rate swap instruments were $21 million.
Our remaining variable rate debt at December 31, 2023 was comprised of borrowings under our commercial paper program and certain of our mortgage debt. Interest rate fluctuations will generally not affect our future earnings or cash flows on our fixed rate debt and assets until their maturity or earlier prepayment and refinancing. If interest rates have risen at the time we seek to refinance our fixed rate debt, whether at maturity or otherwise, our future earnings and cash flows could be adversely affected by additional borrowing costs. Conversely, lower interest rates at the time of refinancing may reduce our overall borrowing costs. Interest rate changes will affect the fair value of our fixed rate instruments. At December 31, 2023, a one percentage point increase in interest rates would decrease the fair value of our fixed rate debt by approximately $255 million and a one percentage point decrease in interest rates would increase the fair value of our fixed rate debt by approximately $272 million. These changes would not materially impact earnings or cash flows. Conversely, changes in interest rates on variable rate debt would change our future earnings and cash flows, but not materially impact the fair value of those instruments. Assuming a one percentage point increase in the interest rates related to our variable rate debt, and assuming no other changes in the outstanding balance at December 31, 2023, our annual interest expense would increase by approximately $7 million. Lastly, assuming a one percentage point decrease in the interest rates related to our variable rate loans receivable, and assuming no other changes in the outstanding balance at December 31, 2023, our annual interest income would decrease by approximately $2 million.
68

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

69

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
To the stockholders and the Board of Directors of Healthpeak Properties, Inc.
Opinion on the Financial Statements
We have audited the accompanying Consolidated Balance Sheets of Healthpeak Properties, Inc. and subsidiaries (the “Company”) as of December 31, 2023 and 2022, the related Consolidated Statements of Operations, Comprehensive Income (Loss), Equity and Redeemable Noncontrolling Interests, and Cash Flows, for each of the three years in the period ended December 31, 2023, and the related Notes and the schedules listed in the Index at Item 15 (collectively referred to as the “financial statements”). In our opinion, the financial statements present fairly, in all material respects, the financial position of the Company as of December 31, 2023 and 2022, and the results of its operations and its cash flows for each of the three years in the period ended December 31, 2023, in conformity with accounting principles generally accepted in the United States of America.
We have also audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (PCAOB), the Company’s internal control over financial reporting as of December 31, 2023, based on criteria established in Internal Control — Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission and our report dated February 9, 2024, expressed an unqualified opinion on the Company’s internal control over financial reporting.
Basis for Opinion
These financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on the Company’s financial statements based on our audits. We are a public accounting firm registered with the PCAOB and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement, whether due to error or fraud. Our audits included performing procedures to assess the risks of material misstatement of the financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements. Our audits also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the financial statements. We believe that our audits provide a reasonable basis for our opinion.
Critical Audit Matter
The critical audit matter communicated below is a matter arising from the current-period audit of the financial statements that was communicated or required to be communicated to the audit committee and that (1) relates to accounts or disclosures that are material to the financial statements and (2) involved our especially challenging, subjective, or complex judgments. The communication of critical audit matters does not alter in any way our opinion on the financial statements, taken as a whole, and we are not, by communicating the critical audit matter below, providing a separate opinion on the critical audit matter or on the accounts or disclosures to which it relates.
Impairments — Real Estate — Refer to Notes 2 and 5 to the financial statements
Critical Audit Matter Description
The Company’s evaluation of impairment of real estate involves an assessment of the carrying value of real estate assets and related intangibles (“real estate assets”) when events or changes in circumstances indicate that the carrying value may not be recoverable.
Auditing the Company’s process to evaluate real estate assets for impairment was complex due to the subjectivity in determining whether impairment indicators were present. Additionally, for real estate assets where indicators of impairment were determined to be present, the determination of the future undiscounted cash flows involved significant judgment. In particular, the undiscounted cash flows were forecasted based on significant assumptions such as lease-up periods, lease revenue rates, operating expenses, and revenue and expense growth rates, and included judgments around the intended hold period and terminal capitalization rates.
Given the Company’s evaluation of impairment indicators, forecasted cash flows and sales prices of a long-lived asset requires management to make significant estimates and assumptions related to market capitalization rates, market prices per unit, and/or forecasted cash flows, performing audit procedures required a high degree of auditor judgment and an increased extent of effort.
70

How the Critical Audit Matter Was Addressed in the Audit
Our audit procedures related to real estate asset impairment included the following, among others:
We tested the effectiveness of controls over impairment of real estate assets, including those over identifying impairment indicators and the determination of forecasted undiscounted cash flows and sales prices for real estate assets.
We performed an independent search for impairment indicators through the evaluation of several factors including an analysis of industry and market data, a comparison of real estate asset implied capitalization rates to market capitalization rates, and trends in financial performance.
For real estate assets where indicators of impairment were determined to be present, we subjected a sample of undiscounted cash flow models to testing by (1) evaluating the source information used by management, (2) testing the mathematical accuracy of the undiscounted cash flow models, (3) evaluating management’s intended hold period, and (4) performing an independent recoverability test based on market data.
/s/ DELOITTE & TOUCHE LLP
Costa Mesa, California
February 9, 2024
We have served as the Company’s auditor since 2010.

71

Healthpeak Properties, Inc.
CONSOLIDATED BALANCE SHEETS
(In thousands, except share and per share data)
December 31,
20232022
ASSETS
Real estate:
Buildings and improvements$13,329,464 $12,784,078 
Development costs and construction in progress643,217 760,355 
Land and improvements2,647,633 2,667,188 
Accumulated depreciation and amortization(3,591,951)(3,188,138)
Net real estate13,028,363 13,023,483 
Loans receivable, net of reserves of $2,830 and $8,280
218,450 374,832 
Investments in and advances to unconsolidated joint ventures782,853 706,677 
Accounts receivable, net of allowance of $2,282 and $2,399
55,820 53,436 
Cash and cash equivalents117,635 72,032 
Restricted cash51,388 54,802 
Intangible assets, net314,156 418,061 
Assets held for sale, net117,986 49,866 
Right-of-use asset, net240,155 237,318 
Other assets, net772,044 780,722 
Total assets$15,698,850 $15,771,229 
LIABILITIES AND EQUITY
Bank line of credit and commercial paper$720,000 $995,606 
Term loans496,824 495,957 
Senior unsecured notes5,403,378 4,659,451 
Mortgage debt256,097 346,599 
Intangible liabilities, net127,380 156,193 
Liabilities related to assets held for sale, net729 4,070 
Lease liability206,743 208,515 
Accounts payable, accrued liabilities, and other liabilities657,196 772,485 
Deferred revenue905,633 844,076 
Total liabilities8,773,980 8,482,952 
Commitments and contingencies (Note 11)
Redeemable noncontrolling interests48,828 105,679 
Common stock, $1.00 par value: 750,000,000 shares authorized; 547,156,311 and 546,641,973 shares issued and outstanding
547,156 546,642 
Additional paid-in capital10,405,780 10,349,614 
Cumulative dividends in excess of earnings(4,621,861)(4,269,689)
Accumulated other comprehensive income (loss)19,371 28,134 
Total stockholders’ equity6,350,446 6,654,701 
Joint venture partners310,998 327,721 
Non-managing member unitholders214,598 200,176 
Total noncontrolling interests525,596 527,897 
Total equity6,876,042 7,182,598 
Total liabilities and equity$15,698,850 $15,771,229 

See accompanying Notes to the Consolidated Financial Statements.
72

Healthpeak Properties, Inc.
CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands, except per share data)
Year Ended December 31,
202320222021
Revenues:
Rental and related revenues$1,631,805 $1,541,775 $1,378,384 
Resident fees and services527,417 494,935 471,325 
Interest income21,781 23,300 37,773 
Income from direct financing leases 1,168 8,702 
Total revenues2,181,003 2,061,178 1,896,184 
Costs and expenses:
Interest expense200,331 172,944 157,980 
Depreciation and amortization749,901 710,569 684,286 
Operating902,060 862,991 773,279 
General and administrative95,132 131,033 98,303 
Transaction and merger-related costs17,515 4,853 1,841 
Impairments and loan loss reserves (recoveries), net(5,601)7,004 23,160 
Total costs and expenses1,959,338 1,889,394 1,738,849 
Other income (expense):   
Gain (loss) on sales of real estate, net86,463 9,078 190,590 
Gain (loss) on debt extinguishments  (225,824)
Other income (expense), net6,808 326,268 6,266 
Total other income (expense), net93,271 335,346 (28,968)
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures314,936 507,130 128,367 
Income tax benefit (expense)9,617 4,425 3,261 
Equity income (loss) from unconsolidated joint ventures10,204 1,985 6,100 
Income (loss) from continuing operations334,757 513,540 137,728 
Income (loss) from discontinued operations 2,884 388,202 
Net income (loss)334,757 516,424 525,930 
Noncontrolling interests’ share in continuing operations(28,748)(15,975)(17,851)
Noncontrolling interests’ share in discontinued operations  (2,539)
Net income (loss) attributable to Healthpeak Properties, Inc.306,009 500,449 505,540 
Participating securities’ share in earnings(1,725)(2,657)(3,269)
Net income (loss) applicable to common shares$304,284 $497,792 $502,271 
Basic earnings (loss) per common share:
Continuing operations$0.56 $0.92 $0.22 
Discontinued operations 0.00 0.71 
Net income (loss) applicable to common shares$0.56 $0.92 $0.93 
Diluted earnings (loss) per common share:
Continuing operations$0.56 $0.92 $0.22 
Discontinued operations 0.00 0.71 
Net income (loss) applicable to common shares$0.56 $0.92 $0.93 
Weighted average shares outstanding:
Basic547,006 538,809 538,930 
Diluted547,275 539,147 539,241 
See accompanying Notes to the Consolidated Financial Statements.
73

Healthpeak Properties, Inc.
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
(In thousands)
Year Ended December 31,
202320222021
Net income (loss)$334,757 $516,424 $525,930 
Other comprehensive income (loss):
Net unrealized gains (losses) on derivatives(8,900)30,145 332 
Change in Supplemental Executive Retirement Plan obligation and other137 1,136 457 
Reclassification adjustment realized in net income (loss)  (251)
Total other comprehensive income (loss)(8,763)31,281 538 
Total comprehensive income (loss)325,994 547,705 526,468 
Total comprehensive (income) loss attributable to noncontrolling interests’ share in continuing operations(28,748)(15,975)(17,851)
Total comprehensive (income) loss attributable to noncontrolling interests’ share in discontinued operations  (2,539)
Total comprehensive income (loss) attributable to Healthpeak Properties, Inc.$297,246 $531,730 $506,078 
See accompanying Notes to the Consolidated Financial Statements.
74

Healthpeak Properties, Inc.
CONSOLIDATED STATEMENTS OF EQUITY AND REDEEMABLE NONCONTROLLING INTERESTS
(In thousands, except per share data)

Common Stock
SharesAmountAdditional
Paid-In
Capital
Cumulative Dividends In Excess
Of Earnings
Accumulated Other
Comprehensive
Income (Loss)
Total
Stockholders’
Equity
Total Noncontrolling
Interests
Total
Equity
Redeemable Noncontrolling Interests
December 31, 2020538,405 $538,405 $10,175,235 $(3,976,232)$(3,685)$6,733,723 $556,227 $7,289,950 $57,396 
Net income (loss)— — — 505,540 — 505,540 20,346 525,886 44 
Other comprehensive income (loss)— — — — 538 538 — 538 — 
Issuance of common stock, net1,005 1,005 740 — — 1,745 — 1,745 — 
Conversion of DownREIT units to common stock8 8 193 — — 201 (201) — 
Repurchase of common stock(418)(418)(12,423)— — (12,841)— (12,841)— 
Exercise of stock options97 97 3,194 — — 3,291 — 3,291 — 
Stock-based compensation— — 22,851 — — 22,851 — 22,851 — 
Common dividends ($1.20 per share)
— — — (650,082)— (650,082)— (650,082)— 
Distributions to noncontrolling interests— — — — — — (33,017)(33,017)(162)
Purchase of noncontrolling interests— — (5)— — (5)(65)(70)(60,065)
Contributions from noncontrolling interests— — — — — — — — 640 
Adjustments to redemption value of redeemable noncontrolling interests— — (89,491)— — (89,491)— (89,491)89,491 
December 31, 2021539,097 $539,097 $10,100,294 $(4,120,774)$(3,147)$6,515,470 $543,290 $7,058,760 $87,344 
Net income (loss)— — — 500,449 — 500,449 15,876 516,325 99 
Other comprehensive income (loss)— — — — 31,281 31,281 — 31,281 — 
Issuance of common stock, net9,936 9,936 299,481 — — 309,417 — 309,417 — 
Conversion of DownREIT units to common stock27 27 853 — — 880 (880) — 
Repurchase of common stock(2,418)(2,418)(65,420)— — (67,838)— (67,838)— 
Stock-based compensation— — 31,412 — — 31,412 — 31,412 — 
Common dividends ($1.20 per share)
— — — (649,364)— (649,364)— (649,364)— 
Distributions to noncontrolling interests— — — — — — (30,389)(30,389)(160)
Contributions from noncontrolling interests— — — — — — — — 1,390 
Adjustments to redemption value of redeemable noncontrolling interests— — (17,006)— — (17,006)— (17,006)17,006 
December 31, 2022546,642 $546,642 $10,349,614 $(4,269,689)$28,134 $6,654,701 $527,897 $7,182,598 $105,679 
75

Healthpeak Properties, Inc.
CONSOLIDATED STATEMENTS OF EQUITY AND REDEEMABLE NONCONTROLLING INTERESTS (CONTINUED)
(In thousands, except per share data)


Common Stock
SharesAmountAdditional
Paid-In
Capital
Cumulative Dividends In Excess
Of Earnings
Accumulated Other
Comprehensive
Income (Loss)
Total
Stockholders’
Equity
Total Noncontrolling
Interests
Total
Equity
Redeemable Noncontrolling Interests
December 31, 2022546,642 $546,642 $10,349,614 $(4,269,689)$28,134 $6,654,701 $527,897 $7,182,598 $105,679 
Net income (loss)— — — 306,009 — 306,009 28,111 334,120 637 
Other comprehensive income (loss)— — — — (8,763)(8,763)— (8,763)— 
Issuance of common stock, net683 683 755 — — 1,438 — 1,438 — 
Conversion of DownREIT units to common stock72 72 1,200 — — 1,272 (1,272) — 
Repurchase of common stock(241)(241)(6,283)— — (6,524)— (6,524)— 
Stock-based compensation— — 2,966 — — 2,966 15,693 18,659 — 
Common dividends ($1.20 per share)
— — — (658,181)— (658,181)— (658,181)— 
Distributions to noncontrolling interests— — — — — — (44,848)(44,848)(276)
Purchase of noncontrolling interests— — — — — — (158)(158) 
Contributions from noncontrolling interests— — — — — — 173 173 316 
Adjustments to redemption value of redeemable noncontrolling interests— — 57,528 — — 57,528 — 57,528 (57,528)
December 31, 2023547,156 $547,156 $10,405,780 $(4,621,861)$19,371 $6,350,446 $525,596 $6,876,042 $48,828 
See accompanying Notes to the Consolidated Financial Statements.
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Healthpeak Properties, Inc.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)
Year Ended December 31,
202320222021
Cash flows from operating activities:
Net income (loss)$334,757 $516,424 $525,930 
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Depreciation and amortization of real estate, in-place lease, and other intangibles749,901 710,569 684,286 
Stock-based compensation amortization expense14,480 26,456 18,202 
Amortization of deferred financing costs11,916 10,881 9,216 
Straight-line rents(14,387)(49,183)(31,188)
Amortization of nonrefundable entrance fees and above (below) market lease intangibles(108,988)(102,747)(94,362)
Equity loss (income) from unconsolidated joint ventures(10,204)(2,049)(11,235)
Distributions of earnings from unconsolidated joint ventures910 943 4,976 
Loss (gain) on sale of real estate under direct financing leases (22,693) 
Deferred income tax expense (benefit)(14,605)(6,001)(5,792)
Impairments and loan loss reserves (recoveries), net(5,601)7,004 55,896 
Loss (gain) on debt extinguishments  225,824 
Loss (gain) on sales of real estate, net(86,463)(10,422)(605,311)
Loss (gain) upon change of control, net(234)(311,438)(1,042)
Casualty-related loss (recoveries), net(3,085)7,168 1,632 
Other non-cash items4,900 6,489 (8,178)
Changes in:
Decrease (increase) in accounts receivable and other assets, net(21,566)(17,433)18,626 
Increase (decrease) in accounts payable, accrued liabilities, and deferred revenue104,511 136,293 7,768 
Net cash provided by (used in) operating activities956,242 900,261 795,248 
Cash flows from investing activities:
Acquisitions of real estate(15,847)(178,133)(1,483,026)
Development, redevelopment, and other major improvements of real estate(731,206)(861,636)(610,555)
Leasing costs, tenant improvements, and recurring capital expenditures(113,596)(108,510)(111,480)
Proceeds from sales of real estate, net141,651 47,885 2,399,120 
Proceeds from the South San Francisco JVs transaction, net 125,985  
Investments in unconsolidated joint ventures(88,391)(21,143)(25,260)
Distributions in excess of earnings from unconsolidated joint ventures20,640 12,518 37,640 
Proceeds from insurance recovery24,980 1,450  
Proceeds from sales/principal repayments on loans receivable, direct financing leases, and marketable debt securities204,865 115,988 342,420 
Investments in loans receivable and other(19,850)(10,747)(17,827)
Net cash provided by (used in) investing activities(576,754)(876,343)531,032 
Cash flows from financing activities:
Borrowings under bank line of credit and commercial paper10,344,705 15,882,153 16,821,450 
Repayments under bank line of credit and commercial paper(10,620,311)(16,052,522)(15,785,065)
Issuances and borrowings of term loans, senior unsecured notes, and mortgage debt743,778 500,000 1,088,537 
Repayments and repurchases of term loans, senior unsecured notes, and mortgage debt(90,089)(5,048)(2,425,936)
Payments for debt extinguishment and deferred financing costs(7,322)(4,171)(236,942)
Issuance of common stock and exercise of options, net of offering costs278 308,100 5,036 
Repurchase of common stock(6,524)(67,838)(12,841)
Dividends paid on common stock(657,021)(648,047)(650,082)
Distributions to and purchase of noncontrolling interests(45,282)(30,549)(93,314)
Contributions from and issuance of noncontrolling interests489 1,390 640 
Net cash provided by (used in) financing activities(337,299)(116,532)(1,288,517)
Net increase (decrease) in cash, cash equivalents, and restricted cash42,189 (92,614)37,763 
Cash, cash equivalents, and restricted cash, beginning of year126,834 219,448 181,685 
Cash, cash equivalents, and restricted cash, end of year$169,023 $126,834 $219,448 
See accompanying Notes to the Consolidated Financial Statements.
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Healthpeak Properties, Inc.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
NOTE 1.    Business
Overview
Healthpeak Properties, Inc., a Standard & Poor’s 500 company, is a Maryland corporation that is organized to qualify as a real estate investment trust (“REIT”) that, together with its consolidated entities (collectively, “Healthpeak” or the “Company”), invests primarily in real estate serving the healthcare industry in the United States (“U.S.”). Healthpeak® acquires, develops, owns, leases, and manages healthcare real estate. The Company’s diverse portfolio is comprised of investments in the following reportable healthcare segments: (i) lab; (ii) outpatient medical; and (iii) continuing care retirement community (“CCRC”).
The Company’s corporate headquarters are in Denver, Colorado, and it has additional offices in California, Tennessee, and Massachusetts.
UPREIT Reorganization
On February 10, 2023, the Company completed its corporate reorganization (the “Reorganization”) into an umbrella partnership REIT (“UPREIT”). Substantially all of the Company’s business is conducted through Healthpeak OP, LLC (“Healthpeak OP”). The Company is the managing member of Healthpeak OP and does not have material assets or liabilities, other than through its investment in Healthpeak OP. For additional information on the UPREIT reorganization, see the Company’s Current Report on Form 8-K12B filed with the U.S. Securities and Exchange Commission (“SEC”) on February 10, 2023.
The Merger Agreement
On October 29, 2023, the Company entered into an Agreement and Plan of Merger (the “Merger Agreement”) with Physicians Realty Trust, Physicians Realty L.P. (the “Physicians Partnership”), and certain of the Company’s subsidiaries, pursuant to which, among other things, and through a series of transactions (the “Mergers”), (i) each outstanding common share of Physicians Realty Trust (other than Physicians Realty Trust common shares to be canceled in accordance with the Merger Agreement) will be converted into the right to receive 0.674 (the “Exchange Ratio”) shares of Company common stock, and (ii) each outstanding common unit of the Physicians Partnership will be converted into common units in the successor entity to the Physicians Partnership equal to the Exchange Ratio. Following the transactions contemplated in the Merger Agreement, the successor entities to Physicians Realty Trust and the Physicians Partnership will be subsidiaries of Healthpeak OP.
The Merger Agreement contains customary representations, warranties, and covenants, as well as certain termination rights for the Company and Physicians Realty Trust, in each case, as more fully described in the Merger Agreement.
During the year ended December 31, 2023, the Company incurred approximately $11 million of merger-related costs, which primarily related to advisory, legal, accounting, and other costs. These merger-related costs are included in transaction and merger-related costs on the Consolidated Statements of Operations.
In addition, the Company has engaged service providers, including investment banks and advisors, to help the Company negotiate the terms of the transactions contemplated by the Merger Agreement and to advise the Company on other merger-related matters. In connection with these services, the Company expects to be required to pay success-based fees to the extent that certain conditions, including the closing of the transactions contemplated by the Merger Agreement, are met. As of December 31, 2023, the Company expects to incur approximately $22 million of such success fees. As closing of the transactions contemplated by the Merger Agreement has not occurred, no such amounts have been paid or accrued through December 31, 2023.
In connection with the Mergers, the Company filed a Registration Statement on Form S-4 with the SEC on December 15, 2023 (the “Initial Filing”), as amended on January 9, 2024, and a definitive joint proxy statement/prospectus for the Company and Physicians Realty Trust on January 11, 2024 in connection with their respective special meetings of stockholders and shareholders, as applicable, which will be held on February 21, 2024. Consummation of the Mergers are subject to the satisfaction or waiver of customary closing conditions, including the approval of the Company’s stockholders and the shareholders of Physicians Realty Trust. The parties expect the Mergers to close on March 1, 2024. If the Mergers are not consummated by July 31, 2024 (unless extended under certain circumstances), either the Company or Physicians Realty Trust may terminate the Merger Agreement.
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NOTE 2.    Summary of Significant Accounting Policies
Use of Estimates
Management is required to make estimates and assumptions in the preparation of financial statements in conformity with U.S. generally accepted accounting principles (“GAAP”). These estimates and assumptions affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from management’s estimates.
Basis of Presentation
The consolidated financial statements include the accounts of Healthpeak Properties, Inc., its wholly-owned subsidiaries, joint ventures (“JVs”), and variable interest entities (“VIEs”) that it controls through voting rights or other means. Intercompany transactions and balances have been eliminated upon consolidation.
The Company is required to continually evaluate its VIE relationships and consolidate these entities when it is determined to be the primary beneficiary of their operations. A VIE is broadly defined as an entity where either: (i) the equity investment at risk is insufficient to finance that entity’s activities without additional subordinated financial support, (ii) substantially all of an entity’s activities either involve or are conducted on behalf of an investor that has disproportionately few voting rights, or (iii) the equity investors as a group lack any of the following: (a) the power through voting or similar rights to direct the activities of an entity that most significantly impact the entity’s economic performance, (b) the obligation to absorb the expected losses of an entity, or (c) the right to receive the expected residual returns of an entity. Criterion (iii) above is generally applied to limited partnerships and similarly structured entities by assessing whether a simple majority of the limited partners hold substantive rights to participate in the significant decisions of the entity or have the ability to remove the decision maker or liquidate the entity without cause. If neither of those criteria are met, the entity is a VIE.
The designation of an entity as a VIE is reassessed upon certain events, including, but not limited to: (i) a change to the contractual arrangements of the entity or in the ability of a party to exercise its participation or kick-out rights, (ii) a change to the capitalization structure of the entity, or (iii) acquisitions or sales of interests that constitute a change in control.
A variable interest holder is considered to be the primary beneficiary of a VIE if it has the power to direct the activities of a VIE that most significantly impact the entity’s economic performance and has the obligation to absorb losses of, or the right to receive benefits from, the entity that could potentially be significant to the VIE. The Company qualitatively assesses whether it is (or is not) the primary beneficiary of a VIE. Consideration of various factors include, but is not limited to, which activities most significantly impact the entity’s economic performance and the ability to direct those activities, its form of ownership interest, its representation on the VIE’s governing body, the size and seniority of its investment, its ability and the rights of other investors to participate in policy making decisions, its ability to manage its ownership interest relative to the other interest holders, and its ability to replace the VIE manager and/or liquidate the entity.
For its investments in joint ventures that are not considered to be VIEs, the Company evaluates the type of ownership rights held by the limited partner(s) that may preclude consolidation by the majority interest holder. The assessment of limited partners’ rights and their impact on the control of a joint venture should be made at inception of the joint venture and continually reassessed.
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Revenue Recognition
Lease Classification
The Company classifies a lease as an operating lease if none of the following criteria are met: (i) transfer of ownership to the lessee by the end of the lease term, (ii) lessee has a purchase option during or at the end of the lease term that it is reasonably certain to exercise, (iii) the lease term is for the major part of the remaining economic life of the underlying asset, (iv) the present value of future minimum lease payments is equal to substantially all of the fair value of the underlying asset, or (v) the underlying asset is of such a specialized nature that it is expected to have no alternative use to the Company at the end of the lease term.
Rental and Related Revenues
The Company recognizes rental revenue from its lab and outpatient medical buildings in accordance with Accounting Standards Codification (“ASC”) 842, Leases (“ASC 842”). The Company commences recognition of rental revenue for operating lease arrangements when the tenant has taken possession or controls the physical use of a leased asset. The tenant is not considered to have taken physical possession or have control of the leased asset until the Company-owned tenant improvements are substantially complete. If a lease arrangement provides for tenant improvements, the Company determines whether the tenant improvements are owned by the tenant or the Company. When the Company is the owner of the tenant improvements, any tenant improvements funded by the tenant are treated as lease payments which are deferred and amortized into income over the lease term. When the tenant is the owner of the tenant improvements, any tenant improvement allowance that is funded by the Company is treated as a lease incentive and amortized as a reduction of revenue over the lease term.
Ownership of tenant improvements is determined based on various factors including, but not limited to, the following criteria:
lease stipulations of how and on what a tenant improvement allowance may be spent;
which party to the arrangement retains legal title to the tenant improvements upon lease expiration;
whether the tenant improvements are unique to the tenant or general purpose in nature;
if the tenant improvements are expected to have significant residual value at the end of the lease term;
the responsible party for construction cost overruns; and
which party constructs or directs the construction of the improvements.
Certain leases provide for additional rents that are contingent upon a percentage of the building’s revenue in excess of specified base amounts or other thresholds. Such revenue is recognized when actual results reported by the tenant or estimates of tenant results, exceed the base amount or other thresholds, and only after any contingency has been removed (when the related thresholds are achieved). This may result in the recognition of rental revenue in periods subsequent to when such payments are received.
Tenant recoveries subject to operating leases generally relate to the reimbursement of real estate taxes, insurance, and repair and maintenance expense, and are recognized as both revenue (in rental and related revenues) and expense (in operating expenses) in the period the expense is incurred as the Company is the party paying the service provider. Rental and related revenues from other variable payments are recognized when the associated contingencies are removed. In accordance with ASC 842, the Company accounts for lease and nonlease components as a single lease component for the purpose of revenue recognition and disclosure.
For operating leases with minimum scheduled rent increases, the Company recognizes income on a straight-line basis over the lease term when collectibility of future minimum lease payments is probable. Recognizing rental income on a straight-line basis results in a difference in the timing of revenue amounts from what is contractually due from tenants. If the Company determines that collectibility of future minimum lease payments is not probable, the accounts receivable and straight-line rent receivable balance is written off and recognized as a decrease in revenue in that period and future revenue recognition is limited to amounts contractually owed and paid. The Company does not resume recognition of income on a straight-line basis unless it determines that collectibility of future payments related to these leases is probable. For the Company’s portfolio of operating leases that are deemed probable of collection but exhibit a certain level of collectibility risk, the Company may also recognize an incremental allowance as a reduction to revenue.
The Company’s operating leases generally contain options to extend lease terms at prevailing market rates at the time of expiration. Certain operating leases contain early termination options that require advance notice and payment of a penalty, which in most cases is substantial enough to be deemed economically disadvantageous by a tenant to exercise.
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Resident Fees and Services
The Company recognizes resident fee and service revenue from its Senior Housing Operating Property (“SHOP”) portfolios and CCRC properties in accordance with ASC 606, Revenue from Contracts with Customers. Resident fee revenue is recorded when services are rendered and includes resident room and care charges, community fees, and other resident charges. Residency agreements for SHOP and CCRC facilities are generally for a term of 30 days to one year, with resident fees billed monthly, in advance. Revenue for certain care related services is recognized as services are provided and is billed monthly in arrears.
The Company’s CCRCs are operated as entrance fee communities, which typically require a resident to pay an upfront entrance fee that includes both a refundable portion and non-refundable portion. When the Company receives a nonrefundable entrance fee, it is recorded in deferred revenue in the Consolidated Balance Sheets and amortized into revenue over the estimated stay of the resident. The Company utilizes third-party actuarial experts in its determination of the estimated stay of residents.
Income from Direct Financing Leases
The Company utilizes the direct finance method of accounting to record direct financing lease (“DFL”) income. For a lease accounted for as a DFL, the net investment in the DFL represents receivables for the sum of future minimum lease payments and the estimated residual value of the leased property, less the unamortized unearned income. Unearned income is deferred and amortized to income over the lease term to provide a constant yield when collectibility of the lease payments is reasonably assured. During the first quarter of 2022, the Company sold its remaining hospital under a DFL.
Interest Income
Loans receivable are classified as held-for-investment based on management’s intent and ability to hold the loans for the foreseeable future or to maturity. Loans held-for-investment are carried at amortized cost and reduced by a valuation allowance for estimated credit losses, as necessary. When collectibility of the future payments is reasonably assured, the Company utilizes the interest method on a loan-by-loan basis to recognize interest income on its loans, which includes the amortization of discounts and premiums as well as loan fees paid and received.
Gain (loss) on sales of real estate, net
The Company recognizes a gain (loss) on sale of real estate when the criteria for an asset to be derecognized are met, which include when: (i) a contract exists, (ii) the buyer obtains control of the asset, and (iii) it is probable that the Company will receive substantially all of the consideration to which it is entitled. These criteria are generally satisfied at the time of sale.
Government Grant Income
On March 27, 2020, the federal government enacted the Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”) to provide financial aid to individuals, businesses, and state and local governments. During the years ended December 31, 2023, 2022, and 2021, the Company received government grants under the CARES Act primarily to cover increased expenses and lost revenues during the coronavirus pandemic. Grant income is recognized to the extent that qualifying expenses and lost revenues exceed grants received and the Company will comply with all conditions attached to the grant. As of December 31, 2023, the amount of qualifying expenditures and lost revenues exceeded grant income recognized and the Company believes it has complied and will continue to comply with all grant conditions. In the event of non-compliance, all such amounts received are subject to recapture.
The following table summarizes information related to government grant income received and recognized by the Company (in thousands):
Year Ended December 31,
202320222021
Government grant income recorded in other income (expense), net$184 $6,765 $1,412 
Government grant income recorded in equity income (loss) from unconsolidated joint ventures229 878 1,749 
Government grant income recorded in income (loss) from discontinued operations 217 3,669 
Total government grants received$413 $7,860 $6,830 
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Credit Losses
The Company evaluates the liquidity and creditworthiness of its occupants, operators, and borrowers on a monthly and quarterly basis to determine whether any updates to the future expected losses recognized upon inception are necessary. The Company’s evaluation considers payment history and current credit status, industry conditions, current economic conditions, forecasted economic conditions, individual and portfolio property performance, credit enhancements, liquidity, and other factors. Future economic conditions are based primarily on near-term economic forecasts from the Federal Reserve and reasonable assumptions for long-term economic trends. The determination of loan losses also considers concentration of credit risk associated with the senior housing industry to which its loans receivable relate. The Company’s occupants, operators, and borrowers furnish property, portfolio, and guarantor/operator-level financial statements, among other information, on a monthly or quarterly basis; the Company utilizes this financial information to calculate the lease or debt service coverages in its assessment of internal ratings that it uses as a primary credit quality indicator. Lease and debt service coverage information is evaluated together with other property, portfolio, and operator performance information, including revenue, expense, net operating income, occupancy, rental rate, reimbursement trends, capital expenditures, and EBITDA (defined as earnings before interest, tax, and depreciation and amortization), along with other liquidity measures. The Company evaluates, on a monthly basis or immediately upon a significant change in circumstance, its occupants’, operators’, and borrowers’ ability to service their obligations with the Company.
In connection with the Company’s quarterly review process or upon the occurrence of a significant event, loans receivable and DFLs (collectively, “finance receivables”), are reviewed and assigned an internal rating of Performing, Watch List, or Workout. Finance receivables that are deemed Performing meet all present contractual obligations, and collection and timing, of all amounts owed is reasonably assured. Watch List finance receivables are defined as finance receivables that do not meet the definition of Performing or Workout. Workout finance receivables are defined as finance receivables in which the Company has determined, based on current information and events, that: (i) it is probable it will be unable to collect all amounts due according to the contractual terms of the agreement, (ii) the tenant, operator, or borrower is delinquent on making payments under the contractual terms of the agreement, and (iii) the Company has commenced action or anticipates pursuing action in the near term to seek recovery of its investment.
Finance receivables are placed on nonaccrual status when management determines that the collectibility of contractual amounts is not reasonably assured (the asset will have an internal rating of either Watch List or Workout). Further, the Company performs a credit analysis to support the tenant’s, operator’s, borrower’s, and/or guarantor’s repayment capacity and the underlying collateral values. The Company uses the cash basis method of accounting for finance receivables placed on nonaccrual status unless one of the following conditions exist whereby it utilizes the cost recovery method of accounting if: (i) the Company determines that it is probable that it will only recover the recorded investment in the finance receivable, net of associated allowances or charge-offs (if any), or (ii) the Company cannot reasonably estimate the amount of an impaired finance receivable. For cash basis method of accounting, the Company applies payments received, excluding principal paydowns, to interest income so long as that amount does not exceed the amount that would have been earned under the original contractual terms. For cost recovery method of accounting, any payment received is applied to reduce the recorded investment. Generally, the Company returns a finance receivable to accrual status when all delinquent payments become current under the terms of the loan or lease agreements and collectibility of the remaining contractual loan or lease payments is reasonably assured.
At inception of a finance receivable, the Company recognizes an allowance for credit losses expected to be incurred over the life of the instrument. The model utilized by the Company to determine such losses emphasizes historical experience and future market expectations to determine a loss to be recognized at inception. However, the model is applied on an individual basis and relies on counter-party specific information to ensure the most accurate estimate is recognized. The Company also performs a quarterly review process (or upon the occurrence of a significant event) to evaluate its borrowers’ creditworthiness and liquidity to determine the amount of credit losses to recognize during the period. If a finance receivable is deemed partially or wholly uncollectible, the uncollectible balance is deducted from the allowance in the period in which such determination is made. Credit loss expenses and recoveries are recorded in impairments and loan loss reserves (recoveries), net.
Real Estate
The Company’s real estate acquisitions are generally classified as asset acquisitions for which the Company records identifiable assets acquired, liabilities assumed, and any associated noncontrolling interests at cost on a relative fair value basis. In addition, for such asset acquisitions, no goodwill is recognized, third party transaction costs are capitalized and any associated contingent consideration is generally recorded when the amount of consideration is reasonably estimable and probable of being paid.
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The Company assesses fair value based on available market information, such as capitalization and discount rates, comparable sale transactions, and relevant per square foot or unit cost information. A real estate asset’s fair value may be determined utilizing cash flow projections that incorporate such market information. Estimates of future cash flows are based on a number of factors including historical operating results, known and anticipated trends, as well as market and economic conditions. The fair value of tangible assets of an acquired property is based on the value of the property as if it is vacant.
The Company recognizes acquired “above and below market” leases at their relative fair value (for asset acquisitions) using discount rates which reflect the risks associated with the leases acquired. The fair value is based on the present value of the difference between (i) the contractual amounts paid pursuant to each in-place lease and (ii) management’s estimate of fair market lease rates for each in-place lease, measured over a period equal to the remaining term of the lease for above market leases and the initial term plus the extended term for any leases with renewal options that are reasonably certain to be exercised. Other intangible assets acquired include amounts for in-place lease values that are based on an evaluation of the specific characteristics of each property and the acquired tenant lease(s). Factors considered include estimates of carrying costs during hypothetical expected lease-up periods, market conditions, and costs to execute similar leases. In estimating carrying costs, the Company includes estimates of lost rents at market rates during the hypothetical expected lease-up periods, which are dependent on local market conditions and expected trends. In estimating costs to execute similar leases, the Company considers leasing commissions, legal, and other related costs.
Certain of the Company's acquisitions involve the assumption of contract liabilities. The Company typically estimates the fair value of contract liabilities by applying a reasonable profit margin to the total discounted estimated future costs associated with servicing the contract. A variety of market and contract-specific conditions are considered when making assumptions that impact the estimated fair value of the contract liability.
The Company capitalizes direct construction and development costs, including predevelopment costs, interest, property taxes, insurance, and other costs directly related and essential to the development or construction of a real estate asset. The Company capitalizes construction and development costs while substantive activities are ongoing to prepare an asset for its intended use. During the holding or development period, certain real estate assets generate incidental income that is not associated with the future profit or return from the intended use of the property. Such income is recognized as a reduction of the associated project costs. The Company considers a construction project as substantially complete and held available for occupancy upon the completion of Company-owned tenant improvements, but no later than one year from cessation of significant construction activity. Costs incurred after a project is substantially complete and ready for its intended use, or after development activities have ceased, are expensed as incurred. For redevelopment of existing operating properties, the Company capitalizes the cost for the construction and improvement incurred in connection with the redevelopment.
Costs previously capitalized related to abandoned developments/redevelopments are charged to earnings. Expenditures for repairs and maintenance are expensed as incurred. The Company considers costs incurred in conjunction with re-leasing properties, including tenant improvements and lease commissions, to represent the acquisition of productive assets and such costs are reflected as investing activities in the Company’s Consolidated Statements of Cash Flows.
Initial direct costs incurred in connection with successful property leasing are capitalized as deferred leasing costs and classified as investing activities in the Consolidated Statements of Cash Flows. Initial direct costs include only those costs that are incremental to the arrangement and would not have been incurred if the lease had not been obtained. Initial direct costs consist of leasing commissions paid to external third party brokers and lease incentives. Initial direct costs are included in other assets, net in the Consolidated Balance Sheets and amortized in depreciation and amortization in the Consolidated Statements of Operations using the straight-line method over the lease term.
The Company computes depreciation on properties using the straight-line method over the assets’ estimated useful lives. These useful lives are reassessed following changes in the remaining period that the asset is expected to be held and used, and depreciation is discontinued when a property meets the criteria to be classified as held for sale. Buildings and improvements are depreciated over useful lives ranging up to approximately 50 years. Above and below market lease intangibles are amortized to revenue over the remaining noncancellable lease terms and renewal periods that are reasonably certain to be exercised, if any. In-place lease intangibles are amortized to expense over the remaining noncancellable lease term and renewal periods that are reasonably certain to be exercised, if any.
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Lessee Accounting
For leases greater than 12 months for which the Company is the lessee, such as ground leases and corporate office leases, the Company recognizes a right-of-use asset and related lease liability on the Consolidated Balance Sheets at inception of the lease. The lease liability is calculated as the sum of: (i) the present value of minimum lease payments at lease commencement (discounted using the Company's secured incremental borrowing rate) and (ii) the present value of amounts probable of being paid under any residual value guarantees. Certain of the Company’s lease agreements have options to extend or terminate the contract terms upon meeting certain criteria. The lease term utilized in the calculation of the lease liability includes these options if they are considered reasonably certain of exercise. The right-of-use asset is calculated as the lease liability, adjusted for the following: (i) any lease payments made to the lessor at or before the commencement date, minus any lease incentives received and (ii) any initial direct costs incurred by the Company. Lease expense related to corporate assets is included in general and administrative expenses and lease expense related to ground leases is included within operating expenses in the Company’s Consolidated Statements of Operations.
For leases with a noncancellable lease term of 12 months or less for which the Company is the lessee, the Company recognizes expenses on a straight-line basis and does not recognize such leases on the Consolidated Balance Sheets.
Impairment of Long-Lived Assets and Goodwill
The Company assesses the carrying value of real estate assets and related intangibles (“real estate assets”) when events or changes in circumstances indicate that the carrying value may not be recoverable. The Company tests its real estate assets for impairment by comparing the sum of the expected future undiscounted cash flows to the carrying value of the real estate assets. The expected future undiscounted cash flows reflect external market factors and the expected use and eventual disposition of the asset, and based on the specific facts and circumstances, may be probability-weighted to reflect multiple possible cash-flow scenarios, including selling the assets at various points in the future. Further, the analysis considers the impact, if any, of master lease agreements on cash flows, which are calculated utilizing the lowest level of identifiable cash flows that are largely independent of the cash flows of other assets and liabilities. If the carrying value exceeds the expected future undiscounted cash flows, an impairment loss will be recognized to the extent that the carrying value of the real estate assets exceeds their fair value.
Determining the fair value of real estate assets, including assets classified as held-for-sale, involves significant judgment and generally utilizes market capitalization rates, comparable market transactions, estimated per unit or per square foot prices, negotiations with prospective buyers, and forecasted cash flows (primarily lease revenue rates, expense rates, and growth rates).
When testing goodwill for impairment, if the Company concludes that it is more likely than not that the fair value of a reporting unit is less than its carrying value, the Company recognizes an impairment loss for the amount by which the carrying value, including goodwill, exceeds the reporting unit’s fair value.
Assets Held for Sale and Discontinued Operations
The Company classifies a real estate property as held for sale when: (i) management has approved the disposal, (ii) the property is available for sale in its present condition, (iii) an active program to locate a buyer has been initiated, (iv) it is probable that the property will be disposed of within one year, (v) the property is being marketed at a reasonable price relative to its fair value, and (vi) it is unlikely that the disposal plan will significantly change or be withdrawn. If a real estate property is classified as held for sale, it is reported at the lower of its carrying value or fair value less costs to sell and no longer depreciated.
The Company classifies a loan receivable as held for sale when management no longer has the intent and ability to hold the loan receivable for the foreseeable future or until maturity. If a loan receivable is classified as held for sale, it is reported at the lower of amortized cost or fair value.
A discontinued operation represents: (i) a component of the Company or group of components that has been disposed of or is classified as held for sale in a single transaction and represents a strategic shift that has or will have a major effect on the Company’s operations and financial results or (ii) an acquired business that is classified as held for sale on the date of acquisition. Examples of a strategic shift may include disposing of: (i) a separate major line of business, (ii) a separate major geographic area of operations, or (iii) other major parts of the Company.
Senior Housing Triple-Net and Senior Housing Operating Portfolio Dispositions
In 2020, the Company concluded that the dispositions of its senior housing triple-net and SHOP portfolios represented a strategic shift that had a major effect on its operations and financial results. Therefore, the results of senior housing triple-net and SHOP assets are classified as discontinued operations in all periods presented herein. In September 2021, the Company successfully completed the disposition of the remaining senior housing triple-net and SHOP properties. See Note 4 for further information.
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Investments in Unconsolidated Joint Ventures
Investments in entities the Company does not consolidate, but over which the Company has the ability to exercise significant influence over operating and financial policies, are reported under the equity method of accounting. Under the equity method of accounting, the Company’s share of the investee’s earnings or losses is included in equity income (loss) from unconsolidated joint ventures within the Company’s Consolidated Statements of Operations.
The initial carrying value of investments in unconsolidated joint ventures is based on the amount paid to purchase the joint venture interest, the fair value of assets contributed to the joint venture, or the fair value of the assets prior to the sale of interests in the joint venture. To the extent that the Company’s cost basis is different from the basis reflected at the joint venture level, the basis difference is generally amortized over the lives of the related assets and liabilities, and such amortization is included in the Company’s share of equity in earnings of the joint venture. If an equity method investment shows indicators of impairment, the Company evaluates its equity method investments for impairment based on a comparison of the fair value of the equity method investment to its carrying value. When the Company determines a decline in fair value below carrying value of an investment in an unconsolidated joint venture is other-than-temporary, an impairment is recorded. The Company recognizes gains on the sale of interests in joint ventures to the extent the economic substance of the transaction is a sale.
The Company’s fair values of its equity method investments are determined based on discounted cash flow models that include all estimated cash inflows and outflows over a specified holding period and, where applicable, any estimated debt premiums or discounts. Capitalization rates, discount rates, and credit spreads utilized in these valuation models are based on assumptions that the Company believes to be within a reasonable range of current market rates for the respective investments.
Stock-Based Compensation
Compensation expense for share-based awards granted to employees with graded vesting schedules is generally recognized on a straight-line basis over the vesting period. Forfeitures of share-based awards are recognized as they occur.
Cash and Cash Equivalents and Restricted Cash
Cash and cash equivalents consist of cash on hand and short-term investments with original maturities of three months or less when purchased. Restricted cash primarily consists of amounts held by mortgage lenders to provide for: (i) real estate tax expenditures, (ii) tenant improvements, and (iii) capital expenditures, as well as security deposits and net proceeds from property sales that were executed as tax-deferred dispositions.
The Company maintains its cash and cash equivalents at financial institutions insured by the Federal Deposit Insurance Corporation (“FDIC”) up to $250,000 per institution. As the account balances at each institution periodically exceed the FDIC insurance coverage, there is a concentration of credit risk related to amounts in excess of such coverage.
Derivatives and Hedging
During its normal course of business, the Company uses certain types of derivative instruments for the purpose of managing interest rate risk. To qualify for hedge accounting, derivative instruments used for risk management purposes must effectively reduce the risk exposure that they are designed to hedge. In addition, at inception of a qualifying cash flow hedging relationship, the underlying transaction or transactions, must be, and are expected to remain, probable of occurring in accordance with the Company’s related assertions.
The Company recognizes all derivative instruments, including embedded derivatives that are required to be bifurcated, as assets or liabilities to the Consolidated Balance Sheets at fair value. Changes in fair value of derivative instruments that are not designated in hedging relationships or that do not meet the criteria of hedge accounting are recognized in other income (expense), net. For derivative instruments designated in qualifying cash flow hedging relationships, changes in fair value related to the effective portion of the derivative instruments are recognized in accumulated other comprehensive income (loss), whereas changes in fair value related to the ineffective portion would be recognized in earnings.
If it is determined that a derivative instrument ceases to be highly effective as a hedge, or that it is probable the underlying forecasted transaction will not occur, the Company discontinues its cash flow hedge accounting prospectively and records the appropriate adjustment to earnings based on the current fair value of the derivative instrument.
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Income Taxes
Healthpeak Properties, Inc. has elected REIT status and believes it has always operated so as to continue to qualify as a REIT under Sections 856 to 860 of the Internal Revenue Code of 1986, as amended (the “Code”). Accordingly, Healthpeak Properties, Inc. will generally not be subject to U.S. federal income tax, provided that it continues to qualify as a REIT and makes distributions to stockholders equal to or in excess of its taxable income. In addition, the Company has formed several consolidated subsidiaries that have elected REIT status. Healthpeak Properties, Inc. and its consolidated REIT subsidiaries are each subject to the REIT qualification requirements under the Code. If any REIT fails to qualify as a REIT in any taxable year, it will be subject to federal income taxes at regular corporate rates and may be ineligible to qualify as a REIT for four subsequent tax years.
Healthpeak Properties, Inc. and its consolidated REIT subsidiaries are subject to state and local income taxes in some jurisdictions. In certain circumstances each REIT may also be subject to federal excise taxes on undistributed income. In addition, certain activities that the Company undertakes may be conducted by entities that have elected to be treated as taxable REIT subsidiaries (“TRSs”). TRSs are subject to federal, state, and local income taxes. The Company recognizes tax penalties relating to unrecognized tax benefits as additional income tax expense. Interest relating to unrecognized tax benefits is recognized as interest expense.
The Company is required to evaluate its deferred tax assets for realizability and recognize a valuation allowance, which is recorded against its deferred tax assets, if it is more likely than not that the deferred tax assets will not be realized. The Company considers all available evidence in its determination of whether a valuation allowance for deferred tax assets is required.
Advertising Costs
All advertising costs are expensed as incurred and reported within operating expenses on the Consolidated Statements of Operations. During the years ended December 31, 2023, 2022, and 2021, total advertising expense was $8 million, $8 million, and $11 million, respectively (zero, $0.1 million, and $3 million, respectively, of which is reported in income (loss) from discontinued operations on the Consolidated Statements of Operations).
Capital Raising Issuance Costs
Costs incurred in connection with the issuance of common shares are recorded as a reduction of additional paid-in capital. Debt issuance costs related to debt instruments, excluding line of credit arrangements and commercial paper, are deferred, recorded as a reduction of the related debt liability, and amortized to interest expense over the remaining term of the related debt liability utilizing the effective interest method. Debt issuance costs related to line of credit arrangements and commercial paper are deferred, included in other assets, and amortized to interest expense on a straight-line basis over the remaining term of the related line of credit arrangement. Commercial paper are unsecured short-term debt securities with varying maturities. A line of credit serves as a liquidity backstop for repayment of commercial paper borrowings.
Penalties incurred to extinguish debt and any remaining unamortized debt issuance costs, discounts, and premiums are recognized as income or expense in the Consolidated Statements of Operations at the time of extinguishment.
Segment Reporting
The Company’s reportable segments, based on how it evaluates its business and allocates resources, are as follows: (i) lab, (ii) outpatient medical, and (iii) CCRC.
Noncontrolling Interests
Arrangements with noncontrolling interest holders are assessed for appropriate balance sheet classification based on the redemption and other rights held by the noncontrolling interest holder. Net income (loss) attributable to a noncontrolling interest is included in net income (loss) on the Consolidated Statements of Operations and, upon a gain or loss of control, the interest purchased or sold, and any interest retained, is recorded at fair value with any gain or loss recognized in earnings. The Company accounts for purchases or sales of equity interests that do not result in a change in control as equity transactions.
Redeemable Noncontrolling Interests
Certain of the Company’s noncontrolling interest holders have the ability to put their equity interests to the Company upon specified events or after the passage of a predetermined period of time. Each put option is payable in cash and subject to increases in redemption value in the event that the underlying property generates specified returns and meets certain promote thresholds pursuant to the respective agreements. Accordingly, the Company records redeemable noncontrolling interests outside of permanent equity and presents the redeemable noncontrolling interests at the greater of their carrying amount or redemption value at the end of each reporting period.
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Healthpeak OP
Immediately following the Reorganization, Healthpeak Properties, Inc. was the initial sole member and 100% owner of Healthpeak OP. Subsequent to the Reorganization, certain employees of the Company (“OP Unitholders”) were issued noncontrolling, non-managing member units in Healthpeak OP (“OP Units”). When certain conditions are met, the OP Unitholders have the right to require redemption of part or all of their OP Units for cash or shares of the Company’s common stock, at the Company’s option as managing member of Healthpeak OP. The per unit redemption amount is equal to either one share of the Company’s common stock or cash equal to the fair value of a share of common stock at the time of redemption. The Company classifies the OP Units in permanent equity because it may elect, in its sole discretion, to issue shares of its common stock to OP Unitholders who choose to redeem their OP Units rather than using cash.
DownREITs
The Company consolidates non-managing member limited liability companies (“DownREITs”) because it exercises control, and the noncontrolling interests in these entities are carried at cost. The non-managing member limited liability company (“LLC”) units (“DownREIT units”) are exchangeable for an amount of cash approximating the then-current market value of shares of the Company’s common stock or, at the Company’s option, shares of the Company’s common stock (subject to certain adjustments, such as stock splits and reclassifications). Upon exchange of DownREIT units for the Company’s common stock, the carrying amount of the DownREIT units is reclassified to stockholders’ equity.
Fair Value Measurement
The Company measures and discloses the fair value of nonfinancial and financial assets and liabilities utilizing a hierarchy of valuation techniques based on whether the inputs to a fair value measurement are considered to be observable or unobservable in a marketplace. Observable inputs reflect market data obtained from independent sources, while unobservable inputs reflect the Company’s market assumptions. This hierarchy requires the use of observable market data when available. These inputs have created the following fair value hierarchy:
Level 1—quoted prices for identical instruments in active markets;
Level 2—quoted prices for similar instruments in active markets; quoted prices for identical or similar instruments in markets that are not active; and model-derived valuations in which significant inputs and significant value drivers are observable in active markets; and
Level 3—fair value measurements derived from valuation techniques in which one or more significant inputs or significant value drivers are unobservable.
The Company measures fair value using a set of standardized procedures that are outlined herein for all assets and liabilities that are required to be measured at fair value. When available, the Company utilizes quoted market prices to determine fair value and classifies such items in Level 1. In instances where a market price is available, but the instrument is in an inactive or over-the-counter market, the Company consistently applies the dealer (market maker) pricing estimate and classifies the asset or liability in Level 2.
If quoted market prices or inputs are not available, fair value measurements are based on valuation models that utilize current market or independently sourced market inputs, such as interest rates, option volatilities, credit spreads, and/or market capitalization rates. Items valued using such internally-generated valuation techniques are classified according to the lowest level input that is significant to the fair value measurement. As a result, the asset or liability could be classified in either Level 2 or Level 3 even though there may be some significant inputs that are readily observable. Internal fair value models and techniques used by the Company include discounted cash flow models. The Company also considers its counterparty’s and own credit risk for derivative instruments and other liabilities measured at fair value. The Company has elected the mid-market pricing expedient when determining fair value.
Earnings per Share
Basic earnings per common share is computed by dividing net income (loss) applicable to common shares by the weighted average number of shares of common stock outstanding during the period. The Company accounts for unvested share-based payment awards that contain non-forfeitable dividend rights or dividend equivalents (whether paid or unpaid) as participating securities, which are included in the computation of earnings per share pursuant to the two-class method. Diluted earnings per common share is calculated by including the effect of dilutive securities, such as the impact of forward equity sales agreements using the treasury stock method and common shares issuable from the assumed conversion of DownREIT units, stock options, certain performance restricted stock units, and unvested restricted stock units.
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Recent Accounting Pronouncements
Adopted
Government Assistance. In November 2021, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2021-10, Government Assistance (Topic 832): Disclosures by Business Entities about Government Assistance (“ASU 2021-10”), which increased the transparency of government assistance including the disclosure of the types of assistance, an entity’s accounting for assistance, and the effect of the assistance on an entity’s financial statements. The adoption of ASU 2021-10 on January 1, 2022 did not have a material impact on the Company’s consolidated financial position, results of operations, cash flows, or disclosures.
Reference Rate Reform. From March 2020 to December 2022, the FASB issued a series of ASUs that provide optional expedients that may be elected through December 31, 2024 to ease the potential burden in accounting for, or recognizing the effects of, reference rate reform on financial reporting. The amendments in these ASUs were effective immediately upon issuance. During the first quarter of 2023, the Company amended certain of its variable rate mortgage debt and the related interest rate swap agreements to change the interest rate benchmark from the London Interbank Offered Rate (“LIBOR”) to the Secured Overnight Financing Rate (“SOFR”) and accordingly, the Company elected to apply certain practical expedients provided by these ASUs related to cash flow hedges. These expedients and the effects of reference rate reform have not had a material impact on the Company’s consolidated financial position, results of operations, cash flows, or disclosures.
Not Yet Adopted
Segment Reporting. In November 2023, the FASB issued ASU No. 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures (“ASU 2023-07”), to improve reportable segment disclosure requirements so that investors can better understand an entity’s overall performance and assess potential future cash flows. The amendments in ASU 2023-07 include, but are not limited to: (i) disclosure of, on an annual basis, significant segment expenses that are regularly provided to the chief operating decision maker (“CODM”) and included within each reported measure of segment profit or loss; (ii) disclosure of, on an annual and interim basis, an amount for other segment items by reportable segment and a description of its composition (the other segment items category is the difference between segment revenue less the significant expenses disclosed and each reported measure of segment profit or loss); (iii) disclosure of, on an interim basis, all currently required annual disclosures about a reportable segment’s profit (loss) and assets; (iv) clarification that if the CODM uses more than one measure of a segment’s profit or loss in assessing segment performance and deciding how to allocate resources, an entity may report one or more of those additional measures of segment profit; and (v) disclosure of the title and position of the CODM and an explanation of how the CODM uses the reported measure(s) of segment profit or loss in assessing segment performance and deciding how to allocate resources. The amendments in ASU 2023-07 are effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024. The Company is evaluating the impact ASU 2023-07 will have on its disclosures.
Income Taxes. In December 2023, the FASB issued ASU No. 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures (“ASU 2023-09”), to provide disaggregated information about a reporting entity’s effective tax rate reconciliation as well as information on income taxes paid. One of the amendments in ASU 2023-09 includes disclosure of, on an annual basis, a tabular rate reconciliation (using both percentages and reporting currency amounts) of (i) the reported income tax expense (or benefit) from continuing operations, to (ii) the product of the income (or loss) from continuing operations before income taxes and the applicable statutory federal income tax rate of the jurisdiction of domicile using specific categories, including separate disclosure for any reconciling items within certain categories that are equal to or greater than a specified quantitative threshold of 5%. ASU 2023-09 also requires disclosure of, on an annual basis, the year to date amount of income taxes paid (net of refunds received) disaggregated by federal, state, and foreign jurisdictions, including additional disaggregated information on income taxes paid (net of refunds received) to an individual jurisdiction equal to or greater than 5% of total income taxes paid (net of refunds received). The amendments in ASU 2023-09 are effective for annual periods beginning after December 15, 2024. The Company is evaluating the impact ASU 2023-09 will have on its disclosures.
NOTE 3. Real Estate
2023 Real Estate Investment Acquisitions
60 Loomis Land Parcel
In January 2023, the Company acquired a lab land parcel in Cambridge, Massachusetts for $9 million.
Wylie Outpatient Medical Building
In April 2023, the Company acquired the remaining 80% interest in one of the outpatient medical buildings in the Ventures IV unconsolidated joint venture for $4 million (see Note 8). Concurrent with the acquisition, the Company began consolidating the building and recognized a gain upon change of control of $0.2 million, which is recorded in other income (expense), net.
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2022 Real Estate Investment Acquisitions
67 Smith Place
In January 2022, the Company closed a lab acquisition in Cambridge, Massachusetts for $72 million.
Vista Sorrento Phase II
In January 2022, the Company closed a lab acquisition in San Diego, California for $24 million.
Webster Outpatient Medical Portfolio
In March 2022, the Company acquired a portfolio of two outpatient medical buildings in Houston, Texas for $43 million.
Northwest Medical Plaza
In May 2022, the Company acquired one outpatient medical building in Bentonville, Arkansas for $26 million.
Concord Avenue Land Parcels
In December 2022, the Company closed a lab acquisition in Cambridge, Massachusetts for $18 million.
2021 Real Estate Investment Acquisitions
In 2021, the Company closed the following lab acquisitions: (i) eight acquisitions in Cambridge, Massachusetts for $498 million, (ii) one acquisition in San Diego, California for $20 million, and (iii) 12 acres of land for $128 million in South San Francisco, California.
Also during 2021, the Company closed the following outpatient medical acquisitions: (i) one outpatient medical building in Nashville, Tennessee for $13 million, (ii) one outpatient medical building in Denver, Colorado for $38 million, (iii) a portfolio of 14 outpatient medical buildings for $371 million (the “Outpatient Medical Building Portfolio”), (iv) one outpatient medical building in Fort Lauderdale, Florida for $16 million, (v) one outpatient medical building in Wichita, Kansas for $50 million, (vi) three outpatient medical buildings in Morristown, New Jersey for $155 million, (vii) two outpatient medical buildings in Dallas, Texas for $60 million, (viii) one outpatient medical building in Seattle, Washington for $43 million, (ix) one outpatient medical building in New Orleans, Louisiana for $34 million, and (x) one outpatient medical building in Cambridge, Massachusetts for $55 million. In conjunction with the acquisition of the Outpatient Medical Building Portfolio, the Company originated $142 million of secured mortgage debt (see Note 10).
Development Activities
Construction, Tenant, and Other Capital Improvements
The following table summarizes the Company’s expenditures for construction, tenant improvements, and other capital improvements for its consolidated property investments, excluding expenditures related to properties classified as discontinued operations (in thousands):
 Year Ended December 31,
Segment202320222021
Lab$428,961 $658,542 $472,301 
Outpatient medical236,135 237,761 230,227 
CCRC109,465 65,691 57,192 
$774,561 $961,994 $759,720 
NOTE 4.    Dispositions of Real Estate and Discontinued Operations
2023 Dispositions of Real Estate
During the three months ended March 31, 2023, the Company sold two lab buildings in Durham, North Carolina, which were classified as held for sale as of December 31, 2022, for $113 million, resulting in total gain on sales of $60 million. Also during the three months ended March 31, 2023, the Company sold two outpatient medical buildings for $32 million, resulting in total gain on sales of $21 million.
2022 Dispositions of Real Estate
During the three months ended March 31, 2022, the Company sold one lab building in Salt Lake City, Utah for $14 million, resulting in a gain on sale of $4 million.
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During the three months ended June 30, 2022, the Company sold three outpatient medical buildings and one outpatient medical land parcel for $27 million, resulting in total gain on sales of $10 million.
During the three months ended September 30, 2022, the Company sold two outpatient medical buildings for $9 million, resulting in total gain on sales of $1 million.
2021 Dispositions of Real Estate
Sunrise Senior Housing Portfolio
In January 2021, the Company sold a portfolio of 32 SHOP assets (the “Sunrise Senior Housing Portfolio”) for $664 million, resulting in an immaterial loss on sale, which is recognized in income (loss) from discontinued operations, and provided the buyer with: (i) financing of $410 million and (ii) a commitment to finance up to $92 million of additional debt for capital expenditures (see Note 7). Upon completion of the license transfer process in June 2021, the Company sold the two remaining Sunrise senior housing triple-net assets for $80 million, resulting in a gain on sale of $22 million, which is recognized in income (loss) from discontinued operations.
Brookdale Triple-Net Portfolio
In January 2021, the Company sold 24 senior housing assets in a triple-net lease with Brookdale for $510 million, resulting in total gain on sale of $169 million, which is recognized in income (loss) from discontinued operations.
Additional SHOP Portfolio
In January 2021, the Company sold a portfolio of 16 SHOP assets for $230 million, resulting in total gain on sale of $59 million, which is recognized in income (loss) from discontinued operations. The Company provided the buyer with financing of $150 million (see Note 7).
HRA Triple-Net Portfolio
In February 2021, the Company sold eight senior housing assets in a triple-net lease with Harbor Retirement Associates for $132 million, resulting in total gain on sale of $33 million, which is recognized in income (loss) from discontinued operations.
Oakmont SHOP Portfolio
In April 2021, the Company sold a portfolio of 12 SHOP assets for $564 million. In conjunction with the sale, mortgage debt held on two properties with a carrying value of $64 million was repaid and the remaining mortgage debt held on four properties with a carrying value of $107 million was assumed by the buyer. The transaction resulted in total gain on sale of $80 million, which is recognized in income (loss) from discontinued operations.
Discovery SHOP Portfolio
In April 2021, the Company sold a portfolio of 10 SHOP assets for $334 million, resulting in total gain on sale of $9 million, which is recognized in income (loss) from discontinued operations. Also included in this transaction was the sale of two mezzanine loans and two preferred equity investments for $21 million, resulting in no gain or loss on sale of the investments (collectively, the “Discovery SHOP Portfolio”).
Sonata SHOP Portfolio
In April 2021, the Company sold a portfolio of five SHOP assets for $64 million, resulting in total gain on sale of $3 million, which is recognized in income (loss) from discontinued operations.
SLC SHOP Portfolio
In May 2021, the Company sold seven SHOP assets for $113 million and repaid $70 million of mortgage debt that was held on six of the assets, resulting in total gain on sale of $1 million, which is recognized in income (loss) from discontinued operations.
Hoag Hospital
In May 2021, the Company sold one hospital for $226 million through the exercise of a purchase option by a tenant, resulting in gain on sale of $172 million.
2021 Other Dispositions
In addition to the portfolio and individual sales discussed above, during the year ended December 31, 2021, the Company sold the following: (i) 15 SHOP assets for $169 million, (ii) 7 senior housing triple-net assets for $24 million, and (iii) 10 outpatient medical buildings and a portion of 1 outpatient medical land parcel for $68 million, resulting in total gain on sales of $58 million ($39 million of which is recognized in income (loss) from discontinued operations). In conjunction with one of the SHOP asset sales, mortgage debt held on the property with a carrying value of $36 million was assumed by the buyer.
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Held for Sale and Discontinued Operations
As of December 31, 2023, two lab buildings and one outpatient medical building were classified as held for sale, with a carrying value of $118 million, primarily comprised of net real estate assets. As of December 31, 2023, liabilities related to the assets held for sale were $1 million. In January 2024, we sold a 65% interest in these two lab buildings (see Note 8). As of December 31, 2022, two lab buildings were classified as held for sale, with an aggregate carrying value of $50 million, primarily comprised of net real estate assets of $44 million. As of December 31, 2022, liabilities related to these assets held for sale were $4 million. These two lab buildings were sold during the three months ended March 31, 2023, as discussed above.
In 2020, the Company concluded that the dispositions of its senior housing triple-net and SHOP portfolios represented a strategic shift that had a major effect on its operations and financial results. Therefore, the results of senior housing triple-net and SHOP assets are classified as discontinued operations in all periods presented herein. In September 2021, the Company successfully completed the disposition of the remaining senior housing triple-net and SHOP properties.
At each of December 31, 2023 and 2022, the total assets and total liabilities classified as discontinued operations were zero.
The results of discontinued operations during the years ended December 31, 2023, 2022, and 2021 are presented below (in thousands) and are included in the consolidated results of operations for the years ended December 31, 2023, 2022, and 2021:
 Year Ended December 31,
 202320222021
Revenues:
Rental and related revenues$ $ $7,535 
Resident fees and services 7,489 114,936 
Total revenues 7,489 122,471 
Costs and expenses:
Interest expense  3,900 
Operating 6,452 122,571 
Transaction and merger-related costs  76 
Impairments and loan loss reserves (recoveries), net  32,736 
Total costs and expenses 6,452 159,283 
Other income (expense):
Gain (loss) on sales of real estate, net 1,344 414,721 
Other income (expense), net 169 4,189 
Total other income (expense), net 1,513 418,910 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures 2,550 382,098 
Income tax benefit (expense) 270 969 
Equity income (loss) from unconsolidated joint ventures 64 5,135 
Income (loss) from discontinued operations$ $2,884 $388,202 
NOTE 5.    Impairments of Real Estate
2023 and 2022
During the years ended December 31, 2023 and 2022, the Company did not recognize any impairment charges.
2021
During the year ended December 31, 2021, the Company recognized an aggregate impairment charge of $22 million, which is reported in impairments and loan loss reserves (recoveries), net, related to: (i) three outpatient medical buildings that met the held for sale criteria during the year and (ii) one outpatient medical building held for use; the aggregate fair value of these four outpatient medical buildings was $14 million as of the related impairment assessment dates. For the three outpatient medical buildings that met the held for sale criteria during the year, the Company recognized an impairment charge of $5 million to write down the properties’ aggregate carrying value to their aggregate fair value, less estimated costs to sell. For the outpatient medical building held for use, the Company recognized a $17 million impairment charge in the fourth quarter of 2021 due to the demolition of the outpatient medical building for a future development project.
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Additionally, during the year ended December 31, 2021, the Company recognized an impairment charge of $4 million related to one SHOP asset, which is reported in income (loss) from discontinued operations. Following a reduction in the expected sales price of the SHOP asset occurring in the second quarter of 2021, the Company wrote down its carrying value of $20 million to its fair value, less estimated costs to sell, of $16 million.
The fair values of the impaired assets were based on forecasted sales prices and market comparable data, which are considered to be Level 3 measurements within the fair value hierarchy. These fair values are typically determined using an income approach and/or a market approach (comparable sales model), which rely on certain assumptions by management, including: (i) market capitalization rates, (ii) comparable market transactions, (iii) estimated prices per unit, (iv) negotiations with prospective buyers, and (v) forecasted cash flow streams (primarily lease revenue rates, expense rates, and growth rates). There are inherent uncertainties in making these assumptions. For the Company’s impairment calculations during and as of the year ended December 31, 2021, the Company’s fair value estimates primarily relied on a market approach, which utilized comparable market transactions and negotiations with prospective buyers.
Goodwill Impairment
When testing goodwill for impairment, if the Company concludes that it is more likely than not that the fair value of a reporting unit is less than its carrying value, the Company recognizes an impairment charge for the amount by which the carrying value, including goodwill, exceeds the reporting unit’s fair value.
In connection with the disposition of the Company’s remaining senior housing triple-net and SHOP assets, the Company performed impairment assessments during the year ended December 31, 2021. As a result of these assessments, the Company recognized a $29 million goodwill impairment charge reported in income (loss) from discontinued operations, comprised of the following: (i) a $7 million goodwill impairment charge recognized during the second quarter of 2021, as the fair value of the remaining senior housing triple-net assets (based on forecasted sales prices) was less than the carrying value of the assets, including the related goodwill as of the assessment date and (ii) a $22 million goodwill impairment charge recognized during the third quarter of 2021 to reduce the associated goodwill balance to zero following the sale of the remaining assets within the reporting units associated with the senior housing triple-net and SHOP portfolios.
During the years ended December 31, 2023, 2022, and 2021, the fair value of the assets within each of the Company’s other reporting units was greater than the respective carrying value of the assets and related goodwill, and as a result, no impairment charges were recognized with respect to the other reporting units.
These fair value estimates primarily relied on a market approach, utilizing comparable market transactions, forecasted sales prices, and negotiations with prospective buyers. These estimates are considered to be Level 3 measurements within the fair value hierarchy, and are subject to inherent uncertainties.
Casualty-Related Charges
During the years ended December 31, 2023, 2022, and 2021, the Company recognized $(3) million, $6 million, and $5 million, respectively, of net casualty-related charges (recoveries). During the year ended December 31, 2023, such recoveries were primarily attributable to proceeds received for water damage at an outpatient medical building. During the year ended December 31, 2022, such charges were primarily attributable to damages as a result of Hurricane Ian. During the year ended December 31, 2021, such charges were primarily due to fire damage at one of the properties in the SWF SH JV and winter storm Uri. Casualty-related charges are recognized in other income (expense), net and equity income (loss) from unconsolidated joint ventures in the Consolidated Statements of Operations. Also during the years ended December 31, 2023, 2022, and 2021, the Company collected business interruption proceeds of $4 million, $3 million, and zero, respectively, which are recognized in rental and related revenues and resident fees and services on the Consolidated Statements of Operations.
Other Losses
During the year ended December 31, 2022, the Company recognized $14 million of expenses within other income (expense), net on the Consolidated Statements of Operations for tenant relocation and other costs associated with the demolition of an outpatient medical building.
See Note 7 for information related to the Company’s reserve for loan losses.
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NOTE 6.    Leases
Lease Income
The following table summarizes the Company’s lease income, excluding discontinued operations (in thousands):
 Year Ended December 31,
 202320222021
Fixed income from operating leases$1,236,502 $1,182,463 $1,087,683 
Variable income from operating leases395,303 359,312 290,701 
Interest income from direct financing leases 1,168 8,702 
Direct Financing Leases
2022 Direct Financing Lease Sale
During the first quarter of 2022, the Company sold its remaining hospital under a DFL for $68 million and recognized a gain on sale of $23 million, which is included in other income (expense), net. Therefore, at December 31, 2023 and 2022, the Company had no leases classified as a DFL.
Operating Leases
Future Minimum Rents
The following table summarizes future minimum lease payments to be received from tenants under non-cancelable operating leases as of December 31, 2023 (in thousands):
YearAmount
2024$1,135,628 
20251,063,147 
2026975,246 
2027888,223 
2028788,742 
Thereafter2,818,655 
$7,669,641 
Tenant Purchase Options
Certain leases contain purchase options whereby the tenant may elect to acquire the underlying real estate. Annualized base rent from leases subject to purchase options, summarized by the year the purchase options are exercisable are as follows (dollars in thousands):
Year
Annualized
Base Rent(1)
Number of
Properties
2024$14,199 12 
202514,244 16 
202616,422 8 
20278,116 5 
20281,252 1 
Thereafter16,212 5 
 $70,445 47 
_______________________________________
(1)Represents the most recent month’s base rent including additional rent floors annualized for 12 months. Base rent does not include tenant recoveries, additional rents in excess of floors, and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, and deferred revenues).
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Lease Costs
The following tables provide information regarding the Company’s leases to which it is the lessee, such as corporate offices and ground leases, excluding lease costs related to discontinued operations (dollars in thousands):
Year Ended December 31,
Lease Expense Information:202320222021
Total lease expense$17,010 $16,689 $14,442 

Weighted Average Lease Term and Discount Rate:December 31,
2023
December 31,
2022
Weighted average remaining lease term (years):
Operating leases(1)
5151
Weighted average discount rate:
Operating leases4.23 %4.20 %
_______________________________________
(1)As of both December 31, 2023 and 2022, the weighted average remaining lease term including the Company’s options to extend its operating leases is 67 years.
The following table summarizes future minimum lease payments under non-cancelable ground and other operating leases included in the Company’s lease liability as of December 31, 2023 (in thousands):
YearAmount
2024$16,950 
202512,399 
202612,326 
202712,321 
202812,351 
Thereafter475,584 
Undiscounted minimum lease payments included in the lease liability541,931 
Less: imputed interest(335,188)
Present value of lease liability$206,743 
Depreciation Expense
While the Company leases the majority of its property, plant, and equipment to various tenants under operating leases, in certain situations, the Company owns and operates certain property, plant, and equipment for general corporate purposes. Corporate assets are recorded within other assets, net within the Company’s Consolidated Balance Sheets and depreciation expense for those assets is recorded in general and administrative expenses in the Company’s Consolidated Statements of Operations. Included within other assets, net as of both December 31, 2023 and 2022 is $10 million of accumulated depreciation related to corporate assets. Included within general and administrative expenses for the years ended December 31, 2023, 2022, and 2021 is $3 million, $3 million, and $2 million, respectively, of depreciation expense related to corporate assets.
Denver Corporate Headquarters
During the year ended December 31, 2022, the Company recognized $7 million of charges in connection with the downsizing of the Company’s corporate headquarters in Denver, Colorado which are included in general and administrative expenses on the Consolidated Statements of Operations.
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Tenant Updates
During the first quarter of 2023, the Company wrote off $9 million of straight-line rent receivable associated with four in-place operating leases with Sorrento Therapeutics, Inc. (“Sorrento”), which commenced voluntary reorganization proceedings (the “Filing”) under Chapter 11 of the U.S. Bankruptcy Code during the period. This write-off was recognized as a reduction in rental and related revenues on the Consolidated Statements of Operations. Subsequent to the write-off, revenue related to this tenant is recognized on a cash basis. Sorrento also had a single development lease with the Company, but had not taken occupancy at the time of the Filing. Subsequent to the Filing, the U.S. Bankruptcy Court approved Sorrento’s rejection of the development lease and three of the four operating leases, resulting in termination of these four leases during the year ended December 31, 2023. The Company filed proofs of claim for related damages during the year, $4 million of which was received by the Company by drawing on Sorrento’s related letters of credit and security deposits. These cash proceeds were recognized as rental revenue and lease termination fee income, which is included in rental and related revenues on the Consolidated Statements of Operations. Given the nature of bankruptcy proceedings, the probability, timing, or amount of the additional proceeds, if any, that the Company may ultimately receive in connection with the Company’s claims related to the rejected leases is uncertain. Accordingly, the Company has not recorded any estimated recoveries associated with these claims as of December 31, 2023.
On October 26, 2023, the Company amended its lease with Graphite Bio, Inc. (“Graphite Bio”) at one of its lab buildings in South San Francisco, California. Under the terms of the amended lease agreement, Graphite Bio’s lease expiration date was accelerated from April 2033 to December 2024 in exchange for an upfront cash payment of $37 million, comprised of a $21 million termination fee and $16 million prepayment of Graphite Bio's contractual rent through the amended term. The $37 million will be recognized as rental and related revenues on the Consolidated Statements of Operations on a straight-line basis through the amended term of the lease.
NOTE 7.    Loans Receivable
The following table summarizes the Company’s loans receivable (in thousands):
December 31,
 20232022
Secured loans(1)
$178,678 $350,837 
CCRC resident loans42,733 33,083 
Unamortized discounts and fees(131)(808)
Reserve for loan losses(2,830)(8,280)
Loans receivable, net$218,450 $374,832 
_______________________________________
(1)At December 31, 2023 and 2022, the Company had $29 million and $40 million, respectively, remaining of commitments to fund additional loans for senior housing redevelopment and capital expenditure projects.
During the years ended December 31, 2023, 2022, and 2021, the Company recognized $22 million, $22 million, and $36 million, respectively, of interest income related to loans secured by real estate.
Sunrise Senior Housing Portfolio Seller Financing
In conjunction with the sale of 32 SHOP facilities for $664 million in January 2021 (see Note 4), the Company provided the buyer with initial financing of $410 million. The remainder of the sales price was received in cash at the time of sale. Additionally, the Company agreed to provide up to $92 million of additional financing for capital expenditures (up to 65% of the estimated cost of capital expenditures). The initial and additional financing is secured by the buyer’s equity ownership in each property. In June 2023, the interest rate on this secured loan was converted from a variable rate based on LIBOR to a variable rate based on Term SOFR (plus a 10 basis point adjustment related to SOFR transition).
In June 2021, February 2022, July 2022, and December 2022, the Company received principal repayments of $246 million, $8 million, $27 million, and $10 million, respectively, in conjunction with the disposition of the underlying collateral. In connection with these principal repayments, the additional financing available was reduced to $40 million, of which $11 million had been funded as of December 31, 2023. At December 31, 2023 and 2022, this secured loan had an outstanding principal balance of $131 million and $120 million, respectively.
In February 2024, the loan reached its maturity. The Company provided a short-term extension to the borrower, and the Company and the borrower are currently negotiating long-term refinance and extension terms.
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Other Seller Financing
In conjunction with the sale of 16 additional SHOP facilities for $230 million in January 2021 (see Note 4), the Company provided the buyer with financing of $150 million. The remainder of the sales price was received in cash at the time of sale. The financing is secured by the buyer’s equity ownership in each property. Upon maturity in January 2023, the borrower did not make the required principal repayment. In February 2023, the borrower made a partial principal repayment of $102 million and the remaining balance owed was refinanced with the Company. In connection with the refinance, the maturity date of the loan was extended to January 2024 and the interest rate on the loan was increased to a variable rate based on Term SOFR (plus an 11 basis point adjustment related to SOFR transition) plus 6.0% for the first six months of the extended term, increasing to 7.0% for the last six months of the extended term. The Company also received a $1 million extension fee in connection with the refinance, which is recognized in interest income over the remaining term of the loan. At December 31, 2023 and 2022, this secured loan had an outstanding principal balance of $48 million and $150 million, respectively.
In January 2024, the loan was refinanced with the Company. In connection with the refinance, the maturity date of the loan was extended to January 2025. The interest rate on the loan will remain as Term SOFR (plus an 11 basis point adjustment related to SOFR transition) plus 7.0% but is now subject to a fixed floor of 12%. The Company also received a $1 million extension fee in connection with the refinance, which is recognized in interest income over the remaining term of the loan.
2023 Other Loans Receivable Transactions
In February 2023, the Company received full repayment of the outstanding balance of one $35 million secured loan.
In April 2023, the Company received full repayment of the outstanding balance of one $14 million secured loan.
In May 2023, the Company received full repayment of two outstanding secured loans with an aggregate balance of $12 million.
Also in May 2023, the interest rate on one secured loan with an outstanding balance of $21 million was converted from a variable rate based on LIBOR to a variable rate based on Term SOFR (plus a 10 basis point adjustment related to SOFR transition). In October 2023, the Company received full repayment of the outstanding balance of this $21 million secured loan.
2022 Other Loans Receivable Transactions
In May 2022, the Company received full repayment of the outstanding balance of one $2 million secured loan.
In November 2022, the Company received full repayment of the outstanding balance of one $1 million mezzanine loan.
In December 2022, the Company extended the maturity dates of four secured loans with an aggregate outstanding balance of $61 million, originally scheduled to mature in December 2022, by one year to December 2023. In connection with the extensions, the interest rates on the loans were increased to a variable rate based on Term SOFR (plus an 11 basis point adjustment related to SOFR transition) with a floor of 8.5% for the first six months of the extended term, increasing to a floor of 10.5% for the last six months of the extended term. All four of these secured loans were repaid during 2023 as discussed above.
2021 Other Loans Receivable Transactions
The Company classifies a loan receivable as held for sale when management no longer has the intent or ability to hold the loan receivable for the foreseeable future or until maturity. If a loan receivable is classified as held for sale, previously recorded reserves for loan losses are reversed and the loan is reported at the lower of amortized cost or fair value. During the second quarter of 2021, two loans receivable with a total amortized cost of $64 million were classified as held for sale. Upon the transfer of these two loans to held for sale, the carrying value was decreased by $11 million to an estimated fair value of $53 million, $8 million of which was previously recognized as a reserve for loan losses. As a result, a $3 million net loss was recognized in impairments and loan loss reserves (recoveries), net during the year ended December 31, 2021. In September 2021, the Company sold one of the loans receivable previously classified as held for sale for its carrying value of $2 million. In November 2021, the Company sold the other loan receivable previously classified as held for sale for its carrying value of $51 million.
These fair value estimates were made for each individual loan classified as held for sale and primarily relied on a market approach, utilizing comparable market transactions, forecasted sales prices, and negotiations with prospective buyers. These estimates are considered to be a Level 3 measurement within the fair value hierarchy, and are subject to inherent uncertainties.
Additionally, in April 2021, the Company sold two mezzanine loans as part of the Discovery SHOP Portfolio disposition (see Note 4), resulting in no gain or loss on sale of the mezzanine loans.
In May 2021, the Company received a $10 million principal repayment related to one of its secured loans. In September 2021, the Company received repayment of the remaining $15 million balance.
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In July 2021, the Company received full repayment of the outstanding balance of an $8 million secured loan.
CCRC Resident Loans
For certain residents that qualify, CCRCs may offer to lend residents the necessary funds to satisfy the entrance fee requirements so that they are able to move into a community while still continuing the process of selling their previous home. The loans are due upon sale of the resident’s previous home. At December 31, 2023 and 2022, the Company held $43 million and $33 million, respectively, of such notes receivable.
Loans Receivable Internal Ratings
Refer to Note 2 for a discussion of the Company’s quarterly review process over its loans receivable and the related internal ratings process. The following table summarizes, by year of origination, the Company’s internal ratings for loans receivable, net of unamortized discounts, fees, and reserves for loan losses, as of December 31, 2023 (in thousands):
Investment TypeYear of OriginationTotal
2023
2022
2021(1)
2020
2019
Prior
Secured loans
Risk rating:
Performing loans$ $ $175,717 $ $ $ $175,717 
Watch list loans       
Workout loans       
Total secured loans$ $ $175,717 $ $ $ $175,717 
Current period gross write-offs$ $ $ $ $ $ $ 
Current period recoveries       
Current period net write-offs$ $ $ $ $ $ $ 
CCRC resident loans
Risk rating:
Performing loans$42,132 $601 $ $ $ $ $42,733 
Watch list loans       
Workout loans       
Total CCRC resident loans
$42,132 $601 $ $ $ $ $42,733 
Current period gross write-offs$ $ $ $ $ $ $ 
Current period recoveries       
Current period net write-offs$ $ $ $ $ $ $ 
_______________________________________
(1)Additional financing funded on the Sunrise Senior Housing Portfolio Seller Financing (as discussed above) is included in the year of origination of the initial financing.
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Reserve for Loan Losses
Refer to Note 2 for a discussion of the Company’s assessment of current expected credit losses for loans receivable and unfunded loan commitments. The following table summarizes the Company’s reserve for loan losses (in thousands):
 December 31, 2023December 31, 2022
 Secured Loans
Other(1)
TotalSecured Loans
Other(1)
Total
Reserve for loan losses, beginning of period$8,280 $ $8,280 $1,804 $9 $1,813 
Provision for expected loan losses2,088  2,088 6,527 7 6,534 
Expected loan losses (recoveries) related to loans sold or repaid(7,538) (7,538)(51)(16)(67)
Reserve for loan losses, end of period$2,830 $ $2,830 $8,280 $ $8,280 
_______________________________________
(1)Includes CCRC resident loans and other loan activity.
Additionally, at December 31, 2023 and 2022, a liability of $0.7 million and $0.8 million, respectively, related to expected credit losses for unfunded loan commitments was included in accounts payable, accrued liabilities, and other liabilities.
The change in the reserve for expected loan losses during the year ended December 31, 2023 is primarily due to: (i) principal repayments on seller financing, (ii) increased interest rates on variable rate loans, and (iii) macroeconomic conditions.
NOTE 8. Investments in and Advances to Unconsolidated Joint Ventures
The Company owns interests in the following entities that are accounted for under the equity method (dollars in thousands):
   Carrying Amount
   December 31,
Entity(1)
Segment
Property Count(2)
Ownership %(2)
20232022
South San Francisco JVs(3)
Lab770$393,374 $309,969 
SWF SH JVOther1954332,693 345,978 
Lab JVLab14931,761 26,601 
Needham Land Parcel JV(4)
Lab3817,084 15,391 
Outpatient Medical JVs(5)
Outpatient medical2
20 - 67
7,941 8,738 
   $782,853 $706,677 
_______________________________________
(1)These entities are not consolidated because the Company does not control, through voting rights or other means, the joint ventures.
(2)Property counts and ownership percentages are as of December 31, 2023.
(3)Includes seven unconsolidated lab joint ventures in South San Francisco, California in which the Company holds a 70% ownership percentage in each joint venture. These joint ventures have been aggregated herein due to similarity of the investments and operations. See “South San Francisco JVs” below for further information.
(4)Land held for development is excluded from the property count as of December 31, 2023.
(5)Includes two unconsolidated outpatient medical joint ventures in which the Company holds an ownership percentage as follows: (i) Ventures IV (20%) and (ii) Suburban Properties, LLC (67%). As of December 31, 2022, these joint ventures held a total of three properties. In April 2023, the Company acquired the remaining 80% interest in one of the two properties in the Ventures IV unconsolidated joint venture for $4 million (see Note 3). These joint ventures have been aggregated herein due to similarity of the investments and operations.
At December 31, 2023 and 2022, the aggregate unamortized basis difference of the Company’s investments in unconsolidated joint ventures of $49 million and $41 million, respectively, is primarily attributable to the difference between the amount for which the Company purchased its interest in the Lab JV and the historical carrying value of the net assets of the Lab JV and capitalized interest related to the redevelopment activities at the South San Francisco JVs. The differences are amortized over the remaining useful lives of the related assets and are included in equity income (loss) from unconsolidated joint ventures.
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South San Francisco JVs
On August 1, 2022, the Company sold a 30% interest in seven lab buildings in South San Francisco, California to a sovereign wealth fund (“SWF Partner”) for cash of $126 million. Following this transaction, the Company and the SWF Partner share in key decisions of the assets through their voting rights, resulting in the Company deconsolidating the assets, recognizing its retained 70% investment in the South San Francisco joint ventures (the “South San Francisco JVs”) at fair value, and accounting for its investment using the equity method. The fair values of the Company’s retained investment were based on a market approach, utilizing an agreed-upon contractual sales price, which is considered to be a Level 3 measurement within the fair value hierarchy. During the year ended December 31, 2022, the Company recognized a gain upon change of control of $311 million, which is recorded in other income (expense), net.
The Company is entitled to a preferred return, a promote, and certain fees in exchange for development and asset management services provided to the South San Francisco JVs when certain conditions are met.
Callan Ridge JV
In December 2023, the Company entered into definitive agreements with a third party to sell a 65% interest in two lab buildings in San Diego, California. The Company received an $8 million nonrefundable deposit upon completion of due diligence in December 2023. As of December 31, 2023, these two lab buildings had a carrying value of $110 million and were classified as held for sale (see Note 4). In January 2024, the transaction closed and the Company received net proceeds of $128 million in connection with the sale of the 65% interest.
NOTE 9.    Intangibles
Intangible assets primarily consist of lease-up intangibles and above market lease intangibles. The following table summarizes the Company’s intangible lease assets (dollars in thousands):
 December 31,
Intangible lease assets2023
2022(1)
Gross intangible lease assets$739,228 $770,285 
Accumulated depreciation and amortization(425,072)(352,224)
Intangible assets, net$314,156 $418,061 
Weighted average remaining amortization period in years55
_______________________________________
(1)Excludes intangible assets reported in assets held for sale of $2 million.
Intangible liabilities consist of below market lease intangibles. The following table summarizes the Company’s intangible lease liabilities (dollars in thousands):
 December 31,
Intangible lease liabilities20232022
Gross intangible lease liabilities$228,105 $237,464 
Accumulated depreciation and amortization(100,725)(81,271)
Intangible liabilities, net$127,380 $156,193 
Weighted average remaining amortization period in years77
The following table sets forth amortization related to intangible assets, net and intangible liabilities, net (in thousands):
Year Ended December 31,
202320222021
Depreciation and amortization expense related to amortization of lease-up intangibles(1)
$102,249 $104,885 $106,106 
Rental and related revenues related to amortization of net below market lease liabilities(1)
27,012 24,640 20,597 
_______________________________________
(1)Excludes amortization related to assets classified as discontinued operations.
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During the year ended December 31, 2023, in conjunction with the Company’s acquisition of real estate, the Company acquired $0.5 million of intangible assets with a weighted average amortization period at acquisition of 5 years.
During the year ended December 31, 2022, in conjunction with the Company’s acquisitions of real estate, the Company acquired intangible assets of $7 million and intangible liabilities of $6 million. The intangible assets and liabilities acquired had a weighted average amortization period at acquisition of 7 years and 11 years, respectively.
The following table summarizes the estimated annual amortization for each of the five succeeding fiscal years and thereafter (in thousands):
 Rental and Related RevenuesDepreciation and Amortization
2024$22,577 $95,208 
202521,560 83,629 
202619,071 51,580 
202715,064 25,981 
202811,945 16,216 
Thereafter29,909 34,288 
 $120,126 $306,902 
Goodwill
At each of December 31, 2023 and 2022, the Company’s goodwill balance was $18 million and is recognized in other assets, net on the Consolidated Balance Sheets. See Note 15 for goodwill attributable to the Company’s reportable segments. During the year ended December 31, 2021, the Company recognized a $29 million goodwill impairment charge, recognized within income (loss) from discontinued operations (see Note 5).
NOTE 10.    Debt
Subsequent to the Reorganization, Healthpeak OP, the Company’s consolidated operating subsidiary, is the borrower under, and the Company is the guarantor of, all of the unsecured debt discussed below, which includes the Revolving Facility, Term Loan Facilities, Commercial Paper Program (each as defined below), and senior unsecured notes. The Company’s guarantee of the senior unsecured notes is full and unconditional and applicable to existing and future senior unsecured notes.
Bank Line of Credit and Term Loans
On May 23, 2019, the Company executed a $2.5 billion unsecured revolving line of credit facility, with a maturity date of May 23, 2023 and two six-month extension options, subject to certain customary conditions. In September 2021, the Company executed an amended and restated unsecured revolving line of credit (the “Revolving Facility”) to increase total revolving commitments from $2.5 billion to $3.0 billion and extend the maturity date to January 20, 2026. This maturity date may be further extended pursuant to two six-month extension options, subject to certain customary conditions. Borrowings under the Revolving Facility accrue interest at the applicable interest rate benchmark plus a margin that depends on the credit ratings of the Company’s senior unsecured long-term debt. On February 10, 2023, the Company executed an amendment to the Revolving Facility to convert the interest rate benchmark from LIBOR to SOFR. The Company also pays a facility fee on the entire revolving commitment that depends on its credit ratings. Additionally, the Revolving Facility includes a sustainability-linked pricing component whereby the applicable margin may be reduced by up to 0.025% based on the Company’s achievement of specified sustainability-linked metrics, subject to certain conditions. Based on the Company’s credit ratings at December 31, 2023, and inclusive of achievement of a sustainability-linked metric, the margin on the Revolving Facility was 0.85% and the facility fee was 0.15%. The Revolving Facility includes a feature that allows the Company to increase the borrowing capacity by an aggregate amount of up to $750 million, subject to securing additional commitments. At each of December 31, 2023 and 2022, the Company had no balance outstanding under the Revolving Facility.
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On August 22, 2022, the Company executed a term loan agreement (the “Term Loan Agreement”) that provided for two senior unsecured delayed draw term loans in an aggregate principal amount of up to $500 million (the “Term Loan Facilities”). The Term Loan Facilities were available to be drawn from time to time during a 180-day period after closing, subject to customary borrowing conditions, and the Company drew the entirety of the $500 million under the Term Loan Facilities in October 2022. $250 million of the Term Loan Facilities has an initial stated maturity of 4.5 years, which may be extended for a one-year period subject to certain customary conditions. The other $250 million of the Term Loan Facilities has a stated maturity of 5 years with no option to extend. At each of December 31, 2023 and 2022, the Company had $500 million outstanding under the Term Loan Facilities.
Loans outstanding under the Term Loan Facilities accrue interest at Term SOFR plus a margin that depends on the credit ratings of the Company’s senior unsecured long-term debt. The Term Loan Agreement also includes a sustainability-linked pricing component whereby the applicable margin under the Term Loan Facilities may be reduced by 0.01% based on the Company’s achievement of specified sustainability-linked metrics. Based on the Company’s credit ratings as of December 31, 2023, and inclusive of achievement of a sustainability-linked metric, the margin on the Term Loan Facilities was 0.94%. The Term Loan Agreement includes a feature that allows the Company to increase the borrowing capacity by an aggregate amount of up to an additional $500 million, subject to securing additional commitments.
In August 2022, the Company entered into two forward-starting interest rate swap instruments that are designated as cash flow hedges (see Note 21). The Term Loan Facilities associated with these interest rate swap instruments are reported as fixed rate debt due to the Company having effectively established a fixed interest rate for the underlying debt instruments. Based on the Company’s credit ratings as of December 31, 2023, the Term Loan Facilities had a blended fixed effective interest rate of 3.76%, inclusive of the impact of these interest rate swap instruments and amortization of the related debt issuance costs.
The Revolving Facility and Term Loan Facilities are subject to certain financial restrictions and other customary requirements, including financial covenants and cross-default provisions to other indebtedness. Among other things, these covenants, using terms defined in the applicable agreement: (i) limit the ratio of Enterprise Total Indebtedness to Enterprise Gross Asset Value to 60%; (ii) limit the ratio of Enterprise Secured Debt to Enterprise Gross Asset Value to 40%; (iii) limit the ratio of Enterprise Unsecured Debt to Enterprise Unencumbered Asset Value to 60%; (iv) require a minimum Fixed Charge Coverage ratio of 1.5 times; and (v) require a minimum Consolidated Tangible Net Worth of $7.7 billion. The Company believes it was in compliance with each of these covenants at December 31, 2023.
The Company has secured commitments for a $750 million five-year unsecured term loan (the “2024 Term Loan”), to be incurred as an incremental facility under the Term Loan Agreement. In January 2024, the Company entered into forward-starting interest rate swap instruments that are designated as cash flow hedges (see Note 21) that will effectively establish a fixed interest rate for the 2024 Term Loan at a blended contractual rate of 4.5%.
Commercial Paper Program
In September 2019, the Company established an unsecured commercial paper program (the “Commercial Paper Program”). Under the terms of the Commercial Paper Program, the Company may issue, from time to time, short-term unsecured notes with varying maturities. Amounts available under the Commercial Paper Program may be borrowed, repaid, and re-borrowed from time to time. At each of December 31, 2023 and 2022, the maximum aggregate face or principal amount that could be outstanding at any one time was $2.0 billion. Amounts borrowed under the Commercial Paper Program will be sold on terms that are customary for the U.S. commercial paper market and will be at least equal in right of payment with all of the Company’s other unsecured and unsubordinated indebtedness. The Company uses its Revolving Facility as a liquidity backstop for the repayment of short-term unsecured notes issued under the Commercial Paper Program. At December 31, 2023, the Company had $720 million of notes outstanding under the Commercial Paper Program, with original maturities of approximately 37 days and a weighted average interest rate of 5.70%. At December 31, 2022, the Company had $996 million of notes outstanding under the Commercial Paper Program, with original maturities of approximately two months and a weighted average interest rate of 4.90%.
Senior Unsecured Notes
At December 31, 2023 and 2022, the Company had senior unsecured notes outstanding with an aggregate principal balance of $5.5 billion and $4.7 billion, respectively. The senior unsecured notes contain certain covenants including limitations on debt, maintenance of unencumbered assets, cross-acceleration provisions, and other customary terms. The Company believes it was in compliance with these covenants at December 31, 2023.
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The following table summarizes the Company’s senior unsecured notes issuances for the years ended December 31, 2023, 2022, and 2021 (dollars in thousands):
Issue DateAmountCoupon RateMaturity Year
Year ended December 31, 2023:
January 17, 2023$400,000 5.25 %2032
May 10, 2023(1)
350,000 5.25 %2032
Year ended December 31, 2021:
November 24, 2021(2)
500,000 2.13 %2028
July 12, 2021(2)
450,000 1.35 %2027
_______________________________________
(1)In May 2023, the Company issued $350 million of 5.25% senior unsecured notes due 2032, which constituted an additional issuance of, and are treated as a single series with, the $400 million of senior unsecured notes due 2032 issued in January 2023.
(2)In 2021, the Company completed two green bond offerings. The net proceeds from both green bonds have been allocated to eligible green projects, and the Company may choose to re-allocate net proceeds from such offerings to one or more other eligible green projects.
During the years ended December 31, 2023 and 2022, there were no repurchases or redemptions of senior unsecured notes.
The following table summarizes the Company’s senior unsecured notes repurchases and redemptions for the year ended December 31, 2021 (dollars in thousands):
Payoff Date(1)
AmountCoupon RateMaturity Year
May 19, 2021$251,806 3.40 %2025
May 19, 2021298,194 4.00 %2025
February 26, 2021188,000 4.25 %2023
February 26, 2021149,000 4.20 %2024
February 26, 2021331,000 3.88 %2024
January 28, 2021112,000 4.25 %2023
January 28, 2021201,000 4.20 %2024
January 28, 2021469,000 3.88 %2024
_______________________________________
(1)As a result of the repurchases and redemptions of these senior unsecured notes, the Company recognized an aggregate $225 million loss on debt extinguishment during the year ended December 31, 2021.
Mortgage Debt
At December 31, 2023 and 2022, the Company had $255 million and $345 million, respectively, in aggregate principal of mortgage debt outstanding. At December 31, 2023, this mortgage debt was secured by 15 outpatient medical buildings and 2 CCRCs, with an aggregate carrying value of $587 million. At December 31, 2022, this mortgage debt was secured by 15 outpatient medical buildings and 3 CCRCs, with an aggregate carrying value of $793 million.
Mortgage debt generally requires monthly principal and interest payments, is collateralized by real estate assets, and is non-recourse. Mortgage debt typically requires maintenance of the assets in good condition, includes conditions to obtain lender consent to enter into or terminate material leases, requires insurance on the assets, requires payment of real estate taxes, restricts transfer of the encumbered assets and repayment of the loan, and prohibits additional liens. Some of the mortgage debt may require tenants or operators to maintain compliance with the applicable leases or operating agreements of such real estate assets.
During the years ended December 31, 2023, 2022, and 2021, the Company made aggregate principal repayments of mortgage debt of $90 million, $5 million, and $9 million, respectively (excluding mortgage debt on assets held for sale and discontinued operations). Included in the $90 million of aggregate principal repayments of mortgage debt for the year ended December 31, 2023 was an $85 million full principal repayment of mortgage debt secured by one CCRC that matured in December 2023.
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The Company has $142 million of mortgage debt secured by a portfolio of 13 outpatient medical buildings that matures in May 2026 (see Note 3). In April 2022, the Company terminated its existing interest rate cap instruments associated with this variable rate mortgage debt and entered into two interest rate swap instruments that are designated as cash flow hedges and mature in May 2026. In February 2023, the agreements associated with this variable rate mortgage debt were amended to change the interest rate benchmarks from LIBOR to SOFR, effective March 2023. Concurrently, the Company modified the related interest rate swap instruments to reflect the change in the interest rate benchmarks from LIBOR to SOFR (see Note 21). The variable rate mortgage debt associated with these interest rate swap instruments is reported as fixed rate debt due to the Company having effectively established a fixed interest rate for the underlying debt instrument.
Debt Maturities
The following table summarizes the Company’s stated debt maturities and scheduled principal repayments at December 31, 2023 (dollars in thousands):
Senior Unsecured Notes(2)
Mortgage Debt(3)
Year Bank Line of Credit
Commercial Paper(1)
Term LoansAmountInterest RateAmountInterest RateTotal
2024$ $ $ $  %$7,024 6.90 %$7,024 
2025   800,000 3.92 %3,209 3.82 %803,209 
2026 720,000  650,000 3.40 %244,523 4.44 %1,614,523 
2027  500,000 450,000 1.54 %366 5.91 %950,366 
2028   500,000 2.35 %  %500,000 
Thereafter   3,050,000 4.18 %  %3,050,000 
  720,000 500,000 5,450,000 255,122 6,925,122 
Premiums, (discounts), and debt issuance costs, net  (3,176)(46,622)975 (48,823)
$ $720,000 $496,824 $5,403,378 $256,097 $6,876,299 
_______________________________________

(1)Commercial Paper Program borrowings are backstopped by the Revolving Facility. As such, the Company calculates the weighted average remaining term of its Commercial Paper Program borrowings using the maturity date of the Revolving Facility.
(2)Effective interest rates on the senior unsecured notes range from 1.54% to 6.87% with a weighted average effective interest rate of 3.66% and a weighted average maturity of 6 years.
(3)Effective interest rates on the mortgage debt range from 3.44% to 9.26% with a weighted average effective interest rate of 4.50% and a weighted average maturity of 3 years. These interest rates include the impact of designated interest rate swap instruments, which effectively fix the interest rate on certain variable rate debt.
NOTE 11.    Commitments and Contingencies
Legal Proceedings
From time to time, the Company is a party to legal proceedings, lawsuits and other claims that arise in the ordinary course of the Company’s business. The Company is not aware of any legal proceedings or claims that it believes may have, individually or taken together, a material adverse effect on the Company’s financial condition, results of operations, or cash flows. The Company’s policy is to expense legal costs as they are incurred.
Subsequent to December 31, 2023, in connection with the Mergers, three lawsuits have been filed by purported stockholders of the Company against the Company, members of the Company’s Board of Directors, and, with respect to one of such lawsuits, Physicians Realty Trust, challenging the disclosures made in the Initial Filing. No loss contingency has been recorded for these matters as of December 31, 2023. The Company believes that the lawsuits and demands are without merit, but cannot predict the outcome of these proceedings or reasonably estimate any potential loss at this time.
Additionally, four lawsuits have been filed by purported shareholders of Physicians Realty Trust against Physicians Realty Trust and the members of the Physicians Realty Trust board of trustees challenging the disclosures made in the Initial Filing. The plaintiffs in each action seek, among other things, to enjoin the Mergers and the transactions contemplated by the Merger Agreement and an award of costs and attorneys’ fees. In addition to such lawsuits, Physicians Realty Trust has received correspondence from multiple purported shareholders of Physicians Realty Trust alleging deficiencies regarding the disclosures made in the Initial Filing. Additional demands and lawsuits arising out of the Mergers may be made or filed in the future.
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DownREITs and Other Partnerships
In connection with the formation of DownREITs, members may contribute appreciated real estate to a DownREIT in exchange for DownREIT units. These contributions are generally tax-deferred, so that the pre-contribution gain related to the property is not taxed to the member. However, if a contributed property is later sold by the DownREIT, the unamortized pre-contribution gain that exists at the date of sale is specifically allocated and taxed to the contributing members. In many of the DownREITs, the Company has entered into indemnification agreements with those members who contributed appreciated property into the DownREIT. Under these indemnification agreements, if any of the appreciated real estate contributed by the members is sold by the DownREIT in a taxable transaction within a specified number of years, the Company will reimburse the affected members for the federal and state income taxes associated with the pre-contribution gain that is specially allocated to the affected member under the Internal Revenue Code (“make-whole payments”). These make-whole payments include a tax gross-up provision. These indemnification agreements have expirations terms that range through 2039 on a total of 29 properties.
Additionally, the Company owns a 49% interest in the Lab JV (see Note 8). If the property in the joint venture is sold in a taxable transaction, the Company is generally obligated to indemnify its joint venture partner for its federal and state income taxes associated with the gain that existed at the time of the contribution to the joint venture.
Commitments
The following table summarizes the Company’s material commitments, excluding potential success-based fees as a result of the Mergers (see Note 1), obligations as the lessee under operating leases (see Note 6), commitments to fund additional loans for senior housing redevelopment and capital expenditure projects (see Note 7), debt service obligations (see Note 10), and potential future obligations related to redeemable noncontrolling interests (see Note 12) at December 31, 2023 (in thousands):
 Amount
Development and redevelopment commitments(1)
$151,996 
Lease and other contractual commitments(2)
27,655 
$179,651 
_______________________________________
(1)Represents construction and other commitments as of December 31, 2023 for developments and redevelopments in progress and includes allowances for Company-owned tenant improvements that the Company has provided as a lessor.
(2)Represents the Company’s commitments, as lessor, under signed leases and contracts for operating properties as of December 31, 2023 and includes allowances for Company-owned tenant improvements and leasing commissions. Excludes allowances for Company-owned tenant improvements related to developments and redevelopments in progress for which the Company has executed an agreement with a general contractor to complete the tenant improvements (recognized in the “Development and redevelopment commitments” line).
Environmental Costs
Various environmental laws govern certain aspects of the ongoing management and operation of our facilities, including those related to presence of asbestos-containing materials. The presence of, or the failure to manage and/or remediate, such materials may adversely affect the occupancy and performance of the Company’s facilities. The Company monitors its properties for the presence of such hazardous or toxic substances and is not aware of any environmental liability with respect to the properties that would have a material adverse effect on the Company’s business, financial condition, or results of operations. The Company carries environmental insurance and believes that the policy terms, conditions, limitations, and deductibles are adequate and appropriate under the circumstances, given the relative risk of loss, the cost of such coverage, and current industry practice.
General Uninsured Losses
The Company obtains various types of insurance to mitigate the impact of property, business interruption, liability, workers’ compensation, flood, windstorm, earthquake, environmental, cyber, and terrorism related losses. The Company attempts to obtain appropriate policy terms, conditions, limits, and deductibles considering the relative risk of loss, the cost of such coverage, and current industry practice. There are, however, certain types of extraordinary losses, such as those due to acts of war or other events that may be either uninsurable or not economically insurable. In addition, the Company has a large number of properties that are exposed to earthquake, flood, and windstorm occurrences for which the related insurances carry high deductibles and have limits.
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NOTE 12.    Equity and Redeemable Noncontrolling Interests
Dividends
On January 31, 2024, the Company’s Board of Directors declared a quarterly cash dividend of $0.30 per share. The common stock cash dividend will be paid on February 26, 2024 to stockholders of record as of the close of business on February 14, 2024.
During each of the years ended December 31, 2023, 2022, and 2021, the Company declared and paid common stock cash dividends of $1.20.
At-The-Market Equity Offering Program
In February 2023, in connection with the Reorganization, the Company terminated the previous at-the-market equity offering program (as amended from time to time, the “2020 ATM Program”) and established a new at-the-market equity offering program (the “2023 ATM Program” and, together with the 2020 ATM Program, the “ATM Programs”). The ATM Programs allow for the sale of shares of common stock having an aggregate gross sales price of up to $1.5 billion (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 (each, an “ATM forward contract”). The use of ATM forward contracts allows the Company to lock in a share price on the sale of shares at the time the ATM forward contract becomes effective, but defer receiving the proceeds from the sale of shares until a later date.
ATM forward contracts generally have a one to two year term. At any time during the term, the Company may settle a forward sale by delivery of physical shares of common stock to the forward seller or, at the Company’s election, in cash or net shares. The forward sale price the Company expects to receive upon settlement of outstanding ATM forward contracts will be the initial forward price established upon the effective date, subject to adjustments for: (i) accrued interest, (ii) the forward purchasers’ stock borrowing costs, and (iii) certain fixed price reductions during the term of the ATM forward contract.
At December 31, 2023, $1.5 billion of the Company’s common stock remained available for sale under the 2023 ATM Program.
ATM Forward Contracts
During the year ended December 31, 2021, the Company utilized the forward provisions under the 2020 ATM Program to allow for the sale of an aggregate of 9.1 million shares of its common stock at an initial weighted average net price of $35.25 per share, after commissions. The Company did not enter into any forward contracts under the 2020 ATM Program during the year ended December 31, 2022. In December 2022, the Company settled all 9.1 million shares previously outstanding under ATM forward contracts at a weighted average net price of $34.01 per share, after commissions, resulting in net proceeds of $308 million. During the year ended December 31, 2023, the Company did not utilize the forward provisions under the ATM Programs.
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ATM Direct Issuances
During each of the years ended December 31, 2023, 2022, and 2021, there were no direct issuances of shares of common stock under the ATM Programs.
Share Repurchase Program
On August 1, 2022, the Company’s Board of Directors approved a share repurchase program under which the Company may acquire shares of its common stock in the open market up to an aggregate purchase price of $500 million (the “Share Repurchase Program”). Purchases of common stock under the Share Repurchase Program may be exercised at the Company’s discretion with the timing and number of shares repurchased depending on a variety of factors, including price, corporate and regulatory requirements, and other corporate liquidity requirements and priorities. The Share Repurchase Program expires in August 2024 and may be suspended or terminated at any time without prior notice. Under Maryland General Corporation Law, outstanding shares of common stock acquired by a corporation become authorized but unissued shares, which may be re-issued. In August 2022, the Company repurchased 2.1 million shares of its common stock at a weighted average price of $27.16 per share for a total of $56 million. During the year ended December 31, 2023, there were no repurchases under the Share Repurchase Program. Therefore, at December 31, 2023, $444 million of the Company’s common stock remained available for repurchase under the Share Repurchase Program.
Other Common Stock Activities
The following table summarizes the Company’s other common stock activities (in thousands):
 Year Ended December 31,
 202320222021
Dividend Reinvestment and Stock Purchase Plan$70 $59 $81 
Conversion of DownREIT units72 27 8 
Exercise of stock options  97 
Vesting of restricted stock units613 820 924 
Repurchase of common stock241 2,418 418 
Accumulated Other Comprehensive Income (Loss)
The following table summarizes the Company’s accumulated other comprehensive income (loss) (in thousands):
 December 31,
 20232022
Unrealized gains (losses) on derivatives, net$21,245 $30,145 
Supplemental Executive Retirement Plan minimum liability(1,874)(2,011)
Total accumulated other comprehensive income (loss)$19,371 $28,134 
The Company has a defined benefit pension plan, known as the Supplemental Executive Retirement Plan, with one plan participant, a former Chief Executive Officer (“CEO”) of the Company who departed in 2003. Changes to the Supplemental Executive Retirement Plan minimum liability are reflected in other comprehensive income (loss).
Noncontrolling Interests
Redeemable Noncontrolling Interests
Arrangements with noncontrolling interest holders are assessed for appropriate balance sheet classification based on the redemption and other rights held by the noncontrolling interest holder. Certain of the Company’s noncontrolling interest holders have the ability to put their equity interests to the Company upon specified events or after the passage of a predetermined period of time (the “Option Requirements”). Each put option is payable in cash and subject to changes in redemption value in the event that the underlying property generates specified returns for the Company and meets certain promote thresholds pursuant to the respective agreements. Accordingly, the Company records redeemable noncontrolling interests outside of permanent equity and presents the redeemable noncontrolling interests at the greater of their carrying amount or redemption value at the end of each reporting period. In addition to the rights of the redeemable noncontrolling interest holders, once the Option Requirements have been met, the Company has the ability to buy out the interests of the noncontrolling interest holders.
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As of December 31, 2023, three of the redeemable noncontrolling interests met the conditions for redemption, but were not yet exercised. The one remaining redeemable noncontrolling interest met the redemption conditions in January 2024. The values of the redeemable noncontrolling interests are subject to change based on the assessment of redemption value at each redemption date.
Healthpeak OP
Immediately following the Reorganization, Healthpeak Properties, Inc. was the initial sole member and 100% owner of Healthpeak OP. Subsequent to the Reorganization, OP Unitholders were issued approximately 2 million OP Units during the year ended December 31, 2023, all of which were LTIP Units (as defined below, see also Note 14). When certain conditions are met, the OP Unitholders have the right to require redemption of part or all of their OP Units for cash or shares of the Company’s common stock, at the Company’s option as managing member of Healthpeak OP. The per unit redemption amount is equal to either one share of the Company’s common stock or cash equal to the fair value of a share of common stock at the time of redemption. The Company classifies the OP Units in permanent equity because it may elect, in its sole discretion, to issue shares of its common stock to OP Unitholders who choose to redeem their OP Units rather than using cash. None of the outstanding OP Units met the criteria for redemption as of December 31, 2023.
DownREITs
The non-managing member units of the Company’s DownREITs are exchangeable for an amount of cash approximating the then-current market value of shares of the Company’s common stock or, at the Company’s option, shares of the Company’s common stock (subject to certain adjustments, such as stock splits and reclassifications). Upon exchange of DownREIT units for the Company’s common stock, the carrying amount of the DownREIT units is reclassified to stockholders’ equity. At December 31, 2023, there were approximately 5 million DownREIT units (7 million shares of Healthpeak common stock are issuable upon conversion) outstanding in seven DownREIT LLCs, for all of which the Company acts as the managing member. At December 31, 2023, the carrying and market values of the 5 million DownREIT units were $199 million and $143 million, respectively. At December 31, 2022, the carrying and market values of the 5 million DownREIT units were $200 million and $183 million, respectively.
NOTE 13.    Earnings Per Common Share
Basic income (loss) per common share (“EPS”) is computed based on the weighted average number of common shares outstanding. Diluted income (loss) per common share is computed based on the weighted average number of common shares outstanding plus the impact of forward equity sales agreements using the treasury stock method, common shares issuable from the assumed conversion of DownREIT units, stock options, certain performance restricted stock units, and unvested restricted stock units. Only those instruments having a dilutive impact on the Company’s basic income (loss) per share are included in diluted income (loss) per share during the periods presented.
Certain restricted stock units are considered participating securities, because dividend payments are not forfeited even if the underlying award does not vest, and require use of the two-class method when computing basic and diluted earnings per share.
Refer to Note 12 for a discussion of the sale of shares under and settlement of forward sales agreements during the periods presented. The Company considered the potential dilution resulting from forward agreements under its ATM Programs to the calculation of earnings per share. At inception, the agreements do not have an effect on the computation of basic EPS as no shares are delivered until settlement. However, the Company uses the treasury stock method to calculate the dilution, if any, resulting from the forward sales agreements during the period of time prior to settlement.
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The following table illustrates the computation of basic and diluted earnings per share (in thousands, except per share amounts):
Year Ended December 31,
202320222021
Numerator
Income (loss) from continuing operations$334,757 $513,540 $137,728 
Noncontrolling interests’ share in continuing operations(28,748)(15,975)(17,851)
Income (loss) from continuing operations attributable to Healthpeak Properties, Inc.306,009 497,565 119,877 
Less: Participating securities’ share in continuing operations(1,725)(2,657)(3,269)
Income (loss) from continuing operations applicable to common shares304,284 494,908 116,608 
Income (loss) from discontinued operations 2,884 388,202 
Noncontrolling interests’ share in discontinued operations  (2,539)
Net income (loss) applicable to common shares - basic and diluted$304,284 $497,792 $502,271 
Denominator
Basic weighted average shares outstanding547,006 538,809 538,930 
Dilutive potential common shares - equity awards(1)
269 338 310 
Dilutive potential common shares - forward equity agreements(2)
  1 
Diluted weighted average common shares547,275 539,147 539,241 
Basic earnings (loss) per common share
Continuing operations$0.56 $0.92 $0.22 
Discontinued operations 0.00 0.71 
Net income (loss) applicable to common shares$0.56 $0.92 $0.93 
Diluted earnings (loss) per common share
Continuing operations$0.56 $0.92 $0.22 
Discontinued operations 0.00 0.71 
Net income (loss) applicable to common shares$0.56 $0.92 $0.93 
_______________________________________
(1)For all periods presented, represents the dilutive impact of 1 million outstanding equity awards (restricted stock units and stock options).
(2)For the year ended December 31, 2023, forward equity sales agreements had no dilutive impact as no shares were outstanding under ATM forward contracts during the year. For the year ended December 31, 2022, all 9.1 million shares that were settled during the year then ended were anti-dilutive. For the year ended December 31, 2021, represents the dilutive impact of 9.1 million shares that were not settled during the year then ended.
For each of the years ended December 31, 2023, 2022, and 2021, all 7 million shares issuable upon conversion of DownREIT units were not included because they were anti-dilutive.
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NOTE 14.    Compensation Plans
Stock-Based Compensation
On May 11, 2006, the Company’s stockholders approved the 2006 Performance Incentive Plan, which was amended and restated in 2009 (the “2006 Plan”). On May 1, 2014, the Company’s stockholders approved the 2014 Performance Incentive Plan, which was amended and restated in 2019 and further amended in 2023 (the “2014 Plan”). Following the adoption of the 2014 Plan, no new awards were issued under the 2006 Plan. On April 27, 2023, the Company’s stockholders approved the 2023 Performance Plan (the “2023 Plan” and collectively with the 2006 Plan and the 2014 Plan, the “Plans”). Following the adoption of the 2023 Plan, no new awards may be issued under the 2014 Plan. The Plans provide for the granting of stock-based compensation to officers, employees, and directors, including stock options, restricted stock, restricted stock units, and with respect to the 2014 and 2023 Plans, profits interests in Healthpeak OP (“LTIP Units”). The maximum number of shares reserved for awards under the 2023 Plan is 31 million shares, and, as of December 31, 2023, 31 million of the reserved shares under the 2023 Plan are available for future awards, of which 21 million shares may be issued as restricted stock, restricted stock units, or LTIP Units.
Restricted Stock Units
Under the Plans, time-based restricted stock units and market-based restricted stock units (collectively, “Restricted Stock Units”) are granted subject to certain restrictions. Conditions of vesting are determined at the time of grant. Restrictions on certain awards generally lapse, as provided in the Plans or in the applicable award agreement, upon retirement, a change in control, or other specified events. The fair market value of Restricted Stock Units is expensed over the period of vesting. Time-based restricted stock units, which vest based solely upon passage of time, generally vest on a graded schedule over a period of three to five years. The fair value of time-based restricted stock units is determined based on the closing market price of the Company’s shares on the grant date. Market-based restricted stock units, which vest dependent upon attainment of total shareholder return (“TSR”) performance that equal or exceed threshold levels as measured against certain peer and industry benchmarks, generally vest in their entirety at the end of a three-year performance period. The number of shares that ultimately vest based on performance can vary from 0% to 200% of target depending on the level of achievement of the performance criteria. The fair value of market-based restricted stock units is determined based on the Monte Carlo valuation model primarily using the following assumptions for awards granted during the years ended December 31, 2023, 2022, and 2021, respectively: (i) expected term of 3 years, 3 years, and 3 years (equal to the remaining performance period at the grant date), (ii) historical volatility of 33.0%, 38.9%, and 39.1%, (iii) dividend yield of 4.4%, 3.5%, and 4.0%, (iv) risk-free rate of 4.4%, 1.8%, and 0.2%, and (v) post-vesting restrictions discount of 10.0%, 5.8%, and 12.9%. The total grant date fair value of time-based restricted stock units and market-based restricted stock units granted during the years ended December 31, 2023, 2022, and 2021 was $9 million, $27 million, and $23 million, respectively. The total fair value (at vesting) of time-based restricted stock units and market-based restricted stock units that vested during the years ended December 31, 2023, 2022, and 2021 was $16 million, $27 million, and $29 million, respectively.
Upon vesting of Restricted Stock Units, the participant is required to pay the related tax withholding obligation, as applicable. The Company reduces the number of common stock shares delivered to pay the employee tax withholding obligation. The value of the shares withheld is dependent on the closing market price of the Company’s common stock on the trading date prior to the relevant transaction occurring. During the years ended December 31, 2023, 2022, and 2021, the Company withheld 241,000, 356,000, and 418,000 shares, respectively, to offset tax withholding obligations with respect to the vesting of the Restricted Stock Units.
LTIP Units
During the year ended December 31, 2023, approximately 2 million LTIP Units were issued to officers of the Company. These awards are designed to qualify as “profits interests” in Healthpeak OP for federal income tax purposes. Such interests are initially not economically equivalent in value to a share of common stock until reaching one-for-one parity with the Company’s common stock, subject to any vesting conditions applicable to the award. When certain conditions are met, LTIP Units are converted to common units, which may then be redeemed for cash or shares of the Company’s common stock, at the Company’s option as managing member of Healthpeak OP (see also Note 12).
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Under the Plans, time-based LTIP Units and market-based LTIP Units (collectively, “LTIP Units”), are granted subject to certain restrictions. Time-based LTIP Units, which vest solely upon passage of time, generally vest over a period of three to six years. The fair value of the time-based LTIP Units is determined based on the closing market price of the Company’s shares on the grant date less a discount for post-vesting restrictions, liquidity risk, and uncertainty of the time-based LTIP Units reaching parity. The market-based LTIP Units are granted at the maximum potential payout, inclusive of expected distributions during the performance period. Market-based LTIP Units, which vest dependent upon attainment of various levels of TSR performance that equal or exceed threshold levels as measured against certain peer and industry benchmarks, generally vest in their entirety at the end of a three-year performance period. The number of market-based LTIP Units that ultimately vest can vary from 0% to 200% of target depending on the level of achievement of the performance criteria, and any difference from the original grant are forfeited. The fair value of market-based LTIP Units granted during the year ended December 31, 2023 is determined based on the Monte Carlo valuation model using the same assumptions as market-based restricted stock units described above less a discount for post-vesting restrictions, liquidity risk, and uncertainty of the market-based LTIP Units reaching parity with the value of the Company’s common stock and the vesting terms of the awards. The total grant date fair value of LTIP Units granted during the year ended December 31, 2023 was $29 million. The total fair value (at vesting) of LTIP Units that vested during the year ended December 31, 2023 was $2 million.
Dividends and Distributions
Holders of time-based restricted stock units and time-based LTIP Units are generally entitled to receive dividends and distributions, respectively, equal to the amount that would be paid on an equivalent number of shares of common stock. Market-based restricted stock units receive cumulative cash dividends upon vesting for the entirety of the performance period based on the level of achievement of the performance criteria. The market-based LTIP Units receive cash distributions equal to 10% of the quarterly dividends paid on the Company’s common stock during the performance period. Based on the level of achievement of the performance criteria at the end of the performance period, the market-based LTIP Units receive distributions in the form of additional LTIP Units for amounts ultimately vested during the performance period, less cash distributions already paid.
Stock Options
There have been no grants of stock options since 2014. Stock options outstanding and exercisable were 0.2 million at December 31, 2023 and 0.3 million at December 31, 2022. There were no stock options exercised under the Plans for the years ended December 31, 2023 and 2022. For the year ended December 31, 2021, proceeds received from stock options exercised under the Plans was $3 million. No compensation cost related to stock options was incurred during the years ended December 31, 2023, 2022, and 2021.
The following table summarizes Restricted Stock Unit and LTIP Unit activity for the year ended December 31, 2023 (units in thousands):
Restricted Stock Units
LTIP Units
 
Number of Units
Weighted
Average
Grant Date
Fair Value
Number of UnitsWeighted
Average
Grant Date
Fair Value
Unvested at January 1, 20231,709 $33.66  $ 
Granted393 28.12 1,970 14.66 
Vested(613)37.97 (76)24.56 
Forfeited(610)31.16   
Unvested at December 31, 2023879 $29.91 1,894 $14.26 
Total stock-based compensation cost was $19 million, $32 million, and $23 million for the years ended December 31, 2023, 2022, and 2021, respectively, which was recognized in general and administrative expenses. The year ended December 31, 2022 included $10 million of severance-related charges resulting from a decrease in the requisite service period of restricted stock units associated with the Company's former CEO, as further described below. Of the total stock-based compensation cost, $4 million, $4 million, and $3 million was capitalized as part of real estate for the years ended December 31, 2023, 2022, and 2021, respectively. As of December 31, 2023, there was $20 million of future expenses related to unvested stock-based compensation arrangements granted under the Company’s incentive plans, which is expected to be recognized over a weighted average period of 1.5 years associated with future employee service. Compensation cost recognized for all Restricted Stock Units and LTIP Units is net of actual forfeitures.
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Departure of Executives
On October 6, 2022, the Company and Thomas M. Herzog mutually agreed that Mr. Herzog would step down from his position as CEO and from the board of directors of the Company, effective immediately. On November 1, 2022, the Company and Troy E. McHenry mutually agreed that Mr. McHenry would step down from his position as Chief Legal Officer and General Counsel, effective immediately. During the fourth quarter of 2022, the Company recognized total severance-related charges of $33 million in general and administrative expenses on the Consolidated Statements of Operations, $10 million of which related to a decrease in the requisite service period of Restricted Stock Units as discussed above. These Restricted Stock Units continue to vest in accordance with the original terms of the grants. As of December 31, 2023, and 2022, $8 million and $15 million of these severance-related charges have not yet been paid and were included in accounts payable, accrued liabilities, and other liabilities on the Consolidated Balance Sheets.
NOTE 15.    Segment Disclosures
The Company’s reportable segments, based on how its CODM evaluates the business and allocates resources, are as follows: (i) lab, (ii) outpatient medical, and (iii) CCRC. The Company has non-reportable segments that are comprised primarily of the Company’s interests in an unconsolidated JV that owns 19 senior housing assets (the “SWF SH JV”), loans receivable, and marketable debt securities. These marketable debt securities matured on December 31, 2022, and the Company received the related proceeds in January 2023. Non-reportable segments have been presented on an aggregate basis within the Notes to the Consolidated Financial Statements herein. The accounting policies of the segments are the same as those described in the Company’s Summary of Significant Accounting Policies (see Note 2).
During the second quarter of 2023, the Company changed the name of its “life science” and “medical office” segments to “lab” and “outpatient medical,” respectively. The segment name changes did not result in any changes to the composition of the Company’s segments or information reviewed by its CODM, and therefore, had no impact on the Company’s historical results of segment operations.
The Company evaluates performance based on property Adjusted NOI. NOI is defined as real estate revenues (inclusive of rental and related revenues, resident fees and services, income from direct financing leases, and government grant income and exclusive of interest income), less property level operating expenses; NOI excludes all other financial statement amounts included in net income (loss). Adjusted NOI is calculated as NOI after eliminating the effects of straight-line rents, DFL non-cash interest, amortization of market lease intangibles, termination fees, actuarial reserves for insurance claims that have been incurred but not reported, and the impact of deferred community fee income and expense.
NOI and Adjusted NOI are non-GAAP supplemental measures that are calculated as NOI and Adjusted NOI from consolidated properties, plus the Company’s share of NOI and Adjusted NOI from unconsolidated joint ventures (calculated by applying the Company’s actual ownership percentage for the period), less noncontrolling interests’ share of NOI and Adjusted NOI from consolidated joint ventures (calculated by applying the Company’s actual ownership percentage for the period). Management utilizes its share of NOI and Adjusted NOI in assessing its performance as the Company has various joint ventures that contribute to its performance. The Company does not control its unconsolidated joint ventures, and the Company’s share of amounts from unconsolidated joint ventures do not represent the Company’s legal claim to such items. The Company’s share of NOI and Adjusted NOI should not be considered a substitute for, and should only be considered together with and as a supplement to, the Company’s financial information presented in accordance with GAAP. Management believes that Adjusted NOI is an important supplemental measure because it provides relevant and useful information by reflecting only income and operating expense items that are incurred at the property level and presenting it on an unlevered basis. Additionally, management believes that net income (loss) is the most directly comparable GAAP measure to NOI and Adjusted NOI. NOI and Adjusted NOI should not be viewed as alternative measures of operating performance to net income (loss) as defined by GAAP since they do not reflect various excluded items.
Non-segment assets consist of assets in the Company’s other non-reportable segments and corporate non-segment assets. Corporate non-segment assets consist primarily of corporate assets, including cash and cash equivalents, restricted cash, accounts receivable, loans receivable, marketable debt securities, other assets, real estate assets held for sale, and liabilities related to assets held for sale.
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The following tables summarize information for the reportable segments (in thousands):
For the year ended December 31, 2023:
LabOutpatient MedicalCCRCOther Non-reportableCorporate Non-segmentTotal
Total revenues$878,326 $753,479 $527,417 $21,781 $ $2,181,003 
Government grant income(1)
  184   184 
Less: Interest income   (21,781) (21,781)
Healthpeak’s share of unconsolidated joint venture total revenues9,924 3,033  82,426  95,383 
Healthpeak’s share of unconsolidated joint venture government grant income   229  229 
Noncontrolling interests’ share of consolidated joint venture total revenues(619)(35,073)   (35,692)
Operating expenses(229,630)(263,132)(413,472) 4,174 (902,060)
Healthpeak’s share of unconsolidated joint venture operating expenses(4,092)(1,189) (60,811) (66,092)
Noncontrolling interests’ share of consolidated joint venture operating expenses156 9,921    10,077 
Adjustments to NOI(2)
(36,524)(14,314)(1,618)366 (4,174)(56,264)
Adjusted NOI617,541 452,725 112,511 22,210  1,204,987 
Plus: Adjustments to NOI(2)
36,524 14,314 1,618 (366)4,174 56,264 
Interest income   21,781  21,781 
Interest expense (7,770)(7,010) (185,551)(200,331)
Depreciation and amortization(328,349)(289,683)(131,869)  (749,901)
General and administrative    (95,132)(95,132)
Transaction and merger-related costs(333)(1,120)(1,881) (14,181)(17,515)
Impairments and loan loss reserves, net   5,601  5,601 
Gain (loss) on sales of real estate, net60,498 21,312  4,653  86,463 
Other income (expense), net7 2,697 228 (81)3,957 6,808 
Less: Government grant income  (184)  (184)
Less: Healthpeak’s share of unconsolidated joint venture NOI(5,832)(1,844) (21,844) (29,520)
Plus: Noncontrolling interests’ share of consolidated joint venture NOI463 25,152    25,615 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures380,519 215,783 (26,587)31,954 (286,733)314,936 
Income tax benefit (expense)    9,617 9,617 
Equity income (loss) from unconsolidated joint ventures4,540 835  4,829  10,204 
Income (loss) from continuing operations385,059 216,618 (26,587)36,783 (277,116)334,757 
Income (loss) from discontinued operations      
Net income (loss)$385,059 $216,618 $(26,587)$36,783 $(277,116)$334,757 
_______________________________________
(1)Represents government grant income received under the CARES Act, which is recorded in other income (expense), net in the Consolidated Statements of Operations (see Note 2).
(2)Represents straight-line rents, DFL non-cash interest, amortization of market lease intangibles, net, actuarial reserves for insurance claims that have been incurred but not reported, deferral of community fees, and termination fees. Includes the Company’s share of income (loss) generated by unconsolidated joint ventures and excludes noncontrolling interests’ share of income (loss) generated by consolidated joint ventures.
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For the year ended December 31, 2022:
LabOutpatient MedicalCCRCOther Non-reportableCorporate Non-segmentTotal
Total revenues$817,573 $725,370 $494,935 $23,300 $ $2,061,178 
Government grant income(1)
  6,765   6,765 
Less: Interest income   (23,300) (23,300)
Healthpeak’s share of unconsolidated joint venture total revenues9,9212,99973,88586,805 
Healthpeak’s share of unconsolidated joint venture government grant income380498878 
Noncontrolling interests’ share of consolidated joint venture total revenues(268)(35,717)(35,985)
Operating expenses(209,143)(253,309)(400,539)  (862,991)
Healthpeak’s share of unconsolidated joint venture operating expenses(2,883)(1,178) (57,632) (61,693)
Noncontrolling interests’ share of consolidated joint venture operating expenses87 10,317    10,404 
Adjustments to NOI(2)
(62,754)(15,513)2,300 169  (75,798)
Adjusted NOI552,533 432,969 103,841 16,920  1,106,263 
Plus: Adjustments to NOI(2)
62,754 15,513 (2,300)(169) 75,798 
Interest income   23,300  23,300 
Interest expense (6,900)(7,509) (158,535)(172,944)
Depreciation and amortization(302,649)(279,546)(128,374)  (710,569)
General and administrative    (131,033)(131,033)
Transaction and merger-related costs(387)(1,255)(725) (2,486)(4,853)
Impairments and loan loss reserves, net   (7,004) (7,004)
Gain (loss) on sales of real estate, net3,744 10,659  (5,325) 9,078 
Other income (expense), net311,939 12,709 (1,380)(13)3,013 326,268 
Less: Government grant income  (6,765)  (6,765)
Less: Healthpeak’s share of unconsolidated joint venture NOI(7,038)(1,821)(380)(16,751) (25,990)
Plus: Noncontrolling interests’ share of consolidated joint venture NOI181 25,400    25,581 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures621,077 207,728 (43,592)10,958 (289,041)507,130 
Income tax benefit (expense)4,425 4,425 
Equity income (loss) from unconsolidated joint ventures(972)852 539 1,566  1,985 
Income (loss) from continuing operations620,105 208,580 (43,053)12,524 (284,616)513,540 
Income (loss) from discontinued operations    2,884 2,884 
Net income (loss)$620,105 $208,580 $(43,053)$12,524 $(281,732)$516,424 
_______________________________________
(1)Represents government grant income received under the CARES Act, which is recorded in other income (expense), net in the Consolidated Statements of Operations (see Note 2).
(2)Represents straight-line rents, DFL non-cash interest, amortization of market lease intangibles, net, actuarial reserves for insurance claims that have been incurred but not reported, deferral of community fees, and termination fees. Includes the Company’s share of income (loss) generated by unconsolidated joint ventures and excludes noncontrolling interests’ share of income (loss) generated by consolidated joint ventures.
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For the year ended December 31, 2021:
LabOutpatient MedicalCCRCOther Non-reportableCorporate Non-segmentTotal
Total revenues$715,844 $671,242 $471,325 $37,773 $ $1,896,184 
Government grant income(1)
  1,412   1,412 
Less: Interest income   (37,773) (37,773)
Healthpeak’s share of unconsolidated joint venture total revenues5,757 2,882 6,903 67,835  83,377 
Healthpeak’s share of unconsolidated joint venture government grant income  200 1,549  1,749 
Noncontrolling interests’ share of consolidated joint venture total revenues(292)(35,363)   (35,655)
Operating expenses(169,044)(223,383)(380,865)13  (773,279)
Healthpeak’s share of unconsolidated joint venture operating expenses(1,836)(1,174)(6,639)(51,866) (61,515)
Noncontrolling interests’ share of consolidated joint venture operating expenses87 10,071    10,158 
Adjustments to NOI(2)
(46,589)(11,118)3,241 (47) (54,513)
Adjusted NOI503,927 413,157 95,577 17,484  1,030,145 
Plus: Adjustments to NOI(2)
46,589 11,118 (3,241)47  54,513 
Interest income   37,773  37,773 
Interest expense(232)(2,837)(7,701) (147,210)(157,980)
Depreciation and amortization(303,196)(255,746)(125,344)  (684,286)
General and administrative    (98,303)(98,303)
Transaction and merger-related costs(24)(323)(1,445)(49) (1,841)
Impairments and loan loss reserves, net (21,577) (1,583) (23,160)
Gain (loss) on sales of real estate, net 190,590    190,590 
Gain (loss) on debt extinguishments    (225,824)(225,824)
Other income (expense), net55 (2,725)2,141 486 6,309 6,266 
Less: Government grant income  (1,412)  (1,412)
Less: Healthpeak’s share of unconsolidated joint venture NOI(3,921)(1,708)(464)(17,518) (23,611)
Plus: Noncontrolling interests’ share of consolidated joint venture NOI20525,292 25,497 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures243,403 355,241 (41,889)36,640 (465,028)128,367 
Income tax benefit (expense)    3,261 3,261 
Equity income (loss) from unconsolidated joint ventures1,118 794 1,484 2,704  6,100 
Income (loss) from continuing operations244,521 356,035 (40,405)39,344 (461,767)137,728 
Income (loss) from discontinued operations    388,202 388,202 
Net income (loss)$244,521 $356,035 $(40,405)$39,344 $(73,565)$525,930 
_______________________________________
(1)Represents government grant income received under the CARES Act, which is recorded in other income (expense), net in the Consolidated Statements of Operations (see Note 2).
(2)Represents straight-line rents, DFL non-cash interest, amortization of market lease intangibles, net, actuarial reserves for insurance claims that have been incurred but not reported, deferral of community fees, and termination fees. Includes the Company’s share of income (loss) generated by unconsolidated joint ventures and excludes noncontrolling interests’ share of income (loss) generated by consolidated joint ventures.

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The following table summarizes the Company’s total assets by segment (in thousands):
 December 31,
Segment20232022
Lab$9,313,395 $9,019,271 
Outpatient medical6,376,191 6,291,986 
CCRC2,369,883 2,276,898 
Reportable segment assets18,059,469 17,588,155 
Accumulated depreciation and amortization(4,017,023)(3,540,362)
Net reportable segment assets14,042,446 14,047,793 
Other non-reportable segment assets553,031 744,550 
Assets held for sale, net117,986 49,866 
Other non-segment assets985,387 929,020 
Total assets$15,698,850 $15,771,229 
See Notes 3, 4, 5, 6, 7, 8, and 18 for significant transactions impacting the Company’s segment assets during the periods presented.
At each of December 31, 2023 and 2022, goodwill of $18 million was allocated to the Company’s segment assets as follows: (i) $14 million for outpatient medical, (ii) $2 million for CCRC, and (iii) $2 million for other non-reportable.
NOTE 16.     Income Taxes
The Company has elected to be taxed as a REIT under the applicable provisions of the Code beginning with the year ended December 31, 1985. The Company has also elected for certain of its subsidiaries to be treated as TRSs (the “TRS entities”), which are subject to federal and state income taxes. All entities other than the TRS entities are collectively referred to as the “REIT” within this Note 16. Certain REIT entities are also subject to state and local income taxes.
Distributions with respect to the Company’s common stock can be characterized for federal income tax purposes as ordinary dividends, capital gains, nondividend distributions, or a combination thereof.
The following table shows the characterization of the Company’s annual common stock distributions per share:
Year Ended December 31,
202320222021
Ordinary dividends(1)
$0.909692 $0.872948 $0.152336 
Capital gains(2)(3)
0.116992 0.183208 0.379960 
Nondividend distributions0.173316 0.143844 0.667704 
$1.200000 $1.200000 $1.200000 
_______________________________________
(1)For the year ended December 31, 2023, the amount includes $0.882312 of ordinary dividends qualified as business income for purposes of Code Section 199A and $0.027380 of qualified dividend income for purposes of Code Section 1(h)(11). For the year ended December 31, 2022, all $0.872948 of ordinary dividends qualified as business income for purposes of Code Section 199A. For the year ended December 31, 2021, the amount includes $0.137064 of ordinary dividends qualified as business income for purposes of Code Section 199A and $0.015272 of qualified dividend income for purposes of Code Section 1(h)(11).
(2)For the years ended December 31, 2023, 2022, and 2021, the amount includes $0.036256, $0.017760, and $0.379960, respectively, of unrecaptured Code Section 1250 gain. Pursuant to Treasury Regulation Section 1.1061-6(c), the Company is disclosing additional information related to the capital gain dividends for purposes of Section 1061 of the Code. Code Section 1061 is generally applicable to direct and indirect holders of “applicable partnership interests.” For the year ended December 31, 2023, the “One Year Amounts” and “Three Year Amounts” are each zero, since all capital gains relate to Code Section 1231 gains. For the year ended December 31, 2022, the “One Year Amounts” and “Three Year Amounts” are each 89.6708% of the total capital gain distributions and the remaining capital gain distributions are attributable to Code Section 1231 gains, which are not subject to Code Section 1061. For the year ended December 31, 2021, the “One Year Amounts” and “Three Year Amounts” are each zero, since all capital gains relate to Code Section 1231 gains.
(3)For the years ended December 31, 2023, 2022, and 2021, 100%, 10.3292%, and 100%, respectively, of the capital gain distributions represent gains from dispositions of U.S. real property interests pursuant to Code Section 897 for foreign shareholders.
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The Company’s pretax income (loss) from continuing operations for the years ended December 31, 2023, 2022, and 2021 was $325 million, $509 million, and $134 million, respectively, of which $318 million, $527 million, and $150 million was attributable to the REIT entities for the years then ended. The TRS entities subject to tax reported income (losses) before income taxes from continuing operations of $7 million, $(18) million, and $(16) million for the years ended December 31, 2023, 2022, and 2021, respectively.
The total income tax benefit (expense) from continuing operations consists of the following components (in thousands):
Year Ended December 31,
202320222021
Current
Federal$(1,663)$(632)$(126)
State(3,325)(689)(1,003)
Total current$(4,988)$(1,321)$(1,129)
Deferred
Federal$11,682 $3,157 $3,469 
State2,923 2,589 921 
Total deferred$14,605 $5,746 $4,390 
Total income tax benefit (expense) from continuing operations$9,617 $4,425 $3,261 
The Company’s income tax benefit from discontinued operations was zero, $0.3 million, and $1 million for the years ended December 31, 2023, 2022, and 2021, respectively (see Note 4).
The following table reconciles income tax benefit (expense) from continuing operations at statutory rates to actual income tax benefit (expense) recorded (in thousands):
Year Ended December 31,
202320222021
Tax benefit (expense) at U.S. federal statutory income tax rate on income or loss subject to tax$(1,404)$3,698 $3,345 
State income tax benefit (expense), net of federal tax (1,035)911 706 
Gross receipts and margin taxes(1,647)(956)(989)
Return to provision adjustments(90)1,260 (4)
Change in valuation allowance for deferred tax assets13,797 194 203 
Change in tax status of TRS(4)(682) 
Total income tax benefit (expense) from continuing operations$9,617 $4,425 $3,261 
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Deferred income taxes reflect the net effects of temporary differences between the carrying amounts of the assets and liabilities for financial reporting purposes and the amounts used for income tax purposes. The following table summarizes the significant components of the Company’s deferred tax assets and liabilities from continuing operations (in thousands):
December 31,
202320222021
Deferred tax assets:
Deferred revenue$103,530 $102,504 $104,397 
Net operating loss carryforward54,136 62,280 71,744 
Expense accruals12,324 12,399 14,229 
Real estate850 150 129 
Other 58 689  
Total deferred tax assets170,898 178,022 190,499 
Valuation allowance(13,004)(26,098)(35,772)
Deferred tax assets, net of valuation allowance$157,894 $151,924 $154,727 
Deferred tax liabilities:
Real estate$43,488 $52,266 $61,097 
Other818 674 648 
Deferred tax liabilities$44,306 $52,940 $61,745 
Net deferred tax assets$113,588 $98,984 $92,982 
Net deferred tax assets are included in other assets, net on the Consolidated Balance Sheets.
The Company records a valuation allowance against deferred tax assets in certain jurisdictions when it is not more likely than not that it can realize the related deferred tax assets. The deferred tax asset valuation allowance is adequate to reduce the total deferred tax assets to an amount that the Company estimates will “more-likely-than-not” be realized.
As of December 31, 2021 and 2022, the Company recorded a valuation allowance against certain SHOP deferred tax assets generated by net operating losses of its TRS entities. During the year ended December 31, 2023, the Company concluded that it was more likely than not that certain deferred tax assets (primarily net operating loss carryforwards) would be realized. This conclusion was based on recent revisions to estimates of future taxable income for certain TRS entities in connection with the Callan Ridge JV transaction (see also Notes 4 and 8). Accordingly, the Company reversed its deferred tax asset valuation allowance and recognized an income tax benefit of $14 million during the year ended December 31, 2023. As of December 31, 2023, 2022, and 2021, the Company had a deferred tax asset valuation allowance of $13 million, $26 million, and $36 million, respectively.
At December 31, 2023, the Company had a net operating loss (“NOL”) carryforward of $216 million related to the TRS entities. If unused, $15 million will begin to expire in 2035. The remainder, totaling $201 million, may be carried forward indefinitely.
The following table summarizes the Company’s unrecognized tax benefits (in thousands):
December 31,
202320222021
Total unrecognized tax benefits at January 1$ $469 $469 
Gross amount of decreases for prior years’ tax positions (469) 
Total unrecognized tax benefits at December 31$ $ $469 
For the years ended December 31, 2023 and 2022, the Company had no unrecognized tax benefits. For the year ended December 31, 2021, the Company had unrecognized tax benefits of $0.5 million, that, if recognized, would reduce the annual effective tax rate.
The Company files numerous U.S. federal, state, and local income and franchise tax returns. With a few exceptions, the Company is no longer subject to U.S. federal, state, or local tax examinations by taxing authorities for years prior to 2020.
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NOTE 17.    Supplemental Cash Flow Information
The following table provides supplemental cash flow information (in thousands):
Year Ended December 31,
202320222021
Supplemental cash flow information:
Interest paid, net of capitalized interest$188,213 $162,115 $173,044 
Income taxes paid (refunded)1,923 (1,903)4,521 
Capitalized interest56,849 41,046 24,084 
Cash paid for amounts included in the measurement of lease liability for operating leases21,488 12,594 10,620 
Supplemental schedule of non-cash investing and financing activities:
Increase in ROU asset in exchange for new lease liability related to operating leases3,951 9,454 28,866 
Decrease in ROU asset with corresponding change in lease liability related to operating leases  8,410 
Accrued construction costs105,572 178,626 179,995 
Net noncash impact from the consolidation of property previously held in an unconsolidated joint venture993   
Retained investment in connection with South San Francisco JVs transaction 293,265  
Seller financing provided on disposition of real estate asset  559,745 
Carrying value of mortgages assumed by buyer in real estate dispositions  143,676 
See Note 8 for discussion of the South San Francisco JVs transaction.
Operating, investing, and financing cash flows in the Consolidated Statements of Cash Flows are reported inclusive of both cash flows from continuing operations and cash flows from discontinued operations. The following table summarizes certain cash flow information related to discontinued operations (in thousands):
Year Ended December 31,
202320222021
Leasing costs, tenant improvements, and recurring capital expenditures$ $21 $2,636 
Development, redevelopment, and other major improvements of real estate 18 5,780 
Depreciation and amortization of real estate, in-place lease, and other intangibles   
The following table summarizes cash, cash equivalents, and restricted cash (in thousands):
Year Ended December 31,
202320222021202320222021202320222021
Continuing operationsDiscontinued operationsTotal
Beginning of year:
Cash and cash equivalents$72,032 $158,287 $44,226 $ $7,707 $53,085 $72,032 $165,994 $97,311 
Restricted cash54,802 53,454 67,206   17,168 54,802 53,454 84,374 
Cash, cash equivalents, and restricted cash$126,834 $211,741 $111,432 $ $7,707 $70,253 $126,834 $219,448 $181,685 
End of year:
Cash and cash equivalents$117,635 $72,032 $158,287 $ $ $7,707 $117,635 $72,032 $165,994 
Restricted cash51,388 54,802 53,454    51,388 54,802 53,454 
Cash, cash equivalents, and restricted cash$169,023 $126,834 $211,741 $ $ $7,707 $169,023 $126,834 $219,448 

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NOTE 18.    Variable Interest Entities
Operating Subsidiary
Subsequent to the Reorganization, Healthpeak OP is the Company’s operating subsidiary and a limited liability company that has governing provisions that are the functional equivalent of a limited partnership. The Company holds a membership interest in Healthpeak OP, acts as the managing member of Healthpeak OP, and exercises full responsibility, discretion, and control over the day-to-day management of Healthpeak OP. Because the noncontrolling interests in Healthpeak OP do not have substantive liquidation rights, substantive kick-out rights without cause, or substantive participating rights, the Company has determined that Healthpeak OP is a VIE. The Company, as managing member, has the power to direct the core activities of Healthpeak OP that most significantly affect Healthpeak OP’s performance, and through its interest in Healthpeak OP, has both the right to receive benefits from and the obligation to absorb losses of Healthpeak OP. Accordingly, the Company is the primary beneficiary of Healthpeak OP and consolidates Healthpeak OP. As the Company conducts its business and holds its assets and liabilities through Healthpeak OP, the total consolidated assets and liabilities, income (losses), and cash flows of Healthpeak OP represent substantially all of the total consolidated assets and liabilities, income (losses), and cash flows of the Company.
Unconsolidated Variable Interest Entities
At December 31, 2023, the Company had investments in two unconsolidated VIE joint ventures. At December 31, 2022, the Company had investments in: (i) two unconsolidated VIE joint ventures and (ii) marketable debt securities of one VIE. The Company determined it is not the primary beneficiary of and therefore does not consolidate these VIEs because it does not have the ability to control the activities that most significantly impact their economic performance. Except for the Company’s equity interest in the unconsolidated joint ventures (the LLC Investment and Needham Land Parcel JV discussed below), it has no formal involvement in these VIEs beyond its investments.
LLC Investment. The Company holds a limited partner ownership interest in an unconsolidated LLC (“LLC Investment”) that has been identified as a VIE. The Company’s involvement in the entity is limited to its equity investment as a limited partner and it does not have any substantive participating rights or kick-out rights over the general partner. The assets and liabilities of the entity primarily consist of three hospitals as well as senior housing real estate. Any assets generated by the entity may only be used to settle its contractual obligations (primarily capital expenditures and debt service payments).
Needham Land Parcel JV. In December 2021, the Company acquired a 38% interest in a lab development joint venture in Needham, Massachusetts for $13 million. Current equity at risk is not sufficient to finance the joint venture’s activities. The assets and liabilities of the entity primarily consist of real estate and debt service obligations. Any assets generated by the entity may only be used to settle its contractual obligations (primarily development costs and debt service payments). See Note 8 for additional descriptions of the nature, purpose, and operating activities of this unconsolidated VIE and interests therein.
Debt Securities Investment. At December 31, 2022, the Company held $22 million of commercial mortgage-backed securities (“CMBS”) issued by Federal Home Loan Mortgage Corporation (commonly referred to as Freddie Mac) through a special purpose entity that had been identified as a VIE because it was “thinly capitalized.” The CMBS issued by the VIE were backed by mortgage debt obligations on real estate assets. These securities were classified as held-to-maturity because the Company had the intent and ability to hold the securities until maturity. These securities matured on December 31, 2022, and the Company received the related proceeds in January 2023.
The classification of the related assets and liabilities and the maximum loss exposure as a result of the Company’s involvement with these VIEs at December 31, 2023 was as follows (in thousands):
VIE TypeAsset Type
Maximum Loss Exposure and Carrying Amount(1)
LLC InvestmentOther assets, net$14,985 
Needham Land Parcel JVInvestments in and advances to unconsolidated joint ventures17,084 
_______________________________________
(1)The Company’s maximum loss exposure represents the aggregate carrying amount of such investments.
As of December 31, 2023, the Company had not provided, and is not required to provide, financial support through a liquidity arrangement or otherwise, to its unconsolidated VIEs, including under circumstances in which it could be exposed to further losses (e.g., cash shortfalls).
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Consolidated Variable Interest Entities
The Company’s consolidated total assets and total liabilities at December 31, 2023 and 2022 include certain assets of VIEs that can only be used to settle the liabilities of the related VIE. The VIE creditors do not have recourse to the Company.
Ventures V, LLC. The Company holds a 51% ownership interest in and is the managing member of a joint venture entity formed in October 2015 that owns and leases outpatient medical buildings (“Ventures V”). The Company classifies Ventures V as a VIE due to the non-managing member lacking substantive participation rights in the management of Ventures V or kick-out rights over the managing member. The Company consolidates Ventures V as the primary beneficiary because it has the ability to control the activities that most significantly impact the VIE’s economic performance. The assets of Ventures V primarily consist of leased properties (net real estate), rents receivable, and cash and cash equivalents; its obligations primarily consist of capital expenditures for the properties. Assets generated by Ventures V may only be used to settle its contractual obligations.
Lab JVs. The Company holds a 98% or greater ownership interest in multiple joint venture entities that own and lease lab buildings (the “Lab JVs”). The Lab JVs are VIEs as the members share in certain decisions of the entities, but substantially all of the activities are performed on behalf of the Company. The Company consolidates the Lab JVs as the primary beneficiary because it has the ability to control the activities that most significantly impact these VIEs’ economic performance. The assets of the Lab JVs primarily consist of leased properties (net real estate), rents receivable, and cash and cash equivalents; their obligations primarily consist of capital expenditures for the properties. Assets generated by the Lab JVs may only be used to settle their contractual obligations. Refer to Note 12 for a discussion of certain put options associated with the Lab JVs.
MSREI JV.  The Company holds a 51% ownership interest in, and is the managing member of, a joint venture entity formed in August 2018 that owns and leases outpatient medical buildings (the “MSREI JV”). The MSREI JV is a VIE due to the non-managing member lacking substantive participation rights in the management of the joint venture or kick-out rights over the managing member. The Company consolidates the MSREI JV as the primary beneficiary because it has the ability to control the activities that most significantly impact the VIE’s economic performance. The assets of the MSREI JV primarily consist of leased properties (net real estate), rents receivable, and cash and cash equivalents; its obligations primarily consist of capital expenditures for the properties. Assets generated by the MSREI JV may only be used to settle its contractual obligations.
DownREITs. The Company holds a controlling ownership interest in and is the managing member of seven DownREITs. The Company classifies the DownREITs as VIEs due to the non-managing members lacking substantive participation rights in the management of the DownREITs or kick-out rights over the managing member. The Company consolidates the DownREITs as the primary beneficiary because it has the ability to control the activities that most significantly impact these VIEs’ economic performance. The assets of the DownREITs primarily consist of leased properties (net real estate), rents receivable, and cash and cash equivalents; their obligations primarily consist of debt service payments and capital expenditures for the properties. Assets generated by the DownREITs (primarily from tenant rents) may only be used to settle their contractual obligations (primarily from debt service and capital expenditures).
Other Consolidated Real Estate Partnerships. The Company holds a controlling ownership interest in and is the general partner (or managing member) of multiple partnerships that own and lease real estate assets (the “Partnerships”). The Company classifies the Partnerships as VIEs due to the limited partners (non-managing members) lacking substantive participation rights in the management of the Partnerships or kick-out rights over the general partner (managing member). The Company consolidates the Partnerships as the primary beneficiary because it has the ability to control the activities that most significantly impact these VIEs’ economic performance. The assets of the Partnerships primarily consist of leased properties (net real estate), rents receivable, and cash and cash equivalents; their obligations primarily consist of debt service payments and capital expenditures for the properties. Assets generated by the Partnerships (primarily from tenant rents) may only be used to settle their contractual obligations (primarily from debt service and capital expenditures).
120

Total assets and total liabilities include VIE assets and liabilities, excluding those of Healthpeak OP, as follows (in thousands):
December 31,
20232022
Assets
Buildings and improvements$2,392,375 $2,356,905 
Development costs and construction in progress47,481 58,499 
Land and improvements307,166 324,714 
Accumulated depreciation and amortization(665,791)(623,244)
Net real estate2,081,231 2,116,874 
Accounts receivable, net5,906 6,893 
Cash and cash equivalents18,410 20,586 
Restricted cash613 354 
Intangible assets, net56,975 73,860 
Assets held for sale, net 30,355 
Right-of-use asset, net97,575 99,376 
Other assets, net79,248 73,690 
Total assets $2,339,958 $2,421,988 
Liabilities
Mortgage debt$144,874 $144,604 
Intangible liabilities, net11,884 15,066 
Liabilities related to assets held for sale, net 401 
Lease liability99,725 99,039 
Accounts payable, accrued liabilities, and other liabilities54,975 68,979 
Deferred revenue48,316 39,661 
Total liabilities $359,774 $367,750 
Total assets and total liabilities related to assets held for sale include VIE assets and liabilities, excluding those of Healthpeak OP, as follows (in thousands):
December 31,
20232022
Assets
Buildings and improvements$ $39,934 
Land and improvements 1,926 
Accumulated depreciation and amortization (15,612)
Net real estate 26,248 
Intangible assets, net 215 
Other assets, net 3,892 
Total assets $ $30,355 
Liabilities
Deferred revenue 401 
Total liabilities $ $401 
121

NOTE 19.    Concentration of Credit Risk
Concentrations of credit risk arise when one or more tenants, operators, or obligors related to the Company’s investments are engaged in similar business activities or activities in the same geographic region, or have similar economic features that would cause their ability to meet contractual obligations, including those to the Company, to be similarly affected by changes in economic conditions. The Company regularly monitors various segments of its portfolio to assess potential concentrations of credit risks.
The following table provides information regarding the Company’s concentrations with respect to certain states; the information provided is presented for the gross assets and revenues that are associated with certain real estate assets as percentages of the Company’s total assets and revenues, excluding discontinued operations:
 Percentage of Total Company AssetsPercentage of Total Company Revenues
 December 31,Year Ended December 31,
State20232022202320222021
California3837313128
Florida1010181817
Texas1010111111
Massachusetts171711109
The Company’s rental revenue is generated from multiple tenants across its diverse portfolio. As of December 31, 2023, the Company’s largest tenant in its outpatient medical and lab segments accounted for 8% and 2%, respectively, of the Company’s total revenues.
NOTE 20.    Fair Value Measurements
The table below summarizes the carrying amounts and fair values of the Company’s financial instruments either recorded or disclosed on a recurring basis (in thousands):
 December 31,
 
2023(3)
2022(3)
 Carrying ValueFair ValueCarrying ValueFair Value
Loans receivable, net(2)
$218,450 $218,450 $374,832 $369,425 
Marketable debt securities(2)
  21,702 21,702 
Interest rate swap instruments(2)
21,359 21,359 30,259 30,259 
Bank line of credit and commercial paper(2)
720,000 720,000 995,606 995,606 
Term loans(2)
496,824 496,824 495,957 495,957 
Senior unsecured notes(1)
5,403,378 5,144,667 4,659,451 4,238,124 
Mortgage debt(2)
256,097 244,135 346,599 330,867 
_______________________________________
(1)Level 1: Fair value is calculated based on quoted prices in active markets.
(2)Level 2: Fair value is based on (i) for loans receivable, net, interest rate swap instruments, and mortgage debt, standardized pricing models in which significant inputs or value drivers are observable in active markets, respectively, or (ii) for marketable debt securities, quoted prices for similar or identical instruments in active or inactive markets. For bank line of credit, commercial paper, and term loans, the carrying values are a reasonable estimate of fair value because the borrowings are primarily based on market interest rates and the Company’s credit rating.
(3)During the years ended December 31, 2023 and 2022, there were no material transfers of financial assets or liabilities within the fair value hierarchy.
122

NOTE 21.    Derivative Financial Instruments
The Company uses derivative instruments to mitigate the effects of interest rate fluctuations on specific forecasted transactions as well as recognized financial obligations or assets. Utilizing derivative instruments allows the Company to manage the risk of fluctuations in interest rates and their related potential impact on future earnings and cash flows. The Company does not use derivative instruments for speculative or trading purposes. At December 31, 2023, a one percentage point increase or decrease in the underlying interest rate curve would result in a corresponding increase or decrease in the fair value of the derivative instruments by up to $18 million.
In April 2021, the Company executed two interest rate cap instruments on $142 million of variable rate mortgage debt secured by a portfolio of outpatient medical buildings (see Note 10). During the year ended December 31, 2022, the Company recognized a $2 million increase in the fair value of the interest rate cap instruments within other income (expense), net. In April 2022, the Company terminated these interest rate cap instruments and entered into two interest rate swap instruments that are designated as cash flow hedges and mature in May 2026. In February 2023, the Company modified these two interest rate swap instruments to reflect the change in the related variable rate mortgage debt’s interest rate benchmarks from LIBOR to SOFR (see Note 10). The Company applied certain practical expedients provided by the reference rate reform ASUs in connection with the modifications to these cash flow hedges (see Note 2).
In August 2022, the Company entered into two forward-starting interest rate swap instruments on the $500 million aggregate principal amount of the Term Loan Facilities (see Note 10). The interest rate swap instruments are designated as cash flow hedges.
The following table summarizes the Company’s interest rate swap instruments (in thousands):
Fair Value(2)
Date EnteredMaturity DateHedge DesignationNotional Amount
Pay Rate(1)
Receive Rate(1)
December 31,
2023
December 31,
2022
April 2022(3)
May 2026Cash flow$51,100 4.99 %
USD-SOFR w/ -5 Day Lookback + 2.50%
$1,602 $2,300 
April 2022(3)
May 2026Cash flow91,000 4.54 %
USD-SOFR w/ -5 Day Lookback + 2.05%
2,851 4,096 
August 2022(3)
February 2027Cash flow250,000 2.60 %1 mo. USD-SOFR CME Term7,933 11,299 
August 2022(3)
August 2027Cash flow250,000 2.54 %1 mo. USD-SOFR CME Term8,973 12,564 
_____________________________
(1)Pay rates and receive rates are as of December 31, 2023. As of December 31, 2022, the interest rate swap instrument with a $51 million notional amount had a pay rate of 5.08% and a receive rate of 1 mo. USD-LIBOR-BBA + 2.50%. As of December 31, 2022, the interest rate swap instrument with a $91 million notional amount had a pay rate of 4.63% and a receive rate of 1 mo. USD-LIBOR-BBA + 2.05%.
(2)At each of December 31, 2023 and 2022, the interest rate swap instruments were in an asset position. Derivative assets are recorded at fair value in other assets, net on the Consolidated Balance Sheets.
(3)Represents interest rate swap instruments that hedge fluctuations in interest payments on variable rate debt by converting the interest rates to fixed interest rates. The changes in fair value of designated derivatives that qualify as cash flow hedges are recorded in accumulated other comprehensive income (loss) on the Consolidated Balance Sheets.
In January 2024, the Company entered into forward-starting interest rate swap instruments that will effectively establish a fixed interest rate on the $750 million aggregate principal amount of the 2024 Term Loan at a blended contractual rate of 4.5% (see Note 10). The interest rate swap instruments are designated as cash flow hedges.
NOTE 22.    Accounts Payable, Accrued Liabilities, and Other Liabilities
The following table summarizes the Company’s accounts payable, accrued liabilities, and other liabilities (in thousands):
December 31,
20232022
Refundable entrance fees$251,874 $268,972 
Accrued construction costs105,572 178,626 
Accrued interest59,492 59,291 
Other accounts payable and accrued liabilities240,258 265,596 
Accounts payable, accrued liabilities, and other liabilities$657,196 $772,485 


123

NOTE 23.    Deferred Revenue
The following table summarizes the Company’s deferred revenue, excluding deferred revenue related to assets classified as held for sale (in thousands):
December 31,
20232022
Nonrefundable entrance fees(1)
$562,026 $518,573 
Other deferred revenue(2)
343,607 325,503 
Deferred revenue$905,633 $844,076 
_______________________________________
(1)During the years ended December 31, 2023 and 2022, the Company collected nonrefundable entrance fees of $127 million and $101 million, respectively. During the years ended December 31, 2023, 2022, and 2021, the Company recognized amortization of $83 million, $79 million, and $76 million, respectively, which is included within resident fees and services on the Consolidated Statements of Operations.
(2)Other deferred revenue is primarily comprised of prepaid rent, deferred rent, and tenant-funded tenant improvements owned by the Company. During the years ended December 31, 2023, 2022, and 2021, the Company recognized amortization related to other deferred revenue of $68 million, $44 million, and $39 million, respectively, which is included in rental and related revenues on the Consolidated Statements of Operations.
124

Schedule II: Valuation and Qualifying Accounts
(In thousands)
Allowance Accounts(1)
Additions
Year Ended
December 31,
Balance at
Beginning of
Year
Amounts
Charged
Against
Operations, net
Acquired
Properties
Deductions(2)
Balance at
End of Year
Continuing operations:
2023$2,399 $ $ $(117)$2,282 
20221,870 529   2,399 
20213,994   (2,124)1,870 
Discontinued operations:
2023$ $ $ $ $ 
20224,138   (4,138) 
20215,873 46  (1,781)4,138 
_______________________________________
(1)Includes allowance for doubtful accounts. Excludes reserves for loan losses which are disclosed in Note 7 to the Consolidated Financial Statements.
(2)Primarily includes the write-off of uncollectible accounts, dispositions, and other net reductions in the reserves.
125

Schedule III: Real Estate and Accumulated Depreciation
(in thousands)
Encumbrances at December 31, 2023Initial Cost to Company
Costs Capitalized Subsequent to Acquisition(3)
Gross Amount at Which Carried
As of December 31, 2023
Accumulated Depreciation(5)
Year Constructed(6)
Year Acquired
CityState
Land and improvements(1)
Buildings and Improvements(2)
Land and improvementsBuildings and Improvements
Total(4)
Lab
1483 Brisbane  CA $ $8,498 $500 $82,955 $8,498 $83,455 $91,953 $(6,065)20222007
1484 Brisbane  CA  11,331 689 159,209 11,331 159,898 171,229 (10,321)20222007
1485 Brisbane  CA  11,331 600 151,954 11,331 152,554 163,885 (11,224)20222007
1486 Brisbane  CA  11,331  135,416 11,331 135,416 146,747 (22,767)20202007
1487 Brisbane  CA  8,498  76,398 8,498 76,398 84,896 (7,089)20202007
2874 Brisbane  CA  26,895 62,318 75,811 26,295 138,729 165,024 (13,636)19892019
2875 Brisbane  CA  24,092 56,623 7,302 24,092 63,925 88,017 (10,162)20002019
3139 Brisbane  CA  35,805  5,505 35,805 5,505 41,310  2019
3140 Brisbane  CA  35,805  2,668 35,805 2,668 38,473  2019
3142 Brisbane  CA    3,724  3,724 3,724  2007
1401 Hayward  CA  900 7,100 12,450 1,338 19,112 20,450 (5,630)19962007
1402 Hayward  CA  1,500 6,400 6,837 1,500 13,237 14,737 (2,971)19992007
1403 Hayward  CA  1,900 7,100 7,873 1,900 14,973 16,873 (5,801)19982007
1404 Hayward  CA  2,200 17,200 8,948 2,200 26,148 28,348 (10,059)19992007
1405 Hayward  CA  1,000 3,200 646 1,000 3,846 4,846 (1,625)19992007
1549 Hayward  CA  1,006 4,259 4,208 1,006 8,467 9,473 (4,388)19962007
1550 Hayward  CA  677 2,761 876 677 3,637 4,314 (2,027)19962007
1551 Hayward  CA  661 1,995 2,899 661 4,894 5,555 (1,675)19962007
1552 Hayward  CA  1,187 7,139 1,435 1,187 8,574 9,761 (5,601)19962007
1553 Hayward  CA  1,189 9,465 6,555 1,189 16,020 17,209 (12,099)19962007
1554 Hayward  CA  1,246 5,179 11,951 1,246 17,130 18,376 (6,357)19962007
1555 Hayward  CA  1,521 13,546 7,482 1,521 21,028 22,549 (14,370)19962007
1556 Hayward  CA  1,212 5,120 1,127 1,212 6,247 7,459 (3,853)19962007
1424 La Jolla  CA  11,175 25,283 44,107 11,389 69,176 80,565 (16,131)19822007
1425 La Jolla  CA  7,217 19,883 61 7,217 19,944 27,161 (8,193)19812007
1426 La Jolla  CA  8,381 12,412 11,260 8,381 23,672 32,053 (15,449)19842007
1427 La Jolla  CA  10,127 16,983 7,965 10,148 24,927 35,075 (11,048)19822007
1949 La Jolla  CA  2,686 11,045 17,501 2,686 28,546 31,232 (8,278)20212011
2229 La Jolla  CA  8,753 32,528 16,498 8,777 49,002 57,779 (13,320)1986/20092014
1470 Poway  CA  5,826 12,200 341 5,826 12,541 18,367 (5,094)20052007
1471 Poway  CA  5,978 14,200  5,978 14,200 20,178 (5,828)20052007
1472 Poway  CA  8,654  11,895 8,654 11,895 20,549 (3,723)20142007
1473 Poway  CA  11,024 2,405 25,455 11,024 27,860 38,884 (11,513)20192007
1474 Poway  CA  5,051  19,939 5,051 19,939 24,990 (7,191)20192007
1475 Poway  CA  5,655  10,299 5,655 10,299 15,954 (837)20202007
1478 Poway  CA  6,700 14,400  6,700 14,400 21,100 (5,910)20022007
1499 Redwood City  CA  3,400 5,500 1,501 3,455 6,946 10,401 (3,391)19892007
1500 Redwood City  CA  2,500 4,100 988 2,500 5,088 7,588 (2,478)19892007
1501 Redwood City  CA  3,600 4,600 1,892 3,600 6,492 10,092 (3,293)19892007
1502 Redwood City  CA  3,100 5,100 1,647 3,100 6,747 9,847 (3,253)19892007
1503 Redwood City  CA  4,800 17,300 8,276 4,800 25,576 30,376 (9,310)19892007
1504 Redwood City  CA  5,400 15,500 10,956 5,400 26,456 31,856 (11,249)19892007
1505 Redwood City  CA  3,000 3,500 5,316 3,000 8,816 11,816 (3,374)19882007
1506 Redwood City  CA  6,000 14,300 14,300 6,000 28,600 34,600 (15,991)19882007
1507 Redwood City  CA  1,900 12,800 10,680 1,900 23,480 25,380 (7,910)1988/20112007
1508 Redwood City  CA  2,700 11,300 17,193 2,700 28,493 31,193 (9,485)1988/20112007
1509 Redwood City  CA  2,700 10,900 1,565 2,700 12,465 15,165 (5,042)19882007
1510 Redwood City  CA  2,200 12,000 6,243 2,200 18,243 20,443 (7,367)19882007
1511 Redwood City  CA  2,600 9,300 19,676 2,600 28,976 31,576 (15,352)19882007
1512 Redwood City  CA  3,300 18,000 19,072 3,300 37,072 40,372 (18,557)20002007
1513 Redwood City  CA  3,300 17,900 12,092 3,326 29,966 33,292 (16,766)20002007
678 San Diego  CA  2,603 11,051 3,514 2,766 14,402 17,168 (6,897)19972004
679 San Diego  CA  5,269 23,566 23,961 5,669 47,127 52,796 (18,457)19972004
837 San Diego  CA  4,630 2,028 3,302 4,630 5,330 9,960 (2,426)1988/20122006
838 San Diego  CA  2,040 903 3,354 2,040 4,257 6,297 (1,325)1988/20122006
839 San Diego  CA  3,940 3,184 2,863 4,036 5,951 9,987 (2,499)19872006
840 San Diego  CA  5,690 4,579 1,289 5,830 5,728 11,558 (2,587)19872006
1418 San Diego  CA  11,700 31,243 59,282 11,700 90,525 102,225 (16,917)20222007
1419 San Diego  CA  2,324  33,144 2,324 33,144 35,468 (2,735)20222007
1420 San Diego  CA  4,200  41,121 4,200 41,121 45,321 (2,293)20222007
1421 San Diego  CA  7,000 33,779  7,000 33,779 40,779 (13,863)20002007
1422 San Diego  CA  7,179 3,687 1,171 7,179 4,858 12,037 (3,687)19842007
1423 San Diego  CA  8,400 33,144 33,504 8,400 66,648 75,048 (21,043)2002/20202007
1558 San Diego  CA  7,740  61,285 7,740 61,285 69,025  2007
1947 San Diego  CA  2,581 10,534 4,485 2,581 15,019 17,600 (7,859)20002011
1948 San Diego  CA  5,879 25,305 7,951 5,879 33,256 39,135 (13,014)20012011
2197 San Diego  CA  7,621 3,913 7,541 7,621 11,454 19,075 (6,884)19842007
2476 San Diego  CA  7,661 9,918 13,883 7,661 23,801 31,462 (3,731)2000/20022016
2477 San Diego  CA  9,207 14,613 5,993 9,207 20,606 29,813 (6,371)2000/20012016
2478 San Diego  CA  6,000  112,511 6,000 112,511 118,511  2016
2617 San Diego  CA  2,734 5,195 9,364 2,734 14,559 17,293 (3,269)1991/20202017
2618 San Diego  CA  4,100 12,395 22,843 4,100 35,238 39,338 (11,689)1991/20202017
2622 San Diego  CA    17,231  17,231 17,231 (1,658)20202004
2872 San Diego  CA  10,120 38,351 1,044 10,120 39,395 49,515 (7,919)19952018
2873 San Diego  CA  6,052 14,122 1,846 6,052 15,968 22,020 (3,117)19972018
126

Encumbrances at December 31, 2023Initial Cost to Company
Costs Capitalized Subsequent to Acquisition(3)
Gross Amount at Which Carried
As of December 31, 2023
Accumulated Depreciation(5)
Year Constructed(6)
Year Acquired
CityState
Land and improvements(1)
Buildings and Improvements(2)
Land and improvementsBuildings and Improvements
Total(4)
3069 San Diego  CA  7,054 7,794 19,748 6,954 27,642 34,596 (3,467)2007/20212019
3104 San Diego  CA    40,755  40,755 40,755  2007
3110 San Diego  CA  19,120  7,212 20,587 5,745 26,332  2021
3111 San Diego CA 24,729  1,261 24,830 1,160 25,990  2022
3153 San Diego  CA  1,215  30 1,216 29 1,245  2023
1410 South San Francisco  CA  4,900 18,100 12,159 4,900 30,259 35,159 (14,389)2000/20192007
1411 South San Francisco  CA  8,000 27,700 33,159 8,000 60,859 68,859 (18,496)2003/20192007
1412 South San Francisco  CA  10,100 22,521 10,207 10,100 32,728 42,828 (12,170)19992007
1413 South San Francisco  CA  8,000 28,299 8,489 8,000 36,788 44,788 (17,427)20002007
1430 South San Francisco  CA  10,700 23,621 27,632 10,700 51,253 61,953 (14,113)1998/20192007
1431 South San Francisco  CA  7,000 15,500 9,493 7,000 24,993 31,993 (10,242)20012007
1435 South San Francisco  CA  13,800 42,500 26,975 13,800 69,475 83,275 (25,159)2008/20102007
1436 South San Francisco  CA  14,500 45,300 25,437 14,500 70,737 85,237 (24,676)2008/20102007
1437 South San Francisco  CA  9,400 24,800 36,758 9,400 61,558 70,958 (21,946)2008/20102007
1439 South San Francisco  CA  11,900 68,848 929 11,900 69,777 81,677 (28,268)20032007
1440 South San Francisco  CA  10,000 57,954 471 10,000 58,425 68,425 (23,883)20032007
1441 South San Francisco  CA  9,300 43,549 3,004 9,300 46,553 55,853 (16,875)20032007
1442 South San Francisco  CA  11,000 47,289 42,670 11,000 89,959 100,959 (21,784)20232007
1443 South San Francisco  CA  13,200 60,932 3,259 13,200 64,191 77,391 (24,832)20072007
1444 South San Francisco  CA  10,500 33,776 9,449 10,500 43,225 53,725 (13,088)20032007
1445 South San Francisco  CA  10,600 34,083 11 10,600 34,094 44,694 (13,995)20032007
1458 South San Francisco  CA  10,900 20,900 6,560 10,900 27,460 38,360 (9,607)20052007
1459 South San Francisco  CA  9,800 400 157,931 9,800 158,331 168,131 (4,460)20232007
1462 South San Francisco  CA  7,117 600 4,112 7,117 4,712 11,829 (1,785)1984/20122007
1463 South San Francisco  CA  10,381 2,300 19,648 10,381 21,948 32,329 (8,511)1979/20122007
1464 South San Francisco  CA  7,403 700 8,819 7,403 9,519 16,922 (2,723)1965/20122007
1468 South San Francisco  CA  10,100 24,013 12,188 10,100 36,201 46,301 (15,058)20062007
1480 South San Francisco  CA  32,210 3,110 161,341 32,210 164,451 196,661 (472)20232007
1528 South San Francisco  CA    165,770  165,770 165,770  2007
1559 South San Francisco  CA  5,666 5,773 161 5,666 5,934 11,600 (5,919)19682007
1560 South San Francisco  CA  1,204 1,293 2,683 1,204 3,976 5,180 (2,917)19662007
1983 South San Francisco  CA  8,648  97,280 8,648 97,280 105,928 (34,710)20162011
1984 South San Francisco  CA  7,845  90,818 7,844 90,819 98,663 (29,712)20172011
1985 South San Francisco  CA  6,708  122,646 6,708 122,646 129,354 (37,274)20172011
1986 South San Francisco  CA  6,708  120,613 6,708 120,613 127,321 (31,623)20182011
1987 South San Francisco  CA  8,544  100,777 8,544 100,777 109,321 (23,837)20192011
1988 South San Francisco  CA  10,120  118,498 10,120 118,498 128,618 (29,452)20192011
1989 South San Francisco  CA  9,169  100,338 9,169 100,338 109,507 (18,597)20202011
2553 South San Francisco  CA  2,897 8,691 4,478 2,897 13,169 16,066 (4,340)19882015
2554 South San Francisco  CA  995 2,754 2,332 995 5,086 6,081 (1,393)19882015
2555 South San Francisco  CA  2,202 10,776 2,497 2,202 13,273 15,475 (3,326)19882015
2556 South San Francisco  CA  2,962 15,108 1,557 2,962 16,665 19,627 (4,087)19882015
2557 South San Francisco  CA  2,453 13,063 3,616 2,453 16,679 19,132 (5,840)19882015
2558 South San Francisco  CA  1,163 5,925 315 1,163 6,240 7,403 (1,438)19882015
2624 South San Francisco  CA  25,502 42,910 14,017 25,502 56,927 82,429 (13,911)20012017
2870 South San Francisco  CA  23,297 41,797 28,777 23,297 70,574 93,871 (17,071)1996/20192018
2871 South San Francisco  CA  20,293 41,262 22,089 20,293 63,351 83,644 (19,258)1999/20192018
3100 South San Francisco  CA  24,059  3,733 24,059 3,733 27,792  2021
3101 South San Francisco  CA  61,208  22,276 61,208 22,276 83,484  2021
3102 South San Francisco  CA  43,885  3,806 43,885 3,806 47,691  2021
3123 South San Francisco CA   6,455  6,455 6,455  2007
2705 Cambridge  MA  24,371 128,498 83 24,371 128,581 152,952 (13,274)20112020
2706 Cambridge  MA  15,473 149,051 797 15,473 149,848 165,321 (16,851)20192020
2707 Cambridge  MA  25,549 229,547 8,597 25,549 238,144 263,693 (24,757)20192020
2708 Cambridge  MA   17,751 513  18,264 18,264 (1,419)20102020
2709 Cambridge  MA   15,451 29  15,480 15,480 (1,192)20192020
2928 Cambridge  MA  44,215 24,120 3,076 44,215 27,196 71,411 (3,966)19842019
2929 Cambridge  MA  20,517  158,992 20,517 158,992 179,509 (8,248)20222019
3074 Cambridge  MA  78,762 252,153 11,380 78,762 263,533 342,295 (32,549)20182019
3106 Cambridge  MA  20,644 2,982 570 20,644 3,552 24,196 (238)19502021
3107 Cambridge  MA  19,009 12,327  19,009 12,327 31,336 (841)19732021
3108 Cambridge  MA  123,074 7,513  123,074 7,513 130,587 (678)19652021
3109 Cambridge  MA  5,903  362 5,903 362 6,265  2021
3112 Cambridge  MA  23,402 47,623 69 23,402 47,692 71,094 (3,950)19852021
3113 Cambridge  MA  32,244  6,730 36,119 2,855 38,974  2021
3114 Cambridge  MA  22,969  (2,306)22,969 (2,306)20,663  2021
3115 Cambridge  MA  66,786  1,418 66,786 1,418 68,204  2021
3116 Cambridge  MA    9,680  9,680 9,680  2021
3119 Cambridge  MA   29,667   29,667 29,667 (2,041)20212021
3120 Cambridge  MA  18,063  670 18,063 670 18,733  2021
3122 Cambridge  MA  25,247  2,081 25,247 2,081 27,328  2021
3136 Cambridge  MA  4,118  (219)4,119 (220)3,899  2021
3137 Cambridge  MA  41,327  2,767 41,327 2,767 44,094  2021
3141 Cambridge  MA  72,466  5,757 72,768 5,455 78,223  2022
3148 Cambridge  MA  2,277  704 2,290 691 2,981  2022
3149 Cambridge  MA  5,690  314 5,734 270 6,004  2022
3150 Cambridge  MA  1,651  206 1,659 198 1,857  2022
3151 Cambridge  MA  8,532  457 8,583 406 8,989  2022
3152 Cambridge  MA  9,892  1,035 10,507 420 10,927  2023
2630 Lexington  MA  16,411 49,681 (2,292)12,967 50,833 63,800 (10,653)19992017
2631 Lexington  MA  7,759 142,081 30,228 6,978 173,090 180,068 (27,404)2010/20232017
2632 Lexington  MA   21,390 125,076  146,466 146,466 (18,615)20212018
127

Encumbrances at December 31, 2023Initial Cost to Company
Costs Capitalized Subsequent to Acquisition(3)
Gross Amount at Which Carried
As of December 31, 2023
Accumulated Depreciation(5)
Year Constructed(6)
Year Acquired
CityState
Land and improvements(1)
Buildings and Improvements(2)
Land and improvementsBuildings and Improvements
Total(4)
3070 Lexington  MA  14,013 17,083 (269)14,013 16,814 30,827 (2,534)1974/20122019
3071 Lexington  MA  14,930 16,677 (359)14,930 16,318 31,248 (2,236)1970/20122019
3072 Lexington  MA  34,598 43,032 (288)34,598 42,744 77,342 (7,547)1967/20132019
3073 Lexington  MA  37,050 44,647 144 37,050 44,791 81,841 (8,051)20172019
3093 Waltham  MA  47,792 275,556 18,351 47,792 293,907 341,699 (38,172)20182020
9999 Denton  TX  100   100  100  2016
464 Salt Lake City  UT  630 6,921 2,563 630 9,484 10,114 (5,812)19962001
465 Salt Lake City  UT  125 6,368 68 125 6,436 6,561 (3,267)19992001
466 Salt Lake City  UT   14,614 (1,401) 13,213 13,213 (5,371)20022001
1593 Salt Lake City  UT   23,998 250  24,248 24,248 (9,774)20102010
   $ $1,936,228 $3,238,815 $3,654,501 $1,939,357 $6,890,187 $8,829,544 $(1,444,864) 

128

Encumbrances at December 31, 2023Initial Cost to Company
Costs Capitalized Subsequent to Acquisition(3)
Gross Amount at Which Carried
As of December 31, 2023
Accumulated Depreciation(5)
Year Constructed(6)
Year Acquired
CityState
Land and improvements(1)
Buildings and Improvements(2)
Land and improvementsBuildings and Improvements
Total(4)
Outpatient medical
638AnchorageAK$ $1,456 $10,650 $10,727 $1,456 $21,377 $22,833 $(9,272)1993/20142006
3026BentonvilleAR 912 21,724 658 912 22,382 23,294 (1,712)20032022
126SherwoodAR 709 9,604 208 709 9,812 10,521 (7,007)19901989
2572SpringdaleAR  27,714   27,714 27,714 (6,413)19952016
520ChandlerAZ 3,669 13,503 6,374 4,013 19,533 23,546 (9,353)20052002
113GlendaleAZ 1,565 7,050 175 1,565 7,225 8,790 (5,317)19891988
2040MesaAZ  17,314 3,047  20,361 20,361 (4,856)20072012
1066ScottsdaleAZ 5,115 14,064 5,912 4,888 20,203 25,091 (8,153)19992006
2021ScottsdaleAZ  12,312 4,763  17,075 17,075 (7,205)19842012
2022ScottsdaleAZ  9,179 3,033  12,212 12,212 (4,579)19962012
2023ScottsdaleAZ  6,398 1,818  8,216 8,216 (3,614)20002012
2024ScottsdaleAZ  9,522 1,163 32 10,653 10,685 (4,712)20072012
2025ScottsdaleAZ  4,102 2,451  6,553 6,553 (2,764)19812012
2026ScottsdaleAZ  3,655 2,031  5,686 5,686 (2,734)19922012
2027ScottsdaleAZ  7,168 2,119  9,287 9,287 (4,289)19952012
2028ScottsdaleAZ  6,659 5,065  11,724 11,724 (5,306)19982012
2696ScottsdaleAZ 10,151 14,925 3,195 10,211 18,060 28,271 (5,217)19982020
1041BrentwoodCA  30,864 9,237 183 39,918 40,101 (14,995)20042006
1200EncinoCA 6,151 10,438 6,043 6,388 16,244 22,632 (8,073)19732006
1038FresnoCA 3,652 29,113 21,935 3,652 51,048 54,700 (23,741)19842006
436MurrietaCA 400 9,266 2,855 608 11,913 12,521 (7,909)19911999
239PowayCA 2,700 10,839 3,172 2,944 13,767 16,711 (8,922)19901997
2654RiversideCA 2,758 9,908 529 2,266 10,929 13,195 (2,233)20082017
318SacramentoCA 2,860 37,566 24,613 2,911 62,128 65,039 (26,629)1989/20161998
2404SacramentoCA 1,268 5,109 1,652 1,299 6,730 8,029 (2,581)19992015
421San DiegoCA 2,910 19,984 15,146 2,964 35,076 38,040 (17,632)1986/20131999
564San JoseCA 1,935 1,728 2,213 1,935 3,941 5,876 (1,596)19682003
565San JoseCA 1,460 7,672 2,175 1,492 9,815 11,307 (4,641)19952003
659Los GatosCA 1,718 3,124 1,515 1,796 4,561 6,357 (2,028)19952006
439ValenciaCA 2,300 6,967 3,080 2,314 10,033 12,347 (6,726)19901999
440West HillsCA 2,100 11,595 11,851 2,203 23,343 25,546 (8,502)1992/20231999
3008West HillsCA12,093 5,795 13,933 2,897 5,823 16,802 22,625 (1,645)19652021
728AuroraCO  8,764 1,620  10,384 10,384 (3,927)20052005
1196AuroraCO 210 12,362 6,172 210 18,534 18,744 (7,855)1981/20182006
1197AuroraCO 200 8,414 5,673 285 14,002 14,287 (6,527)1994/20182006
127Colorado SpringsCO 690 8,338 367 690 8,705 9,395 (6,071)19901989
882Colorado SpringsCO  12,933 9,106  22,039 22,039 (10,586)20072006
1199DenverCO 493 7,897 1,789 604 9,575 10,179 (5,226)19932006
808EnglewoodCO  8,616 8,886  17,502 17,502 (9,595)19812005
809EnglewoodCO  8,449 19,042  27,491 27,491 (6,442)19902005
810EnglewoodCO  8,040 15,564  23,604 23,604 (9,606)19892005
811EnglewoodCO  8,472 11,904  20,376 20,376 (7,895)1993/20202005
2658Highlands RanchCO 1,637 10,063 95 1,732 10,063 11,795 (2,334)20152017
812LittletonCO  4,562 2,775 177 7,160 7,337 (3,465)19872005
813LittletonCO  4,926 2,072 246 6,752 6,998 (3,092)19902005
570Lone TreeCO   22,171  22,171 22,171 (10,271)20042003
666Lone TreeCO  23,274 3,843 17 27,100 27,117 (12,486)20032006
2233Lone TreeCO  6,734 34,696  41,430 41,430 (11,074)20152014
2965AuroraCO   2,251  2,251 2,251  2023
3000Lone TreeCO 4,393 31,643 9,516 4,552 41,000 45,552 (3,772)20202021
510ThorntonCO 236 10,206 13,728 455 23,715 24,170 (8,016)2001/20212002
434AtlantisFL  2,027 171  2,198 2,198 (1,493)19971999
435AtlantisFL  2,000 608  2,608 2,608 (1,568)19971999
602AtlantisFL 455 2,231 744 455 2,975 3,430 (1,357)19842006
2963BrooksvilleFL   11,558  11,558 11,558 (1,526)20202019
604EnglewoodFL 170 1,134 1,021 197 2,128 2,325 (823)19862006
2962Orange ParkFL   17,657  17,657 17,657 (1,571)20222019
609KissimmeeFL 788 174 1,135 788 1,309 2,097 (655)19782006
610KissimmeeFL 481 347 258 488 598 1,086 (336)19782006
671KissimmeeFL  7,574 818  8,392 8,392 (3,727)19982006
603Lake WorthFL 1,507 2,894 534 1,507 3,428 4,935 (1,459)19972006
612MargateFL 1,553 6,898 2,984 1,553 9,882 11,435 (4,880)19942006
613MiamiFL 4,392 11,841 11,366 4,454 23,145 27,599 (8,513)1995/20202006
2202MiamiFL  13,123 10,907  24,030 24,030 (10,231)19732014
2203MiamiFL  8,877 4,890  13,767 13,767 (5,359)19862014
1067MiltonFL  8,566 1,662  10,228 10,228 (4,057)20032006
2577NaplesFL  29,186 1,805  30,991 30,991 (6,953)19992016
2578NaplesFL  18,819 667  19,486 19,486 (3,709)20072016
2964OkeechobeeFL   16,951  16,951 16,951 (1,266)20222019
563OrlandoFL 2,144 5,136 13,507 12,022 8,765 20,787 (6,599)19852003
833PaceFL  10,309 1,628 28 11,909 11,937 (4,541)20052006
834PensacolaFL  11,166 428  11,594 11,594 (4,506)20052006
673PlantationFL 1,091 7,176 2,623 1,091 9,799 10,890 (4,461)20012006
674PlantationFL  8,273 1,560  9,833 9,833 (1,042)20152021
2579Punta GordaFL  9,379   9,379 9,379 (1,957)20062016
129

Encumbrances at December 31, 2023Initial Cost to Company
Costs Capitalized Subsequent to Acquisition(3)
Gross Amount at Which Carried
As of December 31, 2023
Accumulated Depreciation(5)
Year Constructed(6)
Year Acquired
CityState
Land and improvements(1)
Buildings and Improvements(2)
Land and improvementsBuildings and Improvements
Total(4)
2833St. PetersburgFL  13,754 10,299  24,053 24,053 (9,609)1995/20192006
887AtlantaGA 4,300 13,690 (1,800)4,300 11,890 16,190 (10,007)1966/19962007
3214SavannahGA   10,178  10,178 10,178  2022
2576StatesboroGA  10,234 1,430  11,664 11,664 (2,973)19992016
3006Arlington HeightsIL4,861 3,011 9,651 1,857 3,187 11,332 14,519 (1,299)1975/20132021
2702BolingbrookIL  21,237 3,884  25,121 25,121 (3,025)20082020
3004Highland ParkIL5,853 2,767 11,495 572 2,767 12,067 14,834 (1,226)20082021
3005LockportIL11,011 3,106 22,645  3,106 22,645 25,751 (2,256)20102021
1065MarionIL 99 11,538 2,005 100 13,542 13,642 (5,978)20022006
2719MarionIL   5,098  5,098 5,098 (452)20212021
2697IndianapolisIN  59,746 954  60,700 60,700 (5,797)20022020
2699IndianapolisIN  23,211 737  23,948 23,948 (2,364)20022020
2698MooresvilleIN  20,646 922  21,568 21,568 (2,080)20042020
1057NewburghIN  14,019 4,149  18,168 18,168 (8,511)20052006
2700ZionsvilleIN 2,969 7,281 804 3,040 8,014 11,054 (1,204)20052020
2039Kansas CityKS 440 2,173 390 440 2,563 3,003 (740)20062012
112Overland ParkKS 2,316 10,681 116 2,316 10,797 13,113 (8,176)19891988
2043Overland ParkKS  7,668 2,000  9,668 9,668 (2,732)20092012
3062Overland ParkKS 872 11,813 59 992 11,752 12,744 (2,570)20072019
483WichitaKS 530 3,341 437 605 3,703 4,308 (1,738)20002001
3018WichitaKS 3,946 39,795  3,946 39,795 43,741 (3,933)1973/20172021
1064LexingtonKY  12,726 2,213  14,939 14,939 (6,642)20032006
735LouisvilleKY 936 8,426 13,840 661 22,541 23,202 (12,657)1971/20192005
737LouisvilleKY 835 27,627 7,477 560 35,379 35,939 (16,906)20022005
738LouisvilleKY 780 8,582 4,544 585 13,321 13,906 (10,521)19782005
739LouisvilleKY 826 13,814 3,542 602 17,580 18,182 (7,444)20032005
2834LouisvilleKY 2,983 13,171 5,433 2,983 18,604 21,587 (10,498)19902005
1945LouisvilleKY 3,255 28,644 2,678 3,365 31,212 34,577 (13,208)20092010
1946LouisvilleKY 430 6,125 230 430 6,355 6,785 (2,769)20022010
2237LouisvilleKY 1,519 15,386 7,130 1,672 22,363 24,035 (8,330)19912014
2238LouisvilleKY 1,334 12,172 3,049 1,558 14,997 16,555 (5,429)19962014
2239LouisvilleKY 1,644 10,832 9,879 2,043 20,312 22,355 (7,588)19882014
3023CovingtonLA 9,490 21,918 128 9,507 22,029 31,536 (2,254)20142021
3121CambridgeMA 40,663 23,102  40,663 23,102 63,765 (1,776)19832021
1213Ellicott CityMD 1,115 3,206 3,013 1,357 5,977 7,334 (2,657)19882006
1052TowsonMD  14,233 1,231  15,464 15,464 (6,004)20052006
2650BiddefordME 1,341 17,376 388 1,341 17,764 19,105 (4,251)20072017
3002BurnsvilleMN7,737 2,801 17,779 1,151 2,861 18,870 21,731 (3,424)19882021
3003BurnsvilleMN5,158 516 13,200 462 533 13,645 14,178 (2,225)19922021
3009BurnsvilleMN19,046 4,640 38,064 333 4,664 38,373 43,037 (3,990)20072021
240MinneapolisMN 117 13,213 5,337 117 18,550 18,667 (11,776)19861997
300MinneapolisMN 160 10,131 5,086 214 15,163 15,377 (9,547)19871998
2703ColumbiaMO 4,141 20,364  4,141 20,364 24,505 (2,696)19972020
2032IndependenceMO  48,025 1,872  49,897 49,897 (12,858)20062012
2863Lee's SummitMO   16,470  16,470 16,470 (2,633)20202019
1078FlowoodMS  8,413 1,472  9,885 9,885 (4,097)20032006
1059JacksonMS  8,868 668  9,536 9,536 (4,090)20022006
1060JacksonMS  7,187 2,038  9,225 9,225 (3,797)20052006
1068OmahaNE  16,243 2,667 24 18,886 18,910 (8,250)20052006
2651CharlotteNC 1,032 6,196 253 1,032 6,449 7,481 (1,252)20072017
2695CharlotteNC 844 5,021 266 844 5,287 6,131 (960)20072017
2655WilmingtonNC 1,949 12,244  1,949 12,244 14,193 (2,749)20032017
2656WilmingtonNC 2,071 11,592  2,071 11,592 13,663 (2,575)20062017
2657ShallotteNC 918 3,609  918 3,609 4,527 (1,106)20172017
2647ConcordNH 1,961 23,516 (614)1,032 23,831 24,863 (3,577)20042017
2648ConcordNH 815 8,902 172 408 9,481 9,889 (2,073)20082017
2649EpsomNH 919 5,868 (513)304 5,970 6,274 (1,174)20102017
3011Cherry HillNJ 5,235 21,731  5,235 21,731 26,966 (2,695)20142021
3012MorristownNJ 21,703 32,517 5,472 21,703 37,989 59,692 (4,413)1983/20132021
3013MorristownNJ 14,567 20,548 8,647 14,567 29,195 43,762 (2,439)19902021
3014MorristownNJ 20,563 31,849 1,721 20,563 33,570 54,133 (2,591)19812021
729AlbuquerqueNM  5,380 1,944  7,324 7,324 (2,828)20062005
571Las VegasNV   23,267  23,267 23,267 (9,353)20042003
660Las VegasNV 1,121 4,363 9,560 1,147 13,897 15,044 (4,967)19732006
661Las VegasNV 2,305  1,371 3,676  3,676  2006
662Las VegasNV 1,000   1,000  1,000  2006
663Las VegasNV 1,717 3,597 12,799 1,724 16,389 18,113 (6,718)1974/20182006
664Las VegasNV 1,172  633 1,805  1,805 (433)2006
691Las VegasNV 3,073 18,339 8,001 3,116 26,297 29,413 (16,290)1989/20152004
2037MesquiteNV  5,559 988 34 6,513 6,547 (2,148)20042012
400HarrisonOH  4,561 366  4,927 4,927 (3,149)19951999
1054DurantOK 619 9,256 3,111 666 12,320 12,986 (5,294)19982006
817OwassoOK  6,582 (443) 6,139 6,139 (2,789)20062005
404RoseburgOR  5,707 895  6,602 6,602 (3,892)19991999
3010SpringfieldOR20,732  51,998 416  52,414 52,414 (5,426)20112021
2570LimerickPA 925 20,072 (119)755 20,123 20,878 (5,075)19992016
130

Encumbrances at December 31, 2023Initial Cost to Company
Costs Capitalized Subsequent to Acquisition(3)
Gross Amount at Which Carried
As of December 31, 2023
Accumulated Depreciation(5)
Year Constructed(6)
Year Acquired
CityState
Land and improvements(1)
Buildings and Improvements(2)
Land and improvementsBuildings and Improvements
Total(4)
2234PhiladelphiaPA 24,264 99,904 50,137 24,288 150,017 174,305 (43,316)1973/20192014
2403PhiladelphiaPA 26,063 97,646 39,404 26,134 136,979 163,113 (49,725)20002015
2571Wilkes-BarrePA  9,138   9,138 9,138 (2,550)20012016
2694AndersonSC 405 1,211  405 1,211 1,616 (352)20122020
2573FlorenceSC  12,090 90  12,180 12,180 (2,712)19982016
2574FlorenceSC  12,190 87  12,277 12,277 (2,729)19982016
2575FlorenceSC  11,243 56  11,299 11,299 (3,076)19952016
2841GreenvilleSC 634 38,386 1,277 13 40,284 40,297 (9,241)19912018
2842GreenvilleSC 794 41,293 211  42,298 42,298 (9,320)19992018
2843GreenvilleSC 626 22,210 (368) 22,468 22,468 (5,258)19962018
2844GreenvilleSC 806 18,889 259  19,954 19,954 (4,349)19982018
2845GreenvilleSC 932 40,879 (3,557) 38,254 38,254 (5,148)20052018
2846GreenvilleSC 896 38,486 205  39,587 39,587 (8,339)20072018
2847GreenvilleSC 600 26,472 4,750  31,822 31,822 (8,164)19962018
2850GreenvilleSC 211 6,503 153 211 6,656 6,867 (1,920)20082018
2853GreenvilleSC 534 6,430 (1,388) 5,576 5,576 (1,038)19982018
2854GreenvilleSC 824 13,645 (512) 13,957 13,957 (3,785)19922018
2848GreerSC 318 5,816 97 318 5,913 6,231 (1,512)20082018
2849GreerSC 319 5,836 (777) 5,378 5,378 (734)20082018
2851Travelers RestSC 498 1,015 3 299 1,217 1,516 (611)19982018
2862Myrtle BeachSC   28,496  28,496 28,496 (6,051)20192018
2865BrentwoodTN   35,219 52 35,167 35,219 (3,870)20202019
624HendersonvilleTN 256 1,530 2,383 256 3,913 4,169 (1,991)19852006
559HermitageTN 830 5,036 13,157 837 18,186 19,023 (6,882)1999/20192003
561HermitageTN 596 9,698 4,262 596 13,960 14,556 (7,331)19932003
562HermitageTN 317 6,528 2,979 317 9,507 9,824 (4,491)19942003
625NashvilleTN 955 14,289 7,675 955 21,964 22,919 (9,756)20002006
626NashvilleTN 2,050 5,211 5,198 2,050 10,409 12,459 (3,987)19872006
627NashvilleTN 1,007 181 986 1,113 1,061 2,174 (555)19752006
628NashvilleTN 2,980 7,164 3,046 2,980 10,210 13,190 (4,235)19882006
630NashvilleTN 515 848 339 515 1,187 1,702 (536)19752006
631NashvilleTN 266 1,305 1,266 266 2,571 2,837 (1,450)19802006
632NashvilleTN 827 7,642 3,034 827 10,676 11,503 (5,283)19882006
633NashvilleTN 5,425 12,577 5,720 5,425 18,297 23,722 (8,059)19712006
634NashvilleTN 3,818 15,185 12,266 3,818 27,451 31,269 (11,240)19922006
636NashvilleTN 583 450 424 604 853 1,457 (372)19742006
2967NashvilleTN   52,503  52,503 52,503 (4,519)20212019
2720NashvilleTN 102 10,925 1,058 102 11,983 12,085 (2,038)19862021
2611AllenTX 1,330 5,960 1,245 1,374 7,161 8,535 (1,868)20042016
2612AllenTX 1,310 4,165 1,516 1,310 5,681 6,991 (1,540)20052016
573ArlingtonTX 769 12,355 26,097 769 38,452 39,221 (8,657)19952006
2621Cedar ParkTX 1,617 11,640 950 1,617 12,590 14,207 (2,144)20072017
576ConroeTX 324 4,842 4,171 324 9,013 9,337 (3,998)19832006
577ConroeTX 397 7,966 2,981 397 10,947 11,344 (4,740)19952006
578ConroeTX 388 7,975 2,576 388 10,551 10,939 (4,587)1997/20122006
579ConroeTX 188 3,618 1,045 188 4,663 4,851 (2,423)19952006
581Corpus ChristiTX 717 8,181 4,253 717 12,434 13,151 (5,699)19952006
600Corpus ChristiTX 328 3,210 1,913 328 5,123 5,451 (2,851)19952006
601Corpus ChristiTX 313 1,771 2,014 325 3,773 4,098 (1,886)19852006
2839CypressTX   37,639 11 37,628 37,639 (12,404)20162015
582DallasTX 1,664 6,785 4,342 1,718 11,073 12,791 (5,040)19792006
1314DallasTX 15,230 162,970 29,075 23,630 183,645 207,275 (88,337)19742007
1315DallasTX   4,083 17 4,066 4,083 (1,663)19782007
1316DallasTX   9,691 64 9,627 9,691 (1,720)19852007
1317DallasTX   12,061 166 11,895 12,061 (2,256)19952007
1319DallasTX 18,840 155,659 6,539 18,840 162,198 181,038 (76,716)19742007
2721DallasTX 31,707 2,000 347 31,707 2,347 34,054 (1,998)19832020
3007DentonTX5,654 2,298 9,502 97 2,338 9,559 11,897 (1,298)20142021
3020FriscoTX  27,201 1,214  28,415 28,415 (2,394)20042021
3021FriscoTX  26,181 2,186  28,367 28,367 (2,700)20042021
583Fort WorthTX 898 4,866 4,115 898 8,981 9,879 (4,168)19952006
805Fort WorthTX  2,481 1,316 45 3,752 3,797 (2,458)19852005
806Fort WorthTX  6,070 1,206 5 7,271 7,276 (3,310)19852005
2619Fort WorthTX 1,180 13,432 1,910 1,180 15,342 16,522 (2,149)20062017
2620Fort WorthTX 1,961 14,155 1,521 2,000 15,637 17,637 (2,272)20052017
2982Fort WorthTX 2,720 6,225 5,959 2,719 12,185 14,904 (3,194)20202019
1061GranburyTX  6,863 1,321  8,184 8,184 (3,667)20012006
430HoustonTX 1,927 33,140 20,350 2,388 53,029 55,417 (31,358)1985/20181999
446HoustonTX 2,200 19,585 13,593 2,936 32,442 35,378 (23,431)1976/20181999
589HoustonTX 1,676 12,602 15,520 1,676 28,122 29,798 (8,121)1985/20222006
702HoustonTX  7,414 2,570  9,984 9,984 (4,628)20062006
1044HoustonTX  4,838 6,971 1,321 10,488 11,809 (3,602)20062006
2542HoustonTX 304 17,764 (304) 17,764 17,764 (4,314)19902015
2543HoustonTX 116 6,555 (116) 6,555 6,555 (1,857)19702015
2544HoustonTX 312 12,094 (312) 12,094 12,094 (3,427)19872015
2545HoustonTX 316 13,931 (300) 13,947 13,947 (2,960)20052015
131

Encumbrances at December 31, 2023Initial Cost to Company
Costs Capitalized Subsequent to Acquisition(3)
Gross Amount at Which Carried
As of December 31, 2023
Accumulated Depreciation(5)
Year Constructed(6)
Year Acquired
CityState
Land and improvements(1)
Buildings and Improvements(2)
Land and improvementsBuildings and Improvements
Total(4)
2546HoustonTX 408 18,332 740  19,480 19,480 (6,233)19772015
2547HoustonTX 470 18,197 (250) 18,417 18,417 (5,156)19852015
2548HoustonTX 313 7,036 (140) 7,209 7,209 (2,392)19792015
2549HoustonTX 530 22,711 68 530 22,779 23,309 (4,740)20062015
2966HoustonTX   39,448  39,448 39,448 (2,576)20222020
590IrvingTX 828 6,160 5,455 828 11,615 12,443 (4,835)19972006
700IrvingTX  8,550 3,091 8 11,633 11,641 (5,109)20042006
1207IrvingTX 1,955 12,793 4,699 2,032 17,415 19,447 (6,471)20012006
2840KingwoodTX 3,035 28,373 464 3,422 28,450 31,872 (6,005)20032016
591LewisvilleTX 561 8,043 1,102 561 9,145 9,706 (4,487)19762006
144LongviewTX 102 7,998 988 102 8,986 9,088 (5,735)19931992
143LufkinTX 338 2,383 219 338 2,602 2,940 (1,648)19931992
568McKinneyTX 541 6,217 3,371 541 9,588 10,129 (4,892)19992003
569McKinneyTX  636 8,319  8,955 8,955 (4,506)20042003
3216McKinneyTX   1,415  1,415 1,415  2023
596North Richland HillsTX 812 8,883 4,524 812 13,407 14,219 (5,619)19992006
2048North Richland HillsTX 1,385 10,213 1,849 1,400 12,047 13,447 (5,367)20072012
2835PearlandTX  4,014 4,238 29 8,223 8,252 (3,217)20062006
2838PearlandTX   18,363  18,363 18,363 (5,422)20152014
597PlanoTX 1,210 9,588 7,506 1,225 17,079 18,304 (6,930)19972006
672PlanoTX 1,389 12,768 3,922 1,389 16,690 18,079 (6,958)20042006
1384PlanoTX 6,290 22,686 7,966 6,290 30,652 36,942 (24,603)19972007
2653RockwallTX 788 9,020 2 788 9,022 9,810 (1,847)20152017
815San AntonioTX  9,193 3,285 75 12,403 12,478 (5,948)19972006
816San AntonioTX1,552  8,699 13,192 175 21,716 21,891 (6,649)1992/20222006
2837San AntonioTX  26,191 4,115  30,306 30,306 (12,352)20062011
2852ShenandoahTX   29,980  29,980 29,980 (8,235)20172016
598Sugar LandTX 1,078 5,158 3,261 1,164 8,333 9,497 (3,579)19822006
599Texas CityTX  9,519 1,971  11,490 11,490 (4,972)20032006
152VictoriaTX 125 8,977 535 125 9,512 9,637 (5,842)19941992
2198WebsterTX 2,220 9,602 142 2,220 9,744 11,964 (3,920)19912013
3024WebsterTX 3,196 12,911 (28)3,212 12,867 16,079 (892)20072022
3025WebsterTX 3,209 23,782 114 3,225 23,880 27,105 (1,571)20072022
2550The WoodlandsTX 115 5,141 (115) 5,141 5,141 (1,249)19842015
2551The WoodlandsTX 296 18,282 (296) 18,282 18,282 (3,885)19972015
2552The WoodlandsTX 374 25,125 (374) 25,125 25,125 (4,746)20042015
3215WylieTX 874 4,122 (64)874 4,058 4,932 (180)20052007
1592BountifulUT 999 7,426 1,963 1,019 9,369 10,388 (3,953)20052010
169BountifulUT 276 5,237 4,602 599 9,516 10,115 (4,262)19951994
2035DraperUT3,952  10,803 561  11,364 11,364 (2,826)20102012
469KaysvilleUT 530 4,493 426 530 4,919 5,449 (2,245)20012001
456LaytonUT 371 7,073 2,191 401 9,234 9,635 (5,132)19982001
2042LaytonUT  10,975 1,831 44 12,762 12,806 (3,379)20062012
2864Washington TerraceUT   19,898  19,898 19,898 (3,091)20202019
357OremUT 337 8,744 1,177 306 9,952 10,258 (6,286)19981999
353Salt Lake CityUT 190 779 238 273 934 1,207 (628)19911999
354Salt Lake CityUT 220 10,732 4,186 220 14,918 15,138 (8,926)19991999
355Salt Lake CityUT 180 14,792 5,141 180 19,933 20,113 (11,708)19931999
467Salt Lake CityUT 3,000 7,541 2,459 3,019 9,981 13,000 (5,598)19982001
566Salt Lake CityUT 509 4,044 3,763 509 7,807 8,316 (3,555)19742003
2041Salt Lake CityUT  12,326 877  13,203 13,203 (3,406)20072012
2033SandyUT 867 3,513 2,919 1,356 5,943 7,299 (3,380)19892012
351Washington TerraceUT  4,573 1,317 17 5,873 5,890 (3,724)19891999
352Washington TerraceUT  2,692 641 15 3,318 3,333 (2,231)19901999
2034West JordanUT  12,021 (177) 11,844 11,844 (3,016)20062012
2036West JordanUT  1,383 1,328  2,711 2,711 (1,655)19822012
1208FairfaxVA 8,396 16,710 12,121 8,781 28,446 37,227 (15,291)1974/20182006
2230FredericksburgVA 1,101 8,570 156 1,113 8,714 9,827 (2,308)20082014
3001LeesburgVA10,217 3,549 24,059 4,826 3,549 28,885 32,434 (3,912)20102021
3015MidlothianVA12,688  21,442 10 59 21,393 21,452 (1,653)20122021
3016MidlothianVA11,994  20,610 (137)32 20,441 20,473 (1,766)20132021
3017MidlothianVA13,878  22,531 176  22,707 22,707 (2,846)20142021
572RestonVA  11,902 (864) 11,038 11,038 (5,515)20042003
448RentonWA  18,724 3,750  22,474 22,474 (13,933)19931999
781SeattleWA  52,703 10,129  62,832 62,832 (31,470)19942004
782SeattleWA  24,382 22,413 104 46,691 46,795 (16,953)1990/20222004
783SeattleWA  5,625 1,607 211 7,021 7,232 (6,247)19842004
785SeattleWA  7,293 1,475  8,768 8,768 (5,205)19822004
1385SeattleWA  45,027 17,489  62,516 62,516 (26,972)1986/20192007
3022SeattleWA 35,624 4,176 1 35,625 4,176 39,801 (1,898)1963/20122021
2038EvanstonWY  4,601 1,204  5,805 5,805 (1,953)20022012
$146,426 $529,287 $3,887,576 $1,467,286 $546,448 $5,337,701 $5,884,149 $(1,796,189)
132

Encumbrances at December 31, 2023
Initial Cost to Company
Costs Capitalized Subsequent to Acquisition(3)
Gross Amount at Which Carried
As of December 31, 2023
Accumulated Depreciation(5)
Year Constructed(6)
Year Acquired
CityState
Land and improvements(1)
Buildings and Improvements(2)
Land and improvements
Buildings and Improvements
Total(4)
Continuing care retirement community
3089 Birmingham  AL $ $6,193 $32,146 $6,411 $6,670 $38,080 $44,750 $(7,612)19912020
3090 Bradenton  FL  5,496 95,671 27,694 6,228 122,633 128,861 (21,444)19852020
2997 Clearwater  FL 66,436 6,680 132,521 20,619 7,195 152,625 159,820 (21,252)19912020
3086 Jacksonville  FL  19,660 167,860 22,367 21,042 188,845 209,887 (29,940)19892020
2996 Leesburg  FL  8,941 65,698 16,620 9,779 81,480 91,259 (14,936)19902020
2995 Port Charlotte  FL  5,344 159,612 16,205 6,008 175,153 181,161 (23,576)19872020
2998 Seminole  FL 43,235 14,080 77,485 13,228 15,030 89,763 104,793 (11,367)19902020
3085 Seminole  FL  13,915 125,796 16,519 14,698 141,532 156,230 (23,135)19822020
3092 Sun City Center  FL  25,254 175,535 21,862 26,460 196,191 222,651 (36,004)19922020
3087 The Villages  FL  7,091 120,493 16,363 7,331 136,616 143,947 (21,450)20092020
3084 Holland  MI  1,572 88,960 10,401 1,898 99,035 100,933 (15,129)19912020
2991 Coatesville  PA  16,443 126,243 17,270 17,064 142,892 159,956 (20,601)19982020
3080 Haverford  PA  16,461 108,816 24,097 16,461 132,913 149,374 (52,714)19892006
3088 Spring  TX  3,210 30,085 11,821 3,524 41,592 45,116 (5,695)20082020
3081 Fort Belvoir  VA  11,594 99,528 19,948 11,594 119,476 131,070 (51,408)19902006
$109,671 $161,934 $1,606,449 $261,425 $170,982 $1,858,826 $2,029,808 $(356,263) 
Total real estate assets held for sale (9,125)(10,213)(103,849)(9,154)(114,033)(123,187)5,365 
Total, excluding held for sale
$256,097 $2,618,324 $8,722,627 $5,279,363 $2,647,633 $13,972,681 $16,620,314 $(3,591,951)
_______________________________________
(1)Assets with no initial land costs to the Company represent land that the Company leases from a third party (i.e., ground leases).
(2)Assets with no initial buildings and improvements costs to the Company represent development projects in process or completed.
(3)Includes adjustments for disposals, casualty events, and costs capitalized subsequent to acquisition, net of incidental income, if applicable.
(4)At December 31, 2023, the tax basis of the Company’s net real estate assets is less than the reported amounts by $900 million.
(5)Buildings and improvements are depreciated over useful lives ranging up to approximately 50 years.
(6)Year of original construction/year of last major renovation, if applicable.
133

A summary of activity for real estate and accumulated depreciation, excluding assets classified as discontinued operations, is as follows (in thousands):
Year ended December 31,
202320222021
Real estate:
Balances at beginning of year$16,211,621 $15,506,658 $13,528,893 
Acquisition of real estate and development and improvements754,225 1,102,593 2,157,539 
Sales and/or transfers to assets held for sale(137,731)(82,350)(72,819)
Deconsolidation of real estate (189,605) 
Impairments  (21,294)
Other(1)
(207,801)(125,675)(85,661)
Balances at end of year$16,620,314 $16,211,621 $15,506,658 
Accumulated depreciation:
Balances at beginning of year$3,188,138 $2,839,229 $2,409,135 
Depreciation expense609,461 575,125 548,063 
Sales and/or transfers to assets held for sale(12,711)(30,428)(32,692)
Deconsolidation of real estate (89,766) 
Other(1)
(192,937)(106,022)(85,277)
Balances at end of year$3,591,951 $3,188,138 $2,839,229 
_______________________________________
(1)Primarily represents real estate and accumulated depreciation related to fully depreciated assets and reductions to net real estate due to casualty events.
A summary of activity for real estate and accumulated depreciation for assets classified as discontinued operations is as follows (in thousands):
Year ended December 31,
202320222021
Real estate:
Balances at beginning of year$ $ $2,930,566 
Acquisition of real estate and development and improvements  8,238 
Sales and/or transfers to assets classified as discontinued operations  (2,929,713)
Impairments  (5,315)
Other
  (3,776)
Balances at end of year$ $ $ 
Accumulated depreciation:
Balances at beginning of year$ $ $615,708 
Sales and/or transfers to assets classified as discontinued operations  (615,708)
Balances at end of year$ $ $ 
134

Schedule IV: Mortgage Loans on Real Estate
(in thousands)
LocationSegmentInterest RateFixed / VariableMaturity DatePeriodic Payment TermsPrior LiensFace Amount of MortgagesCarrying Amount of MortgagesPrincipal Amount Subject to Delinquent Principal or Interest
First mortgages relating to 10 properties:
MultipleOther
4.0% + (SOFR + 10 bps)
Variable
2/1/2024(1)
Interest only$ $130,678 $128,027 $ 
First mortgages relating to 10 properties:
MultipleOther
7.0% + (SOFR + 11 bps)
Variable
1/21/2024(2)
Interest only 48,000 47,690  
$ $178,678 $175,717 $ 
_______________________________________
(1)In February 2024, the loan reached its maturity. The Company provided a short-term extension to the borrower, and the Company and the borrower are currently negotiating long-term refinance and extension terms (see Note 7 to the Consolidated Financial Statements for additional information).
(2)In January 2024, this loan was refinanced with the Company. In connection with the refinance, the maturity date of the loan was extended to January 2025 (see Note 7 to the Consolidated Financial Statements for additional information).
 Year Ended December 31,
 202320222021
Reconciliation of mortgage loans
Balance at beginning of year$341,749 $390,291 $157,572 
Additions:
New mortgage loans  310,338 
Draws and additions to existing mortgage loans11,602 5,525 9,370 
Total additions11,602 5,525 319,708 
Deductions:
Principal repayments(183,084)(47,591)(84,486)
Recoveries (reserves) for loan losses(1)
5,450 (6,476)(2,503)
Total deductions(177,634)(54,067)(86,989)
Balance at end of year$175,717 $341,749 $390,291 
_______________________________________
(1)Excludes reserves and recoveries for expected loan losses associated with unfunded loan commitments which are included in accounts payable, accrued liabilities, and other liabilities on the Consolidated Balance Sheets.
135

ITEM 9.    Changes in and Disagreements with Accountants on Accounting and Financial Disclosure
None.
ITEM 9A.    Controls and Procedures
Disclosure Controls and Procedures.  We maintain disclosure controls and procedures that are designed to ensure that information required to be disclosed in our reports under the Exchange Act is recorded, processed, summarized, and reported within the time periods specified in the SEC’s rules and forms and that such information is accumulated and communicated to our management, including our principal executive officer and principal financial officer, to allow for timely decisions regarding required disclosure. In designing and evaluating the disclosure controls and procedures, management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives, and management is required to apply its judgment in evaluating the cost-benefit relationship of possible controls and procedures.
As required by Rules 13a-15(b) and 15d-15(b) of the Exchange Act, we carried out an evaluation, under the supervision and with the participation of our management, including our principal executive officer and principal financial officer, of the effectiveness of the design and operation of our disclosure controls and procedures as of December 31, 2023. Based upon that evaluation, our principal executive officer and principal financial officer concluded that our disclosure controls and procedures were effective at the reasonable assurance level as of December 31, 2023.
Management’s Annual Report on Internal Control over Financial Reporting.  Management is responsible for establishing and maintaining adequate internal control over financial reporting, as such term is defined in Exchange Act Rules 13a-15(f) and 15d-15(f). Under the supervision and with the participation of our management, including our principal executive officer and principal financial officer, we conducted an evaluation of the effectiveness of our internal control over financial reporting based on the framework in Internal Control—Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission. Based on our evaluation under the framework in Internal Control—Integrated Framework (2013), our management concluded that our internal control over financial reporting was effective as of December 31, 2023.
The effectiveness of our internal control over financial reporting as of December 31, 2023 has been audited by Deloitte & Touche LLP, the independent registered public accounting firm that audited the financial statements included in this Annual Report on Form 10-K, as stated in their report, which is included herein.
Changes in Internal Control Over Financial Reporting.  There were no changes in our internal control over financial reporting (as such term is defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) during the fourth quarter of 2023 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
136

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
To the stockholders and the Board of Directors of Healthpeak Properties, Inc.
Opinion on Internal Control over Financial Reporting
We have audited the internal control over financial reporting of Healthpeak Properties, Inc. and subsidiaries (the “Company”) as of December 31, 2023, based on criteria established in Internal Control — Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission (“COSO”). In our opinion, the Company maintained, in all material respects, effective internal control over financial reporting as of December 31, 2023, based on criteria established in Internal Control — Integrated Framework (2013) issued by COSO.
We have also audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (PCAOB), the consolidated financial statements as of and for the year ended December 31, 2023, of the Company and our report dated February 9, 2024, expressed an unqualified opinion on those financial statements.
Basis for Opinion
The Company’s management is responsible for maintaining effective internal control over financial reporting and for its assessment of the effectiveness of internal control over financial reporting, included in the accompanying Management’s Annual Report on Internal Control over Financial Reporting. Our responsibility is to express an opinion on the Company’s internal control over financial reporting based on our audit. We are a public accounting firm registered with the PCAOB and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audit in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in all material respects. Our audit included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, testing and evaluating the design and operating effectiveness of internal control based on the assessed risk, and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion.
Definition and Limitations of Internal Control over Financial Reporting
A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company’s internal control over financial reporting includes those policies and procedures that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s assets that could have a material effect on the financial statements.
Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.
/s/ DELOITTE & TOUCHE LLP
Costa Mesa, California
February 9, 2024
137

ITEM 9B.    Other Information
Insider Trading Arrangements
During the three months ended December 31, 2023, none of our directors or Section 16 officers adopted, modified, or terminated any Rule 10b5-1 trading arrangement or any non-Rule 10b5-1 trading arrangement.
ITEM 9C.    Disclosure Regarding Foreign Jurisdictions that Prevent Inspections
Not applicable.
138

PART III
ITEM 10.    Directors, Executive Officers and Corporate Governance
Except as provided below, the information required under Item 10 is incorporated herein by reference to our definitive proxy statement to be filed with the SEC within 120 days after the end of our fiscal year ended December 31, 2023 in connection with our 2024 Annual Meeting of Stockholders.
We have adopted a Code of Business Conduct and Ethics that applies to all of our directors and employees, including our principal executive officer, principal financial officer, principal accounting officer, and controller. We have also adopted a Vendor Code of Business Conduct and Ethics applicable to our vendors and business partners. Current copies of our Code of Business Conduct and Ethics and Vendor Code of Business Conduct and Ethics are posted on our website at www.healthpeak.com/esg/governance. In addition, waivers from, and amendments to, our Code of Business Conduct and Ethics that apply to our directors and executive officers, including our principal executive officer, principal financial officer, principal accounting officer, or persons performing similar functions, will be timely posted in the Investors section of our website at www.healthpeak.com.
ITEM 11.    Executive Compensation
The information required under Item 11 is incorporated herein by reference to our definitive proxy statement to be filed with the SEC within 120 days after the end of our fiscal year ended December 31, 2023 in connection with our 2024 Annual Meeting of Stockholders.
ITEM 12.    Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
The information required under Item 12 is incorporated herein by reference to our definitive proxy statement to be filed with the SEC within 120 days after the end of our fiscal year ended December 31, 2023 in connection with our 2024 Annual Meeting of Stockholders.
ITEM 13.    Certain Relationships and Related Transactions, and Director Independence
The information required under Item 13 is incorporated herein by reference to our definitive proxy statement to be filed with the SEC within 120 days after the end of our fiscal year ended December 31, 2023 in connection with our 2024 Annual Meeting of Stockholders.
ITEM 14.    Principal Accountant Fees and Services
The information required under Item 14 is incorporated herein by reference to our definitive proxy statement to be filed with the SEC within 120 days after the end of our fiscal year ended December 31, 2023 in connection with our 2024 Annual Meeting of Stockholders.
139

PART IV
ITEM 15.    Exhibits and Financial Statement Schedules
(a) 1.  Financial Statements
The following Consolidated Financial Statements are included in Part II, Item 8, Financial Statements and Supplementary Data of this Annual Report on Form 10-K.
Report of Independent Registered Public Accounting Firm (PCAOB ID No. 34)
Consolidated Balance Sheets - December 31, 2023 and 2022
Consolidated Statements of Operations - for the years ended December 31, 2023, 2022, and 2021
Consolidated Statements of Comprehensive Income (Loss) - for the years ended December 31, 2023, 2022, and 2021
Consolidated Statements of Equity and Redeemable Noncontrolling Interests - for the years ended December 31, 2023, 2022, and 2021
Consolidated Statements of Cash Flows - for the years ended December 31, 2023, 2022, and 2021
Notes to the Consolidated Financial Statements
(a) 2.  Financial Statement Schedules
The following Consolidated Financial Statement Schedules are included in Part II, Item 8, Financial Statements and Supplementary Data of this Annual Report on Form 10-K.
Schedule II: Valuation and Qualifying Accounts
Schedule III: Real Estate and Accumulated Depreciation
Schedule IV: Mortgage Loans on Real Estate
(a) 3.    Exhibits
ExhibitIncorporated by reference herein
NumberDescriptionFormDate Filed
2.1+
Current Report on Form 8-K12B
February 10, 2023
2.2+
Current Report on Form 8-K
October 30, 2023
3.1
Current Report on Form 8-K12B
February 10, 2023
3.2
Current Report on Form 8-K12B
February 10, 2023
3.3
Current Report on Form 8-K12B
February 10, 2023
4.1Registration Statement on Form S‑3/A
(Registration No. 333-86654)
May 21, 2002
4.1.1Current Report on Form 8‑KJanuary 24, 2011
140

4.1.2
Current Report on Form 8-K12B
February 10, 2023
4.2
Registration Statement on Form S-3ASR
(Registration No. 333‑269718)

February 13, 2023
4.2.1Current Report on Form 8‑KJanuary 21, 2015
4.2.2Current Report on Form 8‑KMay 20, 2015
4.2.3Current Report on Form 8‑K July 5, 2019
4.2.4Current Report on Form 8‑K November 21, 2019
4.2.5
Current Report on Form 8-K
June 23, 2020
4.2.6
Current Report on Form 8-K
July 12, 2021
4.2.7
Current Report on Form 8-K
November 24, 2021
4.2.8
Current Report on Form 8-K
January 17, 2023
4.2.9
Current Report on Form 8-K12B
February 10, 2023
4.2.10
Current Report on Form 8-K
May 10, 2023
4.3
Current Report on Form 8-K
January 24, 2011
4.4
Current Report on Form 8-K
January 21, 2015
4.5
Current Report on Form 8-K
May 20, 2015
4.6
Current Report on Form 8-K
July 5, 2019
4.7
Current Report on Form 8-K
July 5, 2019
4.8
Current Report on Form 8-K
November 21, 2019
4.9
Current Report on Form 8-K
June 23, 2020
4.10
Current Report on Form 8-K
July 12, 2021
4.11
Current Report on Form 8-K
November 24, 2021
4.12
Current Report on Form 8-K
January 17, 2023
4.13
Current Report on Form 8-K
May 10, 2023
4.14†
141

10.1
Current Report on Form 8-K12B
February 10, 2023
10.2
Current Report on Form 8-K12B
February 10, 2023
10.3
Current Report on Form 8-K
September 20, 2021
10.3.1
Current Report on Form 8-K12B
February 10, 2023
10.4
Current Report on Form 8-K
August 22, 2022
10.4.1
Current Report on Form 8-K12B
February 10, 2023
10.5
Current Report on Form 8-K
February 17, 2023
10.6*
Quarterly Report on Form 10‑QNovember 3, 2009
10.7*
Quarterly Report on Form 10-QAugust 5, 2014
10.8*
Quarterly Report on Form 10-QApril 28, 2023
10.9*
Quarterly Report on Form 10-QApril 28, 2023
10.10*
Annual Report on Form 10-K
February 13, 2020
10.10.1*
Current Report on Form 8-K12B
February 10, 2023
10.10.2*
Quarterly Report on Form 10-QAugust 5, 2014
10.10.3*
Quarterly Report on Form 10-QMay 3, 2018
10.10.4*
Quarterly Report on Form 10-QMay 4, 2022
10.10.5*
Annual Report on Form 10‑K
February 8, 2023
10.10.6*
Quarterly Report on Form 10-QApril 28, 2023
10.10.7*
Quarterly Report on Form 10-QApril 28, 2023
142

10.10.8*
Quarterly Report on Form 10-QApril 28, 2023
10.10.9*
Quarterly Report on Form 10-QApril 28, 2023
10.10.10*
Quarterly Report on Form 10-QApril 28, 2023
10.10.11*
Quarterly Report on Form 10-QApril 28, 2023
10.11*
Current Report on Form 8-K
April 27, 2023
10.11.1*
Quarterly Report on Form 10-QApril 28, 2023
10.11.2*
Quarterly Report on Form 10-QApril 28, 2023
10.12*
Annual Report on Form 10‑K, as amendedFebruary 12, 2008
10.13
Registration Statement on Form S‑3
(Registration No. 333‑49746)
November 13, 2000
21.1†
22.1†
23.1†
31.1†
31.2†
32.1††
32.2††
97.1†
101.INS†XBRL Instance Document – the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.
101.SCH†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.
143

101.PRE†XBRL Taxonomy Extension Presentation Linkbase Document.
104Cover Page Interactive Data File (formatted as Inline XBRL document and contained in Exhibit 101).
_______________________________________
+    Certain of the exhibits and schedules to this Exhibit have been omitted in accordance with Regulation S-K Item 601(b)(2).
*    Management Contract or Compensatory Plan or Arrangement.
†    Filed herewith.
††    Furnished herewith.

ITEM 16.    Form 10-K Summary
None.
144

SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
Dated: February 9, 2024
Healthpeak Properties, Inc.
/s/ SCOTT M. BRINKER
Scott M. Brinker,
President and Chief Executive Officer
(Principal Executive Officer)
Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the Registrant and in the capacities and on the dates indicated.
SignatureTitleDate
/s/ SCOTT M. BRINKERPresident and Chief Executive Officer, DirectorFebruary 9, 2024
Scott M. Brinker(Principal Executive Officer)
/s/ PETER A. SCOTTChief Financial OfficerFebruary 9, 2024
Peter A. Scott(Principal Financial Officer)
/s/ SHAWN G. JOHNSTONExecutive Vice President and Chief Accounting OfficerFebruary 9, 2024
Shawn G. Johnston(Principal Accounting Officer)
/s/ KATHERINE M. SANDSTROM
Chair of the Board
February 9, 2024
Katherine M. Sandstrom
/s/ BRIAN G. CARTWRIGHT
Director
February 9, 2024
Brian G. Cartwright
/s/ JAMES B. CONNOR
Director
February 9, 2024
James B. Connor
/s/ CHRISTINE N. GARVEYDirectorFebruary 9, 2024
Christine N. Garvey
/s/ R. KENT GRIFFIN, JR.DirectorFebruary 9, 2024
R. Kent Griffin, Jr.
/s/ DAVID B. HENRYDirectorFebruary 9, 2024
David B. Henry
/s/ SARA GROOTWASSINK LEWISDirectorFebruary 9, 2024
Sara Grootwassink Lewis
145
EX-4.14 2 ex41412312023.htm EX-4.14 Document

EXHIBIT 4.14
DESCRIPTION OF CAPITAL STOCK OF HEALTHPEAK PROPERTIES, INC.
References to “we,” “us” and “our” in this section refer to Healthpeak Properties, Inc.
The following description summarizes the material provisions of the common stock and preferred stock we may offer, as well as certain provisions of Maryland law and of our charter, as amended, which we refer to as our charter, and our amended and restated bylaws, which we refer to as our bylaws. These descriptions are not complete and are subject to, and qualified in their entirety by reference to, our charter and our bylaws and applicable provisions of the Maryland General Corporation Law. For a complete description, we refer you to the Maryland General Corporation Law, our charter and our bylaws. Copies of our charter and bylaws are included as exhibits to our Annual Report on Form 10-K for the fiscal year ended December 31, 2023.
Our authorized capital stock consists of 750,000,000 shares of common stock, par value $1.00 per share, and 50,000,000 shares of preferred stock, par value $1.00 per share.
Common Stock
As of December 31, 2023, there were 547,156,311 shares of common stock outstanding. All shares of common stock participate equally in dividends payable to holders of common stock, when, as and if authorized by our board and declared by us, and in net assets available for distribution to holders of common stock on liquidation, dissolution, or winding up. Each outstanding share of common stock entitles the holder to one vote on all matters submitted to a vote of our stockholders. Holders of common stock do not have cumulative voting rights in the election of directors.
All issued and outstanding shares of common stock are validly issued, fully paid and nonassessable. Holders of common stock do not have preference, conversion, exchange or preemptive rights. The common stock is listed on the New York Stock Exchange (NYSE Symbol: PEAK).
Preferred Stock
As of December 31, 2023, we had no shares of preferred stock outstanding. Under our charter, our board is authorized without further stockholder action to establish and issue, from time to time, up to 50,000,000 shares of our preferred stock, in one or more series. Our board may grant the holders of preferred stock of any series preferences, powers and rights — voting or otherwise — senior to those of holders of shares of our common stock. Our board can authorize the issuance of shares of preferred stock with terms and conditions that could have the effect of delaying or preventing a change of control transaction that might involve a premium price for holders of shares of our common stock or otherwise be in their best interest. All shares of preferred stock will, when issued in exchange for the consideration therefor, be fully paid and nonassessable and will have no preemptive rights. The Maryland General Corporation Law and our charter require our board to determine the terms and conditions of any series of preferred stock, including:
the number of shares constituting such series and the distinctive designation thereof;
the voting rights, if any, of such series;
the rate of dividends payable on such series, the time or times when dividends will be payable, the preference to, or any relation to, the payment of dividends to any other class or series of stock and whether the dividends will be cumulative or noncumulative;
whether there shall be a sinking or similar fund for the purchase of shares of such series and, if so, the terms and provisions that shall govern such fund;
the rights of the holders of shares of such series upon our liquidation, dissolution or winding up;
the rights, if any, of holders of shares of such series to convert such shares into, or to exchange such shares for, shares of any other class or series of our stock or any other securities, the price or prices or rate or rates of exchange, with such adjustments as shall be provided, at which such shares shall be convertible or exchangeable, whether such rights of conversion or exchange shall be exercisable at the option of the



holder of the shares or upon the happening of a specified event and any other terms or conditions of such conversion or exchange;
if the shares are redeemable, the prices at which, and the terms and conditions on which, the shares of such series may be redeemed; and
any other preferences, powers and relative participating, optional or other special rights and qualifications, limitations or restrictions of shares of such series.
Transfer and Ownership Restrictions Relating to Our Common Stock
Our charter contains restrictions on the ownership and transfer of our common stock that are intended to assist us in complying with the requirements to continue to qualify as a real estate investment trust, or REIT.
Subject to limited exceptions, no person or entity may own, or be deemed to own by virtue of the applicable constructive ownership provisions of the Internal Revenue Code of 1986, as amended, or the Internal Revenue Code, more than 9.8% (by number or value of shares, whichever is more restrictive) of the outstanding shares of our common stock. Our board may, but is in no event required to, waive the applicable ownership limit with respect to a particular stockholder if it determines that such ownership will not jeopardize our status as a REIT and our board otherwise decides such action would be in our best interests.
These charter provisions further prohibit:
any person from actually or constructively owning shares of our stock that would result in our being “closely held” under Section 856(h) of the Internal Revenue Code or otherwise cause us to fail to qualify as a real estate investment trust (including but not limited to ownership that would result in us owning, actually or constructively, an interest in a tenant as described in Section 856(d)(2)(B) of the Internal Revenue Code if the income derived by us, either directly or indirectly, from such tenant would cause us to fail to satisfy any of the gross income requirements of Section 856(c) of the Internal Revenue Code); and
any person from transferring shares of our capital stock if such transfer would result in shares of our stock being beneficially owned by fewer than 100 persons (determined without reference to any rules of attribution).
Any person who acquires or attempts or intends to acquire actual or constructive ownership of shares of our stock that will or may violate any of these restrictions on ownership and transfer is required to give notice immediately to us and provide us with such other information as we may request in order to determine the effect of the transfer on our qualification as a REIT. Under our charter, if any purported transfer of our stock or any other event would otherwise result in any person violating the applicable ownership limit or such other limit as permitted by our board, then any such purported transfer is void and of no force or effect with respect to the purported transferee as to that number of shares of our stock in excess of the ownership limit or such other limit, and the transferee will acquire no right or interest in such excess shares. Any excess shares described above are transferred automatically, by operation of law, to a trust, the beneficiary of which is a qualified charitable organization selected by us. Such automatic transfer will be deemed to be effective as of the close of business on the business day prior to the date of such violative transfer. Within 20 days of receiving notice from us of the transfer of shares to the trust, the trustee of the trust is required to sell the excess shares to a person or entity who could own the shares without violating the applicable ownership limit, or such other limit as permitted by our board, and distribute to the prohibited transferee an amount equal to the lesser of the price paid by the prohibited transferee for the excess shares or the sales proceeds received by the trust for the excess shares. Any proceeds in excess of the amount distributable to the prohibited transferee are distributed to the beneficiary of the trust. Prior to a sale of any such excess shares by the trust, the trustee is entitled to receive, in trust for the beneficiary, all dividends and other distributions paid by us with respect to such excess shares, and also is entitled to exercise all voting rights with respect to such excess shares.
Subject to Maryland law, effective as of the date that such shares have been transferred to the trust, the trustee will have the authority, at the trustee’s sole discretion:
to rescind as void any vote cast by a prohibited transferee prior to the discovery by us that the shares have been transferred to the trust; or
to recast such vote in accordance with the desires of the trustee acting for the benefit of the beneficiary of the trust.



However, if we have already taken irreversible corporate action, then the trustee will not have the authority to rescind and recast such vote. Any dividend or other distribution paid to the prohibited transferee, prior to the discovery by us that such shares had been automatically transferred to a trust as described above, are required to be repaid to the trustee upon demand for distribution to the beneficiary of the trust. In the event that the transfer to the trust as described above is not automatically effective, for any reason, to prevent violation of the ownership limit or such other limit as permitted by our board, then our charter provides that the transfer of the excess shares is void ab initio.
In addition, shares of common stock held in the trust shall be deemed to have been offered for sale to us, or our designee, at a price per share equal to the lesser of:
the price per share in the transaction that resulted in such transfer to the trust or, if the event that resulted in the transfer to the trust did not involve a purchase of such shares at market price, the market price on the day of such event; and
the market price on the date we, or our designee, accepted the offer.
We will have the right to accept the offer until the trustee has sold the shares of stock held in the trust. Upon a sale to us, the interest of the beneficiary in the shares sold will terminate and the trustee will distribute the net proceeds of the sale to the prohibited transferee.
If any purported transfer of shares of common stock would cause us to be beneficially owned by fewer than 100 persons, such transfer will be null and void ab initio in its entirety and the intended transferee will acquire no rights to the stock.
All certificates representing shares of common stock bear a legend referring to the restrictions described above. The foregoing ownership limitations could delay, deter or prevent a transaction or a change in control of us that might involve a premium price for the common stock or otherwise be in the best interest of our stockholders.
In addition, if our board shall, at any time and in good faith, be of the opinion that direct or indirect ownership of at least 9.9% of the voting shares of capital stock has or may become concentrated in the hands of one beneficial owner, it shall have the power:
by lot or other means deemed equitable by it to call for the purchase from any stockholder of a number of voting shares sufficient, in the opinion of our board, to maintain or bring the direct or indirect ownership of voting shares of capital stock of the beneficial owner to a level of no more than 9.9% of our outstanding voting shares; and
to refuse to transfer or issue voting shares of capital stock to any person whose acquisition of such voting shares would, in the opinion of the board, result in the direct or indirect ownership by that person of more than 9.9% of the outstanding voting shares of our capital stock.
If our board fails to grant an exemption from this 9.9% ownership limitation, then the transfer of shares, options, warrants, or other securities convertible into voting shares that would create a beneficial owner of more than 9.9% of the outstanding voting shares shall be deemed void ab initio, and the intended transferee shall be deemed never to have had an interest in the transferred securities. The purchase price for any voting shares of capital stock so redeemed shall be equal to the fair market value of the shares reflected in the closing sales price for the shares, if then listed on a national securities exchange, or the average of the closing sales prices for the shares if then listed on more than one national securities exchange, or if the shares are not then listed on a national securities exchange, the latest bid quotation for the shares if then traded over-the-counter, on the last business day immediately preceding the day on which we send notices of such acquisitions, or, if no such closing sales prices or quotations are available, then the purchase price shall be equal to the net asset value of such stock as determined by the board in accordance with the provisions of applicable law. From and after the date fixed for purchase by the board, the holder of any shares so called for purchase shall cease to be entitled to distributions, voting rights and other benefits with respect to such shares, except the right to payment of the purchase price for the shares.
Business Combination Provisions
Our charter requires that, except in some circumstances, “business combinations” between us and a beneficial holder, together with its affiliates and associates, of 10% or more of our outstanding voting stock and any affiliate or associate of such holder, which we refer to as a Related Person, be approved by the affirmative vote of at least 90% of our outstanding voting shares. A “business combination” is defined in our charter as:



any merger or consolidation with or into a Related Person;
any sale, lease, exchange, transfer or other disposition, including without limitation a mortgage or any other security device, of all or any “Substantial Part” (as defined below) of our assets, including any voting securities of a subsidiary, to a Related Person;
any merger or consolidation of a Related Person with or into us;
any sale, lease, exchange, transfer or other disposition of all or any Substantial Part of the assets of a Related Person to us;
the issuance of any of our securities, other than by way of pro rata distribution to all stockholders, to a Related Person; and
any agreement, contract or other arrangement providing for any of the transactions described above.
The term “Substantial Part” means more than 10% of the book value of our total assets as of the end of our most recent fiscal year ending prior to the time the determination is being made.
In addition to the restrictions on business combinations contained in our charter, Maryland law also contains restrictions on business combinations. See “Certain Provisions of Maryland Law and Healthpeak Properties, Inc.’s Charter and Bylaws—Business Combinations” below.
The foregoing provisions may have the effect of discouraging unilateral tender offers or other takeover proposals which stockholders might deem to be in their interests or in which they might receive a substantial premium. Our board’s authority to issue and establish the terms of currently authorized preferred stock, without stockholder approval, may also have the effect of discouraging takeover attempts. See “—Preferred Stock” above.
The foregoing provisions could also have the effect of insulating current management against the possibility of removal and could, by possibly reducing temporary fluctuations in market price caused by accumulations of shares of our common stock, deprive stockholders of opportunities to sell at a temporarily higher market price. Our board believes, however, that inclusion of the business combination provisions in our charter may help assure fair treatment of our stockholders and preserve our assets.
Transfer and Ownership Restrictions Relating to Our Preferred Stock
Our charter may contain restrictions on the ownership and transfer of preferred stock that are intended to assist us in complying with the requirements to maintain our qualification as a REIT. Subject to limited exceptions, unless otherwise provided for in the terms of a particular series of preferred stock, no person or entity may own, or be deemed to own by virtue of the applicable constructive ownership provisions of the Internal Revenue Code, more than 9.8% (by number or value of shares, whichever is more restrictive) of the outstanding shares of such series of preferred stock. Our board may, but in no event will be required to, waive the applicable ownership limit with respect to a particular stockholder if it determines that such ownership will not jeopardize our qualification as a REIT and our board otherwise decides such action would be in our best interests. The mechanics for the ownership limits on our preferred stock will be similar to the mechanics related to our common stock, as described in “—Transfer and Ownership Restrictions Relating to Our Common Stock” above, unless otherwise provided in the terms of a particular series of preferred stock.
Certain Provisions of Maryland Law and of Healthpeak Properties, Inc.’s Charter and Bylaws
Election of Directors
Our bylaws provide that our board may establish, increase or decrease the number of directors, provided that the number thereof shall never be less than three nor more than eleven. Our bylaws also provide for the election of directors, in uncontested elections, by a majority of the votes cast. In contested elections, the election of directors shall be by a plurality of the votes cast. Holders of common stock have no right to cumulative voting for the election of directors. Consequently, at each annual meeting of stockholders, the holders of a majority of the outstanding shares of our common stock can elect all of our directors. A vacancy resulting from an increase in the number of directors may be filled by a majority vote of the entire board or by the affirmative vote of the holders of a majority of our shares then entitled to vote at an election of directors. Other vacancies may be filled by the vote of a majority of the remaining directors.



Removal of Directors
Our charter provides that a director of ours may be removed by the affirmative vote of the holders of two-thirds of the outstanding shares of our voting stock or by a unanimous vote of all other directors. Our stockholders may elect a successor to fill any vacancy which results from the removal of a director.
Business Combinations
Under Maryland law, “business combinations” between a Maryland corporation and an interested stockholder or an affiliate of an interested stockholder are prohibited for five years after the most recent date on which the interested stockholder becomes an interested stockholder. These business combinations include a merger, consolidation, share exchange, or, in circumstances specified in the statute, an asset transfer or issuance or reclassification of equity securities. An interested stockholder is defined as:
any person who beneficially owns ten percent or more of the voting power of the corporation’s shares; or
an affiliate of the corporation who, at any time within the two-year period prior to the date in question, was the beneficial owner of ten percent or more of the voting power of the then outstanding voting stock of the corporation.
After the five-year prohibition, any business combination between the Maryland corporation and an interested stockholder generally must be recommended by the board of the corporation and approved by the affirmative vote of at least:
80% of the votes entitled to be cast by holders of outstanding shares of voting stock of the corporation; and
two-thirds of the votes entitled to be cast by holders of voting stock of the corporation other than shares held by the interested stockholder with whom or with whose affiliate the business combination is to be effected or which are held by an affiliate or associate of the interested stockholder.
These super-majority vote requirements do not apply if the corporation’s common stockholders receive a minimum price, as defined under Maryland law, for their shares in the form of cash or other consideration in the same form as previously paid by the interested stockholder for its shares. None of these provisions of Maryland law will apply, however, to business combinations that are approved or exempted by the board of the corporation prior to the time that the interested stockholder becomes an interested stockholder.
In addition to the restrictions on business combinations provided under Maryland law, our charter also contains restrictions on business combinations. See “—Business Combination Provisions” above.
Control Share Acquisitions
Maryland law provides that holders of “control shares” of a Maryland corporation acquired in a “control share acquisition” have no voting rights with respect to the control shares except to the extent approved by a vote of two-thirds of the votes entitled to be cast on the matter. Shares of stock owned by the acquiror, by officers or by directors who are employees of the corporation are excluded from shares entitled to vote on the matter. “Control shares” are voting shares of stock which, if aggregated with all other shares of stock owned by the acquiror or shares of stock for which the acquiror is able to exercise or direct the exercise of voting power except solely by virtue of a revocable proxy, would entitle the acquiror to exercise voting power in electing directors within one of the following ranges of voting power:
one-tenth or more but less than one-third;
one-third or more but less than a majority; or
a majority or more of all voting power.
Control shares do not include shares the acquiring person is then entitled to vote as a result of having previously obtained stockholder approval. Except as otherwise specified in the statute, a “control share acquisition” means the acquisition of control shares.



Once a person who has made or proposes to make a control share acquisition has undertaken to pay expenses and satisfied other conditions, the person may compel the board to call a special meeting of stockholders to be held within 50 days of demand to consider the voting rights of the shares. If no request for a meeting is made, the corporation may itself present the question at any stockholders meeting.
If voting rights are not approved at the meeting or if the acquiring person does not deliver an acquiring person statement as required by the statute, then the corporation may be able to redeem any or all of the control shares for fair value, except for control shares for which voting rights previously have been approved. The right of the corporation to redeem control shares is subject to certain conditions and limitations. Fair value is determined without regard to the absence of voting rights for control shares, as of the date of the last control share acquisition by the acquiror or of any meeting of stockholders at which the voting rights of control shares are considered and not approved. If voting rights for control shares are approved at a stockholders meeting and the acquiror becomes entitled to vote a majority of the shares entitled to vote, all other stockholders may exercise appraisal rights. The fair value of the shares as determined for purposes of these appraisal rights may not be less than the highest price per share paid by the acquiror in the control share acquisition. Some of the limitations and restrictions otherwise applicable to the exercise of dissenters’ rights do not apply in the context of a control share acquisition.
The control share acquisition statute does not apply to shares acquired in a merger, consolidation or share exchange if the corporation is a party to the transaction or to acquisitions approved or exempted by the charter or bylaws of the corporation. Our bylaws contain a provision exempting acquisitions of shares of our stock from the control share acquisition statute. However, our board may amend our bylaws in the future to repeal or modify this exemption, in which case any control shares of our company acquired in a control share acquisition will be subject to the control share acquisition statute.
Unsolicited Takeovers
Under Maryland law, a Maryland corporation with a class of equity securities registered under the Securities Exchange Act of 1934, or the Exchange Act, and at least three independent directors may elect to be subject to certain statutory provisions relating to unsolicited takeovers which, among other things, would automatically classify the board into three classes with staggered terms of three years each and vest in the board the exclusive right to determine the number of directors and the exclusive right, by the affirmative vote of a majority of the remaining directors, to fill vacancies on the board, even if the remaining directors do not constitute a quorum. These statutory provisions relating to unsolicited takeovers also provide that any director elected to fill a vacancy shall hold office for the remainder of the full term of the class of directors in which the vacancy occurred, rather than the next annual meeting of directors as would otherwise be the case, and until his successor is elected and qualified.
Our board of directors has adopted a resolution prohibiting us from electing to be subject to the provisions of the unsolicited takeover statute relating to the classification of the board unless such election is first approved by our stockholders by the affirmative vote of a majority of all the votes entitled to be cast on the matter. An election to be subject to any or all of the other foregoing statutory provisions may be made in our charter or bylaws, or by resolution of our board without stockholder approval. Any such statutory provision to which we elect to be subject will apply even if other provisions of Maryland law or our charter or bylaws provide to the contrary. Neither our charter nor our bylaws provides that we are subject to any of the foregoing statutory provisions relating to unsolicited takeovers. However, our board could adopt a resolution, without stockholder approval, to elect to become subject to some or all of these statutory provisions except the statutory provisions relating to the classification of the board.
If we made an election, upon stockholder approval of such election, to be subject to the statutory provisions relating to the classification of the board and our board were divided into three classes with staggered terms of office of three years each, the classification and staggered terms of office of our directors would make it more difficult for a third party to gain control of our board since at least two annual meetings of stockholders, instead of one, generally would be required to effect a change in the majority of our board.
Amendments to the Charter
Provisions of our charter on business combinations, the number of directors and certain ownership restrictions may be amended only if approved by our board and by our stockholders by the affirmative vote of two-thirds of all of the votes entitled to be cast by our stockholders on the matter. Other amendments to our charter require approval by our board and approval by our stockholders by the affirmative vote of a majority of all the votes entitled to be cast by our stockholders on the matter.



Amendment to the Bylaws
Provisions of our bylaws on the number of directors, in certain circumstances, and the vote required to amend the bylaws may be amended only by unanimous vote of the board or by the affirmative vote of not less than 90% of all of the votes entitled to be cast by our stockholders on the matter. Other amendments to our bylaws require the affirmative vote of a majority of the entire board or the affirmative vote of a majority of all of the votes entitled to be cast by our stockholders on the matter.
Dissolution of Healthpeak Properties, Inc.
Our dissolution must be approved by our board by a majority vote of the entire board and by our stockholders by the affirmative vote of a majority of all the votes entitled to be cast by our stockholders on the matter.
Advance Notice of Director Nominations and New Business; Procedures of Special Meetings Requested by Stockholders
Our bylaws provide that nominations of persons for election to the board and the proposal of business to be considered by stockholders at the annual or special meeting of stockholders may be made only:
pursuant to our notice of the meeting;
by or at the direction of the board; or
by a stockholder who was a stockholder at the time the notice of meeting was given and is entitled to vote at the meeting and who has complied with the advance notice procedures, including the minimum time period, described in the bylaws.
Our bylaws also provide that only the business specified in our notice of meeting may be brought before a special meeting of stockholders. Our bylaws provide that our stockholders have the right to call a special meeting only upon the written request of the stockholders holding in the aggregate not less than 50% of the outstanding shares entitled to vote on the business proposed to be transacted at such meeting.
Proxy Access
Our bylaws permit any stockholder or group of up to 25 stockholders (counting as one stockholder, for purposes of the aggregation limit, any two or more funds that are part of the same qualifying fund group, as such term is defined in our bylaws) who have maintained continuous qualifying ownership of 3% or more of our outstanding common stock for at least the previous three years to include up to a specified number of director nominees in our proxy materials for an annual meeting of stockholders. If a group of stockholders is aggregating its shareholdings in order to meet the 3% ownership requirement, the ownership of the group will be determined by aggregating the lowest number of shares continuously owned by each member during the three-year holding period. A nominating stockholder is considered to own only the shares for which the stockholder possesses the full voting and investment rights and the full economic interest (including the opportunity for profit and risk of loss). Under this provision, borrowed or hedged shares do not count as “owned” shares. Furthermore, to the extent not otherwise excluded pursuant to this definition of ownership, a nominating stockholder’s “short position” as defined in Rule 14e-4 under the Exchange Act is deducted from the shares otherwise “owned.” Loaned shares are counted toward the ownership requirement, provided that certain recall requirements described in our bylaws are met.
The maximum number of stockholder nominees permitted under the proxy access provisions of our bylaws shall not exceed the greater of (i) two or (ii) 20% of the directors in office as of the last day a notice of nomination may be timely received. If the 20% calculation does not result in a whole number, the maximum number of stockholder nominees is the closest whole number below 20%. If one or more vacancies occurs for any reason after the nomination deadline and our board decides to reduce the size of our board in connection therewith, the 20% calculation will be applied to the reduced size of the board, with the potential result that a stockholder nominee may be disqualified. Stockholder-nominated candidates whose nomination is withdrawn or whom the board determines to include in our proxy materials as board-nominated candidates will be counted against the 20% maximum. In addition, any director in office as of the nomination deadline who was included in our proxy materials as a stockholder nominee for either of the two preceding annual meetings and whom our board decides to renominate for election to the board also will be counted against the 20% maximum.



Notice of a nomination pursuant to the proxy access provisions of our bylaws must be received no earlier than 150 days and no later than 120 days before the anniversary of the date that we distributed our proxy statement for the previous year’s annual meeting of stockholders. The proxy access provisions of our bylaws require certain disclosure, representations and agreements to be provided or made by nominating stockholders and contain certain other procedural provisions.
A stockholder nominee will not be eligible for inclusion in our proxy materials (i) if any stockholder has nominated a person pursuant to the advance notice provision of our bylaws; (ii) if the nominee would not be independent; (iii) if the nominee’s election would cause us to violate our bylaws, our charter or any applicable listing standards, laws, rules or regulations; (iv) if the nominee is or has been an officer or director of a competitor, as defined in Section 8 of the Clayton Antitrust Act of 1914, within the past three years; or (v) if the nominee or the stockholder who nominated him or her has provided false and misleading information to us or otherwise breached any of its or their obligations, representations or agreements under the proxy access provisions of our bylaws. Stockholder nominees who are included in our proxy materials but subsequently withdraw from or become ineligible or unavailable for election at the meeting or do not receive at least 10% of the votes cast in the election will be ineligible for nomination under the proxy access provisions of our bylaws for the next two annual meetings. A nomination made under the proxy access provisions of our bylaws will be disregarded at the annual meeting under certain circumstances described in our bylaws.
Anti-Takeover Effect of Provisions of Maryland Law and of Our Charter and Bylaws
The provisions in our charter on removal of directors and business combinations, the business combinations and control share acquisition provisions of Maryland law, the unsolicited takeover provisions of Maryland law (if we elect to become subject to such provisions) and the provisions of our bylaws relating to advance notice, proxy access and stockholder-requested special meetings may delay, deter or prevent a change of control or other transaction in which holders of some, or a majority, of the common stock might receive a premium for their common stock over the then prevailing market price or which such holders might believe to be otherwise in their best interests.
Limitation of Liability and Indemnification
Maryland law permits a Maryland corporation to include in its charter a provision limiting the liability of its directors and officers to the corporation and its stockholders for money damages. However, a Maryland corporation may not limit liability resulting from actual receipt of an improper benefit or profit in money, property or services. Also, liability resulting from active and deliberate dishonesty may not be eliminated if a final judgment establishes that the dishonesty is material to the cause of action. Our charter contains a provision which limits the liability of directors and officers for money damages to the maximum extent permitted by Maryland law. This provision does not limit our right or that of our stockholders to obtain equitable relief, such as an injunction or rescission.
Our bylaws obligate us, to the maximum extent permitted by Maryland law, to indemnify and, without requiring a preliminary determination as to the ultimate entitlement to indemnification, to pay or reimburse reasonable expenses before final disposition of a proceeding to:
any present or former director or officer who is made a party to the proceeding by reason of his service in that capacity; or
any individual who, while one of our directors or officers and at our request, serves or has served another corporation, partnership, joint venture, trust, employee benefit plan or any other enterprise as a director, officer, partner or trustee of such corporation, partnership, joint venture, trust, employee benefit plan, or other enterprise and who is made a party to the proceeding by reason of his service in that capacity.
The bylaws authorize us, with the approval of our board, to provide indemnification and advancement of expenses to our agents and employees.
Unless limited by a corporation’s charter, Maryland law requires a corporation to indemnify a director or officer who has been successful, on the merits or otherwise, in the defense of any proceeding to which he is made a party by reason of his service in that capacity, or in the defense of any claim, issue or matter in the proceeding. Our charter does not alter this requirement.



Maryland law permits a corporation to indemnify its present and former directors and officers, among others, against:
judgments;
penalties;
fines;
settlements; and
reasonable expenses actually incurred by them in connection with any proceeding to which they may be made a party by reason of their service in those or other capacities.
Maryland law does not permit a corporation to indemnify its present and former directors and officers if it is established that:
the act or omission of the director or officer was material to the matter giving rise to the proceeding and was committed in bad faith or was the result of active and deliberate dishonesty;
the director or officer actually received an improper personal benefit in money, property or services; or
in the case of any criminal proceeding, the director or officer had reasonable cause to believe that the act or omission was unlawful.
Under Maryland law, a Maryland corporation generally may not indemnify for an adverse judgment in a suit by or in the right of the corporation. Also, a Maryland corporation generally may not indemnify for a judgment of liability on the basis that personal benefit was improperly received. In either of these cases, a Maryland corporation may indemnify for expenses only if a court so orders.
Maryland law permits a corporation to advance reasonable expenses to a director or officer. First, however, the corporation must receive a written affirmation by the director or officer of his good faith belief that he has met the standard of conduct necessary for indemnification by the corporation. The corporation must also receive a written undertaking, either by the director or officer or on his behalf, to repay the amount paid or reimbursed by the corporation if it shall ultimately be determined that the standard of conduct was not met. The termination of any proceeding by conviction, or upon a plea of nolo contendere or its equivalent, or an entry of any order of probation prior to judgment, creates a rebuttable presumption that the director or officer did not meet the requisite standard of conduct required for indemnification to be permitted.
It is the position of the Securities and Exchange Commission that indemnification of directors and officers for liabilities arising under the Securities Act of 1933, as amended, or the Securities Act, is against public policy and is unenforceable pursuant to Section 14 of the Securities Act.
Transfer Agent
The registrar and transfer agent for our common stock is Equiniti Trust Company, LLC.

EX-21.1 3 ex21112312023.htm EX-21.1 Document
EXHIBIT 21.1

Healthpeak Properties, Inc.
Subsidiaries
As of February 1, 2024
Entity NameJurisdiction of Organization or Formation
100 Discovery Park DE, LLCDelaware
3020-3030 Callan Road JV, L.L.C.Delaware
3020-3030 Callan Road Mezz, L.L.C.Delaware
3020-3030 Callan Road Owner, L.L.C.Delaware
3020-3030 Callan Road TRS, L.L.C.Delaware
424 Summit Property, LLCDelaware
557 Highland, LLCDelaware
700 Broadway MOB, LLCDelaware
AHP of Nevada, LLCDelaware
AHP of Washington, Inc.Washington
Annapolis Assisted Living, LLCMaryland
ARC Richmond Place Real Estate Holdings, LLCDelaware
Arlington Heights MOB, LLCDelaware
Aurora HCP, LLCDelaware
Aurora MOB, LLCDelaware
Bayside Acquisition, LLCDelaware
Bayside Area Development, LLCDelaware
Bentonville Medical Offices, LLCDelaware
Bolingbrook MOB, LLCDelaware
Brandon MOB, LLCDelaware
Brandywine GP, LLCDelaware
Brentwood MOB Owners LLCDelaware
Brentwood MOB, LLCDelaware
Britannia Biotech Gateway Limited PartnershipDelaware
Britannia Gateway II Limited PartnershipDelaware
Britannia Hacienda II Limited PartnershipDelaware
Britannia Hacienda VIII LLCDelaware
Britannia PG TRS, LLCDelaware
Britannia Pointe Grand Limited PartnershipDelaware
Burnsville 303 MOB, LLC Delaware
Burnsville 305 MOB, LLCDelaware
CCRC – Freedom Fairways Golf Course, LLCDelaware
CCRC – Freedom Pointe at the Villages, LLCDelaware
CCRC – Lake Port Square, LLCDelaware
CCRC – Regency Oaks, LLCDelaware
CCRC – South Port Square, LLCDelaware
CCRC 2019 OpCo TRS, LLCDelaware
CCRC HoldCo – Holland, LLCDelaware
CCRC OpCo – Bradenton, LLCDelaware
CCRC OpCo – Cypress Village, LLCDelaware
CCRC OpCo – Foxwood Springs, LLCDelaware
CCRC OpCo – Freedom Square, LLCDelaware



Entity NameJurisdiction of Organization or Formation
CCRC OpCo – Galleria Woods, LLCDelaware
CCRC OpCo – Gleannloch Farms, LLCDelaware
CCRC OpCo -- Hillside, LLCDelaware
CCRC OpCo – Holland, LLCDelaware
CCRC OpCo – Robin Run, LLCDelaware
CCRC OpCo – Sun City Center, LLCDelaware
CCRC OpCo Ventures II, LLCDelaware
CCRC OpCo Ventures, LLCDelaware
CCRC PropCo – Bradenton, LLCDelaware
CCRC PropCo – Brandywine MC, LLCDelaware
CCRC PropCo – Cypress Village, LLCDelaware
CCRC PropCo – Foxwood Springs, LLCDelaware
CCRC PropCo – Freedom Plaza, LLCDelaware
CCRC PropCo – Freedom Square, LLCDelaware
CCRC PropCo – Galleria Woods, LLCDelaware
CCRC PropCo – Gleannloch Farms, LLCDelaware
CCRC PropCo -- Hillside, LLCDelaware
CCRC PropCo – Holland, LLCDelaware
CCRC PropCo – Homewood Residence, LLCDelaware
CCRC PropCo – Lady Lake, LLCDelaware
CCRC PropCo – Robin Run, LLCDelaware
CCRC PropCo Ventures II, LLCDelaware
CCRC PropCo Ventures, LLCDelaware
CCRC-Brandywine, LLCDelaware
CDP Residual Holdings, LLCDelaware
Centennial MOB, LLCDelaware
Charles Pavilion Holding, LLCDelaware
Cherry Hill MOB, LLCDelaware
Chino Hills TRS, LLC Delaware
Columbia MOB, LLCDelaware
Cullman POB II, LLCDelaware
Cullman POB Partners I, LLCDelaware
Cypress Garden Homes, LLCDelaware
DOC DR Holdco, LLCMaryland
DOC DR, LLCMaryland
DR California III Holdings, LLCDelaware
DR California IV Holdings, LLCDelaware
DSTS, LLCFlorida
Durant MOB Manager LLCDelaware
Durant MOB Owner LLCDelaware
Encino MOB, LLCDelaware
Evansville MOB Owners Limited PartnershipDelaware
FAEC 35 CPD, LLCDelaware
FAEC Holdings (Abbey), LLCDelaware
FAEC Holdings (Biddeford), LLCDelaware



Entity NameJurisdiction of Organization or Formation
FAEC Holdings (Concord East Epsom Dover), LLCDelaware
FAEC Holdings (Concord Horseshoe Commercial), LLCDelaware
FAEC Holdings (Concord North Foundry), LLCDelaware
FAEC Holdings (EP), LLCDelaware
FAEC Holdings (Highlands Ranch), LLCDelaware
FAEC Holdings (LA), LLCDelaware
FAEC Holdings (Ortho Ashton), LLCDelaware
FAEC Holdings (Ortho Shallotte), LLCDelaware
FAEC Holdings (Ortho Shipyard), LLCDelaware
FAEC Holdings (Riverwalk), LLCDelaware
FAEC Holdings (Rockwall), LLCDelaware
FAEC Holdings (Slidell), LLCDelaware
FAEC-Kingwood Medical, LLCDelaware
Faulkner Hinton/Suburban I, LLCKentucky
Faulkner Hinton/Suburban III, LLCKentucky
FDG-Vintage Park II Property, LLCDelaware
FDG-Vintage Park II, LLCDelaware
Foxwood Springs Garden Homes, LLCDelaware
Frisco Centennial MOB I, LLCDelaware
Frisco Centennial MOB II, LLCDelaware
FSP-Deer Park, LLCDelaware
FSP-Waldwick Holding, LLCDelaware
FSP-Waldwick Property, LLCDelaware
Hacienda Stoneridge II, IncorporatedDelaware
Hayden Campus TRS LLCDelaware
Hayward Point Eden I Limited PartnershipDelaware
HCP - AM/Colorado, LLCDelaware
HCP - AM/Florida, LLCDelaware
HCP - AM/Illinois, LLCDelaware
HCP - AM/Tennessee, LLCDelaware
HCP - AM/Texas, LLCDelaware
HCP 101 Cambridgepark Drive Member, LLCDelaware
HCP 1101 Madison MOB, LLCDelaware
HCP 3535 Market Street GP, LLCDelaware
HCP 3535 Market Street, LPDelaware
HCP 600 Broadway MOB, LLCDelaware
HCP 833 Chestnut, LLCDelaware
HCP Acquisitions, LLCDelaware
HCP Albuquerque NM OpCo, LLCDelaware
HCP Altamonte Springs, LLCDelaware
HCP Arlington VA OpCo, LLCDelaware
HCP Arnold MOB, LLCDelaware
HCP Asia Investments, LLCDelaware
HCP Atrium MOB LLCDelaware
HCP Aur1 California A Pack, LLCDelaware



Entity NameJurisdiction of Organization or Formation
HCP Beaumont TX OpCo, LLCDelaware
HCP Beckett Lake, LLCDelaware
HCP Bellevue WA OpCo, LLCDelaware
HCP Bethesda MD OpCo, LLCDelaware
HCP Beverly Hills CA OpCo, LLCDelaware
HCP Biotech Gateway IncorporatedDelaware
HCP Birmingham Portfolio, LLCDelaware
HCP Boca Raton FL OpCo, LLCDelaware
HCP Boynton Beach FL OpCo, LLCDelaware
HCP Boynton Beach, LLCDelaware
HCP Briargate MOB, LLCDelaware
HCP Brofin Holdings, LLCDelaware
HCP Brofin Properties, LLCDelaware
HCP Brooklyn NY OpCo, LLCDelaware
HCP BTC, LLCDelaware
HCP Buford GA OpCo, LLCDelaware
HCP Callan Road, LLCDelaware
HCP Cambridgepark Drive Member LLCDelaware
HCP Canton GA OpCo, LLCDelaware
HCP Carrollwood, LLCDelaware
HCP Cherry Hill NJ OpCo, LLCDelaware
HCP Chino Hills, L.P.Delaware
HCP Cincinnati OH OpCo, LLCDelaware
HCP Clearlake OpCo, LLCDelaware
HCP Clearwater, LLCDelaware
HCP Coconut Creek FL OpCo, LLCDelaware
HCP Columbia MD OpCo, LLCDelaware
HCP Coosa MOB, LLCDelaware
HCP Cresskill NJ OpCo, LLCDelaware
HCP CRS1 2801 Denton TX GP, LLCDelaware
HCP CRS1 2801 Denton TX, LPDelaware
HCP CRS1 Delphis Lead Lender, LPDelaware
HCP CRS2 Cleveland OH GP, LLCDelaware
HCP CRS2 Cleveland OH, LPDelaware
HCP CRS2 Fresno CA GP, LLCDelaware
HCP CRS2 Fresno CA, LPDelaware
HCP CRS2 GP, LLCDelaware
HCP CRS2 Keller - Wylie TX, LLCDelaware
HCP CRS2 Ogden UT GP, LLCDelaware
HCP CRS2 Ogden UT, LPDelaware
HCP CRS2 Plano TX GP, LLCDelaware
HCP CRS2 Plano TX, LPDelaware
HCP CRS2, LPDelaware
HCP CTE, L.P.Delaware
HCP Cy-Fair, LLCDelaware



Entity NameJurisdiction of Organization or Formation
HCP Cypress TX MOB, LLCDelaware
HCP DAS Acquisition, LLCDelaware
HCP DAS Brentwood CA GP, LLCDelaware
HCP DAS Cypress TX GP, LLCDelaware
HCP DAS Cypress TX, LPDelaware
HCP DAS Evansville IN GP, LLCDelaware
HCP DAS GP, LLCDelaware
HCP DAS Jackson II MS GP, LLCDelaware
HCP DAS Lancaster TX GP, LLCDelaware
HCP DAS Lender GP, LLCDelaware
HCP DAS Lender, LPDelaware
HCP DAS Lexington KY GP, LLCDelaware
HCP DAS Marion IL GP, LLCDelaware
HCP DAS Nassau Bay TX GP, LLCDelaware
HCP DAS Parker CO GP, LLCDelaware
HCP DAS Pearland TX GP, LLCDelaware
HCP DAS Pearland TX, LPDelaware
HCP DAS Pipeline 1, LLCDelaware
HCP DAS Scottsdale AZ GP, LLCDelaware
HCP DAS Texarkana TX GP, LLCDelaware
HCP DAS Towson MD GP, LLCDelaware
HCP DAS Towson MD, LPDelaware
HCP DAS, LPDelaware
HCP Dayton OH OpCo, LLCDelaware
HCP Delray Beach FL OpCo, LLCDelaware
HCP Delray Beach, LLCDelaware
HCP Des Peres MO OpCo, LLCDelaware
HCP DR California II, LLCDelaware
HCP DR California III HoldCo, LLCDelaware
HCP DR California III, LLCDelaware
HCP DR California, LLCDelaware
HCP DR MCD, LLCDelaware
HCP DSL Bradenton FL OpCo, LLCDelaware
HCP DSL Fort Myers FL OpCo, LLCDelaware
HCP DSL Fort Myers IL FL OpCo, LLCDelaware
HCP DSL Melbourne FL OpCo, LLCDelaware
HCP DSL Naples FL OpCo, LLCDelaware
HCP DSL Palm Beach Gardens FL OpCo, LLCDelaware
HCP DSL PropCo Castle Hills, LLCDelaware
HCP DSL PropCo Fort Myers IL, LLCDelaware
HCP DSL PropCo Fort Myers, LLCDelaware
HCP DSL PropCo Melbourne, LLCDelaware
HCP DSL PropCo Naples, LLCDelaware
HCP DSL PropCo Palm Beach Gardens, LLCDelaware
HCP DSL PropCo Sarasota Bay, LLCDelaware



Entity NameJurisdiction of Organization or Formation
HCP DSL PropCo Sugarloaf, LLCDelaware
HCP DSL PropCo Tampa Palms, LLCDelaware
HCP DSL Suwanee GA OpCo, LLCDelaware
HCP DSL Tampa FL OpCo, LLCDelaware
HCP DSL TRS, LLCDelaware
HCP Dunwoody GA OpCo, LLCDelaware
HCP Eastgate LLCDelaware
HCP Eby1 Davenport IA, LPDelaware
HCP Eby1 GP, LLCDelaware
HCP Eby1 Illinois GP, LLCDelaware
HCP Eby1 Illinois, LPDelaware
HCP Eby1 Iowa GP, LLCDelaware
HCP Eby1 Marion IA, LPDelaware
HCP Eby1, LPDelaware
HCP Eby2 Portage MI, LLCDelaware
HCP Eden Manager, LLCDelaware
HCP Eden1 Gainesville FL, LLCDelaware
HCP Eden1 Jacksonville FL, LLCDelaware
HCP Eden1 Tallahassee FL, LLCDelaware
HCP Eden2 A Pack, LLCDelaware
HCP Eden2 B Pack, LLCDelaware
HCP Eden2 GP, LLCDelaware
HCP Eden2 North Carolina GP, LLCDelaware
HCP Eden2 North Carolina, LPDelaware
HCP Eden2, LPDelaware
HCP Edmonds WA OpCo, LLCDelaware
HCP Emfin Properties, LLCDelaware
HCP Emmons Ave NY OpCo, LLCDelaware
HCP EMOH, LLCDelaware
HCP ESL Fairborn OH OpCo, LLCDelaware
HCP ESL Fairborn OH, LLCDelaware
HCP ESL Fort Harrison IN OpCo, LLCDelaware
HCP ESL Indiana, LLCDelaware
HCP ESL Madison WI OpCo, LLCDelaware
HCP ESL Portland OR OpCo, LLCDelaware
HCP ESL West Lafayette IN OpCo, LLCDelaware
HCP Estates USA Inc.Delaware
HCP ETE, L.P.Delaware
HCP Fallbrook TX OpCo, LLCDelaware
HCP Falls Church VA OpCo, LLCDelaware
HCP Fannin Medical Investors, LLCDelaware
HCP Farmington Hills MI OpCo, LLCDelaware
HCP Florham Park NJ OpCo, LLCDelaware
HCP Forbes, LLCDelaware
HCP Fortuna OpCo, LLCDelaware



Entity NameJurisdiction of Organization or Formation
HCP Frederick MD OpCo, LLCDelaware
HCP Friendswood, LLCDelaware
HCP Fund Management, LLCDelaware
HCP Fund, L.P.Delaware
HCP FW TX OpCo, LLCDelaware
HCP Gen Lender, LLCDelaware
HCP Glastonbury CT OpCo, LLCDelaware
HCP GP/Colorado, LLCDelaware
HCP Gray Street MOB, LLCDelaware
HCP Greensboro NC OpCo, LLCDelaware
HCP Greenville SC MOB 1, LLCDelaware
HCP Greenville SC MOB 2, LLCDelaware
HCP Hazel Creek, LLCDelaware
HCP HB2 Carrington-Cherry Hills, LLCDelaware
HCP HB2 Emerald Bay Manor, LLCDelaware
HCP HB2 Greenwich - East-West Bay - Olympia Fields, LLCDelaware
HCP HB2 Heritage Palmeras, LLCDelaware
HCP HB2 Herons Run, LLCDelaware
HCP HB2 Manor - Pointe Newport Place, LLCDelaware
HCP HB2 North Bay Manor, LLCDelaware
HCP HB2 Park at Golf Mill, LLCDelaware
HCP HB2 Pinecrest Place, LLCDelaware
HCP HB2 Prosperity Oaks, LLCDelaware
HCP HB2 Sakonnet Bay Manor, LLCDelaware
HCP HB2 South Bay Manor, LLCDelaware
HCP HB2 Waterside Retirement Estates, LLCDelaware
HCP HB3 Spring Shadows Place, LLCDelaware
HCP HB3 Willowbrook, LLCDelaware
HCP Hyde Park TRS, LLCDelaware
HCP Insurance TRS, LLCDelaware
HCP Irvine CA OpCo, LLCDelaware
HCP Irving, LLCDelaware
HCP Jackson Central Investors, LLCDelaware
HCP Jacksonville, LLCDelaware
HCP Jona Dr VA OpCo, LLCDelaware
HCP Kenmore WA OpCo, LLCDelaware
HCP Kingwood Medical MOB, LLCDelaware
HCP Kirkland, LLCDelaware
HCP Lake Granbury Investors, LLCDelaware
HCP Lakeview MOB, LLCDelaware
HCP Lancaster MOB, LLCDelaware
HCP Lantana FL OpCo, LLCDelaware
HCP Leesburg VA OpCo, LLCDelaware
HCP Lewisville TX OpCo, LLCDelaware
HCP Life Science Assets TRS, LLCDelaware



Entity NameJurisdiction of Organization or Formation
HCP Life Science Development, LLCDelaware
HCP Life Science REIT, Inc.Maryland
HCP Life Science Services TRS, LLCDelaware
HCP Life Science, LLCDelaware
HCP Lilburn GA OpCo, LLCDelaware
HCP Louisville KY OpCo, LLCDelaware
HCP LS Brisbane, LLCDelaware
HCP LS Carlsbad, LLCDelaware
HCP LS Poway I, LLCDelaware
HCP LS Poway II, LLCDelaware
HCP LS Poway III, LLCDelaware
HCP LS Redwood City, LLCDelaware
HCP LSE Property Manager, LLCDelaware
HCP MA1 GP, LLCDelaware
HCP MA1, LPDelaware
HCP MA2 California, LPDelaware
HCP MA2 GP Holding, LLCDelaware
HCP MA2 Massachusetts, LPDelaware
HCP MA2 Ohio, LPDelaware
HCP MA2 Oklahoma, LPDelaware
HCP MA2, LPDelaware
HCP MA3 A Pack GP, LLCDelaware
HCP MA3 A Pack, LPDelaware
HCP MA3 California, LPDelaware
HCP MA3 GP Holding, LLCDelaware
HCP MA3 Pennsylvania, LPDelaware
HCP MA3 South Carolina, LPDelaware
HCP MA3 Virginia, LPDelaware
HCP MA3 Washington, LPDelaware
HCP MA3, LPDelaware
HCP MA4 Cleveland OH, LPDelaware
HCP MA4 Columbia MD, LPDelaware
HCP MA4 Dayton OH, LPDelaware
HCP MA4 Dunwoody GA, LPDelaware
HCP MA4 GP Cleveland OH, LLCDelaware
HCP MA4 GP Columbia MD, LLCDelaware
HCP MA4 GP Dayton OH, LLCDelaware
HCP MA4 GP Dunwoody GA, LLCDelaware
HCP MA4 GP Florham Park NJ, LLCDelaware
HCP MA4 GP Florida Holding, LLCDelaware
HCP MA4 GP Greensboro NC, LLCDelaware
HCP MA4 GP Kansas City KS, LLCDelaware
HCP MA4 GP Northville MI, LLCDelaware
HCP MA4 GP Omaha NE, LLCDelaware
HCP MA4 GP Rockville MD, LLCDelaware



Entity NameJurisdiction of Organization or Formation
HCP MA4 GP St. Charles IL, LLCDelaware
HCP MA4 GP West Orange NJ, LLCDelaware
HCP MA4 GP Wheaton IL, LLCDelaware
HCP MA4 GP, LLCDelaware
HCP MA4 Greensboro NC, LPDelaware
HCP MA4 Kansas City KS, LPDelaware
HCP MA4 Northville MI, LPDelaware
HCP MA4 Omaha NE, LPDelaware
HCP MA4 Rockville MD, LPDelaware
HCP MA4 St. Charles IL, LPDelaware
HCP MA4 Tampa FL, LPDelaware
HCP MA4 Wheaton IL, LPDelaware
HCP MA4, LPDelaware
HCP Madison NJ OpCo, LLCDelaware
HCP Manahawkin NJ OpCo, LLCDelaware
HCP MCD TRS, LLCDelaware
HCP Medical Office Buildings I, LLCDelaware
HCP Medical Office Buildings II, LLCDelaware
HCP Medical Office Buildings, LLCDelaware
HCP Medical Office Portfolio, LLCDelaware
HCP Mercer Island WA OpCo, LLCDelaware
HCP Milton Medical Equity Investors, LLCDelaware
HCP MOB Centerpoint LLCDelaware
HCP MOB Evanston LLCDelaware
HCP MOB Jordan Valley II LLCDelaware
HCP MOB Jordan Valley LLCDelaware
HCP MOB K.C. Imaging LLCDelaware
HCP MOB Life Center LLCDelaware
HCP MOB Lone Peak LLCDelaware
HCP MOB Member, LLCDelaware
HCP MOB Mesquite LLCDelaware
HCP MOB Miami, LLCDelaware
HCP MOB Property Manager, LLCDelaware
HCP MOB Scottsdale LLCDelaware
HCP MOB Texas, LLCDelaware
HCP Monterrey Holdings, LLCDelaware
HCP Monterrey, LLCDelaware
HCP Mooresville NC OpCo, LLCDelaware
HCP MOP 1110 Irving TX, LPDelaware
HCP MOP 1411 Aurora CO GP, LLCDelaware
HCP MOP 1411 Aurora CO, LPDelaware
HCP MOP 1421 Aurora CO GP, LLCDelaware
HCP MOP 1421 Aurora CO, LPDelaware
HCP MOP 7200 Irving TX, LPDelaware
HCP MOP A Pack GP, LLCDelaware



Entity NameJurisdiction of Organization or Formation
HCP MOP California, LPDelaware
HCP MOP Columbia MD GP, LLCDelaware
HCP MOP Columbia MD, LPDelaware
HCP MOP Denver CO GP, LLCDelaware
HCP MOP Denver CO, LPDelaware
HCP MOP Fairfax VA, LPDelaware
HCP MOP GP, LLCDelaware
HCP MOP Houston TX, LLCDelaware
HCP MOP Member, LLCDelaware
HCP MOP, LPDelaware
HCP Mount Vernon IL OpCo, LLCDelaware
HCP Mount Vernon IL, LLCDelaware
HCP NE Retail, LLCDelaware
HCP NE Tower, LLCDelaware
HCP Oak Park, LLCDelaware
HCP Ocoee, LLCDelaware
HCP Ogden MOB, LLCDelaware
HCP Omaha NE OpCo, LLCDelaware
HCP Orange NJ OpCo, LLCDelaware
HCP Otay Ranch TRS, LLCDelaware
HCP Oviedo, LLCDelaware
HCP Owasso MOB, LLCDelaware
HCP Oyster Point III LLCDelaware
HCP Palm Springs OpCo, LLCDelaware
HCP Partners, LPDelaware
HCP PC1 Brentwood TN, LLCDelaware
HCP PC1 Buckhead GA, LLCDelaware
HCP PC1 Friendship Heights MD, LLCDelaware
HCP PC1 Naples FL, LLCDelaware
HCP PC1 New Jersey, LLCDelaware
HCP PC1 North Carolina, LLCDelaware
HCP PC1 Stamford CT, LLCDelaware
HCP PC1 Venice FL, LLCDelaware
HCP PC2, LLCDelaware
HCP Pearland TX MOB, LLCDelaware
HCP Periferico 4338 Holdings, LLCDelaware
HCP Periferico 4338, LLCDelaware
HCP Pinellas Park, LLCDelaware
HCP Pleasant, LLCDelaware
HCP Plymouth MA OpCo, LLCDelaware
HCP Plymouth Township MI OpCo, LLCDelaware
HCP Point Eden IncorporatedDelaware
HCP Port Orange FL OpCo, LLCDelaware
HCP Port Orange, LLCDelaware
HCP Prairie Village KS OpCo, LLCDelaware



Entity NameJurisdiction of Organization or Formation
HCP Raleigh NC OpCo, LLCDelaware
HCP Remington Oaks MOB, L.P.Delaware
HCP Richmond Heights MO OpCo, LLCDelaware
HCP RP1-VB, LLCDelaware
HCP RSF Portfolio GP, LLCTexas
HCP RSF Portfolio, LLCDelaware
HCP Saddle River NJ OpCo, LLCDelaware
HCP San Antonio TX MOB, LLCDelaware
HCP Santa Rosa CA OpCo, LLCDelaware
HCP Senior Housing Properties, LLCDelaware
HCP S-H 2014 Member, LLCDelaware
HCP S-H 2015 OpCo TRS, LLCDelaware
HCP S-H ASL OpCo, LLCDelaware
HCP S-H CA OpCo, LLCDelaware
HCP SH California, LLCDelaware
HCP S-H DSL OpCo HoldCo, LLCDelaware
HCP SH Eldorado Heights, LLCDelaware
HCP SH ELP1 Properties, LLCDelaware
HCP SH ELP2 Properties, LLCDelaware
HCP SH ELP3 Properties, LLCDelaware
HCP S-H ESL OpCo, LLCDelaware
HCP S-H FM OpCo, LLCDelaware
HCP SH Hermiston Terrace, LLCDelaware
HCP SH Lassen House, LLCDelaware
HCP S-H LCS OpCo, LLCDelaware
HCP SH Mountain Laurel, LLCDelaware
HCP SH Mountain View, LLCDelaware
HCP S-H MRE/HCP OpCo Member, LLCDelaware
HCP S-H MRE/HCP PropCo Member, LLCDelaware
HCP S-H OpCo TRS, LLCDelaware
HCP SH River Road, LLCDelaware
HCP SH River Valley Landing, LLCDelaware
HCP SH Sellwood Landing, LLCDelaware
HCP S-H SHC OpCo, LLCDelaware
HCP S-H Sunrise OpCo HoldCo, LLCDelaware
HCP SH Windfield Village, LLCDelaware
HCP Shore, LLCDelaware
HCP Shorehaven MI OpCo, LLCDelaware
HCP SLB Florida, LLCDelaware
HCP South Buford GA OpCo, LLCDelaware
HCP Southwest MOB, LLCDelaware
HCP Springs MOB Louisville, LLCDelaware
HCP Springtree, LLCDelaware
HCP SSF, LLCDelaware
HCP St Charles IL OpCo, LLCDelaware



Entity NameJurisdiction of Organization or Formation
HCP St. Augustine, LLCDelaware
HCP ST1 Colorado GP, LLCDelaware
HCP ST1 Colorado, LPDelaware
HCP Sterling VA OpCo, LLCDelaware
HCP Stone Oak MOB, L.P.Delaware
HCP Sun1 Beverly Hills CA, LLCDelaware
HCP Sun1 Edmonds WA, LLCDelaware
HCP Sun1 GP, LLCDelaware
HCP Sun1 Lilburn GA, LLCDelaware
HCP Sun1, LPDelaware
HCP Sun2 Des Peres MO, LLCDelaware
HCP Sun2 Richmond Heights MO, LLCDelaware
HCP Sun2 Wilmette IL, LLCDelaware
HCP Sunrise FL OpCo, LLCDelaware
HCP Tampa FL MOB, LLCDelaware
HCP Tampa FL OpCo, LLCDelaware
HCP Tesson, LLCDelaware
HCP Torrey Pines LLCDelaware
HCP Torreyana, LLCDelaware
HCP Torrington CT OpCo, LLCDelaware
HCP TPSP, LLCDelaware
HCP TRS LF Lender, LLCDelaware
HCP UK Investments Holdings, LLCDelaware
HCP UK Lender, LPDelaware
HCP University Center East LLCDelaware
HCP University Center West LLCDelaware
HCP Ventures II Member, LLCDelaware
HCP Ventures II Partner, LLCDelaware
HCP Ventures II TRS, LLCDelaware
HCP Ventures III, LLCDelaware
HCP Ventures IV Member, LLCDelaware
HCP Ventures IV, LLCDelaware
HCP Ventures V Member, LLCDelaware
HCP Ventures V TRS, LLCDelaware
HCP Ventures V, LLCDelaware
HCP Ventures VII, LLCDelaware
HCP Ventures VIII, LLCDelaware
HCP Veranda, LLCDelaware
HCP Vintage Park II TRS, LLCDelaware
HCP Voorhees Township NJ OpCo, LLCDelaware
HCP VPI Sorrento II, LLCDelaware
HCP Waldwick TRS, LLCDelaware
HCP Wekiwa Springs, LLCDelaware
HCP Westgate1 Auburn Hills MI, LLCDelaware
HCP Westgate1 Sterling Heights MI, LLCDelaware



Entity NameJurisdiction of Organization or Formation
HCP Westlake OH OpCo, LLCDelaware
HCP Westminster MD OpCo, LLCDelaware
HCP Wheaton IL OpCo, LLCDelaware
HCP Wilmette IL OpCo, LLCDelaware
HCP Wilson Blvd VA OpCo, LLCDelaware
HCP Woodbridge, LLCDelaware
HCP Woodlands TX MOB, LLCDelaware
HCP Woodside TX OpCo, LLCDelaware
HCP Youngstown OH OpCo, LLCDelaware
HCP Yreka OpCo, LLCDelaware
HCP/KING 101 CPD LLCDelaware
HCP/KING 87 CPD LLCDelaware
HCP/King Hayden Campus LLCDelaware
HCP/LFREP Carmichael Owner, LLCDelaware
HCP/LFREP Durham Lab, LLCDelaware
HCP/LFREP Durham, LLCDelaware
HCP/LFREP Ventures I, LLCDelaware
HCP/LFREP Ventures II, LLCDelaware
HCP/LS 2011 REIT LLCDelaware
HCPI/Colorado Springs Limited PartnershipDelaware
HCPI/Kansas Limited PartnershipDelaware
HCPI/Little Rock Limited PartnershipDelaware
HCPI/San Antonio Limited PartnershipDelaware
HCPI/Sorrento, LLCDelaware
HCPI/Stansbury, LLCDelaware
HCPI/Tennessee, LLCDelaware
HCPI/Utah II, LLCDelaware
HCPI/Utah, LLCDelaware
HCPI/Wesley, LLCDelaware
HCP-Pointe Grand, IncorporatedDelaware
HCP-Torrey Pines I, Inc.Delaware
HCP-Torrey Pines Science Center, Inc.Delaware
Health Care Investors IIICalifornia
Healthpeak - GP/National LLCDelaware
Healthpeak (HI), LLCDelaware
Healthpeak Crosswood II, LLCDelaware
Healthpeak Crosswood, LLCDelaware
Healthpeak CRS1 Delphis Lead Lender Partner 1, LLCDelaware
Healthpeak CRS1 Delphis Lead Lender Partner 2, LLCDelaware
Healthpeak Life Science Properties, Inc.Delaware
Healthpeak LLCDelaware
Healthpeak Louisville, LLCDelaware
Healthpeak Medical Office Properties, LLCDelaware
Healthpeak MOB (DE), LLCDelaware
Healthpeak Mortgage LLCDelaware



Entity NameJurisdiction of Organization or Formation
Healthpeak OP, LLCMaryland
Healthpeak Partners GP, LLCDelaware
Healthpeak Properties TRS, LLCDelaware
Healthpeak Properties, Inc.Maryland
Healthpeak Properties, LLCDelaware
Healthpeak Senior Housing Properties LLCDelaware
Healthpeak S-H 2015 Member, LLCDelaware
Healthpeak SU TRS LLCDelaware
Healthpeak TRS, LLCDelaware
Jackson HCP, LLCDelaware
Jackson II MOB Owners LLCDelaware
Lake Seminole Square, LLC Delaware
Lakeview Regional MOB, LLCDelaware
Lansdowne MOB, LLCDelaware
LASDK Limited PartnershipDelaware
Laurel Terrace MOB, LLCDelaware
Lee's Summit MOB, LLCDelaware
Lexington Equity Investors, Ltd.Florida
Lexington MOB Partners, Ltd.Florida
Lockport Crossings MOB, LLCDelaware
LS 100 CDP Member, LLCDelaware
LS 200 CDP, LLCDelaware
LS 400/500 CDP, LLCDelaware
LS 725 Concord, LLCDelaware
LS 75 Hayden TRS, LLCDelaware
LS 75 Hayden, LLCDelaware
LS Alewife I, LLCDelaware
LS Alewife II, LLCDelaware
LS Alewife III, LLCDelaware
LS Alewife IV, LLCDelaware
LS Alewife IX, LLCDelaware
LS Alewife V, LLCDelaware
LS Alewife VI, LLCDelaware
LS Alewife VII, LLCDelaware
LS Alewife VIII, LLCDelaware
LS Alewife X, LLCDelaware
LS King Hartwell Innovation Campus, LLCDelaware
LS King Hartwell Investor Member, LLCDelaware
LS King Hartwell TRS, LLCDelaware
LS Lusk Land, LLCDelaware
LS MA Holdco, LLCDelaware
LS MA Services TRS, LLCDelaware
LS Needham Holdco TRS, LLCDelaware
LS Needham Member, LLCDelaware
LS The Post, LLCDelaware



Entity NameJurisdiction of Organization or Formation
LS Vista Sorrento I, LLCDelaware
LS Vista Sorrento II, LLCDelaware
Marion Medical Equity Investors LLCDelaware
Marion Medical Investors, L.P.Illinois
Marion MOB Partners, L.P.Illinois
MCD Clodus Fields, LLCDelaware
McDowell Mountain Medical Investors, Ltd.Florida
McKinney HCP GP, LLCDelaware
McKinney HCP, L.P.Delaware
McKinney MOB III, LLCDelaware
McKinney MOB, LLCDelaware
Meadowdome, LLCMaryland
Medcap HCPI Development, LLCDelaware
MedCap Holding II, LLCDelaware
MedCap Holding III, LLCDelaware
MedCap Holding IV, LLCDelaware
MedCap Properties I, LLCDelaware
Medcap Properties II, LLCDelaware
Medcap Properties, LLCDelaware
Medical Office Buildings of Alaska, LLCDelaware
Medical Office Buildings of California Goodsam, LLCDelaware
Medical Office Buildings of California, LLCDelaware
Medical Office Buildings of Colorado II, LLCDelaware
Medical Office Buildings of Colorado III, LLCDelaware
Medical Office Buildings of Colorado, LLCDelaware
Medical Office Buildings of Florida, LLCDelaware
Medical Office Buildings of Nevada, LLCDelaware
Medical Office Buildings of Nevada-Southern Hills, LLCDelaware
Medical Office Buildings of Osceola, LLCDelaware
Medical Office Buildings of Plano, L.P.Delaware
Medical Office Buildings of Plantation, LLCDelaware
Medical Office Buildings of Reston, LLCDelaware
Medical Office Buildings of Tennessee, LLCDelaware
Medical Office Buildings of Texas City, L.P.Delaware
Medical Office Buildings of Texas, L.P.Delaware
Medical Office Buildings of Utah, LLCDelaware
Meridan Fund, LLCDelaware
Meridian Care Group MOB, LLCDelaware
Michigan Road MOB, LLCDelaware
Mission Springs AL, LLCDelaware
MOB 1 of California, LLCDelaware
MOB 10 of Florida, LLCDelaware
MOB 101 of Texas, L.P.Delaware
MOB 103 of Texas, L.P.Delaware
MOB 105 of Texas, L.P.Delaware



Entity NameJurisdiction of Organization or Formation
MOB 11 of Florida, LLCDelaware
MOB 111 of Texas, L.P.Delaware
MOB 122 of Texas, L.P.Delaware
MOB 124 of Texas, L.P.Delaware
MOB 13 of Florida, LLCDelaware
MOB 132 of Alaska, LLCDelaware
MOB 135 of Florida, LLCDelaware
MOB 139 of Texas, L.P.Delaware
MOB 14 of Florida, LLCDelaware
MOB 147 of Tennessee, LLCDelaware
MOB 17 of Florida, LLCDelaware
MOB 2 of Florida, LLCDelaware
MOB 3 of Florida, LLCDelaware
MOB 46 of Nevada, LLCDelaware
MOB 47 of Nevada, LLCDelaware
MOB 48/49 of Nevada, LLCDelaware
MOB 50 of Nevada, LLCDelaware
MOB 59 of Tennessee, LLCDelaware
MOB 65 of Tennessee, LLCDelaware
MOB 66 of Tennessee, LLCDelaware
MOB 68 of Tennessee, LLCDelaware
MOB 69 of Tennessee, LLCDelaware
MOB 70 of Tennessee, LLCDelaware
MOB 71 of Tennessee, LLCDelaware
MOB 72 of Tennessee, LLCDelaware
MOB 74 of Tennessee, LLCDelaware
MOB 75 of Tennessee, LLCDelaware
MOB 77 of Texas, L.P.Delaware
MOB 82/85/86 of Texas, L.P.Delaware
MOB 83 of Texas, L.P.Delaware
MOB 87 of Texas, L.P.Delaware
MOB 88 of Texas, L.P.Delaware
MOB 90 of Texas, L.P.Delaware
MOB 93 of Texas, L.P.Delaware
MOB 97 of Texas, L.P.Delaware
MOB Colonial Building, LLCDelaware
MOB GP Las Colinas II, LLCDelaware
MOB Las Colinas II, L.P.Delaware
MOB of Denver 1, LLCDelaware
MOB of Denver 2, LLCDelaware
MOB of Denver 3, LLCDelaware
MOB of Denver 4, LLCDelaware
MOB of Denver 5, LLCDelaware
MOB of Denver 6, LLCDelaware
MOB of Denver 7, LLCDelaware



Entity NameJurisdiction of Organization or Formation
MOB Sky Ridge 1 of Colorado, LLCDelaware
MOB Special Member, Inc.Delaware
MOB Texas City 1 of Texas, L.P.Delaware
MOB/Bay-1 of Florida, LLCDelaware
MOB/GP 101 of Texas, LLCDelaware
MOB/GP 103 of Texas, LLCDelaware
MOB/GP 105 of Texas, LLCDelaware
MOB/GP 111 of Texas, LLCDelaware
MOB/GP 122 of Texas, LLCDelaware
MOB/GP 124 of Texas, LLCDelaware
MOB/GP 139 of Texas, LLCDelaware
MOB/GP 77 of Texas, LLCDelaware
MOB/GP 82/85/86 of Texas, LLCDelaware
MOB/GP 83 of Texas, LLCDelaware
MOB/GP 87 of Texas, LLCDelaware
MOB/GP 88 of Texas, LLCDelaware
MOB/GP 90 of Texas, LLCDelaware
MOB/GP 93 of Texas, LLCDelaware
MOB/GP 97 of Texas, LLCDelaware
MOB/GP of Plano, LLCDelaware
MOB/GP of Texas City, LLCDelaware
MOB/GP of Texas, LLCDelaware
MOB/GP Texas City 1 of Texas, LLCDelaware
MOB/GP-West Houston, LLCDelaware
MOB/LP of Plano, LLCDelaware
MOB/LP of Texas City, LLCDelaware
MOB/LP of Texas, LLCDelaware
MOB/LP Texas Holding, LLCDelaware
MOB-West Houston, L.P.Delaware
Mooresville MOB, LLCDelaware
Morristown MOB I, LLCDelaware
Morristown MOB II, LLCDelaware
Morristown MOB III, LLCDelaware
Morristown MOB IV, LLCDelaware
Needham Developers, LLCDelaware
NWSC MOB, LLCDelaware
Oak Hill MOB, LLCDelaware
Ocean Acquisition 1, LLCMaryland
Ocean Acquisition 2, LLCFlorida
Ocean Acquisition 3, LLCDelaware
Ocean TRS, LLCDelaware
Old Henry Healthcare I, LLCKentucky
Omaha MOB Investors LLCFlorida
Omaha MOB Manager LLCDelaware
Omaha MOB Owners LLCDelaware



Entity NameJurisdiction of Organization or Formation
OP Lab Property Manager, LLCDelaware
Orange Park MOB, LLCDelaware
Overland Park MOB, LLCDelaware
Pace MOB, LLCAlabama
Pacific Acquisitions 2019, LLCDelaware
Parker MOB Owners LLCDelaware
PG I 169 Harbor, LLCDelaware
PG II 230 East Grand, LLCDelaware
PG III 250 East Grand, LLCDelaware
PG Interim JV, LLCDelaware
PG IV 256 East Grand, LLCDelaware
PG JV I, LLCDelaware
PG JV II, LLCDelaware
PG JV III, LLCDelaware
PG JV IV, LLCDelaware
PG JV V, LLCDelaware
PG JV VI, LLCDelaware
PG JV VII, LLCDelaware
PG JV VIII, LLCDelaware
PG REIT I, LLCDelaware
PG REIT II, LLCDelaware
PG REIT III, LLCDelaware
PG REIT IV, LLCDelaware
PG REIT V, LLCDelaware
PG REIT VI, LLCDelaware
PG REIT VII, LLCDelaware
PG REIT VIII, LLCDelaware
PG TRS, LLC Delaware
PG V 260 East Grand, LLCDelaware
PG VI 270 East Grand, LLCDelaware
PG VII 280 East Grand, LLCDelaware
PG VIII 170 Harbor Way, LLCDelaware
PG VIII 210-220 East Grand, LLCDelaware
PG VIII 240 East Grand, LLCDelaware
Pikesville Assisted Living, LLCMaryland
Pinnacle at RidgeGate MOB, LLCDelaware
Professional Center II MOB, LLCDelaware
Raulerson MOB, LLCDelaware
Research MOB, LLCDelaware
River Oaks MOB Owners LLCDelaware
Robin Run Garden Homes, LLCDelaware
Santa Rosa I PropCo LLCDelaware
Savannah MOB II, LLCDelaware
Savannah MOB, LLCDelaware
Scripture MOB, LLCDelaware



Entity NameJurisdiction of Organization or Formation
S-H 2014 OpCo TRS, Inc.Delaware
SH 2019 OpCo HoldCo I, LLCDelaware
SH 2019 OpCo HoldCo II, LLCDelaware
SH 2019 OpCo HoldCo III, LLC Delaware
SH 2019 OpCo TRS I, LLCDelaware
SH 2019 OpCo TRS II, LLCDelaware
SH 2019 OpCo TRS III, LLCDelaware
SH 2019 REIT I, LLCDelaware
SH 2019 REIT II, LLCDelaware
SH 2019 REIT III, LLCDelaware
SH 2019 Ventures, LLCDelaware
SH CSU OpCo HoldCo, LLCDelaware
SH DR California IV HoldCo, LLCDelaware
SH DR California IV, LLCDelaware
SH DR V HoldCo, LLCDelaware
SH DR V, LLCDelaware
S-H DSL Investor, LLCDelaware
SH DSL OpCo HoldCo, LLCDelaware
S-H HCP/DSL Member, LLCDelaware
S-H HCP/DSL Ventures, LLCDelaware
S-H HCP/LCB OpCo Member, LLCDelaware
S-H HCP/LCB OpCo Ventures, LLCDelaware
S-H HCP/LCB PropCo Member, LLCDelaware
S-H HCP/LCB PropCo Ventures, LLCDelaware
S-H HCP/LCB Properties, LLCDelaware
S-H Mid-Atlantic Master Tenant, LLCDelaware
S-H Mid-Atlantic OpCo - Ellicott City, LLCDelaware
S-H Mid-Atlantic OpCo - Friendship, LLCDelaware
S-H Mid-Atlantic OpCo - Laurel, LLCDelaware
S-H Mid-Atlantic OpCo - Leesburg, LLCDelaware
S-H Mid-Atlantic OpCo - Satyr Hill, LLCDelaware
S-H Mid-Atlantic OpCo - Spotsylvania, LLCDelaware
S-H Mid-Atlantic OpCo - St. Charles, LLCDelaware
S-H Mid-Atlantic OpCo, LLCDelaware
S-H Mid-Atlantic PropCo - Ellicott City, LLCDelaware
S-H Mid-Atlantic PropCo - Friendship, LLCDelaware
S-H Mid-Atlantic PropCo - Laurel, LLCDelaware
S-H Mid-Atlantic PropCo - Leesburg, LLCDelaware
S-H Mid-Atlantic PropCo - Satyr Hill, LLCDelaware
S-H Mid-Atlantic PropCo - Spotsylvania, LLCDelaware
S-H Mid-Atlantic PropCo - St. Charles, LLCDelaware
S-H Mid-Atlantic PropCo, LLCDelaware
S-H MRE/HCP PropCo Ventures II LLCDelaware



Entity NameJurisdiction of Organization or Formation
SH Northridge CA OpCo, LLCDelaware
SH OpCo Abilene, LLCDelaware
SH OpCo Burleson, LLCDelaware
S-H OpCo Carrington Pointe, LLCDelaware
S-H OpCo Cherry Hills, LLCDelaware
SH OpCo Chesapeake Place, LLCDelaware
SH OpCo Chino Hills, LLCDelaware
S-H OpCo Clear Lake, LLCDelaware
SH OpCo Concord, LLCDelaware
S-H OpCo Copperfield Village, LLCDelaware
SH OpCo Crescent Point, LLCDelaware
SH OpCo Crosswood Oaks, LLCDelaware
S-H OpCo East Bay Manor, LLCDelaware
SH OpCo Escondido Hills, LLCDelaware
SH OpCo Fair Oaks, LLCDelaware
S-H OpCo First Colony, LLCDelaware
S-H OpCo Galleria, LLCDelaware
S-H OpCo Germantown, LLCDelaware
SH OpCo Good Place, LLCDelaware
S-H OpCo Greenwich Bay Manor, LLCDelaware
S-H OpCo Heritage Palmeras, LLCDelaware
S-H OpCo Herons Run, LLCDelaware
SH OpCo Huntington Beach, LLCDelaware
S-H OpCo Manor at Newport Place, LLCDelaware
SH OpCo Mariner Point, LLCDelaware
SH OpCo Meadow Lakes, LLCDelaware
SH OpCo Montecito, LLCDelaware
SH OpCo Olney, LLCDelaware
S-H OpCo Olympia Fields, LLCDelaware
S-H OpCo Park at Golf Mill, LLCDelaware
S-H OpCo Park at Vernon Hills, LLCDelaware
S-H OpCo Pecan Park, LLCDelaware
S-H OpCo Pinecrest Place, LLCDelaware
S-H OpCo Pointe at Newport Place, LLCDelaware
S-H OpCo Prosperity Oaks, LLCDelaware
SH OpCo Roseville, LLCDelaware
SH OpCo San Jose, LLCDelaware
SH OpCo Santa Clarita, LLCDelaware
S-H OpCo Shavano Park, LLCDelaware
S-H OpCo Spring Shadows Place, LLCDelaware
S-H OpCo Terrace Memorial City, LLCDelaware
S-H OpCo Terrace West, LLCDelaware
SH OpCo Tesson Heights, LLCDelaware



Entity NameJurisdiction of Organization or Formation
SH OpCo The Fairfax, LLCDelaware
SH OpCo The Quadrangle, LLCDelaware
S-H OpCo Twenty-One TRS, Inc.Delaware
SH OpCo Valencia, LLCDelaware
SH OpCo Veranda Club, LLCDelaware
S-H OpCo Victoria, LLCDelaware
S-H OpCo Vintage Park AL, LLCDelaware
SH OpCo Vintage Park II, LLCDelaware
S-H OpCo Waterside Retirement Estates, LLCDelaware
SH OpCo Waxahachie, LLCDelaware
S-H OpCo West Bay Manor, LLCDelaware
SH OpCo Whittier, LLCDelaware
S-H OpCo Willowbrook, LLCDelaware
S-H OSL OpCo HoldCo, LLCDelaware
S-H Otay Ranch OpCo Ventures, LLCDelaware
S-H Otay Ranch OpCo, LLCDelaware
S-H Otay Ranch PropCo Ventures, LLCDelaware
SH PropCo Clear Lake, LLCDelaware
SH PropCo First Colony, LLCDelaware
SH PropCo Galleria, LLCDelaware
SH PropCo Germantown, LLCDelaware
SH PropCo Olney II, LLCDelaware
SH PropCo Olney, LLCDelaware
SH PropCo Park at Vernon Hills, LLCDelaware
SH PropCo Pecan Park, LLCDelaware
SH PropCo Terrace Memorial City, LLCDelaware
SH PropCo Terrace West, LLCDelaware
SH PropCo Vintage Park AL, LLCDelaware
S-H Santa Rosa OpCo LLCDelaware
S-H Thirty-Five MOB Properties, LLCDelaware
S-H Thirty-Five OpCo - Altamonte Springs, LLCDelaware
S-H Thirty-Five OpCo - Amber Park, LLCDelaware
S-H Thirty-Five OpCo - Arvada Meridian, LLCDelaware
S-H Thirty-Five OpCo - Bella Vita, LLCDelaware
S-H Thirty-Five OpCo - Boulder Meridian, LLCDelaware
S-H Thirty-Five OpCo - Clearwater, LLCDelaware
S-H Thirty-Five OpCo - Englewood Meridian, LLCDelaware
S-H Thirty-Five OpCo - Gayton Terrace, LLCDelaware
S-H Thirty-Five OpCo - Graham, LLCDelaware
S-H Thirty-Five OpCo - Grand Prairie, LLCDelaware
S-H Thirty-Five OpCo - Lake Orienta, LLCDelaware
S-H Thirty-Five OpCo - Lake Worth, LLCDelaware
S-H Thirty-Five OpCo - Lakewood Meridian, LLCDelaware



Entity NameJurisdiction of Organization or Formation
S-H Thirty-Five OpCo - Lowry, LLCDelaware
S-H Thirty-Five OpCo - Lutz, LLCDelaware
S-H Thirty-Five OpCo - North Richland Hills, LLCDelaware
S-H Thirty-Five OpCo - Operator, LLCDelaware
S-H Thirty-Five OpCo - Orange City, LLCDelaware
S-H Thirty-Five OpCo - Parkview, LLCDelaware
S-H Thirty-Five OpCo - Pocasset, LLCDelaware
S-H Thirty-Five Opco - Port St. Lucie, LLCDelaware
S-H Thirty-Five OpCo - Round Rock, LLCDelaware
S-H Thirty-Five OpCo - San Antonio, LLCDelaware
S-H Thirty-Five OpCo - San Marcos, LLCDelaware
S-H Thirty-Five OpCo - Sarasota LLCDelaware
S-H Thirty-Five OpCo - Tamarac Acquisition, LLCDelaware
S-H Thirty-Five OpCo - Tamarac, LLCDelaware
S-H Thirty-Five OpCo - Temple Meridian, LLCDelaware
S-H Thirty-Five OpCo - Treemont, LLCDelaware
S-H Thirty-Five OpCo - Vero Beach, LLCDelaware
S-H Thirty-Five OpCo - Waterford, LLCDelaware
S-H Thirty-Five OpCo - Westland Meridian, LLCDelaware
S-H Thirty-Five OpCo - Wichita Falls, LLCDelaware
S-H Thirty-Five OpCo - Willowwood, LLCDelaware
S-H Thirty-Five OpCo Ventures, LLCDelaware
S-H Thirty-Five PropCo - Altamonte Springs, LLCDelaware
S-H Thirty-Five PropCo - Amber Park, LLCDelaware
S-H Thirty-Five PropCo - Arvada Meridian, LLCDelaware
S-H Thirty-Five PropCo - Bella Vita, LLCDelaware
S-H Thirty-Five PropCo - Boulder Meridian, LLCDelaware
S-H Thirty-Five PropCo - Englewood Meridian, LLCDelaware
S-H Thirty-Five PropCo - Gayton Terrace, LLCDelaware
S-H Thirty-Five PropCo - Graham, LLCWashington
S-H Thirty-Five PropCo - Grand Prairie, LLCWashington
S-H Thirty-Five Propco - Ground Tenant, LLCDelaware
S-H Thirty-Five PropCo - Lake Worth, LLCDelaware
S-H Thirty-Five PropCo - Lakewood Meridian, LLCDelaware
S-H Thirty-Five PropCo - Lowry, LLCDelaware
S-H Thirty-Five PropCo - Lutz, LLCDelaware
S-H Thirty-Five PropCo - North Richland Hills 1, LLCWashington
S-H Thirty-Five PropCo - North Richland Hills 2, LLCWashington
S-H Thirty-Five PropCo - Orange City, LLCFlorida
S-H Thirty-Five PropCo - Parkview, LLCDelaware
S-H Thirty-Five PropCo - Pocasset, LLCDelaware
S-H Thirty-Five PropCo - Port St. Lucie, LLCDelaware
S-H Thirty-Five PropCo - Round Rock, LLCWashington



Entity NameJurisdiction of Organization or Formation
S-H Thirty-Five PropCo - San Antonio, LLCWashington
S-H Thirty-Five PropCo - San Marcos, LLCWashington
S-H Thirty-Five PropCo - Sarasota, LLCFlorida
S-H Thirty-Five PropCo - Tamarac Acquisition, LLCDelaware
S-H Thirty-Five PropCo - Tamarac, LLCDelaware
S-H Thirty-Five PropCo - Temple Meridian, LLCDelaware
S-H Thirty-Five PropCo - Treemont, LLCDelaware
S-H Thirty-Five PropCo - Trowbridge, LLCDelaware
S-H Thirty-Five PropCo - Vero Beach, LLCWashington
S-H Thirty-Five PropCo - Waterford, LLCDelaware
S-H Thirty-Five PropCo - Westland Meridian, LLCDelaware
S-H Thirty-Five PropCo - Wichita Falls, LLCWashington
S-H Thirty-Five Propco - Willowwood, LLCDelaware
S-H Thirty-Five PropCo - Woodside Village, LLCDelaware
S-H Thirty-Five PropCo - Wyndham Lakes, LLCDelaware
S-H Thirty-Five PropCo Ventures, LLCDelaware
S-H Thirty-Five Properties, LLCDelaware
S-H Twenty-One OpCo Ventures, LLCDelaware
S-H Twenty-One PropCo Ventures, LLCDelaware
S-H Twenty-One Properties, LLCDelaware
S-H Watertown Square OpCo, LLCDelaware
SHAC, LLCAlabama
Shavano Park HCP, LLCDelaware
St. Francis MOB, LLCDelaware
Suburban Connector, LLCKentucky
Suburban Properties LLCKentucky
Tampa HCP, LLCDelaware
TBCI-LS 100 CDP, LLCDelaware
TCO Burnsville MOB, LLCDelaware
Texarkana Medical Equity Investors LLCDelaware
Texas HCP AL, L.P.Delaware
Texas HCP Holding, L.P.Delaware
Texas HCP Medical Office Buildings, L.P.Delaware
Texas Healthpeak G.P., LLCDelaware
Texas Healthpeak Medical G.P., LLCDelaware
Texas Healthpeak, LLCDelaware
Torrey Pines Science Center Limited PartnershipDelaware
Township Women's Center MOB, LLCDelaware
TPSC IV LLCDelaware
TPSC IX, LLCDelaware
TPSC VI LLCDelaware
Victoria HCP, LLCDelaware
Vintage Park II Member, LLCDelaware



Entity NameJurisdiction of Organization or Formation
Watkins MOB I, LLCDelaware
Watkins MOB II, LLCDelaware
Webster MOB I, LLCDelaware
Webster MOB II, LLCDelaware
West Hills MOB, LLCDelaware
Westminster HCP, LLCDelaware
Westridge Insurance Company, Inc.Hawaii
Westside MOB, LLCDelaware
WHOT MOB, LLCDelaware
Wichita MOB, LLCDelaware


EX-22.1 4 ex22112312023.htm EX-22.1 Document

Exhibit 22.1
List of Issuers of Guaranteed Securities

As of December 31, 2023, the following subsidiary was the issuer of the 3.400% Senior Notes due 2025, 4.000% Senior Notes due 2025, 3.250% Senior Notes due 2026, 1.350% Senior Notes due 2027, 2.125% Senior Notes due 2028, 3.500% Senior Notes due 2029, 3.000% Senior Notes due 2030, 2.875% Senior Notes due 2031, 5.250% Senior Notes due 2032 and 6.750% Senior Notes due 2041, each of which was guaranteed by Healthpeak Properties, Inc.

Name of SubsidiaryJurisdiction of Organization
Healthpeak OP, LLCMaryland


EX-23.1 5 ex23112312023.htm EX-23.1 Document
EXHIBIT 23.1



Consent of Independent Registered Public Accounting Firm
We consent to the incorporation by reference in the following Registration Statements of our reports dated February 9, 2024, relating to the financial statements of Healthpeak Properties, Inc. and the effectiveness of Healthpeak Properties, Inc.’s internal control over financial reporting, appearing in this Annual Report on Form 10-K, for the year ended December 31, 2023.
We consent to the incorporation by reference in the following Registration Statements:
Form S-3ASR, File No. 333-276954, related to the unlimited shelf registration of common stock, preferred stock, depositary shares, warrants, debt securities and guarantees of Healthpeak Properties, Inc. and debt securities and guarantees of Healthpeak OP, LLC;
Form S-4, File No. 333-276055, as amended, related to the issuance of common shares of Healthpeak Properties, Inc. in connection with the proposed merger with Physicians Realty Trust;
Form S-8, File No. 333-271514, related to the Healthpeak Properties, Inc. 2023 Performance Incentive Plan; and
Form S-8 POS, File No. 333-195735, related to securities to be offered to employees under the Healthpeak Properties, Inc. 2014 Performance Incentive Plan, as amended and restated.
/s/ DELOITTE & TOUCHE LLP
Costa Mesa, California
February 9, 2024



EX-31.1 6 ex31112312023.htm EX-31.1 Document

EXHIBIT 31.1
 
CERTIFICATION OF PRINCIPAL EXECUTIVE OFFICER
 
I, Scott M. Brinker, certify that:
 
1. I have reviewed this annual report on Form 10-K of Healthpeak Properties, Inc. for the period ended December 31, 2023;
 
2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
 
3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
 
4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:
 
(a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
 
(b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;
 
(c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
 
(d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and
 
5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):
 
(a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and
 
(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.
 
 
Date: February 9, 2024/s/ SCOTT M. BRINKER
 Scott M. Brinker
 President and Chief Executive Officer
 (Principal Executive Officer)


EX-31.2 7 ex31212312023.htm EX-31.2 Document

EXHIBIT 31.2
 
CERTIFICATION OF PRINCIPAL FINANCIAL OFFICER
 
I, Peter A. Scott, certify that:
 
1. I have reviewed this annual report on Form 10-K of Healthpeak Properties, Inc. for the period ended December 31, 2023;
 
2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
 
3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
 
4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:
 
(a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
 
(b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;
 
(c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
 
(d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and
 
5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):
 
(a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and
 
(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.
 
 
Date: February 9, 2024/s/ PETER A. SCOTT
 Peter A. Scott
 Chief Financial Officer
 (Principal Financial Officer)


EX-32.1 8 ex32112312023.htm EX-32.1 Document

EXHIBIT 32.1
 
CERTIFICATION OF PRINCIPAL EXECUTIVE OFFICER
 
Pursuant to 18 U.S.C. § 1350, as created by Section 906 of the Sarbanes-Oxley Act of 2002, the undersigned officer of Healthpeak Properties, Inc., a Maryland corporation (the “Company”), hereby certifies, to his knowledge, that:
 
(i) the accompanying annual report on Form 10-K of the Company for the period ended December 31, 2023 (the “Report”) fully complies with the requirements of Section 13(a) or Section 15(d), as applicable, of the Securities Exchange Act of 1934, as amended; and
 
(ii) the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.
 
  
Date: February 9, 2024/s/ SCOTT M. BRINKER
 Scott M. Brinker
 President and Chief Executive Officer
 (Principal Executive Officer)
 
A signed original of this written statement required by Section 906 has been provided to the Company and will be retained by the Company and furnished to the Securities and Exchange Commission or its staff upon request. Such certification will not be deemed to be incorporated by reference into any filing under the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, as amended, except to the extent that the Company specifically incorporates it by reference.


EX-32.2 9 ex32212312023.htm EX-32.2 Document

EXHIBIT 32.2
 
CERTIFICATION OF PRINCIPAL FINANCIAL OFFICER
 
Pursuant to 18 U.S.C. § 1350, as created by Section 906 of the Sarbanes-Oxley Act of 2002, the undersigned officer of Healthpeak Properties, Inc., a Maryland corporation (the “Company”), hereby certifies, to his knowledge, that:
 
(i) the accompanying annual report on Form 10-K of the Company for the period ended December 31, 2023 (the “Report”) fully complies with the requirements of Section 13(a) or Section 15(d), as applicable, of the Securities Exchange Act of 1934, as amended; and
 
(ii) the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.
 
  
Date: February 9, 2024/s/ PETER A. SCOTT
 Peter A. Scott
 Chief Financial Officer
 (Principal Financial Officer)
 
A signed original of this written statement required by Section 906 has been provided to the Company and will be retained by the Company and furnished to the Securities and Exchange Commission or its staff upon request. Such certification will not be deemed to be incorporated by reference into any filing under the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, as amended, except to the extent that the Company specifically incorporates it by reference.


EX-97.1 10 ex97112312023.htm EX-97.1 Document

Policy Regarding the Recoupment of Certain Compensation Payments
As Amended and Restated as of October 26, 2023
If Healthpeak Properties, Inc. (the “Company”) is required to prepare an accounting restatement due to material noncompliance by the Company with any financial reporting requirement under U.S. securities law (including any required accounting restatement to correct an error in previously issued financial statements that is material to the previously issued financial statements or that would result in a material misstatement if the error were corrected in the current period or left uncorrected in the current period), the Company shall recover reasonably promptly the amount of any erroneously awarded “Incentive-Based Compensation” (as defined below) from each “Covered Individual” (as defined below) pursuant to this Policy Regarding the Recoupment of Certain Compensation Payments (the “Policy”), unless an exception set forth below applies.
Incentive-Based Compensation shall be considered “erroneously awarded” under this Policy to the extent such Incentive-Based Compensation (1) is received by the Covered Individual on or after the effective date of Section 303A.14 of the New York Stock Exchange (“NYSE”) Listed Company Manual and while the Company has a class of securities listed on a national securities exchange or a national securities association, (2) is received by the Covered Individual during the last three complete fiscal years preceding the date that the Company is required to prepare the accounting restatement (and any transition period applicable to a change in the Company’s fiscal year as required by NYSE listing rules), and (3) the amount of such received Incentive-Based Compensation exceeds the amount of the Incentive-Based Compensation that would have been received by the Covered Individual had it been determined based on the restated financial results (with such Incentive-Based Compensation computed in each case without regard to any taxes paid). For purposes of this Policy, the date that the Company is required to prepare the accounting restatement is the earlier to occur of (A) the date the Company’s Board of Directors (the “Board”), or a committee of the Board, or the officer or officers of the Company authorized to take such action if Board action is not required, concludes, or reasonably should have concluded, that the Company is required to prepare such accounting restatement, or (B) the date a court, regulator, or other legally authorized body directs the Company to prepare such accounting restatement.
For purposes of this Policy, Incentive-Based Compensation is considered “received” by a Covered Individual in the Company’s fiscal period during which the “Financial Reporting Measure” (as defined below) applicable to the Incentive-Based Compensation is attained, even if the payment of the Incentive-Based Compensation occurs after the end of that fiscal period. For Incentive-Based Compensation based on stock price or total shareholder return, where the amount of erroneously awarded compensation is not subject to mathematical recalculation directly from the information in an accounting restatement, the amount of erroneously awarded compensation will be determined by the Compensation and Human Capital Committee of the Board (the “Committee”) based on a reasonable estimate of the effect of the accounting restatement on the stock price or total shareholder return upon which the Incentive-Based Compensation was received. The Company shall maintain documentation of the determination



of that reasonable estimate and provide such documentation to the NYSE as required by NYSE listing rules. If the erroneously awarded Incentive-Based Compensation consists of shares (including share-denominated equity awards), profits interest units or stock options that are still held by the Covered Individual at the time of recovery, the recoverable amount is the number of shares, profits interest units or stock options received in excess of the number of shares, profits interest units or stock options that would have been received based on the accounting restatement (or the value of that excess number). If the stock options have been exercised but the underlying shares have not been sold, the recoverable amount is the number of shares underlying the excess stock options based on the restatement (or the value thereof). If the shares have been sold, the recoverable amount is the proceeds that were received in connection with the sale of the excess number of shares. Amounts credited under plans (other than tax-qualified plans for which the exception set forth below applies) based on erroneously awarded Incentive-Based Compensation and any accrued earnings thereon are also recoverable under this Policy.
The Company shall not be required to recover erroneously awarded Incentive-Based Compensation under this Policy if the Committee has made a determination that recovery would be impracticable and any of the following conditions are met: (1) after making a reasonable attempt to recover such erroneously awarded Incentive-Based Compensation, the Committee determines that the direct expense paid to a third party to assist in enforcing this Policy would exceed the amount to be recovered (documentation evidencing the reasonable attempt to recover the erroneously awarded Incentive-Based Compensation must be maintained and provided to the NYSE as required by NYSE listing rules), or (2) the recovery would likely cause an otherwise tax-qualified retirement plan, under which benefits are broadly available to employees of the Company, to fail to meet the requirements of Internal Revenue Code Section 401(a)(13) or Internal Revenue Code Section 411(a) and the regulations thereunder.
For purposes of this Policy, the following definitions will apply:
Covered Individual” means any current or former officer of the Company who is or was subject to Section 16 of the Securities Exchange Act of 1934, as amended, at any time during the applicable performance period for the relevant Incentive-Based Compensation, regardless of whether such individual continues to hold such position or continues to be employed by the Company or any of its subsidiaries.
Incentive-Based Compensation” means any compensation that is granted, earned, or vested based wholly or in part upon the attainment of a Financial Reporting Measure.
Financial Reporting Measure” means a measure that is determined and presented in accordance with the accounting principles used in preparing the Company’s financial statements, and any measure that is derived wholly or in part from such measure (including, for purposes of this Policy, stock price and total shareholder return). A Financial Reporting Measure need not be presented within the Company’s


financial statements or included in a filing with the Securities and Exchange Commission.
This Policy is intended to comply with the requirements of Rule 10D-1 promulgated by the Securities and Exchange Commission and the related listing rules of the NYSE, and the terms hereof shall be construed consistent with that intent. This Policy does not limit any other remedies the Company may have available to it in the circumstances, which may include, without limitation, dismissing an employee or initiating other disciplinary procedures. The provisions of this Policy are in addition to (and not in lieu of) any rights to repayment the Company may have under Section 304 of the Sarbanes-Oxley Act of 2002 (applicable to the Chief Executive Officer and Chief Financial Officer only) and other applicable laws. The Company shall not indemnify any Covered Individual against the loss of erroneously-awarded Incentive-Based Compensation that is recovered by the Company pursuant to this Policy.
    The Committee shall have the sole authority to construe and interpret this Policy and to make all determinations required to be made pursuant to this Policy. Any such construction, interpretation or determination by the Committee shall be final and binding. The Committee (or the Board) may revise this Policy from time to time.


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Financing Receivable, Allowance for Credit Loss [Roll Forward] Financing Receivable, Allowance for Credit Loss [Roll Forward] Other SEC Schedule, 12-28, Real Estate Companies, Real Estate Other Changes in: Increase (Decrease) in Operating Capital [Abstract] ASU 2016-02 Accounting Standards Update 2016-02 [Member] Award Type [Domain] Award Type [Domain] Fair Value as of Grant Date Award Grant Date Fair Value Oakmont SHOP Portfolio Oakmont SHOP Portfolio [Member] Oakmont SHOP Portfolio Less: Government grant income Interest Income Excluded From Adjusted Government Grant Income From Continuing Operations Interest Income Excluded From Adjusted Government Grant Income From Continuing Operations 1061 Granbury, TX 1061 Granbury, TX [Member] 2547 Houston, TX 2547 Houston, TX [Member] 2028 Leases with Purchase Option Future Minimum Annualized Base Rent Receivable In Five Years Leases with Purchase Option Future Minimum Annualized Base Rent Receivable In Five Years Class of Financing Receivable [Domain] Class of Financing Receivable [Domain] CCRC CCRC [Member] CCRC 666 Lone Tree, CO 666 Lone Tree, CO [Member] 2028 Lessee, Operating Lease, Liability, to be Paid, Year Five Issuance of common stock and exercise of options, net of offering costs Proceeds from Issuance or Sale of Equity Equity and Redeemable Noncontrolling Interests Equity [Text Block] 2020 ATM Program 2020 ATM Program [Member] 2020 ATM Program Change in tax status of TRS Effective Income Tax Rate Reconciliation, Change in Tax Status of TRS, Amount Effective Income Tax Rate Reconciliation, Change in Tax Status of TRS, Amount Outpatient Medical Land Parcel Outpatient Medical Land Parcel [Member] Outpatient Medical Land Parcel Variable Interest Entity [Line Items] Variable Interest Entity [Line Items] Variable Interest Entity [Line Items] Expected dividend yield Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Expected Dividend Rate Life on Which Depreciation in Latest 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options, whereby the tenant may elect to acquire the underlying real estate. 2230 Fredericksburg, VA 2230 Fredericksburg, VA [Member] Subsequent Event Type [Domain] Subsequent Event Type [Domain] Net income (loss) applicable to common shares (in dollars per share) Earnings Per Share, Diluted 2197 San Diego, CA 2197 San Diego, CA [Member] Reclassification adjustment realized in net income (loss) Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, after Tax Rental and Related Revenues Operating Leases, Income Statement, Lease Revenue [Member] Operating Leases, Income Statement, Lease Revenue [Member] Supplemental Cash Flow Elements [Abstract] Supplemental Cash Flow Elements [Abstract] Principal Amount Subject to Delinquent Principal or Interest SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Principal Amount of Delinquent Loans 1559 South San Francisco, CA 1559 South San Francisco, CA [Member] 672 Plano, TX 672 Plano, TX [Member] 660 Las Vegas, NV 660 Las Vegas, NV [Member] 3080 Haverford, PA 3080 Haverford, PA [Member] Trading Symbol Trading Symbol 2649 Epsom, NH 2649 Epsom, NH [Member] 1066 Scottsdale, AZ 1066 Scottsdale, AZ [Member] Number of redeemable noncontrolling interest redemptions Number Of Redeemable Noncontrolling Interest Redemptions Number Of Redeemable Noncontrolling Interest Redemptions 1213 Ellicott City, MD 1213 Ellicott City, MD [Member] Thereafter Finite-Lived Intangible Asset, Expected Amortization, after Year Five Fair Value Disclosures [Abstract] Commercial Paper Program Commercial Paper Program [Member] Commercial Paper Program [Member] Schedule of Cash, Cash Equivalents and Restricted Cash Schedule of Cash and Cash Equivalents [Table Text Block] Deferred revenue Contract with Customer, Liability Schedule of Computation of Basic and Diluted Earnings Per Share Schedule of Earnings Per Share, Basic and Diluted [Table Text Block] Reconciliation of Assets from Segment to 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[Axis] Investment Type [Axis] Reserve for loans receivable Reserve for loan losses Reserve for loan losses, beginning of period Reserve for loan losses, end of period Financing Receivable, Allowance for Credit Loss, Excluding Accrued Interest Entity Small Business Entity Small Business 1988 South San Francisco, CA 1988 South San Francisco, CA [Member] 1988 South San Francisco, CA [Member] Volatility rate Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Weighted Average Volatility Rate 2027 Finite-Lived Intangible Asset, Expected Amortization, Year Four Investment [Domain] Investments [Domain] Local Phone Number Local Phone Number 1431 South San Francisco, CA 1431 South San Francisco, CA [Member] Restricted cash Restricted Cash and Cash Equivalents, Current Intangible liabilities acquired Intangible Liabilities Acquired Intangible Liabilities Acquired Senior Unsecured Notes 4.25% Senior Unsecured Notes 4.25%, February Payoff [Member] Unsecured Note 4.250 Percent [Member] HCP Ventures IV, LLC H C P Ventures IV, LLC [Member] Represents information pertaining to HCP Ventures IV, LLC, an unconsolidated joint venture of the entity. Forgone Recovery due to Violation of Home Country Law, Amount Forgone Recovery due to Violation of Home Country Law, Amount Summary of Material Commitments Contractual Obligation, Fiscal Year Maturity [Table Text Block] Lessor, Lease, Description [Table] Lessor, Lease, Description [Table] Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate, Last Six Months Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate, Last Six Months [Member] Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate, Last Six Months Collaborative Arrangement and Arrangement Other than Collaborative [Domain] Collaborative Arrangement and Arrangement Other than Collaborative [Domain] Lab JV Life Science JVs [Member] Represents information pertaining to HCP Life Science, an unconsolidated joint venture of the entity. 1470 Poway, CA 1470 Poway, CA [Member] 1486 Brisbane, CA 1486 Brisbane, CA [Member] Schedule of Company Owned Interests in Entities, Accounted Under Equity Method Equity Method Investments [Table Text Block] 3011 Cherry Hill, NV 3011 Cherry Hill, NJ [Member] Loss (gain) on sales of real estate, net Gain (Loss) on Sale of Investments 2042 Layton, UT 2042 Layton, UT [Member] Schedule of Accounts Payable and Accrued Liabilities Schedule of Accounts Payable and Accrued Liabilities [Table Text Block] 1474 Poway, CA 1474 Poway, CA [Member] Cash, Cash Equivalents, and Restricted Cash, Including Discontinued Operations [Roll Forward] Cash, Cash Equivalents, and Restricted Cash, Including Discontinued Operations [Roll Forward] Cash, Cash Equivalents, and Restricted Cash, Including Discontinued Operations 2657 Shallotte, NC 2657 Shallotte, NC [Member] Antidilutive securities excluded from computation of earnings per share (in shares) Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount Needham Land Parcel JV Needham Land Parcel JV [Member] Needham Land Parcel JV Loss (gain) on sale of real estate under direct financing leases Gain (Loss) On Sale Of Real Estate Under Direct Financing Lease Gain (Loss) On Sale Of Real Estate Under Direct Financing Lease 2696 Indianapolis, IN 2697 Indianapolis, IN [Member] 2706 Cambridge, MA 2706 Cambridge, MA [Member] Dividend Reinvestment and Stock Purchase Plan (in shares) Stock Issued During Period, Shares, Dividend Reinvestment Plan Fair Value Hierarchy and NAV [Domain] Fair Value Hierarchy and NAV [Domain] ICFR Auditor Attestation Flag ICFR Auditor Attestation Flag Hedging Designation [Axis] Hedging Designation [Axis] General and Administrative Expense General and Administrative Expense [Member] 3106 Cambridge, MA 3106 Cambridge, MA [Member] 1502 Redwood City, CA 1502 Redwood City, CA [Member] PEO Actually Paid Compensation Amount PEO Actually Paid Compensation Amount Properties with direct financing leases, number Properties with Direct Financing Leases, Number Number of properties with direct financing leases at the balance sheet date. 1503 Redwood City, CA 1503 Redwood City, CA [Member] CCRC CCRC Segment [Member] CCRC Segment [Member] Number of assets sold Number of properties sold Number Of Properties Sold Number Of Properties Sold Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table] Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table] Operating Loss Carryforwards [Line Items] Operating Loss Carryforwards [Line Items] 2842 Greenville, SC 2842 Greenville, SC [Member] 568 McKinney, TX 568 McKinney, TX [Member] Real Estate [Domain] Real Estate [Domain] Interest income from direct financing leases Direct Financing Lease, Interest Income 421 San Diego, CA 421 San Diego, CA [Member] Nonrefundable entrance fees Nonrefundable Entrance Fees Nonrefundable Entrance Fees Counterparty Name [Domain] Counterparty Name [Domain] Notional Amount Derivative Asset, Notional Amount Accumulated depreciation and amortization Finite-Lived Intangible Assets, Accumulated Amortization 3152 Cambridge, MA 3152 Cambridge, MA [Member] 3152 Cambridge, MA Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate, First Six Months Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate, First Six Months [Member] Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate, First Six Months 2025 Lessee, Operating Lease, Liability, to be Paid, Year Two Liabilities related to assets held for sale, net Real Estate Liabilities Associated with Assets Held for Development and Sale 3214 Savannah, GA 3214 Savannah, GA [Member] Maximum period available for occupancy from cessation of significant construction activity Maximum Period Available for Occupancy after Cessation of Significant Construction This element represents the period for occupancy, upon the completion of tenant improvements, after the cessation of significant construction activity. Stock Price or TSR Estimation Method Stock Price or TSR Estimation Method [Text Block] Initial Cost to Company SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost [Abstract] 469 Kaysville, UT 469 Kaysville, UT [Member] 1553 Hayward, CA 1553 Hayward, CA [Member] Debt instrument, facility fee (as a percent) Line of Credit Facility, Commitment Fee Percentage 354 Salt Lake City, UT 354 Salt Lake City, UT [Member] Accumulated other comprehensive income (loss) Total accumulated other comprehensive income (loss) Accumulated Other Comprehensive Income (Loss), Net of Tax Other deferred revenue Other Deferred Revenue Other Deferred Revenue Common Stock Options Employee Stock Option [Member] 2928 Cambridge, MA 2928 Cambridge, MA [Member] Number of properties with first mortgages Number Of Properties With First Mortgages Number Of Properties With First Mortgages 1478 Poway, CA 1478 Poway, CA [Member] 404 Roseburg, OR 404 Roseburg, OR [Member] Nonvested award, cost not yet recognized, amount Share-Based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Amount Geographic Concentration Risk Geographic Concentration Risk [Member] 2862 Myrtle Beach, SC 2862 Myrtle Beach, SC [Member] Discontinued operations (in dollars per share) Income (Loss) from Discontinued Operations and Disposal of Discontinued Operations, Net of Tax, Per Basic Share 2846 Greenville, SC 2846 Greenville, SC [Member] Development costs and construction in progress Development costs and construction in progress Development in Process Federal Current Federal Tax Expense (Benefit) Other non-cash items Other Noncash Income (Expense) 833 Pace, FL 833 Pace, FL [Member] 1403 Hayward, CA 1403 Hayward, CA [Member] Shares withheld to offset tax withholding obligations (in shares) Share-Based Compensation By Share-Based Payment Award, Shares Withheld to Offset Tax Withholding Obligations Represents the number of shares withheld by the reporting entity to offset tax withholding obligations of participants. Customer Concentration Risk Customer Concentration Risk [Member] CCRC JV Investment CCRC JV Investment [Member] Information related to the unconsolidated joint venture formed by the Company and Brookdale, under a RIDEA structure, to own and operate CCRC campuses. Increase (decrease) in accounts payable, accrued liabilities, and deferred revenue Increase (Decrease) in Accounts Payable and Accrued Liabilities 2024 Lessor, Operating Lease, Payment to be Received, Year One Costs and expenses: Costs and Expenses [Abstract] 1319 Dallas, TX 1319 Dallas, TX [Member] Loss Contingency, Nature [Domain] Loss Contingency, Nature [Domain] Unvested at the beginning of the period, Weighted Average Grant Date Fair Value (in dollars per share) Unvested at the end of the period, Weighted Average Grant Date Fair Value (in dollars per share) Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value Income Tax Disclosure [Abstract] Income Tax Disclosure [Abstract] Distributions to and purchase of noncontrolling interests Payments to Noncontrolling Interests Forgone Recovery due to Expense of Enforcement, Amount Forgone Recovery due to Expense of Enforcement, Amount 2032 Independence, MO 2032 Independence, MO [Member] Schedule of Loans Receivable Schedule of Accounts, Notes, Loans and Financing Receivable [Table Text Block] Accumulated depreciation and amortization Accumulated depreciation and amortization Real Estate Investment Property, Accumulated Depreciation Share-based Payment Arrangement [Abstract] Share-Based Payment Arrangement [Abstract] Term loans Loans Payable to Bank Entity Tax Identification Number Entity Tax Identification Number Total lease expense Lease, Cost Statistical Measurement [Axis] Statistical Measurement [Axis] Balance Sheet Location [Domain] Balance Sheet Location [Domain] Operating Activities [Domain] Operating Activities [Domain] Section 1231, capital distribution percentage Income Tax, Section 1231 Gain (Loss), Total Capital Distribution Percentage Income Tax, Section 1231 Gain (Loss), Total Capital Distribution Percentage Impairment of real estate Impairment of Real Estate Term Loan Facilities One Term Loan Facilities One [Member] Term Loan Facilities One Entity Well-known Seasoned Issuer Entity Well-known Seasoned Issuer Other Assets Other Assets [Member] 2720 Nashville, TN 2720 Nashville, TN [Member] Measure: Measure [Axis] Commitments and Contingencies Disclosure [Abstract] Commitments and Contingencies Disclosure [Abstract] Name Outstanding Recovery, Individual Name Entity Incorporation, State or Country Code Entity Incorporation, State or Country Code 3107 Cambridge, MA 3107 Cambridge, MA [Member] 2048 North Richland Hills, TX 2048 North Richland Hills, TX [Member] Assets held for sale, net Disposal Group, Including Discontinued Operation, Assets Schedule of Significant Components of the Company's Deferred Tax Asset and Liabilities Schedule of Deferred Tax Assets and Liabilities [Table Text Block] Unusual or Infrequent Item, or Both [Domain] Unusual or Infrequent Item, or Both [Domain] Derivatives and Hedging Derivatives, Policy [Policy Text Block] Senior Unsecured Notes 2.13% Senior Unsecured Notes 2.13% [Member] Senior Unsecured Notes 2.13% Cash paid for amounts included in the measurement of lease liability for operating leases Operating Lease, Payments 1317 Dallas, TX 1317 Dallas, TX [Member] 2573 Florence, SC 2573 Florence, SC [Member] 0126 Sherwood, AR 0126 Sherwood, AR [Member] 1068 Omaha, NE 1068 Omaha, NE [Member] New mortgage loans SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, New Mortgage Loan Other income (expense): Other Income and Expenses [Abstract] Schedule of Future Minimum Lease Payments Due Under Operating Leases Lessor, Operating Lease, Payment to be Received, Maturity [Table Text Block] Auditor Location Auditor Location Rent adjustments Straight Line Rent Adjustments Number of real estate properties impaired Number Of Real Estate Properties Impaired Number Of Real Estate Properties Impaired Term Loan Agreement Term Loan Agreement [Member] Term Loan Agreement Total deductions SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Period Decrease SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Period Decrease 2849 Greer, SC 2849 Greer, SC [Member] Schedule of Variable Interest Entities [Table] Schedule of Variable Interest Entities [Table] State income tax benefit (expense), net of federal tax Effective Income Tax Rate Reconciliation, State and Local Income Taxes, Amount Sale of Stock [Axis] Sale of Stock [Axis] 785 Seattle, WA 785 Seattle, WA [Member] Planned MOB Demolition, Tenant Relocation And Other Costs Planned MOB Demolition, Tenant Relocation And Other Costs [Member] Planned MOB Demolition, Tenant Relocation And Other Costs Net cash provided by (used in) investing activities Net Cash Provided by (Used in) Investing Activities SWF SH JV SWF SH JV [Member] SWF SH JV Business Interruption Loss [Domain] Business Interruption Loss [Domain] Debt Instrument [Axis] Debt Instrument [Axis] 2612 Allen, TX 2612 Allen, TX [Member] 2024 Scottsdale, AZ 2024 Scottsdale, AZ [Member] Liabilities related to assets held for sale, net Disposal Group, Including Discontinued Operation, Liabilities Outstanding Aggregate Erroneous Compensation Amount Outstanding Aggregate Erroneous Compensation Amount 1316 Dallas, TX 1316 Dallas, TX [Member] Number of DownREIT LLCs (in entities) Number of Down REIT LLCs This element represents the number of DownREIT LLCs for which the entity is the managing member. Real estate Deferred Tax Asset, Real Estate Deferred Tax Asset, Real Estate 2865 Brentwood, TN 2865 Brentwood, TN [Member] Buildings and improvements Investment Building and Building Improvements 636 Nashville, TN 636 Nashville, TN [Member] Summary of Stated Debt Maturities and Scheduled Principal Repayments Schedule of Maturities of Long-Term Debt [Table Text Block] Total liabilities Liabilities 1472 Poway, CA 1472 Poway, CA [Member] Total grant date fair value Share-Based Compensation Arrangement By Share-Based Payment Award, Equity Instruments Other Than Options, Grant Date Fair Value Share-Based Compensation Arrangement By Share-Based Payment Award, Equity Instruments Other Than Options, Grant Date Fair Value 1420 San Diego, CA 1420 San Diego, CA [Member] Workout loans Workout Financing Receivable [Member] Workout Financing Receivable [Member] Joint venture partners Noncontrolling Interest in Joint Ventures Senior Unsecured Notes 4.20% Senior Unsecured Notes 4.20%, January Payoff [Member] Senior Unsecured Notes 4.20%, January Payoff 2038 Evanston, WY 2038 Evanston, WY [Member] 3010 Springfield, OR 3010 Springfield, OR [Member] 2543 Houston, TX 2543 Houston, TX [Member] Cash, cash equivalents, and restricted cash Disposal Group, Including Discontinued Operations, Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents Disposal Group, Including Discontinued Operations, Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents Interest Rate Swap, 4.54% Pay Rate Interest Rate Swap, 4.54% Pay Rate [Member] Interest Rate Swap, 4.54% Pay Rate 3012 Morristown, NJ 3012 Morristown, NJ [Member] Discontinued Operations Discontinued Operations [Member] State Current State and Local Tax Expense (Benefit) Investments in and advances to unconsolidated joint ventures Investments in and advances to unconsolidated joint ventures Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures Schedule of Subsidiary or Equity Method Investee [Table] Schedule of Subsidiary or Equity Method Investee [Table] Impairments and loan loss reserves (recoveries), net Asset Impairment Charges Schedule of Concentration of Credit Risk Schedules of Concentration of Risk, by Risk Factor [Table Text Block] Supplemental cash flow information: Supplemental Cash Flow Information [Abstract] Summary of the Company's Internal Ratings for Loans Receivable on Net of Reserves for Loan Losses Financing Receivable Credit Quality Indicators [Table Text Block] Accounting Standards Update [Axis] Accounting Standards Update [Axis] 624 Hendersonville, TN 624 Hendersonville, TN [Member] 583 Fort Worth, TX 583 Fort Worth, TX [Member] Transaction and merger-related costs Disposal Group Including Discontinued Operation Transaction Costs Disposal Group Including Discontinued Operation Transaction Costs Weighted-average maturity Debt Instrument, Weighted Average Maturity This element represents weighted average maturity of debt. Repurchase of common stock (in shares) Repurchase of common stock (in shares) Stock Repurchased During Period, Shares Proceeds from insurance recovery Proceeds from Insurance Settlement, Investing Activities Encumbrances as of Year end SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Amount of Encumbrances SLC SHOP Portfolio SLC SHOP Portfolio [Member] SLC SHOP Portfolio 436 Murietta, CA 436 Murietta, CA [Member] Granted, Weighted Average Grant Date Fair Value (in dollars per share) Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period, Weighted Average Grant Date Fair Value 3111 San Diego, CA 3111 San Diego, CA [Member] Distributions to noncontrolling interests Temporary Equity, Noncontrolling Interest, Decrease from Distributions to Noncontrolling Interest Holders Temporary Equity, Noncontrolling Interest, Decrease from Distributions to Noncontrolling Interest Holders Erroneously Awarded Compensation Recovery Erroneously Awarded Compensation Recovery [Table] Area of land Area of Land Senior unsecured notes Senior unsecured notes Unsecured Debt 2026 Debt Instrument, Redemption, Period Three [Member] Deferred tax assets: Deferred Tax Assets, Gross [Abstract] Impairments and loan loss reserves (recoveries), net Impairments and loan loss reserves, net Impairments And Allowance For Credit Loss Reserves (Recoveries), Net Impairments And Allowance For Credit Loss Reserves (Recoveries), Net Income tax benefit (expense) Discontinued Operation, Tax Effect of Discontinued Operation Consolidation Items [Axis] Consolidation Items [Axis] Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table] Schedule of Share-Based Compensation Arrangements by Share-Based Payment Award [Table] 1946 Louisville, KY 1946 Louisville, KY [Member] Restricted cash Restricted Cash and Cash Equivalents LLC Investment Variable Interest Entity Not Primary Beneficiary Debt Investment [Member] Represents a debt investment with a party that has been identified as a Variable Interest Entities (VIE) in which the entity does not have a controlling financial interest (as defined) and of which it is therefore not the primary beneficiary. 673 Plantation, FL 673 Plantation, FL [Member] Secured Mortgage Loans 1 Secured Mortgage Loans 1 [Member] Secured Mortgage Loans 1 Receive Rate Derivative, Basis Spread on Variable Rate Long-Lived Tangible Asset [Axis] Long-Lived Tangible Asset [Axis] Common stock, unit redemption share amount Common Stock, Unit Redemption Share Amount Common Stock, Unit Redemption Share Amount Qualified dividend income for purposes of Code Section 1(h)(11) (in dollars per share) Qualified Dividend Income, Code Section 1(h)(11) Qualified Dividend Income, Code Section 1(h)(11) Entity Emerging Growth Company Entity Emerging Growth Company Schedule of Capital Improvements Schedule of Capital Improvements [Table Text Block] Tabular disclosure of the amounts of funding, during the period, for construction, tenant and other capital improvements by segment. 2028 Scottsdale, AZ 2028 Scottsdale, AZ [Member] 3119 Cambridge, MA 3119 Cambridge, MA [Member] 738 Louisville, KY 738 Louisville, KY [Member] Total deferred tax assets Deferred Tax Assets, Gross Continuing Operations Continuing Operations [Member] 3151 Cambridge, MA 3151 Cambridge, MA [Member] 2024 Lessee, Operating Lease, Liability, to be Paid, Year One Schedule of Estimated Aggregate Amortization of Intangible Assets and Liabilities for Each of the Five Succeeding Fiscal Years and Thereafter Schedule of Expected Amortization of Intangible Assets and Intangible Liabilities [Table Text Block] Tabular disclosure of the estimated aggregate amortization expense expected to be recorded in succeeding fiscal years for intangible assets and liabilities. Pay vs Performance Disclosure, Table Pay vs Performance [Table Text Block] Antidilutive Securities [Axis] Antidilutive Securities [Axis] Schedule IV: Mortgage Loans on Real Estate SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Text Block] Title Trading Arrangement, Individual Title Change in Supplemental Executive Retirement Plan obligation and other Other Comprehensive (Income) Loss, Defined Benefit Plan, after Reclassification Adjustment, after Tax Other accounts payable and accrued liabilities Other Accounts Payable and Accrued Liabilities 2699 Indianapolis, IN 2699 Indianapolis, IN [Member] Income Statement Location [Domain] Income Statement Location [Domain] SEC Schedule, 12-09, Valuation Allowances and Reserves [Domain] SEC Schedule, 12-09, Valuation Allowances and Reserves [Domain] Premiums, (discounts), and debt issuance costs, net Debt Instrument, Unamortized Discount (Premium), Net Repayments of secured debt Repayments of Secured Debt SEC Schedule, 12-29, Real Estate Companies, Investment in Movement in Mortgage Loans on Real Estate [Roll Forward] SEC Schedule, 12-29, Real Estate Companies, Investment in Movement in Mortgage Loans on Real Estate [Roll Forward] Weighted-average interest rate (as a percent) Debt, Weighted Average Interest Rate Distributions to noncontrolling interests Noncontrolling Interest, Decrease from Distributions to Noncontrolling Interest Holders Number of facilities owned by unconsolidated joint venture Number Of Facilities Owned By Unconsolidated Joint Venture Number Of Facilities Owned By Unconsolidated Joint Venture Amortization of other deferred charges Amortization of Other Deferred Charges Weighted average shares outstanding: Weighted Average Number of Shares Outstanding, Diluted [Abstract] Current period net write-offs Current Period Net Write-Offs [Member] Current Period Net Write-Offs Participating securities’ share in earnings Less: Participating securities’ share in continuing operations Participating Securities, Distributed and Undistributed Earnings (Loss), Basic Statement of Cash Flows [Abstract] Statement of Cash Flows [Abstract] ASSETS Assets [Abstract] 813 Littleton, CO 813 Littleton, CO [Member] 1421 San Diego, CA 1421 San Diego, CA [Member] Capitalized interest Interest Costs Capitalized 2658 Highlands Ranch, CO 2658 Highlands Ranch, CO [Member] Senior Unsecured Notes 1.35% Senior Unsecured Notes 1.35% [Member] Senior Unsecured Notes 1.35% Net cash provided by (used in) financing activities Net cash provided by (used in) financing activities Net Cash Provided by (Used in) Financing Activities 1418 San Diego, CA 1418 San Diego, CA [Member] Commitments and Contingencies Commitments and Contingencies Disclosure [Text Block] Continuing operations (in dollars per share) Income (Loss) from Continuing Operations, Per Diluted Share Investments in unconsolidated joint ventures Payments to Acquire Interest in Subsidiaries and Affiliates 3141 Cambridge, MA 3141 Cambridge, MA [Member] Accrued construction costs Construction in Progress Expenditures Incurred but Not yet Paid Other income (expense): Nonoperating Income (Expense) [Abstract] Number of extensions (in renewal options) Debt Instrument, Number Of Extensions Debt Instrument, Number Of Extensions 2962 Orange Park, FL 2962 Orange Park, FL [Member] Net income (loss) applicable to common shares (in dollars per share) Earnings Per Share, Basic 674 Plantation, FL 674 Plantation, FL [Member] 674 Plantation, FL Erroneous Compensation Analysis Erroneous Compensation Analysis [Text Block] 3122 Cambridge, MA 3122 Cambridge, MA [Member] Other Other Other [Member] Represents the information pertaining to the Other [member] 887 Atlanta, GA 887 Atlanta, GA [Member] 2997 Clearwater, FL 2997 Clearwater, FL [Member] 816 San Antonio, TX 816 San Antonio, TX [Member] 840 San Diego, CA 840 San Diego, CA [Member] Discontinued Operations, Disposed of by Sale Discontinued Operations, Disposed of by Sale [Member] 739 Louisville, KY 739 Louisville, KY [Member] Real Estate and Accumulated Depreciation SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items] Option indexed to issuers equity, term Option Indexed To Issuers Equity, Term Option Indexed To Issuers Equity, Term 2202 Miami, FL 2022 Miami, FL [Member] 2023 Incentive Plan Stock Based Compensation, 2023 Incentive Plan [Member] Stock Based Compensation, 2023 Incentive Plan 2019 Financing Receivable, Excluding Accrued Interest, Year Five, Originated, Four Years before Current Fiscal Year Term Loan Facilities Two Term Loan Facilities Two [Member] Term Loan Facilities Two Repayments under bank line of credit and commercial paper Repayments of Lines of Credit 1501 Redwood City, CA 1501 Redwood City, CA [Member] 834 Pensacola, FL 834 Pensacola, FL [Member] 1500 Redwood City, CA 1500 Redwood City, CA [Member] Schedule of Income Tax Contingencies Summary of Income Tax Contingencies [Table Text Block] 1504 Redwood City, CA 1504 Redwood City, CA [Member] Entity Public Float Entity Public Float Forward sales agreements that have been settled (in shares) Incremental Common Shares Attributable to Dilutive Effect of Equity Forward Agreements, Settled Incremental Common Shares Attributable to Dilutive Effect of Equity Forward Agreements, Settled Noncontrolling Interest [Line Items] Noncontrolling Interest [Line Items] 3153 San Diego, CA 3153 San Diego, CA [Member] 3153 San Diego, CA Long-term debt, gross Principal balance on debt Long-term debt, gross Long-Term Debt, Gross 2477 San Diego, CA 2477 San Diego, CA [Member] Restricted Cash Cash and Cash Equivalents, Restricted Cash and Cash Equivalents, Policy [Policy Text Block] Compensation Amount Outstanding Recovery Compensation Amount 837 San Diego, CA 837 San Diego, CA [Member] 811 Englewood, CO 811 Englewood, CO [Member] Government grant income recorded in equity income (loss) from unconsolidated joint ventures Equity Income (Loss) From Unconsolidated Joint Ventures [Member] Equity Income (Loss) From Unconsolidated Joint Ventures [Member] Deconsolidation of real estate SEC Schedule III, Real Estate Accumulated Depreciation, Deconsolidation SEC Schedule III, Real Estate Accumulated Depreciation, Deconsolidation Forfeited, Weighted Average Grant Date Fair Value (in dollars per share) Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Forfeitures, Weighted Average Grant Date Fair Value 1485 Brisbane, CA 1485 Brisbane, CA [Member] Proceeds received from options exercised Proceeds from Stock Options Exercised Thereafter Leases with Purchase Option Future Minimum Annualized Base Rent Receivable Thereafter Future annualized base rental payments receivable after the fifth year of the balance sheet date on leases with purchase options, whereby the tenant may elect to acquire the underlying real estate. Forfeited (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Forfeited in Period Investments in Unconsolidated Joint Ventures Equity Method Investments [Policy Text Block] Allowance for accounts receivable Accounts Receivable, Allowance for Credit Loss 1445 South San Francisco, CA 1445 South San Francisco, CA [Member] 2024 Debt Instrument, Redemption, Period One [Member] Impairments SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Write-down or Reserve, Amount 3015 Midlothian, VA 3015 Midlothian, VA [Member] Number of hospitals Number Of Hospitals Number Of Hospitals 815 San Antonio, TX 815 San Antonio, TX [Member] Document Period End Date Document Period End Date 3112 Cambridge, MA 3112 Cambridge, MA [Member] Market Based Restricted Stock Units Market Based Restricted Stock Units [Member] Market Based Restricted Stock Units Largest Tenant Largest Tenant [Member] Largest Tenant Mortgage Receivable Secured Mortgage Loans Mortgage Receivable [Member] Carrying value of mortgages assumed by buyer in real estate dispositions Noncash or Part Noncash, Discontinued Operations, Secured Debt Assumed by Buyer Noncash or Part Noncash, Discontinued Operations, Secured Debt Assumed by Buyer Segment Reporting Information [Line Items] Segment Reporting Information [Line Items] Concentration of Credit Risk Concentration Risk Disclosure [Text Block] Income tax benefit (expense) Income tax benefit (expense) Income tax benefit Total income tax benefit (expense) from continuing operations Income Tax Expense (Benefit) Total Leases with Purchase Option Number of Properties Number of properties for which future annualized rental payments are receivable for the five years following the balance sheet date on leases with purchase options, whereby the tenant may elect to acquire the underlying real estate. Government Assistance Axis [Domain] Government Assistance Axis [Domain] Government Assistance Axis [Domain] 2655 Wilmington, NC 2655 Wilmington, NC [Member] Fair Value Measurements Fair Value Disclosures [Text Block] 1044 Houston, TX 1044 Houston, TX [Member] 2839 Cypress, TX 2839 Cypress, TX [Member] Non-managing member unitholders Noncontrolling Interest in Preferred Unit Holders Sales and/or transfers to assets held for sale SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Cost of Investment in Real Estate Sold 2025 Lessor, Operating Lease, Payment to be Received, Year Two Controlling interest entity controlling ownership interest Variable Interest Entity Controlling Ownership Interest Through Partnership Represents the number of controlling ownership interest entities, in which the company holds the interest and is the managing member of the partnership. Financial Instrument Performance Status [Axis] Financial Instrument Performance Status [Axis] Cash and cash equivalents Cash and Cash Equivalents, at Carrying Value Total comprehensive income (loss) Comprehensive Income (Loss), Net of Tax, Including Portion Attributable to Noncontrolling Interest Debt instrument, covenant net worth, minimum Debt Instrument, Covenant Net Worth, Minimum The required Minimum Consolidated Tangible Net Worth contained in the debt covenants. Impairments and loan loss reserves (recoveries), net Disposal Group Including Discontinued Operation Impairments And Loan Loss Reserves Recoveries Net Disposal Group Including Discontinued Operation Impairments And Loan Loss Reserves Recoveries Net Property, plant and equipment, useful life Property, Plant and Equipment, Useful Life 2863 Lee's Summitt, MO 2863 Lee's Summitt, MO [Member] 2027 Scottsdale, AZ 2027 Scottsdale, AZ [Member] 2021 Financing Receivable, Excluding Accrued Interest, Year Three, Originated, Two Years before Current Fiscal Year Additional Paid-In Capital Additional Paid-in Capital [Member] Document Annual Report Document Annual Report Balance Sheet Location [Axis] Balance Sheet Location [Axis] Equity income (loss) from unconsolidated joint ventures Income (Loss) from Equity Method Investments 2851 Travelers Rest, SC 2851 Travelers Rest, SC [Member] Loss Contingencies [Line Items] Loss Contingencies [Line Items] 1410 South San Francisco, CA 1410 South San Francisco, CA [Member] Unrealized gains (losses) on derivatives, net AOCI, Cash Flow Hedge, Cumulative Gain (Loss), after Tax UNITED STATES UNITED STATES Undiscounted minimum lease payments included in the lease liability Lessee, Operating Lease, Liability, to be Paid Schedule of Supplemental Cash Flow Information Schedule of Cash Flow, Supplemental Disclosures [Table Text Block] Government grant income recorded in other income (expense), net Other Nonoperating Income (Expense) [Member] Cash Flow Hedging Cash Flow Hedging [Member] 1945 Louisville, KY 1945 Louisville, KY [Member] Loans receivable, term Loans Receivable, Term Loans Receivable, Term Forward sales agreements that have not been settled (in shares) Incremental Common Shares Attributable to Dilutive Effect of Equity Forward Agreements, Not Yet Settled Incremental Common Shares Attributable to Dilutive Effect of Equity Forward Agreements, Not Yet Settled Aggregate carrying value before impairment Real Estate Investment Property, Aggregate Carrying Value Before Impairment Real Estate Investment Property, Aggregate Carrying Value Before Impairment 2656 Wilmington, NC 2656 Wilmington, NC [Member] 2871 South San Francisco, CA 2871 South San Francisco, CA [Member] Leases Lessor, Direct Financing Leases [Text Block] 1057 Newburgh, IN 1057 Newburgh, IN [Member] Consolidated Entities [Domain] Consolidated Entities [Domain] Provision for expected loan losses Financing Receivable, Excluding Accrued Interest, Credit Loss Expense (Reversal) 2982 Fort Worth, TX 2982 Fort Worth, TX [Member] 2621 Cedar Park, TX 2621 Cedar Park, TX [Member] Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] Collaborative Arrangement and Arrangement Other than Collaborative [Line Items] Segments [Axis] Segments [Axis] Land and improvements Land and Land Improvements 1592 Bountiful, UT 1592 Bountiful, UT [Member] 781 Seattle, WA 781 Seattle, WA [Member] Other comprehensive income (loss): Other Comprehensive Income (Loss), Net of Tax [Abstract] 3150 Cambridge, MA 3150 Cambridge, MA [Member] Awards Close in Time to MNPI Disclosures Awards Close in Time to MNPI Disclosures [Table] Bank line of credit and commercial paper Bank line of credit and commercial paper Long-Term Line of Credit Business Interruption Loss [Axis] Business Interruption Loss [Axis] 625 Nashville, TN 625 Nashville, TN [Member] Real Estate, Type of Property [Axis] Real Estate, Type of Property [Axis] Deferred income tax expense (benefit) Deferred Income Taxes and Tax Credits Consolidated Entities [Axis] Consolidated Entities [Axis] 2037 Mesquite, NV 2037 Mesquite, NV [Member] 1556 Hayward, CA 1556 Hayward, CA [Member] 612 Margate, FL 612 Margate, FL [Member] Pay vs Performance Disclosure [Line Items] Entity Voluntary Filers Entity Voluntary Filers Interest expense Disposal Group, Including Discontinued Operation, Interest Expense 3062 Overland Park, KS 3062 Overland Park, KS [Member] Unvested at the beginning of the period (in shares) Unvested at the end of the period (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Number Debt Debt Disclosure [Text Block] Statement of Stockholders' Equity [Abstract] Statement of Stockholders' Equity [Abstract] Equity Method Investments and Joint Ventures [Abstract] Equity Method Investments and Joint Ventures [Abstract] Segment Reporting [Abstract] Segment Reporting [Abstract] Investment, Name [Axis] Investment, Name [Axis] 2546 Houston, TX 2546 Houston, TX [Member] 2404 Sacramento, CA 2404 Sacramento, CA [Member] 2229 La Jolla, CA 2229 La Jolla, CA [Member] Senior Unsecured Notes 4.20% Senior Unsecured Notes 4.20%, February Payoff [Member] Senior Unsecured Notes 4.20%, February Payoff Commitments and contingencies (Note 11) Commitments and Contingencies Unamortized discounts and fees Financing Receivable, Unamortized Loan Cost (Fee) and Purchase Premium (Discount) 1444 South San Francisco, CA 1444 South San Francisco, CA [Member] 565 San Jose, CA 565 San Jose, CA [Member] Ownership percentage Variable Interest Entity, Qualitative or Quantitative Information, Ownership Percentage 2198 Webster, TX 2198 Webster, TX [Member] Proceeds from nonrefundable deposit Proceeds from Other Deposits 3113 Cambridge, MA 3113 Cambridge, MA [Member] 808 Englewood, CO 808 Englewood, CO [Member] Number of interest-rate contracts held Number of Interest Rate Derivatives Held Intangibles [Abstract] Intangibles [Abstract] Intangibles [Abstract] Number of stock options shares outstanding (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Number Accelerated cost Share-Based Payment Arrangement, Accelerated Cost Building and Building Improvements Building and Building Improvements [Member] Payments to acquire finance receivables Payments to Acquire Finance Receivables Non-PEO NEO Average Compensation Actually Paid Amount Non-PEO NEO Average Compensation Actually Paid Amount Schedule of Financing Receivable, Allowance for Credit Loss Financing Receivable, Allowance for Credit Loss [Table Text Block] Exercise of stock options (in shares) Stock Issued During Period, Shares, Stock Options Gross Exercised Number of gross share options (or share units) exercised during the current period. Development and redevelopment commitments Development Commitments [Member] Represents construction and other commitments for developments in progress. Company Selected Measure Name Company Selected Measure Name 3023 Covington, LA 3023 Covington, LA [Member] 3024 Webster, TX 3024 Webster, TX [Member] Balance (in shares) Balance (in shares) Shares, Issued Concentration Risk Benchmark [Domain] Concentration Risk Benchmark [Domain] Schedule of Deferred Revenue Schedule of Deferred Revenue [Table Text Block] Schedule of Deferred Revenue Exercise of stock options (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercises in Period Income (loss) from continuing operations before income taxes Income (Loss) from Continuing Operations before Income Taxes, Domestic 1067 Milton, FL 1067 Milton, FL [Member] 1480 South San Francisco, CA 1480 South San Francisco, CA [Member] SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation Disclosure [Abstract] SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation Disclosure [Abstract] Name Forgone Recovery, Individual Name 810 Englewood, CO 810 Englewood, CO [Member] 2875 Brisbane, CA 2875 Brisbane, CA [Member] Financial Instrument Performance Status [Domain] Financial Instrument Performance Status [Domain] Held-for-use Discontinued Operations, Held-For-Use [Member] Discontinued Operations, Held-For-Use 1549 Hayward, CA 1549 Hayward, CA [Member] Underlying Securities Award Underlying Securities Amount 1041 Brentwood, CA 1041 Brentwood, CA [Member] 1059 Jackson, MS 1059 Jackson, MS [Member] Total other income (expense), net Disposal Group Including Discontinued Operation Nonoperating Income Expense Disposal Group Including Discontinued Operation Nonoperating Income Expense Common dividends, per share (in dollars per share) Dividends declared per common share (in dollars per share) Common Stock, Dividends, Per Share, Declared Senior Housing Operating Portfolio Senior Housing Operating Portfolio [Member] Represent senior housing operating portfolio. Debt Instrument, Name [Domain] Debt Instrument, Name [Domain] 239 Poway, CA 239 Poway, CA [Member] 1499 Redwood City, CA 1499 Redwood City, CA [Member] Payments to acquire real estate Payments to Acquire Real Estate Gain on sale of direct financing lease Loss on sale of direct financing lease Gain (Loss) on Sale of Financing Receivable Income Statement Location [Axis] Income Statement Location [Axis] Senior Unsecured Notes 5.25% Senior Unsecured Notes 5.25% [Member] Senior Unsecured Notes 5.25% Sonata SHOP Portfolio Sonata SHOP Portfolio [Member] Sonata SHOP Portfolio Mezzanine Mezzanine [Member] Mezzanine 1510 Redwood City, CA 1510 Redwood City, CA [Member] Payables and Accruals [Abstract] 300 Minneapolis, MN 300 Minneapolis, MN [Member] Expense accruals Deferred Tax Assets, Tax Deferred Expense, Reserves and Accruals Real estate: Real Estate Investment Property, Net [Abstract] Schedule of Other Lease Information Lease, Cost [Table Text Block] Cash flows from investing activities: Net Cash Provided by (Used in) Investing Activities [Abstract] Schedule of Company's Lease Income, Excluding Discontinued Operation Direct Financing Lease, Lease Income [Table Text Block] Real Estate Real Estate, Policy [Policy Text Block] Other Deferred Tax Assets, Tax Deferred Expense, Other Lab JV Lab JV [Member] Lab JV Derivative Instruments and Hedging Activities Disclosure [Abstract] Derivative Instruments and Hedging Activities Disclosure [Abstract] Time Based Restricted Stock Units Time Based Restricted Stock Units [Member] Time Based Restricted Stock Units Plan Name [Domain] Plan Name [Domain] South San Francisco, California South San Francisco, California [Member] South San Francisco, California Government grant income Government Grant Income From CARES Act Government Grant Income From CARES Act 430 Houston, TX 430 Houston, TX [Member] Noncontrolling interests’ share in discontinued operations Noncontrolling Interests' Share In Discontinued Operations Noncontrolling Interests' Share In Discontinued Operations Interest expense Interest expense Interest Expense Gain (loss) on debt extinguishments Loss (gain) on debt extinguishments Loss on extinguishment of debt Gain (Loss) on Extinguishment of Debt Finite-lived intangible assets acquired Finite-Lived Intangible Assets Acquired Credit Losses Financing Receivable [Policy Text Block] Trading Arrangement: Trading Arrangement [Axis] Deconsolidation of real estate SEC Schedule, 12-28, Real Estate Companies, Deconsolidation SEC Schedule, 12-28, Real Estate Companies, Deconsolidation Long-term Debt, Type [Domain] Long-Term Debt, Type [Domain] Loss Contingencies [Table] Loss Contingencies [Table] Thereafter Debt Instrument Redemption Period Thereafter [Member] Represents the period after the last period separately disclosed of debt redemption features under terms of the debt agreement. 1505 Redwood City, CA 1505 Redwood City, CA [Member] 1506 Redwood City, CA 1506 Redwood City, CA [Member] 2554 South San Francisco, CA 2554 South San Francisco, CA [Member] Gross amount of decreases for prior years’ tax positions Unrecognized Tax Benefits, Decrease Resulting from Prior Period Tax Positions Entity Shell Company Entity Shell Company Restatement Determination Date Restatement Determination Date 1196 Aurora, CO 1196 Aurora, CO [Member] Financing Receivable, Allowance for Credit Loss [Table] Financing Receivable, Allowance for Credit Loss [Table] Purchase of noncontrolling interests Temporary Equity, Noncontrolling Interest, Decrease from Redemptions or Purchase of Interests Temporary Equity, Noncontrolling Interest, Decrease from Redemptions or Purchase of Interests Cash, cash equivalents, and restricted cash Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents 3070 Lexington, MA 3070 Lexington, MA [Member] 2833 St. Petersburg, FL 2833 St. Petersburg, FL [Member] Loans receivable, conversion of basis spread on variable rate Loans Receivable, Conversion Of Basis Spread On Variable Rate Loans Receivable, Conversion Of Basis Spread On Variable Rate Term Loans Loans Payable [Member] Common stock, shares issued (in shares) Common Stock, Shares, Issued Vested (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Vested in Period Schedule of Government Grant Receivables Cares Act Schedule Of Government Grant Receivables CARES Act [Table Text Block] Schedule Of Government Grant Receivables CARES Act Severance costs Severance Costs 569 McKinney, TX 569 McKinney, TX [Member] 2027 Long-Term Debt, Maturity, Year Four 2026 Leases with Purchase Option Future Minimum Annualized Base Rent Receivable in Three Years Future annualized base rental payments receivable within third year of the balance sheet date on leases with purchase options, whereby the tenant may elect to acquire the underlying real estate. Dividends Payable [Line Items] Dividends Payable [Line Items] Expense on other Other Nonrecurring Expense Balance at Beginning of Year Balance at End of Year SEC Schedule, 12-09, Valuation Allowances and Reserves, Amount Capital Raising Issuance Costs Capital Raising Issuance Costs [Policy Text Block] Disclosure of accounting policy for costs incurred in connection with raising capital. 2705 Cambridge, MA 2705 Cambridge, MA [Member] Receivable Type [Axis] Receivable Type [Axis] 2544 Houston, TX 2544 Houston, TX [Member] Senior Housing Triple Net Senior Housing Triple Net [Member] Represents the information pertaining to the Senior Housing Triple Net [Member]. Noncontrolling interest, ownership percentage by parent Subsidiary, Ownership Percentage, Parent 626 Nashville, TN 626 Nashville, TN [Member] 1464 South San Francisco, CA 1464 South San Francisco, CA [Member] Senior Unsecured Notes 3.88% Senior Unsecured Notes 3.88%, February Payoff [Member] Senior Unsecured Notes 3.88%, February Payoff Outstanding equity awards (in shares) Incremental Common Shares Attributable to Dilutive Effect of Equity Awards Incremental Common Shares Attributable to Dilutive Effect of Equity Awards 448 Renton, WA 448 Renton, WA [Member] Term Loan Facilities Term Loan Facilities [Member] Term Loan Facilities Schedule of Intangible Lease Assets Schedule of Finite-Lived Intangible Assets [Table Text Block] Income Statement [Abstract] Income Statement [Abstract] 573 Arlington, TX 573 Arlington, TX [Member] 2041 Salt Lake City, UT 2041 Salt Lake City, UT [Member] Insider Trading Policies and Procedures Adopted Insider Trading Policies and Procedures Adopted [Flag] 2542 Houston, TX 2542 Houston, TX [Member] 566 Salt Lake City, UT 566 Salt Lake City, UT [Member] Financing Receivable, Credit Quality Indicator [Line Items] Financing Receivable, Credit Quality Indicator [Line Items] 1197 Aurora, CO 1197 Aurora, CO [Member] Acquisitions of real estate Payments to Acquire Other Real Estate Secured loans Secured Mortgage Loans Secured Loans Secured Mortgage Loans [Member] Secured Mortgage Loans Real Estate [Line Items] Real Estate [Line Items] Issuance of OP units (in units) Units Issued During Period, New Issues Units Issued During Period, New Issues Adjustments to NOI Non Cash Adjustments To Net Operating Income From Continuing Operations Represents straight-line rents, DFL accretion, amortization of market lease intangibles and lease termination fees. Other Commitments [Domain] Other Commitments [Domain] 2551 The Woodlands, TX 2551 Woodlands, TX [Member] 3081 Fort Belvoir, VA 3081 Fort Belvoir, VA [Member] Real Estate Real Estate Disclosure [Text Block] Dispositions of Real Estate and Discontinued Operations Disposal Groups, Including Discontinued Operations, Disclosure [Text Block] 1484 Brisbane, CA 1484 Brisbane, CA [Member] Continuing operations Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents [Abstract] Repurchase of common stock Payments for Repurchase of Common Stock Remaining loans receivable commitments Loans and Leases Receivable, Remaining Commitments Loans and Leases Receivable, Remaining Commitments Total Stockholders’ Equity Parent [Member] Variable Interest Entity, Not Primary Beneficiary Variable Interest Entity, Not Primary Beneficiary [Member] Fair Value Hierarchy and NAV [Axis] Fair Value Hierarchy and NAV [Axis] 2837 San Antonio, TX 2837 San Antonio, TX [Member] Gain (loss) on deconsolidation Deconsolidation, Gain (Loss), Amount Plus: Noncontrolling interests’ share of consolidated joint venture NOI Noncontrolling Interest in Net Income (Loss) Joint Venture Partners, Nonredeemable Number of assets classified as discontinued operations Number of Assets Classified as Discontinued Operations Number of Assets Classified as Discontinued Operations Face amount Debt Instrument, Face Amount 3089 Birmingham, AL 3089 Birmingham, AL [Member] Other Commitments [Line Items] Other Commitments [Line Items] 2024 Leases with Purchase Option Number of Properties Next Twelve Months Number of properties for which future annualized rental payments are receivable within one year of the balance sheet date, on leases with purchase options, whereby the tenant may elect to acquire the underlying real estate. Medical Office, Hospital Medical Office, Hospital [Member] Medical Office, Hospital Entity Address, State or Province Entity Address, State or Province Cash flows from operating activities: Net Cash Provided by (Used in) Operating Activities [Abstract] 662 Las Vegas, NV 662 Las Vegas, NV [Member] COLORADO COLORADO Cumulative dividends in excess of earnings Accumulated Distributions in Excess of Net Income 671 Kissimmee, FL 671 Kissimmee, FL [Member] California CALIFORNIA CALIFORNIA Income (loss) from continuing operations Income (loss) from continuing operations Income (Loss) from Continuing Operations, Net of Tax, Including Portion Attributable to Noncontrolling Interest 3148 Cambridge, MA 3148 Cambridge, MA [Member] Net income (loss) applicable to common shares Net Income (Loss) Available to Common Stockholders, Basic Net real estate assets Net Real Estate Assets Net Real Estate Assets Lease liability Operating Lease, Liability Segment Disclosure Segment Reporting, Asset Reconciling Item [Line Items] 3088 Spring, TX 3088 Spring, TX [Member] 3088 Spring, TX Debt securities Debt Securities Total Shareholder Return Vs Peer Group Total Shareholder Return Vs Peer Group [Text Block] 1554 Hayward, CA 1554 Hayward, CA [Member] 562 Hermitage, TN 562 Hermitage, TN [Member] 1404 Hayward, CA 1404 Hayward, CA [Member] Aggregate Erroneous Compensation Amount Aggregate Erroneous Compensation Amount Termination fees Termination Fees Termination Fees 1948 San Diego, CA 1948 San Diego, CA [Member] 2239 Louisville, KY 2239 Louisville, KY [Member] ARKANSAS ARKANSAS 1314 Dallas, TX 1314 Dallas, TX [Member] Accounts Payable, Accrued Liabilities, and Other Liabilities Accounts Payable and Accrued Liabilities Disclosure [Text Block] 466 Salt Lake City, UT 466 Salt Lake City, UT [Member] Common stock, $1.00 par value: 750,000,000 shares authorized; 547,156,311 and 546,641,973 shares issued and outstanding Common Stock, Value, Issued 882 Colorado Springs, CO 882 Colorado Springs, CO [Member] Number of properties acquired Number Of Properties Acquired Number Of Properties Acquired Organization, Consolidation and Presentation of Financial Statements [Abstract] Organization, Consolidation and Presentation of Financial Statements [Abstract] 1507 Redwood City, CA 1507 Redwood City, CA [Member] Proceeds from sales/principal repayments on loans receivable, direct financing leases, and marketable debt securities Proceeds from Principal Repayment, Loan and Lease, Held-for-Investment Prepayment of rent Payments for Rent Adjustments to redemption value of redeemable noncontrolling interests Temporary Equity, Adjustments Of Permanent Equity To Temporary Equity Temporary Equity, Adjustments Of Permanent Equity To Temporary Equity Accounts receivable, net of allowance of $2,282 and $2,399 Accounts receivable, net Accounts Receivable, after Allowance for Credit Loss 3001 Leesburg, VA 3001 Leesburg, VA [Member] Senior Unsecured Notes 3.88% Senior Unsecured Notes 3.88%, January Payoff [Member] Senior Unsecured Notes 3.88%, January Payoff 435 Atlantis, FL 435 Atlantis, FL [Member] FLORIDA Florida FLORIDA 1425 La Jolla, CA 1425 La Jolla, CA [Member] Non-PEO NEO Average Total Compensation Amount Non-PEO NEO Average Total Compensation Amount 2707 Cambridge, MA 2707 Cambridge, MA [Member] Derivative Instruments and Hedging Activities Disclosures [Line Items] Derivative Instruments and Hedging Activities Disclosures [Line Items] Proceeds from sales of real estate, net Proceeds from Sale, Real Estate, Held-for-Investment 806 Fort Worth, TX 806 Fort Worth, TX [Member] Marketable debt securities Debt Securities, Held-to-Maturity, Fair Value 1593 Salt Lake City, UT 1593 Salt Lake City, UT [Member] Unrecognized tax benefits Total unrecognized tax benefits at January 1 Total unrecognized tax benefits at December 31 Unrecognized Tax Benefits 2023 Financing Receivable, Excluding Accrued Interest, Year One, Originated, Current Fiscal Year 2025 Leases with Purchase Option Number of Properties in Two Years Number of properties for which future annualized rental payments are receivable within second year of the balance sheet date on leases with purchase options, whereby the tenant may elect to acquire the underlying real estate. 2991 Coatesville, PA 2991 Coatesville, PA [Member] Government grant income Government Grant Income Government Grant Income 1550 Hayward, CA 1550 Hayward, CA [Member] Total additions SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Period Increase SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Period Increase Deductions SEC Schedule, 12-09, Valuation Allowances and Reserves, Deduction 1947 San Diego, CA 1947 San Diego, CA [Member] Business Nature of Operations [Text Block] Loans receivable Loans Receivable: Accounts, Notes, Loans and Financing Receivable [Line Items] 1401 Hayward, CA 1401 Hayward, CA [Member] Interest rate (as a percent) Debt Instrument, Interest Rate, Stated Percentage Total stockholders’ equity Equity, Attributable to Parent 1426 La Jolla, CA 1426 La Jolla, CA [Member] Schedule of Finite-Lived Intangible Assets [Table] Schedule of Finite-Lived Intangible Assets [Table] Net income (loss) Temporary Equity, Net Income Aggregate amount remaining ATM Equity Offering Program Aggregate Amount Remaining ATM Equity Offering Program Aggregate Amount Remaining 1987 South San Francisco, CA 1987 South San Francisco, CA [Member] Schedule of Stock by Class [Table] Schedule of Stock by Class [Table] Asset at fair value, changes in fair value resulting from changes in assumptions Asset at Fair Value, Changes in Fair Value Resulting from Changes in Assumptions Expected term Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Expected Term Not Designated as Hedging Instrument Not Designated as Hedging Instrument [Member] 3072 Lexington, MA 3072 Lexington, MA [Member] Hedging Designation [Domain] Hedging Designation [Domain] 559 Hermitage, TN 559 Hermitage, TN [Member] 1424 La Jolla, CA 1424 La Jolla, CA [Member] 2022 Financing Receivable, Excluding Accrued Interest, Year Two, Originated, Fiscal Year before Current Fiscal Year 127 Colorado Springs, CO 127 Colorado Springs, CO [Member] 572 Reston, VA 572 Reston, VA [Member] Accounts Payable and Accrued Liabilities Accounts Payable and Accrued Liabilities [Member] Assets held for sale, net Asset, Held-for-Sale, Not Part of Disposal Group Disposal Group Classification [Domain] Disposal Group Classification [Domain] 1984 South San Francisco, CA 1984 South San Francisco, CA [Member] Increase (Decrease) in Stockholders' Equity Increase (Decrease) in Stockholders' Equity [Roll Forward] Named Executive Officers, Footnote Named Executive Officers, Footnote [Text Block] Common stock issuable (in shares) Common Stock, Convertible, Shares Issuable Common Stock, Convertible, Shares Issuable Document Fiscal Period Focus Document Fiscal Period Focus 817 Owasso, OK 817 Owasso, OK [Member] Dividends (in dollars per share) Dividends Payable, Amount Per Share Development, redevelopment, and other major improvements of real estate Development, redevelopment, and other major improvements of real estate Payments to Develop Real Estate Assets 1402 Hayward, CA 1402 Hayward, CA [Member] 2238 Louisville, KY 2238 Louisville, KY [Member] Cash and cash equivalents Cash and Cash Equivalents, Including Discontinued Operations, Total Cash and Cash Equivalents, Including Discontinued Operations, Total 582 Dallas, TX 582 Dallas, TX [Member] Accrued construction costs Construction Payable Geographical [Domain] Geographical [Domain] Total Balances at beginning of year Balances at end of year SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Gross LOUISIANA LOUISIANA Exercise Price Award Exercise Price 1459 South San Francisco, CA 1459 South San Francisco, CA [Member] 3022 Seattle, WA 3022 Seattle, WA [Member] 3021 Frisco, TX 3021 Frisco, TX [Member] Variable Interest Entities [Abstract] Variable Interest Entities [Abstract] Variable Interest Entities [Abstract] KANSAS KANSAS 735 Louisville, KY 735 Louisville, KY [Member] Income taxes paid (refunded) Income Taxes Paid, Net Interest Rate SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate 2237 Louisville, KY 2237 Louisville, KY [Member] Total liabilities and equity Liabilities and Equity Ownership [Domain] Ownership [Domain] 661 Las Vegas, NV 661 Las Vegas, NV [Member] 1552 Hayward, CA 1552 Hayward, CA [Member] Risk free interest rate Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Risk Free Interest Rate Schedule of Long-term Debt Instruments [Table] Schedule of Long-Term Debt Instruments [Table] 576 Conroe, TX 576 Conroe, TX [Member] Equity Valuation Assumption Difference, Footnote Equity Valuation Assumption Difference, Footnote [Text Block] 2034 West Jordan, UT 2034 West Jordan, UT [Member] 1411 South San Francisco, CA 1411 South San Francisco, CA [Member] Arrangement Duration Trading Arrangement Duration Entity Address, City or Town Entity Address, City or Town Award Timing MNPI Considered Award Timing MNPI Considered [Flag] Summary Financial Information of Reportable Segment Schedule of Segment Reporting Information, by Segment [Table Text Block] 3102 South San Francisco, CA 3102 South San Francisco CA [Member] Net operating loss carryforwards not subject to expiration Deferred Tax Assets, Operating Loss Carryforwards, Not Subject to Expiration Loans receivable, extension fee Loans Receivable, Extension Fee Loans Receivable, Extension Fee Fair Value Measurement Fair Value of Financial Instruments, Policy [Policy Text Block] Impairments of Real Estate Asset Impairment Charges [Text Block] Purchase of noncontrolling interests Noncontrolling Interest, Decrease from Redemptions or Purchase of Interests Termination Date Trading Arrangement Termination Date Land and improvements SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Land 351 Washington Terrace, UT 351 Washington Terrace, UT [Member] South San Francisco JVs South San Francisco JVs [Member] South San Francisco JVs Short-term debt Short-Term Debt SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate Schedule [Table] SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate Schedule [Table] Investments in loans receivable and other Payments To Acquire Loans Receivable And Other Payments To Acquire Loans Receivable And Other Amortization of nonrefundable entrance fee Amortization Of Nonrefundable Entrance Fee Amortization Of Nonrefundable Entrance Fee Resident fees and services Disposal Group Including Discontinued Operation Resident Fees And Services Disposal Group Including Discontinued Operation Resident Fees And Services 467 Salt Lake City, UT 467 Salt Lake City, UT [Member] 2024 Leases with Purchase Option Future Minimum Annualized Base Rent Receivable Next Twelve Months Future annualized base rental payments receivable within one year of the balance sheet date on leases with purchase options, whereby the tenant may elect to acquire the underlying real estate. Total comprehensive (income) loss attributable to noncontrolling interests Comprehensive Income (Loss), Net of Tax, Attributable to Noncontrolling Interest Gain on investments Gain (Loss) on Investments Additional paid-in capital Additional Paid in Capital Net income (loss) Net Income (Loss), Including Portion Attributable to Nonredeemable Noncontrolling Interest Gross assets Assets Before Accumulated Depreciation And Amortization The sum of the carrying amounts as of the balance sheet date of all assets prior to aggregate accumulated depreciation and amortization. Loans receivable, net Loans Receivable, Fair Value Disclosure Financing receivable, gross Total Total Financing Receivable, Excluding Accrued Interest, before Allowance for Credit Loss 631 Nashville, TN 631 Nashville, TN [Member] 2026 Finite-Lived Intangible Asset, Expected Amortization, Year Three Debt Instrument, Redemption, Period [Domain] Debt Instrument, Redemption, Period [Domain] CCRC resident loans CCRC Resident Loans [Member] CCRC Resident Loans Award Timing Method Award Timing Method [Text Block] Adjustment to Compensation, Amount Adjustment to Compensation Amount 3092 Sun City Center, FL 3092 Sun City Center, FL [Member] Massachusetts MASSACHUSETTS MASSACHUSETTS 1430 South San Francisco, CA 1430 South San Francisco, CA [Member] Auditor Name Auditor Name Compensation Actually Paid vs. Net Income Compensation Actually Paid vs. Net Income [Text Block] Peer Group Issuers, Footnote Peer Group Issuers, Footnote [Text Block] Accumulated depreciation related to corporate assets Accumulated depreciation and amortization Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment Entity Central Index Key Entity Central Index Key Variable rate Loans Receivable, Basis Spread on Variable Rate Total share-based compensation expense recognized Share-Based Payment Arrangement, Expense 638 Anchorage, AK 638 Anchorage, AK [Member] NEW JERSEY NEW JERSEY Number of unconsolidated joint ventures Number of Unconsolidated Joint Venture Represents number of unconsolidated joint ventures between entity and an institutional capital partner. 659 Los Gatos, CA 659 Los Gatos, CA [Member] Percentage of Total Company Revenues Revenue Benchmark [Member] Name Trading Arrangement, Individual Name Rental and related revenues related to amortization of net below market lease liabilities Amortization of Below Market Lease Intangibles Net Additional Revenue This element represents the additional revenue from amortization of net below market lease intangibles. Sorrento Therapeutics, Inc. Sorrento Therapeutics, Inc. [Member] Sorrento Therapeutics, Inc. Issuance of common stock, net Stock Issued During Period, Value, New Issues 598 Sugar Land, TX 598 Sugar Land, TX [Member] 2024 Term Loan 2024 Term Loan [Member] 2024 Term Loan Risks and Uncertainties [Abstract] Risks and Uncertainties [Abstract] Resident fees and services Revenue from Contract with Customer, Excluding Assessed Tax Entity [Domain] Entity [Domain] Long-term Debt, Type [Axis] Long-Term Debt, Type [Axis] Amendment Flag Amendment Flag Retained investment in connection with South San Francisco JVs transaction Noncash or Part Noncash, Retained Investments In Connection With Joint Ventures Noncash or Part Noncash, Retained Investments In Connection With Joint Ventures Loss (gain) upon change of control, net Gain (Loss) From Change Of Control Gain (Loss) From Change Of Control Definitive Agreements [Domain] Definitive Agreements [Domain] Definitive Agreements 1038 Fresno, CA 1038 Fresno, CA [Member] Movement in Valuation Allowances and Reserves SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward] Interest paid, net of capitalized interest Interest Paid, Excluding Capitalized Interest, Operating Activities LTIP Units LTIP Units [Member] LTIP Units Distributions in excess of earnings from unconsolidated joint ventures Distributions in Excess of Earnings from Unconsolidated Joint Ventures The cash inflow from unconsolidated joint ventures in which the entity does not have sufficient US GAAP earnings (accumulated or in the current period) to distribute funds to partners, thereby constituting a return of investment. Variable income from operating leases Operating Lease, Variable Lease Income TENNESSEE TENNESSEE Other non-segment Segment Reconciling Items [Member] Vested, Weighted Average Grant Date Fair Value (in dollars per share) Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Vested in Period, Weighted Average Grant Date Fair Value 1427 La Jolla, CA 1427 La Jolla, CA [Member] 1551 Hayward, CA 1551 Hayward, CA [Member] 596 N Richland Hills, TX 596 North Richland Hills, TX [Member] 2040 Mesa, AZ 2040 Mesa, AZ [Member] 3115 Cambridge, MA 3115 Cambridge, MA [Member] 590 Irving, TX 590 Irving, TX [Member] 434 Atlantis, FL 434 Atlantis, FL [Member] Noncontrolling interests’ share of consolidated joint venture operating expenses Operating Expenses From Joint Venture Attributable To Noncontrolling Interest Operating Expenses From Joint Venture Attributable To Noncontrolling Interest TRS Taxable Real Estate Investment Subsidiaries [Member] Represents information pertaining to the Company's certain subsidiaries which are treated as taxable Real Estate Investment Trust subsidiaries ("TRS" or "TRS entities). Cash flows from financing activities: Net Cash Provided by (Used in) Financing Activities [Abstract] Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures Income (loss) before income taxes Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Noncontrolling Interest 2964 Okeechobee, FL 2964 Okeechobee, FL [Member] Depreciation and amortization expense related to amortization of lease-up intangibles Amortization of Lease Up and Non Compete Agreement Intangibles Additional Expense This element represents the additional expense from amortization of lease-up and non-compete agreement intangibles. Capital expenditure funding, amount committed Capital Expenditure Funding, Amount Committed Capital Expenditure Funding, Amount Committed 2620 Fort Worth, TX 2620 Fort Worth, TX [Member] Sunrise Senior Housing Portfolio Sunrise Senior Housing Portfolio [Member] Sunrise Senior Housing Portfolio 143 Lufkin, TX 143 Lufkin, TX [Member] 2025 Debt Instrument, Redemption, Period Two [Member] 2579 Punta Gorda, FL 2579 Punta Gorda, FL [Member] Revenues: Revenues [Abstract] 628 Nashville, TN 628 Nashville, TN [Member] 520 Chandler, AZ 520 Chandler, AZ [Member] 2036 West Jordan, UT 2036 West Jordan, UT [Member] Discontinued operations Cash, Including Discontinued Operations [Abstract] 3025 Webster, TX 3025 Webster, TX [Member] Pay vs Performance Disclosure Pay vs Performance Disclosure [Table] Statement [Line Items] Statement [Line Items] Statement [Line Items] Deferred Deferred Federal, State and Local, Tax Expense (Benefit) [Abstract] Concentration Risk [Table] Concentration Risk [Table] Schedule of Derivative Instruments Schedule of Derivative Instruments [Table Text Block] Principal repayments SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Collections of Principal Total Noncontrolling Interests Noncontrolling Interest [Member] 3216 McKinney, TX 3216 McKinney, TX [Member] 3216 McKinney, TX Income (loss) from continuing operations applicable to common shares Net Income Loss Continuing Operations Available To Common Stockholders Basic Net Income Loss Continuing Operations Available To Common Stockholders Basic Income (loss) from discontinued operations Income (Loss) from Discontinued Operations, Net of Tax, Attributable to Parent 1441 South San Francisco, CA 1441 South San Francisco, CA [Member] 2020 Financing Receivable, Excluding Accrued Interest, Year Four, Originated, Three Years before Current Fiscal Year Stock Appreciation Rights (SARs) Stock Appreciation Rights (SARs) [Member] 2965 Aurora, CO 2965 Aurora, CO [Member] 2965 Aurora, CO Discontinued operations (in dollars per share) Income (Loss) from Discontinued Operations and Disposal of Discontinued Operations, Net of Tax, Per Diluted Share Senior Unsecured Notes 3.40% Senior Unsecured Notes 3.40% [Member] Senior Unsecured Notes 3.40% Line of credit facility, maximum borrowing capacity Line of Credit Facility, Maximum Borrowing Capacity Healthpeak’s share of unconsolidated joint venture government grant income Real Estate Revenues From Joint Venture Government Grant Income Real Estate Revenues From Joint Venture Government Grant Income WASHINGTON WASHINGTON Investment, Name [Domain] Investment, Name [Domain] 1513 Redwood City, CA 1513 Redwood City, CA [Member] Dilutive potential common shares - forward equity agreements (in shares) Incremental Common Shares Attributable to Dilutive Effect of Equity Forward Agreements 1473 Poway, CA 1473 Poway, CA [Member] 579 Conroe, TX 579 Conroe, TX [Member] 1385 Seattle, WA 1385 Seattle, WA [Member] 510 Thornton, CO 510 Thornton, CO [Member] 2651 Charlotte, NC 2651 Charlotte, NC [Member] Schedule of Impaired Long-Lived Assets Held and Used [Table] Schedule of Impaired Long-Lived Assets Held and Used [Table] 564 San Jose, CA 564 San Jose, CA [Member] Insider Trading Policies and Procedures [Line Items] Rule 10b5-1 Arrangement Terminated Rule 10b5-1 Arrangement Terminated [Flag] 1078 Flowood, MS 1078 Flowood, MS [Member] Restatement does not require Recovery Restatement Does Not Require Recovery [Text Block] 601 Corpus Christi, TX 601 Corpus Christi, TX [Member] Subsidiary or Equity Method Investee [Line Items] Subsidiary or Equity Method Investee [Line Items] 355 Salt Lake City, UT 355 Salt Lake City, UT [Member] Ownership [Axis] Ownership [Axis] Vesting of restricted stock units (in shares) Stock Issued During Period, Shares, Restricted Stock Award, Net of Forfeitures Fixed income from operating leases Operating Lease, Lease Income, Lease Payments Customer [Axis] Customer [Axis] 627 Nashville, TN 627 Nashville, TN [Member] 3004 Highland Park, IL 3004 Highland Park, IL [Member] Receivable [Domain] Receivable [Domain] Texas TEXAS TEXAS Bank Line of Credit Line of Credit [Member] SEC Schedule, 12-09, Valuation and Qualifying Accounts [Abstract] SEC Schedule, 12-09, Valuation and Qualifying Accounts [Abstract] Redeemable noncontrolling interests Redeemable Noncontrolling Interest, Equity, Carrying Amount 839 San Diego, CA 839 San Diego, CA [Member] 1462 South San Francisco, CA 1462 South San Francisco, CA [Member] Payments to acquire equity method investments Payments to acquire equity method investment Payments to Acquire Equity Method Investments Discontinued Operations, Held-for-sale or Disposed of by Sale Discontinued Operations, Held-for-Sale or Disposed of by Sale [Member] 663 Las Vegas, NV 663 Las Vegas, NV [Member] Collaborative Arrangement and Arrangement Other than Collaborative [Table] Collaborative Arrangement and Arrangement Other than Collaborative [Table] Impairment of Long-Lived Assets and Goodwill Impairment or Disposal of Long-Lived Assets, Including Intangible Assets, Policy [Policy Text Block] 1199 Denver, CO 1199 Denver, CO [Member] 1555 Hayward, CA 1555 Hayward, CA [Member] Total Lessor, Operating Lease, Payment to be Received Schedule of Equity Method Investments [Table] Schedule of Equity Method Investments [Table] 578 Conroe, TX 578 Conroe, TX [Member] 2027 Lessor, Operating Lease, Payment to be Received, Year Four Dividends [Domain] Dividends [Domain] Unvested restricted stock and performance restricted stock units activity Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Number of Shares [Roll Forward] 357 Orem, UT 357 Orem, UT [Member] Level 1 Fair Value, Inputs, Level 1 [Member] Deferred tax assets, net of valuation allowance Deferred Tax Assets, Net of Valuation Allowance Capital expenditure funding, amount funded Capital Expenditure Funding, Amount Funded Capital Expenditure Funding, Amount Funded 1558 San Diego, CA 1558 San Diego, CA [Member] 2545 Houston, TX 2545 Houston, TX [Member] Maximum number of shares available for future awards (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Number of Shares Available for Grant Audit Information [Abstract] Audit Information 2025 Long-Term Debt, Maturity, Year Two Number of Properties Leases with Purchase Option Future Minimum Annualized Payments Receivable Number of Properties [Abstract] Leases with Purchase Option Future Minimum Annualized Payments Receivable Number of Properties [Abstract] 3090 Bradenton, FL 3090 Bradenton, FL [Member] 2619 Fort Worth, TX 2619 Fort Worth, TX [Member] Recovery of Erroneously Awarded Compensation Disclosure [Line Items] Derivative amount Derivative, Notional Amount Schedule of Common Stock Distributions Schedule Of Dividends And Distributions [Table Text Block] Schedule Of Dividends And Distributions [Table Text Block] Restricted Stock 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Insider Trading Policies and Procedures Not Adopted Insider Trading Policies and Procedures Not Adopted [Text Block] Transaction and merger-related costs Transaction and merger-related costs Business Combination, Acquisition Related Costs Award Type [Axis] Award Type [Axis] Granted (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period Prior Financing Receivable, Excluding Accrued Interest, Originated, More than Five Years before Current Fiscal Year Supplemental schedule of non-cash investing and financing activities: Noncash Investing and Financing Items [Abstract] Reconciliation of Unrecognized Tax Benefits, Excluding Amounts Pertaining to Examined Tax Returns [Roll Forward] Reconciliation of Unrecognized Tax Benefits, Excluding Amounts Pertaining to Examined Tax Returns [Roll Forward] 2617 San Diego, CA 2617 San Diego, CA [Member] 2617 San Diego, CA [Member] Common dividends Dividends, Common Stock 577 Conroe, TX 577 Conroe, TX [Member] Additions Valuation Allowances and Reserves Additions [Abstract] b7d34adf-2bf5-147d-53d6-c162579b23d2 2014 Incentive Plan Stock Based Compensation, 2014 Incentive Plan [Member] Information pertaining to 2014 Performance Incentive Plan. Increase in ROU asset in exchange for new lease liability related to operating leases Right-of-Use Asset Obtained in Exchange for Operating Lease Liability Less: imputed interest Lessee, Operating Lease, Liability, Undiscounted Excess Amount Schedule of Income Tax Expense (Benefit) From Continuing Operations Schedule of Components of Income Tax Expense (Benefit) [Table Text Block] 1483 Brisbane, CA 1483 Brisbane, CA [Member] SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, by Property [Table] SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, by Property [Table] Refundable entrance fees Refundable Entrance Fees, Current and Noncurrent Refundable Entrance Fees, Current and Noncurrent 1508 Redwood City, CA 1508 Redwood City, CA [Member] 1509 Redwood City, CA 1509 Redwood City, CA [Member] 2709 Cambridge, MA 2709 Cambridge, MA [Member] 2026 Lessee, Operating Lease, Liability, to be Paid, Year Three Intangible assets, net Intangible assets, net Finite-Lived Intangible Assets, Net Recent Accounting Pronouncements New Accounting Pronouncements, Policy [Policy Text Block] Average cost per share (in dollars per share) Shares Acquired, Average Cost Per Share Capital expenditure funding, cost of capital, percent committed Capital Expenditure Funding, Cost Of Capital, Percent Committed Capital Expenditure Funding, Cost Of Capital, Percent Committed Noncontrolling interests’ share in discontinued operations Income (Loss) from Discontinued Operations, Net of Tax, Attributable to Noncontrolling Interest 1436 South San Francisco, CA 1436 South San Francisco, CA [Member] Proceeds from sale of buildings Proceeds from sale of buildings Proceeds from Sale of Buildings 2611 Allen, TX 2611 Allen, TX [Member] 729 Albuquerque, NM 729 Albuquerque, NM [Member] Security Exchange Name Security Exchange Name 2700 Zionsville, IN 2700 Zionsville, IN [Member] Derivative Financial Instruments Derivative Instruments and Hedging Activities Disclosure [Text Block] 2874 Brisbane, CA 2874 Brisbane, CA [Member] Total costs and expenses Costs and Expenses 2557 South San Francisco, CA 2557 South San Francisco, CA [Member] Maximum Maximum [Member] Document Type Document Type Number of properties disposed Disposition of Properties Sold Number Represents the number of properties sold during the period, not categorized as discontinued operations. 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Aggregate Erroneous Compensation Not Yet Determined Aggregate Erroneous Compensation Not Yet Determined [Text Block] 1463 South San Francisco, CA 1463 South San Francisco, CA [Member] Operating segment Operating Segment Operating Segments [Member] 1983 South San Francisco, CA 1983 South San Francisco, CA [Member] 1405 Hayward, CA 1405 Hayward, CA [Member] Fixed interest rate Pay Rate Derivative, Fixed Interest Rate Casualty-related loss (recoveries), net Insured event loss Insured Event, Gain (Loss) 3084 Holland, MI 3084 Holland, MI [Member] 3093 Waltham, MA 3093 Waltham, MA [Member] Schedule III: Real Estate and Accumulated Depreciation SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation Disclosure [Text Block] Operating Disposal Group, Including Discontinued Operation, Operating Expense Share-based payment arrangement, amount capitalized Share-Based Payment Arrangement, Amount Capitalized Entity Interactive Data Current Entity Interactive Data Current 737 Louisville, KY 737 Louisville, KY [Member] Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: Adjustments, Noncash Items, to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract] 3215 Wylie, TX 3215 Wylie, TX [Member] 3215 Wylie, TX 603 Lake Worth, FL 603 Lake Worth, FL [Member] Share-based Compensation Arrangement by Share-based Payment Award [Line Items] Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items] 2848 Greer, SC 2848 Greer, SC [Member] Liabilities related to assets held for sale, net Liabilities Related To Assets Held For Sale, Net Liabilities Related To Assets Held For Sale, Net 1471 Poway, CA 1471 Poway, CA [Member] Revenue Recognition Revenue from Contract with Customer [Policy Text Block] Decrease in ROU asset with corresponding change in lease liability related to operating leases Decrease in Right-of-Use Asset Obtained in Exchange for Operating Lease Liability Decrease in Right-of-Use Asset Obtained in Exchange for Operating Lease Liability Advertising expense Advertising Expense 1528 South San Francisco, CA 1528 South San Francisco, CA [Member] 1528 South San Francisco, CA Counterparty Name [Axis] Counterparty Name [Axis] 678 San Diego, CA 678 San Diego, CA [Member] Building and Improvements SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Initial Cost of Building and Improvements 9999 Denton, TX 9999 Denton, TX [Member] 3120 Cambridge, MA 3120 Cambridge, MA [Member] Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items] Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items] 2024 Finite-Lived Intangible Asset, Expected Amortization, Year One Schedule of Tenant Purchase Options Schedule of Tenant Purchase Options [Table Text Block] Schedule of Tenant Purchase Options [Table Text Block] Common stock, shares outstanding (in shares) Common Stock, Shares, Outstanding 809 Englewood, CO 809 Englewood, CO [Member] 2033 Sandy, UT 2033 Sandy, UT [Member] Indemnification Agreement Indemnification Agreement [Member] PEO PEO [Member] Weighted average remaining amortization period in years Acquired Finite-Lived Intangible Liabilities, Weighted Average Useful Life Acquired Finite-Lived Intangible Liabilities, Weighted Average Useful Life Common stock, par value (in dollars per share) Common Stock, Par or Stated Value Per Share 700 Irving, TX 700 Irving, TX [Member] 2854 Greenville, SC 2854 Greenville, SC [Member] California, Florida, and Other California, Florida, And Other [Member] California, Florida, And Other Interest rate swap instruments Interest Rate Swap [Member] Income (loss) from continuing operations attributable to Healthpeak Properties, Inc. Income (Loss) from Continuing Operations, Net of Tax, Attributable to Parent Discovery SHOP Portfolio Discovery SHOP Portfolio [Member] Discovery SHOP Portfolio Deferred tax liabilities: Deferred Tax Liabilities, Gross [Abstract] Credit Facility [Axis] Credit Facility [Axis] Total current Current Income Tax Expense (Benefit) 1423 San Diego CA 1423 San Diego, CA [Member] Corporate Segment Corporate Segment [Member] 2026 Lessor, Operating Lease, Payment to be Received, Year Three Class of Financing Receivable [Axis] Class of Financing Receivable [Axis] Non-Rule 10b5-1 Arrangement Adopted Non-Rule 10b5-1 Arrangement Adopted [Flag] Operating Activities [Axis] Operating Activities [Axis] 2027 Leases with Purchase Option Future Minimum Annualized Base Rent Receivable in Four Years Future annualized base rental payments receivable within fourth year of the balance sheet date on leases with purchase options, whereby the tenant may elect to acquire the underlying real estate. 633 Nashville, TN 633 Nashville, TN [Member] Long-Lived Tangible Asset [Domain] Long-Lived Tangible Asset [Domain] Subsequent Event [Line Items] Subsequent Event [Line Items] Buildings and Improvements SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation, Building and Improvements, Amount Maximum shares issuable under forward equity sales agreement (in shares) Forward Contract Indexed to Issuer's Equity, Shares Number of properties may be contributed in the agreement Contribution Of Property, Number Of Properties Contribution Of Property, Number Of Properties General and administrative General and administrative General and Administrative Expense SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Abstract] SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Abstract] Awards Close in Time to MNPI Disclosures, Table Awards Close in Time to MNPI Disclosures [Table Text Block] Gross receipts and margin taxes Effective Income Tax Rate Reconcoliation, Gross Receipts and Margin Taxes Amount of the difference between reported income tax expense (benefit) and expected income tax expense (benefit) computed by applying the domestic federal statutory income tax rates to pretax income (loss) from continuing operations attributable to gross receipts and margin taxes. Segment Reporting Segment Reporting, Policy [Policy Text Block] 2654 Riverside, CA 2654 Riverside, CA [Member] 561 Hermitage, TN 561 Hermitage, TN [Member] Interest rate cap instruments Interest Rate Cap [Member] Short-term Debt, Type [Domain] Short-Term Debt, Type [Domain] Beginning balance Ending balance Temporary Equity, Carrying Amount, Including Portion Attributable to Noncontrolling Interests 1054 Durant, OK 1054 Durant, OK [Member] Earnings per Share Earnings Per Share, Policy [Policy Text Block] 691 Las Vegas, NV 691 Las Vegas, NV [Member] 2043 Overland Park, KS 2043 Overland Park, KS [Member] Disposal Group, Disposed of by Means Other than Sale, Not Discontinued Operations, Abandonment Disposal Group, Disposed of by Means Other than Sale, Not Discontinued Operations, Abandonment [Member] Concentration risk (as a percent) Concentration Risk, Percentage 3142 Brisbane, CA 3142 Brisbane CA [Member] Schedule of Accumulated Other Comprehensive Income (Loss) Schedule of Accumulated Other Comprehensive Income (Loss) [Table Text Block] 2028 Finite-Lived Intangible Asset, Expected Amortization, Year Five 2696 Scottsdale, AZ 2696 Scottsdale, AZ [Member] Net cash provided by (used in) operating activities Net Cash Provided by (Used in) Operating Activities DownREIT units outstanding (in shares) Down REIT Units Outstanding The number of DownREIT units outstanding. Class of Stock [Axis] Class of Stock [Axis] Thereafter Leases with Purchase Option Number of Properties Thereafter Number of properties for which future annualized rental payments are receivable after the fifth year of the balance sheet date on leases with purchase options, whereby the tenant may elect to acquire the underlying real estate. Investments in and Advances to Unconsolidated Joint Ventures Equity Method Investments and Joint Ventures Disclosure [Text Block] 2558 South San Francisco, CA 2558 South San Francisco, CA [Member] Accumulated depreciation and amortization Finite Lived Intangible Liabilities Accumulated Amortization Accumulated amount of amortization of liabilities, excluding financial liabilities, lacking physical substance with a finite life. Qualified business income for purpose of Code Section 199A (in dollars per share) Qualified Business Income, Code Section 199A Qualified Business Income, Code Section 199A Length of debt instrument extension period Debt Instrument, Period Of Extension Represents the length of the debt instrument extension period. 563 Orlando, FL 563 Orlando, FL [Member] Award Timing, How MNPI Considered Award Timing, How MNPI Considered [Text Block] Schedule of Amortization of Deferred Lease Costs and Acquisition Related Intangibles Schedule Of Finite-lived Intangible Assets And Below Market Lease Amortization Expense [Table Text Block] Schedule Of Finite-lived Intangible Assets And Below Market Lease Amortization Expense [Table Text Block] 2630 Lexington, MA 2630 Lexington, MA [Member] Commercial Paper Commercial Paper [Member] Performing loans Performing Financial Instruments [Member] 2555 South San Francisco, CA 2555 South San Francisco, CA [Member] Goodwill, impairment loss Goodwill, Impairment Loss 440 West Hills, CA 440 West Hills, CA [Member] 3139 Brisbane, CA 3139 Brisbane, CA [Member] Valuation allowance Deferred Tax Assets, Valuation Allowance Decrease (increase) in accounts receivable and other assets, net Increase (Decrease) in Accounts Receivable and Other Operating Assets 679 San Diego CA 679 San Diego, CA [Member] Decrease in financing receivable Increase (Decrease) in Finance Receivables Allowance Accounts SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items] 2575 Florence, SC 2575 Florence, SC [Member] 1064 Lexington, KY 1064 Lexington, KY [Member] Denominator Earnings Per Share Reconciliation [Abstract] Depreciation and amortization Depreciation and amortization Depreciation and amortization of real estate, in-place lease, and other intangibles Depreciation, Depletion and Amortization, Nonproduction 570 Lone Tree, CO 570 Lone Tree, CO [Member] Debt instrument, period after closing Debt Instrument, Draw Time Period After Closing Debt Instrument, Draw Time Period After Closing Intangible assets, net Intangible Assets, Net (Excluding Goodwill) Other Investments Other Investment [Member] Other Investment 782 Seattle, WA 782 Seattle, WA [Member] Residency agreement term, minimum Residency Agreement Term, Minimum Represents the minimum period specified under the residency agreement. 2026 Scottsdale, AZ 2026 Scottsdale, AZ [Member] 2578 Naples, FL 2578 Naples, FL [Member] Section 897, capital distribution percentage Income Tax, Section 897 Gain (Loss) Percentage Income Tax, Section 897 Gain (Loss) Percentage 1511 Redwood City, CA 1511 Redwood City, CA [Member] Common Stock Common Stock [Member] 144 Longview, TX 144 Longview, TX [Member] Individual: Individual [Axis] SEC Schedule, 12-09, Valuation Allowances and Reserves Type [Axis] SEC Schedule, 12-09, Valuation Allowances and Reserves Type [Axis] Entity Address, Postal Zip Code Entity Address, Postal Zip Code Interest Rate Swap, 4.63% Pay Rate Interest Rate Swap, 4.63% Pay Rate [Member] Interest Rate Swap, 4.63% Pay Rate 1949 La Jolla, CA 1949 La Jolla, CA [Member] 3109 Cambridge, MA 3109 Cambridge, MA [Member] 602 Atlantis, FL 602 Atlantis, FL [Member] Total equity Balance Balance Equity, Including Portion Attributable to Noncontrolling Interest Minimum Minimum [Member] Distributions of earnings from unconsolidated joint ventures Proceeds from Equity Method Investment, Distribution Property count Number of Real Estate Properties Total other comprehensive income (loss) Other comprehensive income (loss) Other Comprehensive Income (Loss), Net of Tax 2632 Lexington, MA 2632 Lexington, MA [Member] 2632 Lexington, MA Number of loans Number Of Loans Number Of Loans Number of properties classified as held for sale Properties Held for Sale, Number The number of properties held for sale at the reporting date. 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equity awards (in shares) Incremental Common Shares Attributable to Dilutive Effect of Share-Based Payment Arrangements Maximum borrowing capacity Debt Instrument, Maximum Borrowing Capacity Debt Instrument, Maximum Borrowing Capacity 3121 Cambrigde, MA 3121 Cambridge, MA [Member] Documents Incorporated by Reference Documents Incorporated by Reference [Text Block] 1442 South San Francisco, CA 1442 South San Francisco, CA [Member] Current period recoveries Current Period Recoveries [Member] Current Period Recoveries Adoption Date Trading Arrangement Adoption Date Loss Contingency Nature [Axis] Loss Contingency Nature [Axis] 2966 Houston, TX 2966 Houston, TX [Member] Designated as Hedging Instrument Designated as Hedging Instrument [Member] Senior Unsecured Notes 4.00% Senior Unsecured Notes 4.00%, May Payoff [Member] Senior Unsecured Notes 4.00%, May Payoff Depreciation expense SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation, Depreciation Expense Repayments and repurchases of term loans, senior unsecured notes, and mortgage debt Repayments of Bank Debt 2234 Philadelphia, PA 2234 Philadelphia, PA [Member] Real estate held-for-sale Real Estate, Held-for-Sale Equity [Abstract] Equity [Abstract] Weighted average remaining lease term (years) Operating Lease, Weighted Average Remaining Lease Term Compensation Actually Paid vs. Company Selected Measure Compensation Actually Paid vs. Company Selected Measure [Text Block] 2648 Concord, NH 2648 Concord, NH [Member] Postvesting restrictions Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Discount for Postvesting Restrictions Financing Receivable, Credit Quality Indicator [Table] Financing Receivable, Credit Quality Indicator [Table] Credit Facility [Domain] Credit Facility [Domain] Common stock repurchased (in shares) Treasury Stock, Shares, Acquired Loan, basis spread on variable rate Debt Instrument, Basis Spread on Variable Rate Compensation Actually Paid vs. Other Measure Compensation Actually Paid vs. Other Measure [Text Block] Numerator Net Income (Loss) Available to Common Stockholders, Basic [Abstract] Senior Unsecured Notes 4.25% Senior Unsecured Notes 4.25%, January Payoff [Member] Senior Unsecured Notes 4.25%, January Payoff Number of leases Number Of Leases Number Of Leases Cash and Cash Equivalents Cash and Cash Equivalents, Unrestricted Cash and Cash Equivalents, Policy [Policy Text Block] 1475 Poway, CA 1475 Poway, CA [Member] Variable Interest Entities Variable Interest Entities [Text Block] The entire disclosure for variable interest entities, including description of the terms of arrangements and categorized by: (1) VIEs consolidated because the entity is the primary beneficiary, (2) VIEs not consolidated because the entity is not the primary beneficiary, and (3) VIEs or potential VIEs that are not consolidated because necessary information is not available. Deferred Revenue Revenue from Contract with Customer [Text Block] 3009 Burnsville, MN 3009 Burnsville, MN [Member] Restricted cash Restricted Cash and Cash Equivalents, Including Discontinued Operations, Total Restricted Cash and Cash Equivalents, Including Discontinued Operations, Total Net unrealized gains (losses) on derivatives Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification, after Tax Conversion of DownREIT units to common stock (in shares) Conversion of DownREIT units (in shares) Stock Issued During Period, Shares, Conversion of Units Cash, cash equivalents, and restricted cash, beginning of year Cash, cash equivalents, and restricted cash, end of year Cash, cash equivalents, and restricted cash Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, Including Disposal Group and Discontinued Operations Cover [Abstract] Cover [Abstract] Loans Receivable Loans, Notes, Trade and Other Receivables Disclosure [Text Block] 2552 The Woodlands, TX 2552 Woodlands, TX [Member] Noncontrolling Interests Noncontrolling Interests [Policy Text Block] Disclosure of accounting policy for noncontrolling interests. 1458 South San Francisco, CA 1458 South San Francisco, CA [Member] Dividends paid on common stock Payments of Dividends Exchange ratio (in shares) Convertible Common Stock, Shares Issued Upon Conversion Convertible Common Stock, Shares Issued Upon Conversion Operating expenses Operating Expenses Segment Disclosures Segment Reporting Disclosure [Text Block] Rental Revenues And Resident Fees And Services Rental Revenues And Resident Fees And Services [Member] Rental Revenues And Resident Fees And Services Expected loan losses related to loans sold or repaid Financing Receivable, Excluding Accrued Interest, Sale and Reclassification to Held-for-Sale Net increase (decrease) in cash, cash equivalents, and restricted cash Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect 2023 At-The-Market Program 2023 At-The-Market Program [Member] 2023 At-The-Market Program Mortgage Debt Secured Debt [Member] Equity Component [Domain] Equity Component [Domain] 2835 Pearland, TX 2835 Pearland, TX [Member] 3006 Arlington Heights, IL 3006 Arlington Heights, IL [Member] Casualty-Related Losses Casualty-Related Losses [Member] Casualty-Related Losses 465 Salt Lake City, UT 465 Salt Lake City, UT [Member] Commitments Contractual Obligation Non-GAAP Measure Description Non-GAAP Measure Description [Text Block] Medical Office JVs Medical Office JVs [Member] Medical Office JVs [Member] Other Deferred Tax Liabilities, Other 3016 Midlothian, VA 3016 Midlothian, VA [Member] Entity Current Reporting Status Entity Current Reporting Status Concentration Risk Type [Domain] Concentration Risk Type [Domain] Interest Rate Swap, 4.99% Pay Rate Interest Rate Swap, 4.99% Pay Rate [Member] Interest Rate Swap, 4.99% Pay Rate Deferred tax liabilities Deferred Tax Liabilities, Gross 2647 Concord, NH 2647 Concord, NH [Member] 3137 Cambridge, MA 3137 Cambridge, MA [Member] Return to provision adjustments Effective Income Tax Rate Reconciliation, Return to Provision Amount of the difference between reported income tax expense (benefit) and expected income tax expense (benefit) computed by applying the domestic federal statutory income tax rates to pretax income (loss) from continuing operations attributable to return to provision adjustments. 352 Washington Terrace, UT 352 Washington Terrace, UT [Member] 2719 Marion, IL 2719 Marion, IL [Member] Fair Value Estimate of Fair Value Measurement [Member] Dividends [Axis] Dividends [Axis] Forgone Recovery due to Disqualification of Tax Benefits, Amount Forgone Recovery due to Disqualification of Tax Benefits, Amount 2998 Seminole, FL 2998 Seminole, FL [Member] 2631 Lexington, MA 2631 Lexington, MA [Member] Senior Notes During Year Ended December 31, 2021 Senior Notes During Year Ended December 31, 2021 [Member] Senior Notes During Year Ended December 31, 2021 Proceeds from the collection of loans receivable Proceeds from Collection of Loans Receivable Variable Rate [Domain] Variable Rate [Domain] 604 Englewood, FL 604 Englewood, FL [Member] Statistical Measurement [Domain] Statistical Measurement [Domain] Underlying Security Market Price Change Underlying Security Market Price Change, Percent 3087 The Villages, FL 3087 The Villages, FL [Member] 3108 Cambridge, MA 3108 Cambridge, MA [Member] 2006 Incentive Plan Stock Based Compensation, 2006 Incentive Plan [Member] Represents 2006 Performance Incentive Plan approved by stockholders on May 11, 2006. Other income (expense), net Disposal Group, Including Discontinued Operation, Other Income Variable Interest Entity Variable Interest Entity, Primary Beneficiary [Member] Revolving Credit Facility Revolving Credit Facility [Member] Schedule of Consolidated Assets and Liabilities of Variable Interest Entities Schedule Of Variable Interest Entities Included In The Balance Sheet [Table Text Block] Tabular disclosure of the VIE's total assest and liabilities included in the consolidated balance sheet. Supplemental Executive Retirement Plan minimum liability Accumulated Other Comprehensive (Income) Loss, Defined Benefit Plan, after Tax MNPI Disclosure Timed for Compensation Value MNPI Disclosure Timed for Compensation Value [Flag] Discontinued Operations and Disposal Groups [Abstract] Restatement Determination Date: Restatement Determination Date [Axis] Allowance Accounts Allowance Accounts [Member] This element represents the allowance accounts including the allowance for doubtful accounts, straight-line rent reserves, and allowances for loan and direct financing lease losses. Total other income (expense), net Nonoperating Income (Expense) Acquired Properties SEC Schedule, 12-09, Valuation Allowances and Reserves, Business Acquired 1560 South San Francisco, CA 1560 South San Francisco, CA [Member] Geographical [Axis] Geographical [Axis] 2873 San Diego, CA 2873 San Diego, CA [Member] Collaborative Arrangement and Arrangement Other than Collaborative [Axis] Collaborative Arrangement and Arrangement Other than Collaborative [Axis] Income Taxes Income Tax Disclosure [Text Block] 483 Wichita, KS 483 Wichita, KS [Member] 2039 Kansas City, KS 2039 Kansas City, KS [Member] Concentration Risk [Line Items] Concentration Risk [Line Items] 634 Nashville, TN 634 Nashville, TN [Member] Lessee Accounting Lessee, Leases [Policy Text Block] 1422 San Diego, CA 1422 San Diego, CA [Member] Loans receivable, floor rate percentage Loans Receivable, Floor Rate Loans Receivable, Floor Rate Change in valuation allowance for deferred tax assets Effective Income Tax Rate Reconciliation, Change in Deferred Tax Assets Valuation Allowance, Amount Callan Ridge Joint Venture Callan Ridge Joint Venture [Member] Callan Ridge Joint Venture Real estate acquisitions [Line Items] Business Acquisition [Line Items] Weighted Average Grant Date Fair Value Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value [Abstract] Loans receivable, net of reserves of $2,830 and $8,280 Loans receivable, net Loans receivable Financing Receivable, Excluding Accrued Interest, after Allowance for Credit Loss PEO Total Compensation Amount PEO Total Compensation Amount Mortgage debt Mortgage debt Secured Debt Hedging Relationship [Axis] Hedging Relationship [Axis] Land and improvements Land 2841 Greenville, SC 2841 Greenville, SC [Member] 3026 Bentonville, AR 3026 Bentonville, AR [Member] 2864 Washington Terrace, UT 2864 Washington Terrace, UT [Member] Plus: Adjustments to NOI Reconciliation Of Operating Profit Loss From Segments To Consolidated Non Cash Adjustments Represents the addback of straight-line rents, DFL accretion, amortization of market lease intangibles and lease termination fees from segment portfolio income to consolidated net income. Trading Arrangements, by Individual Trading Arrangements, by Individual [Table] Healthpeak OP Healthpeak OP [Member] Healthpeak OP Leases Lessor, Operating Leases [Text Block] 400 Harrison, OH 400 Harrison, OH [Member] 2553 South San Francisco, CA 2553 South San Francisco, CA [Member] Term loan Loans Payable to Bank, Noncurrent 2967 Nashville, TN 2967 Nashville, TN [Member] Adjusted NOI Adjusted Net Operating Income from Continuing Operations Adjusted NOI is a non-GAAP supplemental financial measure used to evaluate the operating performance of real estate. Adjusted NOI is calculated as NOI after eliminating the effects of straight-line rents, DFL non-cash interest, amortization of market lease intangibles and lease termination fees (?non cash adjustments?). Adjusted NOI is oftentimes referred to as ?cash NOI.? The Company uses adjusted NOI to make decisions about resource allocations, and to assess and compare property level performance. The Company believes that net income (loss) is the most directly comparable U.S. GAAP measure to adjusted NOI. Adjusted NOI should not be viewed as an alternative measure of operating performance to net income (loss) as defined by GAAP since it does not reflect various excluded items. Further, the Company?s definition of Adjusted NOI may not be comparable to the definition used by other REITs or real estate companies, as they may use different methodologies for calculating Adjusted NOI. Exercise of stock options Stock Issued During Period, Value, Stock Options Exercised 1985 South San Francisco, CA 1985 South San Francisco, CA [Member] 1419 San Diego, CA 1419 San Diego CA [Member] At-The-Market Program At-The-Market Program [Member] At-The-Market Program [Member] 3074 Cambridge, MA 3074 Cambridge, MA [Member] Net income (loss) attributable to Healthpeak Properties, Inc. Net Income (Loss) Net Income (Loss) 2476 San Diego, CA 2476 San Diego, CA [Member] Derivative Contract [Domain] Derivative Contract [Domain] Changed Peer Group, Footnote Changed Peer Group, Footnote [Text Block] Leases Lessee, Operating Leases [Text Block] 2694 Anderson, SC 2694 Anderson, SC [Member] Ordinary dividends Ordinary Dividends [Member] Ordinary Dividends [Member] Life Science Joint Venture In San Francisco, California Life Science Joint Venture In San Francisco, California [Member] Life Science Joint Venture In San Francisco, California LIABILITIES AND EQUITY Liabilities and Equity [Abstract] Finite-Lived Intangible Assets [Line Items] Finite-Lived Intangible Assets [Line Items] Repurchase of common stock Stock Repurchased During Period, Value Debt Instrument, Redemption, Period [Axis] Debt Instrument, Redemption, Period [Axis] 812 Littleton, CO 812 Littleton, CO [Member] 3085 Seminole, FL 3085 Seminole, FL [Member] Operating Cost of Goods and Services Sold Stock-based awards, vesting period Share-Based Compensation Arrangement by Share-Based Payment Award, Award Vesting Period Lease and other contractual commitments Lease and other commitment [Member] Lease and other commitment [Member] Weighted average remaining amortization period in years Acquired Finite-Lived Intangible Assets, Weighted Average Useful Life Contributions from noncontrolling interests Temporary Equity, Noncontrolling Interest, Contributions From Noncontrolling Interest Temporary Equity, Noncontrolling Interest, Contributions From Noncontrolling Interest Other Commitments [Table] Other Commitments [Table] Name Measure Name 3069 San Diego, CA 3069 San Diego, CA [Member] 805 Fort Worth, TX 805 Fort Worth, TX [Member] Goodwill Goodwill 2548 Houston, TX 2548 Houston, TX [Member] Total revenues Disposal Group, Including Discontinued Operation, Revenue Number of redeemable noncontrolling interests, redeemable over time Number Of Redeemable Noncontrolling Interests, Redeemable Over Time Number of Redeemable Noncontrolling Interests, Redeemable Over Time Outstanding balance Loans Receivable, Outstanding Balance Loans Receivable, Outstanding Balance Measurement Basis [Axis] Measurement Basis [Axis] Outpatient medical Medical Office [Member] Properties that are part of continuing operations, and which are classified as medical office. 3104 San Diego, CA 3104 San Diego, CA [Member] 3104 San Diego, CA Ventures V, LLC Ventures V, LLC [Member] Represents information pertaining to HCP Ventures V. Fair Value Measurement [Domain] Fair Value Measurement [Domain] 1065 Marion, IL 1065 Marion, IL [Member] Cash proceeds Proceeds from Real Estate and Real Estate Joint Ventures Equity loss (income) from unconsolidated joint ventures Income Loss From Equity Method Investments, Including Discontinued Operations Income Loss From Equity Method Investments, Including Discontinued Operations Proceeds from nonrefundable entrance fees Proceeds From Nonrefundable Entrance Fees Proceeds From Nonrefundable Entrance Fees Debt instrument, term (in months) Term of facility Debt Instrument, Term 2845 Greenville, SC 2845 Greenville, SC [Member] Costs Capitalized Subsequent to Acquisition Real Estate and Accumulated Depreciation, Costs Capitalized Subsequent to Acquisition Carrying amount as of the balance sheet date of costs that were capitalized after acquisition, including property improvements and carrying costs (for example, real estate taxes and insurance), but excluding the initial purchase price. 3017 Midlothian, VA 3017 Midlothian, VA [Member] Secured loan Number of Secured Loans Number of Secured Loans Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] 1060 Jackson, MS 1060 Jackson, MS [Member] 2698 Mooresville, IN 2698 Mooresville, IN [Member] 3110 San Diego, CA 3110 San Diego, CA [Member] 1413 South San Francisco, CA 1413 South San Francisco, CA [Member] Schedule of Future Minimum Lease Obligations, 842 Lessee, Operating Lease, Liability, to be Paid, Maturity [Table Text Block] 112 Overland Park, KS 112 Overland Park, KS [Member] 3100 South San Francisco, CA 3100 South San Francisco CA [Member] Summary of the Carrying Values and Fair Values of Financial Instruments Fair Value, by Balance Sheet Grouping [Table Text Block] Total costs and expenses Disposal Group Including Discontinued Operation Total Costs And Expenses Disposal Group Including Discontinued Operation Total Costs And Expenses Commercial Mortgage-Backed Securities Commercial Mortgage-Backed Securities [Member] Other Performance Measure, Amount Other Performance Measure, Amount 3073 Lexington, MA 3073 Lexington, MA [Member] 2574 Florence, SC 2574 Florence, SC [Member] Impairments 2021 Impairments 2021 [Member] Impairments 2021 Proceeds from sale of loans and preferred equity method investments Proceeds from Sale of Financing Receivable, after Allowance for Credit Loss and Preferred Equity Method Investment Proceeds from Sale of Financing Receivable, after Allowance for Credit Loss and Preferred Equity Method Investment Payments for debt extinguishment and deferred financing costs Payment for Debt Extinguishment or Debt Prepayment Cost Number of VIE borrowers with marketable debt securities Number Of VIE Borrowers With Marketable Debt Securities The number of VIE borrowers in which the entity has invested in marketable debt securities. Proceeds from sale of receivables Proceeds from Sale of Finance Receivables Maximum number of shares reserved for awards (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Number of Shares Authorized 169 Bountiful, UT 169 Bountiful, UT [Member] Operating Loss Carryforwards [Table] Operating Loss Carryforwards [Table] 2572 Springdale, AR 2572 Springdale, AR [Member] Use of Estimates Use of Estimates, Policy [Policy Text Block] Entity File Number Entity File Number Mortgage loan on real estate, multiple due 2023 Mortgage Loans On Real Estate Interest Multiple, Due 2023 [Member] Mortgage Loans On Real Estate Interest Multiple, Due 2023 Thereafter Lessee, Operating Lease, Liability, to be Paid, after Year Five 2026 Long-Term Debt, Maturity, Year Three Number of bond offerings Number Of Bond Offerings Number Of Bond Offerings Real Estate [Abstract] Real Estate [Abstract] Auditor Firm ID Auditor Firm ID Number of preferred equity method investments sold Number of Preferred Equity Method Investments Sold Number of Preferred Equity Method Investments Sold Intangibles Intangible Assets and Liabilities Disclosure [Text Block] This block of text may be used to disclose all or part of the information related to intangible assets and liabilities. Rule 10b5-1 Arrangement Adopted Rule 10b5-1 Arrangement Adopted [Flag] Debt instrument, periodic payment, principal Debt Instrument, Periodic Payment, Principal Schedule of Company's Other Common Stock Activities Schedule of Stock by Class [Table Text Block] Accounts payable, accrued liabilities, and other liabilities Accounts payable, accrued liabilities, and other liabilities Accounts Payable and Accrued Liabilities Other non-reportable Other Non-Reporting Segment Other Non-Reporting Segment [Member] Represents the information pertaining to other non-reporting segment 3101 South San Francisco, CA 3101 South San Francisco CA [Member] Government Assistance, CARES Act Government Assistance, CARES Act [Member] Government Assistance, CARES Act Cumulative Dividends In Excess Of Earnings Accumulated Distributions in Excess of Net Income [Member] 1412 South San Francisco, CA 1412 South San Francisco, CA [Member] Long-term debt Long-Term Debt Total unrecognized compensation cost, period of recognition Share-Based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Period for Recognition Total comprehensive income (loss) attributable to Healthpeak Properties, Inc. Comprehensive Income (Loss), Net of Tax, Attributable to Parent 1052 Towson, MD 1052 Towson, MD [Member] 3136 Cambridge, MA 3136 Cambridge, MA [Member] 2703 Columbia, MO 2703 Columbia, MO [Member] Accounting Standards Update [Domain] Accounting Standards Update [Domain] Entity Address, Address Line One Entity Address, Address Line One Entity Address, Address Line Two Entity Address, Address Line Two Amount that the tax basis of the Company's net real estate is less than the reported amounts Real Estate Federal Income Tax Basis Less than Reported Net Assets The amount by which the tax basis of the entity's net real estate is less than the reported amounts as of year-end. 446 Houston, TX 446 Houston, TX [Member] 2023 Scottsdale, AZ 2023 Scottsdale, AZ [Member] Subsequent Event [Table] Subsequent Event [Table] Margin rate (as a percent) Debt Instrument, Margin Rate Debt Instrument, Margin Rate 2025 Leases with Purchase Option Future Minimum Annualized Base Rent Receivable in Two Years Future annualized base rental payments receivable within second year of the balance sheet date on leases with purchase options, whereby the tenant may elect to acquire the underlying real estate. 2995 Port Charlotte, FL 2995 Port Charlotte, FL [Member] 2853 Greenville, SC 2853 Greenville, SC [Member] 3000 Lone Tree, CO 3000 Lone Tree, CO [Member] 2618 San Diego, CA 2618 San Diego, CA [Member] 2618 San Diego, CA [Member] 2233 Lone Tree, CO 2233 Lone Tree, CO [Member] n/a Summary of financial instruments Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] Brookdale Triple Net Portfolio Brookdale Triple Net Portfolio [Member] Brookdale Triple Net Portfolio Subsequent Event Subsequent Event [Member] Deferred revenue Deferred Tax Assets, Deferred Income Adjustments to redemption value of redeemable noncontrolling interests Adjustments Of Permanent Equity To Temporary Equity Adjustments Of Permanent Equity To Temporary Equity Issuance of common stock, net (in shares) Stock Issued During Period, Shares, New Issues 1208 Fairfax, VA 1208 Fairfax, VA [Member] 3116 Cambridge, MA 3116 Cambridge, MA [Member] Government Grant Income Government Grant Income Policy [Policy Text Block] Government Grant Income Policy 240 Minneapolis, MN 240 Minneapolis, MN [Member] 1986 South San Francisco, CA 1986 South San Francisco, CA [Member] 1986 South San Francisco, CA [Member] Forward rate per share (in dollars per share) Forward Contract Indexed to Issuer's Equity, Forward Rate Per Share Class of Stock [Line Items] Class of Stock [Line Items] Tax benefit (expense) at U.S. federal statutory income tax rate on income or loss subject to tax Effective Income Tax Rate Reconciliation at Federal Statutory Income Tax Rate, Amount Dividends Payable [Table] Dividends Payable [Table] Diluted earnings (loss) per common share: Diluted earnings (loss) per common share Earnings Per Share, Diluted [Abstract] Equity method investments Equity method investments Equity Method Investments Current Current Federal, State and Local, Tax Expense (Benefit) [Abstract] Government grant income recorded in income (loss) from discontinued operations Income Loss From Discontinued Operations [Member] Income Loss From Discontinued Operations 2027 Leases with Purchase Option Number of Properties in Four Years Number of properties for which future annualized rental payments are receivable within fourth year of the balance sheet date on leases with purchase options, whereby the tenant may elect to acquire the underlying real estate. Financial Instrument [Axis] Financial Instrument [Axis] Advertising Cost Advertising Cost [Policy Text Block] Total Shareholder Return Amount Total Shareholder Return Amount Entity Common Stock, Shares Outstanding Entity Common Stock, Shares Outstanding Adjustment To PEO Compensation, Footnote Adjustment To PEO Compensation, Footnote [Text Block] 2708 Cambridge, MA 2708 Cambridge, MA [Member] 581 Corpus Christi, TX 581 Corpus Christi, TX [Member] Graphite Bio, Inc Graphite Bio, Inc [Member] Graphite Bio, Inc 2721 Dallas, TX 2721 Dallas, TX [Member] Segments [Domain] Segments [Domain] 2571 Wilkes-Barre, PA 2571 Wilkes Barre, PA [Member] Gross intangible lease liabilities Finite Lived Intangible Liabilities, Gross Amount before amortization of liabilities, excluding financial liabilities, lacking physical substance with a finite life. Consolidation Items [Domain] Consolidation Items [Domain] Credit loss reserve on unfunded loan commitments Financing Receivable Allowance For Credit Loss Unfunded Loan Commitments Financing Receivable Allowance For Credit Loss Unfunded Loan Commitments Leases [Abstract] Leases [Abstract] Intangible liabilities, net Off-Market Lease, Unfavorable Compensation Actually Paid vs. Total Shareholder Return Compensation Actually Paid vs. Total Shareholder Return [Text Block] 597 Plano, TX 597 Plano, TX [Member] Nondividend distributions Nondividend Distributions [Member] Nondividend Distributions [Member] 1487 Brisbane, CA 1487 Brisbane, CA [Member] Continuing operations (in dollars per share) Income (Loss) from Continuing Operations, Per Basic Share Restricted cash Disposal Group Including Discontinued Operation Restricted Cash And Cash Equivalents Disposal Group Including Discontinued Operation Restricted Cash And Cash Equivalents Number of lawsuits Number Of Lawsuits Number Of Lawsuits Basic earnings (loss) per common share: Earnings Per Share, Basic [Abstract] 2576 Statesboro, GA 2567 Statesboro, GA [Member] 464 Salt Lake City, UT 464 Salt Lake City, UT [Member] 838 San Diego, CA 838 San Diego, CA [Member] Increase (Decrease) in Redeemable Noncontrolling Interests Increase (Decrease) in Temporary Equity [Roll Forward] Issuances and borrowings of term loans, senior unsecured notes, and mortgage debt Proceeds from Bank Debt Gain (loss) on sales of real estate, net Disposal Group, Including Discontinued Operation, Gross Profit (Loss) 1315 Dallas, TX 1315 Dallas, TX [Member] Class of Stock [Domain] Class of Stock [Domain] Acquisition of real estate and development and improvements SEC Schedule, 12-28, Real Estate Companies, Real Estate Acquisitions Development Improvements The total amount of real estate investments acquired through acquisition, the amount of real estate developed, and the improvements made to real estate investments during the period. Customer [Domain] Customer [Domain] DownREIT unit, fair value Minority Interest in Preferred Unit Holders, Fair Value Fair value of the equity interests owned by noncontrolling preferred unit holders in an entity included in the reporting entity's consolidated financial statements. 2403 Philadelphia, PA 2403 Philadelphia, PA [Member] Held-for-sale Discontinued Operations, Held-for-Sale [Member] Name of Property [Domain] Name of Property [Domain] Needham Land Parcel JV Variable Interest Entity Not Primary Beneficiary Investment In Joint Venture [Member] Information related to investments in an unconsolidated joint venture, which is a Variable Interest Entity (VIE) in which the entity does not have a controlling financial interest (as defined) and of which it is therefore not the primary beneficiary. Contributions from noncontrolling interests Noncontrolling Interest, Increase from Subsidiary Equity Issuance 2847 Greenville, SC 2847 Greenville, SC [Member] Reserve for loan losses Reserve For Loan Losses Reserve For Loan Losses SWF SH JV and Winter Storm Uri SWF SH JV and Winter Storm Uri [Member] SWF SH JV and Winter Storm Uri Accumulated Other Comprehensive Income (Loss) AOCI Attributable to Parent [Member] Amounts Charged Against Operations, net SEC Schedule, 12-09, Valuation Allowances and Reserves, Additions, Charge to Cost and Expense Amortization of nonrefundable entrance fees and above (below) market lease intangibles AmortizationOfNonrefundableEntranceFeesAndAboveBelowMarketLeaseIntangiblesNet AmortizationOfNonrefundableEntranceFeesAndAboveBelowMarketLeaseIntangiblesNet All Executive Categories All Executive Categories [Member] Disposal Groups, Including Discontinued Operations [Table] Disposal Groups, Including Discontinued Operations [Table] Plan Name [Axis] Plan Name [Axis] 3140 Brisbane, CA 3140 Brisbane, CA [Member] Debt Disclosure [Abstract] Debt Disclosure [Abstract] 589 Houston, TX 589 Houston, TX [Member] 630 Nashville, TN 630 Nashville, TN [Member] Residency agreement term, maximum Residency Agreement Term, Maximum Represents the maximum period specified under the residency agreement. Earnings Per Share [Abstract] Earnings Per Share [Abstract] Schedule of Variable Interest Entities Schedule of Variable Interest Entities [Table Text Block] Suburban Properties, LLC Suburban Properties L L C [Member] Represents information pertaining to Suburban Properties, LLC, an unconsolidated joint venture of the entity. 702 Houston, TX 702 Houston, TX [Member] Current period gross write-offs Current Period Gross Write-Offs [Member] Current Period Gross Write-Offs Accrued interest Interest Payable 2028 Lessor, Operating Lease, Payment to be Received, Year Five All Individuals All Individuals [Member] 2577 Naples, FL 2577 Naples, FL [Member] Definitive Agreements Axis [Axis] Definitive Agreements Axis [Axis] Definitive Agreements Axis Other income (expense), net Other Nonoperating Income (Expense) Entity Filer Category Entity Filer Category Number of leases approved Number Of Leases Approved For Rejection Number Of Leases Approved For Rejection Schedule of Equity Method Investments [Line Items] Schedule of Equity Method Investments [Line Items] Statement [Table] Statement [Table] Current Fiscal Year End Date Current Fiscal Year End Date Stock repurchase program, authorized amount Stock Repurchase Program, Authorized Amount 599 Texas City, TX 599 Texas City, TX [Member] Schedule of Reconciliation of Income Tax Expense at Statutory Rates to the Actual Income Tax Expense Recorded Schedule of Effective Income Tax Rate Reconciliation [Table Text Block] PEO Name PEO Name Fair Value, by Balance Sheet Grouping [Table] Fair Value, by Balance Sheet Grouping [Table] 2203 Miami, FL 2203 Miami, FL [Member] Equity income (loss) from unconsolidated joint ventures Disposal Group Including Discontinued Operations Before Income Taxes Extraordinary Items Noncontrolling Interest Disposal Group Including Discontinued Operations Before Income Taxes Extraordinary Items Noncontrolling Interest 3149 Cambridge, MA 3149 Cambridge, MA [Member] Financing Receivable, Allowance for Credit Loss [Line Items] Financing Receivable, Allowance for Credit Loss [Line Items] Present value of lease liability Lease Liability, Including Discontinued Operations Lease Liability, Including Discontinued Operations SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Table] SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Table] Corporate Non-segment Corporate, Non-Segment [Member] Statement of Financial Position [Abstract] Statement of Financial Position [Abstract] Government Assistance [Axis] Government Assistance Axis [Axis] Government Assistance Axis DownREIT Partnerships DownREIT Partnerships [Member] Represents a joint venture, DownREIT Partnerships. Concentration Risk Type [Axis] Concentration Risk Type [Axis] Level 2 Fair Value, Inputs, Level 2 [Member] Less: Healthpeak’s share of unconsolidated joint venture NOI Net Income Loss Joint Venture Partners Attributable To Parent Net Income Loss Joint Venture Partners Attributable To Parent ATM Direct Issuances ATM Direct Issuances [Member] ATM Direct Issuances Difference between carrying amount and underlying equity Equity Method Investment, Difference Between Carrying Amount and Underlying Equity Lab Lab [Member] Lab Income from direct financing leases Direct Financing Lease, Revenue Funding for construction, tenant and other capital improvements Payments to Acquire Productive Assets Number of lease terminated Number Of Leases Terminated Number Of Leases Terminated 1200 Encino, CA 1200 Encino, CA [Member] Noncontrolling interests’ share in continuing operations Noncontrolling interests’ share in continuing operations Income (Loss) from Continuing Operations, Net of Tax, Attributable to Noncontrolling Interest 3013 Morristown, NJ 3013 Morristown, NJ [Member] Fair value Interest Rate Derivative Instruments Not Designated as Hedging Instruments, Asset at Fair Value 2027 Lessee, Operating Lease, Liability, to be Paid, Year Four Stock-based compensation amortization expense Share-Based Payment Arrangement, Noncash Expense 2028 Debt Instrument, Redemption, Period Five [Member] 1443 South San Francisco, CA 1443 South San Francisco, CA [Member] 3007 Denton, TX 3007 Denton, TX [Member] City Area Code City Area Code Earnings Per Common Share Earnings Per Share [Text Block] 2870 South San Francisco, CA 2870 South San Francisco, CA [Member] 2478 San Diego, CA San Diego2478, CA [Member] N/a Investment ownership percentage Equity Method Investment, Ownership Percentage Document Fiscal Year Focus Document Fiscal Year Focus Stock-Based Compensation Compensation Related Costs, Policy [Policy Text Block] Receivables [Abstract] Receivables [Abstract] 613 Miami, FL 613 Miami, FL [Member] 1435 South San Francisco, CA 1435 South San Francisco, CA [Member] Interest Rate Swap, 2.60% Pay Rate Interest Rate Swap, 2.60% Pay Rate [Member] Interest Rate Swap, 2.60% Pay Rate Net income (loss) Net income (loss) Net Income (Loss), Including Portion Attributable to Noncontrolling Interest Income (loss) from discontinued operations Income (Loss) from Discontinued Operations, Net of Tax, Including Portion Attributable to Noncontrolling Interest Number of loans sold Financing Receivable, Number Of Loans Sold Financing Receivable, Number Of Loans Sold Debt instrument, covenant secured debt to assets (as a percent) Debt Instrument, Covenant Secured Debt to Assets The limit of the ratio of Secured Debt to Consolidated Total Asset Value contained in the debt covenants. Thereafter Lessor, Operating Lease, Payment to be Received, after Year Five Debt instrument, covenant minimum fixed charge coverage ratio Debt Instrument, Covenant Fixed Charge Ratio, Minimum The required minimum Fixed Charge Coverage ratio contained in the debt covenants. Peer Group Total Shareholder Return Amount Peer Group Total Shareholder Return Amount Outpatient Medical Outpatient medical Outpatient Medical [Member] Properties that are part of continuing operations, and which are classified as medical office. Right-of-use asset, net Operating Lease, Right-of-Use Asset Real estate Deferred Tax Liabilities, Real Estate Deferred Tax Liabilities, Real Estate 3114 Cambridge, MA 3114 Cambridge, MA [Member] Option to extend lease, term Lessee, Operating Lease, Remaining Lease Term, Including Option To Extend Lessee, Operating Lease, Remaining Lease Term, Including Option To Extend 2996 Leesburg, FL 2996 Leesburg, FL [Member] Mortgage loan on real estate, multiple due 2024 Mortgage Loans On Real Estate Interest Multiple, Due 2024 [Member] Mortgage Loans On Real Estate Interest Multiple, Due 2024 3014 Morristown, NJ 3014 Morristown, NJ [Member] 3014 Morristown, NJ Net income (loss) applicable to common shares Net Income (Loss) Available to Common Stockholders, Diluted Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures Discontinued Operation, Gain (Loss) from Disposal of Discontinued Operation, before Income Tax Straight-line rents Straight line rent Straight Line Rent Noncontrolling interests’ share of consolidated joint venture total revenues Real Estate Revenues From Joint Venture Attributable To Noncontrolling Interest Real Estate Revenues From Joint Venture Attributable To Noncontrolling Interest Derivative Instruments and Hedging Activities Disclosures [Table] Derivative Instruments and Hedging Activities Disclosures [Table] Stock repurchase program, remaining authorized repurchase amount Stock Repurchase Program, Remaining Authorized Repurchase Amount Summary of Senior Unsecured Notes Payoffs Summary of Senior Unsecured Notes Payoffs [Table Text Block] Tabular disclosure of information pertaining to payoffs of short-term and long-debt instruments or arrangements. 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Insider Trading Arrangements [Line Items] Principal repayments received Proceeds from Collection of Finance Receivables Entity Registrant Name Entity Registrant Name Material Terms of Trading Arrangement Material Terms of Trading Arrangement [Text Block] 2624 South San Francisco, CA 2624 South San Francisco, CA [Member] 2025 Finite-Lived Intangible Asset, Expected Amortization, Year Two Total noncontrolling interests Equity, Attributable to Noncontrolling Interest Borrowings under bank line of credit and commercial paper Proceeds from Lines of Credit Amortization of deferred financing costs Amortization of Debt Issuance Costs and Discounts 2695 Charlotte, NC 2695 Charlotte, NC [Member] 1989 South San Francisco, CA 1989 South San Francisco, CA [Member] Increase in the fair value of the interest rate cap agreements Derivative, Gain (Loss) on Derivative, Net 632 Nashville, TN 632 Nashville, TN [Member] Non-Rule 10b5-1 Arrangement Terminated Non-Rule 10b5-1 Arrangement Terminated [Flag] Gross intangible lease assets Finite-Lived Intangible Assets, Gross Less: Interest income Interest Income Excluded From Adjusted Net Operating Income From Continuing Operations Interest Income Excluded From Adjusted Net Operating Income From Continuing Operations Line of credit facility, loan feature, higher borrowing capacity option Line of Credit Facility, Loan Feature, Higher Borrowing Capacity Option Line of Credit Facility, Loan Feature, Higher Borrowing Capacity Option Lessor, Lease, Description [Line Items] Lessor, Lease, Description [Line Items] 2872 San Diego, CA 2872 San Diego, CA [Member] Intangible liabilities, net Finite Lived Intangible Liabilities, Net The aggregate sum of the gross carrying value of major finite-lived intangible liabilities class, less accumulated accretion and any impairment charges. 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Cover - USD ($)
$ in Billions
12 Months Ended
Dec. 31, 2023
Feb. 07, 2024
Jun. 30, 2023
Cover [Abstract]      
Document Type 10-K    
Document Annual Report true    
Document Period End Date Dec. 31, 2023    
Current Fiscal Year End Date --12-31    
Document Transition Report false    
Entity File Number 001-08895    
Entity Registrant Name Healthpeak Properties, Inc.    
Entity Incorporation, State or Country Code MD    
Entity Tax Identification Number 33-0091377    
Entity Address, Address Line One 4600 South Syracuse Street    
Entity Address, Address Line Two Suite 500    
Entity Address, City or Town Denver    
Entity Address, State or Province CO    
Entity Address, Postal Zip Code 80237    
City Area Code 720    
Local Phone Number 428-5050    
Title of 12(b) Security Common Stock, $1.00 par value    
Trading Symbol PEAK    
Security Exchange Name NYSE    
Entity Well-known Seasoned Issuer Yes    
Entity Voluntary Filers No    
Entity Current Reporting Status Yes    
Entity Interactive Data Current Yes    
Entity Filer Category Large Accelerated Filer    
Entity Small Business false    
Entity Emerging Growth Company false    
ICFR Auditor Attestation Flag true    
Document Financial Statement Error Correction [Flag] false    
Entity Shell Company false    
Entity Public Float     $ 9.2
Entity Common Stock, Shares Outstanding   547,172,983  
Documents Incorporated by Reference
DOCUMENTS INCORPORATED BY REFERENCE
Portions of the definitive Proxy Statement for the registrant’s 2024 Annual Meeting of Stockholders, to be filed with the Securities and Exchange Commission no later than 120 days after December 31, 2023, have been incorporated by reference into Part III of this Report.
   
Entity Central Index Key 0000765880    
Amendment Flag false    
Document Fiscal Year Focus 2023    
Document Fiscal Period Focus FY    

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Audit Information
12 Months Ended
Dec. 31, 2023
Audit Information [Abstract]  
Auditor Name DELOITTE & TOUCHE LLP
Auditor Firm ID 34
Auditor Location Costa Mesa, California
XML 19 R3.htm IDEA: XBRL DOCUMENT v3.24.0.1
CONSOLIDATED BALANCE SHEETS - USD ($)
$ in Thousands
Dec. 31, 2023
Dec. 31, 2022
Real estate:    
Buildings and improvements $ 13,329,464 $ 12,784,078
Development costs and construction in progress 643,217 760,355
Land and improvements 2,647,633 2,667,188
Accumulated depreciation and amortization (3,591,951) (3,188,138)
Net real estate 13,028,363 13,023,483
Loans receivable, net of reserves of $2,830 and $8,280 218,450 374,832
Investments in and advances to unconsolidated joint ventures 782,853 706,677
Accounts receivable, net of allowance of $2,282 and $2,399 55,820 53,436
Cash and cash equivalents 117,635 72,032
Restricted cash 51,388 54,802
Intangible assets, net 314,156 418,061
Assets held for sale, net 117,986 49,866
Right-of-use asset, net 240,155 237,318
Other assets, net 772,044 780,722
Total assets 15,698,850 15,771,229
LIABILITIES AND EQUITY    
Bank line of credit and commercial paper 720,000 995,606
Term loans 496,824 495,957
Senior unsecured notes 5,403,378 4,659,451
Mortgage debt 256,097 346,599
Intangible liabilities, net 127,380 156,193
Liabilities related to assets held for sale, net 729 4,070
Lease liability 206,743 208,515
Accounts payable, accrued liabilities, and other liabilities 657,196 772,485
Deferred revenue 905,633 844,076
Total liabilities 8,773,980 8,482,952
Commitments and contingencies (Note 11)
Redeemable noncontrolling interests 48,828 105,679
Common stock, $1.00 par value: 750,000,000 shares authorized; 547,156,311 and 546,641,973 shares issued and outstanding 547,156 546,642
Additional paid-in capital 10,405,780 10,349,614
Cumulative dividends in excess of earnings (4,621,861) (4,269,689)
Accumulated other comprehensive income (loss) 19,371 28,134
Total stockholders’ equity 6,350,446 6,654,701
Joint venture partners 310,998 327,721
Non-managing member unitholders 214,598 200,176
Total noncontrolling interests 525,596 527,897
Total equity 6,876,042 7,182,598
Total liabilities and equity $ 15,698,850 $ 15,771,229
XML 20 R4.htm IDEA: XBRL DOCUMENT v3.24.0.1
CONSOLIDATED BALANCE SHEETS (Parenthetical) - USD ($)
$ in Thousands
Dec. 31, 2023
Dec. 31, 2022
Statement of Financial Position [Abstract]    
Reserve for loans receivable $ 2,830 $ 8,280
Allowance for accounts receivable $ 2,282 $ 2,399
Common stock, par value (in dollars per share) $ 1.00 $ 1.00
Common stock, shares authorized (in shares) 750,000,000 750,000,000
Common stock, shares issued (in shares) 547,156,311 546,641,973
Common stock, shares outstanding (in shares) 547,156,311 546,641,973
XML 21 R5.htm IDEA: XBRL DOCUMENT v3.24.0.1
CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($)
shares in Thousands, $ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Revenues:      
Rental and related revenues $ 1,631,805 $ 1,541,775 $ 1,378,384
Resident fees and services 527,417 494,935 471,325
Interest income 21,781 23,300 37,773
Income from direct financing leases 0 1,168 8,702
Total revenues 2,181,003 2,061,178 1,896,184
Costs and expenses:      
Interest expense 200,331 172,944 157,980
Depreciation and amortization 749,901 710,569 684,286
Operating 902,060 862,991 773,279
General and administrative 95,132 131,033 98,303
Transaction and merger-related costs 17,515 4,853 1,841
Impairments and loan loss reserves (recoveries), net (5,601) 7,004 23,160
Total costs and expenses 1,959,338 1,889,394 1,738,849
Other income (expense):      
Gain (loss) on sales of real estate, net 86,463 9,078 190,590
Gain (loss) on debt extinguishments 0 0 (225,824)
Other income (expense), net 6,808 326,268 6,266
Total other income (expense), net 93,271 335,346 (28,968)
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures 314,936 507,130 128,367
Income tax benefit (expense) 9,617 4,425 3,261
Equity income (loss) from unconsolidated joint ventures 10,204 1,985 6,100
Income (loss) from continuing operations 334,757 513,540 137,728
Income (loss) from discontinued operations 0 2,884 388,202
Net income (loss) 334,757 516,424 525,930
Noncontrolling interests’ share in continuing operations (28,748) (15,975) (17,851)
Noncontrolling interests’ share in discontinued operations 0 0 (2,539)
Net income (loss) attributable to Healthpeak Properties, Inc. 306,009 500,449 505,540
Participating securities’ share in earnings (1,725) (2,657) (3,269)
Net income (loss) applicable to common shares $ 304,284 $ 497,792 $ 502,271
Basic earnings (loss) per common share:      
Continuing operations (in dollars per share) $ 0.56 $ 0.92 $ 0.22
Discontinued operations (in dollars per share) 0 0.00 0.71
Net income (loss) applicable to common shares (in dollars per share) 0.56 0.92 0.93
Diluted earnings (loss) per common share:      
Continuing operations (in dollars per share) 0.56 0.92 0.22
Discontinued operations (in dollars per share) 0 0.00 0.71
Net income (loss) applicable to common shares (in dollars per share) $ 0.56 $ 0.92 $ 0.93
Weighted average shares outstanding:      
Basic (in shares) 547,006 538,809 538,930
Diluted (in shares) 547,275 539,147 539,241
XML 22 R6.htm IDEA: XBRL DOCUMENT v3.24.0.1
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Net income (loss) $ 334,757 $ 516,424 $ 525,930
Other comprehensive income (loss):      
Net unrealized gains (losses) on derivatives (8,900) 30,145 332
Change in Supplemental Executive Retirement Plan obligation and other 137 1,136 457
Reclassification adjustment realized in net income (loss) 0 0 (251)
Total other comprehensive income (loss) (8,763) 31,281 538
Total comprehensive income (loss) 325,994 547,705 526,468
Total comprehensive income (loss) attributable to Healthpeak Properties, Inc. 297,246 531,730 506,078
Continuing Operations      
Other comprehensive income (loss):      
Total comprehensive (income) loss attributable to noncontrolling interests (28,748) (15,975) (17,851)
Discontinued Operations      
Other comprehensive income (loss):      
Total comprehensive (income) loss attributable to noncontrolling interests $ 0 $ 0 $ (2,539)
XML 23 R7.htm IDEA: XBRL DOCUMENT v3.24.0.1
CONSOLIDATED STATEMENTS OF EQUITY AND REDEEMABLE NONCONTROLLING INTERESTS - USD ($)
shares in Thousands, $ in Thousands
Total
Total Stockholders’ Equity
Common Stock
Additional Paid-In Capital
Cumulative Dividends In Excess Of Earnings
Accumulated Other Comprehensive Income (Loss)
Total Noncontrolling Interests
Balance (in shares) at Dec. 31, 2020     538,405        
Balance at Dec. 31, 2020 $ 7,289,950 $ 6,733,723 $ 538,405 $ 10,175,235 $ (3,976,232) $ (3,685) $ 556,227
Increase (Decrease) in Stockholders' Equity              
Net income (loss) 525,886 505,540     505,540   20,346
Other comprehensive income (loss) 538 538       538  
Issuance of common stock, net (in shares)     1,005        
Issuance of common stock, net 1,745 1,745 $ 1,005 740      
Conversion of DownREIT units to common stock (in shares)     8        
Conversion of DownREIT units to common stock 0 201 $ 8 193     (201)
Repurchase of common stock (in shares)     (418)        
Repurchase of common stock (12,841) (12,841) $ (418) (12,423)      
Exercise of stock options (in shares)     97        
Exercise of stock options 3,291 3,291 $ 97 3,194      
Stock-based compensation 22,851 22,851   22,851      
Common dividends (650,082) (650,082)     (650,082)    
Distributions to noncontrolling interests (33,017)           (33,017)
Purchase of noncontrolling interests (70) (5)   (5)     (65)
Adjustments to redemption value of redeemable noncontrolling interests (89,491) (89,491)   (89,491)      
Balance (in shares) at Dec. 31, 2021     539,097        
Balance at Dec. 31, 2021 7,058,760 6,515,470 $ 539,097 10,100,294 (4,120,774) (3,147) 543,290
Beginning balance at Dec. 31, 2020 57,396            
Increase (Decrease) in Redeemable Noncontrolling Interests              
Net income (loss) 44            
Distributions to noncontrolling interests (162)            
Purchase of noncontrolling interests (60,065)            
Contributions from noncontrolling interests 640            
Adjustments to redemption value of redeemable noncontrolling interests 89,491            
Ending balance at Dec. 31, 2021 87,344            
Increase (Decrease) in Stockholders' Equity              
Net income (loss) 516,325 500,449     500,449   15,876
Other comprehensive income (loss) 31,281 31,281       31,281  
Issuance of common stock, net (in shares)     9,936        
Issuance of common stock, net 309,417 309,417 $ 9,936 299,481      
Conversion of DownREIT units to common stock (in shares)     27        
Conversion of DownREIT units to common stock 0 880 $ 27 853     (880)
Repurchase of common stock (in shares)     (2,418)        
Repurchase of common stock (67,838) (67,838) $ (2,418) (65,420)      
Stock-based compensation 31,412 31,412   31,412      
Common dividends (649,364) (649,364)     (649,364)    
Distributions to noncontrolling interests (30,389)           (30,389)
Adjustments to redemption value of redeemable noncontrolling interests (17,006) (17,006)   (17,006)      
Balance (in shares) at Dec. 31, 2022     546,642        
Balance at Dec. 31, 2022 7,182,598 6,654,701 $ 546,642 10,349,614 (4,269,689) 28,134 527,897
Increase (Decrease) in Redeemable Noncontrolling Interests              
Net income (loss) 99            
Distributions to noncontrolling interests (160)            
Contributions from noncontrolling interests 1,390            
Adjustments to redemption value of redeemable noncontrolling interests 17,006            
Ending balance at Dec. 31, 2022 105,679            
Increase (Decrease) in Stockholders' Equity              
Net income (loss) 334,120 306,009     306,009   28,111
Other comprehensive income (loss) (8,763) (8,763)       (8,763)  
Issuance of common stock, net (in shares)     683        
Issuance of common stock, net 1,438 1,438 $ 683 755      
Conversion of DownREIT units to common stock (in shares)     72        
Conversion of DownREIT units to common stock 0 1,272 $ 72 1,200     (1,272)
Repurchase of common stock (in shares)     (241)        
Repurchase of common stock (6,524) (6,524) $ (241) (6,283)      
Stock-based compensation 18,659 2,966   2,966     15,693
Common dividends (658,181) (658,181)     (658,181)    
Distributions to noncontrolling interests (44,848)           (44,848)
Purchase of noncontrolling interests (158)           (158)
Contributions from noncontrolling interests 173           173
Adjustments to redemption value of redeemable noncontrolling interests 57,528 57,528   57,528      
Balance (in shares) at Dec. 31, 2023     547,156        
Balance at Dec. 31, 2023 6,876,042 $ 6,350,446 $ 547,156 $ 10,405,780 $ (4,621,861) $ 19,371 $ 525,596
Increase (Decrease) in Redeemable Noncontrolling Interests              
Net income (loss) 637            
Distributions to noncontrolling interests (276)            
Purchase of noncontrolling interests 0            
Contributions from noncontrolling interests 316            
Adjustments to redemption value of redeemable noncontrolling interests (57,528)            
Ending balance at Dec. 31, 2023 $ 48,828            
XML 24 R8.htm IDEA: XBRL DOCUMENT v3.24.0.1
CONSOLIDATED STATEMENTS OF EQUITY AND REDEEMABLE NONCONTROLLING INTERESTS (Parenthetical) - $ / shares
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Statement of Stockholders' Equity [Abstract]      
Common dividends, per share (in dollars per share) $ 1.20 $ 1.20 $ 1.20
XML 25 R9.htm IDEA: XBRL DOCUMENT v3.24.0.1
CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Cash flows from operating activities:      
Net income (loss) $ 334,757 $ 516,424 $ 525,930
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:      
Depreciation and amortization of real estate, in-place lease, and other intangibles 749,901 710,569 684,286
Stock-based compensation amortization expense 14,480 26,456 18,202
Amortization of deferred financing costs 11,916 10,881 9,216
Straight-line rents (14,387) (49,183) (31,188)
Amortization of nonrefundable entrance fees and above (below) market lease intangibles (108,988) (102,747) (94,362)
Equity loss (income) from unconsolidated joint ventures (10,204) (2,049) (11,235)
Distributions of earnings from unconsolidated joint ventures 910 943 4,976
Loss (gain) on sale of real estate under direct financing leases 0 (22,693) 0
Deferred income tax expense (benefit) (14,605) (6,001) (5,792)
Impairments and loan loss reserves (recoveries), net (5,601) 7,004 55,896
Loss (gain) on debt extinguishments 0 0 225,824
Loss (gain) on sales of real estate, net (86,463) (10,422) (605,311)
Loss (gain) upon change of control, net (234) (311,438) (1,042)
Casualty-related loss (recoveries), net (3,085) 7,168 1,632
Other non-cash items 4,900 6,489 (8,178)
Changes in:      
Decrease (increase) in accounts receivable and other assets, net (21,566) (17,433) 18,626
Increase (decrease) in accounts payable, accrued liabilities, and deferred revenue 104,511 136,293 7,768
Net cash provided by (used in) operating activities 956,242 900,261 795,248
Cash flows from investing activities:      
Acquisitions of real estate (15,847) (178,133) (1,483,026)
Development, redevelopment, and other major improvements of real estate (731,206) (861,636) (610,555)
Leasing costs, tenant improvements, and recurring capital expenditures (113,596) (108,510) (111,480)
Proceeds from sales of real estate, net 141,651 47,885 2,399,120
Proceeds from the South San Francisco JVs transaction, net 0 125,985 0
Investments in unconsolidated joint ventures (88,391) (21,143) (25,260)
Distributions in excess of earnings from unconsolidated joint ventures 20,640 12,518 37,640
Proceeds from insurance recovery 24,980 1,450 0
Proceeds from sales/principal repayments on loans receivable, direct financing leases, and marketable debt securities 204,865 115,988 342,420
Investments in loans receivable and other (19,850) (10,747) (17,827)
Net cash provided by (used in) investing activities (576,754) (876,343) 531,032
Cash flows from financing activities:      
Borrowings under bank line of credit and commercial paper 10,344,705 15,882,153 16,821,450
Repayments under bank line of credit and commercial paper (10,620,311) (16,052,522) (15,785,065)
Issuances and borrowings of term loans, senior unsecured notes, and mortgage debt 743,778 500,000 1,088,537
Repayments and repurchases of term loans, senior unsecured notes, and mortgage debt (90,089) (5,048) (2,425,936)
Payments for debt extinguishment and deferred financing costs (7,322) (4,171) (236,942)
Issuance of common stock and exercise of options, net of offering costs 278 308,100 5,036
Repurchase of common stock (6,524) (67,838) (12,841)
Dividends paid on common stock (657,021) (648,047) (650,082)
Distributions to and purchase of noncontrolling interests (45,282) (30,549) (93,314)
Contributions from and issuance of noncontrolling interests 489 1,390 640
Net cash provided by (used in) financing activities (337,299) (116,532) (1,288,517)
Net increase (decrease) in cash, cash equivalents, and restricted cash 42,189 (92,614) 37,763
Cash, cash equivalents, and restricted cash, beginning of year 126,834 219,448 181,685
Cash, cash equivalents, and restricted cash, end of year $ 169,023 $ 126,834 $ 219,448
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Business
12 Months Ended
Dec. 31, 2023
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Business Business
Overview
Healthpeak Properties, Inc., a Standard & Poor’s 500 company, is a Maryland corporation that is organized to qualify as a real estate investment trust (“REIT”) that, together with its consolidated entities (collectively, “Healthpeak” or the “Company”), invests primarily in real estate serving the healthcare industry in the United States (“U.S.”). Healthpeak® acquires, develops, owns, leases, and manages healthcare real estate. The Company’s diverse portfolio is comprised of investments in the following reportable healthcare segments: (i) lab; (ii) outpatient medical; and (iii) continuing care retirement community (“CCRC”).
The Company’s corporate headquarters are in Denver, Colorado, and it has additional offices in California, Tennessee, and Massachusetts.
UPREIT Reorganization
On February 10, 2023, the Company completed its corporate reorganization (the “Reorganization”) into an umbrella partnership REIT (“UPREIT”). Substantially all of the Company’s business is conducted through Healthpeak OP, LLC (“Healthpeak OP”). The Company is the managing member of Healthpeak OP and does not have material assets or liabilities, other than through its investment in Healthpeak OP. For additional information on the UPREIT reorganization, see the Company’s Current Report on Form 8-K12B filed with the U.S. Securities and Exchange Commission (“SEC”) on February 10, 2023.
The Merger Agreement
On October 29, 2023, the Company entered into an Agreement and Plan of Merger (the “Merger Agreement”) with Physicians Realty Trust, Physicians Realty L.P. (the “Physicians Partnership”), and certain of the Company’s subsidiaries, pursuant to which, among other things, and through a series of transactions (the “Mergers”), (i) each outstanding common share of Physicians Realty Trust (other than Physicians Realty Trust common shares to be canceled in accordance with the Merger Agreement) will be converted into the right to receive 0.674 (the “Exchange Ratio”) shares of Company common stock, and (ii) each outstanding common unit of the Physicians Partnership will be converted into common units in the successor entity to the Physicians Partnership equal to the Exchange Ratio. Following the transactions contemplated in the Merger Agreement, the successor entities to Physicians Realty Trust and the Physicians Partnership will be subsidiaries of Healthpeak OP.
The Merger Agreement contains customary representations, warranties, and covenants, as well as certain termination rights for the Company and Physicians Realty Trust, in each case, as more fully described in the Merger Agreement.
During the year ended December 31, 2023, the Company incurred approximately $11 million of merger-related costs, which primarily related to advisory, legal, accounting, and other costs. These merger-related costs are included in transaction and merger-related costs on the Consolidated Statements of Operations.
In addition, the Company has engaged service providers, including investment banks and advisors, to help the Company negotiate the terms of the transactions contemplated by the Merger Agreement and to advise the Company on other merger-related matters. In connection with these services, the Company expects to be required to pay success-based fees to the extent that certain conditions, including the closing of the transactions contemplated by the Merger Agreement, are met. As of December 31, 2023, the Company expects to incur approximately $22 million of such success fees. As closing of the transactions contemplated by the Merger Agreement has not occurred, no such amounts have been paid or accrued through December 31, 2023.
In connection with the Mergers, the Company filed a Registration Statement on Form S-4 with the SEC on December 15, 2023 (the “Initial Filing”), as amended on January 9, 2024, and a definitive joint proxy statement/prospectus for the Company and Physicians Realty Trust on January 11, 2024 in connection with their respective special meetings of stockholders and shareholders, as applicable, which will be held on February 21, 2024. Consummation of the Mergers are subject to the satisfaction or waiver of customary closing conditions, including the approval of the Company’s stockholders and the shareholders of Physicians Realty Trust. The parties expect the Mergers to close on March 1, 2024. If the Mergers are not consummated by July 31, 2024 (unless extended under certain circumstances), either the Company or Physicians Realty Trust may terminate the Merger Agreement.
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Summary of Significant Accounting Policies
12 Months Ended
Dec. 31, 2023
Accounting Policies [Abstract]  
Summary of Significant Accounting Policies Summary of Significant Accounting Policies
Use of Estimates
Management is required to make estimates and assumptions in the preparation of financial statements in conformity with U.S. generally accepted accounting principles (“GAAP”). These estimates and assumptions affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from management’s estimates.
Basis of Presentation
The consolidated financial statements include the accounts of Healthpeak Properties, Inc., its wholly-owned subsidiaries, joint ventures (“JVs”), and variable interest entities (“VIEs”) that it controls through voting rights or other means. Intercompany transactions and balances have been eliminated upon consolidation.
The Company is required to continually evaluate its VIE relationships and consolidate these entities when it is determined to be the primary beneficiary of their operations. A VIE is broadly defined as an entity where either: (i) the equity investment at risk is insufficient to finance that entity’s activities without additional subordinated financial support, (ii) substantially all of an entity’s activities either involve or are conducted on behalf of an investor that has disproportionately few voting rights, or (iii) the equity investors as a group lack any of the following: (a) the power through voting or similar rights to direct the activities of an entity that most significantly impact the entity’s economic performance, (b) the obligation to absorb the expected losses of an entity, or (c) the right to receive the expected residual returns of an entity. Criterion (iii) above is generally applied to limited partnerships and similarly structured entities by assessing whether a simple majority of the limited partners hold substantive rights to participate in the significant decisions of the entity or have the ability to remove the decision maker or liquidate the entity without cause. If neither of those criteria are met, the entity is a VIE.
The designation of an entity as a VIE is reassessed upon certain events, including, but not limited to: (i) a change to the contractual arrangements of the entity or in the ability of a party to exercise its participation or kick-out rights, (ii) a change to the capitalization structure of the entity, or (iii) acquisitions or sales of interests that constitute a change in control.
A variable interest holder is considered to be the primary beneficiary of a VIE if it has the power to direct the activities of a VIE that most significantly impact the entity’s economic performance and has the obligation to absorb losses of, or the right to receive benefits from, the entity that could potentially be significant to the VIE. The Company qualitatively assesses whether it is (or is not) the primary beneficiary of a VIE. Consideration of various factors include, but is not limited to, which activities most significantly impact the entity’s economic performance and the ability to direct those activities, its form of ownership interest, its representation on the VIE’s governing body, the size and seniority of its investment, its ability and the rights of other investors to participate in policy making decisions, its ability to manage its ownership interest relative to the other interest holders, and its ability to replace the VIE manager and/or liquidate the entity.
For its investments in joint ventures that are not considered to be VIEs, the Company evaluates the type of ownership rights held by the limited partner(s) that may preclude consolidation by the majority interest holder. The assessment of limited partners’ rights and their impact on the control of a joint venture should be made at inception of the joint venture and continually reassessed.
Revenue Recognition
Lease Classification
The Company classifies a lease as an operating lease if none of the following criteria are met: (i) transfer of ownership to the lessee by the end of the lease term, (ii) lessee has a purchase option during or at the end of the lease term that it is reasonably certain to exercise, (iii) the lease term is for the major part of the remaining economic life of the underlying asset, (iv) the present value of future minimum lease payments is equal to substantially all of the fair value of the underlying asset, or (v) the underlying asset is of such a specialized nature that it is expected to have no alternative use to the Company at the end of the lease term.
Rental and Related Revenues
The Company recognizes rental revenue from its lab and outpatient medical buildings in accordance with Accounting Standards Codification (“ASC”) 842, Leases (“ASC 842”). The Company commences recognition of rental revenue for operating lease arrangements when the tenant has taken possession or controls the physical use of a leased asset. The tenant is not considered to have taken physical possession or have control of the leased asset until the Company-owned tenant improvements are substantially complete. If a lease arrangement provides for tenant improvements, the Company determines whether the tenant improvements are owned by the tenant or the Company. When the Company is the owner of the tenant improvements, any tenant improvements funded by the tenant are treated as lease payments which are deferred and amortized into income over the lease term. When the tenant is the owner of the tenant improvements, any tenant improvement allowance that is funded by the Company is treated as a lease incentive and amortized as a reduction of revenue over the lease term.
Ownership of tenant improvements is determined based on various factors including, but not limited to, the following criteria:
lease stipulations of how and on what a tenant improvement allowance may be spent;
which party to the arrangement retains legal title to the tenant improvements upon lease expiration;
whether the tenant improvements are unique to the tenant or general purpose in nature;
if the tenant improvements are expected to have significant residual value at the end of the lease term;
the responsible party for construction cost overruns; and
which party constructs or directs the construction of the improvements.
Certain leases provide for additional rents that are contingent upon a percentage of the building’s revenue in excess of specified base amounts or other thresholds. Such revenue is recognized when actual results reported by the tenant or estimates of tenant results, exceed the base amount or other thresholds, and only after any contingency has been removed (when the related thresholds are achieved). This may result in the recognition of rental revenue in periods subsequent to when such payments are received.
Tenant recoveries subject to operating leases generally relate to the reimbursement of real estate taxes, insurance, and repair and maintenance expense, and are recognized as both revenue (in rental and related revenues) and expense (in operating expenses) in the period the expense is incurred as the Company is the party paying the service provider. Rental and related revenues from other variable payments are recognized when the associated contingencies are removed. In accordance with ASC 842, the Company accounts for lease and nonlease components as a single lease component for the purpose of revenue recognition and disclosure.
For operating leases with minimum scheduled rent increases, the Company recognizes income on a straight-line basis over the lease term when collectibility of future minimum lease payments is probable. Recognizing rental income on a straight-line basis results in a difference in the timing of revenue amounts from what is contractually due from tenants. If the Company determines that collectibility of future minimum lease payments is not probable, the accounts receivable and straight-line rent receivable balance is written off and recognized as a decrease in revenue in that period and future revenue recognition is limited to amounts contractually owed and paid. The Company does not resume recognition of income on a straight-line basis unless it determines that collectibility of future payments related to these leases is probable. For the Company’s portfolio of operating leases that are deemed probable of collection but exhibit a certain level of collectibility risk, the Company may also recognize an incremental allowance as a reduction to revenue.
The Company’s operating leases generally contain options to extend lease terms at prevailing market rates at the time of expiration. Certain operating leases contain early termination options that require advance notice and payment of a penalty, which in most cases is substantial enough to be deemed economically disadvantageous by a tenant to exercise.
Resident Fees and Services
The Company recognizes resident fee and service revenue from its Senior Housing Operating Property (“SHOP”) portfolios and CCRC properties in accordance with ASC 606, Revenue from Contracts with Customers. Resident fee revenue is recorded when services are rendered and includes resident room and care charges, community fees, and other resident charges. Residency agreements for SHOP and CCRC facilities are generally for a term of 30 days to one year, with resident fees billed monthly, in advance. Revenue for certain care related services is recognized as services are provided and is billed monthly in arrears.
The Company’s CCRCs are operated as entrance fee communities, which typically require a resident to pay an upfront entrance fee that includes both a refundable portion and non-refundable portion. When the Company receives a nonrefundable entrance fee, it is recorded in deferred revenue in the Consolidated Balance Sheets and amortized into revenue over the estimated stay of the resident. The Company utilizes third-party actuarial experts in its determination of the estimated stay of residents.
Income from Direct Financing Leases
The Company utilizes the direct finance method of accounting to record direct financing lease (“DFL”) income. For a lease accounted for as a DFL, the net investment in the DFL represents receivables for the sum of future minimum lease payments and the estimated residual value of the leased property, less the unamortized unearned income. Unearned income is deferred and amortized to income over the lease term to provide a constant yield when collectibility of the lease payments is reasonably assured. During the first quarter of 2022, the Company sold its remaining hospital under a DFL.
Interest Income
Loans receivable are classified as held-for-investment based on management’s intent and ability to hold the loans for the foreseeable future or to maturity. Loans held-for-investment are carried at amortized cost and reduced by a valuation allowance for estimated credit losses, as necessary. When collectibility of the future payments is reasonably assured, the Company utilizes the interest method on a loan-by-loan basis to recognize interest income on its loans, which includes the amortization of discounts and premiums as well as loan fees paid and received.
Gain (loss) on sales of real estate, net
The Company recognizes a gain (loss) on sale of real estate when the criteria for an asset to be derecognized are met, which include when: (i) a contract exists, (ii) the buyer obtains control of the asset, and (iii) it is probable that the Company will receive substantially all of the consideration to which it is entitled. These criteria are generally satisfied at the time of sale.
Government Grant Income
On March 27, 2020, the federal government enacted the Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”) to provide financial aid to individuals, businesses, and state and local governments. During the years ended December 31, 2023, 2022, and 2021, the Company received government grants under the CARES Act primarily to cover increased expenses and lost revenues during the coronavirus pandemic. Grant income is recognized to the extent that qualifying expenses and lost revenues exceed grants received and the Company will comply with all conditions attached to the grant. As of December 31, 2023, the amount of qualifying expenditures and lost revenues exceeded grant income recognized and the Company believes it has complied and will continue to comply with all grant conditions. In the event of non-compliance, all such amounts received are subject to recapture.
The following table summarizes information related to government grant income received and recognized by the Company (in thousands):
Year Ended December 31,
202320222021
Government grant income recorded in other income (expense), net$184 $6,765 $1,412 
Government grant income recorded in equity income (loss) from unconsolidated joint ventures229 878 1,749 
Government grant income recorded in income (loss) from discontinued operations— 217 3,669 
Total government grants received$413 $7,860 $6,830 
Credit Losses
The Company evaluates the liquidity and creditworthiness of its occupants, operators, and borrowers on a monthly and quarterly basis to determine whether any updates to the future expected losses recognized upon inception are necessary. The Company’s evaluation considers payment history and current credit status, industry conditions, current economic conditions, forecasted economic conditions, individual and portfolio property performance, credit enhancements, liquidity, and other factors. Future economic conditions are based primarily on near-term economic forecasts from the Federal Reserve and reasonable assumptions for long-term economic trends. The determination of loan losses also considers concentration of credit risk associated with the senior housing industry to which its loans receivable relate. The Company’s occupants, operators, and borrowers furnish property, portfolio, and guarantor/operator-level financial statements, among other information, on a monthly or quarterly basis; the Company utilizes this financial information to calculate the lease or debt service coverages in its assessment of internal ratings that it uses as a primary credit quality indicator. Lease and debt service coverage information is evaluated together with other property, portfolio, and operator performance information, including revenue, expense, net operating income, occupancy, rental rate, reimbursement trends, capital expenditures, and EBITDA (defined as earnings before interest, tax, and depreciation and amortization), along with other liquidity measures. The Company evaluates, on a monthly basis or immediately upon a significant change in circumstance, its occupants’, operators’, and borrowers’ ability to service their obligations with the Company.
In connection with the Company’s quarterly review process or upon the occurrence of a significant event, loans receivable and DFLs (collectively, “finance receivables”), are reviewed and assigned an internal rating of Performing, Watch List, or Workout. Finance receivables that are deemed Performing meet all present contractual obligations, and collection and timing, of all amounts owed is reasonably assured. Watch List finance receivables are defined as finance receivables that do not meet the definition of Performing or Workout. Workout finance receivables are defined as finance receivables in which the Company has determined, based on current information and events, that: (i) it is probable it will be unable to collect all amounts due according to the contractual terms of the agreement, (ii) the tenant, operator, or borrower is delinquent on making payments under the contractual terms of the agreement, and (iii) the Company has commenced action or anticipates pursuing action in the near term to seek recovery of its investment.
Finance receivables are placed on nonaccrual status when management determines that the collectibility of contractual amounts is not reasonably assured (the asset will have an internal rating of either Watch List or Workout). Further, the Company performs a credit analysis to support the tenant’s, operator’s, borrower’s, and/or guarantor’s repayment capacity and the underlying collateral values. The Company uses the cash basis method of accounting for finance receivables placed on nonaccrual status unless one of the following conditions exist whereby it utilizes the cost recovery method of accounting if: (i) the Company determines that it is probable that it will only recover the recorded investment in the finance receivable, net of associated allowances or charge-offs (if any), or (ii) the Company cannot reasonably estimate the amount of an impaired finance receivable. For cash basis method of accounting, the Company applies payments received, excluding principal paydowns, to interest income so long as that amount does not exceed the amount that would have been earned under the original contractual terms. For cost recovery method of accounting, any payment received is applied to reduce the recorded investment. Generally, the Company returns a finance receivable to accrual status when all delinquent payments become current under the terms of the loan or lease agreements and collectibility of the remaining contractual loan or lease payments is reasonably assured.
At inception of a finance receivable, the Company recognizes an allowance for credit losses expected to be incurred over the life of the instrument. The model utilized by the Company to determine such losses emphasizes historical experience and future market expectations to determine a loss to be recognized at inception. However, the model is applied on an individual basis and relies on counter-party specific information to ensure the most accurate estimate is recognized. The Company also performs a quarterly review process (or upon the occurrence of a significant event) to evaluate its borrowers’ creditworthiness and liquidity to determine the amount of credit losses to recognize during the period. If a finance receivable is deemed partially or wholly uncollectible, the uncollectible balance is deducted from the allowance in the period in which such determination is made. Credit loss expenses and recoveries are recorded in impairments and loan loss reserves (recoveries), net.
Real Estate
The Company’s real estate acquisitions are generally classified as asset acquisitions for which the Company records identifiable assets acquired, liabilities assumed, and any associated noncontrolling interests at cost on a relative fair value basis. In addition, for such asset acquisitions, no goodwill is recognized, third party transaction costs are capitalized and any associated contingent consideration is generally recorded when the amount of consideration is reasonably estimable and probable of being paid.
The Company assesses fair value based on available market information, such as capitalization and discount rates, comparable sale transactions, and relevant per square foot or unit cost information. A real estate asset’s fair value may be determined utilizing cash flow projections that incorporate such market information. Estimates of future cash flows are based on a number of factors including historical operating results, known and anticipated trends, as well as market and economic conditions. The fair value of tangible assets of an acquired property is based on the value of the property as if it is vacant.
The Company recognizes acquired “above and below market” leases at their relative fair value (for asset acquisitions) using discount rates which reflect the risks associated with the leases acquired. The fair value is based on the present value of the difference between (i) the contractual amounts paid pursuant to each in-place lease and (ii) management’s estimate of fair market lease rates for each in-place lease, measured over a period equal to the remaining term of the lease for above market leases and the initial term plus the extended term for any leases with renewal options that are reasonably certain to be exercised. Other intangible assets acquired include amounts for in-place lease values that are based on an evaluation of the specific characteristics of each property and the acquired tenant lease(s). Factors considered include estimates of carrying costs during hypothetical expected lease-up periods, market conditions, and costs to execute similar leases. In estimating carrying costs, the Company includes estimates of lost rents at market rates during the hypothetical expected lease-up periods, which are dependent on local market conditions and expected trends. In estimating costs to execute similar leases, the Company considers leasing commissions, legal, and other related costs.
Certain of the Company's acquisitions involve the assumption of contract liabilities. The Company typically estimates the fair value of contract liabilities by applying a reasonable profit margin to the total discounted estimated future costs associated with servicing the contract. A variety of market and contract-specific conditions are considered when making assumptions that impact the estimated fair value of the contract liability.
The Company capitalizes direct construction and development costs, including predevelopment costs, interest, property taxes, insurance, and other costs directly related and essential to the development or construction of a real estate asset. The Company capitalizes construction and development costs while substantive activities are ongoing to prepare an asset for its intended use. During the holding or development period, certain real estate assets generate incidental income that is not associated with the future profit or return from the intended use of the property. Such income is recognized as a reduction of the associated project costs. The Company considers a construction project as substantially complete and held available for occupancy upon the completion of Company-owned tenant improvements, but no later than one year from cessation of significant construction activity. Costs incurred after a project is substantially complete and ready for its intended use, or after development activities have ceased, are expensed as incurred. For redevelopment of existing operating properties, the Company capitalizes the cost for the construction and improvement incurred in connection with the redevelopment.
Costs previously capitalized related to abandoned developments/redevelopments are charged to earnings. Expenditures for repairs and maintenance are expensed as incurred. The Company considers costs incurred in conjunction with re-leasing properties, including tenant improvements and lease commissions, to represent the acquisition of productive assets and such costs are reflected as investing activities in the Company’s Consolidated Statements of Cash Flows.
Initial direct costs incurred in connection with successful property leasing are capitalized as deferred leasing costs and classified as investing activities in the Consolidated Statements of Cash Flows. Initial direct costs include only those costs that are incremental to the arrangement and would not have been incurred if the lease had not been obtained. Initial direct costs consist of leasing commissions paid to external third party brokers and lease incentives. Initial direct costs are included in other assets, net in the Consolidated Balance Sheets and amortized in depreciation and amortization in the Consolidated Statements of Operations using the straight-line method over the lease term.
The Company computes depreciation on properties using the straight-line method over the assets’ estimated useful lives. These useful lives are reassessed following changes in the remaining period that the asset is expected to be held and used, and depreciation is discontinued when a property meets the criteria to be classified as held for sale. Buildings and improvements are depreciated over useful lives ranging up to approximately 50 years. Above and below market lease intangibles are amortized to revenue over the remaining noncancellable lease terms and renewal periods that are reasonably certain to be exercised, if any. In-place lease intangibles are amortized to expense over the remaining noncancellable lease term and renewal periods that are reasonably certain to be exercised, if any.
Lessee Accounting
For leases greater than 12 months for which the Company is the lessee, such as ground leases and corporate office leases, the Company recognizes a right-of-use asset and related lease liability on the Consolidated Balance Sheets at inception of the lease. The lease liability is calculated as the sum of: (i) the present value of minimum lease payments at lease commencement (discounted using the Company's secured incremental borrowing rate) and (ii) the present value of amounts probable of being paid under any residual value guarantees. Certain of the Company’s lease agreements have options to extend or terminate the contract terms upon meeting certain criteria. The lease term utilized in the calculation of the lease liability includes these options if they are considered reasonably certain of exercise. The right-of-use asset is calculated as the lease liability, adjusted for the following: (i) any lease payments made to the lessor at or before the commencement date, minus any lease incentives received and (ii) any initial direct costs incurred by the Company. Lease expense related to corporate assets is included in general and administrative expenses and lease expense related to ground leases is included within operating expenses in the Company’s Consolidated Statements of Operations.
For leases with a noncancellable lease term of 12 months or less for which the Company is the lessee, the Company recognizes expenses on a straight-line basis and does not recognize such leases on the Consolidated Balance Sheets.
Impairment of Long-Lived Assets and Goodwill
The Company assesses the carrying value of real estate assets and related intangibles (“real estate assets”) when events or changes in circumstances indicate that the carrying value may not be recoverable. The Company tests its real estate assets for impairment by comparing the sum of the expected future undiscounted cash flows to the carrying value of the real estate assets. The expected future undiscounted cash flows reflect external market factors and the expected use and eventual disposition of the asset, and based on the specific facts and circumstances, may be probability-weighted to reflect multiple possible cash-flow scenarios, including selling the assets at various points in the future. Further, the analysis considers the impact, if any, of master lease agreements on cash flows, which are calculated utilizing the lowest level of identifiable cash flows that are largely independent of the cash flows of other assets and liabilities. If the carrying value exceeds the expected future undiscounted cash flows, an impairment loss will be recognized to the extent that the carrying value of the real estate assets exceeds their fair value.
Determining the fair value of real estate assets, including assets classified as held-for-sale, involves significant judgment and generally utilizes market capitalization rates, comparable market transactions, estimated per unit or per square foot prices, negotiations with prospective buyers, and forecasted cash flows (primarily lease revenue rates, expense rates, and growth rates).
When testing goodwill for impairment, if the Company concludes that it is more likely than not that the fair value of a reporting unit is less than its carrying value, the Company recognizes an impairment loss for the amount by which the carrying value, including goodwill, exceeds the reporting unit’s fair value.
Assets Held for Sale and Discontinued Operations
The Company classifies a real estate property as held for sale when: (i) management has approved the disposal, (ii) the property is available for sale in its present condition, (iii) an active program to locate a buyer has been initiated, (iv) it is probable that the property will be disposed of within one year, (v) the property is being marketed at a reasonable price relative to its fair value, and (vi) it is unlikely that the disposal plan will significantly change or be withdrawn. If a real estate property is classified as held for sale, it is reported at the lower of its carrying value or fair value less costs to sell and no longer depreciated.
The Company classifies a loan receivable as held for sale when management no longer has the intent and ability to hold the loan receivable for the foreseeable future or until maturity. If a loan receivable is classified as held for sale, it is reported at the lower of amortized cost or fair value.
A discontinued operation represents: (i) a component of the Company or group of components that has been disposed of or is classified as held for sale in a single transaction and represents a strategic shift that has or will have a major effect on the Company’s operations and financial results or (ii) an acquired business that is classified as held for sale on the date of acquisition. Examples of a strategic shift may include disposing of: (i) a separate major line of business, (ii) a separate major geographic area of operations, or (iii) other major parts of the Company.
Senior Housing Triple-Net and Senior Housing Operating Portfolio Dispositions
In 2020, the Company concluded that the dispositions of its senior housing triple-net and SHOP portfolios represented a strategic shift that had a major effect on its operations and financial results. Therefore, the results of senior housing triple-net and SHOP assets are classified as discontinued operations in all periods presented herein. In September 2021, the Company successfully completed the disposition of the remaining senior housing triple-net and SHOP properties. See Note 4 for further information.
Investments in Unconsolidated Joint Ventures
Investments in entities the Company does not consolidate, but over which the Company has the ability to exercise significant influence over operating and financial policies, are reported under the equity method of accounting. Under the equity method of accounting, the Company’s share of the investee’s earnings or losses is included in equity income (loss) from unconsolidated joint ventures within the Company’s Consolidated Statements of Operations.
The initial carrying value of investments in unconsolidated joint ventures is based on the amount paid to purchase the joint venture interest, the fair value of assets contributed to the joint venture, or the fair value of the assets prior to the sale of interests in the joint venture. To the extent that the Company’s cost basis is different from the basis reflected at the joint venture level, the basis difference is generally amortized over the lives of the related assets and liabilities, and such amortization is included in the Company’s share of equity in earnings of the joint venture. If an equity method investment shows indicators of impairment, the Company evaluates its equity method investments for impairment based on a comparison of the fair value of the equity method investment to its carrying value. When the Company determines a decline in fair value below carrying value of an investment in an unconsolidated joint venture is other-than-temporary, an impairment is recorded. The Company recognizes gains on the sale of interests in joint ventures to the extent the economic substance of the transaction is a sale.
The Company’s fair values of its equity method investments are determined based on discounted cash flow models that include all estimated cash inflows and outflows over a specified holding period and, where applicable, any estimated debt premiums or discounts. Capitalization rates, discount rates, and credit spreads utilized in these valuation models are based on assumptions that the Company believes to be within a reasonable range of current market rates for the respective investments.
Stock-Based Compensation
Compensation expense for share-based awards granted to employees with graded vesting schedules is generally recognized on a straight-line basis over the vesting period. Forfeitures of share-based awards are recognized as they occur.
Cash and Cash Equivalents and Restricted Cash
Cash and cash equivalents consist of cash on hand and short-term investments with original maturities of three months or less when purchased. Restricted cash primarily consists of amounts held by mortgage lenders to provide for: (i) real estate tax expenditures, (ii) tenant improvements, and (iii) capital expenditures, as well as security deposits and net proceeds from property sales that were executed as tax-deferred dispositions.
The Company maintains its cash and cash equivalents at financial institutions insured by the Federal Deposit Insurance Corporation (“FDIC”) up to $250,000 per institution. As the account balances at each institution periodically exceed the FDIC insurance coverage, there is a concentration of credit risk related to amounts in excess of such coverage.
Derivatives and Hedging
During its normal course of business, the Company uses certain types of derivative instruments for the purpose of managing interest rate risk. To qualify for hedge accounting, derivative instruments used for risk management purposes must effectively reduce the risk exposure that they are designed to hedge. In addition, at inception of a qualifying cash flow hedging relationship, the underlying transaction or transactions, must be, and are expected to remain, probable of occurring in accordance with the Company’s related assertions.
The Company recognizes all derivative instruments, including embedded derivatives that are required to be bifurcated, as assets or liabilities to the Consolidated Balance Sheets at fair value. Changes in fair value of derivative instruments that are not designated in hedging relationships or that do not meet the criteria of hedge accounting are recognized in other income (expense), net. For derivative instruments designated in qualifying cash flow hedging relationships, changes in fair value related to the effective portion of the derivative instruments are recognized in accumulated other comprehensive income (loss), whereas changes in fair value related to the ineffective portion would be recognized in earnings.
If it is determined that a derivative instrument ceases to be highly effective as a hedge, or that it is probable the underlying forecasted transaction will not occur, the Company discontinues its cash flow hedge accounting prospectively and records the appropriate adjustment to earnings based on the current fair value of the derivative instrument.
Income Taxes
Healthpeak Properties, Inc. has elected REIT status and believes it has always operated so as to continue to qualify as a REIT under Sections 856 to 860 of the Internal Revenue Code of 1986, as amended (the “Code”). Accordingly, Healthpeak Properties, Inc. will generally not be subject to U.S. federal income tax, provided that it continues to qualify as a REIT and makes distributions to stockholders equal to or in excess of its taxable income. In addition, the Company has formed several consolidated subsidiaries that have elected REIT status. Healthpeak Properties, Inc. and its consolidated REIT subsidiaries are each subject to the REIT qualification requirements under the Code. If any REIT fails to qualify as a REIT in any taxable year, it will be subject to federal income taxes at regular corporate rates and may be ineligible to qualify as a REIT for four subsequent tax years.
Healthpeak Properties, Inc. and its consolidated REIT subsidiaries are subject to state and local income taxes in some jurisdictions. In certain circumstances each REIT may also be subject to federal excise taxes on undistributed income. In addition, certain activities that the Company undertakes may be conducted by entities that have elected to be treated as taxable REIT subsidiaries (“TRSs”). TRSs are subject to federal, state, and local income taxes. The Company recognizes tax penalties relating to unrecognized tax benefits as additional income tax expense. Interest relating to unrecognized tax benefits is recognized as interest expense.
The Company is required to evaluate its deferred tax assets for realizability and recognize a valuation allowance, which is recorded against its deferred tax assets, if it is more likely than not that the deferred tax assets will not be realized. The Company considers all available evidence in its determination of whether a valuation allowance for deferred tax assets is required.
Advertising Costs
All advertising costs are expensed as incurred and reported within operating expenses on the Consolidated Statements of Operations. During the years ended December 31, 2023, 2022, and 2021, total advertising expense was $8 million, $8 million, and $11 million, respectively (zero, $0.1 million, and $3 million, respectively, of which is reported in income (loss) from discontinued operations on the Consolidated Statements of Operations).
Capital Raising Issuance Costs
Costs incurred in connection with the issuance of common shares are recorded as a reduction of additional paid-in capital. Debt issuance costs related to debt instruments, excluding line of credit arrangements and commercial paper, are deferred, recorded as a reduction of the related debt liability, and amortized to interest expense over the remaining term of the related debt liability utilizing the effective interest method. Debt issuance costs related to line of credit arrangements and commercial paper are deferred, included in other assets, and amortized to interest expense on a straight-line basis over the remaining term of the related line of credit arrangement. Commercial paper are unsecured short-term debt securities with varying maturities. A line of credit serves as a liquidity backstop for repayment of commercial paper borrowings.
Penalties incurred to extinguish debt and any remaining unamortized debt issuance costs, discounts, and premiums are recognized as income or expense in the Consolidated Statements of Operations at the time of extinguishment.
Segment Reporting
The Company’s reportable segments, based on how it evaluates its business and allocates resources, are as follows: (i) lab, (ii) outpatient medical, and (iii) CCRC.
Noncontrolling Interests
Arrangements with noncontrolling interest holders are assessed for appropriate balance sheet classification based on the redemption and other rights held by the noncontrolling interest holder. Net income (loss) attributable to a noncontrolling interest is included in net income (loss) on the Consolidated Statements of Operations and, upon a gain or loss of control, the interest purchased or sold, and any interest retained, is recorded at fair value with any gain or loss recognized in earnings. The Company accounts for purchases or sales of equity interests that do not result in a change in control as equity transactions.
Redeemable Noncontrolling Interests
Certain of the Company’s noncontrolling interest holders have the ability to put their equity interests to the Company upon specified events or after the passage of a predetermined period of time. Each put option is payable in cash and subject to increases in redemption value in the event that the underlying property generates specified returns and meets certain promote thresholds pursuant to the respective agreements. Accordingly, the Company records redeemable noncontrolling interests outside of permanent equity and presents the redeemable noncontrolling interests at the greater of their carrying amount or redemption value at the end of each reporting period.
Healthpeak OP
Immediately following the Reorganization, Healthpeak Properties, Inc. was the initial sole member and 100% owner of Healthpeak OP. Subsequent to the Reorganization, certain employees of the Company (“OP Unitholders”) were issued noncontrolling, non-managing member units in Healthpeak OP (“OP Units”). When certain conditions are met, the OP Unitholders have the right to require redemption of part or all of their OP Units for cash or shares of the Company’s common stock, at the Company’s option as managing member of Healthpeak OP. The per unit redemption amount is equal to either one share of the Company’s common stock or cash equal to the fair value of a share of common stock at the time of redemption. The Company classifies the OP Units in permanent equity because it may elect, in its sole discretion, to issue shares of its common stock to OP Unitholders who choose to redeem their OP Units rather than using cash.
DownREITs
The Company consolidates non-managing member limited liability companies (“DownREITs”) because it exercises control, and the noncontrolling interests in these entities are carried at cost. The non-managing member limited liability company (“LLC”) units (“DownREIT units”) are exchangeable for an amount of cash approximating the then-current market value of shares of the Company’s common stock or, at the Company’s option, shares of the Company’s common stock (subject to certain adjustments, such as stock splits and reclassifications). Upon exchange of DownREIT units for the Company’s common stock, the carrying amount of the DownREIT units is reclassified to stockholders’ equity.
Fair Value Measurement
The Company measures and discloses the fair value of nonfinancial and financial assets and liabilities utilizing a hierarchy of valuation techniques based on whether the inputs to a fair value measurement are considered to be observable or unobservable in a marketplace. Observable inputs reflect market data obtained from independent sources, while unobservable inputs reflect the Company’s market assumptions. This hierarchy requires the use of observable market data when available. These inputs have created the following fair value hierarchy:
Level 1—quoted prices for identical instruments in active markets;
Level 2—quoted prices for similar instruments in active markets; quoted prices for identical or similar instruments in markets that are not active; and model-derived valuations in which significant inputs and significant value drivers are observable in active markets; and
Level 3—fair value measurements derived from valuation techniques in which one or more significant inputs or significant value drivers are unobservable.
The Company measures fair value using a set of standardized procedures that are outlined herein for all assets and liabilities that are required to be measured at fair value. When available, the Company utilizes quoted market prices to determine fair value and classifies such items in Level 1. In instances where a market price is available, but the instrument is in an inactive or over-the-counter market, the Company consistently applies the dealer (market maker) pricing estimate and classifies the asset or liability in Level 2.
If quoted market prices or inputs are not available, fair value measurements are based on valuation models that utilize current market or independently sourced market inputs, such as interest rates, option volatilities, credit spreads, and/or market capitalization rates. Items valued using such internally-generated valuation techniques are classified according to the lowest level input that is significant to the fair value measurement. As a result, the asset or liability could be classified in either Level 2 or Level 3 even though there may be some significant inputs that are readily observable. Internal fair value models and techniques used by the Company include discounted cash flow models. The Company also considers its counterparty’s and own credit risk for derivative instruments and other liabilities measured at fair value. The Company has elected the mid-market pricing expedient when determining fair value.
Earnings per Share
Basic earnings per common share is computed by dividing net income (loss) applicable to common shares by the weighted average number of shares of common stock outstanding during the period. The Company accounts for unvested share-based payment awards that contain non-forfeitable dividend rights or dividend equivalents (whether paid or unpaid) as participating securities, which are included in the computation of earnings per share pursuant to the two-class method. Diluted earnings per common share is calculated by including the effect of dilutive securities, such as the impact of forward equity sales agreements using the treasury stock method and common shares issuable from the assumed conversion of DownREIT units, stock options, certain performance restricted stock units, and unvested restricted stock units.
Recent Accounting Pronouncements
Adopted
Government Assistance. In November 2021, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2021-10, Government Assistance (Topic 832): Disclosures by Business Entities about Government Assistance (“ASU 2021-10”), which increased the transparency of government assistance including the disclosure of the types of assistance, an entity’s accounting for assistance, and the effect of the assistance on an entity’s financial statements. The adoption of ASU 2021-10 on January 1, 2022 did not have a material impact on the Company’s consolidated financial position, results of operations, cash flows, or disclosures.
Reference Rate Reform. From March 2020 to December 2022, the FASB issued a series of ASUs that provide optional expedients that may be elected through December 31, 2024 to ease the potential burden in accounting for, or recognizing the effects of, reference rate reform on financial reporting. The amendments in these ASUs were effective immediately upon issuance. During the first quarter of 2023, the Company amended certain of its variable rate mortgage debt and the related interest rate swap agreements to change the interest rate benchmark from the London Interbank Offered Rate (“LIBOR”) to the Secured Overnight Financing Rate (“SOFR”) and accordingly, the Company elected to apply certain practical expedients provided by these ASUs related to cash flow hedges. These expedients and the effects of reference rate reform have not had a material impact on the Company’s consolidated financial position, results of operations, cash flows, or disclosures.
Not Yet Adopted
Segment Reporting. In November 2023, the FASB issued ASU No. 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures (“ASU 2023-07”), to improve reportable segment disclosure requirements so that investors can better understand an entity’s overall performance and assess potential future cash flows. The amendments in ASU 2023-07 include, but are not limited to: (i) disclosure of, on an annual basis, significant segment expenses that are regularly provided to the chief operating decision maker (“CODM”) and included within each reported measure of segment profit or loss; (ii) disclosure of, on an annual and interim basis, an amount for other segment items by reportable segment and a description of its composition (the other segment items category is the difference between segment revenue less the significant expenses disclosed and each reported measure of segment profit or loss); (iii) disclosure of, on an interim basis, all currently required annual disclosures about a reportable segment’s profit (loss) and assets; (iv) clarification that if the CODM uses more than one measure of a segment’s profit or loss in assessing segment performance and deciding how to allocate resources, an entity may report one or more of those additional measures of segment profit; and (v) disclosure of the title and position of the CODM and an explanation of how the CODM uses the reported measure(s) of segment profit or loss in assessing segment performance and deciding how to allocate resources. The amendments in ASU 2023-07 are effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024. The Company is evaluating the impact ASU 2023-07 will have on its disclosures.
Income Taxes. In December 2023, the FASB issued ASU No. 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures (“ASU 2023-09”), to provide disaggregated information about a reporting entity’s effective tax rate reconciliation as well as information on income taxes paid. One of the amendments in ASU 2023-09 includes disclosure of, on an annual basis, a tabular rate reconciliation (using both percentages and reporting currency amounts) of (i) the reported income tax expense (or benefit) from continuing operations, to (ii) the product of the income (or loss) from continuing operations before income taxes and the applicable statutory federal income tax rate of the jurisdiction of domicile using specific categories, including separate disclosure for any reconciling items within certain categories that are equal to or greater than a specified quantitative threshold of 5%. ASU 2023-09 also requires disclosure of, on an annual basis, the year to date amount of income taxes paid (net of refunds received) disaggregated by federal, state, and foreign jurisdictions, including additional disaggregated information on income taxes paid (net of refunds received) to an individual jurisdiction equal to or greater than 5% of total income taxes paid (net of refunds received). The amendments in ASU 2023-09 are effective for annual periods beginning after December 15, 2024. The Company is evaluating the impact ASU 2023-09 will have on its disclosures.
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Real Estate
12 Months Ended
Dec. 31, 2023
Real Estate [Abstract]  
Real Estate Real Estate
2023 Real Estate Investment Acquisitions
60 Loomis Land Parcel
In January 2023, the Company acquired a lab land parcel in Cambridge, Massachusetts for $9 million.
Wylie Outpatient Medical Building
In April 2023, the Company acquired the remaining 80% interest in one of the outpatient medical buildings in the Ventures IV unconsolidated joint venture for $4 million (see Note 8). Concurrent with the acquisition, the Company began consolidating the building and recognized a gain upon change of control of $0.2 million, which is recorded in other income (expense), net.
2022 Real Estate Investment Acquisitions
67 Smith Place
In January 2022, the Company closed a lab acquisition in Cambridge, Massachusetts for $72 million.
Vista Sorrento Phase II
In January 2022, the Company closed a lab acquisition in San Diego, California for $24 million.
Webster Outpatient Medical Portfolio
In March 2022, the Company acquired a portfolio of two outpatient medical buildings in Houston, Texas for $43 million.
Northwest Medical Plaza
In May 2022, the Company acquired one outpatient medical building in Bentonville, Arkansas for $26 million.
Concord Avenue Land Parcels
In December 2022, the Company closed a lab acquisition in Cambridge, Massachusetts for $18 million.
2021 Real Estate Investment Acquisitions
In 2021, the Company closed the following lab acquisitions: (i) eight acquisitions in Cambridge, Massachusetts for $498 million, (ii) one acquisition in San Diego, California for $20 million, and (iii) 12 acres of land for $128 million in South San Francisco, California.
Also during 2021, the Company closed the following outpatient medical acquisitions: (i) one outpatient medical building in Nashville, Tennessee for $13 million, (ii) one outpatient medical building in Denver, Colorado for $38 million, (iii) a portfolio of 14 outpatient medical buildings for $371 million (the “Outpatient Medical Building Portfolio”), (iv) one outpatient medical building in Fort Lauderdale, Florida for $16 million, (v) one outpatient medical building in Wichita, Kansas for $50 million, (vi) three outpatient medical buildings in Morristown, New Jersey for $155 million, (vii) two outpatient medical buildings in Dallas, Texas for $60 million, (viii) one outpatient medical building in Seattle, Washington for $43 million, (ix) one outpatient medical building in New Orleans, Louisiana for $34 million, and (x) one outpatient medical building in Cambridge, Massachusetts for $55 million. In conjunction with the acquisition of the Outpatient Medical Building Portfolio, the Company originated $142 million of secured mortgage debt (see Note 10).
Development Activities
Construction, Tenant, and Other Capital Improvements
The following table summarizes the Company’s expenditures for construction, tenant improvements, and other capital improvements for its consolidated property investments, excluding expenditures related to properties classified as discontinued operations (in thousands):
 Year Ended December 31,
Segment202320222021
Lab$428,961 $658,542 $472,301 
Outpatient medical236,135 237,761 230,227 
CCRC109,465 65,691 57,192 
$774,561 $961,994 $759,720 
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Dispositions of Real Estate and Discontinued Operations
12 Months Ended
Dec. 31, 2023
Discontinued Operations and Disposal Groups [Abstract]  
Dispositions of Real Estate and Discontinued Operations Dispositions of Real Estate and Discontinued Operations
2023 Dispositions of Real Estate
During the three months ended March 31, 2023, the Company sold two lab buildings in Durham, North Carolina, which were classified as held for sale as of December 31, 2022, for $113 million, resulting in total gain on sales of $60 million. Also during the three months ended March 31, 2023, the Company sold two outpatient medical buildings for $32 million, resulting in total gain on sales of $21 million.
2022 Dispositions of Real Estate
During the three months ended March 31, 2022, the Company sold one lab building in Salt Lake City, Utah for $14 million, resulting in a gain on sale of $4 million.
During the three months ended June 30, 2022, the Company sold three outpatient medical buildings and one outpatient medical land parcel for $27 million, resulting in total gain on sales of $10 million.
During the three months ended September 30, 2022, the Company sold two outpatient medical buildings for $9 million, resulting in total gain on sales of $1 million.
2021 Dispositions of Real Estate
Sunrise Senior Housing Portfolio
In January 2021, the Company sold a portfolio of 32 SHOP assets (the “Sunrise Senior Housing Portfolio”) for $664 million, resulting in an immaterial loss on sale, which is recognized in income (loss) from discontinued operations, and provided the buyer with: (i) financing of $410 million and (ii) a commitment to finance up to $92 million of additional debt for capital expenditures (see Note 7). Upon completion of the license transfer process in June 2021, the Company sold the two remaining Sunrise senior housing triple-net assets for $80 million, resulting in a gain on sale of $22 million, which is recognized in income (loss) from discontinued operations.
Brookdale Triple-Net Portfolio
In January 2021, the Company sold 24 senior housing assets in a triple-net lease with Brookdale for $510 million, resulting in total gain on sale of $169 million, which is recognized in income (loss) from discontinued operations.
Additional SHOP Portfolio
In January 2021, the Company sold a portfolio of 16 SHOP assets for $230 million, resulting in total gain on sale of $59 million, which is recognized in income (loss) from discontinued operations. The Company provided the buyer with financing of $150 million (see Note 7).
HRA Triple-Net Portfolio
In February 2021, the Company sold eight senior housing assets in a triple-net lease with Harbor Retirement Associates for $132 million, resulting in total gain on sale of $33 million, which is recognized in income (loss) from discontinued operations.
Oakmont SHOP Portfolio
In April 2021, the Company sold a portfolio of 12 SHOP assets for $564 million. In conjunction with the sale, mortgage debt held on two properties with a carrying value of $64 million was repaid and the remaining mortgage debt held on four properties with a carrying value of $107 million was assumed by the buyer. The transaction resulted in total gain on sale of $80 million, which is recognized in income (loss) from discontinued operations.
Discovery SHOP Portfolio
In April 2021, the Company sold a portfolio of 10 SHOP assets for $334 million, resulting in total gain on sale of $9 million, which is recognized in income (loss) from discontinued operations. Also included in this transaction was the sale of two mezzanine loans and two preferred equity investments for $21 million, resulting in no gain or loss on sale of the investments (collectively, the “Discovery SHOP Portfolio”).
Sonata SHOP Portfolio
In April 2021, the Company sold a portfolio of five SHOP assets for $64 million, resulting in total gain on sale of $3 million, which is recognized in income (loss) from discontinued operations.
SLC SHOP Portfolio
In May 2021, the Company sold seven SHOP assets for $113 million and repaid $70 million of mortgage debt that was held on six of the assets, resulting in total gain on sale of $1 million, which is recognized in income (loss) from discontinued operations.
Hoag Hospital
In May 2021, the Company sold one hospital for $226 million through the exercise of a purchase option by a tenant, resulting in gain on sale of $172 million.
2021 Other Dispositions
In addition to the portfolio and individual sales discussed above, during the year ended December 31, 2021, the Company sold the following: (i) 15 SHOP assets for $169 million, (ii) 7 senior housing triple-net assets for $24 million, and (iii) 10 outpatient medical buildings and a portion of 1 outpatient medical land parcel for $68 million, resulting in total gain on sales of $58 million ($39 million of which is recognized in income (loss) from discontinued operations). In conjunction with one of the SHOP asset sales, mortgage debt held on the property with a carrying value of $36 million was assumed by the buyer.
Held for Sale and Discontinued Operations
As of December 31, 2023, two lab buildings and one outpatient medical building were classified as held for sale, with a carrying value of $118 million, primarily comprised of net real estate assets. As of December 31, 2023, liabilities related to the assets held for sale were $1 million. In January 2024, we sold a 65% interest in these two lab buildings (see Note 8). As of December 31, 2022, two lab buildings were classified as held for sale, with an aggregate carrying value of $50 million, primarily comprised of net real estate assets of $44 million. As of December 31, 2022, liabilities related to these assets held for sale were $4 million. These two lab buildings were sold during the three months ended March 31, 2023, as discussed above.
In 2020, the Company concluded that the dispositions of its senior housing triple-net and SHOP portfolios represented a strategic shift that had a major effect on its operations and financial results. Therefore, the results of senior housing triple-net and SHOP assets are classified as discontinued operations in all periods presented herein. In September 2021, the Company successfully completed the disposition of the remaining senior housing triple-net and SHOP properties.
At each of December 31, 2023 and 2022, the total assets and total liabilities classified as discontinued operations were zero.
The results of discontinued operations during the years ended December 31, 2023, 2022, and 2021 are presented below (in thousands) and are included in the consolidated results of operations for the years ended December 31, 2023, 2022, and 2021:
 Year Ended December 31,
 202320222021
Revenues:
Rental and related revenues$— $— $7,535 
Resident fees and services— 7,489 114,936 
Total revenues— 7,489 122,471 
Costs and expenses:
Interest expense— — 3,900 
Operating— 6,452 122,571 
Transaction and merger-related costs— — 76 
Impairments and loan loss reserves (recoveries), net— — 32,736 
Total costs and expenses— 6,452 159,283 
Other income (expense):
Gain (loss) on sales of real estate, net— 1,344 414,721 
Other income (expense), net— 169 4,189 
Total other income (expense), net— 1,513 418,910 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures— 2,550 382,098 
Income tax benefit (expense)— 270 969 
Equity income (loss) from unconsolidated joint ventures— 64 5,135 
Income (loss) from discontinued operations$— $2,884 $388,202 
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Impairments of Real Estate
12 Months Ended
Dec. 31, 2023
Asset Impairment Charges [Abstract]  
Impairments of Real Estate Impairments of Real Estate
2023 and 2022
During the years ended December 31, 2023 and 2022, the Company did not recognize any impairment charges.
2021
During the year ended December 31, 2021, the Company recognized an aggregate impairment charge of $22 million, which is reported in impairments and loan loss reserves (recoveries), net, related to: (i) three outpatient medical buildings that met the held for sale criteria during the year and (ii) one outpatient medical building held for use; the aggregate fair value of these four outpatient medical buildings was $14 million as of the related impairment assessment dates. For the three outpatient medical buildings that met the held for sale criteria during the year, the Company recognized an impairment charge of $5 million to write down the properties’ aggregate carrying value to their aggregate fair value, less estimated costs to sell. For the outpatient medical building held for use, the Company recognized a $17 million impairment charge in the fourth quarter of 2021 due to the demolition of the outpatient medical building for a future development project.
Additionally, during the year ended December 31, 2021, the Company recognized an impairment charge of $4 million related to one SHOP asset, which is reported in income (loss) from discontinued operations. Following a reduction in the expected sales price of the SHOP asset occurring in the second quarter of 2021, the Company wrote down its carrying value of $20 million to its fair value, less estimated costs to sell, of $16 million.
The fair values of the impaired assets were based on forecasted sales prices and market comparable data, which are considered to be Level 3 measurements within the fair value hierarchy. These fair values are typically determined using an income approach and/or a market approach (comparable sales model), which rely on certain assumptions by management, including: (i) market capitalization rates, (ii) comparable market transactions, (iii) estimated prices per unit, (iv) negotiations with prospective buyers, and (v) forecasted cash flow streams (primarily lease revenue rates, expense rates, and growth rates). There are inherent uncertainties in making these assumptions. For the Company’s impairment calculations during and as of the year ended December 31, 2021, the Company’s fair value estimates primarily relied on a market approach, which utilized comparable market transactions and negotiations with prospective buyers.
Goodwill Impairment
When testing goodwill for impairment, if the Company concludes that it is more likely than not that the fair value of a reporting unit is less than its carrying value, the Company recognizes an impairment charge for the amount by which the carrying value, including goodwill, exceeds the reporting unit’s fair value.
In connection with the disposition of the Company’s remaining senior housing triple-net and SHOP assets, the Company performed impairment assessments during the year ended December 31, 2021. As a result of these assessments, the Company recognized a $29 million goodwill impairment charge reported in income (loss) from discontinued operations, comprised of the following: (i) a $7 million goodwill impairment charge recognized during the second quarter of 2021, as the fair value of the remaining senior housing triple-net assets (based on forecasted sales prices) was less than the carrying value of the assets, including the related goodwill as of the assessment date and (ii) a $22 million goodwill impairment charge recognized during the third quarter of 2021 to reduce the associated goodwill balance to zero following the sale of the remaining assets within the reporting units associated with the senior housing triple-net and SHOP portfolios.
During the years ended December 31, 2023, 2022, and 2021, the fair value of the assets within each of the Company’s other reporting units was greater than the respective carrying value of the assets and related goodwill, and as a result, no impairment charges were recognized with respect to the other reporting units.
These fair value estimates primarily relied on a market approach, utilizing comparable market transactions, forecasted sales prices, and negotiations with prospective buyers. These estimates are considered to be Level 3 measurements within the fair value hierarchy, and are subject to inherent uncertainties.
Casualty-Related Charges
During the years ended December 31, 2023, 2022, and 2021, the Company recognized $(3) million, $6 million, and $5 million, respectively, of net casualty-related charges (recoveries). During the year ended December 31, 2023, such recoveries were primarily attributable to proceeds received for water damage at an outpatient medical building. During the year ended December 31, 2022, such charges were primarily attributable to damages as a result of Hurricane Ian. During the year ended December 31, 2021, such charges were primarily due to fire damage at one of the properties in the SWF SH JV and winter storm Uri. Casualty-related charges are recognized in other income (expense), net and equity income (loss) from unconsolidated joint ventures in the Consolidated Statements of Operations. Also during the years ended December 31, 2023, 2022, and 2021, the Company collected business interruption proceeds of $4 million, $3 million, and zero, respectively, which are recognized in rental and related revenues and resident fees and services on the Consolidated Statements of Operations.
Other Losses
During the year ended December 31, 2022, the Company recognized $14 million of expenses within other income (expense), net on the Consolidated Statements of Operations for tenant relocation and other costs associated with the demolition of an outpatient medical building.
See Note 7 for information related to the Company’s reserve for loan losses.
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Leases
12 Months Ended
Dec. 31, 2023
Leases [Abstract]  
Leases Leases
Lease Income
The following table summarizes the Company’s lease income, excluding discontinued operations (in thousands):
 Year Ended December 31,
 202320222021
Fixed income from operating leases$1,236,502 $1,182,463 $1,087,683 
Variable income from operating leases395,303 359,312 290,701 
Interest income from direct financing leases— 1,168 8,702 
Direct Financing Leases
2022 Direct Financing Lease Sale
During the first quarter of 2022, the Company sold its remaining hospital under a DFL for $68 million and recognized a gain on sale of $23 million, which is included in other income (expense), net. Therefore, at December 31, 2023 and 2022, the Company had no leases classified as a DFL.
Operating Leases
Future Minimum Rents
The following table summarizes future minimum lease payments to be received from tenants under non-cancelable operating leases as of December 31, 2023 (in thousands):
YearAmount
2024$1,135,628 
20251,063,147 
2026975,246 
2027888,223 
2028788,742 
Thereafter2,818,655 
$7,669,641 
Tenant Purchase Options
Certain leases contain purchase options whereby the tenant may elect to acquire the underlying real estate. Annualized base rent from leases subject to purchase options, summarized by the year the purchase options are exercisable are as follows (dollars in thousands):
Year
Annualized
Base Rent(1)
Number of
Properties
2024$14,199 12 
202514,244 16 
202616,422 
20278,116 
20281,252 
Thereafter16,212 
 $70,445 47 
_______________________________________
(1)Represents the most recent month’s base rent including additional rent floors annualized for 12 months. Base rent does not include tenant recoveries, additional rents in excess of floors, and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, and deferred revenues).
Lease Costs
The following tables provide information regarding the Company’s leases to which it is the lessee, such as corporate offices and ground leases, excluding lease costs related to discontinued operations (dollars in thousands):
Year Ended December 31,
Lease Expense Information:202320222021
Total lease expense$17,010 $16,689 $14,442 

Weighted Average Lease Term and Discount Rate:December 31,
2023
December 31,
2022
Weighted average remaining lease term (years):
Operating leases(1)
5151
Weighted average discount rate:
Operating leases4.23 %4.20 %
_______________________________________
(1)As of both December 31, 2023 and 2022, the weighted average remaining lease term including the Company’s options to extend its operating leases is 67 years.
The following table summarizes future minimum lease payments under non-cancelable ground and other operating leases included in the Company’s lease liability as of December 31, 2023 (in thousands):
YearAmount
2024$16,950 
202512,399 
202612,326 
202712,321 
202812,351 
Thereafter475,584 
Undiscounted minimum lease payments included in the lease liability541,931 
Less: imputed interest(335,188)
Present value of lease liability$206,743 
Depreciation Expense
While the Company leases the majority of its property, plant, and equipment to various tenants under operating leases, in certain situations, the Company owns and operates certain property, plant, and equipment for general corporate purposes. Corporate assets are recorded within other assets, net within the Company’s Consolidated Balance Sheets and depreciation expense for those assets is recorded in general and administrative expenses in the Company’s Consolidated Statements of Operations. Included within other assets, net as of both December 31, 2023 and 2022 is $10 million of accumulated depreciation related to corporate assets. Included within general and administrative expenses for the years ended December 31, 2023, 2022, and 2021 is $3 million, $3 million, and $2 million, respectively, of depreciation expense related to corporate assets.
Denver Corporate Headquarters
During the year ended December 31, 2022, the Company recognized $7 million of charges in connection with the downsizing of the Company’s corporate headquarters in Denver, Colorado which are included in general and administrative expenses on the Consolidated Statements of Operations.
Tenant Updates
During the first quarter of 2023, the Company wrote off $9 million of straight-line rent receivable associated with four in-place operating leases with Sorrento Therapeutics, Inc. (“Sorrento”), which commenced voluntary reorganization proceedings (the “Filing”) under Chapter 11 of the U.S. Bankruptcy Code during the period. This write-off was recognized as a reduction in rental and related revenues on the Consolidated Statements of Operations. Subsequent to the write-off, revenue related to this tenant is recognized on a cash basis. Sorrento also had a single development lease with the Company, but had not taken occupancy at the time of the Filing. Subsequent to the Filing, the U.S. Bankruptcy Court approved Sorrento’s rejection of the development lease and three of the four operating leases, resulting in termination of these four leases during the year ended December 31, 2023. The Company filed proofs of claim for related damages during the year, $4 million of which was received by the Company by drawing on Sorrento’s related letters of credit and security deposits. These cash proceeds were recognized as rental revenue and lease termination fee income, which is included in rental and related revenues on the Consolidated Statements of Operations. Given the nature of bankruptcy proceedings, the probability, timing, or amount of the additional proceeds, if any, that the Company may ultimately receive in connection with the Company’s claims related to the rejected leases is uncertain. Accordingly, the Company has not recorded any estimated recoveries associated with these claims as of December 31, 2023.
On October 26, 2023, the Company amended its lease with Graphite Bio, Inc. (“Graphite Bio”) at one of its lab buildings in South San Francisco, California. Under the terms of the amended lease agreement, Graphite Bio’s lease expiration date was accelerated from April 2033 to December 2024 in exchange for an upfront cash payment of $37 million, comprised of a $21 million termination fee and $16 million prepayment of Graphite Bio's contractual rent through the amended term. The $37 million will be recognized as rental and related revenues on the Consolidated Statements of Operations on a straight-line basis through the amended term of the lease.
Leases Leases
Lease Income
The following table summarizes the Company’s lease income, excluding discontinued operations (in thousands):
 Year Ended December 31,
 202320222021
Fixed income from operating leases$1,236,502 $1,182,463 $1,087,683 
Variable income from operating leases395,303 359,312 290,701 
Interest income from direct financing leases— 1,168 8,702 
Direct Financing Leases
2022 Direct Financing Lease Sale
During the first quarter of 2022, the Company sold its remaining hospital under a DFL for $68 million and recognized a gain on sale of $23 million, which is included in other income (expense), net. Therefore, at December 31, 2023 and 2022, the Company had no leases classified as a DFL.
Operating Leases
Future Minimum Rents
The following table summarizes future minimum lease payments to be received from tenants under non-cancelable operating leases as of December 31, 2023 (in thousands):
YearAmount
2024$1,135,628 
20251,063,147 
2026975,246 
2027888,223 
2028788,742 
Thereafter2,818,655 
$7,669,641 
Tenant Purchase Options
Certain leases contain purchase options whereby the tenant may elect to acquire the underlying real estate. Annualized base rent from leases subject to purchase options, summarized by the year the purchase options are exercisable are as follows (dollars in thousands):
Year
Annualized
Base Rent(1)
Number of
Properties
2024$14,199 12 
202514,244 16 
202616,422 
20278,116 
20281,252 
Thereafter16,212 
 $70,445 47 
_______________________________________
(1)Represents the most recent month’s base rent including additional rent floors annualized for 12 months. Base rent does not include tenant recoveries, additional rents in excess of floors, and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, and deferred revenues).
Lease Costs
The following tables provide information regarding the Company’s leases to which it is the lessee, such as corporate offices and ground leases, excluding lease costs related to discontinued operations (dollars in thousands):
Year Ended December 31,
Lease Expense Information:202320222021
Total lease expense$17,010 $16,689 $14,442 

Weighted Average Lease Term and Discount Rate:December 31,
2023
December 31,
2022
Weighted average remaining lease term (years):
Operating leases(1)
5151
Weighted average discount rate:
Operating leases4.23 %4.20 %
_______________________________________
(1)As of both December 31, 2023 and 2022, the weighted average remaining lease term including the Company’s options to extend its operating leases is 67 years.
The following table summarizes future minimum lease payments under non-cancelable ground and other operating leases included in the Company’s lease liability as of December 31, 2023 (in thousands):
YearAmount
2024$16,950 
202512,399 
202612,326 
202712,321 
202812,351 
Thereafter475,584 
Undiscounted minimum lease payments included in the lease liability541,931 
Less: imputed interest(335,188)
Present value of lease liability$206,743 
Depreciation Expense
While the Company leases the majority of its property, plant, and equipment to various tenants under operating leases, in certain situations, the Company owns and operates certain property, plant, and equipment for general corporate purposes. Corporate assets are recorded within other assets, net within the Company’s Consolidated Balance Sheets and depreciation expense for those assets is recorded in general and administrative expenses in the Company’s Consolidated Statements of Operations. Included within other assets, net as of both December 31, 2023 and 2022 is $10 million of accumulated depreciation related to corporate assets. Included within general and administrative expenses for the years ended December 31, 2023, 2022, and 2021 is $3 million, $3 million, and $2 million, respectively, of depreciation expense related to corporate assets.
Denver Corporate Headquarters
During the year ended December 31, 2022, the Company recognized $7 million of charges in connection with the downsizing of the Company’s corporate headquarters in Denver, Colorado which are included in general and administrative expenses on the Consolidated Statements of Operations.
Tenant Updates
During the first quarter of 2023, the Company wrote off $9 million of straight-line rent receivable associated with four in-place operating leases with Sorrento Therapeutics, Inc. (“Sorrento”), which commenced voluntary reorganization proceedings (the “Filing”) under Chapter 11 of the U.S. Bankruptcy Code during the period. This write-off was recognized as a reduction in rental and related revenues on the Consolidated Statements of Operations. Subsequent to the write-off, revenue related to this tenant is recognized on a cash basis. Sorrento also had a single development lease with the Company, but had not taken occupancy at the time of the Filing. Subsequent to the Filing, the U.S. Bankruptcy Court approved Sorrento’s rejection of the development lease and three of the four operating leases, resulting in termination of these four leases during the year ended December 31, 2023. The Company filed proofs of claim for related damages during the year, $4 million of which was received by the Company by drawing on Sorrento’s related letters of credit and security deposits. These cash proceeds were recognized as rental revenue and lease termination fee income, which is included in rental and related revenues on the Consolidated Statements of Operations. Given the nature of bankruptcy proceedings, the probability, timing, or amount of the additional proceeds, if any, that the Company may ultimately receive in connection with the Company’s claims related to the rejected leases is uncertain. Accordingly, the Company has not recorded any estimated recoveries associated with these claims as of December 31, 2023.
On October 26, 2023, the Company amended its lease with Graphite Bio, Inc. (“Graphite Bio”) at one of its lab buildings in South San Francisco, California. Under the terms of the amended lease agreement, Graphite Bio’s lease expiration date was accelerated from April 2033 to December 2024 in exchange for an upfront cash payment of $37 million, comprised of a $21 million termination fee and $16 million prepayment of Graphite Bio's contractual rent through the amended term. The $37 million will be recognized as rental and related revenues on the Consolidated Statements of Operations on a straight-line basis through the amended term of the lease.
Leases Leases
Lease Income
The following table summarizes the Company’s lease income, excluding discontinued operations (in thousands):
 Year Ended December 31,
 202320222021
Fixed income from operating leases$1,236,502 $1,182,463 $1,087,683 
Variable income from operating leases395,303 359,312 290,701 
Interest income from direct financing leases— 1,168 8,702 
Direct Financing Leases
2022 Direct Financing Lease Sale
During the first quarter of 2022, the Company sold its remaining hospital under a DFL for $68 million and recognized a gain on sale of $23 million, which is included in other income (expense), net. Therefore, at December 31, 2023 and 2022, the Company had no leases classified as a DFL.
Operating Leases
Future Minimum Rents
The following table summarizes future minimum lease payments to be received from tenants under non-cancelable operating leases as of December 31, 2023 (in thousands):
YearAmount
2024$1,135,628 
20251,063,147 
2026975,246 
2027888,223 
2028788,742 
Thereafter2,818,655 
$7,669,641 
Tenant Purchase Options
Certain leases contain purchase options whereby the tenant may elect to acquire the underlying real estate. Annualized base rent from leases subject to purchase options, summarized by the year the purchase options are exercisable are as follows (dollars in thousands):
Year
Annualized
Base Rent(1)
Number of
Properties
2024$14,199 12 
202514,244 16 
202616,422 
20278,116 
20281,252 
Thereafter16,212 
 $70,445 47 
_______________________________________
(1)Represents the most recent month’s base rent including additional rent floors annualized for 12 months. Base rent does not include tenant recoveries, additional rents in excess of floors, and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, and deferred revenues).
Lease Costs
The following tables provide information regarding the Company’s leases to which it is the lessee, such as corporate offices and ground leases, excluding lease costs related to discontinued operations (dollars in thousands):
Year Ended December 31,
Lease Expense Information:202320222021
Total lease expense$17,010 $16,689 $14,442 

Weighted Average Lease Term and Discount Rate:December 31,
2023
December 31,
2022
Weighted average remaining lease term (years):
Operating leases(1)
5151
Weighted average discount rate:
Operating leases4.23 %4.20 %
_______________________________________
(1)As of both December 31, 2023 and 2022, the weighted average remaining lease term including the Company’s options to extend its operating leases is 67 years.
The following table summarizes future minimum lease payments under non-cancelable ground and other operating leases included in the Company’s lease liability as of December 31, 2023 (in thousands):
YearAmount
2024$16,950 
202512,399 
202612,326 
202712,321 
202812,351 
Thereafter475,584 
Undiscounted minimum lease payments included in the lease liability541,931 
Less: imputed interest(335,188)
Present value of lease liability$206,743 
Depreciation Expense
While the Company leases the majority of its property, plant, and equipment to various tenants under operating leases, in certain situations, the Company owns and operates certain property, plant, and equipment for general corporate purposes. Corporate assets are recorded within other assets, net within the Company’s Consolidated Balance Sheets and depreciation expense for those assets is recorded in general and administrative expenses in the Company’s Consolidated Statements of Operations. Included within other assets, net as of both December 31, 2023 and 2022 is $10 million of accumulated depreciation related to corporate assets. Included within general and administrative expenses for the years ended December 31, 2023, 2022, and 2021 is $3 million, $3 million, and $2 million, respectively, of depreciation expense related to corporate assets.
Denver Corporate Headquarters
During the year ended December 31, 2022, the Company recognized $7 million of charges in connection with the downsizing of the Company’s corporate headquarters in Denver, Colorado which are included in general and administrative expenses on the Consolidated Statements of Operations.
Tenant Updates
During the first quarter of 2023, the Company wrote off $9 million of straight-line rent receivable associated with four in-place operating leases with Sorrento Therapeutics, Inc. (“Sorrento”), which commenced voluntary reorganization proceedings (the “Filing”) under Chapter 11 of the U.S. Bankruptcy Code during the period. This write-off was recognized as a reduction in rental and related revenues on the Consolidated Statements of Operations. Subsequent to the write-off, revenue related to this tenant is recognized on a cash basis. Sorrento also had a single development lease with the Company, but had not taken occupancy at the time of the Filing. Subsequent to the Filing, the U.S. Bankruptcy Court approved Sorrento’s rejection of the development lease and three of the four operating leases, resulting in termination of these four leases during the year ended December 31, 2023. The Company filed proofs of claim for related damages during the year, $4 million of which was received by the Company by drawing on Sorrento’s related letters of credit and security deposits. These cash proceeds were recognized as rental revenue and lease termination fee income, which is included in rental and related revenues on the Consolidated Statements of Operations. Given the nature of bankruptcy proceedings, the probability, timing, or amount of the additional proceeds, if any, that the Company may ultimately receive in connection with the Company’s claims related to the rejected leases is uncertain. Accordingly, the Company has not recorded any estimated recoveries associated with these claims as of December 31, 2023.
On October 26, 2023, the Company amended its lease with Graphite Bio, Inc. (“Graphite Bio”) at one of its lab buildings in South San Francisco, California. Under the terms of the amended lease agreement, Graphite Bio’s lease expiration date was accelerated from April 2033 to December 2024 in exchange for an upfront cash payment of $37 million, comprised of a $21 million termination fee and $16 million prepayment of Graphite Bio's contractual rent through the amended term. The $37 million will be recognized as rental and related revenues on the Consolidated Statements of Operations on a straight-line basis through the amended term of the lease.
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Loans Receivable
12 Months Ended
Dec. 31, 2023
Receivables [Abstract]  
Loans Receivable Loans Receivable
The following table summarizes the Company’s loans receivable (in thousands):
December 31,
 20232022
Secured loans(1)
$178,678 $350,837 
CCRC resident loans42,733 33,083 
Unamortized discounts and fees(131)(808)
Reserve for loan losses(2,830)(8,280)
Loans receivable, net$218,450 $374,832 
_______________________________________
(1)At December 31, 2023 and 2022, the Company had $29 million and $40 million, respectively, remaining of commitments to fund additional loans for senior housing redevelopment and capital expenditure projects.
During the years ended December 31, 2023, 2022, and 2021, the Company recognized $22 million, $22 million, and $36 million, respectively, of interest income related to loans secured by real estate.
Sunrise Senior Housing Portfolio Seller Financing
In conjunction with the sale of 32 SHOP facilities for $664 million in January 2021 (see Note 4), the Company provided the buyer with initial financing of $410 million. The remainder of the sales price was received in cash at the time of sale. Additionally, the Company agreed to provide up to $92 million of additional financing for capital expenditures (up to 65% of the estimated cost of capital expenditures). The initial and additional financing is secured by the buyer’s equity ownership in each property. In June 2023, the interest rate on this secured loan was converted from a variable rate based on LIBOR to a variable rate based on Term SOFR (plus a 10 basis point adjustment related to SOFR transition).
In June 2021, February 2022, July 2022, and December 2022, the Company received principal repayments of $246 million, $8 million, $27 million, and $10 million, respectively, in conjunction with the disposition of the underlying collateral. In connection with these principal repayments, the additional financing available was reduced to $40 million, of which $11 million had been funded as of December 31, 2023. At December 31, 2023 and 2022, this secured loan had an outstanding principal balance of $131 million and $120 million, respectively.
In February 2024, the loan reached its maturity. The Company provided a short-term extension to the borrower, and the Company and the borrower are currently negotiating long-term refinance and extension terms.
Other Seller Financing
In conjunction with the sale of 16 additional SHOP facilities for $230 million in January 2021 (see Note 4), the Company provided the buyer with financing of $150 million. The remainder of the sales price was received in cash at the time of sale. The financing is secured by the buyer’s equity ownership in each property. Upon maturity in January 2023, the borrower did not make the required principal repayment. In February 2023, the borrower made a partial principal repayment of $102 million and the remaining balance owed was refinanced with the Company. In connection with the refinance, the maturity date of the loan was extended to January 2024 and the interest rate on the loan was increased to a variable rate based on Term SOFR (plus an 11 basis point adjustment related to SOFR transition) plus 6.0% for the first six months of the extended term, increasing to 7.0% for the last six months of the extended term. The Company also received a $1 million extension fee in connection with the refinance, which is recognized in interest income over the remaining term of the loan. At December 31, 2023 and 2022, this secured loan had an outstanding principal balance of $48 million and $150 million, respectively.
In January 2024, the loan was refinanced with the Company. In connection with the refinance, the maturity date of the loan was extended to January 2025. The interest rate on the loan will remain as Term SOFR (plus an 11 basis point adjustment related to SOFR transition) plus 7.0% but is now subject to a fixed floor of 12%. The Company also received a $1 million extension fee in connection with the refinance, which is recognized in interest income over the remaining term of the loan.
2023 Other Loans Receivable Transactions
In February 2023, the Company received full repayment of the outstanding balance of one $35 million secured loan.
In April 2023, the Company received full repayment of the outstanding balance of one $14 million secured loan.
In May 2023, the Company received full repayment of two outstanding secured loans with an aggregate balance of $12 million.
Also in May 2023, the interest rate on one secured loan with an outstanding balance of $21 million was converted from a variable rate based on LIBOR to a variable rate based on Term SOFR (plus a 10 basis point adjustment related to SOFR transition). In October 2023, the Company received full repayment of the outstanding balance of this $21 million secured loan.
2022 Other Loans Receivable Transactions
In May 2022, the Company received full repayment of the outstanding balance of one $2 million secured loan.
In November 2022, the Company received full repayment of the outstanding balance of one $1 million mezzanine loan.
In December 2022, the Company extended the maturity dates of four secured loans with an aggregate outstanding balance of $61 million, originally scheduled to mature in December 2022, by one year to December 2023. In connection with the extensions, the interest rates on the loans were increased to a variable rate based on Term SOFR (plus an 11 basis point adjustment related to SOFR transition) with a floor of 8.5% for the first six months of the extended term, increasing to a floor of 10.5% for the last six months of the extended term. All four of these secured loans were repaid during 2023 as discussed above.
2021 Other Loans Receivable Transactions
The Company classifies a loan receivable as held for sale when management no longer has the intent or ability to hold the loan receivable for the foreseeable future or until maturity. If a loan receivable is classified as held for sale, previously recorded reserves for loan losses are reversed and the loan is reported at the lower of amortized cost or fair value. During the second quarter of 2021, two loans receivable with a total amortized cost of $64 million were classified as held for sale. Upon the transfer of these two loans to held for sale, the carrying value was decreased by $11 million to an estimated fair value of $53 million, $8 million of which was previously recognized as a reserve for loan losses. As a result, a $3 million net loss was recognized in impairments and loan loss reserves (recoveries), net during the year ended December 31, 2021. In September 2021, the Company sold one of the loans receivable previously classified as held for sale for its carrying value of $2 million. In November 2021, the Company sold the other loan receivable previously classified as held for sale for its carrying value of $51 million.
These fair value estimates were made for each individual loan classified as held for sale and primarily relied on a market approach, utilizing comparable market transactions, forecasted sales prices, and negotiations with prospective buyers. These estimates are considered to be a Level 3 measurement within the fair value hierarchy, and are subject to inherent uncertainties.
Additionally, in April 2021, the Company sold two mezzanine loans as part of the Discovery SHOP Portfolio disposition (see Note 4), resulting in no gain or loss on sale of the mezzanine loans.
In May 2021, the Company received a $10 million principal repayment related to one of its secured loans. In September 2021, the Company received repayment of the remaining $15 million balance.
In July 2021, the Company received full repayment of the outstanding balance of an $8 million secured loan.
CCRC Resident Loans
For certain residents that qualify, CCRCs may offer to lend residents the necessary funds to satisfy the entrance fee requirements so that they are able to move into a community while still continuing the process of selling their previous home. The loans are due upon sale of the resident’s previous home. At December 31, 2023 and 2022, the Company held $43 million and $33 million, respectively, of such notes receivable.
Loans Receivable Internal Ratings
Refer to Note 2 for a discussion of the Company’s quarterly review process over its loans receivable and the related internal ratings process. The following table summarizes, by year of origination, the Company’s internal ratings for loans receivable, net of unamortized discounts, fees, and reserves for loan losses, as of December 31, 2023 (in thousands):
Investment TypeYear of OriginationTotal
2023
2022
2021(1)
2020
2019
Prior
Secured loans
Risk rating:
Performing loans$— $— $175,717 $— $— $— $175,717 
Watch list loans— — — — — — — 
Workout loans— — — — — — — 
Total secured loans$— $— $175,717 $— $— $— $175,717 
Current period gross write-offs$— $— $— $— $— $— $— 
Current period recoveries— — — — — — — 
Current period net write-offs$— $— $— $— $— $— $— 
CCRC resident loans
Risk rating:
Performing loans$42,132 $601 $— $— $— $— $42,733 
Watch list loans— — — — — — — 
Workout loans— — — — — — — 
Total CCRC resident loans
$42,132 $601 $— $— $— $— $42,733 
Current period gross write-offs$— $— $— $— $— $— $— 
Current period recoveries— — — — — — — 
Current period net write-offs$— $— $— $— $— $— $— 
_______________________________________
(1)Additional financing funded on the Sunrise Senior Housing Portfolio Seller Financing (as discussed above) is included in the year of origination of the initial financing.
Reserve for Loan Losses
Refer to Note 2 for a discussion of the Company’s assessment of current expected credit losses for loans receivable and unfunded loan commitments. The following table summarizes the Company’s reserve for loan losses (in thousands):
 December 31, 2023December 31, 2022
 Secured Loans
Other(1)
TotalSecured Loans
Other(1)
Total
Reserve for loan losses, beginning of period$8,280 $— $8,280 $1,804 $$1,813 
Provision for expected loan losses2,088 — 2,088 6,527 6,534 
Expected loan losses (recoveries) related to loans sold or repaid(7,538)— (7,538)(51)(16)(67)
Reserve for loan losses, end of period$2,830 $— $2,830 $8,280 $— $8,280 
_______________________________________
(1)Includes CCRC resident loans and other loan activity.
Additionally, at December 31, 2023 and 2022, a liability of $0.7 million and $0.8 million, respectively, related to expected credit losses for unfunded loan commitments was included in accounts payable, accrued liabilities, and other liabilities.
The change in the reserve for expected loan losses during the year ended December 31, 2023 is primarily due to: (i) principal repayments on seller financing, (ii) increased interest rates on variable rate loans, and (iii) macroeconomic conditions.
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Investments in and Advances to Unconsolidated Joint Ventures
12 Months Ended
Dec. 31, 2023
Equity Method Investments and Joint Ventures [Abstract]  
Investments in and Advances to Unconsolidated Joint Ventures Investments in and Advances to Unconsolidated Joint Ventures
The Company owns interests in the following entities that are accounted for under the equity method (dollars in thousands):
   Carrying Amount
   December 31,
Entity(1)
Segment
Property Count(2)
Ownership %(2)
20232022
South San Francisco JVs(3)
Lab770$393,374 $309,969 
SWF SH JVOther1954332,693 345,978 
Lab JVLab14931,761 26,601 
Needham Land Parcel JV(4)
Lab3817,084 15,391 
Outpatient Medical JVs(5)
Outpatient medical2
20 - 67
7,941 8,738 
   $782,853 $706,677 
_______________________________________
(1)These entities are not consolidated because the Company does not control, through voting rights or other means, the joint ventures.
(2)Property counts and ownership percentages are as of December 31, 2023.
(3)Includes seven unconsolidated lab joint ventures in South San Francisco, California in which the Company holds a 70% ownership percentage in each joint venture. These joint ventures have been aggregated herein due to similarity of the investments and operations. See “South San Francisco JVs” below for further information.
(4)Land held for development is excluded from the property count as of December 31, 2023.
(5)Includes two unconsolidated outpatient medical joint ventures in which the Company holds an ownership percentage as follows: (i) Ventures IV (20%) and (ii) Suburban Properties, LLC (67%). As of December 31, 2022, these joint ventures held a total of three properties. In April 2023, the Company acquired the remaining 80% interest in one of the two properties in the Ventures IV unconsolidated joint venture for $4 million (see Note 3). These joint ventures have been aggregated herein due to similarity of the investments and operations.
At December 31, 2023 and 2022, the aggregate unamortized basis difference of the Company’s investments in unconsolidated joint ventures of $49 million and $41 million, respectively, is primarily attributable to the difference between the amount for which the Company purchased its interest in the Lab JV and the historical carrying value of the net assets of the Lab JV and capitalized interest related to the redevelopment activities at the South San Francisco JVs. The differences are amortized over the remaining useful lives of the related assets and are included in equity income (loss) from unconsolidated joint ventures.
South San Francisco JVs
On August 1, 2022, the Company sold a 30% interest in seven lab buildings in South San Francisco, California to a sovereign wealth fund (“SWF Partner”) for cash of $126 million. Following this transaction, the Company and the SWF Partner share in key decisions of the assets through their voting rights, resulting in the Company deconsolidating the assets, recognizing its retained 70% investment in the South San Francisco joint ventures (the “South San Francisco JVs”) at fair value, and accounting for its investment using the equity method. The fair values of the Company’s retained investment were based on a market approach, utilizing an agreed-upon contractual sales price, which is considered to be a Level 3 measurement within the fair value hierarchy. During the year ended December 31, 2022, the Company recognized a gain upon change of control of $311 million, which is recorded in other income (expense), net.
The Company is entitled to a preferred return, a promote, and certain fees in exchange for development and asset management services provided to the South San Francisco JVs when certain conditions are met.
Callan Ridge JV
In December 2023, the Company entered into definitive agreements with a third party to sell a 65% interest in two lab buildings in San Diego, California. The Company received an $8 million nonrefundable deposit upon completion of due diligence in December 2023. As of December 31, 2023, these two lab buildings had a carrying value of $110 million and were classified as held for sale (see Note 4). In January 2024, the transaction closed and the Company received net proceeds of $128 million in connection with the sale of the 65% interest.
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Intangibles
12 Months Ended
Dec. 31, 2023
Intangibles [Abstract]  
Intangibles Intangibles
Intangible assets primarily consist of lease-up intangibles and above market lease intangibles. The following table summarizes the Company’s intangible lease assets (dollars in thousands):
 December 31,
Intangible lease assets2023
2022(1)
Gross intangible lease assets$739,228 $770,285 
Accumulated depreciation and amortization(425,072)(352,224)
Intangible assets, net$314,156 $418,061 
Weighted average remaining amortization period in years55
_______________________________________
(1)Excludes intangible assets reported in assets held for sale of $2 million.
Intangible liabilities consist of below market lease intangibles. The following table summarizes the Company’s intangible lease liabilities (dollars in thousands):
 December 31,
Intangible lease liabilities20232022
Gross intangible lease liabilities$228,105 $237,464 
Accumulated depreciation and amortization(100,725)(81,271)
Intangible liabilities, net$127,380 $156,193 
Weighted average remaining amortization period in years77
The following table sets forth amortization related to intangible assets, net and intangible liabilities, net (in thousands):
Year Ended December 31,
202320222021
Depreciation and amortization expense related to amortization of lease-up intangibles(1)
$102,249 $104,885 $106,106 
Rental and related revenues related to amortization of net below market lease liabilities(1)
27,012 24,640 20,597 
_______________________________________
(1)Excludes amortization related to assets classified as discontinued operations.
During the year ended December 31, 2023, in conjunction with the Company’s acquisition of real estate, the Company acquired $0.5 million of intangible assets with a weighted average amortization period at acquisition of 5 years.
During the year ended December 31, 2022, in conjunction with the Company’s acquisitions of real estate, the Company acquired intangible assets of $7 million and intangible liabilities of $6 million. The intangible assets and liabilities acquired had a weighted average amortization period at acquisition of 7 years and 11 years, respectively.
The following table summarizes the estimated annual amortization for each of the five succeeding fiscal years and thereafter (in thousands):
 Rental and Related RevenuesDepreciation and Amortization
2024$22,577 $95,208 
202521,560 83,629 
202619,071 51,580 
202715,064 25,981 
202811,945 16,216 
Thereafter29,909 34,288 
 $120,126 $306,902 
Goodwill
At each of December 31, 2023 and 2022, the Company’s goodwill balance was $18 million and is recognized in other assets, net on the Consolidated Balance Sheets. See Note 15 for goodwill attributable to the Company’s reportable segments. During the year ended December 31, 2021, the Company recognized a $29 million goodwill impairment charge, recognized within income (loss) from discontinued operations (see Note 5).
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Debt
12 Months Ended
Dec. 31, 2023
Debt Disclosure [Abstract]  
Debt Debt
Subsequent to the Reorganization, Healthpeak OP, the Company’s consolidated operating subsidiary, is the borrower under, and the Company is the guarantor of, all of the unsecured debt discussed below, which includes the Revolving Facility, Term Loan Facilities, Commercial Paper Program (each as defined below), and senior unsecured notes. The Company’s guarantee of the senior unsecured notes is full and unconditional and applicable to existing and future senior unsecured notes.
Bank Line of Credit and Term Loans
On May 23, 2019, the Company executed a $2.5 billion unsecured revolving line of credit facility, with a maturity date of May 23, 2023 and two six-month extension options, subject to certain customary conditions. In September 2021, the Company executed an amended and restated unsecured revolving line of credit (the “Revolving Facility”) to increase total revolving commitments from $2.5 billion to $3.0 billion and extend the maturity date to January 20, 2026. This maturity date may be further extended pursuant to two six-month extension options, subject to certain customary conditions. Borrowings under the Revolving Facility accrue interest at the applicable interest rate benchmark plus a margin that depends on the credit ratings of the Company’s senior unsecured long-term debt. On February 10, 2023, the Company executed an amendment to the Revolving Facility to convert the interest rate benchmark from LIBOR to SOFR. The Company also pays a facility fee on the entire revolving commitment that depends on its credit ratings. Additionally, the Revolving Facility includes a sustainability-linked pricing component whereby the applicable margin may be reduced by up to 0.025% based on the Company’s achievement of specified sustainability-linked metrics, subject to certain conditions. Based on the Company’s credit ratings at December 31, 2023, and inclusive of achievement of a sustainability-linked metric, the margin on the Revolving Facility was 0.85% and the facility fee was 0.15%. The Revolving Facility includes a feature that allows the Company to increase the borrowing capacity by an aggregate amount of up to $750 million, subject to securing additional commitments. At each of December 31, 2023 and 2022, the Company had no balance outstanding under the Revolving Facility.
On August 22, 2022, the Company executed a term loan agreement (the “Term Loan Agreement”) that provided for two senior unsecured delayed draw term loans in an aggregate principal amount of up to $500 million (the “Term Loan Facilities”). The Term Loan Facilities were available to be drawn from time to time during a 180-day period after closing, subject to customary borrowing conditions, and the Company drew the entirety of the $500 million under the Term Loan Facilities in October 2022. $250 million of the Term Loan Facilities has an initial stated maturity of 4.5 years, which may be extended for a one-year period subject to certain customary conditions. The other $250 million of the Term Loan Facilities has a stated maturity of 5 years with no option to extend. At each of December 31, 2023 and 2022, the Company had $500 million outstanding under the Term Loan Facilities.
Loans outstanding under the Term Loan Facilities accrue interest at Term SOFR plus a margin that depends on the credit ratings of the Company’s senior unsecured long-term debt. The Term Loan Agreement also includes a sustainability-linked pricing component whereby the applicable margin under the Term Loan Facilities may be reduced by 0.01% based on the Company’s achievement of specified sustainability-linked metrics. Based on the Company’s credit ratings as of December 31, 2023, and inclusive of achievement of a sustainability-linked metric, the margin on the Term Loan Facilities was 0.94%. The Term Loan Agreement includes a feature that allows the Company to increase the borrowing capacity by an aggregate amount of up to an additional $500 million, subject to securing additional commitments.
In August 2022, the Company entered into two forward-starting interest rate swap instruments that are designated as cash flow hedges (see Note 21). The Term Loan Facilities associated with these interest rate swap instruments are reported as fixed rate debt due to the Company having effectively established a fixed interest rate for the underlying debt instruments. Based on the Company’s credit ratings as of December 31, 2023, the Term Loan Facilities had a blended fixed effective interest rate of 3.76%, inclusive of the impact of these interest rate swap instruments and amortization of the related debt issuance costs.
The Revolving Facility and Term Loan Facilities are subject to certain financial restrictions and other customary requirements, including financial covenants and cross-default provisions to other indebtedness. Among other things, these covenants, using terms defined in the applicable agreement: (i) limit the ratio of Enterprise Total Indebtedness to Enterprise Gross Asset Value to 60%; (ii) limit the ratio of Enterprise Secured Debt to Enterprise Gross Asset Value to 40%; (iii) limit the ratio of Enterprise Unsecured Debt to Enterprise Unencumbered Asset Value to 60%; (iv) require a minimum Fixed Charge Coverage ratio of 1.5 times; and (v) require a minimum Consolidated Tangible Net Worth of $7.7 billion. The Company believes it was in compliance with each of these covenants at December 31, 2023.
The Company has secured commitments for a $750 million five-year unsecured term loan (the “2024 Term Loan”), to be incurred as an incremental facility under the Term Loan Agreement. In January 2024, the Company entered into forward-starting interest rate swap instruments that are designated as cash flow hedges (see Note 21) that will effectively establish a fixed interest rate for the 2024 Term Loan at a blended contractual rate of 4.5%.
Commercial Paper Program
In September 2019, the Company established an unsecured commercial paper program (the “Commercial Paper Program”). Under the terms of the Commercial Paper Program, the Company may issue, from time to time, short-term unsecured notes with varying maturities. Amounts available under the Commercial Paper Program may be borrowed, repaid, and re-borrowed from time to time. At each of December 31, 2023 and 2022, the maximum aggregate face or principal amount that could be outstanding at any one time was $2.0 billion. Amounts borrowed under the Commercial Paper Program will be sold on terms that are customary for the U.S. commercial paper market and will be at least equal in right of payment with all of the Company’s other unsecured and unsubordinated indebtedness. The Company uses its Revolving Facility as a liquidity backstop for the repayment of short-term unsecured notes issued under the Commercial Paper Program. At December 31, 2023, the Company had $720 million of notes outstanding under the Commercial Paper Program, with original maturities of approximately 37 days and a weighted average interest rate of 5.70%. At December 31, 2022, the Company had $996 million of notes outstanding under the Commercial Paper Program, with original maturities of approximately two months and a weighted average interest rate of 4.90%.
Senior Unsecured Notes
At December 31, 2023 and 2022, the Company had senior unsecured notes outstanding with an aggregate principal balance of $5.5 billion and $4.7 billion, respectively. The senior unsecured notes contain certain covenants including limitations on debt, maintenance of unencumbered assets, cross-acceleration provisions, and other customary terms. The Company believes it was in compliance with these covenants at December 31, 2023.
The following table summarizes the Company’s senior unsecured notes issuances for the years ended December 31, 2023, 2022, and 2021 (dollars in thousands):
Issue DateAmountCoupon RateMaturity Year
Year ended December 31, 2023:
January 17, 2023$400,000 5.25 %2032
May 10, 2023(1)
350,000 5.25 %2032
Year ended December 31, 2021:
November 24, 2021(2)
500,000 2.13 %2028
July 12, 2021(2)
450,000 1.35 %2027
_______________________________________
(1)In May 2023, the Company issued $350 million of 5.25% senior unsecured notes due 2032, which constituted an additional issuance of, and are treated as a single series with, the $400 million of senior unsecured notes due 2032 issued in January 2023.
(2)In 2021, the Company completed two green bond offerings. The net proceeds from both green bonds have been allocated to eligible green projects, and the Company may choose to re-allocate net proceeds from such offerings to one or more other eligible green projects.
During the years ended December 31, 2023 and 2022, there were no repurchases or redemptions of senior unsecured notes.
The following table summarizes the Company’s senior unsecured notes repurchases and redemptions for the year ended December 31, 2021 (dollars in thousands):
Payoff Date(1)
AmountCoupon RateMaturity Year
May 19, 2021$251,806 3.40 %2025
May 19, 2021298,194 4.00 %2025
February 26, 2021188,000 4.25 %2023
February 26, 2021149,000 4.20 %2024
February 26, 2021331,000 3.88 %2024
January 28, 2021112,000 4.25 %2023
January 28, 2021201,000 4.20 %2024
January 28, 2021469,000 3.88 %2024
_______________________________________
(1)As a result of the repurchases and redemptions of these senior unsecured notes, the Company recognized an aggregate $225 million loss on debt extinguishment during the year ended December 31, 2021.
Mortgage Debt
At December 31, 2023 and 2022, the Company had $255 million and $345 million, respectively, in aggregate principal of mortgage debt outstanding. At December 31, 2023, this mortgage debt was secured by 15 outpatient medical buildings and 2 CCRCs, with an aggregate carrying value of $587 million. At December 31, 2022, this mortgage debt was secured by 15 outpatient medical buildings and 3 CCRCs, with an aggregate carrying value of $793 million.
Mortgage debt generally requires monthly principal and interest payments, is collateralized by real estate assets, and is non-recourse. Mortgage debt typically requires maintenance of the assets in good condition, includes conditions to obtain lender consent to enter into or terminate material leases, requires insurance on the assets, requires payment of real estate taxes, restricts transfer of the encumbered assets and repayment of the loan, and prohibits additional liens. Some of the mortgage debt may require tenants or operators to maintain compliance with the applicable leases or operating agreements of such real estate assets.
During the years ended December 31, 2023, 2022, and 2021, the Company made aggregate principal repayments of mortgage debt of $90 million, $5 million, and $9 million, respectively (excluding mortgage debt on assets held for sale and discontinued operations). Included in the $90 million of aggregate principal repayments of mortgage debt for the year ended December 31, 2023 was an $85 million full principal repayment of mortgage debt secured by one CCRC that matured in December 2023.
The Company has $142 million of mortgage debt secured by a portfolio of 13 outpatient medical buildings that matures in May 2026 (see Note 3). In April 2022, the Company terminated its existing interest rate cap instruments associated with this variable rate mortgage debt and entered into two interest rate swap instruments that are designated as cash flow hedges and mature in May 2026. In February 2023, the agreements associated with this variable rate mortgage debt were amended to change the interest rate benchmarks from LIBOR to SOFR, effective March 2023. Concurrently, the Company modified the related interest rate swap instruments to reflect the change in the interest rate benchmarks from LIBOR to SOFR (see Note 21). The variable rate mortgage debt associated with these interest rate swap instruments is reported as fixed rate debt due to the Company having effectively established a fixed interest rate for the underlying debt instrument.
Debt Maturities
The following table summarizes the Company’s stated debt maturities and scheduled principal repayments at December 31, 2023 (dollars in thousands):
Senior Unsecured Notes(2)
Mortgage Debt(3)
Year Bank Line of Credit
Commercial Paper(1)
Term LoansAmountInterest RateAmountInterest RateTotal
2024$— $— $— $— — %$7,024 6.90 %$7,024 
2025— — — 800,000 3.92 %3,209 3.82 %803,209 
2026— 720,000 — 650,000 3.40 %244,523 4.44 %1,614,523 
2027— — 500,000 450,000 1.54 %366 5.91 %950,366 
2028— — — 500,000 2.35 %— — %500,000 
Thereafter— — — 3,050,000 4.18 %— — %3,050,000 
 — 720,000 500,000 5,450,000 255,122 6,925,122 
Premiums, (discounts), and debt issuance costs, net— — (3,176)(46,622)975 (48,823)
$— $720,000 $496,824 $5,403,378 $256,097 $6,876,299 
_______________________________________

(1)Commercial Paper Program borrowings are backstopped by the Revolving Facility. As such, the Company calculates the weighted average remaining term of its Commercial Paper Program borrowings using the maturity date of the Revolving Facility.
(2)Effective interest rates on the senior unsecured notes range from 1.54% to 6.87% with a weighted average effective interest rate of 3.66% and a weighted average maturity of 6 years.
(3)Effective interest rates on the mortgage debt range from 3.44% to 9.26% with a weighted average effective interest rate of 4.50% and a weighted average maturity of 3 years. These interest rates include the impact of designated interest rate swap instruments, which effectively fix the interest rate on certain variable rate debt.
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Commitments and Contingencies
12 Months Ended
Dec. 31, 2023
Commitments and Contingencies Disclosure [Abstract]  
Commitments and Contingencies Commitments and Contingencies
Legal Proceedings
From time to time, the Company is a party to legal proceedings, lawsuits and other claims that arise in the ordinary course of the Company’s business. The Company is not aware of any legal proceedings or claims that it believes may have, individually or taken together, a material adverse effect on the Company’s financial condition, results of operations, or cash flows. The Company’s policy is to expense legal costs as they are incurred.
Subsequent to December 31, 2023, in connection with the Mergers, three lawsuits have been filed by purported stockholders of the Company against the Company, members of the Company’s Board of Directors, and, with respect to one of such lawsuits, Physicians Realty Trust, challenging the disclosures made in the Initial Filing. No loss contingency has been recorded for these matters as of December 31, 2023. The Company believes that the lawsuits and demands are without merit, but cannot predict the outcome of these proceedings or reasonably estimate any potential loss at this time.
Additionally, four lawsuits have been filed by purported shareholders of Physicians Realty Trust against Physicians Realty Trust and the members of the Physicians Realty Trust board of trustees challenging the disclosures made in the Initial Filing. The plaintiffs in each action seek, among other things, to enjoin the Mergers and the transactions contemplated by the Merger Agreement and an award of costs and attorneys’ fees. In addition to such lawsuits, Physicians Realty Trust has received correspondence from multiple purported shareholders of Physicians Realty Trust alleging deficiencies regarding the disclosures made in the Initial Filing. Additional demands and lawsuits arising out of the Mergers may be made or filed in the future.
DownREITs and Other Partnerships
In connection with the formation of DownREITs, members may contribute appreciated real estate to a DownREIT in exchange for DownREIT units. These contributions are generally tax-deferred, so that the pre-contribution gain related to the property is not taxed to the member. However, if a contributed property is later sold by the DownREIT, the unamortized pre-contribution gain that exists at the date of sale is specifically allocated and taxed to the contributing members. In many of the DownREITs, the Company has entered into indemnification agreements with those members who contributed appreciated property into the DownREIT. Under these indemnification agreements, if any of the appreciated real estate contributed by the members is sold by the DownREIT in a taxable transaction within a specified number of years, the Company will reimburse the affected members for the federal and state income taxes associated with the pre-contribution gain that is specially allocated to the affected member under the Internal Revenue Code (“make-whole payments”). These make-whole payments include a tax gross-up provision. These indemnification agreements have expirations terms that range through 2039 on a total of 29 properties.
Additionally, the Company owns a 49% interest in the Lab JV (see Note 8). If the property in the joint venture is sold in a taxable transaction, the Company is generally obligated to indemnify its joint venture partner for its federal and state income taxes associated with the gain that existed at the time of the contribution to the joint venture.
Commitments
The following table summarizes the Company’s material commitments, excluding potential success-based fees as a result of the Mergers (see Note 1), obligations as the lessee under operating leases (see Note 6), commitments to fund additional loans for senior housing redevelopment and capital expenditure projects (see Note 7), debt service obligations (see Note 10), and potential future obligations related to redeemable noncontrolling interests (see Note 12) at December 31, 2023 (in thousands):
 Amount
Development and redevelopment commitments(1)
$151,996 
Lease and other contractual commitments(2)
27,655 
$179,651 
_______________________________________
(1)Represents construction and other commitments as of December 31, 2023 for developments and redevelopments in progress and includes allowances for Company-owned tenant improvements that the Company has provided as a lessor.
(2)Represents the Company’s commitments, as lessor, under signed leases and contracts for operating properties as of December 31, 2023 and includes allowances for Company-owned tenant improvements and leasing commissions. Excludes allowances for Company-owned tenant improvements related to developments and redevelopments in progress for which the Company has executed an agreement with a general contractor to complete the tenant improvements (recognized in the “Development and redevelopment commitments” line).
Environmental Costs
Various environmental laws govern certain aspects of the ongoing management and operation of our facilities, including those related to presence of asbestos-containing materials. The presence of, or the failure to manage and/or remediate, such materials may adversely affect the occupancy and performance of the Company’s facilities. The Company monitors its properties for the presence of such hazardous or toxic substances and is not aware of any environmental liability with respect to the properties that would have a material adverse effect on the Company’s business, financial condition, or results of operations. The Company carries environmental insurance and believes that the policy terms, conditions, limitations, and deductibles are adequate and appropriate under the circumstances, given the relative risk of loss, the cost of such coverage, and current industry practice.
General Uninsured Losses
The Company obtains various types of insurance to mitigate the impact of property, business interruption, liability, workers’ compensation, flood, windstorm, earthquake, environmental, cyber, and terrorism related losses. The Company attempts to obtain appropriate policy terms, conditions, limits, and deductibles considering the relative risk of loss, the cost of such coverage, and current industry practice. There are, however, certain types of extraordinary losses, such as those due to acts of war or other events that may be either uninsurable or not economically insurable. In addition, the Company has a large number of properties that are exposed to earthquake, flood, and windstorm occurrences for which the related insurances carry high deductibles and have limits.
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Equity and Redeemable Noncontrolling Interests
12 Months Ended
Dec. 31, 2023
Equity [Abstract]  
Equity and Redeemable Noncontrolling Interests Equity and Redeemable Noncontrolling Interests
Dividends
On January 31, 2024, the Company’s Board of Directors declared a quarterly cash dividend of $0.30 per share. The common stock cash dividend will be paid on February 26, 2024 to stockholders of record as of the close of business on February 14, 2024.
During each of the years ended December 31, 2023, 2022, and 2021, the Company declared and paid common stock cash dividends of $1.20.
At-The-Market Equity Offering Program
In February 2023, in connection with the Reorganization, the Company terminated the previous at-the-market equity offering program (as amended from time to time, the “2020 ATM Program”) and established a new at-the-market equity offering program (the “2023 ATM Program” and, together with the 2020 ATM Program, the “ATM Programs”). The ATM Programs allow for the sale of shares of common stock having an aggregate gross sales price of up to $1.5 billion (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 (each, an “ATM forward contract”). The use of ATM forward contracts allows the Company to lock in a share price on the sale of shares at the time the ATM forward contract becomes effective, but defer receiving the proceeds from the sale of shares until a later date.
ATM forward contracts generally have a one to two year term. At any time during the term, the Company may settle a forward sale by delivery of physical shares of common stock to the forward seller or, at the Company’s election, in cash or net shares. The forward sale price the Company expects to receive upon settlement of outstanding ATM forward contracts will be the initial forward price established upon the effective date, subject to adjustments for: (i) accrued interest, (ii) the forward purchasers’ stock borrowing costs, and (iii) certain fixed price reductions during the term of the ATM forward contract.
At December 31, 2023, $1.5 billion of the Company’s common stock remained available for sale under the 2023 ATM Program.
ATM Forward Contracts
During the year ended December 31, 2021, the Company utilized the forward provisions under the 2020 ATM Program to allow for the sale of an aggregate of 9.1 million shares of its common stock at an initial weighted average net price of $35.25 per share, after commissions. The Company did not enter into any forward contracts under the 2020 ATM Program during the year ended December 31, 2022. In December 2022, the Company settled all 9.1 million shares previously outstanding under ATM forward contracts at a weighted average net price of $34.01 per share, after commissions, resulting in net proceeds of $308 million. During the year ended December 31, 2023, the Company did not utilize the forward provisions under the ATM Programs.
ATM Direct Issuances
During each of the years ended December 31, 2023, 2022, and 2021, there were no direct issuances of shares of common stock under the ATM Programs.
Share Repurchase Program
On August 1, 2022, the Company’s Board of Directors approved a share repurchase program under which the Company may acquire shares of its common stock in the open market up to an aggregate purchase price of $500 million (the “Share Repurchase Program”). Purchases of common stock under the Share Repurchase Program may be exercised at the Company’s discretion with the timing and number of shares repurchased depending on a variety of factors, including price, corporate and regulatory requirements, and other corporate liquidity requirements and priorities. The Share Repurchase Program expires in August 2024 and may be suspended or terminated at any time without prior notice. Under Maryland General Corporation Law, outstanding shares of common stock acquired by a corporation become authorized but unissued shares, which may be re-issued. In August 2022, the Company repurchased 2.1 million shares of its common stock at a weighted average price of $27.16 per share for a total of $56 million. During the year ended December 31, 2023, there were no repurchases under the Share Repurchase Program. Therefore, at December 31, 2023, $444 million of the Company’s common stock remained available for repurchase under the Share Repurchase Program.
Other Common Stock Activities
The following table summarizes the Company’s other common stock activities (in thousands):
 Year Ended December 31,
 202320222021
Dividend Reinvestment and Stock Purchase Plan$70 $59 $81 
Conversion of DownREIT units72 27 
Exercise of stock options— — 97 
Vesting of restricted stock units613 820 924 
Repurchase of common stock241 2,418 418 
Accumulated Other Comprehensive Income (Loss)
The following table summarizes the Company’s accumulated other comprehensive income (loss) (in thousands):
 December 31,
 20232022
Unrealized gains (losses) on derivatives, net$21,245 $30,145 
Supplemental Executive Retirement Plan minimum liability(1,874)(2,011)
Total accumulated other comprehensive income (loss)$19,371 $28,134 
The Company has a defined benefit pension plan, known as the Supplemental Executive Retirement Plan, with one plan participant, a former Chief Executive Officer (“CEO”) of the Company who departed in 2003. Changes to the Supplemental Executive Retirement Plan minimum liability are reflected in other comprehensive income (loss).
Noncontrolling Interests
Redeemable Noncontrolling Interests
Arrangements with noncontrolling interest holders are assessed for appropriate balance sheet classification based on the redemption and other rights held by the noncontrolling interest holder. Certain of the Company’s noncontrolling interest holders have the ability to put their equity interests to the Company upon specified events or after the passage of a predetermined period of time (the “Option Requirements”). Each put option is payable in cash and subject to changes in redemption value in the event that the underlying property generates specified returns for the Company and meets certain promote thresholds pursuant to the respective agreements. Accordingly, the Company records redeemable noncontrolling interests outside of permanent equity and presents the redeemable noncontrolling interests at the greater of their carrying amount or redemption value at the end of each reporting period. In addition to the rights of the redeemable noncontrolling interest holders, once the Option Requirements have been met, the Company has the ability to buy out the interests of the noncontrolling interest holders.
As of December 31, 2023, three of the redeemable noncontrolling interests met the conditions for redemption, but were not yet exercised. The one remaining redeemable noncontrolling interest met the redemption conditions in January 2024. The values of the redeemable noncontrolling interests are subject to change based on the assessment of redemption value at each redemption date.
Healthpeak OP
Immediately following the Reorganization, Healthpeak Properties, Inc. was the initial sole member and 100% owner of Healthpeak OP. Subsequent to the Reorganization, OP Unitholders were issued approximately 2 million OP Units during the year ended December 31, 2023, all of which were LTIP Units (as defined below, see also Note 14). When certain conditions are met, the OP Unitholders have the right to require redemption of part or all of their OP Units for cash or shares of the Company’s common stock, at the Company’s option as managing member of Healthpeak OP. The per unit redemption amount is equal to either one share of the Company’s common stock or cash equal to the fair value of a share of common stock at the time of redemption. The Company classifies the OP Units in permanent equity because it may elect, in its sole discretion, to issue shares of its common stock to OP Unitholders who choose to redeem their OP Units rather than using cash. None of the outstanding OP Units met the criteria for redemption as of December 31, 2023.
DownREITs
The non-managing member units of the Company’s DownREITs are exchangeable for an amount of cash approximating the then-current market value of shares of the Company’s common stock or, at the Company’s option, shares of the Company’s common stock (subject to certain adjustments, such as stock splits and reclassifications). Upon exchange of DownREIT units for the Company’s common stock, the carrying amount of the DownREIT units is reclassified to stockholders’ equity. At December 31, 2023, there were approximately 5 million DownREIT units (7 million shares of Healthpeak common stock are issuable upon conversion) outstanding in seven DownREIT LLCs, for all of which the Company acts as the managing member. At December 31, 2023, the carrying and market values of the 5 million DownREIT units were $199 million and $143 million, respectively. At December 31, 2022, the carrying and market values of the 5 million DownREIT units were $200 million and $183 million, respectively.
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Earnings Per Common Share
12 Months Ended
Dec. 31, 2023
Earnings Per Share [Abstract]  
Earnings Per Common Share Earnings Per Common Share
Basic income (loss) per common share (“EPS”) is computed based on the weighted average number of common shares outstanding. Diluted income (loss) per common share is computed based on the weighted average number of common shares outstanding plus the impact of forward equity sales agreements using the treasury stock method, common shares issuable from the assumed conversion of DownREIT units, stock options, certain performance restricted stock units, and unvested restricted stock units. Only those instruments having a dilutive impact on the Company’s basic income (loss) per share are included in diluted income (loss) per share during the periods presented.
Certain restricted stock units are considered participating securities, because dividend payments are not forfeited even if the underlying award does not vest, and require use of the two-class method when computing basic and diluted earnings per share.
Refer to Note 12 for a discussion of the sale of shares under and settlement of forward sales agreements during the periods presented. The Company considered the potential dilution resulting from forward agreements under its ATM Programs to the calculation of earnings per share. At inception, the agreements do not have an effect on the computation of basic EPS as no shares are delivered until settlement. However, the Company uses the treasury stock method to calculate the dilution, if any, resulting from the forward sales agreements during the period of time prior to settlement.
The following table illustrates the computation of basic and diluted earnings per share (in thousands, except per share amounts):
Year Ended December 31,
202320222021
Numerator
Income (loss) from continuing operations$334,757 $513,540 $137,728 
Noncontrolling interests’ share in continuing operations(28,748)(15,975)(17,851)
Income (loss) from continuing operations attributable to Healthpeak Properties, Inc.306,009 497,565 119,877 
Less: Participating securities’ share in continuing operations(1,725)(2,657)(3,269)
Income (loss) from continuing operations applicable to common shares304,284 494,908 116,608 
Income (loss) from discontinued operations— 2,884 388,202 
Noncontrolling interests’ share in discontinued operations— — (2,539)
Net income (loss) applicable to common shares - basic and diluted$304,284 $497,792 $502,271 
Denominator
Basic weighted average shares outstanding547,006 538,809 538,930 
Dilutive potential common shares - equity awards(1)
269 338 310 
Dilutive potential common shares - forward equity agreements(2)
— — 
Diluted weighted average common shares547,275 539,147 539,241 
Basic earnings (loss) per common share
Continuing operations$0.56 $0.92 $0.22 
Discontinued operations— 0.00 0.71 
Net income (loss) applicable to common shares$0.56 $0.92 $0.93 
Diluted earnings (loss) per common share
Continuing operations$0.56 $0.92 $0.22 
Discontinued operations— 0.00 0.71 
Net income (loss) applicable to common shares$0.56 $0.92 $0.93 
_______________________________________
(1)For all periods presented, represents the dilutive impact of 1 million outstanding equity awards (restricted stock units and stock options).
(2)For the year ended December 31, 2023, forward equity sales agreements had no dilutive impact as no shares were outstanding under ATM forward contracts during the year. For the year ended December 31, 2022, all 9.1 million shares that were settled during the year then ended were anti-dilutive. For the year ended December 31, 2021, represents the dilutive impact of 9.1 million shares that were not settled during the year then ended.
For each of the years ended December 31, 2023, 2022, and 2021, all 7 million shares issuable upon conversion of DownREIT units were not included because they were anti-dilutive.
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Compensation Plans
12 Months Ended
Dec. 31, 2023
Share-Based Payment Arrangement [Abstract]  
Compensation Plans Compensation Plans
Stock-Based Compensation
On May 11, 2006, the Company’s stockholders approved the 2006 Performance Incentive Plan, which was amended and restated in 2009 (the “2006 Plan”). On May 1, 2014, the Company’s stockholders approved the 2014 Performance Incentive Plan, which was amended and restated in 2019 and further amended in 2023 (the “2014 Plan”). Following the adoption of the 2014 Plan, no new awards were issued under the 2006 Plan. On April 27, 2023, the Company’s stockholders approved the 2023 Performance Plan (the “2023 Plan” and collectively with the 2006 Plan and the 2014 Plan, the “Plans”). Following the adoption of the 2023 Plan, no new awards may be issued under the 2014 Plan. The Plans provide for the granting of stock-based compensation to officers, employees, and directors, including stock options, restricted stock, restricted stock units, and with respect to the 2014 and 2023 Plans, profits interests in Healthpeak OP (“LTIP Units”). The maximum number of shares reserved for awards under the 2023 Plan is 31 million shares, and, as of December 31, 2023, 31 million of the reserved shares under the 2023 Plan are available for future awards, of which 21 million shares may be issued as restricted stock, restricted stock units, or LTIP Units.
Restricted Stock Units
Under the Plans, time-based restricted stock units and market-based restricted stock units (collectively, “Restricted Stock Units”) are granted subject to certain restrictions. Conditions of vesting are determined at the time of grant. Restrictions on certain awards generally lapse, as provided in the Plans or in the applicable award agreement, upon retirement, a change in control, or other specified events. The fair market value of Restricted Stock Units is expensed over the period of vesting. Time-based restricted stock units, which vest based solely upon passage of time, generally vest on a graded schedule over a period of three to five years. The fair value of time-based restricted stock units is determined based on the closing market price of the Company’s shares on the grant date. Market-based restricted stock units, which vest dependent upon attainment of total shareholder return (“TSR”) performance that equal or exceed threshold levels as measured against certain peer and industry benchmarks, generally vest in their entirety at the end of a three-year performance period. The number of shares that ultimately vest based on performance can vary from 0% to 200% of target depending on the level of achievement of the performance criteria. The fair value of market-based restricted stock units is determined based on the Monte Carlo valuation model primarily using the following assumptions for awards granted during the years ended December 31, 2023, 2022, and 2021, respectively: (i) expected term of 3 years, 3 years, and 3 years (equal to the remaining performance period at the grant date), (ii) historical volatility of 33.0%, 38.9%, and 39.1%, (iii) dividend yield of 4.4%, 3.5%, and 4.0%, (iv) risk-free rate of 4.4%, 1.8%, and 0.2%, and (v) post-vesting restrictions discount of 10.0%, 5.8%, and 12.9%. The total grant date fair value of time-based restricted stock units and market-based restricted stock units granted during the years ended December 31, 2023, 2022, and 2021 was $9 million, $27 million, and $23 million, respectively. The total fair value (at vesting) of time-based restricted stock units and market-based restricted stock units that vested during the years ended December 31, 2023, 2022, and 2021 was $16 million, $27 million, and $29 million, respectively.
Upon vesting of Restricted Stock Units, the participant is required to pay the related tax withholding obligation, as applicable. The Company reduces the number of common stock shares delivered to pay the employee tax withholding obligation. The value of the shares withheld is dependent on the closing market price of the Company’s common stock on the trading date prior to the relevant transaction occurring. During the years ended December 31, 2023, 2022, and 2021, the Company withheld 241,000, 356,000, and 418,000 shares, respectively, to offset tax withholding obligations with respect to the vesting of the Restricted Stock Units.
LTIP Units
During the year ended December 31, 2023, approximately 2 million LTIP Units were issued to officers of the Company. These awards are designed to qualify as “profits interests” in Healthpeak OP for federal income tax purposes. Such interests are initially not economically equivalent in value to a share of common stock until reaching one-for-one parity with the Company’s common stock, subject to any vesting conditions applicable to the award. When certain conditions are met, LTIP Units are converted to common units, which may then be redeemed for cash or shares of the Company’s common stock, at the Company’s option as managing member of Healthpeak OP (see also Note 12).
Under the Plans, time-based LTIP Units and market-based LTIP Units (collectively, “LTIP Units”), are granted subject to certain restrictions. Time-based LTIP Units, which vest solely upon passage of time, generally vest over a period of three to six years. The fair value of the time-based LTIP Units is determined based on the closing market price of the Company’s shares on the grant date less a discount for post-vesting restrictions, liquidity risk, and uncertainty of the time-based LTIP Units reaching parity. The market-based LTIP Units are granted at the maximum potential payout, inclusive of expected distributions during the performance period. Market-based LTIP Units, which vest dependent upon attainment of various levels of TSR performance that equal or exceed threshold levels as measured against certain peer and industry benchmarks, generally vest in their entirety at the end of a three-year performance period. The number of market-based LTIP Units that ultimately vest can vary from 0% to 200% of target depending on the level of achievement of the performance criteria, and any difference from the original grant are forfeited. The fair value of market-based LTIP Units granted during the year ended December 31, 2023 is determined based on the Monte Carlo valuation model using the same assumptions as market-based restricted stock units described above less a discount for post-vesting restrictions, liquidity risk, and uncertainty of the market-based LTIP Units reaching parity with the value of the Company’s common stock and the vesting terms of the awards. The total grant date fair value of LTIP Units granted during the year ended December 31, 2023 was $29 million. The total fair value (at vesting) of LTIP Units that vested during the year ended December 31, 2023 was $2 million.
Dividends and Distributions
Holders of time-based restricted stock units and time-based LTIP Units are generally entitled to receive dividends and distributions, respectively, equal to the amount that would be paid on an equivalent number of shares of common stock. Market-based restricted stock units receive cumulative cash dividends upon vesting for the entirety of the performance period based on the level of achievement of the performance criteria. The market-based LTIP Units receive cash distributions equal to 10% of the quarterly dividends paid on the Company’s common stock during the performance period. Based on the level of achievement of the performance criteria at the end of the performance period, the market-based LTIP Units receive distributions in the form of additional LTIP Units for amounts ultimately vested during the performance period, less cash distributions already paid.
Stock Options
There have been no grants of stock options since 2014. Stock options outstanding and exercisable were 0.2 million at December 31, 2023 and 0.3 million at December 31, 2022. There were no stock options exercised under the Plans for the years ended December 31, 2023 and 2022. For the year ended December 31, 2021, proceeds received from stock options exercised under the Plans was $3 million. No compensation cost related to stock options was incurred during the years ended December 31, 2023, 2022, and 2021.
The following table summarizes Restricted Stock Unit and LTIP Unit activity for the year ended December 31, 2023 (units in thousands):
Restricted Stock Units
LTIP Units
 
Number of Units
Weighted
Average
Grant Date
Fair Value
Number of UnitsWeighted
Average
Grant Date
Fair Value
Unvested at January 1, 20231,709 $33.66 — $— 
Granted393 28.12 1,970 14.66 
Vested(613)37.97 (76)24.56 
Forfeited(610)31.16 — — 
Unvested at December 31, 2023879 $29.91 1,894 $14.26 
Total stock-based compensation cost was $19 million, $32 million, and $23 million for the years ended December 31, 2023, 2022, and 2021, respectively, which was recognized in general and administrative expenses. The year ended December 31, 2022 included $10 million of severance-related charges resulting from a decrease in the requisite service period of restricted stock units associated with the Company's former CEO, as further described below. Of the total stock-based compensation cost, $4 million, $4 million, and $3 million was capitalized as part of real estate for the years ended December 31, 2023, 2022, and 2021, respectively. As of December 31, 2023, there was $20 million of future expenses related to unvested stock-based compensation arrangements granted under the Company’s incentive plans, which is expected to be recognized over a weighted average period of 1.5 years associated with future employee service. Compensation cost recognized for all Restricted Stock Units and LTIP Units is net of actual forfeitures.
Departure of Executives
On October 6, 2022, the Company and Thomas M. Herzog mutually agreed that Mr. Herzog would step down from his position as CEO and from the board of directors of the Company, effective immediately. On November 1, 2022, the Company and Troy E. McHenry mutually agreed that Mr. McHenry would step down from his position as Chief Legal Officer and General Counsel, effective immediately. During the fourth quarter of 2022, the Company recognized total severance-related charges of $33 million in general and administrative expenses on the Consolidated Statements of Operations, $10 million of which related to a decrease in the requisite service period of Restricted Stock Units as discussed above. These Restricted Stock Units continue to vest in accordance with the original terms of the grants. As of December 31, 2023, and 2022, $8 million and $15 million of these severance-related charges have not yet been paid and were included in accounts payable, accrued liabilities, and other liabilities on the Consolidated Balance Sheets.
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Segment Disclosures
12 Months Ended
Dec. 31, 2023
Segment Reporting [Abstract]  
Segment Disclosures Segment Disclosures
The Company’s reportable segments, based on how its CODM evaluates the business and allocates resources, are as follows: (i) lab, (ii) outpatient medical, and (iii) CCRC. The Company has non-reportable segments that are comprised primarily of the Company’s interests in an unconsolidated JV that owns 19 senior housing assets (the “SWF SH JV”), loans receivable, and marketable debt securities. These marketable debt securities matured on December 31, 2022, and the Company received the related proceeds in January 2023. Non-reportable segments have been presented on an aggregate basis within the Notes to the Consolidated Financial Statements herein. The accounting policies of the segments are the same as those described in the Company’s Summary of Significant Accounting Policies (see Note 2).
During the second quarter of 2023, the Company changed the name of its “life science” and “medical office” segments to “lab” and “outpatient medical,” respectively. The segment name changes did not result in any changes to the composition of the Company’s segments or information reviewed by its CODM, and therefore, had no impact on the Company’s historical results of segment operations.
The Company evaluates performance based on property Adjusted NOI. NOI is defined as real estate revenues (inclusive of rental and related revenues, resident fees and services, income from direct financing leases, and government grant income and exclusive of interest income), less property level operating expenses; NOI excludes all other financial statement amounts included in net income (loss). Adjusted NOI is calculated as NOI after eliminating the effects of straight-line rents, DFL non-cash interest, amortization of market lease intangibles, termination fees, actuarial reserves for insurance claims that have been incurred but not reported, and the impact of deferred community fee income and expense.
NOI and Adjusted NOI are non-GAAP supplemental measures that are calculated as NOI and Adjusted NOI from consolidated properties, plus the Company’s share of NOI and Adjusted NOI from unconsolidated joint ventures (calculated by applying the Company’s actual ownership percentage for the period), less noncontrolling interests’ share of NOI and Adjusted NOI from consolidated joint ventures (calculated by applying the Company’s actual ownership percentage for the period). Management utilizes its share of NOI and Adjusted NOI in assessing its performance as the Company has various joint ventures that contribute to its performance. The Company does not control its unconsolidated joint ventures, and the Company’s share of amounts from unconsolidated joint ventures do not represent the Company’s legal claim to such items. The Company’s share of NOI and Adjusted NOI should not be considered a substitute for, and should only be considered together with and as a supplement to, the Company’s financial information presented in accordance with GAAP. Management believes that Adjusted NOI is an important supplemental measure because it provides relevant and useful information by reflecting only income and operating expense items that are incurred at the property level and presenting it on an unlevered basis. Additionally, management believes that net income (loss) is the most directly comparable GAAP measure to NOI and Adjusted NOI. NOI and Adjusted NOI should not be viewed as alternative measures of operating performance to net income (loss) as defined by GAAP since they do not reflect various excluded items.
Non-segment assets consist of assets in the Company’s other non-reportable segments and corporate non-segment assets. Corporate non-segment assets consist primarily of corporate assets, including cash and cash equivalents, restricted cash, accounts receivable, loans receivable, marketable debt securities, other assets, real estate assets held for sale, and liabilities related to assets held for sale.
The following tables summarize information for the reportable segments (in thousands):
For the year ended December 31, 2023:
LabOutpatient MedicalCCRCOther Non-reportableCorporate Non-segmentTotal
Total revenues$878,326 $753,479 $527,417 $21,781 $— $2,181,003 
Government grant income(1)
— — 184 — — 184 
Less: Interest income— — — (21,781)— (21,781)
Healthpeak’s share of unconsolidated joint venture total revenues9,924 3,033 — 82,426 — 95,383 
Healthpeak’s share of unconsolidated joint venture government grant income— — — 229 — 229 
Noncontrolling interests’ share of consolidated joint venture total revenues(619)(35,073)— — — (35,692)
Operating expenses(229,630)(263,132)(413,472)— 4,174 (902,060)
Healthpeak’s share of unconsolidated joint venture operating expenses(4,092)(1,189)— (60,811)— (66,092)
Noncontrolling interests’ share of consolidated joint venture operating expenses156 9,921 — — — 10,077 
Adjustments to NOI(2)
(36,524)(14,314)(1,618)366 (4,174)(56,264)
Adjusted NOI617,541 452,725 112,511 22,210 — 1,204,987 
Plus: Adjustments to NOI(2)
36,524 14,314 1,618 (366)4,174 56,264 
Interest income— — — 21,781 — 21,781 
Interest expense— (7,770)(7,010)— (185,551)(200,331)
Depreciation and amortization(328,349)(289,683)(131,869)— — (749,901)
General and administrative— — — — (95,132)(95,132)
Transaction and merger-related costs(333)(1,120)(1,881)— (14,181)(17,515)
Impairments and loan loss reserves, net— — — 5,601 — 5,601 
Gain (loss) on sales of real estate, net60,498 21,312 — 4,653 — 86,463 
Other income (expense), net2,697 228 (81)3,957 6,808 
Less: Government grant income— — (184)— — (184)
Less: Healthpeak’s share of unconsolidated joint venture NOI(5,832)(1,844)— (21,844)— (29,520)
Plus: Noncontrolling interests’ share of consolidated joint venture NOI463 25,152 — — — 25,615 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures380,519 215,783 (26,587)31,954 (286,733)314,936 
Income tax benefit (expense)— — — — 9,617 9,617 
Equity income (loss) from unconsolidated joint ventures4,540 835 — 4,829 — 10,204 
Income (loss) from continuing operations385,059 216,618 (26,587)36,783 (277,116)334,757 
Income (loss) from discontinued operations— — — — — — 
Net income (loss)$385,059 $216,618 $(26,587)$36,783 $(277,116)$334,757 
_______________________________________
(1)Represents government grant income received under the CARES Act, which is recorded in other income (expense), net in the Consolidated Statements of Operations (see Note 2).
(2)Represents straight-line rents, DFL non-cash interest, amortization of market lease intangibles, net, actuarial reserves for insurance claims that have been incurred but not reported, deferral of community fees, and termination fees. Includes the Company’s share of income (loss) generated by unconsolidated joint ventures and excludes noncontrolling interests’ share of income (loss) generated by consolidated joint ventures.
For the year ended December 31, 2022:
LabOutpatient MedicalCCRCOther Non-reportableCorporate Non-segmentTotal
Total revenues$817,573 $725,370 $494,935 $23,300 $— $2,061,178 
Government grant income(1)
— — 6,765 — — 6,765 
Less: Interest income— — — (23,300)— (23,300)
Healthpeak’s share of unconsolidated joint venture total revenues9,9212,99973,88586,805 
Healthpeak’s share of unconsolidated joint venture government grant income380498878 
Noncontrolling interests’ share of consolidated joint venture total revenues(268)(35,717)(35,985)
Operating expenses(209,143)(253,309)(400,539)— — (862,991)
Healthpeak’s share of unconsolidated joint venture operating expenses(2,883)(1,178)— (57,632)— (61,693)
Noncontrolling interests’ share of consolidated joint venture operating expenses87 10,317 — — — 10,404 
Adjustments to NOI(2)
(62,754)(15,513)2,300 169 — (75,798)
Adjusted NOI552,533 432,969 103,841 16,920 — 1,106,263 
Plus: Adjustments to NOI(2)
62,754 15,513 (2,300)(169)— 75,798 
Interest income— — — 23,300 — 23,300 
Interest expense— (6,900)(7,509)— (158,535)(172,944)
Depreciation and amortization(302,649)(279,546)(128,374)— — (710,569)
General and administrative— — — — (131,033)(131,033)
Transaction and merger-related costs(387)(1,255)(725)— (2,486)(4,853)
Impairments and loan loss reserves, net— — — (7,004)— (7,004)
Gain (loss) on sales of real estate, net3,744 10,659 — (5,325)— 9,078 
Other income (expense), net311,939 12,709 (1,380)(13)3,013 326,268 
Less: Government grant income— — (6,765)— — (6,765)
Less: Healthpeak’s share of unconsolidated joint venture NOI(7,038)(1,821)(380)(16,751)— (25,990)
Plus: Noncontrolling interests’ share of consolidated joint venture NOI181 25,400 — — — 25,581 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures621,077 207,728 (43,592)10,958 (289,041)507,130 
Income tax benefit (expense)4,425 4,425 
Equity income (loss) from unconsolidated joint ventures(972)852 539 1,566 — 1,985 
Income (loss) from continuing operations620,105 208,580 (43,053)12,524 (284,616)513,540 
Income (loss) from discontinued operations— — — — 2,884 2,884 
Net income (loss)$620,105 $208,580 $(43,053)$12,524 $(281,732)$516,424 
_______________________________________
(1)Represents government grant income received under the CARES Act, which is recorded in other income (expense), net in the Consolidated Statements of Operations (see Note 2).
(2)Represents straight-line rents, DFL non-cash interest, amortization of market lease intangibles, net, actuarial reserves for insurance claims that have been incurred but not reported, deferral of community fees, and termination fees. Includes the Company’s share of income (loss) generated by unconsolidated joint ventures and excludes noncontrolling interests’ share of income (loss) generated by consolidated joint ventures.
For the year ended December 31, 2021:
LabOutpatient MedicalCCRCOther Non-reportableCorporate Non-segmentTotal
Total revenues$715,844 $671,242 $471,325 $37,773 $— $1,896,184 
Government grant income(1)
— — 1,412 — — 1,412 
Less: Interest income— — — (37,773)— (37,773)
Healthpeak’s share of unconsolidated joint venture total revenues5,757 2,882 6,903 67,835 — 83,377 
Healthpeak’s share of unconsolidated joint venture government grant income— — 200 1,549 — 1,749 
Noncontrolling interests’ share of consolidated joint venture total revenues(292)(35,363)— — — (35,655)
Operating expenses(169,044)(223,383)(380,865)13 — (773,279)
Healthpeak’s share of unconsolidated joint venture operating expenses(1,836)(1,174)(6,639)(51,866)— (61,515)
Noncontrolling interests’ share of consolidated joint venture operating expenses87 10,071 — — — 10,158 
Adjustments to NOI(2)
(46,589)(11,118)3,241 (47)— (54,513)
Adjusted NOI503,927 413,157 95,577 17,484 — 1,030,145 
Plus: Adjustments to NOI(2)
46,589 11,118 (3,241)47 — 54,513 
Interest income— — — 37,773 — 37,773 
Interest expense(232)(2,837)(7,701)— (147,210)(157,980)
Depreciation and amortization(303,196)(255,746)(125,344)— — (684,286)
General and administrative— — — — (98,303)(98,303)
Transaction and merger-related costs(24)(323)(1,445)(49)— (1,841)
Impairments and loan loss reserves, net— (21,577)— (1,583)— (23,160)
Gain (loss) on sales of real estate, net— 190,590 — — — 190,590 
Gain (loss) on debt extinguishments— — — — (225,824)(225,824)
Other income (expense), net55 (2,725)2,141 486 6,309 6,266 
Less: Government grant income— — (1,412)— — (1,412)
Less: Healthpeak’s share of unconsolidated joint venture NOI(3,921)(1,708)(464)(17,518)— (23,611)
Plus: Noncontrolling interests’ share of consolidated joint venture NOI20525,292— 25,497 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures243,403 355,241 (41,889)36,640 (465,028)128,367 
Income tax benefit (expense)— — — — 3,261 3,261 
Equity income (loss) from unconsolidated joint ventures1,118 794 1,484 2,704 — 6,100 
Income (loss) from continuing operations244,521 356,035 (40,405)39,344 (461,767)137,728 
Income (loss) from discontinued operations— — — — 388,202 388,202 
Net income (loss)$244,521 $356,035 $(40,405)$39,344 $(73,565)$525,930 
_______________________________________
(1)Represents government grant income received under the CARES Act, which is recorded in other income (expense), net in the Consolidated Statements of Operations (see Note 2).
(2)Represents straight-line rents, DFL non-cash interest, amortization of market lease intangibles, net, actuarial reserves for insurance claims that have been incurred but not reported, deferral of community fees, and termination fees. Includes the Company’s share of income (loss) generated by unconsolidated joint ventures and excludes noncontrolling interests’ share of income (loss) generated by consolidated joint ventures.
The following table summarizes the Company’s total assets by segment (in thousands):
 December 31,
Segment20232022
Lab$9,313,395 $9,019,271 
Outpatient medical6,376,191 6,291,986 
CCRC2,369,883 2,276,898 
Reportable segment assets18,059,469 17,588,155 
Accumulated depreciation and amortization(4,017,023)(3,540,362)
Net reportable segment assets14,042,446 14,047,793 
Other non-reportable segment assets553,031 744,550 
Assets held for sale, net117,986 49,866 
Other non-segment assets985,387 929,020 
Total assets$15,698,850 $15,771,229 
See Notes 3, 4, 5, 6, 7, 8, and 18 for significant transactions impacting the Company’s segment assets during the periods presented.
At each of December 31, 2023 and 2022, goodwill of $18 million was allocated to the Company’s segment assets as follows: (i) $14 million for outpatient medical, (ii) $2 million for CCRC, and (iii) $2 million for other non-reportable.
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Income Taxes
12 Months Ended
Dec. 31, 2023
Income Tax Disclosure [Abstract]  
Income Taxes Income Taxes
The Company has elected to be taxed as a REIT under the applicable provisions of the Code beginning with the year ended December 31, 1985. The Company has also elected for certain of its subsidiaries to be treated as TRSs (the “TRS entities”), which are subject to federal and state income taxes. All entities other than the TRS entities are collectively referred to as the “REIT” within this Note 16. Certain REIT entities are also subject to state and local income taxes.
Distributions with respect to the Company’s common stock can be characterized for federal income tax purposes as ordinary dividends, capital gains, nondividend distributions, or a combination thereof.
The following table shows the characterization of the Company’s annual common stock distributions per share:
Year Ended December 31,
202320222021
Ordinary dividends(1)
$0.909692 $0.872948 $0.152336 
Capital gains(2)(3)
0.116992 0.183208 0.379960 
Nondividend distributions0.173316 0.143844 0.667704 
$1.200000 $1.200000 $1.200000 
_______________________________________
(1)For the year ended December 31, 2023, the amount includes $0.882312 of ordinary dividends qualified as business income for purposes of Code Section 199A and $0.027380 of qualified dividend income for purposes of Code Section 1(h)(11). For the year ended December 31, 2022, all $0.872948 of ordinary dividends qualified as business income for purposes of Code Section 199A. For the year ended December 31, 2021, the amount includes $0.137064 of ordinary dividends qualified as business income for purposes of Code Section 199A and $0.015272 of qualified dividend income for purposes of Code Section 1(h)(11).
(2)For the years ended December 31, 2023, 2022, and 2021, the amount includes $0.036256, $0.017760, and $0.379960, respectively, of unrecaptured Code Section 1250 gain. Pursuant to Treasury Regulation Section 1.1061-6(c), the Company is disclosing additional information related to the capital gain dividends for purposes of Section 1061 of the Code. Code Section 1061 is generally applicable to direct and indirect holders of “applicable partnership interests.” For the year ended December 31, 2023, the “One Year Amounts” and “Three Year Amounts” are each zero, since all capital gains relate to Code Section 1231 gains. For the year ended December 31, 2022, the “One Year Amounts” and “Three Year Amounts” are each 89.6708% of the total capital gain distributions and the remaining capital gain distributions are attributable to Code Section 1231 gains, which are not subject to Code Section 1061. For the year ended December 31, 2021, the “One Year Amounts” and “Three Year Amounts” are each zero, since all capital gains relate to Code Section 1231 gains.
(3)For the years ended December 31, 2023, 2022, and 2021, 100%, 10.3292%, and 100%, respectively, of the capital gain distributions represent gains from dispositions of U.S. real property interests pursuant to Code Section 897 for foreign shareholders.
The Company’s pretax income (loss) from continuing operations for the years ended December 31, 2023, 2022, and 2021 was $325 million, $509 million, and $134 million, respectively, of which $318 million, $527 million, and $150 million was attributable to the REIT entities for the years then ended. The TRS entities subject to tax reported income (losses) before income taxes from continuing operations of $7 million, $(18) million, and $(16) million for the years ended December 31, 2023, 2022, and 2021, respectively.
The total income tax benefit (expense) from continuing operations consists of the following components (in thousands):
Year Ended December 31,
202320222021
Current
Federal$(1,663)$(632)$(126)
State(3,325)(689)(1,003)
Total current$(4,988)$(1,321)$(1,129)
Deferred
Federal$11,682 $3,157 $3,469 
State2,923 2,589 921 
Total deferred$14,605 $5,746 $4,390 
Total income tax benefit (expense) from continuing operations$9,617 $4,425 $3,261 
The Company’s income tax benefit from discontinued operations was zero, $0.3 million, and $1 million for the years ended December 31, 2023, 2022, and 2021, respectively (see Note 4).
The following table reconciles income tax benefit (expense) from continuing operations at statutory rates to actual income tax benefit (expense) recorded (in thousands):
Year Ended December 31,
202320222021
Tax benefit (expense) at U.S. federal statutory income tax rate on income or loss subject to tax$(1,404)$3,698 $3,345 
State income tax benefit (expense), net of federal tax (1,035)911 706 
Gross receipts and margin taxes(1,647)(956)(989)
Return to provision adjustments(90)1,260 (4)
Change in valuation allowance for deferred tax assets13,797 194 203 
Change in tax status of TRS(4)(682)— 
Total income tax benefit (expense) from continuing operations$9,617 $4,425 $3,261 
Deferred income taxes reflect the net effects of temporary differences between the carrying amounts of the assets and liabilities for financial reporting purposes and the amounts used for income tax purposes. The following table summarizes the significant components of the Company’s deferred tax assets and liabilities from continuing operations (in thousands):
December 31,
202320222021
Deferred tax assets:
Deferred revenue$103,530 $102,504 $104,397 
Net operating loss carryforward54,136 62,280 71,744 
Expense accruals12,324 12,399 14,229 
Real estate850 150 129 
Other 58 689 — 
Total deferred tax assets170,898 178,022 190,499 
Valuation allowance(13,004)(26,098)(35,772)
Deferred tax assets, net of valuation allowance$157,894 $151,924 $154,727 
Deferred tax liabilities:
Real estate$43,488 $52,266 $61,097 
Other818 674 648 
Deferred tax liabilities$44,306 $52,940 $61,745 
Net deferred tax assets$113,588 $98,984 $92,982 
Net deferred tax assets are included in other assets, net on the Consolidated Balance Sheets.
The Company records a valuation allowance against deferred tax assets in certain jurisdictions when it is not more likely than not that it can realize the related deferred tax assets. The deferred tax asset valuation allowance is adequate to reduce the total deferred tax assets to an amount that the Company estimates will “more-likely-than-not” be realized.
As of December 31, 2021 and 2022, the Company recorded a valuation allowance against certain SHOP deferred tax assets generated by net operating losses of its TRS entities. During the year ended December 31, 2023, the Company concluded that it was more likely than not that certain deferred tax assets (primarily net operating loss carryforwards) would be realized. This conclusion was based on recent revisions to estimates of future taxable income for certain TRS entities in connection with the Callan Ridge JV transaction (see also Notes 4 and 8). Accordingly, the Company reversed its deferred tax asset valuation allowance and recognized an income tax benefit of $14 million during the year ended December 31, 2023. As of December 31, 2023, 2022, and 2021, the Company had a deferred tax asset valuation allowance of $13 million, $26 million, and $36 million, respectively.
At December 31, 2023, the Company had a net operating loss (“NOL”) carryforward of $216 million related to the TRS entities. If unused, $15 million will begin to expire in 2035. The remainder, totaling $201 million, may be carried forward indefinitely.
The following table summarizes the Company’s unrecognized tax benefits (in thousands):
December 31,
202320222021
Total unrecognized tax benefits at January 1$— $469 $469 
Gross amount of decreases for prior years’ tax positions— (469)— 
Total unrecognized tax benefits at December 31$— $— $469 
For the years ended December 31, 2023 and 2022, the Company had no unrecognized tax benefits. For the year ended December 31, 2021, the Company had unrecognized tax benefits of $0.5 million, that, if recognized, would reduce the annual effective tax rate.
The Company files numerous U.S. federal, state, and local income and franchise tax returns. With a few exceptions, the Company is no longer subject to U.S. federal, state, or local tax examinations by taxing authorities for years prior to 2020.
XML 42 R26.htm IDEA: XBRL DOCUMENT v3.24.0.1
Supplemental Cash Flow Information
12 Months Ended
Dec. 31, 2023
Supplemental Cash Flow Elements [Abstract]  
Supplemental Cash Flow Information Supplemental Cash Flow Information
The following table provides supplemental cash flow information (in thousands):
Year Ended December 31,
202320222021
Supplemental cash flow information:
Interest paid, net of capitalized interest$188,213 $162,115 $173,044 
Income taxes paid (refunded)1,923 (1,903)4,521 
Capitalized interest56,849 41,046 24,084 
Cash paid for amounts included in the measurement of lease liability for operating leases21,488 12,594 10,620 
Supplemental schedule of non-cash investing and financing activities:
Increase in ROU asset in exchange for new lease liability related to operating leases3,951 9,454 28,866 
Decrease in ROU asset with corresponding change in lease liability related to operating leases— — 8,410 
Accrued construction costs105,572 178,626 179,995 
Net noncash impact from the consolidation of property previously held in an unconsolidated joint venture993 — — 
Retained investment in connection with South San Francisco JVs transaction— 293,265 — 
Seller financing provided on disposition of real estate asset— — 559,745 
Carrying value of mortgages assumed by buyer in real estate dispositions— — 143,676 
See Note 8 for discussion of the South San Francisco JVs transaction.
Operating, investing, and financing cash flows in the Consolidated Statements of Cash Flows are reported inclusive of both cash flows from continuing operations and cash flows from discontinued operations. The following table summarizes certain cash flow information related to discontinued operations (in thousands):
Year Ended December 31,
202320222021
Leasing costs, tenant improvements, and recurring capital expenditures$— $21 $2,636 
Development, redevelopment, and other major improvements of real estate— 18 5,780 
Depreciation and amortization of real estate, in-place lease, and other intangibles— — — 
The following table summarizes cash, cash equivalents, and restricted cash (in thousands):
Year Ended December 31,
202320222021202320222021202320222021
Continuing operationsDiscontinued operationsTotal
Beginning of year:
Cash and cash equivalents$72,032 $158,287 $44,226 $— $7,707 $53,085 $72,032 $165,994 $97,311 
Restricted cash54,802 53,454 67,206 — — 17,168 54,802 53,454 84,374 
Cash, cash equivalents, and restricted cash$126,834 $211,741 $111,432 $— $7,707 $70,253 $126,834 $219,448 $181,685 
End of year:
Cash and cash equivalents$117,635 $72,032 $158,287 $— $— $7,707 $117,635 $72,032 $165,994 
Restricted cash51,388 54,802 53,454 — — — 51,388 54,802 53,454 
Cash, cash equivalents, and restricted cash$169,023 $126,834 $211,741 $— $— $7,707 $169,023 $126,834 $219,448 
XML 43 R27.htm IDEA: XBRL DOCUMENT v3.24.0.1
Variable Interest Entities
12 Months Ended
Dec. 31, 2023
Variable Interest Entities [Abstract]  
Variable Interest Entities Variable Interest Entities
Operating Subsidiary
Subsequent to the Reorganization, Healthpeak OP is the Company’s operating subsidiary and a limited liability company that has governing provisions that are the functional equivalent of a limited partnership. The Company holds a membership interest in Healthpeak OP, acts as the managing member of Healthpeak OP, and exercises full responsibility, discretion, and control over the day-to-day management of Healthpeak OP. Because the noncontrolling interests in Healthpeak OP do not have substantive liquidation rights, substantive kick-out rights without cause, or substantive participating rights, the Company has determined that Healthpeak OP is a VIE. The Company, as managing member, has the power to direct the core activities of Healthpeak OP that most significantly affect Healthpeak OP’s performance, and through its interest in Healthpeak OP, has both the right to receive benefits from and the obligation to absorb losses of Healthpeak OP. Accordingly, the Company is the primary beneficiary of Healthpeak OP and consolidates Healthpeak OP. As the Company conducts its business and holds its assets and liabilities through Healthpeak OP, the total consolidated assets and liabilities, income (losses), and cash flows of Healthpeak OP represent substantially all of the total consolidated assets and liabilities, income (losses), and cash flows of the Company.
Unconsolidated Variable Interest Entities
At December 31, 2023, the Company had investments in two unconsolidated VIE joint ventures. At December 31, 2022, the Company had investments in: (i) two unconsolidated VIE joint ventures and (ii) marketable debt securities of one VIE. The Company determined it is not the primary beneficiary of and therefore does not consolidate these VIEs because it does not have the ability to control the activities that most significantly impact their economic performance. Except for the Company’s equity interest in the unconsolidated joint ventures (the LLC Investment and Needham Land Parcel JV discussed below), it has no formal involvement in these VIEs beyond its investments.
LLC Investment. The Company holds a limited partner ownership interest in an unconsolidated LLC (“LLC Investment”) that has been identified as a VIE. The Company’s involvement in the entity is limited to its equity investment as a limited partner and it does not have any substantive participating rights or kick-out rights over the general partner. The assets and liabilities of the entity primarily consist of three hospitals as well as senior housing real estate. Any assets generated by the entity may only be used to settle its contractual obligations (primarily capital expenditures and debt service payments).
Needham Land Parcel JV. In December 2021, the Company acquired a 38% interest in a lab development joint venture in Needham, Massachusetts for $13 million. Current equity at risk is not sufficient to finance the joint venture’s activities. The assets and liabilities of the entity primarily consist of real estate and debt service obligations. Any assets generated by the entity may only be used to settle its contractual obligations (primarily development costs and debt service payments). See Note 8 for additional descriptions of the nature, purpose, and operating activities of this unconsolidated VIE and interests therein.
Debt Securities Investment. At December 31, 2022, the Company held $22 million of commercial mortgage-backed securities (“CMBS”) issued by Federal Home Loan Mortgage Corporation (commonly referred to as Freddie Mac) through a special purpose entity that had been identified as a VIE because it was “thinly capitalized.” The CMBS issued by the VIE were backed by mortgage debt obligations on real estate assets. These securities were classified as held-to-maturity because the Company had the intent and ability to hold the securities until maturity. These securities matured on December 31, 2022, and the Company received the related proceeds in January 2023.
The classification of the related assets and liabilities and the maximum loss exposure as a result of the Company’s involvement with these VIEs at December 31, 2023 was as follows (in thousands):
VIE TypeAsset Type
Maximum Loss Exposure and Carrying Amount(1)
LLC InvestmentOther assets, net$14,985 
Needham Land Parcel JVInvestments in and advances to unconsolidated joint ventures17,084 
_______________________________________
(1)The Company’s maximum loss exposure represents the aggregate carrying amount of such investments.
As of December 31, 2023, the Company had not provided, and is not required to provide, financial support through a liquidity arrangement or otherwise, to its unconsolidated VIEs, including under circumstances in which it could be exposed to further losses (e.g., cash shortfalls).
Consolidated Variable Interest Entities
The Company’s consolidated total assets and total liabilities at December 31, 2023 and 2022 include certain assets of VIEs that can only be used to settle the liabilities of the related VIE. The VIE creditors do not have recourse to the Company.
Ventures V, LLC. The Company holds a 51% ownership interest in and is the managing member of a joint venture entity formed in October 2015 that owns and leases outpatient medical buildings (“Ventures V”). The Company classifies Ventures V as a VIE due to the non-managing member lacking substantive participation rights in the management of Ventures V or kick-out rights over the managing member. The Company consolidates Ventures V as the primary beneficiary because it has the ability to control the activities that most significantly impact the VIE’s economic performance. The assets of Ventures V primarily consist of leased properties (net real estate), rents receivable, and cash and cash equivalents; its obligations primarily consist of capital expenditures for the properties. Assets generated by Ventures V may only be used to settle its contractual obligations.
Lab JVs. The Company holds a 98% or greater ownership interest in multiple joint venture entities that own and lease lab buildings (the “Lab JVs”). The Lab JVs are VIEs as the members share in certain decisions of the entities, but substantially all of the activities are performed on behalf of the Company. The Company consolidates the Lab JVs as the primary beneficiary because it has the ability to control the activities that most significantly impact these VIEs’ economic performance. The assets of the Lab JVs primarily consist of leased properties (net real estate), rents receivable, and cash and cash equivalents; their obligations primarily consist of capital expenditures for the properties. Assets generated by the Lab JVs may only be used to settle their contractual obligations. Refer to Note 12 for a discussion of certain put options associated with the Lab JVs.
MSREI JV.  The Company holds a 51% ownership interest in, and is the managing member of, a joint venture entity formed in August 2018 that owns and leases outpatient medical buildings (the “MSREI JV”). The MSREI JV is a VIE due to the non-managing member lacking substantive participation rights in the management of the joint venture or kick-out rights over the managing member. The Company consolidates the MSREI JV as the primary beneficiary because it has the ability to control the activities that most significantly impact the VIE’s economic performance. The assets of the MSREI JV primarily consist of leased properties (net real estate), rents receivable, and cash and cash equivalents; its obligations primarily consist of capital expenditures for the properties. Assets generated by the MSREI JV may only be used to settle its contractual obligations.
DownREITs. The Company holds a controlling ownership interest in and is the managing member of seven DownREITs. The Company classifies the DownREITs as VIEs due to the non-managing members lacking substantive participation rights in the management of the DownREITs or kick-out rights over the managing member. The Company consolidates the DownREITs as the primary beneficiary because it has the ability to control the activities that most significantly impact these VIEs’ economic performance. The assets of the DownREITs primarily consist of leased properties (net real estate), rents receivable, and cash and cash equivalents; their obligations primarily consist of debt service payments and capital expenditures for the properties. Assets generated by the DownREITs (primarily from tenant rents) may only be used to settle their contractual obligations (primarily from debt service and capital expenditures).
Other Consolidated Real Estate Partnerships. The Company holds a controlling ownership interest in and is the general partner (or managing member) of multiple partnerships that own and lease real estate assets (the “Partnerships”). The Company classifies the Partnerships as VIEs due to the limited partners (non-managing members) lacking substantive participation rights in the management of the Partnerships or kick-out rights over the general partner (managing member). The Company consolidates the Partnerships as the primary beneficiary because it has the ability to control the activities that most significantly impact these VIEs’ economic performance. The assets of the Partnerships primarily consist of leased properties (net real estate), rents receivable, and cash and cash equivalents; their obligations primarily consist of debt service payments and capital expenditures for the properties. Assets generated by the Partnerships (primarily from tenant rents) may only be used to settle their contractual obligations (primarily from debt service and capital expenditures).
Total assets and total liabilities include VIE assets and liabilities, excluding those of Healthpeak OP, as follows (in thousands):
December 31,
20232022
Assets
Buildings and improvements$2,392,375 $2,356,905 
Development costs and construction in progress47,481 58,499 
Land and improvements307,166 324,714 
Accumulated depreciation and amortization(665,791)(623,244)
Net real estate2,081,231 2,116,874 
Accounts receivable, net5,906 6,893 
Cash and cash equivalents18,410 20,586 
Restricted cash613 354 
Intangible assets, net56,975 73,860 
Assets held for sale, net— 30,355 
Right-of-use asset, net97,575 99,376 
Other assets, net79,248 73,690 
Total assets $2,339,958 $2,421,988 
Liabilities
Mortgage debt$144,874 $144,604 
Intangible liabilities, net11,884 15,066 
Liabilities related to assets held for sale, net— 401 
Lease liability99,725 99,039 
Accounts payable, accrued liabilities, and other liabilities54,975 68,979 
Deferred revenue48,316 39,661 
Total liabilities $359,774 $367,750 
Total assets and total liabilities related to assets held for sale include VIE assets and liabilities, excluding those of Healthpeak OP, as follows (in thousands):
December 31,
20232022
Assets
Buildings and improvements$— $39,934 
Land and improvements— 1,926 
Accumulated depreciation and amortization— (15,612)
Net real estate— 26,248 
Intangible assets, net— 215 
Other assets, net— 3,892 
Total assets $— $30,355 
Liabilities
Deferred revenue— 401 
Total liabilities $— $401 
XML 44 R28.htm IDEA: XBRL DOCUMENT v3.24.0.1
Concentration of Credit Risk
12 Months Ended
Dec. 31, 2023
Risks and Uncertainties [Abstract]  
Concentration of Credit Risk Concentration of Credit Risk
Concentrations of credit risk arise when one or more tenants, operators, or obligors related to the Company’s investments are engaged in similar business activities or activities in the same geographic region, or have similar economic features that would cause their ability to meet contractual obligations, including those to the Company, to be similarly affected by changes in economic conditions. The Company regularly monitors various segments of its portfolio to assess potential concentrations of credit risks.
The following table provides information regarding the Company’s concentrations with respect to certain states; the information provided is presented for the gross assets and revenues that are associated with certain real estate assets as percentages of the Company’s total assets and revenues, excluding discontinued operations:
 Percentage of Total Company AssetsPercentage of Total Company Revenues
 December 31,Year Ended December 31,
State20232022202320222021
California3837313128
Florida1010181817
Texas1010111111
Massachusetts171711109
The Company’s rental revenue is generated from multiple tenants across its diverse portfolio. As of December 31, 2023, the Company’s largest tenant in its outpatient medical and lab segments accounted for 8% and 2%, respectively, of the Company’s total revenues.
XML 45 R29.htm IDEA: XBRL DOCUMENT v3.24.0.1
Fair Value Measurements
12 Months Ended
Dec. 31, 2023
Fair Value Disclosures [Abstract]  
Fair Value Measurements Fair Value Measurements
The table below summarizes the carrying amounts and fair values of the Company’s financial instruments either recorded or disclosed on a recurring basis (in thousands):
 December 31,
 
2023(3)
2022(3)
 Carrying ValueFair ValueCarrying ValueFair Value
Loans receivable, net(2)
$218,450 $218,450 $374,832 $369,425 
Marketable debt securities(2)
— — 21,702 21,702 
Interest rate swap instruments(2)
21,359 21,359 30,259 30,259 
Bank line of credit and commercial paper(2)
720,000 720,000 995,606 995,606 
Term loans(2)
496,824 496,824 495,957 495,957 
Senior unsecured notes(1)
5,403,378 5,144,667 4,659,451 4,238,124 
Mortgage debt(2)
256,097 244,135 346,599 330,867 
_______________________________________
(1)Level 1: Fair value is calculated based on quoted prices in active markets.
(2)Level 2: Fair value is based on (i) for loans receivable, net, interest rate swap instruments, and mortgage debt, standardized pricing models in which significant inputs or value drivers are observable in active markets, respectively, or (ii) for marketable debt securities, quoted prices for similar or identical instruments in active or inactive markets. For bank line of credit, commercial paper, and term loans, the carrying values are a reasonable estimate of fair value because the borrowings are primarily based on market interest rates and the Company’s credit rating.
(3)During the years ended December 31, 2023 and 2022, there were no material transfers of financial assets or liabilities within the fair value hierarchy.
XML 46 R30.htm IDEA: XBRL DOCUMENT v3.24.0.1
Derivative Financial Instruments
12 Months Ended
Dec. 31, 2023
Derivative Instruments and Hedging Activities Disclosure [Abstract]  
Derivative Financial Instruments Derivative Financial Instruments
The Company uses derivative instruments to mitigate the effects of interest rate fluctuations on specific forecasted transactions as well as recognized financial obligations or assets. Utilizing derivative instruments allows the Company to manage the risk of fluctuations in interest rates and their related potential impact on future earnings and cash flows. The Company does not use derivative instruments for speculative or trading purposes. At December 31, 2023, a one percentage point increase or decrease in the underlying interest rate curve would result in a corresponding increase or decrease in the fair value of the derivative instruments by up to $18 million.
In April 2021, the Company executed two interest rate cap instruments on $142 million of variable rate mortgage debt secured by a portfolio of outpatient medical buildings (see Note 10). During the year ended December 31, 2022, the Company recognized a $2 million increase in the fair value of the interest rate cap instruments within other income (expense), net. In April 2022, the Company terminated these interest rate cap instruments and entered into two interest rate swap instruments that are designated as cash flow hedges and mature in May 2026. In February 2023, the Company modified these two interest rate swap instruments to reflect the change in the related variable rate mortgage debt’s interest rate benchmarks from LIBOR to SOFR (see Note 10). The Company applied certain practical expedients provided by the reference rate reform ASUs in connection with the modifications to these cash flow hedges (see Note 2).
In August 2022, the Company entered into two forward-starting interest rate swap instruments on the $500 million aggregate principal amount of the Term Loan Facilities (see Note 10). The interest rate swap instruments are designated as cash flow hedges.
The following table summarizes the Company’s interest rate swap instruments (in thousands):
Fair Value(2)
Date EnteredMaturity DateHedge DesignationNotional Amount
Pay Rate(1)
Receive Rate(1)
December 31,
2023
December 31,
2022
April 2022(3)
May 2026Cash flow$51,100 4.99 %
USD-SOFR w/ -5 Day Lookback + 2.50%
$1,602 $2,300 
April 2022(3)
May 2026Cash flow91,000 4.54 %
USD-SOFR w/ -5 Day Lookback + 2.05%
2,851 4,096 
August 2022(3)
February 2027Cash flow250,000 2.60 %1 mo. USD-SOFR CME Term7,933 11,299 
August 2022(3)
August 2027Cash flow250,000 2.54 %1 mo. USD-SOFR CME Term8,973 12,564 
_____________________________
(1)Pay rates and receive rates are as of December 31, 2023. As of December 31, 2022, the interest rate swap instrument with a $51 million notional amount had a pay rate of 5.08% and a receive rate of 1 mo. USD-LIBOR-BBA + 2.50%. As of December 31, 2022, the interest rate swap instrument with a $91 million notional amount had a pay rate of 4.63% and a receive rate of 1 mo. USD-LIBOR-BBA + 2.05%.
(2)At each of December 31, 2023 and 2022, the interest rate swap instruments were in an asset position. Derivative assets are recorded at fair value in other assets, net on the Consolidated Balance Sheets.
(3)Represents interest rate swap instruments that hedge fluctuations in interest payments on variable rate debt by converting the interest rates to fixed interest rates. The changes in fair value of designated derivatives that qualify as cash flow hedges are recorded in accumulated other comprehensive income (loss) on the Consolidated Balance Sheets.
In January 2024, the Company entered into forward-starting interest rate swap instruments that will effectively establish a fixed interest rate on the $750 million aggregate principal amount of the 2024 Term Loan at a blended contractual rate of 4.5% (see Note 10). The interest rate swap instruments are designated as cash flow hedges.
XML 47 R31.htm IDEA: XBRL DOCUMENT v3.24.0.1
Accounts Payable, Accrued Liabilities, and Other Liabilities
12 Months Ended
Dec. 31, 2023
Payables and Accruals [Abstract]  
Accounts Payable, Accrued Liabilities, and Other Liabilities Accounts Payable, Accrued Liabilities, and Other Liabilities
The following table summarizes the Company’s accounts payable, accrued liabilities, and other liabilities (in thousands):
December 31,
20232022
Refundable entrance fees$251,874 $268,972 
Accrued construction costs105,572 178,626 
Accrued interest59,492 59,291 
Other accounts payable and accrued liabilities240,258 265,596 
Accounts payable, accrued liabilities, and other liabilities$657,196 $772,485 
XML 48 R32.htm IDEA: XBRL DOCUMENT v3.24.0.1
Deferred Revenue
12 Months Ended
Dec. 31, 2023
Revenues [Abstract]  
Deferred Revenue Deferred Revenue
The following table summarizes the Company’s deferred revenue, excluding deferred revenue related to assets classified as held for sale (in thousands):
December 31,
20232022
Nonrefundable entrance fees(1)
$562,026 $518,573 
Other deferred revenue(2)
343,607 325,503 
Deferred revenue$905,633 $844,076 
_______________________________________
(1)During the years ended December 31, 2023 and 2022, the Company collected nonrefundable entrance fees of $127 million and $101 million, respectively. During the years ended December 31, 2023, 2022, and 2021, the Company recognized amortization of $83 million, $79 million, and $76 million, respectively, which is included within resident fees and services on the Consolidated Statements of Operations.
(2)Other deferred revenue is primarily comprised of prepaid rent, deferred rent, and tenant-funded tenant improvements owned by the Company. During the years ended December 31, 2023, 2022, and 2021, the Company recognized amortization related to other deferred revenue of $68 million, $44 million, and $39 million, respectively, which is included in rental and related revenues on the Consolidated Statements of Operations.
XML 49 R33.htm IDEA: XBRL DOCUMENT v3.24.0.1
Schedule II: Valuation and Qualifying Accounts
12 Months Ended
Dec. 31, 2023
SEC Schedule, 12-09, Valuation and Qualifying Accounts [Abstract]  
Schedule II: Valuation and Qualifying Accounts
Schedule II: Valuation and Qualifying Accounts
(In thousands)
Allowance Accounts(1)
Additions
Year Ended
December 31,
Balance at
Beginning of
Year
Amounts
Charged
Against
Operations, net
Acquired
Properties
Deductions(2)
Balance at
End of Year
Continuing operations:
2023$2,399 $— $— $(117)$2,282 
20221,870 529 — — 2,399 
20213,994 — — (2,124)1,870 
Discontinued operations:
2023$— $— $— $— $— 
20224,138 — — (4,138)— 
20215,873 46 — (1,781)4,138 
_______________________________________
(1)Includes allowance for doubtful accounts. Excludes reserves for loan losses which are disclosed in Note 7 to the Consolidated Financial Statements.
(2)Primarily includes the write-off of uncollectible accounts, dispositions, and other net reductions in the reserves.
XML 50 R34.htm IDEA: XBRL DOCUMENT v3.24.0.1
Schedule III: Real Estate and Accumulated Depreciation
12 Months Ended
Dec. 31, 2023
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation Disclosure [Abstract]  
Schedule III: Real Estate and Accumulated Depreciation
Encumbrances at December 31, 2023Initial Cost to Company
Costs Capitalized Subsequent to Acquisition(3)
Gross Amount at Which Carried
As of December 31, 2023
Accumulated Depreciation(5)
Year Constructed(6)
Year Acquired
CityState
Land and improvements(1)
Buildings and Improvements(2)
Land and improvementsBuildings and Improvements
Total(4)
Lab
1483 Brisbane  CA $— $8,498 $500 $82,955 $8,498 $83,455 $91,953 $(6,065)20222007
1484 Brisbane  CA — 11,331 689 159,209 11,331 159,898 171,229 (10,321)20222007
1485 Brisbane  CA — 11,331 600 151,954 11,331 152,554 163,885 (11,224)20222007
1486 Brisbane  CA — 11,331 — 135,416 11,331 135,416 146,747 (22,767)20202007
1487 Brisbane  CA — 8,498 — 76,398 8,498 76,398 84,896 (7,089)20202007
2874 Brisbane  CA — 26,895 62,318 75,811 26,295 138,729 165,024 (13,636)19892019
2875 Brisbane  CA — 24,092 56,623 7,302 24,092 63,925 88,017 (10,162)20002019
3139 Brisbane  CA — 35,805 — 5,505 35,805 5,505 41,310 — 2019
3140 Brisbane  CA — 35,805 — 2,668 35,805 2,668 38,473 — 2019
3142 Brisbane  CA — — — 3,724 — 3,724 3,724 — 2007
1401 Hayward  CA — 900 7,100 12,450 1,338 19,112 20,450 (5,630)19962007
1402 Hayward  CA — 1,500 6,400 6,837 1,500 13,237 14,737 (2,971)19992007
1403 Hayward  CA — 1,900 7,100 7,873 1,900 14,973 16,873 (5,801)19982007
1404 Hayward  CA — 2,200 17,200 8,948 2,200 26,148 28,348 (10,059)19992007
1405 Hayward  CA — 1,000 3,200 646 1,000 3,846 4,846 (1,625)19992007
1549 Hayward  CA — 1,006 4,259 4,208 1,006 8,467 9,473 (4,388)19962007
1550 Hayward  CA — 677 2,761 876 677 3,637 4,314 (2,027)19962007
1551 Hayward  CA — 661 1,995 2,899 661 4,894 5,555 (1,675)19962007
1552 Hayward  CA — 1,187 7,139 1,435 1,187 8,574 9,761 (5,601)19962007
1553 Hayward  CA — 1,189 9,465 6,555 1,189 16,020 17,209 (12,099)19962007
1554 Hayward  CA — 1,246 5,179 11,951 1,246 17,130 18,376 (6,357)19962007
1555 Hayward  CA — 1,521 13,546 7,482 1,521 21,028 22,549 (14,370)19962007
1556 Hayward  CA — 1,212 5,120 1,127 1,212 6,247 7,459 (3,853)19962007
1424 La Jolla  CA  11,175 25,283 44,107 11,389 69,176 80,565 (16,131)19822007
1425 La Jolla  CA  7,217 19,883 61 7,217 19,944 27,161 (8,193)19812007
1426 La Jolla  CA  8,381 12,412 11,260 8,381 23,672 32,053 (15,449)19842007
1427 La Jolla  CA  10,127 16,983 7,965 10,148 24,927 35,075 (11,048)19822007
1949 La Jolla  CA  2,686 11,045 17,501 2,686 28,546 31,232 (8,278)20212011
2229 La Jolla  CA  8,753 32,528 16,498 8,777 49,002 57,779 (13,320)1986/20092014
1470 Poway  CA — 5,826 12,200 341 5,826 12,541 18,367 (5,094)20052007
1471 Poway  CA — 5,978 14,200 — 5,978 14,200 20,178 (5,828)20052007
1472 Poway  CA — 8,654 — 11,895 8,654 11,895 20,549 (3,723)20142007
1473 Poway  CA — 11,024 2,405 25,455 11,024 27,860 38,884 (11,513)20192007
1474 Poway  CA — 5,051 — 19,939 5,051 19,939 24,990 (7,191)20192007
1475 Poway  CA — 5,655 — 10,299 5,655 10,299 15,954 (837)20202007
1478 Poway  CA — 6,700 14,400 — 6,700 14,400 21,100 (5,910)20022007
1499 Redwood City  CA — 3,400 5,500 1,501 3,455 6,946 10,401 (3,391)19892007
1500 Redwood City  CA — 2,500 4,100 988 2,500 5,088 7,588 (2,478)19892007
1501 Redwood City  CA — 3,600 4,600 1,892 3,600 6,492 10,092 (3,293)19892007
1502 Redwood City  CA — 3,100 5,100 1,647 3,100 6,747 9,847 (3,253)19892007
1503 Redwood City  CA — 4,800 17,300 8,276 4,800 25,576 30,376 (9,310)19892007
1504 Redwood City  CA — 5,400 15,500 10,956 5,400 26,456 31,856 (11,249)19892007
1505 Redwood City  CA — 3,000 3,500 5,316 3,000 8,816 11,816 (3,374)19882007
1506 Redwood City  CA — 6,000 14,300 14,300 6,000 28,600 34,600 (15,991)19882007
1507 Redwood City  CA — 1,900 12,800 10,680 1,900 23,480 25,380 (7,910)1988/20112007
1508 Redwood City  CA — 2,700 11,300 17,193 2,700 28,493 31,193 (9,485)1988/20112007
1509 Redwood City  CA — 2,700 10,900 1,565 2,700 12,465 15,165 (5,042)19882007
1510 Redwood City  CA — 2,200 12,000 6,243 2,200 18,243 20,443 (7,367)19882007
1511 Redwood City  CA — 2,600 9,300 19,676 2,600 28,976 31,576 (15,352)19882007
1512 Redwood City  CA — 3,300 18,000 19,072 3,300 37,072 40,372 (18,557)20002007
1513 Redwood City  CA — 3,300 17,900 12,092 3,326 29,966 33,292 (16,766)20002007
678 San Diego  CA — 2,603 11,051 3,514 2,766 14,402 17,168 (6,897)19972004
679 San Diego  CA — 5,269 23,566 23,961 5,669 47,127 52,796 (18,457)19972004
837 San Diego  CA — 4,630 2,028 3,302 4,630 5,330 9,960 (2,426)1988/20122006
838 San Diego  CA — 2,040 903 3,354 2,040 4,257 6,297 (1,325)1988/20122006
839 San Diego  CA — 3,940 3,184 2,863 4,036 5,951 9,987 (2,499)19872006
840 San Diego  CA — 5,690 4,579 1,289 5,830 5,728 11,558 (2,587)19872006
1418 San Diego  CA — 11,700 31,243 59,282 11,700 90,525 102,225 (16,917)20222007
1419 San Diego  CA — 2,324 — 33,144 2,324 33,144 35,468 (2,735)20222007
1420 San Diego  CA — 4,200 — 41,121 4,200 41,121 45,321 (2,293)20222007
1421 San Diego  CA — 7,000 33,779 — 7,000 33,779 40,779 (13,863)20002007
1422 San Diego  CA — 7,179 3,687 1,171 7,179 4,858 12,037 (3,687)19842007
1423 San Diego  CA — 8,400 33,144 33,504 8,400 66,648 75,048 (21,043)2002/20202007
1558 San Diego  CA — 7,740 — 61,285 7,740 61,285 69,025 — 2007
1947 San Diego  CA — 2,581 10,534 4,485 2,581 15,019 17,600 (7,859)20002011
1948 San Diego  CA — 5,879 25,305 7,951 5,879 33,256 39,135 (13,014)20012011
2197 San Diego  CA — 7,621 3,913 7,541 7,621 11,454 19,075 (6,884)19842007
2476 San Diego  CA — 7,661 9,918 13,883 7,661 23,801 31,462 (3,731)2000/20022016
2477 San Diego  CA — 9,207 14,613 5,993 9,207 20,606 29,813 (6,371)2000/20012016
2478 San Diego  CA — 6,000 — 112,511 6,000 112,511 118,511 — 2016
2617 San Diego  CA — 2,734 5,195 9,364 2,734 14,559 17,293 (3,269)1991/20202017
2618 San Diego  CA — 4,100 12,395 22,843 4,100 35,238 39,338 (11,689)1991/20202017
2622 San Diego  CA — — — 17,231 — 17,231 17,231 (1,658)20202004
2872 San Diego  CA — 10,120 38,351 1,044 10,120 39,395 49,515 (7,919)19952018
2873 San Diego  CA — 6,052 14,122 1,846 6,052 15,968 22,020 (3,117)19972018
Encumbrances at December 31, 2023Initial Cost to Company
Costs Capitalized Subsequent to Acquisition(3)
Gross Amount at Which Carried
As of December 31, 2023
Accumulated Depreciation(5)
Year Constructed(6)
Year Acquired
CityState
Land and improvements(1)
Buildings and Improvements(2)
Land and improvementsBuildings and Improvements
Total(4)
3069 San Diego  CA — 7,054 7,794 19,748 6,954 27,642 34,596 (3,467)2007/20212019
3104 San Diego  CA — — — 40,755 — 40,755 40,755 — 2007
3110 San Diego  CA — 19,120 — 7,212 20,587 5,745 26,332 — 2021
3111 San Diego CA— 24,729 — 1,261 24,830 1,160 25,990 — 2022
3153 San Diego  CA — 1,215 — 30 1,216 29 1,245 — 2023
1410 South San Francisco  CA — 4,900 18,100 12,159 4,900 30,259 35,159 (14,389)2000/20192007
1411 South San Francisco  CA — 8,000 27,700 33,159 8,000 60,859 68,859 (18,496)2003/20192007
1412 South San Francisco  CA — 10,100 22,521 10,207 10,100 32,728 42,828 (12,170)19992007
1413 South San Francisco  CA — 8,000 28,299 8,489 8,000 36,788 44,788 (17,427)20002007
1430 South San Francisco  CA — 10,700 23,621 27,632 10,700 51,253 61,953 (14,113)1998/20192007
1431 South San Francisco  CA — 7,000 15,500 9,493 7,000 24,993 31,993 (10,242)20012007
1435 South San Francisco  CA — 13,800 42,500 26,975 13,800 69,475 83,275 (25,159)2008/20102007
1436 South San Francisco  CA — 14,500 45,300 25,437 14,500 70,737 85,237 (24,676)2008/20102007
1437 South San Francisco  CA — 9,400 24,800 36,758 9,400 61,558 70,958 (21,946)2008/20102007
1439 South San Francisco  CA — 11,900 68,848 929 11,900 69,777 81,677 (28,268)20032007
1440 South San Francisco  CA — 10,000 57,954 471 10,000 58,425 68,425 (23,883)20032007
1441 South San Francisco  CA — 9,300 43,549 3,004 9,300 46,553 55,853 (16,875)20032007
1442 South San Francisco  CA — 11,000 47,289 42,670 11,000 89,959 100,959 (21,784)20232007
1443 South San Francisco  CA — 13,200 60,932 3,259 13,200 64,191 77,391 (24,832)20072007
1444 South San Francisco  CA — 10,500 33,776 9,449 10,500 43,225 53,725 (13,088)20032007
1445 South San Francisco  CA — 10,600 34,083 11 10,600 34,094 44,694 (13,995)20032007
1458 South San Francisco  CA — 10,900 20,900 6,560 10,900 27,460 38,360 (9,607)20052007
1459 South San Francisco  CA — 9,800 400 157,931 9,800 158,331 168,131 (4,460)20232007
1462 South San Francisco  CA — 7,117 600 4,112 7,117 4,712 11,829 (1,785)1984/20122007
1463 South San Francisco  CA — 10,381 2,300 19,648 10,381 21,948 32,329 (8,511)1979/20122007
1464 South San Francisco  CA — 7,403 700 8,819 7,403 9,519 16,922 (2,723)1965/20122007
1468 South San Francisco  CA  10,100 24,013 12,188 10,100 36,201 46,301 (15,058)20062007
1480 South San Francisco  CA — 32,210 3,110 161,341 32,210 164,451 196,661 (472)20232007
1528 South San Francisco  CA — — — 165,770 — 165,770 165,770 — 2007
1559 South San Francisco  CA — 5,666 5,773 161 5,666 5,934 11,600 (5,919)19682007
1560 South San Francisco  CA — 1,204 1,293 2,683 1,204 3,976 5,180 (2,917)19662007
1983 South San Francisco  CA — 8,648 — 97,280 8,648 97,280 105,928 (34,710)20162011
1984 South San Francisco  CA — 7,845 — 90,818 7,844 90,819 98,663 (29,712)20172011
1985 South San Francisco  CA — 6,708 — 122,646 6,708 122,646 129,354 (37,274)20172011
1986 South San Francisco  CA — 6,708 — 120,613 6,708 120,613 127,321 (31,623)20182011
1987 South San Francisco  CA — 8,544 — 100,777 8,544 100,777 109,321 (23,837)20192011
1988 South San Francisco  CA — 10,120 — 118,498 10,120 118,498 128,618 (29,452)20192011
1989 South San Francisco  CA — 9,169 — 100,338 9,169 100,338 109,507 (18,597)20202011
2553 South San Francisco  CA — 2,897 8,691 4,478 2,897 13,169 16,066 (4,340)19882015
2554 South San Francisco  CA — 995 2,754 2,332 995 5,086 6,081 (1,393)19882015
2555 South San Francisco  CA — 2,202 10,776 2,497 2,202 13,273 15,475 (3,326)19882015
2556 South San Francisco  CA — 2,962 15,108 1,557 2,962 16,665 19,627 (4,087)19882015
2557 South San Francisco  CA — 2,453 13,063 3,616 2,453 16,679 19,132 (5,840)19882015
2558 South San Francisco  CA — 1,163 5,925 315 1,163 6,240 7,403 (1,438)19882015
2624 South San Francisco  CA — 25,502 42,910 14,017 25,502 56,927 82,429 (13,911)20012017
2870 South San Francisco  CA — 23,297 41,797 28,777 23,297 70,574 93,871 (17,071)1996/20192018
2871 South San Francisco  CA — 20,293 41,262 22,089 20,293 63,351 83,644 (19,258)1999/20192018
3100 South San Francisco  CA — 24,059 — 3,733 24,059 3,733 27,792 — 2021
3101 South San Francisco  CA — 61,208 — 22,276 61,208 22,276 83,484 — 2021
3102 South San Francisco  CA — 43,885 — 3,806 43,885 3,806 47,691 — 2021
3123 South San Francisco CA— — — 6,455 — 6,455 6,455 — 2007
2705 Cambridge  MA — 24,371 128,498 83 24,371 128,581 152,952 (13,274)20112020
2706 Cambridge  MA — 15,473 149,051 797 15,473 149,848 165,321 (16,851)20192020
2707 Cambridge  MA — 25,549 229,547 8,597 25,549 238,144 263,693 (24,757)20192020
2708 Cambridge  MA — — 17,751 513 — 18,264 18,264 (1,419)20102020
2709 Cambridge  MA — — 15,451 29 — 15,480 15,480 (1,192)20192020
2928 Cambridge  MA — 44,215 24,120 3,076 44,215 27,196 71,411 (3,966)19842019
2929 Cambridge  MA — 20,517 — 158,992 20,517 158,992 179,509 (8,248)20222019
3074 Cambridge  MA — 78,762 252,153 11,380 78,762 263,533 342,295 (32,549)20182019
3106 Cambridge  MA — 20,644 2,982 570 20,644 3,552 24,196 (238)19502021
3107 Cambridge  MA — 19,009 12,327 — 19,009 12,327 31,336 (841)19732021
3108 Cambridge  MA — 123,074 7,513 — 123,074 7,513 130,587 (678)19652021
3109 Cambridge  MA — 5,903 — 362 5,903 362 6,265 — 2021
3112 Cambridge  MA — 23,402 47,623 69 23,402 47,692 71,094 (3,950)19852021
3113 Cambridge  MA — 32,244 — 6,730 36,119 2,855 38,974 — 2021
3114 Cambridge  MA — 22,969 — (2,306)22,969 (2,306)20,663 — 2021
3115 Cambridge  MA — 66,786 — 1,418 66,786 1,418 68,204 — 2021
3116 Cambridge  MA — — — 9,680 — 9,680 9,680 — 2021
3119 Cambridge  MA — — 29,667 — — 29,667 29,667 (2,041)20212021
3120 Cambridge  MA — 18,063 — 670 18,063 670 18,733 — 2021
3122 Cambridge  MA — 25,247 — 2,081 25,247 2,081 27,328 — 2021
3136 Cambridge  MA — 4,118 — (219)4,119 (220)3,899 — 2021
3137 Cambridge  MA — 41,327 — 2,767 41,327 2,767 44,094 — 2021
3141 Cambridge  MA — 72,466 — 5,757 72,768 5,455 78,223 — 2022
3148 Cambridge  MA — 2,277 — 704 2,290 691 2,981 — 2022
3149 Cambridge  MA — 5,690 — 314 5,734 270 6,004 — 2022
3150 Cambridge  MA — 1,651 — 206 1,659 198 1,857 — 2022
3151 Cambridge  MA — 8,532 — 457 8,583 406 8,989 — 2022
3152 Cambridge  MA — 9,892 — 1,035 10,507 420 10,927 — 2023
2630 Lexington  MA — 16,411 49,681 (2,292)12,967 50,833 63,800 (10,653)19992017
2631 Lexington  MA — 7,759 142,081 30,228 6,978 173,090 180,068 (27,404)2010/20232017
2632 Lexington  MA — — 21,390 125,076 — 146,466 146,466 (18,615)20212018
Encumbrances at December 31, 2023Initial Cost to Company
Costs Capitalized Subsequent to Acquisition(3)
Gross Amount at Which Carried
As of December 31, 2023
Accumulated Depreciation(5)
Year Constructed(6)
Year Acquired
CityState
Land and improvements(1)
Buildings and Improvements(2)
Land and improvementsBuildings and Improvements
Total(4)
3070 Lexington  MA — 14,013 17,083 (269)14,013 16,814 30,827 (2,534)1974/20122019
3071 Lexington  MA — 14,930 16,677 (359)14,930 16,318 31,248 (2,236)1970/20122019
3072 Lexington  MA — 34,598 43,032 (288)34,598 42,744 77,342 (7,547)1967/20132019
3073 Lexington  MA — 37,050 44,647 144 37,050 44,791 81,841 (8,051)20172019
3093 Waltham  MA — 47,792 275,556 18,351 47,792 293,907 341,699 (38,172)20182020
9999 Denton  TX — 100 — — 100 — 100 — 2016
464 Salt Lake City  UT — 630 6,921 2,563 630 9,484 10,114 (5,812)19962001
465 Salt Lake City  UT — 125 6,368 68 125 6,436 6,561 (3,267)19992001
466 Salt Lake City  UT — — 14,614 (1,401)— 13,213 13,213 (5,371)20022001
1593 Salt Lake City  UT — — 23,998 250 — 24,248 24,248 (9,774)20102010
   $ $1,936,228 $3,238,815 $3,654,501 $1,939,357 $6,890,187 $8,829,544 $(1,444,864) 
Encumbrances at December 31, 2023Initial Cost to Company
Costs Capitalized Subsequent to Acquisition(3)
Gross Amount at Which Carried
As of December 31, 2023
Accumulated Depreciation(5)
Year Constructed(6)
Year Acquired
CityState
Land and improvements(1)
Buildings and Improvements(2)
Land and improvementsBuildings and Improvements
Total(4)
Outpatient medical
638AnchorageAK$— $1,456 $10,650 $10,727 $1,456 $21,377 $22,833 $(9,272)1993/20142006
3026BentonvilleAR— 912 21,724 658 912 22,382 23,294 (1,712)20032022
126SherwoodAR— 709 9,604 208 709 9,812 10,521 (7,007)19901989
2572SpringdaleAR— — 27,714 — — 27,714 27,714 (6,413)19952016
520ChandlerAZ— 3,669 13,503 6,374 4,013 19,533 23,546 (9,353)20052002
113GlendaleAZ— 1,565 7,050 175 1,565 7,225 8,790 (5,317)19891988
2040MesaAZ— — 17,314 3,047 — 20,361 20,361 (4,856)20072012
1066ScottsdaleAZ— 5,115 14,064 5,912 4,888 20,203 25,091 (8,153)19992006
2021ScottsdaleAZ— — 12,312 4,763 — 17,075 17,075 (7,205)19842012
2022ScottsdaleAZ— — 9,179 3,033 — 12,212 12,212 (4,579)19962012
2023ScottsdaleAZ— — 6,398 1,818 — 8,216 8,216 (3,614)20002012
2024ScottsdaleAZ— — 9,522 1,163 32 10,653 10,685 (4,712)20072012
2025ScottsdaleAZ— — 4,102 2,451 — 6,553 6,553 (2,764)19812012
2026ScottsdaleAZ— — 3,655 2,031 — 5,686 5,686 (2,734)19922012
2027ScottsdaleAZ— — 7,168 2,119 — 9,287 9,287 (4,289)19952012
2028ScottsdaleAZ— — 6,659 5,065 — 11,724 11,724 (5,306)19982012
2696ScottsdaleAZ— 10,151 14,925 3,195 10,211 18,060 28,271 (5,217)19982020
1041BrentwoodCA— — 30,864 9,237 183 39,918 40,101 (14,995)20042006
1200EncinoCA— 6,151 10,438 6,043 6,388 16,244 22,632 (8,073)19732006
1038FresnoCA— 3,652 29,113 21,935 3,652 51,048 54,700 (23,741)19842006
436MurrietaCA— 400 9,266 2,855 608 11,913 12,521 (7,909)19911999
239PowayCA— 2,700 10,839 3,172 2,944 13,767 16,711 (8,922)19901997
2654RiversideCA— 2,758 9,908 529 2,266 10,929 13,195 (2,233)20082017
318SacramentoCA— 2,860 37,566 24,613 2,911 62,128 65,039 (26,629)1989/20161998
2404SacramentoCA— 1,268 5,109 1,652 1,299 6,730 8,029 (2,581)19992015
421San DiegoCA— 2,910 19,984 15,146 2,964 35,076 38,040 (17,632)1986/20131999
564San JoseCA— 1,935 1,728 2,213 1,935 3,941 5,876 (1,596)19682003
565San JoseCA— 1,460 7,672 2,175 1,492 9,815 11,307 (4,641)19952003
659Los GatosCA— 1,718 3,124 1,515 1,796 4,561 6,357 (2,028)19952006
439ValenciaCA— 2,300 6,967 3,080 2,314 10,033 12,347 (6,726)19901999
440West HillsCA— 2,100 11,595 11,851 2,203 23,343 25,546 (8,502)1992/20231999
3008West HillsCA12,093 5,795 13,933 2,897 5,823 16,802 22,625 (1,645)19652021
728AuroraCO— — 8,764 1,620 — 10,384 10,384 (3,927)20052005
1196AuroraCO— 210 12,362 6,172 210 18,534 18,744 (7,855)1981/20182006
1197AuroraCO— 200 8,414 5,673 285 14,002 14,287 (6,527)1994/20182006
127Colorado SpringsCO— 690 8,338 367 690 8,705 9,395 (6,071)19901989
882Colorado SpringsCO— — 12,933 9,106 — 22,039 22,039 (10,586)20072006
1199DenverCO— 493 7,897 1,789 604 9,575 10,179 (5,226)19932006
808EnglewoodCO— — 8,616 8,886 — 17,502 17,502 (9,595)19812005
809EnglewoodCO— — 8,449 19,042 — 27,491 27,491 (6,442)19902005
810EnglewoodCO— — 8,040 15,564 — 23,604 23,604 (9,606)19892005
811EnglewoodCO— — 8,472 11,904 — 20,376 20,376 (7,895)1993/20202005
2658Highlands RanchCO— 1,637 10,063 95 1,732 10,063 11,795 (2,334)20152017
812LittletonCO— — 4,562 2,775 177 7,160 7,337 (3,465)19872005
813LittletonCO— — 4,926 2,072 246 6,752 6,998 (3,092)19902005
570Lone TreeCO— — — 22,171 — 22,171 22,171 (10,271)20042003
666Lone TreeCO— — 23,274 3,843 17 27,100 27,117 (12,486)20032006
2233Lone TreeCO— — 6,734 34,696 — 41,430 41,430 (11,074)20152014
2965AuroraCO— — — 2,251 — 2,251 2,251 — 2023
3000Lone TreeCO— 4,393 31,643 9,516 4,552 41,000 45,552 (3,772)20202021
510ThorntonCO— 236 10,206 13,728 455 23,715 24,170 (8,016)2001/20212002
434AtlantisFL— — 2,027 171 — 2,198 2,198 (1,493)19971999
435AtlantisFL— — 2,000 608 — 2,608 2,608 (1,568)19971999
602AtlantisFL— 455 2,231 744 455 2,975 3,430 (1,357)19842006
2963BrooksvilleFL— — — 11,558 — 11,558 11,558 (1,526)20202019
604EnglewoodFL— 170 1,134 1,021 197 2,128 2,325 (823)19862006
2962Orange ParkFL— — — 17,657 — 17,657 17,657 (1,571)20222019
609KissimmeeFL— 788 174 1,135 788 1,309 2,097 (655)19782006
610KissimmeeFL— 481 347 258 488 598 1,086 (336)19782006
671KissimmeeFL— — 7,574 818 — 8,392 8,392 (3,727)19982006
603Lake WorthFL— 1,507 2,894 534 1,507 3,428 4,935 (1,459)19972006
612MargateFL— 1,553 6,898 2,984 1,553 9,882 11,435 (4,880)19942006
613MiamiFL— 4,392 11,841 11,366 4,454 23,145 27,599 (8,513)1995/20202006
2202MiamiFL— — 13,123 10,907 — 24,030 24,030 (10,231)19732014
2203MiamiFL— — 8,877 4,890 — 13,767 13,767 (5,359)19862014
1067MiltonFL— — 8,566 1,662 — 10,228 10,228 (4,057)20032006
2577NaplesFL— — 29,186 1,805 — 30,991 30,991 (6,953)19992016
2578NaplesFL— — 18,819 667 — 19,486 19,486 (3,709)20072016
2964OkeechobeeFL— — — 16,951 — 16,951 16,951 (1,266)20222019
563OrlandoFL— 2,144 5,136 13,507 12,022 8,765 20,787 (6,599)19852003
833PaceFL— — 10,309 1,628 28 11,909 11,937 (4,541)20052006
834PensacolaFL— — 11,166 428 — 11,594 11,594 (4,506)20052006
673PlantationFL— 1,091 7,176 2,623 1,091 9,799 10,890 (4,461)20012006
674PlantationFL— — 8,273 1,560 — 9,833 9,833 (1,042)20152021
2579Punta GordaFL— — 9,379 — — 9,379 9,379 (1,957)20062016
Encumbrances at December 31, 2023Initial Cost to Company
Costs Capitalized Subsequent to Acquisition(3)
Gross Amount at Which Carried
As of December 31, 2023
Accumulated Depreciation(5)
Year Constructed(6)
Year Acquired
CityState
Land and improvements(1)
Buildings and Improvements(2)
Land and improvementsBuildings and Improvements
Total(4)
2833St. PetersburgFL— — 13,754 10,299 — 24,053 24,053 (9,609)1995/20192006
887AtlantaGA— 4,300 13,690 (1,800)4,300 11,890 16,190 (10,007)1966/19962007
3214SavannahGA— — — 10,178 — 10,178 10,178 — 2022
2576StatesboroGA— — 10,234 1,430 — 11,664 11,664 (2,973)19992016
3006Arlington HeightsIL4,861 3,011 9,651 1,857 3,187 11,332 14,519 (1,299)1975/20132021
2702BolingbrookIL— — 21,237 3,884 — 25,121 25,121 (3,025)20082020
3004Highland ParkIL5,853 2,767 11,495 572 2,767 12,067 14,834 (1,226)20082021
3005LockportIL11,011 3,106 22,645 — 3,106 22,645 25,751 (2,256)20102021
1065MarionIL— 99 11,538 2,005 100 13,542 13,642 (5,978)20022006
2719MarionIL— — — 5,098 — 5,098 5,098 (452)20212021
2697IndianapolisIN— — 59,746 954 — 60,700 60,700 (5,797)20022020
2699IndianapolisIN— — 23,211 737 — 23,948 23,948 (2,364)20022020
2698MooresvilleIN— — 20,646 922 — 21,568 21,568 (2,080)20042020
1057NewburghIN— — 14,019 4,149 — 18,168 18,168 (8,511)20052006
2700ZionsvilleIN— 2,969 7,281 804 3,040 8,014 11,054 (1,204)20052020
2039Kansas CityKS— 440 2,173 390 440 2,563 3,003 (740)20062012
112Overland ParkKS— 2,316 10,681 116 2,316 10,797 13,113 (8,176)19891988
2043Overland ParkKS— — 7,668 2,000 — 9,668 9,668 (2,732)20092012
3062Overland ParkKS— 872 11,813 59 992 11,752 12,744 (2,570)20072019
483WichitaKS— 530 3,341 437 605 3,703 4,308 (1,738)20002001
3018WichitaKS— 3,946 39,795 — 3,946 39,795 43,741 (3,933)1973/20172021
1064LexingtonKY— — 12,726 2,213 — 14,939 14,939 (6,642)20032006
735LouisvilleKY— 936 8,426 13,840 661 22,541 23,202 (12,657)1971/20192005
737LouisvilleKY— 835 27,627 7,477 560 35,379 35,939 (16,906)20022005
738LouisvilleKY— 780 8,582 4,544 585 13,321 13,906 (10,521)19782005
739LouisvilleKY 826 13,814 3,542 602 17,580 18,182 (7,444)20032005
2834LouisvilleKY— 2,983 13,171 5,433 2,983 18,604 21,587 (10,498)19902005
1945LouisvilleKY— 3,255 28,644 2,678 3,365 31,212 34,577 (13,208)20092010
1946LouisvilleKY— 430 6,125 230 430 6,355 6,785 (2,769)20022010
2237LouisvilleKY— 1,519 15,386 7,130 1,672 22,363 24,035 (8,330)19912014
2238LouisvilleKY— 1,334 12,172 3,049 1,558 14,997 16,555 (5,429)19962014
2239LouisvilleKY— 1,644 10,832 9,879 2,043 20,312 22,355 (7,588)19882014
3023CovingtonLA— 9,490 21,918 128 9,507 22,029 31,536 (2,254)20142021
3121CambridgeMA— 40,663 23,102 — 40,663 23,102 63,765 (1,776)19832021
1213Ellicott CityMD— 1,115 3,206 3,013 1,357 5,977 7,334 (2,657)19882006
1052TowsonMD— — 14,233 1,231 — 15,464 15,464 (6,004)20052006
2650BiddefordME— 1,341 17,376 388 1,341 17,764 19,105 (4,251)20072017
3002BurnsvilleMN7,737 2,801 17,779 1,151 2,861 18,870 21,731 (3,424)19882021
3003BurnsvilleMN5,158 516 13,200 462 533 13,645 14,178 (2,225)19922021
3009BurnsvilleMN19,046 4,640 38,064 333 4,664 38,373 43,037 (3,990)20072021
240MinneapolisMN— 117 13,213 5,337 117 18,550 18,667 (11,776)19861997
300MinneapolisMN— 160 10,131 5,086 214 15,163 15,377 (9,547)19871998
2703ColumbiaMO— 4,141 20,364 — 4,141 20,364 24,505 (2,696)19972020
2032IndependenceMO— — 48,025 1,872 — 49,897 49,897 (12,858)20062012
2863Lee's SummitMO— — — 16,470 — 16,470 16,470 (2,633)20202019
1078FlowoodMS— — 8,413 1,472 — 9,885 9,885 (4,097)20032006
1059JacksonMS— — 8,868 668 — 9,536 9,536 (4,090)20022006
1060JacksonMS— — 7,187 2,038 — 9,225 9,225 (3,797)20052006
1068OmahaNE— — 16,243 2,667 24 18,886 18,910 (8,250)20052006
2651CharlotteNC— 1,032 6,196 253 1,032 6,449 7,481 (1,252)20072017
2695CharlotteNC— 844 5,021 266 844 5,287 6,131 (960)20072017
2655WilmingtonNC— 1,949 12,244 — 1,949 12,244 14,193 (2,749)20032017
2656WilmingtonNC— 2,071 11,592 — 2,071 11,592 13,663 (2,575)20062017
2657ShallotteNC— 918 3,609 — 918 3,609 4,527 (1,106)20172017
2647ConcordNH— 1,961 23,516 (614)1,032 23,831 24,863 (3,577)20042017
2648ConcordNH— 815 8,902 172 408 9,481 9,889 (2,073)20082017
2649EpsomNH— 919 5,868 (513)304 5,970 6,274 (1,174)20102017
3011Cherry HillNJ— 5,235 21,731 — 5,235 21,731 26,966 (2,695)20142021
3012MorristownNJ— 21,703 32,517 5,472 21,703 37,989 59,692 (4,413)1983/20132021
3013MorristownNJ— 14,567 20,548 8,647 14,567 29,195 43,762 (2,439)19902021
3014MorristownNJ— 20,563 31,849 1,721 20,563 33,570 54,133 (2,591)19812021
729AlbuquerqueNM— — 5,380 1,944 — 7,324 7,324 (2,828)20062005
571Las VegasNV— — — 23,267 — 23,267 23,267 (9,353)20042003
660Las VegasNV— 1,121 4,363 9,560 1,147 13,897 15,044 (4,967)19732006
661Las VegasNV— 2,305 — 1,371 3,676 — 3,676 — 2006
662Las VegasNV— 1,000 — — 1,000 — 1,000 — 2006
663Las VegasNV— 1,717 3,597 12,799 1,724 16,389 18,113 (6,718)1974/20182006
664Las VegasNV— 1,172 — 633 1,805 — 1,805 (433)2006
691Las VegasNV— 3,073 18,339 8,001 3,116 26,297 29,413 (16,290)1989/20152004
2037MesquiteNV— — 5,559 988 34 6,513 6,547 (2,148)20042012
400HarrisonOH— — 4,561 366 — 4,927 4,927 (3,149)19951999
1054DurantOK— 619 9,256 3,111 666 12,320 12,986 (5,294)19982006
817OwassoOK— — 6,582 (443)— 6,139 6,139 (2,789)20062005
404RoseburgOR— — 5,707 895 — 6,602 6,602 (3,892)19991999
3010SpringfieldOR20,732 — 51,998 416 — 52,414 52,414 (5,426)20112021
2570LimerickPA— 925 20,072 (119)755 20,123 20,878 (5,075)19992016
Encumbrances at December 31, 2023Initial Cost to Company
Costs Capitalized Subsequent to Acquisition(3)
Gross Amount at Which Carried
As of December 31, 2023
Accumulated Depreciation(5)
Year Constructed(6)
Year Acquired
CityState
Land and improvements(1)
Buildings and Improvements(2)
Land and improvementsBuildings and Improvements
Total(4)
2234PhiladelphiaPA— 24,264 99,904 50,137 24,288 150,017 174,305 (43,316)1973/20192014
2403PhiladelphiaPA— 26,063 97,646 39,404 26,134 136,979 163,113 (49,725)20002015
2571Wilkes-BarrePA— — 9,138 — — 9,138 9,138 (2,550)20012016
2694AndersonSC— 405 1,211 — 405 1,211 1,616 (352)20122020
2573FlorenceSC— — 12,090 90 — 12,180 12,180 (2,712)19982016
2574FlorenceSC— — 12,190 87 — 12,277 12,277 (2,729)19982016
2575FlorenceSC— — 11,243 56 — 11,299 11,299 (3,076)19952016
2841GreenvilleSC— 634 38,386 1,277 13 40,284 40,297 (9,241)19912018
2842GreenvilleSC— 794 41,293 211 — 42,298 42,298 (9,320)19992018
2843GreenvilleSC— 626 22,210 (368)— 22,468 22,468 (5,258)19962018
2844GreenvilleSC— 806 18,889 259 — 19,954 19,954 (4,349)19982018
2845GreenvilleSC— 932 40,879 (3,557)— 38,254 38,254 (5,148)20052018
2846GreenvilleSC— 896 38,486 205 — 39,587 39,587 (8,339)20072018
2847GreenvilleSC— 600 26,472 4,750 — 31,822 31,822 (8,164)19962018
2850GreenvilleSC— 211 6,503 153 211 6,656 6,867 (1,920)20082018
2853GreenvilleSC— 534 6,430 (1,388)— 5,576 5,576 (1,038)19982018
2854GreenvilleSC— 824 13,645 (512)— 13,957 13,957 (3,785)19922018
2848GreerSC— 318 5,816 97 318 5,913 6,231 (1,512)20082018
2849GreerSC— 319 5,836 (777)— 5,378 5,378 (734)20082018
2851Travelers RestSC— 498 1,015 299 1,217 1,516 (611)19982018
2862Myrtle BeachSC— — — 28,496 — 28,496 28,496 (6,051)20192018
2865BrentwoodTN— — — 35,219 52 35,167 35,219 (3,870)20202019
624HendersonvilleTN— 256 1,530 2,383 256 3,913 4,169 (1,991)19852006
559HermitageTN— 830 5,036 13,157 837 18,186 19,023 (6,882)1999/20192003
561HermitageTN— 596 9,698 4,262 596 13,960 14,556 (7,331)19932003
562HermitageTN— 317 6,528 2,979 317 9,507 9,824 (4,491)19942003
625NashvilleTN— 955 14,289 7,675 955 21,964 22,919 (9,756)20002006
626NashvilleTN— 2,050 5,211 5,198 2,050 10,409 12,459 (3,987)19872006
627NashvilleTN— 1,007 181 986 1,113 1,061 2,174 (555)19752006
628NashvilleTN— 2,980 7,164 3,046 2,980 10,210 13,190 (4,235)19882006
630NashvilleTN— 515 848 339 515 1,187 1,702 (536)19752006
631NashvilleTN— 266 1,305 1,266 266 2,571 2,837 (1,450)19802006
632NashvilleTN— 827 7,642 3,034 827 10,676 11,503 (5,283)19882006
633NashvilleTN— 5,425 12,577 5,720 5,425 18,297 23,722 (8,059)19712006
634NashvilleTN— 3,818 15,185 12,266 3,818 27,451 31,269 (11,240)19922006
636NashvilleTN— 583 450 424 604 853 1,457 (372)19742006
2967NashvilleTN— — — 52,503 — 52,503 52,503 (4,519)20212019
2720NashvilleTN— 102 10,925 1,058 102 11,983 12,085 (2,038)19862021
2611AllenTX— 1,330 5,960 1,245 1,374 7,161 8,535 (1,868)20042016
2612AllenTX— 1,310 4,165 1,516 1,310 5,681 6,991 (1,540)20052016
573ArlingtonTX— 769 12,355 26,097 769 38,452 39,221 (8,657)19952006
2621Cedar ParkTX— 1,617 11,640 950 1,617 12,590 14,207 (2,144)20072017
576ConroeTX— 324 4,842 4,171 324 9,013 9,337 (3,998)19832006
577ConroeTX— 397 7,966 2,981 397 10,947 11,344 (4,740)19952006
578ConroeTX— 388 7,975 2,576 388 10,551 10,939 (4,587)1997/20122006
579ConroeTX— 188 3,618 1,045 188 4,663 4,851 (2,423)19952006
581Corpus ChristiTX— 717 8,181 4,253 717 12,434 13,151 (5,699)19952006
600Corpus ChristiTX— 328 3,210 1,913 328 5,123 5,451 (2,851)19952006
601Corpus ChristiTX— 313 1,771 2,014 325 3,773 4,098 (1,886)19852006
2839CypressTX— — — 37,639 11 37,628 37,639 (12,404)20162015
582DallasTX— 1,664 6,785 4,342 1,718 11,073 12,791 (5,040)19792006
1314DallasTX— 15,230 162,970 29,075 23,630 183,645 207,275 (88,337)19742007
1315DallasTX— — — 4,083 17 4,066 4,083 (1,663)19782007
1316DallasTX— — — 9,691 64 9,627 9,691 (1,720)19852007
1317DallasTX— — — 12,061 166 11,895 12,061 (2,256)19952007
1319DallasTX— 18,840 155,659 6,539 18,840 162,198 181,038 (76,716)19742007
2721DallasTX— 31,707 2,000 347 31,707 2,347 34,054 (1,998)19832020
3007DentonTX5,654 2,298 9,502 97 2,338 9,559 11,897 (1,298)20142021
3020FriscoTX— — 27,201 1,214 — 28,415 28,415 (2,394)20042021
3021FriscoTX— — 26,181 2,186 — 28,367 28,367 (2,700)20042021
583Fort WorthTX— 898 4,866 4,115 898 8,981 9,879 (4,168)19952006
805Fort WorthTX— — 2,481 1,316 45 3,752 3,797 (2,458)19852005
806Fort WorthTX— — 6,070 1,206 7,271 7,276 (3,310)19852005
2619Fort WorthTX— 1,180 13,432 1,910 1,180 15,342 16,522 (2,149)20062017
2620Fort WorthTX— 1,961 14,155 1,521 2,000 15,637 17,637 (2,272)20052017
2982Fort WorthTX— 2,720 6,225 5,959 2,719 12,185 14,904 (3,194)20202019
1061GranburyTX— — 6,863 1,321 — 8,184 8,184 (3,667)20012006
430HoustonTX— 1,927 33,140 20,350 2,388 53,029 55,417 (31,358)1985/20181999
446HoustonTX— 2,200 19,585 13,593 2,936 32,442 35,378 (23,431)1976/20181999
589HoustonTX— 1,676 12,602 15,520 1,676 28,122 29,798 (8,121)1985/20222006
702HoustonTX— — 7,414 2,570 — 9,984 9,984 (4,628)20062006
1044HoustonTX— — 4,838 6,971 1,321 10,488 11,809 (3,602)20062006
2542HoustonTX— 304 17,764 (304)— 17,764 17,764 (4,314)19902015
2543HoustonTX— 116 6,555 (116)— 6,555 6,555 (1,857)19702015
2544HoustonTX— 312 12,094 (312)— 12,094 12,094 (3,427)19872015
2545HoustonTX— 316 13,931 (300)— 13,947 13,947 (2,960)20052015
Encumbrances at December 31, 2023Initial Cost to Company
Costs Capitalized Subsequent to Acquisition(3)
Gross Amount at Which Carried
As of December 31, 2023
Accumulated Depreciation(5)
Year Constructed(6)
Year Acquired
CityState
Land and improvements(1)
Buildings and Improvements(2)
Land and improvementsBuildings and Improvements
Total(4)
2546HoustonTX— 408 18,332 740 — 19,480 19,480 (6,233)19772015
2547HoustonTX— 470 18,197 (250)— 18,417 18,417 (5,156)19852015
2548HoustonTX— 313 7,036 (140)— 7,209 7,209 (2,392)19792015
2549HoustonTX— 530 22,711 68 530 22,779 23,309 (4,740)20062015
2966HoustonTX— — — 39,448 — 39,448 39,448 (2,576)20222020
590IrvingTX— 828 6,160 5,455 828 11,615 12,443 (4,835)19972006
700IrvingTX— — 8,550 3,091 11,633 11,641 (5,109)20042006
1207IrvingTX— 1,955 12,793 4,699 2,032 17,415 19,447 (6,471)20012006
2840KingwoodTX— 3,035 28,373 464 3,422 28,450 31,872 (6,005)20032016
591LewisvilleTX— 561 8,043 1,102 561 9,145 9,706 (4,487)19762006
144LongviewTX— 102 7,998 988 102 8,986 9,088 (5,735)19931992
143LufkinTX— 338 2,383 219 338 2,602 2,940 (1,648)19931992
568McKinneyTX— 541 6,217 3,371 541 9,588 10,129 (4,892)19992003
569McKinneyTX— — 636 8,319 — 8,955 8,955 (4,506)20042003
3216McKinneyTX— — — 1,415 — 1,415 1,415 — 2023
596North Richland HillsTX— 812 8,883 4,524 812 13,407 14,219 (5,619)19992006
2048North Richland HillsTX— 1,385 10,213 1,849 1,400 12,047 13,447 (5,367)20072012
2835PearlandTX— — 4,014 4,238 29 8,223 8,252 (3,217)20062006
2838PearlandTX— — — 18,363 — 18,363 18,363 (5,422)20152014
597PlanoTX— 1,210 9,588 7,506 1,225 17,079 18,304 (6,930)19972006
672PlanoTX— 1,389 12,768 3,922 1,389 16,690 18,079 (6,958)20042006
1384PlanoTX— 6,290 22,686 7,966 6,290 30,652 36,942 (24,603)19972007
2653RockwallTX— 788 9,020 788 9,022 9,810 (1,847)20152017
815San AntonioTX— — 9,193 3,285 75 12,403 12,478 (5,948)19972006
816San AntonioTX1,552 — 8,699 13,192 175 21,716 21,891 (6,649)1992/20222006
2837San AntonioTX— — 26,191 4,115 — 30,306 30,306 (12,352)20062011
2852ShenandoahTX— — — 29,980 — 29,980 29,980 (8,235)20172016
598Sugar LandTX— 1,078 5,158 3,261 1,164 8,333 9,497 (3,579)19822006
599Texas CityTX— — 9,519 1,971 — 11,490 11,490 (4,972)20032006
152VictoriaTX— 125 8,977 535 125 9,512 9,637 (5,842)19941992
2198WebsterTX— 2,220 9,602 142 2,220 9,744 11,964 (3,920)19912013
3024WebsterTX— 3,196 12,911 (28)3,212 12,867 16,079 (892)20072022
3025WebsterTX— 3,209 23,782 114 3,225 23,880 27,105 (1,571)20072022
2550The WoodlandsTX— 115 5,141 (115)— 5,141 5,141 (1,249)19842015
2551The WoodlandsTX— 296 18,282 (296)— 18,282 18,282 (3,885)19972015
2552The WoodlandsTX— 374 25,125 (374)— 25,125 25,125 (4,746)20042015
3215WylieTX— 874 4,122 (64)874 4,058 4,932 (180)20052007
1592BountifulUT— 999 7,426 1,963 1,019 9,369 10,388 (3,953)20052010
169BountifulUT— 276 5,237 4,602 599 9,516 10,115 (4,262)19951994
2035DraperUT3,952 — 10,803 561 — 11,364 11,364 (2,826)20102012
469KaysvilleUT— 530 4,493 426 530 4,919 5,449 (2,245)20012001
456LaytonUT— 371 7,073 2,191 401 9,234 9,635 (5,132)19982001
2042LaytonUT— — 10,975 1,831 44 12,762 12,806 (3,379)20062012
2864Washington TerraceUT— — — 19,898 — 19,898 19,898 (3,091)20202019
357OremUT— 337 8,744 1,177 306 9,952 10,258 (6,286)19981999
353Salt Lake CityUT— 190 779 238 273 934 1,207 (628)19911999
354Salt Lake CityUT— 220 10,732 4,186 220 14,918 15,138 (8,926)19991999
355Salt Lake CityUT— 180 14,792 5,141 180 19,933 20,113 (11,708)19931999
467Salt Lake CityUT— 3,000 7,541 2,459 3,019 9,981 13,000 (5,598)19982001
566Salt Lake CityUT— 509 4,044 3,763 509 7,807 8,316 (3,555)19742003
2041Salt Lake CityUT— — 12,326 877 — 13,203 13,203 (3,406)20072012
2033SandyUT— 867 3,513 2,919 1,356 5,943 7,299 (3,380)19892012
351Washington TerraceUT— — 4,573 1,317 17 5,873 5,890 (3,724)19891999
352Washington TerraceUT— — 2,692 641 15 3,318 3,333 (2,231)19901999
2034West JordanUT— — 12,021 (177)— 11,844 11,844 (3,016)20062012
2036West JordanUT— — 1,383 1,328 — 2,711 2,711 (1,655)19822012
1208FairfaxVA— 8,396 16,710 12,121 8,781 28,446 37,227 (15,291)1974/20182006
2230FredericksburgVA— 1,101 8,570 156 1,113 8,714 9,827 (2,308)20082014
3001LeesburgVA10,217 3,549 24,059 4,826 3,549 28,885 32,434 (3,912)20102021
3015MidlothianVA12,688 — 21,442 10 59 21,393 21,452 (1,653)20122021
3016MidlothianVA11,994 — 20,610 (137)32 20,441 20,473 (1,766)20132021
3017MidlothianVA13,878 — 22,531 176 — 22,707 22,707 (2,846)20142021
572RestonVA— — 11,902 (864)— 11,038 11,038 (5,515)20042003
448RentonWA— — 18,724 3,750 — 22,474 22,474 (13,933)19931999
781SeattleWA— — 52,703 10,129 — 62,832 62,832 (31,470)19942004
782SeattleWA— — 24,382 22,413 104 46,691 46,795 (16,953)1990/20222004
783SeattleWA— — 5,625 1,607 211 7,021 7,232 (6,247)19842004
785SeattleWA— — 7,293 1,475 — 8,768 8,768 (5,205)19822004
1385SeattleWA— — 45,027 17,489 — 62,516 62,516 (26,972)1986/20192007
3022SeattleWA— 35,624 4,176 35,625 4,176 39,801 (1,898)1963/20122021
2038EvanstonWY— — 4,601 1,204 — 5,805 5,805 (1,953)20022012
$146,426 $529,287 $3,887,576 $1,467,286 $546,448 $5,337,701 $5,884,149 $(1,796,189)
Encumbrances at December 31, 2023
Initial Cost to Company
Costs Capitalized Subsequent to Acquisition(3)
Gross Amount at Which Carried
As of December 31, 2023
Accumulated Depreciation(5)
Year Constructed(6)
Year Acquired
CityState
Land and improvements(1)
Buildings and Improvements(2)
Land and improvements
Buildings and Improvements
Total(4)
Continuing care retirement community
3089 Birmingham  AL $— $6,193 $32,146 $6,411 $6,670 $38,080 $44,750 $(7,612)19912020
3090 Bradenton  FL — 5,496 95,671 27,694 6,228 122,633 128,861 (21,444)19852020
2997 Clearwater  FL 66,436 6,680 132,521 20,619 7,195 152,625 159,820 (21,252)19912020
3086 Jacksonville  FL — 19,660 167,860 22,367 21,042 188,845 209,887 (29,940)19892020
2996 Leesburg  FL — 8,941 65,698 16,620 9,779 81,480 91,259 (14,936)19902020
2995 Port Charlotte  FL — 5,344 159,612 16,205 6,008 175,153 181,161 (23,576)19872020
2998 Seminole  FL 43,235 14,080 77,485 13,228 15,030 89,763 104,793 (11,367)19902020
3085 Seminole  FL — 13,915 125,796 16,519 14,698 141,532 156,230 (23,135)19822020
3092 Sun City Center  FL — 25,254 175,535 21,862 26,460 196,191 222,651 (36,004)19922020
3087 The Villages  FL — 7,091 120,493 16,363 7,331 136,616 143,947 (21,450)20092020
3084 Holland  MI — 1,572 88,960 10,401 1,898 99,035 100,933 (15,129)19912020
2991 Coatesville  PA — 16,443 126,243 17,270 17,064 142,892 159,956 (20,601)19982020
3080 Haverford  PA — 16,461 108,816 24,097 16,461 132,913 149,374 (52,714)19892006
3088 Spring  TX — 3,210 30,085 11,821 3,524 41,592 45,116 (5,695)20082020
3081 Fort Belvoir  VA — 11,594 99,528 19,948 11,594 119,476 131,070 (51,408)19902006
$109,671 $161,934 $1,606,449 $261,425 $170,982 $1,858,826 $2,029,808 $(356,263) 
Total real estate assets held for sale (9,125)(10,213)(103,849)(9,154)(114,033)(123,187)5,365 
Total, excluding held for sale
$256,097 $2,618,324 $8,722,627 $5,279,363 $2,647,633 $13,972,681 $16,620,314 $(3,591,951)
_______________________________________
(1)Assets with no initial land costs to the Company represent land that the Company leases from a third party (i.e., ground leases).
(2)Assets with no initial buildings and improvements costs to the Company represent development projects in process or completed.
(3)Includes adjustments for disposals, casualty events, and costs capitalized subsequent to acquisition, net of incidental income, if applicable.
(4)At December 31, 2023, the tax basis of the Company’s net real estate assets is less than the reported amounts by $900 million.
(5)Buildings and improvements are depreciated over useful lives ranging up to approximately 50 years.
(6)Year of original construction/year of last major renovation, if applicable.
A summary of activity for real estate and accumulated depreciation, excluding assets classified as discontinued operations, is as follows (in thousands):
Year ended December 31,
202320222021
Real estate:
Balances at beginning of year$16,211,621 $15,506,658 $13,528,893 
Acquisition of real estate and development and improvements754,225 1,102,593 2,157,539 
Sales and/or transfers to assets held for sale(137,731)(82,350)(72,819)
Deconsolidation of real estate— (189,605)— 
Impairments— — (21,294)
Other(1)
(207,801)(125,675)(85,661)
Balances at end of year$16,620,314 $16,211,621 $15,506,658 
Accumulated depreciation:
Balances at beginning of year$3,188,138 $2,839,229 $2,409,135 
Depreciation expense609,461 575,125 548,063 
Sales and/or transfers to assets held for sale(12,711)(30,428)(32,692)
Deconsolidation of real estate— (89,766)— 
Other(1)
(192,937)(106,022)(85,277)
Balances at end of year$3,591,951 $3,188,138 $2,839,229 
_______________________________________
(1)Primarily represents real estate and accumulated depreciation related to fully depreciated assets and reductions to net real estate due to casualty events.
A summary of activity for real estate and accumulated depreciation for assets classified as discontinued operations is as follows (in thousands):
Year ended December 31,
202320222021
Real estate:
Balances at beginning of year$— $— $2,930,566 
Acquisition of real estate and development and improvements— — 8,238 
Sales and/or transfers to assets classified as discontinued operations— — (2,929,713)
Impairments— — (5,315)
Other
— — (3,776)
Balances at end of year$— $— $— 
Accumulated depreciation:
Balances at beginning of year$— $— $615,708 
Sales and/or transfers to assets classified as discontinued operations— — (615,708)
Balances at end of year$— $— $— 
XML 51 R35.htm IDEA: XBRL DOCUMENT v3.24.0.1
Schedule IV: Mortgage Loans on Real Estate
12 Months Ended
Dec. 31, 2023
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Abstract]  
Schedule IV: Mortgage Loans on Real Estate
Schedule IV: Mortgage Loans on Real Estate
(in thousands)
LocationSegmentInterest RateFixed / VariableMaturity DatePeriodic Payment TermsPrior LiensFace Amount of MortgagesCarrying Amount of MortgagesPrincipal Amount Subject to Delinquent Principal or Interest
First mortgages relating to 10 properties:
MultipleOther
4.0% + (SOFR + 10 bps)
Variable
2/1/2024(1)
Interest only$— $130,678 $128,027 $— 
First mortgages relating to 10 properties:
MultipleOther
7.0% + (SOFR + 11 bps)
Variable
1/21/2024(2)
Interest only— 48,000 47,690 — 
$— $178,678 $175,717 $— 
_______________________________________
(1)In February 2024, the loan reached its maturity. The Company provided a short-term extension to the borrower, and the Company and the borrower are currently negotiating long-term refinance and extension terms (see Note 7 to the Consolidated Financial Statements for additional information).
(2)In January 2024, this loan was refinanced with the Company. In connection with the refinance, the maturity date of the loan was extended to January 2025 (see Note 7 to the Consolidated Financial Statements for additional information).
 Year Ended December 31,
 202320222021
Reconciliation of mortgage loans
Balance at beginning of year$341,749 $390,291 $157,572 
Additions:
New mortgage loans— — 310,338 
Draws and additions to existing mortgage loans11,602 5,525 9,370 
Total additions11,602 5,525 319,708 
Deductions:
Principal repayments(183,084)(47,591)(84,486)
Recoveries (reserves) for loan losses(1)
5,450 (6,476)(2,503)
Total deductions(177,634)(54,067)(86,989)
Balance at end of year$175,717 $341,749 $390,291 
_______________________________________
(1)Excludes reserves and recoveries for expected loan losses associated with unfunded loan commitments which are included in accounts payable, accrued liabilities, and other liabilities on the Consolidated Balance Sheets.
XML 52 R36.htm IDEA: XBRL DOCUMENT v3.24.0.1
Pay vs Performance Disclosure - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Pay vs Performance Disclosure      
Net Income (Loss) $ 306,009 $ 500,449 $ 505,540
XML 53 R37.htm IDEA: XBRL DOCUMENT v3.24.0.1
Insider Trading Arrangements
3 Months Ended
Dec. 31, 2023
Trading Arrangements, by Individual  
Rule 10b5-1 Arrangement Adopted false
Non-Rule 10b5-1 Arrangement Adopted false
Rule 10b5-1 Arrangement Terminated false
Non-Rule 10b5-1 Arrangement Terminated false
XML 54 R38.htm IDEA: XBRL DOCUMENT v3.24.0.1
Summary of Significant Accounting Policies (Policies)
12 Months Ended
Dec. 31, 2023
Accounting Policies [Abstract]  
Use of Estimates
Use of Estimates
Management is required to make estimates and assumptions in the preparation of financial statements in conformity with U.S. generally accepted accounting principles (“GAAP”). These estimates and assumptions affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from management’s estimates.
Basis of Presentation
Basis of Presentation
The consolidated financial statements include the accounts of Healthpeak Properties, Inc., its wholly-owned subsidiaries, joint ventures (“JVs”), and variable interest entities (“VIEs”) that it controls through voting rights or other means. Intercompany transactions and balances have been eliminated upon consolidation.
The Company is required to continually evaluate its VIE relationships and consolidate these entities when it is determined to be the primary beneficiary of their operations. A VIE is broadly defined as an entity where either: (i) the equity investment at risk is insufficient to finance that entity’s activities without additional subordinated financial support, (ii) substantially all of an entity’s activities either involve or are conducted on behalf of an investor that has disproportionately few voting rights, or (iii) the equity investors as a group lack any of the following: (a) the power through voting or similar rights to direct the activities of an entity that most significantly impact the entity’s economic performance, (b) the obligation to absorb the expected losses of an entity, or (c) the right to receive the expected residual returns of an entity. Criterion (iii) above is generally applied to limited partnerships and similarly structured entities by assessing whether a simple majority of the limited partners hold substantive rights to participate in the significant decisions of the entity or have the ability to remove the decision maker or liquidate the entity without cause. If neither of those criteria are met, the entity is a VIE.
The designation of an entity as a VIE is reassessed upon certain events, including, but not limited to: (i) a change to the contractual arrangements of the entity or in the ability of a party to exercise its participation or kick-out rights, (ii) a change to the capitalization structure of the entity, or (iii) acquisitions or sales of interests that constitute a change in control.
A variable interest holder is considered to be the primary beneficiary of a VIE if it has the power to direct the activities of a VIE that most significantly impact the entity’s economic performance and has the obligation to absorb losses of, or the right to receive benefits from, the entity that could potentially be significant to the VIE. The Company qualitatively assesses whether it is (or is not) the primary beneficiary of a VIE. Consideration of various factors include, but is not limited to, which activities most significantly impact the entity’s economic performance and the ability to direct those activities, its form of ownership interest, its representation on the VIE’s governing body, the size and seniority of its investment, its ability and the rights of other investors to participate in policy making decisions, its ability to manage its ownership interest relative to the other interest holders, and its ability to replace the VIE manager and/or liquidate the entity.
For its investments in joint ventures that are not considered to be VIEs, the Company evaluates the type of ownership rights held by the limited partner(s) that may preclude consolidation by the majority interest holder. The assessment of limited partners’ rights and their impact on the control of a joint venture should be made at inception of the joint venture and continually reassessed.
Revenue Recognition
Revenue Recognition
Lease Classification
The Company classifies a lease as an operating lease if none of the following criteria are met: (i) transfer of ownership to the lessee by the end of the lease term, (ii) lessee has a purchase option during or at the end of the lease term that it is reasonably certain to exercise, (iii) the lease term is for the major part of the remaining economic life of the underlying asset, (iv) the present value of future minimum lease payments is equal to substantially all of the fair value of the underlying asset, or (v) the underlying asset is of such a specialized nature that it is expected to have no alternative use to the Company at the end of the lease term.
Rental and Related Revenues
The Company recognizes rental revenue from its lab and outpatient medical buildings in accordance with Accounting Standards Codification (“ASC”) 842, Leases (“ASC 842”). The Company commences recognition of rental revenue for operating lease arrangements when the tenant has taken possession or controls the physical use of a leased asset. The tenant is not considered to have taken physical possession or have control of the leased asset until the Company-owned tenant improvements are substantially complete. If a lease arrangement provides for tenant improvements, the Company determines whether the tenant improvements are owned by the tenant or the Company. When the Company is the owner of the tenant improvements, any tenant improvements funded by the tenant are treated as lease payments which are deferred and amortized into income over the lease term. When the tenant is the owner of the tenant improvements, any tenant improvement allowance that is funded by the Company is treated as a lease incentive and amortized as a reduction of revenue over the lease term.
Ownership of tenant improvements is determined based on various factors including, but not limited to, the following criteria:
lease stipulations of how and on what a tenant improvement allowance may be spent;
which party to the arrangement retains legal title to the tenant improvements upon lease expiration;
whether the tenant improvements are unique to the tenant or general purpose in nature;
if the tenant improvements are expected to have significant residual value at the end of the lease term;
the responsible party for construction cost overruns; and
which party constructs or directs the construction of the improvements.
Certain leases provide for additional rents that are contingent upon a percentage of the building’s revenue in excess of specified base amounts or other thresholds. Such revenue is recognized when actual results reported by the tenant or estimates of tenant results, exceed the base amount or other thresholds, and only after any contingency has been removed (when the related thresholds are achieved). This may result in the recognition of rental revenue in periods subsequent to when such payments are received.
Tenant recoveries subject to operating leases generally relate to the reimbursement of real estate taxes, insurance, and repair and maintenance expense, and are recognized as both revenue (in rental and related revenues) and expense (in operating expenses) in the period the expense is incurred as the Company is the party paying the service provider. Rental and related revenues from other variable payments are recognized when the associated contingencies are removed. In accordance with ASC 842, the Company accounts for lease and nonlease components as a single lease component for the purpose of revenue recognition and disclosure.
For operating leases with minimum scheduled rent increases, the Company recognizes income on a straight-line basis over the lease term when collectibility of future minimum lease payments is probable. Recognizing rental income on a straight-line basis results in a difference in the timing of revenue amounts from what is contractually due from tenants. If the Company determines that collectibility of future minimum lease payments is not probable, the accounts receivable and straight-line rent receivable balance is written off and recognized as a decrease in revenue in that period and future revenue recognition is limited to amounts contractually owed and paid. The Company does not resume recognition of income on a straight-line basis unless it determines that collectibility of future payments related to these leases is probable. For the Company’s portfolio of operating leases that are deemed probable of collection but exhibit a certain level of collectibility risk, the Company may also recognize an incremental allowance as a reduction to revenue.
The Company’s operating leases generally contain options to extend lease terms at prevailing market rates at the time of expiration. Certain operating leases contain early termination options that require advance notice and payment of a penalty, which in most cases is substantial enough to be deemed economically disadvantageous by a tenant to exercise.
Resident Fees and Services
The Company recognizes resident fee and service revenue from its Senior Housing Operating Property (“SHOP”) portfolios and CCRC properties in accordance with ASC 606, Revenue from Contracts with Customers. Resident fee revenue is recorded when services are rendered and includes resident room and care charges, community fees, and other resident charges. Residency agreements for SHOP and CCRC facilities are generally for a term of 30 days to one year, with resident fees billed monthly, in advance. Revenue for certain care related services is recognized as services are provided and is billed monthly in arrears.
The Company’s CCRCs are operated as entrance fee communities, which typically require a resident to pay an upfront entrance fee that includes both a refundable portion and non-refundable portion. When the Company receives a nonrefundable entrance fee, it is recorded in deferred revenue in the Consolidated Balance Sheets and amortized into revenue over the estimated stay of the resident. The Company utilizes third-party actuarial experts in its determination of the estimated stay of residents.
Income from Direct Financing Leases
The Company utilizes the direct finance method of accounting to record direct financing lease (“DFL”) income. For a lease accounted for as a DFL, the net investment in the DFL represents receivables for the sum of future minimum lease payments and the estimated residual value of the leased property, less the unamortized unearned income. Unearned income is deferred and amortized to income over the lease term to provide a constant yield when collectibility of the lease payments is reasonably assured. During the first quarter of 2022, the Company sold its remaining hospital under a DFL.
Interest Income
Loans receivable are classified as held-for-investment based on management’s intent and ability to hold the loans for the foreseeable future or to maturity. Loans held-for-investment are carried at amortized cost and reduced by a valuation allowance for estimated credit losses, as necessary. When collectibility of the future payments is reasonably assured, the Company utilizes the interest method on a loan-by-loan basis to recognize interest income on its loans, which includes the amortization of discounts and premiums as well as loan fees paid and received.
Gain (loss) on sales of real estate, net
The Company recognizes a gain (loss) on sale of real estate when the criteria for an asset to be derecognized are met, which include when: (i) a contract exists, (ii) the buyer obtains control of the asset, and (iii) it is probable that the Company will receive substantially all of the consideration to which it is entitled. These criteria are generally satisfied at the time of sale.
Government Grant Income
Government Grant Income
On March 27, 2020, the federal government enacted the Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”) to provide financial aid to individuals, businesses, and state and local governments. During the years ended December 31, 2023, 2022, and 2021, the Company received government grants under the CARES Act primarily to cover increased expenses and lost revenues during the coronavirus pandemic. Grant income is recognized to the extent that qualifying expenses and lost revenues exceed grants received and the Company will comply with all conditions attached to the grant. As of December 31, 2023, the amount of qualifying expenditures and lost revenues exceeded grant income recognized and the Company believes it has complied and will continue to comply with all grant conditions. In the event of non-compliance, all such amounts received are subject to recapture.
Credit Losses
Credit Losses
The Company evaluates the liquidity and creditworthiness of its occupants, operators, and borrowers on a monthly and quarterly basis to determine whether any updates to the future expected losses recognized upon inception are necessary. The Company’s evaluation considers payment history and current credit status, industry conditions, current economic conditions, forecasted economic conditions, individual and portfolio property performance, credit enhancements, liquidity, and other factors. Future economic conditions are based primarily on near-term economic forecasts from the Federal Reserve and reasonable assumptions for long-term economic trends. The determination of loan losses also considers concentration of credit risk associated with the senior housing industry to which its loans receivable relate. The Company’s occupants, operators, and borrowers furnish property, portfolio, and guarantor/operator-level financial statements, among other information, on a monthly or quarterly basis; the Company utilizes this financial information to calculate the lease or debt service coverages in its assessment of internal ratings that it uses as a primary credit quality indicator. Lease and debt service coverage information is evaluated together with other property, portfolio, and operator performance information, including revenue, expense, net operating income, occupancy, rental rate, reimbursement trends, capital expenditures, and EBITDA (defined as earnings before interest, tax, and depreciation and amortization), along with other liquidity measures. The Company evaluates, on a monthly basis or immediately upon a significant change in circumstance, its occupants’, operators’, and borrowers’ ability to service their obligations with the Company.
In connection with the Company’s quarterly review process or upon the occurrence of a significant event, loans receivable and DFLs (collectively, “finance receivables”), are reviewed and assigned an internal rating of Performing, Watch List, or Workout. Finance receivables that are deemed Performing meet all present contractual obligations, and collection and timing, of all amounts owed is reasonably assured. Watch List finance receivables are defined as finance receivables that do not meet the definition of Performing or Workout. Workout finance receivables are defined as finance receivables in which the Company has determined, based on current information and events, that: (i) it is probable it will be unable to collect all amounts due according to the contractual terms of the agreement, (ii) the tenant, operator, or borrower is delinquent on making payments under the contractual terms of the agreement, and (iii) the Company has commenced action or anticipates pursuing action in the near term to seek recovery of its investment.
Finance receivables are placed on nonaccrual status when management determines that the collectibility of contractual amounts is not reasonably assured (the asset will have an internal rating of either Watch List or Workout). Further, the Company performs a credit analysis to support the tenant’s, operator’s, borrower’s, and/or guarantor’s repayment capacity and the underlying collateral values. The Company uses the cash basis method of accounting for finance receivables placed on nonaccrual status unless one of the following conditions exist whereby it utilizes the cost recovery method of accounting if: (i) the Company determines that it is probable that it will only recover the recorded investment in the finance receivable, net of associated allowances or charge-offs (if any), or (ii) the Company cannot reasonably estimate the amount of an impaired finance receivable. For cash basis method of accounting, the Company applies payments received, excluding principal paydowns, to interest income so long as that amount does not exceed the amount that would have been earned under the original contractual terms. For cost recovery method of accounting, any payment received is applied to reduce the recorded investment. Generally, the Company returns a finance receivable to accrual status when all delinquent payments become current under the terms of the loan or lease agreements and collectibility of the remaining contractual loan or lease payments is reasonably assured.
At inception of a finance receivable, the Company recognizes an allowance for credit losses expected to be incurred over the life of the instrument. The model utilized by the Company to determine such losses emphasizes historical experience and future market expectations to determine a loss to be recognized at inception. However, the model is applied on an individual basis and relies on counter-party specific information to ensure the most accurate estimate is recognized. The Company also performs a quarterly review process (or upon the occurrence of a significant event) to evaluate its borrowers’ creditworthiness and liquidity to determine the amount of credit losses to recognize during the period. If a finance receivable is deemed partially or wholly uncollectible, the uncollectible balance is deducted from the allowance in the period in which such determination is made. Credit loss expenses and recoveries are recorded in impairments and loan loss reserves (recoveries), net.
Real Estate
Real Estate
The Company’s real estate acquisitions are generally classified as asset acquisitions for which the Company records identifiable assets acquired, liabilities assumed, and any associated noncontrolling interests at cost on a relative fair value basis. In addition, for such asset acquisitions, no goodwill is recognized, third party transaction costs are capitalized and any associated contingent consideration is generally recorded when the amount of consideration is reasonably estimable and probable of being paid.
The Company assesses fair value based on available market information, such as capitalization and discount rates, comparable sale transactions, and relevant per square foot or unit cost information. A real estate asset’s fair value may be determined utilizing cash flow projections that incorporate such market information. Estimates of future cash flows are based on a number of factors including historical operating results, known and anticipated trends, as well as market and economic conditions. The fair value of tangible assets of an acquired property is based on the value of the property as if it is vacant.
The Company recognizes acquired “above and below market” leases at their relative fair value (for asset acquisitions) using discount rates which reflect the risks associated with the leases acquired. The fair value is based on the present value of the difference between (i) the contractual amounts paid pursuant to each in-place lease and (ii) management’s estimate of fair market lease rates for each in-place lease, measured over a period equal to the remaining term of the lease for above market leases and the initial term plus the extended term for any leases with renewal options that are reasonably certain to be exercised. Other intangible assets acquired include amounts for in-place lease values that are based on an evaluation of the specific characteristics of each property and the acquired tenant lease(s). Factors considered include estimates of carrying costs during hypothetical expected lease-up periods, market conditions, and costs to execute similar leases. In estimating carrying costs, the Company includes estimates of lost rents at market rates during the hypothetical expected lease-up periods, which are dependent on local market conditions and expected trends. In estimating costs to execute similar leases, the Company considers leasing commissions, legal, and other related costs.
Certain of the Company's acquisitions involve the assumption of contract liabilities. The Company typically estimates the fair value of contract liabilities by applying a reasonable profit margin to the total discounted estimated future costs associated with servicing the contract. A variety of market and contract-specific conditions are considered when making assumptions that impact the estimated fair value of the contract liability.
The Company capitalizes direct construction and development costs, including predevelopment costs, interest, property taxes, insurance, and other costs directly related and essential to the development or construction of a real estate asset. The Company capitalizes construction and development costs while substantive activities are ongoing to prepare an asset for its intended use. During the holding or development period, certain real estate assets generate incidental income that is not associated with the future profit or return from the intended use of the property. Such income is recognized as a reduction of the associated project costs. The Company considers a construction project as substantially complete and held available for occupancy upon the completion of Company-owned tenant improvements, but no later than one year from cessation of significant construction activity. Costs incurred after a project is substantially complete and ready for its intended use, or after development activities have ceased, are expensed as incurred. For redevelopment of existing operating properties, the Company capitalizes the cost for the construction and improvement incurred in connection with the redevelopment.
Costs previously capitalized related to abandoned developments/redevelopments are charged to earnings. Expenditures for repairs and maintenance are expensed as incurred. The Company considers costs incurred in conjunction with re-leasing properties, including tenant improvements and lease commissions, to represent the acquisition of productive assets and such costs are reflected as investing activities in the Company’s Consolidated Statements of Cash Flows.
Initial direct costs incurred in connection with successful property leasing are capitalized as deferred leasing costs and classified as investing activities in the Consolidated Statements of Cash Flows. Initial direct costs include only those costs that are incremental to the arrangement and would not have been incurred if the lease had not been obtained. Initial direct costs consist of leasing commissions paid to external third party brokers and lease incentives. Initial direct costs are included in other assets, net in the Consolidated Balance Sheets and amortized in depreciation and amortization in the Consolidated Statements of Operations using the straight-line method over the lease term.
The Company computes depreciation on properties using the straight-line method over the assets’ estimated useful lives. These useful lives are reassessed following changes in the remaining period that the asset is expected to be held and used, and depreciation is discontinued when a property meets the criteria to be classified as held for sale. Buildings and improvements are depreciated over useful lives ranging up to approximately 50 years. Above and below market lease intangibles are amortized to revenue over the remaining noncancellable lease terms and renewal periods that are reasonably certain to be exercised, if any. In-place lease intangibles are amortized to expense over the remaining noncancellable lease term and renewal periods that are reasonably certain to be exercised, if any.
Lessee Accounting
Lessee Accounting
For leases greater than 12 months for which the Company is the lessee, such as ground leases and corporate office leases, the Company recognizes a right-of-use asset and related lease liability on the Consolidated Balance Sheets at inception of the lease. The lease liability is calculated as the sum of: (i) the present value of minimum lease payments at lease commencement (discounted using the Company's secured incremental borrowing rate) and (ii) the present value of amounts probable of being paid under any residual value guarantees. Certain of the Company’s lease agreements have options to extend or terminate the contract terms upon meeting certain criteria. The lease term utilized in the calculation of the lease liability includes these options if they are considered reasonably certain of exercise. The right-of-use asset is calculated as the lease liability, adjusted for the following: (i) any lease payments made to the lessor at or before the commencement date, minus any lease incentives received and (ii) any initial direct costs incurred by the Company. Lease expense related to corporate assets is included in general and administrative expenses and lease expense related to ground leases is included within operating expenses in the Company’s Consolidated Statements of Operations.
For leases with a noncancellable lease term of 12 months or less for which the Company is the lessee, the Company recognizes expenses on a straight-line basis and does not recognize such leases on the Consolidated Balance Sheets.
Impairment of Long-Lived Assets and Goodwill
Impairment of Long-Lived Assets and Goodwill
The Company assesses the carrying value of real estate assets and related intangibles (“real estate assets”) when events or changes in circumstances indicate that the carrying value may not be recoverable. The Company tests its real estate assets for impairment by comparing the sum of the expected future undiscounted cash flows to the carrying value of the real estate assets. The expected future undiscounted cash flows reflect external market factors and the expected use and eventual disposition of the asset, and based on the specific facts and circumstances, may be probability-weighted to reflect multiple possible cash-flow scenarios, including selling the assets at various points in the future. Further, the analysis considers the impact, if any, of master lease agreements on cash flows, which are calculated utilizing the lowest level of identifiable cash flows that are largely independent of the cash flows of other assets and liabilities. If the carrying value exceeds the expected future undiscounted cash flows, an impairment loss will be recognized to the extent that the carrying value of the real estate assets exceeds their fair value.
Determining the fair value of real estate assets, including assets classified as held-for-sale, involves significant judgment and generally utilizes market capitalization rates, comparable market transactions, estimated per unit or per square foot prices, negotiations with prospective buyers, and forecasted cash flows (primarily lease revenue rates, expense rates, and growth rates).
When testing goodwill for impairment, if the Company concludes that it is more likely than not that the fair value of a reporting unit is less than its carrying value, the Company recognizes an impairment loss for the amount by which the carrying value, including goodwill, exceeds the reporting unit’s fair value.
Assets Held for Sale and Discontinued Operations
Assets Held for Sale and Discontinued Operations
The Company classifies a real estate property as held for sale when: (i) management has approved the disposal, (ii) the property is available for sale in its present condition, (iii) an active program to locate a buyer has been initiated, (iv) it is probable that the property will be disposed of within one year, (v) the property is being marketed at a reasonable price relative to its fair value, and (vi) it is unlikely that the disposal plan will significantly change or be withdrawn. If a real estate property is classified as held for sale, it is reported at the lower of its carrying value or fair value less costs to sell and no longer depreciated.
The Company classifies a loan receivable as held for sale when management no longer has the intent and ability to hold the loan receivable for the foreseeable future or until maturity. If a loan receivable is classified as held for sale, it is reported at the lower of amortized cost or fair value.
A discontinued operation represents: (i) a component of the Company or group of components that has been disposed of or is classified as held for sale in a single transaction and represents a strategic shift that has or will have a major effect on the Company’s operations and financial results or (ii) an acquired business that is classified as held for sale on the date of acquisition. Examples of a strategic shift may include disposing of: (i) a separate major line of business, (ii) a separate major geographic area of operations, or (iii) other major parts of the Company.
Senior Housing Triple-Net and Senior Housing Operating Portfolio Dispositions
In 2020, the Company concluded that the dispositions of its senior housing triple-net and SHOP portfolios represented a strategic shift that had a major effect on its operations and financial results. Therefore, the results of senior housing triple-net and SHOP assets are classified as discontinued operations in all periods presented herein. In September 2021, the Company successfully completed the disposition of the remaining senior housing triple-net and SHOP properties. See Note 4 for further information.
Investments in Unconsolidated Joint Ventures
Investments in Unconsolidated Joint Ventures
Investments in entities the Company does not consolidate, but over which the Company has the ability to exercise significant influence over operating and financial policies, are reported under the equity method of accounting. Under the equity method of accounting, the Company’s share of the investee’s earnings or losses is included in equity income (loss) from unconsolidated joint ventures within the Company’s Consolidated Statements of Operations.
The initial carrying value of investments in unconsolidated joint ventures is based on the amount paid to purchase the joint venture interest, the fair value of assets contributed to the joint venture, or the fair value of the assets prior to the sale of interests in the joint venture. To the extent that the Company’s cost basis is different from the basis reflected at the joint venture level, the basis difference is generally amortized over the lives of the related assets and liabilities, and such amortization is included in the Company’s share of equity in earnings of the joint venture. If an equity method investment shows indicators of impairment, the Company evaluates its equity method investments for impairment based on a comparison of the fair value of the equity method investment to its carrying value. When the Company determines a decline in fair value below carrying value of an investment in an unconsolidated joint venture is other-than-temporary, an impairment is recorded. The Company recognizes gains on the sale of interests in joint ventures to the extent the economic substance of the transaction is a sale.
The Company’s fair values of its equity method investments are determined based on discounted cash flow models that include all estimated cash inflows and outflows over a specified holding period and, where applicable, any estimated debt premiums or discounts. Capitalization rates, discount rates, and credit spreads utilized in these valuation models are based on assumptions that the Company believes to be within a reasonable range of current market rates for the respective investments.
Stock-Based Compensation
Stock-Based Compensation
Compensation expense for share-based awards granted to employees with graded vesting schedules is generally recognized on a straight-line basis over the vesting period. Forfeitures of share-based awards are recognized as they occur.
Cash and Cash Equivalents
Cash and Cash Equivalents and Restricted Cash
Cash and cash equivalents consist of cash on hand and short-term investments with original maturities of three months or less when purchased. Restricted cash primarily consists of amounts held by mortgage lenders to provide for: (i) real estate tax expenditures, (ii) tenant improvements, and (iii) capital expenditures, as well as security deposits and net proceeds from property sales that were executed as tax-deferred dispositions.
The Company maintains its cash and cash equivalents at financial institutions insured by the Federal Deposit Insurance Corporation (“FDIC”) up to $250,000 per institution. As the account balances at each institution periodically exceed the FDIC insurance coverage, there is a concentration of credit risk related to amounts in excess of such coverage.
Restricted Cash
Cash and Cash Equivalents and Restricted Cash
Cash and cash equivalents consist of cash on hand and short-term investments with original maturities of three months or less when purchased. Restricted cash primarily consists of amounts held by mortgage lenders to provide for: (i) real estate tax expenditures, (ii) tenant improvements, and (iii) capital expenditures, as well as security deposits and net proceeds from property sales that were executed as tax-deferred dispositions.
The Company maintains its cash and cash equivalents at financial institutions insured by the Federal Deposit Insurance Corporation (“FDIC”) up to $250,000 per institution. As the account balances at each institution periodically exceed the FDIC insurance coverage, there is a concentration of credit risk related to amounts in excess of such coverage.
Derivatives and Hedging
Derivatives and Hedging
During its normal course of business, the Company uses certain types of derivative instruments for the purpose of managing interest rate risk. To qualify for hedge accounting, derivative instruments used for risk management purposes must effectively reduce the risk exposure that they are designed to hedge. In addition, at inception of a qualifying cash flow hedging relationship, the underlying transaction or transactions, must be, and are expected to remain, probable of occurring in accordance with the Company’s related assertions.
The Company recognizes all derivative instruments, including embedded derivatives that are required to be bifurcated, as assets or liabilities to the Consolidated Balance Sheets at fair value. Changes in fair value of derivative instruments that are not designated in hedging relationships or that do not meet the criteria of hedge accounting are recognized in other income (expense), net. For derivative instruments designated in qualifying cash flow hedging relationships, changes in fair value related to the effective portion of the derivative instruments are recognized in accumulated other comprehensive income (loss), whereas changes in fair value related to the ineffective portion would be recognized in earnings.
If it is determined that a derivative instrument ceases to be highly effective as a hedge, or that it is probable the underlying forecasted transaction will not occur, the Company discontinues its cash flow hedge accounting prospectively and records the appropriate adjustment to earnings based on the current fair value of the derivative instrument.
Income Taxes
Income Taxes
Healthpeak Properties, Inc. has elected REIT status and believes it has always operated so as to continue to qualify as a REIT under Sections 856 to 860 of the Internal Revenue Code of 1986, as amended (the “Code”). Accordingly, Healthpeak Properties, Inc. will generally not be subject to U.S. federal income tax, provided that it continues to qualify as a REIT and makes distributions to stockholders equal to or in excess of its taxable income. In addition, the Company has formed several consolidated subsidiaries that have elected REIT status. Healthpeak Properties, Inc. and its consolidated REIT subsidiaries are each subject to the REIT qualification requirements under the Code. If any REIT fails to qualify as a REIT in any taxable year, it will be subject to federal income taxes at regular corporate rates and may be ineligible to qualify as a REIT for four subsequent tax years.
Healthpeak Properties, Inc. and its consolidated REIT subsidiaries are subject to state and local income taxes in some jurisdictions. In certain circumstances each REIT may also be subject to federal excise taxes on undistributed income. In addition, certain activities that the Company undertakes may be conducted by entities that have elected to be treated as taxable REIT subsidiaries (“TRSs”). TRSs are subject to federal, state, and local income taxes. The Company recognizes tax penalties relating to unrecognized tax benefits as additional income tax expense. Interest relating to unrecognized tax benefits is recognized as interest expense.
The Company is required to evaluate its deferred tax assets for realizability and recognize a valuation allowance, which is recorded against its deferred tax assets, if it is more likely than not that the deferred tax assets will not be realized. The Company considers all available evidence in its determination of whether a valuation allowance for deferred tax assets is required.
Advertising Cost
Advertising Costs
All advertising costs are expensed as incurred and reported within operating expenses on the Consolidated Statements of Operations.
Capital Raising Issuance Costs
Capital Raising Issuance Costs
Costs incurred in connection with the issuance of common shares are recorded as a reduction of additional paid-in capital. Debt issuance costs related to debt instruments, excluding line of credit arrangements and commercial paper, are deferred, recorded as a reduction of the related debt liability, and amortized to interest expense over the remaining term of the related debt liability utilizing the effective interest method. Debt issuance costs related to line of credit arrangements and commercial paper are deferred, included in other assets, and amortized to interest expense on a straight-line basis over the remaining term of the related line of credit arrangement. Commercial paper are unsecured short-term debt securities with varying maturities. A line of credit serves as a liquidity backstop for repayment of commercial paper borrowings.
Penalties incurred to extinguish debt and any remaining unamortized debt issuance costs, discounts, and premiums are recognized as income or expense in the Consolidated Statements of Operations at the time of extinguishment.
Segment Reporting
Segment Reporting
The Company’s reportable segments, based on how it evaluates its business and allocates resources, are as follows: (i) lab, (ii) outpatient medical, and (iii) CCRC.
Noncontrolling Interests
Noncontrolling Interests
Arrangements with noncontrolling interest holders are assessed for appropriate balance sheet classification based on the redemption and other rights held by the noncontrolling interest holder. Net income (loss) attributable to a noncontrolling interest is included in net income (loss) on the Consolidated Statements of Operations and, upon a gain or loss of control, the interest purchased or sold, and any interest retained, is recorded at fair value with any gain or loss recognized in earnings. The Company accounts for purchases or sales of equity interests that do not result in a change in control as equity transactions.
Redeemable Noncontrolling Interests
Certain of the Company’s noncontrolling interest holders have the ability to put their equity interests to the Company upon specified events or after the passage of a predetermined period of time. Each put option is payable in cash and subject to increases in redemption value in the event that the underlying property generates specified returns and meets certain promote thresholds pursuant to the respective agreements. Accordingly, the Company records redeemable noncontrolling interests outside of permanent equity and presents the redeemable noncontrolling interests at the greater of their carrying amount or redemption value at the end of each reporting period.
Healthpeak OP
Immediately following the Reorganization, Healthpeak Properties, Inc. was the initial sole member and 100% owner of Healthpeak OP. Subsequent to the Reorganization, certain employees of the Company (“OP Unitholders”) were issued noncontrolling, non-managing member units in Healthpeak OP (“OP Units”). When certain conditions are met, the OP Unitholders have the right to require redemption of part or all of their OP Units for cash or shares of the Company’s common stock, at the Company’s option as managing member of Healthpeak OP. The per unit redemption amount is equal to either one share of the Company’s common stock or cash equal to the fair value of a share of common stock at the time of redemption. The Company classifies the OP Units in permanent equity because it may elect, in its sole discretion, to issue shares of its common stock to OP Unitholders who choose to redeem their OP Units rather than using cash.
DownREITs
The Company consolidates non-managing member limited liability companies (“DownREITs”) because it exercises control, and the noncontrolling interests in these entities are carried at cost. The non-managing member limited liability company (“LLC”) units (“DownREIT units”) are exchangeable for an amount of cash approximating the then-current market value of shares of the Company’s common stock or, at the Company’s option, shares of the Company’s common stock (subject to certain adjustments, such as stock splits and reclassifications). Upon exchange of DownREIT units for the Company’s common stock, the carrying amount of the DownREIT units is reclassified to stockholders’ equity.
Fair Value Measurement
Fair Value Measurement
The Company measures and discloses the fair value of nonfinancial and financial assets and liabilities utilizing a hierarchy of valuation techniques based on whether the inputs to a fair value measurement are considered to be observable or unobservable in a marketplace. Observable inputs reflect market data obtained from independent sources, while unobservable inputs reflect the Company’s market assumptions. This hierarchy requires the use of observable market data when available. These inputs have created the following fair value hierarchy:
Level 1—quoted prices for identical instruments in active markets;
Level 2—quoted prices for similar instruments in active markets; quoted prices for identical or similar instruments in markets that are not active; and model-derived valuations in which significant inputs and significant value drivers are observable in active markets; and
Level 3—fair value measurements derived from valuation techniques in which one or more significant inputs or significant value drivers are unobservable.
The Company measures fair value using a set of standardized procedures that are outlined herein for all assets and liabilities that are required to be measured at fair value. When available, the Company utilizes quoted market prices to determine fair value and classifies such items in Level 1. In instances where a market price is available, but the instrument is in an inactive or over-the-counter market, the Company consistently applies the dealer (market maker) pricing estimate and classifies the asset or liability in Level 2.
If quoted market prices or inputs are not available, fair value measurements are based on valuation models that utilize current market or independently sourced market inputs, such as interest rates, option volatilities, credit spreads, and/or market capitalization rates. Items valued using such internally-generated valuation techniques are classified according to the lowest level input that is significant to the fair value measurement. As a result, the asset or liability could be classified in either Level 2 or Level 3 even though there may be some significant inputs that are readily observable. Internal fair value models and techniques used by the Company include discounted cash flow models. The Company also considers its counterparty’s and own credit risk for derivative instruments and other liabilities measured at fair value. The Company has elected the mid-market pricing expedient when determining fair value.
Earnings per Share
Earnings per Share
Basic earnings per common share is computed by dividing net income (loss) applicable to common shares by the weighted average number of shares of common stock outstanding during the period. The Company accounts for unvested share-based payment awards that contain non-forfeitable dividend rights or dividend equivalents (whether paid or unpaid) as participating securities, which are included in the computation of earnings per share pursuant to the two-class method. Diluted earnings per common share is calculated by including the effect of dilutive securities, such as the impact of forward equity sales agreements using the treasury stock method and common shares issuable from the assumed conversion of DownREIT units, stock options, certain performance restricted stock units, and unvested restricted stock units.
Recent Accounting Pronouncements
Recent Accounting Pronouncements
Adopted
Government Assistance. In November 2021, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2021-10, Government Assistance (Topic 832): Disclosures by Business Entities about Government Assistance (“ASU 2021-10”), which increased the transparency of government assistance including the disclosure of the types of assistance, an entity’s accounting for assistance, and the effect of the assistance on an entity’s financial statements. The adoption of ASU 2021-10 on January 1, 2022 did not have a material impact on the Company’s consolidated financial position, results of operations, cash flows, or disclosures.
Reference Rate Reform. From March 2020 to December 2022, the FASB issued a series of ASUs that provide optional expedients that may be elected through December 31, 2024 to ease the potential burden in accounting for, or recognizing the effects of, reference rate reform on financial reporting. The amendments in these ASUs were effective immediately upon issuance. During the first quarter of 2023, the Company amended certain of its variable rate mortgage debt and the related interest rate swap agreements to change the interest rate benchmark from the London Interbank Offered Rate (“LIBOR”) to the Secured Overnight Financing Rate (“SOFR”) and accordingly, the Company elected to apply certain practical expedients provided by these ASUs related to cash flow hedges. These expedients and the effects of reference rate reform have not had a material impact on the Company’s consolidated financial position, results of operations, cash flows, or disclosures.
Not Yet Adopted
Segment Reporting. In November 2023, the FASB issued ASU No. 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures (“ASU 2023-07”), to improve reportable segment disclosure requirements so that investors can better understand an entity’s overall performance and assess potential future cash flows. The amendments in ASU 2023-07 include, but are not limited to: (i) disclosure of, on an annual basis, significant segment expenses that are regularly provided to the chief operating decision maker (“CODM”) and included within each reported measure of segment profit or loss; (ii) disclosure of, on an annual and interim basis, an amount for other segment items by reportable segment and a description of its composition (the other segment items category is the difference between segment revenue less the significant expenses disclosed and each reported measure of segment profit or loss); (iii) disclosure of, on an interim basis, all currently required annual disclosures about a reportable segment’s profit (loss) and assets; (iv) clarification that if the CODM uses more than one measure of a segment’s profit or loss in assessing segment performance and deciding how to allocate resources, an entity may report one or more of those additional measures of segment profit; and (v) disclosure of the title and position of the CODM and an explanation of how the CODM uses the reported measure(s) of segment profit or loss in assessing segment performance and deciding how to allocate resources. The amendments in ASU 2023-07 are effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024. The Company is evaluating the impact ASU 2023-07 will have on its disclosures.
Income Taxes. In December 2023, the FASB issued ASU No. 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures (“ASU 2023-09”), to provide disaggregated information about a reporting entity’s effective tax rate reconciliation as well as information on income taxes paid. One of the amendments in ASU 2023-09 includes disclosure of, on an annual basis, a tabular rate reconciliation (using both percentages and reporting currency amounts) of (i) the reported income tax expense (or benefit) from continuing operations, to (ii) the product of the income (or loss) from continuing operations before income taxes and the applicable statutory federal income tax rate of the jurisdiction of domicile using specific categories, including separate disclosure for any reconciling items within certain categories that are equal to or greater than a specified quantitative threshold of 5%. ASU 2023-09 also requires disclosure of, on an annual basis, the year to date amount of income taxes paid (net of refunds received) disaggregated by federal, state, and foreign jurisdictions, including additional disaggregated information on income taxes paid (net of refunds received) to an individual jurisdiction equal to or greater than 5% of total income taxes paid (net of refunds received). The amendments in ASU 2023-09 are effective for annual periods beginning after December 15, 2024. The Company is evaluating the impact ASU 2023-09 will have on its disclosures.
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Summary of Significant Accounting Policies (Tables)
12 Months Ended
Dec. 31, 2023
Accounting Policies [Abstract]  
Schedule of Government Grant Receivables Cares Act
The following table summarizes information related to government grant income received and recognized by the Company (in thousands):
Year Ended December 31,
202320222021
Government grant income recorded in other income (expense), net$184 $6,765 $1,412 
Government grant income recorded in equity income (loss) from unconsolidated joint ventures229 878 1,749 
Government grant income recorded in income (loss) from discontinued operations— 217 3,669 
Total government grants received$413 $7,860 $6,830 
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Real Estate (Tables)
12 Months Ended
Dec. 31, 2023
Real Estate [Abstract]  
Schedule of Capital Improvements
The following table summarizes the Company’s expenditures for construction, tenant improvements, and other capital improvements for its consolidated property investments, excluding expenditures related to properties classified as discontinued operations (in thousands):
 Year Ended December 31,
Segment202320222021
Lab$428,961 $658,542 $472,301 
Outpatient medical236,135 237,761 230,227 
CCRC109,465 65,691 57,192 
$774,561 $961,994 $759,720 
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Dispositions of Real Estate and Discontinued Operations (Tables)
12 Months Ended
Dec. 31, 2023
Discontinued Operations and Disposal Groups [Abstract]  
Summary of Dispositions of Real Estate and Discontinued Operations
The results of discontinued operations during the years ended December 31, 2023, 2022, and 2021 are presented below (in thousands) and are included in the consolidated results of operations for the years ended December 31, 2023, 2022, and 2021:
 Year Ended December 31,
 202320222021
Revenues:
Rental and related revenues$— $— $7,535 
Resident fees and services— 7,489 114,936 
Total revenues— 7,489 122,471 
Costs and expenses:
Interest expense— — 3,900 
Operating— 6,452 122,571 
Transaction and merger-related costs— — 76 
Impairments and loan loss reserves (recoveries), net— — 32,736 
Total costs and expenses— 6,452 159,283 
Other income (expense):
Gain (loss) on sales of real estate, net— 1,344 414,721 
Other income (expense), net— 169 4,189 
Total other income (expense), net— 1,513 418,910 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures— 2,550 382,098 
Income tax benefit (expense)— 270 969 
Equity income (loss) from unconsolidated joint ventures— 64 5,135 
Income (loss) from discontinued operations$— $2,884 $388,202 
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Leases (Tables)
12 Months Ended
Dec. 31, 2023
Leases [Abstract]  
Schedule of Company's Lease Income, Excluding Discontinued Operation
The following table summarizes the Company’s lease income, excluding discontinued operations (in thousands):
 Year Ended December 31,
 202320222021
Fixed income from operating leases$1,236,502 $1,182,463 $1,087,683 
Variable income from operating leases395,303 359,312 290,701 
Interest income from direct financing leases— 1,168 8,702 
Schedule of Future Minimum Lease Payments Due Under Operating Leases
The following table summarizes future minimum lease payments to be received from tenants under non-cancelable operating leases as of December 31, 2023 (in thousands):
YearAmount
2024$1,135,628 
20251,063,147 
2026975,246 
2027888,223 
2028788,742 
Thereafter2,818,655 
$7,669,641 
Schedule of Tenant Purchase Options
Certain leases contain purchase options whereby the tenant may elect to acquire the underlying real estate. Annualized base rent from leases subject to purchase options, summarized by the year the purchase options are exercisable are as follows (dollars in thousands):
Year
Annualized
Base Rent(1)
Number of
Properties
2024$14,199 12 
202514,244 16 
202616,422 
20278,116 
20281,252 
Thereafter16,212 
 $70,445 47 
_______________________________________
(1)Represents the most recent month’s base rent including additional rent floors annualized for 12 months. Base rent does not include tenant recoveries, additional rents in excess of floors, and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, and deferred revenues).
Schedule of Other Lease Information
The following tables provide information regarding the Company’s leases to which it is the lessee, such as corporate offices and ground leases, excluding lease costs related to discontinued operations (dollars in thousands):
Year Ended December 31,
Lease Expense Information:202320222021
Total lease expense$17,010 $16,689 $14,442 

Weighted Average Lease Term and Discount Rate:December 31,
2023
December 31,
2022
Weighted average remaining lease term (years):
Operating leases(1)
5151
Weighted average discount rate:
Operating leases4.23 %4.20 %
_______________________________________
(1)As of both December 31, 2023 and 2022, the weighted average remaining lease term including the Company’s options to extend its operating leases is 67 years.
Schedule of Future Minimum Lease Obligations, 842
The following table summarizes future minimum lease payments under non-cancelable ground and other operating leases included in the Company’s lease liability as of December 31, 2023 (in thousands):
YearAmount
2024$16,950 
202512,399 
202612,326 
202712,321 
202812,351 
Thereafter475,584 
Undiscounted minimum lease payments included in the lease liability541,931 
Less: imputed interest(335,188)
Present value of lease liability$206,743 
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Loans Receivable (Tables)
12 Months Ended
Dec. 31, 2023
Receivables [Abstract]  
Schedule of Loans Receivable
The following table summarizes the Company’s loans receivable (in thousands):
December 31,
 20232022
Secured loans(1)
$178,678 $350,837 
CCRC resident loans42,733 33,083 
Unamortized discounts and fees(131)(808)
Reserve for loan losses(2,830)(8,280)
Loans receivable, net$218,450 $374,832 
_______________________________________
(1)At December 31, 2023 and 2022, the Company had $29 million and $40 million, respectively, remaining of commitments to fund additional loans for senior housing redevelopment and capital expenditure projects.
Summary of the Company's Internal Ratings for Loans Receivable on Net of Reserves for Loan Losses The following table summarizes, by year of origination, the Company’s internal ratings for loans receivable, net of unamortized discounts, fees, and reserves for loan losses, as of December 31, 2023 (in thousands):
Investment TypeYear of OriginationTotal
2023
2022
2021(1)
2020
2019
Prior
Secured loans
Risk rating:
Performing loans$— $— $175,717 $— $— $— $175,717 
Watch list loans— — — — — — — 
Workout loans— — — — — — — 
Total secured loans$— $— $175,717 $— $— $— $175,717 
Current period gross write-offs$— $— $— $— $— $— $— 
Current period recoveries— — — — — — — 
Current period net write-offs$— $— $— $— $— $— $— 
CCRC resident loans
Risk rating:
Performing loans$42,132 $601 $— $— $— $— $42,733 
Watch list loans— — — — — — — 
Workout loans— — — — — — — 
Total CCRC resident loans
$42,132 $601 $— $— $— $— $42,733 
Current period gross write-offs$— $— $— $— $— $— $— 
Current period recoveries— — — — — — — 
Current period net write-offs$— $— $— $— $— $— $— 
_______________________________________
(1)Additional financing funded on the Sunrise Senior Housing Portfolio Seller Financing (as discussed above) is included in the year of origination of the initial financing.
Schedule of Financing Receivable, Allowance for Credit Loss The following table summarizes the Company’s reserve for loan losses (in thousands):
 December 31, 2023December 31, 2022
 Secured Loans
Other(1)
TotalSecured Loans
Other(1)
Total
Reserve for loan losses, beginning of period$8,280 $— $8,280 $1,804 $$1,813 
Provision for expected loan losses2,088 — 2,088 6,527 6,534 
Expected loan losses (recoveries) related to loans sold or repaid(7,538)— (7,538)(51)(16)(67)
Reserve for loan losses, end of period$2,830 $— $2,830 $8,280 $— $8,280 
_______________________________________
(1)Includes CCRC resident loans and other loan activity.
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Investments in and Advances to Unconsolidated Joint Ventures (Tables)
12 Months Ended
Dec. 31, 2023
Equity Method Investments and Joint Ventures [Abstract]  
Schedule of Company Owned Interests in Entities, Accounted Under Equity Method
The Company owns interests in the following entities that are accounted for under the equity method (dollars in thousands):
   Carrying Amount
   December 31,
Entity(1)
Segment
Property Count(2)
Ownership %(2)
20232022
South San Francisco JVs(3)
Lab770$393,374 $309,969 
SWF SH JVOther1954332,693 345,978 
Lab JVLab14931,761 26,601 
Needham Land Parcel JV(4)
Lab3817,084 15,391 
Outpatient Medical JVs(5)
Outpatient medical2
20 - 67
7,941 8,738 
   $782,853 $706,677 
_______________________________________
(1)These entities are not consolidated because the Company does not control, through voting rights or other means, the joint ventures.
(2)Property counts and ownership percentages are as of December 31, 2023.
(3)Includes seven unconsolidated lab joint ventures in South San Francisco, California in which the Company holds a 70% ownership percentage in each joint venture. These joint ventures have been aggregated herein due to similarity of the investments and operations. See “South San Francisco JVs” below for further information.
(4)Land held for development is excluded from the property count as of December 31, 2023.
(5)Includes two unconsolidated outpatient medical joint ventures in which the Company holds an ownership percentage as follows: (i) Ventures IV (20%) and (ii) Suburban Properties, LLC (67%). As of December 31, 2022, these joint ventures held a total of three properties. In April 2023, the Company acquired the remaining 80% interest in one of the two properties in the Ventures IV unconsolidated joint venture for $4 million (see Note 3). These joint ventures have been aggregated herein due to similarity of the investments and operations.
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Intangibles (Tables)
12 Months Ended
Dec. 31, 2023
Intangibles [Abstract]  
Schedule of Intangible Lease Assets The following table summarizes the Company’s intangible lease assets (dollars in thousands):
 December 31,
Intangible lease assets2023
2022(1)
Gross intangible lease assets$739,228 $770,285 
Accumulated depreciation and amortization(425,072)(352,224)
Intangible assets, net$314,156 $418,061 
Weighted average remaining amortization period in years55
_______________________________________
(1)Excludes intangible assets reported in assets held for sale of $2 million.
Schedule of Intangible Lease Liabilities
Intangible liabilities consist of below market lease intangibles. The following table summarizes the Company’s intangible lease liabilities (dollars in thousands):
 December 31,
Intangible lease liabilities20232022
Gross intangible lease liabilities$228,105 $237,464 
Accumulated depreciation and amortization(100,725)(81,271)
Intangible liabilities, net$127,380 $156,193 
Weighted average remaining amortization period in years77
Schedule of Amortization of Deferred Lease Costs and Acquisition Related Intangibles
The following table sets forth amortization related to intangible assets, net and intangible liabilities, net (in thousands):
Year Ended December 31,
202320222021
Depreciation and amortization expense related to amortization of lease-up intangibles(1)
$102,249 $104,885 $106,106 
Rental and related revenues related to amortization of net below market lease liabilities(1)
27,012 24,640 20,597 
_______________________________________
(1)Excludes amortization related to assets classified as discontinued operations.
Schedule of Estimated Aggregate Amortization of Intangible Assets and Liabilities for Each of the Five Succeeding Fiscal Years and Thereafter
The following table summarizes the estimated annual amortization for each of the five succeeding fiscal years and thereafter (in thousands):
 Rental and Related RevenuesDepreciation and Amortization
2024$22,577 $95,208 
202521,560 83,629 
202619,071 51,580 
202715,064 25,981 
202811,945 16,216 
Thereafter29,909 34,288 
 $120,126 $306,902 
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Debt (Tables)
12 Months Ended
Dec. 31, 2023
Debt Disclosure [Abstract]  
Schedule of Senior Unsecured Notes
The following table summarizes the Company’s senior unsecured notes issuances for the years ended December 31, 2023, 2022, and 2021 (dollars in thousands):
Issue DateAmountCoupon RateMaturity Year
Year ended December 31, 2023:
January 17, 2023$400,000 5.25 %2032
May 10, 2023(1)
350,000 5.25 %2032
Year ended December 31, 2021:
November 24, 2021(2)
500,000 2.13 %2028
July 12, 2021(2)
450,000 1.35 %2027
_______________________________________
(1)In May 2023, the Company issued $350 million of 5.25% senior unsecured notes due 2032, which constituted an additional issuance of, and are treated as a single series with, the $400 million of senior unsecured notes due 2032 issued in January 2023.
(2)In 2021, the Company completed two green bond offerings. The net proceeds from both green bonds have been allocated to eligible green projects, and the Company may choose to re-allocate net proceeds from such offerings to one or more other eligible green projects.
Summary of Senior Unsecured Notes Payoffs
The following table summarizes the Company’s senior unsecured notes repurchases and redemptions for the year ended December 31, 2021 (dollars in thousands):
Payoff Date(1)
AmountCoupon RateMaturity Year
May 19, 2021$251,806 3.40 %2025
May 19, 2021298,194 4.00 %2025
February 26, 2021188,000 4.25 %2023
February 26, 2021149,000 4.20 %2024
February 26, 2021331,000 3.88 %2024
January 28, 2021112,000 4.25 %2023
January 28, 2021201,000 4.20 %2024
January 28, 2021469,000 3.88 %2024
_______________________________________
(1)As a result of the repurchases and redemptions of these senior unsecured notes, the Company recognized an aggregate $225 million loss on debt extinguishment during the year ended December 31, 2021.
Summary of Stated Debt Maturities and Scheduled Principal Repayments
The following table summarizes the Company’s stated debt maturities and scheduled principal repayments at December 31, 2023 (dollars in thousands):
Senior Unsecured Notes(2)
Mortgage Debt(3)
Year Bank Line of Credit
Commercial Paper(1)
Term LoansAmountInterest RateAmountInterest RateTotal
2024$— $— $— $— — %$7,024 6.90 %$7,024 
2025— — — 800,000 3.92 %3,209 3.82 %803,209 
2026— 720,000 — 650,000 3.40 %244,523 4.44 %1,614,523 
2027— — 500,000 450,000 1.54 %366 5.91 %950,366 
2028— — — 500,000 2.35 %— — %500,000 
Thereafter— — — 3,050,000 4.18 %— — %3,050,000 
 — 720,000 500,000 5,450,000 255,122 6,925,122 
Premiums, (discounts), and debt issuance costs, net— — (3,176)(46,622)975 (48,823)
$— $720,000 $496,824 $5,403,378 $256,097 $6,876,299 
_______________________________________

(1)Commercial Paper Program borrowings are backstopped by the Revolving Facility. As such, the Company calculates the weighted average remaining term of its Commercial Paper Program borrowings using the maturity date of the Revolving Facility.
(2)Effective interest rates on the senior unsecured notes range from 1.54% to 6.87% with a weighted average effective interest rate of 3.66% and a weighted average maturity of 6 years.
(3)Effective interest rates on the mortgage debt range from 3.44% to 9.26% with a weighted average effective interest rate of 4.50% and a weighted average maturity of 3 years. These interest rates include the impact of designated interest rate swap instruments, which effectively fix the interest rate on certain variable rate debt.
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Commitments and Contingencies (Tables)
12 Months Ended
Dec. 31, 2023
Commitments and Contingencies Disclosure [Abstract]  
Summary of Material Commitments
The following table summarizes the Company’s material commitments, excluding potential success-based fees as a result of the Mergers (see Note 1), obligations as the lessee under operating leases (see Note 6), commitments to fund additional loans for senior housing redevelopment and capital expenditure projects (see Note 7), debt service obligations (see Note 10), and potential future obligations related to redeemable noncontrolling interests (see Note 12) at December 31, 2023 (in thousands):
 Amount
Development and redevelopment commitments(1)
$151,996 
Lease and other contractual commitments(2)
27,655 
$179,651 
_______________________________________
(1)Represents construction and other commitments as of December 31, 2023 for developments and redevelopments in progress and includes allowances for Company-owned tenant improvements that the Company has provided as a lessor.
(2)Represents the Company’s commitments, as lessor, under signed leases and contracts for operating properties as of December 31, 2023 and includes allowances for Company-owned tenant improvements and leasing commissions. Excludes allowances for Company-owned tenant improvements related to developments and redevelopments in progress for which the Company has executed an agreement with a general contractor to complete the tenant improvements (recognized in the “Development and redevelopment commitments” line).
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Equity and Redeemable Noncontrolling Interests (Tables)
12 Months Ended
Dec. 31, 2023
Equity [Abstract]  
Schedule of Company's Other Common Stock Activities
The following table summarizes the Company’s other common stock activities (in thousands):
 Year Ended December 31,
 202320222021
Dividend Reinvestment and Stock Purchase Plan$70 $59 $81 
Conversion of DownREIT units72 27 
Exercise of stock options— — 97 
Vesting of restricted stock units613 820 924 
Repurchase of common stock241 2,418 418 
Schedule of Accumulated Other Comprehensive Income (Loss)
The following table summarizes the Company’s accumulated other comprehensive income (loss) (in thousands):
 December 31,
 20232022
Unrealized gains (losses) on derivatives, net$21,245 $30,145 
Supplemental Executive Retirement Plan minimum liability(1,874)(2,011)
Total accumulated other comprehensive income (loss)$19,371 $28,134 
The Company has a defined benefit pension plan, known as the Supplemental Executive Retirement Plan, with one plan participant, a former Chief Executive Officer (“CEO”) of the Company who departed in 2003. Changes to the Supplemental Executive Retirement Plan minimum liability are reflected in other comprehensive income (loss).
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Earnings Per Common Share (Tables)
12 Months Ended
Dec. 31, 2023
Earnings Per Share [Abstract]  
Schedule of Computation of Basic and Diluted Earnings Per Share
The following table illustrates the computation of basic and diluted earnings per share (in thousands, except per share amounts):
Year Ended December 31,
202320222021
Numerator
Income (loss) from continuing operations$334,757 $513,540 $137,728 
Noncontrolling interests’ share in continuing operations(28,748)(15,975)(17,851)
Income (loss) from continuing operations attributable to Healthpeak Properties, Inc.306,009 497,565 119,877 
Less: Participating securities’ share in continuing operations(1,725)(2,657)(3,269)
Income (loss) from continuing operations applicable to common shares304,284 494,908 116,608 
Income (loss) from discontinued operations— 2,884 388,202 
Noncontrolling interests’ share in discontinued operations— — (2,539)
Net income (loss) applicable to common shares - basic and diluted$304,284 $497,792 $502,271 
Denominator
Basic weighted average shares outstanding547,006 538,809 538,930 
Dilutive potential common shares - equity awards(1)
269 338 310 
Dilutive potential common shares - forward equity agreements(2)
— — 
Diluted weighted average common shares547,275 539,147 539,241 
Basic earnings (loss) per common share
Continuing operations$0.56 $0.92 $0.22 
Discontinued operations— 0.00 0.71 
Net income (loss) applicable to common shares$0.56 $0.92 $0.93 
Diluted earnings (loss) per common share
Continuing operations$0.56 $0.92 $0.22 
Discontinued operations— 0.00 0.71 
Net income (loss) applicable to common shares$0.56 $0.92 $0.93 
_______________________________________
(1)For all periods presented, represents the dilutive impact of 1 million outstanding equity awards (restricted stock units and stock options).
(2)For the year ended December 31, 2023, forward equity sales agreements had no dilutive impact as no shares were outstanding under ATM forward contracts during the year. For the year ended December 31, 2022, all 9.1 million shares that were settled during the year then ended were anti-dilutive. For the year ended December 31, 2021, represents the dilutive impact of 9.1 million shares that were not settled during the year then ended.
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Compensation Plans (Tables)
12 Months Ended
Dec. 31, 2023
Share-Based Payment Arrangement [Abstract]  
Schedule of Restricted Stock Unit and LTIP Unit activity
The following table summarizes Restricted Stock Unit and LTIP Unit activity for the year ended December 31, 2023 (units in thousands):
Restricted Stock Units
LTIP Units
 
Number of Units
Weighted
Average
Grant Date
Fair Value
Number of UnitsWeighted
Average
Grant Date
Fair Value
Unvested at January 1, 20231,709 $33.66 — $— 
Granted393 28.12 1,970 14.66 
Vested(613)37.97 (76)24.56 
Forfeited(610)31.16 — — 
Unvested at December 31, 2023879 $29.91 1,894 $14.26 
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Segment Disclosures (Tables)
12 Months Ended
Dec. 31, 2023
Segment Reporting [Abstract]  
Summary Financial Information of Reportable Segment
The following tables summarize information for the reportable segments (in thousands):
For the year ended December 31, 2023:
LabOutpatient MedicalCCRCOther Non-reportableCorporate Non-segmentTotal
Total revenues$878,326 $753,479 $527,417 $21,781 $— $2,181,003 
Government grant income(1)
— — 184 — — 184 
Less: Interest income— — — (21,781)— (21,781)
Healthpeak’s share of unconsolidated joint venture total revenues9,924 3,033 — 82,426 — 95,383 
Healthpeak’s share of unconsolidated joint venture government grant income— — — 229 — 229 
Noncontrolling interests’ share of consolidated joint venture total revenues(619)(35,073)— — — (35,692)
Operating expenses(229,630)(263,132)(413,472)— 4,174 (902,060)
Healthpeak’s share of unconsolidated joint venture operating expenses(4,092)(1,189)— (60,811)— (66,092)
Noncontrolling interests’ share of consolidated joint venture operating expenses156 9,921 — — — 10,077 
Adjustments to NOI(2)
(36,524)(14,314)(1,618)366 (4,174)(56,264)
Adjusted NOI617,541 452,725 112,511 22,210 — 1,204,987 
Plus: Adjustments to NOI(2)
36,524 14,314 1,618 (366)4,174 56,264 
Interest income— — — 21,781 — 21,781 
Interest expense— (7,770)(7,010)— (185,551)(200,331)
Depreciation and amortization(328,349)(289,683)(131,869)— — (749,901)
General and administrative— — — — (95,132)(95,132)
Transaction and merger-related costs(333)(1,120)(1,881)— (14,181)(17,515)
Impairments and loan loss reserves, net— — — 5,601 — 5,601 
Gain (loss) on sales of real estate, net60,498 21,312 — 4,653 — 86,463 
Other income (expense), net2,697 228 (81)3,957 6,808 
Less: Government grant income— — (184)— — (184)
Less: Healthpeak’s share of unconsolidated joint venture NOI(5,832)(1,844)— (21,844)— (29,520)
Plus: Noncontrolling interests’ share of consolidated joint venture NOI463 25,152 — — — 25,615 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures380,519 215,783 (26,587)31,954 (286,733)314,936 
Income tax benefit (expense)— — — — 9,617 9,617 
Equity income (loss) from unconsolidated joint ventures4,540 835 — 4,829 — 10,204 
Income (loss) from continuing operations385,059 216,618 (26,587)36,783 (277,116)334,757 
Income (loss) from discontinued operations— — — — — — 
Net income (loss)$385,059 $216,618 $(26,587)$36,783 $(277,116)$334,757 
_______________________________________
(1)Represents government grant income received under the CARES Act, which is recorded in other income (expense), net in the Consolidated Statements of Operations (see Note 2).
(2)Represents straight-line rents, DFL non-cash interest, amortization of market lease intangibles, net, actuarial reserves for insurance claims that have been incurred but not reported, deferral of community fees, and termination fees. Includes the Company’s share of income (loss) generated by unconsolidated joint ventures and excludes noncontrolling interests’ share of income (loss) generated by consolidated joint ventures.
For the year ended December 31, 2022:
LabOutpatient MedicalCCRCOther Non-reportableCorporate Non-segmentTotal
Total revenues$817,573 $725,370 $494,935 $23,300 $— $2,061,178 
Government grant income(1)
— — 6,765 — — 6,765 
Less: Interest income— — — (23,300)— (23,300)
Healthpeak’s share of unconsolidated joint venture total revenues9,9212,99973,88586,805 
Healthpeak’s share of unconsolidated joint venture government grant income380498878 
Noncontrolling interests’ share of consolidated joint venture total revenues(268)(35,717)(35,985)
Operating expenses(209,143)(253,309)(400,539)— — (862,991)
Healthpeak’s share of unconsolidated joint venture operating expenses(2,883)(1,178)— (57,632)— (61,693)
Noncontrolling interests’ share of consolidated joint venture operating expenses87 10,317 — — — 10,404 
Adjustments to NOI(2)
(62,754)(15,513)2,300 169 — (75,798)
Adjusted NOI552,533 432,969 103,841 16,920 — 1,106,263 
Plus: Adjustments to NOI(2)
62,754 15,513 (2,300)(169)— 75,798 
Interest income— — — 23,300 — 23,300 
Interest expense— (6,900)(7,509)— (158,535)(172,944)
Depreciation and amortization(302,649)(279,546)(128,374)— — (710,569)
General and administrative— — — — (131,033)(131,033)
Transaction and merger-related costs(387)(1,255)(725)— (2,486)(4,853)
Impairments and loan loss reserves, net— — — (7,004)— (7,004)
Gain (loss) on sales of real estate, net3,744 10,659 — (5,325)— 9,078 
Other income (expense), net311,939 12,709 (1,380)(13)3,013 326,268 
Less: Government grant income— — (6,765)— — (6,765)
Less: Healthpeak’s share of unconsolidated joint venture NOI(7,038)(1,821)(380)(16,751)— (25,990)
Plus: Noncontrolling interests’ share of consolidated joint venture NOI181 25,400 — — — 25,581 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures621,077 207,728 (43,592)10,958 (289,041)507,130 
Income tax benefit (expense)4,425 4,425 
Equity income (loss) from unconsolidated joint ventures(972)852 539 1,566 — 1,985 
Income (loss) from continuing operations620,105 208,580 (43,053)12,524 (284,616)513,540 
Income (loss) from discontinued operations— — — — 2,884 2,884 
Net income (loss)$620,105 $208,580 $(43,053)$12,524 $(281,732)$516,424 
_______________________________________
(1)Represents government grant income received under the CARES Act, which is recorded in other income (expense), net in the Consolidated Statements of Operations (see Note 2).
(2)Represents straight-line rents, DFL non-cash interest, amortization of market lease intangibles, net, actuarial reserves for insurance claims that have been incurred but not reported, deferral of community fees, and termination fees. Includes the Company’s share of income (loss) generated by unconsolidated joint ventures and excludes noncontrolling interests’ share of income (loss) generated by consolidated joint ventures.
For the year ended December 31, 2021:
LabOutpatient MedicalCCRCOther Non-reportableCorporate Non-segmentTotal
Total revenues$715,844 $671,242 $471,325 $37,773 $— $1,896,184 
Government grant income(1)
— — 1,412 — — 1,412 
Less: Interest income— — — (37,773)— (37,773)
Healthpeak’s share of unconsolidated joint venture total revenues5,757 2,882 6,903 67,835 — 83,377 
Healthpeak’s share of unconsolidated joint venture government grant income— — 200 1,549 — 1,749 
Noncontrolling interests’ share of consolidated joint venture total revenues(292)(35,363)— — — (35,655)
Operating expenses(169,044)(223,383)(380,865)13 — (773,279)
Healthpeak’s share of unconsolidated joint venture operating expenses(1,836)(1,174)(6,639)(51,866)— (61,515)
Noncontrolling interests’ share of consolidated joint venture operating expenses87 10,071 — — — 10,158 
Adjustments to NOI(2)
(46,589)(11,118)3,241 (47)— (54,513)
Adjusted NOI503,927 413,157 95,577 17,484 — 1,030,145 
Plus: Adjustments to NOI(2)
46,589 11,118 (3,241)47 — 54,513 
Interest income— — — 37,773 — 37,773 
Interest expense(232)(2,837)(7,701)— (147,210)(157,980)
Depreciation and amortization(303,196)(255,746)(125,344)— — (684,286)
General and administrative— — — — (98,303)(98,303)
Transaction and merger-related costs(24)(323)(1,445)(49)— (1,841)
Impairments and loan loss reserves, net— (21,577)— (1,583)— (23,160)
Gain (loss) on sales of real estate, net— 190,590 — — — 190,590 
Gain (loss) on debt extinguishments— — — — (225,824)(225,824)
Other income (expense), net55 (2,725)2,141 486 6,309 6,266 
Less: Government grant income— — (1,412)— — (1,412)
Less: Healthpeak’s share of unconsolidated joint venture NOI(3,921)(1,708)(464)(17,518)— (23,611)
Plus: Noncontrolling interests’ share of consolidated joint venture NOI20525,292— 25,497 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures243,403 355,241 (41,889)36,640 (465,028)128,367 
Income tax benefit (expense)— — — — 3,261 3,261 
Equity income (loss) from unconsolidated joint ventures1,118 794 1,484 2,704 — 6,100 
Income (loss) from continuing operations244,521 356,035 (40,405)39,344 (461,767)137,728 
Income (loss) from discontinued operations— — — — 388,202 388,202 
Net income (loss)$244,521 $356,035 $(40,405)$39,344 $(73,565)$525,930 
_______________________________________
(1)Represents government grant income received under the CARES Act, which is recorded in other income (expense), net in the Consolidated Statements of Operations (see Note 2).
(2)Represents straight-line rents, DFL non-cash interest, amortization of market lease intangibles, net, actuarial reserves for insurance claims that have been incurred but not reported, deferral of community fees, and termination fees. Includes the Company’s share of income (loss) generated by unconsolidated joint ventures and excludes noncontrolling interests’ share of income (loss) generated by consolidated joint ventures.
Summary of Reconciliation of Company's Assets to Total Assets
The following table summarizes the Company’s total assets by segment (in thousands):
 December 31,
Segment20232022
Lab$9,313,395 $9,019,271 
Outpatient medical6,376,191 6,291,986 
CCRC2,369,883 2,276,898 
Reportable segment assets18,059,469 17,588,155 
Accumulated depreciation and amortization(4,017,023)(3,540,362)
Net reportable segment assets14,042,446 14,047,793 
Other non-reportable segment assets553,031 744,550 
Assets held for sale, net117,986 49,866 
Other non-segment assets985,387 929,020 
Total assets$15,698,850 $15,771,229 
XML 68 R52.htm IDEA: XBRL DOCUMENT v3.24.0.1
Income Taxes (Tables)
12 Months Ended
Dec. 31, 2023
Income Tax Disclosure [Abstract]  
Schedule of Common Stock Distributions
The following table shows the characterization of the Company’s annual common stock distributions per share:
Year Ended December 31,
202320222021
Ordinary dividends(1)
$0.909692 $0.872948 $0.152336 
Capital gains(2)(3)
0.116992 0.183208 0.379960 
Nondividend distributions0.173316 0.143844 0.667704 
$1.200000 $1.200000 $1.200000 
_______________________________________
(1)For the year ended December 31, 2023, the amount includes $0.882312 of ordinary dividends qualified as business income for purposes of Code Section 199A and $0.027380 of qualified dividend income for purposes of Code Section 1(h)(11). For the year ended December 31, 2022, all $0.872948 of ordinary dividends qualified as business income for purposes of Code Section 199A. For the year ended December 31, 2021, the amount includes $0.137064 of ordinary dividends qualified as business income for purposes of Code Section 199A and $0.015272 of qualified dividend income for purposes of Code Section 1(h)(11).
(2)For the years ended December 31, 2023, 2022, and 2021, the amount includes $0.036256, $0.017760, and $0.379960, respectively, of unrecaptured Code Section 1250 gain. Pursuant to Treasury Regulation Section 1.1061-6(c), the Company is disclosing additional information related to the capital gain dividends for purposes of Section 1061 of the Code. Code Section 1061 is generally applicable to direct and indirect holders of “applicable partnership interests.” For the year ended December 31, 2023, the “One Year Amounts” and “Three Year Amounts” are each zero, since all capital gains relate to Code Section 1231 gains. For the year ended December 31, 2022, the “One Year Amounts” and “Three Year Amounts” are each 89.6708% of the total capital gain distributions and the remaining capital gain distributions are attributable to Code Section 1231 gains, which are not subject to Code Section 1061. For the year ended December 31, 2021, the “One Year Amounts” and “Three Year Amounts” are each zero, since all capital gains relate to Code Section 1231 gains.
(3)For the years ended December 31, 2023, 2022, and 2021, 100%, 10.3292%, and 100%, respectively, of the capital gain distributions represent gains from dispositions of U.S. real property interests pursuant to Code Section 897 for foreign shareholders.
Schedule of Income Tax Expense (Benefit) From Continuing Operations
The total income tax benefit (expense) from continuing operations consists of the following components (in thousands):
Year Ended December 31,
202320222021
Current
Federal$(1,663)$(632)$(126)
State(3,325)(689)(1,003)
Total current$(4,988)$(1,321)$(1,129)
Deferred
Federal$11,682 $3,157 $3,469 
State2,923 2,589 921 
Total deferred$14,605 $5,746 $4,390 
Total income tax benefit (expense) from continuing operations$9,617 $4,425 $3,261 
Schedule of Reconciliation of Income Tax Expense at Statutory Rates to the Actual Income Tax Expense Recorded
The following table reconciles income tax benefit (expense) from continuing operations at statutory rates to actual income tax benefit (expense) recorded (in thousands):
Year Ended December 31,
202320222021
Tax benefit (expense) at U.S. federal statutory income tax rate on income or loss subject to tax$(1,404)$3,698 $3,345 
State income tax benefit (expense), net of federal tax (1,035)911 706 
Gross receipts and margin taxes(1,647)(956)(989)
Return to provision adjustments(90)1,260 (4)
Change in valuation allowance for deferred tax assets13,797 194 203 
Change in tax status of TRS(4)(682)— 
Total income tax benefit (expense) from continuing operations$9,617 $4,425 $3,261 
Schedule of Significant Components of the Company's Deferred Tax Asset and Liabilities The following table summarizes the significant components of the Company’s deferred tax assets and liabilities from continuing operations (in thousands):
December 31,
202320222021
Deferred tax assets:
Deferred revenue$103,530 $102,504 $104,397 
Net operating loss carryforward54,136 62,280 71,744 
Expense accruals12,324 12,399 14,229 
Real estate850 150 129 
Other 58 689 — 
Total deferred tax assets170,898 178,022 190,499 
Valuation allowance(13,004)(26,098)(35,772)
Deferred tax assets, net of valuation allowance$157,894 $151,924 $154,727 
Deferred tax liabilities:
Real estate$43,488 $52,266 $61,097 
Other818 674 648 
Deferred tax liabilities$44,306 $52,940 $61,745 
Net deferred tax assets$113,588 $98,984 $92,982 
Schedule of Income Tax Contingencies
The following table summarizes the Company’s unrecognized tax benefits (in thousands):
December 31,
202320222021
Total unrecognized tax benefits at January 1$— $469 $469 
Gross amount of decreases for prior years’ tax positions— (469)— 
Total unrecognized tax benefits at December 31$— $— $469 
XML 69 R53.htm IDEA: XBRL DOCUMENT v3.24.0.1
Supplemental Cash Flow Information (Tables)
12 Months Ended
Dec. 31, 2023
Supplemental Cash Flow Elements [Abstract]  
Schedule of Supplemental Cash Flow Information
The following table provides supplemental cash flow information (in thousands):
Year Ended December 31,
202320222021
Supplemental cash flow information:
Interest paid, net of capitalized interest$188,213 $162,115 $173,044 
Income taxes paid (refunded)1,923 (1,903)4,521 
Capitalized interest56,849 41,046 24,084 
Cash paid for amounts included in the measurement of lease liability for operating leases21,488 12,594 10,620 
Supplemental schedule of non-cash investing and financing activities:
Increase in ROU asset in exchange for new lease liability related to operating leases3,951 9,454 28,866 
Decrease in ROU asset with corresponding change in lease liability related to operating leases— — 8,410 
Accrued construction costs105,572 178,626 179,995 
Net noncash impact from the consolidation of property previously held in an unconsolidated joint venture993 — — 
Retained investment in connection with South San Francisco JVs transaction— 293,265 — 
Seller financing provided on disposition of real estate asset— — 559,745 
Carrying value of mortgages assumed by buyer in real estate dispositions— — 143,676 
Year Ended December 31,
202320222021
Leasing costs, tenant improvements, and recurring capital expenditures$— $21 $2,636 
Development, redevelopment, and other major improvements of real estate— 18 5,780 
Depreciation and amortization of real estate, in-place lease, and other intangibles— — — 
Schedule of Cash, Cash Equivalents and Restricted Cash
The following table summarizes cash, cash equivalents, and restricted cash (in thousands):
Year Ended December 31,
202320222021202320222021202320222021
Continuing operationsDiscontinued operationsTotal
Beginning of year:
Cash and cash equivalents$72,032 $158,287 $44,226 $— $7,707 $53,085 $72,032 $165,994 $97,311 
Restricted cash54,802 53,454 67,206 — — 17,168 54,802 53,454 84,374 
Cash, cash equivalents, and restricted cash$126,834 $211,741 $111,432 $— $7,707 $70,253 $126,834 $219,448 $181,685 
End of year:
Cash and cash equivalents$117,635 $72,032 $158,287 $— $— $7,707 $117,635 $72,032 $165,994 
Restricted cash51,388 54,802 53,454 — — — 51,388 54,802 53,454 
Cash, cash equivalents, and restricted cash$169,023 $126,834 $211,741 $— $— $7,707 $169,023 $126,834 $219,448 
XML 70 R54.htm IDEA: XBRL DOCUMENT v3.24.0.1
Variable Interest Entities (Tables)
12 Months Ended
Dec. 31, 2023
Variable Interest Entities [Abstract]  
Schedule of Variable Interest Entities
The classification of the related assets and liabilities and the maximum loss exposure as a result of the Company’s involvement with these VIEs at December 31, 2023 was as follows (in thousands):
VIE TypeAsset Type
Maximum Loss Exposure and Carrying Amount(1)
LLC InvestmentOther assets, net$14,985 
Needham Land Parcel JVInvestments in and advances to unconsolidated joint ventures17,084 
_______________________________________
(1)The Company’s maximum loss exposure represents the aggregate carrying amount of such investments.
Schedule of Consolidated Assets and Liabilities of Variable Interest Entities
Total assets and total liabilities include VIE assets and liabilities, excluding those of Healthpeak OP, as follows (in thousands):
December 31,
20232022
Assets
Buildings and improvements$2,392,375 $2,356,905 
Development costs and construction in progress47,481 58,499 
Land and improvements307,166 324,714 
Accumulated depreciation and amortization(665,791)(623,244)
Net real estate2,081,231 2,116,874 
Accounts receivable, net5,906 6,893 
Cash and cash equivalents18,410 20,586 
Restricted cash613 354 
Intangible assets, net56,975 73,860 
Assets held for sale, net— 30,355 
Right-of-use asset, net97,575 99,376 
Other assets, net79,248 73,690 
Total assets $2,339,958 $2,421,988 
Liabilities
Mortgage debt$144,874 $144,604 
Intangible liabilities, net11,884 15,066 
Liabilities related to assets held for sale, net— 401 
Lease liability99,725 99,039 
Accounts payable, accrued liabilities, and other liabilities54,975 68,979 
Deferred revenue48,316 39,661 
Total liabilities $359,774 $367,750 
Total assets and total liabilities related to assets held for sale include VIE assets and liabilities, excluding those of Healthpeak OP, as follows (in thousands):
December 31,
20232022
Assets
Buildings and improvements$— $39,934 
Land and improvements— 1,926 
Accumulated depreciation and amortization— (15,612)
Net real estate— 26,248 
Intangible assets, net— 215 
Other assets, net— 3,892 
Total assets $— $30,355 
Liabilities
Deferred revenue— 401 
Total liabilities $— $401 
XML 71 R55.htm IDEA: XBRL DOCUMENT v3.24.0.1
Concentration of Credit Risk (Tables)
12 Months Ended
Dec. 31, 2023
Risks and Uncertainties [Abstract]  
Schedule of Concentration of Credit Risk
The following table provides information regarding the Company’s concentrations with respect to certain states; the information provided is presented for the gross assets and revenues that are associated with certain real estate assets as percentages of the Company’s total assets and revenues, excluding discontinued operations:
 Percentage of Total Company AssetsPercentage of Total Company Revenues
 December 31,Year Ended December 31,
State20232022202320222021
California3837313128
Florida1010181817
Texas1010111111
Massachusetts171711109
XML 72 R56.htm IDEA: XBRL DOCUMENT v3.24.0.1
Fair Value Measurements (Tables)
12 Months Ended
Dec. 31, 2023
Fair Value Disclosures [Abstract]  
Summary of the Carrying Values and Fair Values of Financial Instruments
The table below summarizes the carrying amounts and fair values of the Company’s financial instruments either recorded or disclosed on a recurring basis (in thousands):
 December 31,
 
2023(3)
2022(3)
 Carrying ValueFair ValueCarrying ValueFair Value
Loans receivable, net(2)
$218,450 $218,450 $374,832 $369,425 
Marketable debt securities(2)
— — 21,702 21,702 
Interest rate swap instruments(2)
21,359 21,359 30,259 30,259 
Bank line of credit and commercial paper(2)
720,000 720,000 995,606 995,606 
Term loans(2)
496,824 496,824 495,957 495,957 
Senior unsecured notes(1)
5,403,378 5,144,667 4,659,451 4,238,124 
Mortgage debt(2)
256,097 244,135 346,599 330,867 
_______________________________________
(1)Level 1: Fair value is calculated based on quoted prices in active markets.
(2)Level 2: Fair value is based on (i) for loans receivable, net, interest rate swap instruments, and mortgage debt, standardized pricing models in which significant inputs or value drivers are observable in active markets, respectively, or (ii) for marketable debt securities, quoted prices for similar or identical instruments in active or inactive markets. For bank line of credit, commercial paper, and term loans, the carrying values are a reasonable estimate of fair value because the borrowings are primarily based on market interest rates and the Company’s credit rating.
(3)During the years ended December 31, 2023 and 2022, there were no material transfers of financial assets or liabilities within the fair value hierarchy.
XML 73 R57.htm IDEA: XBRL DOCUMENT v3.24.0.1
Derivative Financial Instruments (Tables)
12 Months Ended
Dec. 31, 2023
Derivative Instruments and Hedging Activities Disclosure [Abstract]  
Schedule of Derivative Instruments
The following table summarizes the Company’s interest rate swap instruments (in thousands):
Fair Value(2)
Date EnteredMaturity DateHedge DesignationNotional Amount
Pay Rate(1)
Receive Rate(1)
December 31,
2023
December 31,
2022
April 2022(3)
May 2026Cash flow$51,100 4.99 %
USD-SOFR w/ -5 Day Lookback + 2.50%
$1,602 $2,300 
April 2022(3)
May 2026Cash flow91,000 4.54 %
USD-SOFR w/ -5 Day Lookback + 2.05%
2,851 4,096 
August 2022(3)
February 2027Cash flow250,000 2.60 %1 mo. USD-SOFR CME Term7,933 11,299 
August 2022(3)
August 2027Cash flow250,000 2.54 %1 mo. USD-SOFR CME Term8,973 12,564 
_____________________________
(1)Pay rates and receive rates are as of December 31, 2023. As of December 31, 2022, the interest rate swap instrument with a $51 million notional amount had a pay rate of 5.08% and a receive rate of 1 mo. USD-LIBOR-BBA + 2.50%. As of December 31, 2022, the interest rate swap instrument with a $91 million notional amount had a pay rate of 4.63% and a receive rate of 1 mo. USD-LIBOR-BBA + 2.05%.
(2)At each of December 31, 2023 and 2022, the interest rate swap instruments were in an asset position. Derivative assets are recorded at fair value in other assets, net on the Consolidated Balance Sheets.
(3)Represents interest rate swap instruments that hedge fluctuations in interest payments on variable rate debt by converting the interest rates to fixed interest rates. The changes in fair value of designated derivatives that qualify as cash flow hedges are recorded in accumulated other comprehensive income (loss) on the Consolidated Balance Sheets.
XML 74 R58.htm IDEA: XBRL DOCUMENT v3.24.0.1
Accounts Payable, Accrued Liabilities, and Other Liabilities (Tables)
12 Months Ended
Dec. 31, 2023
Payables and Accruals [Abstract]  
Schedule of Accounts Payable and Accrued Liabilities
The following table summarizes the Company’s accounts payable, accrued liabilities, and other liabilities (in thousands):
December 31,
20232022
Refundable entrance fees$251,874 $268,972 
Accrued construction costs105,572 178,626 
Accrued interest59,492 59,291 
Other accounts payable and accrued liabilities240,258 265,596 
Accounts payable, accrued liabilities, and other liabilities$657,196 $772,485 
XML 75 R59.htm IDEA: XBRL DOCUMENT v3.24.0.1
Deferred Revenue (Tables)
12 Months Ended
Dec. 31, 2023
Revenues [Abstract]  
Schedule of Deferred Revenue
The following table summarizes the Company’s deferred revenue, excluding deferred revenue related to assets classified as held for sale (in thousands):
December 31,
20232022
Nonrefundable entrance fees(1)
$562,026 $518,573 
Other deferred revenue(2)
343,607 325,503 
Deferred revenue$905,633 $844,076 
_______________________________________
(1)During the years ended December 31, 2023 and 2022, the Company collected nonrefundable entrance fees of $127 million and $101 million, respectively. During the years ended December 31, 2023, 2022, and 2021, the Company recognized amortization of $83 million, $79 million, and $76 million, respectively, which is included within resident fees and services on the Consolidated Statements of Operations.
(2)Other deferred revenue is primarily comprised of prepaid rent, deferred rent, and tenant-funded tenant improvements owned by the Company. During the years ended December 31, 2023, 2022, and 2021, the Company recognized amortization related to other deferred revenue of $68 million, $44 million, and $39 million, respectively, which is included in rental and related revenues on the Consolidated Statements of Operations.
XML 76 R60.htm IDEA: XBRL DOCUMENT v3.24.0.1
Business (Details) - USD ($)
$ in Thousands
12 Months Ended
Oct. 29, 2023
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]        
Transaction and merger-related costs   $ 17,515 $ 4,853 $ 1,841
The Merger Agreement        
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]        
Exchange ratio (in shares) 0.674      
Transaction and merger-related costs   22,000    
Merger related costs   $ 11,000    
XML 77 R61.htm IDEA: XBRL DOCUMENT v3.24.0.1
Summary of Significant Accounting Policies - Narrative (Details) - USD ($)
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Schedule of Equity Method Investments [Line Items]      
Residency agreement term, minimum 30 days    
Residency agreement term, maximum 1 year    
Maximum period available for occupancy from cessation of significant construction activity 1 year    
Advertising expense $ 8,000,000 $ 8,000,000 $ 11,000,000
Discontinued Operations      
Schedule of Equity Method Investments [Line Items]      
Advertising expense $ 0 $ 100,000 $ 3,000,000
Building and Building Improvements      
Schedule of Equity Method Investments [Line Items]      
Property, plant and equipment, useful life 50 years    
XML 78 R62.htm IDEA: XBRL DOCUMENT v3.24.0.1
Summary of Significant Accounting Policies - Schedule of Government Grant Receivables Cares Act (Details) - Government Assistance, CARES Act - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Schedule of Equity Method Investments [Line Items]      
Government grant income $ 413 $ 7,860 $ 6,830
Government grant income recorded in other income (expense), net      
Schedule of Equity Method Investments [Line Items]      
Government grant income 184 6,765 1,412
Government grant income recorded in equity income (loss) from unconsolidated joint ventures      
Schedule of Equity Method Investments [Line Items]      
Government grant income 229 878 1,749
Government grant income recorded in income (loss) from discontinued operations      
Schedule of Equity Method Investments [Line Items]      
Government grant income $ 0 $ 217 $ 3,669
XML 79 R63.htm IDEA: XBRL DOCUMENT v3.24.0.1
Real Estate - 2023 Real Estate Investment Acquisitions (Details)
$ in Millions
1 Months Ended 12 Months Ended
Apr. 30, 2023
USD ($)
property
Jan. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
May 31, 2022
USD ($)
Mar. 31, 2022
USD ($)
Jan. 31, 2022
USD ($)
Dec. 31, 2021
USD ($)
Dec. 31, 2023
property
HCP Ventures IV, LLC                
Real Estate [Line Items]                
Investment ownership percentage 80.00%             20.00%
Property count | property 1              
Payments to acquire equity method investments $ 4.0              
Gain on investments $ 0.2              
Lab                
Real Estate [Line Items]                
Property count | property               2
Massachusetts | Lab                
Real Estate [Line Items]                
Payments to acquire real estate   $ 9.0 $ 18.0     $ 72.0 $ 498.0  
California | Lab                
Real Estate [Line Items]                
Payments to acquire real estate           $ 24.0 $ 20.0  
Texas | Outpatient medical                
Real Estate [Line Items]                
Payments to acquire real estate         $ 43.0      
ARKANSAS | Outpatient medical                
Real Estate [Line Items]                
Payments to acquire real estate       $ 26.0        
XML 80 R64.htm IDEA: XBRL DOCUMENT v3.24.0.1
Real Estate - 2022 Real Estate Investment Acquisitions (Details)
$ in Millions
1 Months Ended 12 Months Ended
Jan. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
May 31, 2022
USD ($)
property
Mar. 31, 2022
USD ($)
property
Jan. 31, 2022
USD ($)
Dec. 31, 2021
USD ($)
property
Massachusetts | Lab            
Real Estate [Line Items]            
Payments to acquire real estate | $ $ 9 $ 18     $ 72 $ 498
Number of properties acquired | property           8
California | Lab            
Real Estate [Line Items]            
Payments to acquire real estate | $         $ 24 $ 20
Number of properties acquired | property           1
Texas | Outpatient medical            
Real Estate [Line Items]            
Payments to acquire real estate | $       $ 43    
Number of properties acquired | property       2    
ARKANSAS | Outpatient medical            
Real Estate [Line Items]            
Payments to acquire real estate | $     $ 26      
Number of properties acquired | property     1      
XML 81 R65.htm IDEA: XBRL DOCUMENT v3.24.0.1
Real Estate - 2021 Real Estate Investment Acquisitions (Details)
$ in Millions
1 Months Ended 12 Months Ended
Jan. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Jan. 31, 2022
USD ($)
Dec. 31, 2021
USD ($)
a
property
Dec. 31, 2023
USD ($)
Apr. 30, 2021
USD ($)
Lab | MASSACHUSETTS            
Real Estate [Line Items]            
Number of properties acquired | property       8    
Payments to acquire real estate $ 9 $ 18 $ 72 $ 498    
Lab | CALIFORNIA            
Real Estate [Line Items]            
Number of properties acquired | property       1    
Payments to acquire real estate     $ 24 $ 20    
Lab | CALIFORNIA | South San Francisco, California            
Real Estate [Line Items]            
Payments to acquire real estate       $ 128    
Area of land | a       12    
Outpatient Medical | Mortgage Debt            
Real Estate [Line Items]            
Face amount         $ 142 $ 142
Outpatient Medical | MASSACHUSETTS            
Real Estate [Line Items]            
Number of properties acquired | property       1    
Payments to acquire real estate       $ 55    
Outpatient Medical | TENNESSEE            
Real Estate [Line Items]            
Number of properties acquired | property       1    
Payments to acquire real estate       $ 13    
Outpatient Medical | COLORADO            
Real Estate [Line Items]            
Number of properties acquired | property       1    
Payments to acquire real estate       $ 38    
Outpatient Medical | UNITED STATES            
Real Estate [Line Items]            
Number of properties acquired | property       14    
Payments to acquire real estate       $ 371    
Outpatient Medical | FLORIDA            
Real Estate [Line Items]            
Number of properties acquired | property       1    
Payments to acquire real estate       $ 16    
Outpatient Medical | KANSAS            
Real Estate [Line Items]            
Number of properties acquired | property       1    
Payments to acquire real estate       $ 50    
Outpatient Medical | NEW JERSEY            
Real Estate [Line Items]            
Number of properties acquired | property       3    
Payments to acquire real estate       $ 155    
Outpatient Medical | TEXAS            
Real Estate [Line Items]            
Number of properties acquired | property       2    
Payments to acquire real estate       $ 60    
Outpatient Medical | WASHINGTON            
Real Estate [Line Items]            
Number of properties acquired | property       1    
Payments to acquire real estate       $ 43    
Outpatient Medical | LOUISIANA            
Real Estate [Line Items]            
Number of properties acquired | property       1    
Payments to acquire real estate       $ 34    
XML 82 R66.htm IDEA: XBRL DOCUMENT v3.24.0.1
Real Estate - Construction, Tenant, and Other Capital Improvements (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Real estate acquisitions [Line Items]      
Funding for construction, tenant and other capital improvements $ 774,561 $ 961,994 $ 759,720
Lab      
Real estate acquisitions [Line Items]      
Funding for construction, tenant and other capital improvements 428,961 658,542 472,301
Outpatient Medical      
Real estate acquisitions [Line Items]      
Funding for construction, tenant and other capital improvements 236,135 237,761 230,227
CCRC      
Real estate acquisitions [Line Items]      
Funding for construction, tenant and other capital improvements $ 109,465 $ 65,691 $ 57,192
XML 83 R67.htm IDEA: XBRL DOCUMENT v3.24.0.1
Dispositions of Real Estate and Discontinued Operations - 2023 Dispositions of Real Estate (Details)
$ in Thousands
3 Months Ended 12 Months Ended
Mar. 31, 2023
USD ($)
property
Sep. 30, 2022
USD ($)
property
Jun. 30, 2022
USD ($)
property
Mar. 31, 2022
USD ($)
property
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Dec. 31, 2021
USD ($)
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Gain (loss) on sales of real estate, net         $ 86,463 $ 9,078 $ 190,590
Lab              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Number of assets sold | property 2     1      
Proceeds from sale of buildings $ 113,000     $ 14,000      
Gain (loss) on sales of real estate, net $ 60,000     $ 4,000      
Outpatient Medical              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Number of assets sold | property 2 2 3        
Proceeds from sale of buildings $ 32,000 $ 9,000 $ 27,000        
Gain (loss) on sales of real estate, net $ 21,000 $ 1,000 $ 10,000        
XML 84 R68.htm IDEA: XBRL DOCUMENT v3.24.0.1
Dispositions of Real Estate and Discontinued Operations - 2022 Dispositions of Real Estate (Details)
$ in Thousands
3 Months Ended 12 Months Ended
Mar. 31, 2023
USD ($)
property
Sep. 30, 2022
USD ($)
property
Jun. 30, 2022
USD ($)
property
Mar. 31, 2022
USD ($)
property
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Dec. 31, 2021
USD ($)
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Gain (loss) on sales of real estate, net         $ 86,463 $ 9,078 $ 190,590
Lab              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Number of properties sold | property 2     1      
Proceeds from sale of buildings $ 113,000     $ 14,000      
Gain (loss) on sales of real estate, net $ 60,000     $ 4,000      
Outpatient Medical              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Number of properties sold | property 2 2 3        
Proceeds from sale of buildings $ 32,000 $ 9,000 $ 27,000        
Gain (loss) on sales of real estate, net $ 21,000 $ 1,000 $ 10,000        
Outpatient Medical Land Parcel              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]              
Number of properties sold | property     1        
XML 85 R69.htm IDEA: XBRL DOCUMENT v3.24.0.1
Dispositions of Real Estate and Discontinued Operations - 2021 Dispositions of Real Estate (Details)
1 Months Ended 3 Months Ended 12 Months Ended
Sep. 30, 2021
loan
Jun. 30, 2021
USD ($)
property
May 31, 2021
USD ($)
property
Apr. 30, 2021
USD ($)
property
loan
preferred_equity_investment
Feb. 28, 2021
USD ($)
property
Jan. 31, 2021
USD ($)
property
Mar. 31, 2023
USD ($)
property
Sep. 30, 2022
USD ($)
property
Jun. 30, 2022
USD ($)
property
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Dec. 31, 2021
USD ($)
property
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Gain (loss) on sales of real estate, net                   $ 86,463,000 $ 9,078,000 $ 190,590,000
Carrying value of mortgages assumed by buyer in real estate dispositions                   0 $ 0 143,676,000
Number of loans sold | loan 1     2                
Sunrise Senior Housing Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Capital expenditure funding, amount committed                   $ 40,000,000    
Mortgage Debt                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Repayments of secured debt       $ 64,000,000                
Number of assets classified as discontinued operations | property     6 2                
Oakmont SHOP Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Carrying value of mortgages assumed by buyer in real estate dispositions       $ 107,000,000                
Oakmont SHOP Portfolio | Mortgage Debt                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of properties disposed | property       4                
Other Investments | Mortgage Debt                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Carrying value of mortgages assumed by buyer in real estate dispositions                       36,000,000
Other Investments | Disposal Group, Disposed of by Means Other than Sale, Not Discontinued Operations, Abandonment                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Gain (loss) on sales of real estate, net                       58,000,000
Other Investments | Discontinued Operations                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Gain (loss) on sales of real estate, net                       39,000,000
Senior Housing Operating Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Capital expenditure funding, amount committed           $ 92,000,000            
Senior Housing Operating Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Proceeds from sale of buildings           230,000,000            
Payments to acquire finance receivables           150,000,000            
Gain (loss) on sales of real estate, net           59,000,000            
Senior Housing Operating Portfolio | Oakmont SHOP Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Proceeds from sale of buildings       $ 564,000,000                
Gain (loss) on sales of real estate, net       80,000,000                
Senior Housing Operating Portfolio | Discovery SHOP Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Proceeds from sale of buildings       334,000,000                
Gain (loss) on sales of real estate, net       9,000,000                
Proceeds from sale of loans and preferred equity method investments       21,000,000                
Senior Housing Operating Portfolio | Sonata SHOP Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Proceeds from sale of buildings       64,000,000                
Gain (loss) on sales of real estate, net       $ 3,000,000                
Senior Housing Operating Portfolio | Other Investments                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Proceeds from sale of buildings                       169,000,000
Senior Housing Triple Net | Brookdale Triple Net Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Proceeds from sale of buildings           510,000,000            
Gain (loss) on sales of real estate, net           $ 169,000,000            
Senior Housing Triple Net | HRA Triple Net Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Proceeds from sale of buildings         $ 132,000,000              
Gain (loss) on sales of real estate, net         $ 33,000,000              
Senior Housing Triple Net | Other Investments                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Proceeds from sale of buildings                       $ 24,000,000
Senior Housing Operating Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property           16            
Senior Housing Operating Portfolio | Sunrise Senior Housing Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property           32            
Proceeds from sale of buildings           $ 664,000,000            
Senior Housing Operating Portfolio | Sunrise Senior Housing Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property           32            
Proceeds from sale of buildings           $ 664,000,000            
Payments to acquire finance receivables           $ 410,000,000            
Senior Housing Operating Portfolio | Oakmont SHOP Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property       12                
Senior Housing Operating Portfolio | Discovery SHOP Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property       10                
Gain (loss) on sales of real estate, net       $ 0                
Number of preferred equity method investments sold | preferred_equity_investment       2                
Senior Housing Operating Portfolio | Discovery SHOP Portfolio | Mezzanine                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of loans sold | loan       2                
Senior Housing Operating Portfolio | Sonata SHOP Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property       5                
Senior Housing Operating Portfolio | SLC SHOP Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property     7                  
Repayments of secured debt     $ 70,000,000                  
Senior Housing Operating Portfolio | SLC SHOP Portfolio | Definitive Agreement Four                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Proceeds from sale of buildings     113,000,000                  
Gain (loss) on sales of real estate, net     $ 1,000,000                  
Senior Housing Operating Portfolio | Other Investments                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property                       15
Senior Housing Operating Portfolio | Other Investments | Mortgage Debt                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of properties disposed | property                       1
Senior Housing Triple Net | Sunrise Senior Housing Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property   2                    
Proceeds from sale of buildings   $ 80,000,000                    
Gain (loss) on sales of real estate, net   $ 22,000,000                    
Senior Housing Triple Net | Brookdale Triple Net Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property           24            
Senior Housing Triple Net | HRA Triple Net Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property         8              
Senior Housing Triple Net | Other Investments                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property                       7
Medical Office, Hospital                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property     1                  
Proceeds from sale of buildings     $ 226,000,000                  
Gain (loss) on sales of real estate, net     $ 172,000,000                  
Outpatient Medical                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property             2 2 3      
Proceeds from sale of buildings             $ 32,000,000 $ 9,000,000 $ 27,000,000      
Gain (loss) on sales of real estate, net             $ 21,000,000 $ 1,000,000 $ 10,000,000      
Outpatient Medical | Other Investments                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property                       10
Outpatient Medical Land Parcel                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property                 1      
Outpatient Medical Land Parcel | Other Investments                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property                       1
Proceeds from sale of buildings                       $ 68,000,000
XML 86 R70.htm IDEA: XBRL DOCUMENT v3.24.0.1
Dispositions of Real Estate and Discontinued Operations - Held for Sale and Discontinued Operations (Details)
Jan. 31, 2024
property
Dec. 31, 2023
USD ($)
property
Dec. 31, 2022
USD ($)
property
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Assets held for sale, net   $ 117,986,000 $ 49,866,000
Held-for-sale      
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Assets held for sale, net   118,000,000 50,000,000
Liabilities related to assets held for sale, net   1,000,000 4,000,000
Liabilities related to assets held for sale, net   0 0
Assets held for sale, net   $ 0 $ 0
Held-for-sale | Lab      
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Number of properties classified as held for sale | property   2 2
Net real estate assets     $ 44,000,000
Held-for-sale | Outpatient Medical      
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Number of properties classified as held for sale | property   1  
Discontinued Operations, Disposed of by Sale | Lab | Subsequent Event      
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Number of properties classified as held for sale | property 2    
Discontinued Operations, Disposed of by Sale | Lab | Subsequent Event | Lab      
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Investment ownership percentage 65.00%    
XML 87 R71.htm IDEA: XBRL DOCUMENT v3.24.0.1
Dispositions of Real Estate and Discontinued Operations - Schedule of Results of Discontinued Operations (Details) - USD ($)
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Other income (expense):      
Income tax benefit (expense) $ 0 $ 300,000 $ 1,000,000
Held-for-sale      
Revenues:      
Rental and related revenues 0 0 7,535,000
Resident fees and services 0 7,489,000 114,936,000
Total revenues 0 7,489,000 122,471,000
Costs and expenses:      
Interest expense 0 0 3,900,000
Operating 0 6,452,000 122,571,000
Transaction and merger-related costs 0 0 76,000
Impairments and loan loss reserves (recoveries), net 0 0 32,736,000
Total costs and expenses 0 6,452,000 159,283,000
Other income (expense):      
Gain (loss) on sales of real estate, net 0 1,344,000 414,721,000
Other income (expense), net 0 169,000 4,189,000
Total other income (expense), net 0 1,513,000 418,910,000
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures 0 2,550,000 382,098,000
Income tax benefit (expense) 0 270,000 969,000
Equity income (loss) from unconsolidated joint ventures 0 64,000 5,135,000
Income (loss) from discontinued operations $ 0 $ 2,884,000 $ 388,202,000
XML 88 R72.htm IDEA: XBRL DOCUMENT v3.24.0.1
Impairments of Real Estate (Details)
3 Months Ended 12 Months Ended
Dec. 31, 2021
USD ($)
property
Sep. 30, 2021
USD ($)
Jun. 30, 2021
USD ($)
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
property
Dec. 31, 2021
USD ($)
property
Impaired Long-Lived Assets Held and Used [Line Items]            
Impairment of real estate       $ 0 $ 0  
Net real estate       13,028,363,000 13,023,483,000  
Goodwill, impairment loss       0 0 $ 0
Goodwill       18,000,000 18,000,000  
Insured event loss       3,085,000 (7,168,000) (1,632,000)
Casualty-Related Losses            
Impaired Long-Lived Assets Held and Used [Line Items]            
Insured event loss       (3,000,000) 6,000,000 5,000,000
Casualty-Related Losses | Rental Revenues And Resident Fees And Services            
Impaired Long-Lived Assets Held and Used [Line Items]            
Insured event loss       $ 4,000,000 3,000,000 $ 0
SWF SH JV and Winter Storm Uri            
Impaired Long-Lived Assets Held and Used [Line Items]            
Property count | property 1         1
Planned MOB Demolition, Tenant Relocation And Other Costs            
Impaired Long-Lived Assets Held and Used [Line Items]            
Expense on other         $ 14,000,000  
Held-for-sale            
Impaired Long-Lived Assets Held and Used [Line Items]            
Goodwill, impairment loss   $ 22,000,000 $ 7,000,000     $ 29,000,000
Goodwill $ 0         0
Outpatient Medical            
Impaired Long-Lived Assets Held and Used [Line Items]            
Impairment of real estate           $ 22,000,000
Number of real estate properties impaired | property           3
Property count | property 4       3 4
Outpatient Medical | Held-for-use            
Impaired Long-Lived Assets Held and Used [Line Items]            
Number of real estate properties impaired | property           1
Outpatient Medical | Held-for-use | Impairments 2021            
Impaired Long-Lived Assets Held and Used [Line Items]            
Impairment of real estate $ 17,000,000          
Outpatient Medical | Held-for-sale            
Impaired Long-Lived Assets Held and Used [Line Items]            
Number of real estate properties impaired | property           3
Outpatient Medical | Held-for-sale | Impairments 2021            
Impaired Long-Lived Assets Held and Used [Line Items]            
Impairment of real estate           $ 5,000,000
Net real estate 14,000,000         14,000,000
Senior Housing Operating Portfolio            
Impaired Long-Lived Assets Held and Used [Line Items]            
Impairment of real estate           $ 4,000,000
Number of real estate properties impaired | property           1
Senior Housing Operating Portfolio | Impairments 2021            
Impaired Long-Lived Assets Held and Used [Line Items]            
Aggregate carrying value before impairment 20,000,000         $ 20,000,000
Real estate held-for-sale $ 16,000,000         $ 16,000,000
XML 89 R73.htm IDEA: XBRL DOCUMENT v3.24.0.1
Leases - Lease Income (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Leases [Abstract]      
Fixed income from operating leases $ 1,236,502 $ 1,182,463 $ 1,087,683
Variable income from operating leases 395,303 359,312 290,701
Interest income from direct financing leases $ 0 $ 1,168 $ 8,702
XML 90 R74.htm IDEA: XBRL DOCUMENT v3.24.0.1
Leases - Narrative (Details)
$ in Millions
3 Months Ended
Mar. 31, 2022
USD ($)
Dec. 31, 2023
property
Dec. 31, 2022
property
Leases [Abstract]      
Proceeds from sale of lease receivables $ 68    
Gain on sale of direct financing lease $ 23    
Properties with direct financing leases, number | property   0 0
XML 91 R75.htm IDEA: XBRL DOCUMENT v3.24.0.1
Leases - Future Minimum Rents (Details)
$ in Thousands
Dec. 31, 2023
USD ($)
Leases [Abstract]  
2024 $ 1,135,628
2025 1,063,147
2026 975,246
2027 888,223
2028 788,742
Thereafter 2,818,655
Total $ 7,669,641
XML 92 R76.htm IDEA: XBRL DOCUMENT v3.24.0.1
Leases - Tenant Purchase Options (Details)
$ in Thousands
Dec. 31, 2023
USD ($)
property
Leases [Abstract]  
2024 | $ $ 14,199
2025 | $ 14,244
2026 | $ 16,422
2027 | $ 8,116
2028 | $ 1,252
Thereafter | $ 16,212
Total | $ $ 70,445
Number of Properties  
2024 | property 12
2025 | property 16
2026 | property 8
2027 | property 5
2028 | property 1
Thereafter | property 5
Total | property 47
XML 93 R77.htm IDEA: XBRL DOCUMENT v3.24.0.1
Leases - Lease Costs (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Leases [Abstract]      
Total lease expense $ 17,010 $ 16,689 $ 14,442
Weighted average remaining lease term (years) 51 years 51 years  
Weighted average discount rate, operating leases 4.23% 4.20%  
Option to extend lease, term 67 years 67 years  
XML 94 R78.htm IDEA: XBRL DOCUMENT v3.24.0.1
Leases - Future Lease Obligations (Details)
$ in Thousands
Dec. 31, 2023
USD ($)
Leases [Abstract]  
2024 $ 16,950
2025 12,399
2026 12,326
2027 12,321
2028 12,351
Thereafter 475,584
Undiscounted minimum lease payments included in the lease liability 541,931
Less: imputed interest (335,188)
Present value of lease liability $ 206,743
XML 95 R79.htm IDEA: XBRL DOCUMENT v3.24.0.1
Leases - Depreciation Expense (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
General and Administrative Expense      
Lessor, Lease, Description [Line Items]      
Depreciation expense related to corporate assets $ 3 $ 3 $ 2
Other Assets      
Lessor, Lease, Description [Line Items]      
Accumulated depreciation related to corporate assets $ 10 $ 10  
XML 96 R80.htm IDEA: XBRL DOCUMENT v3.24.0.1
Leases - Denver Office Relocation (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Lessor, Lease, Description [Line Items]      
General and administrative $ 95,132 $ 131,033 $ 98,303
Corporate Segment | Continuing Operations      
Lessor, Lease, Description [Line Items]      
General and administrative   $ 7,000  
XML 97 R81.htm IDEA: XBRL DOCUMENT v3.24.0.1
Leases - Tenant Updates (Details)
$ in Thousands
3 Months Ended 12 Months Ended
Oct. 26, 2023
USD ($)
lease
Dec. 31, 2023
lease
Mar. 31, 2023
USD ($)
lease
Dec. 31, 2023
USD ($)
lease
Dec. 31, 2022
USD ($)
Dec. 31, 2021
USD ($)
Lessor, Lease, Description [Line Items]            
Straight line rent       $ 14,387 $ 49,183 $ 31,188
Litigation settlement, amount awarded from other party     $ 4,000      
Cash paid for amounts included in the measurement of lease liability for operating leases       $ 21,488 $ 12,594 $ 10,620
Sorrento Therapeutics, Inc.            
Lessor, Lease, Description [Line Items]            
Straight line rent     $ 9,000      
Number of leases | lease     4      
Number of leases approved | lease   3        
Number of lease terminated | lease       4    
Graphite Bio, Inc            
Lessor, Lease, Description [Line Items]            
Number of leases | lease 1          
Cash paid for amounts included in the measurement of lease liability for operating leases $ 37,000          
Termination fees 21,000          
Prepayment of rent 16,000          
Rent adjustments $ 37,000          
XML 98 R82.htm IDEA: XBRL DOCUMENT v3.24.0.1
Loans Receivable - Schedule of Loans Receivable (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Financing Receivable, Allowance for Credit Loss [Line Items]      
Unamortized discounts and fees $ (131) $ (808)  
Reserve for loan losses (2,830) (8,280) $ (1,813)
Loans receivable, net 218,450 374,832  
Remaining loans receivable commitments 29,000 40,000  
Interest income 21,781 23,300 37,773
Mortgage Receivable      
Financing Receivable, Allowance for Credit Loss [Line Items]      
Financing receivable, gross 175,717    
Interest income 22,000 22,000 36,000
Secured loans      
Financing Receivable, Allowance for Credit Loss [Line Items]      
Financing receivable, gross 178,678 350,837  
Reserve for loan losses (2,830) (8,280) $ (1,804)
CCRC resident loans      
Financing Receivable, Allowance for Credit Loss [Line Items]      
Financing receivable, gross $ 42,733 $ 33,083  
XML 99 R83.htm IDEA: XBRL DOCUMENT v3.24.0.1
Loans Receivable - Sunrise Senior Housing Portfolio Seller Financing and Other Seller Financing (Details)
$ in Thousands
1 Months Ended 12 Months Ended
Jan. 31, 2024
USD ($)
Jun. 30, 2023
Feb. 28, 2023
USD ($)
Dec. 31, 2022
USD ($)
Jul. 31, 2022
USD ($)
Feb. 28, 2022
USD ($)
Jun. 30, 2021
USD ($)
Jan. 31, 2021
USD ($)
property
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Dec. 31, 2021
USD ($)
Loans receivable                      
Net cash provided by (used in) financing activities                 $ (337,299) $ (116,532) $ (1,288,517)
Loans receivable       $ 374,832         218,450 374,832  
Sunrise Senior Housing Portfolio                      
Loans receivable                      
Capital expenditure funding, amount committed                 40,000    
Capital expenditure funding, amount funded                 11,000    
Senior Housing Operating Portfolio                      
Loans receivable                      
Proceeds from sale of buildings               $ 230,000      
Net cash provided by (used in) financing activities               150,000      
Senior Housing Operating Portfolio                      
Loans receivable                      
Net cash provided by (used in) financing activities               410,000      
Senior Housing Operating Portfolio | Sunrise Senior Housing Portfolio                      
Loans receivable                      
Capital expenditure funding, amount committed               $ 92,000      
Capital expenditure funding, cost of capital, percent committed               65.00%      
Senior Housing Operating Portfolio                      
Loans receivable                      
Number of assets sold | property               16      
Senior Housing Operating Portfolio | Sunrise Senior Housing Portfolio                      
Loans receivable                      
Number of assets sold | property               32      
Proceeds from sale of buildings               $ 664,000      
Proceeds from the collection of loans receivable       10,000 $ 27,000 $ 8,000 $ 246,000        
Loans receivable       120,000         131,000 120,000  
Senior Housing Operating Portfolio | Secured Overnight Financing Rate (SOFR) | Sunrise Senior Housing Portfolio                      
Loans receivable                      
Loans receivable, conversion of basis spread on variable rate   0.10%                  
Secured Mortgage Loans                      
Loans receivable                      
Proceeds from the collection of loans receivable     $ 102,000                
Loans receivable             $ 53,000        
Secured Mortgage Loans | Subsequent Event                      
Loans receivable                      
Loans receivable, floor rate percentage 12.00%                    
Loans receivable, extension fee $ 1,000                    
Secured Mortgage Loans | Senior Housing Operating Portfolio                      
Loans receivable                      
Loans receivable       $ 150,000         $ 48,000 $ 150,000  
Secured Mortgage Loans | Secured Overnight Financing Rate (SOFR)                      
Loans receivable                      
Variable rate     0.11%                
Secured Mortgage Loans | Secured Overnight Financing Rate (SOFR) | Subsequent Event                      
Loans receivable                      
Loans receivable, floor rate percentage 7.00%                    
Loans receivable, conversion of basis spread on variable rate 0.11%                    
Secured Mortgage Loans | Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate, First Six Months                      
Loans receivable                      
Variable rate     6.00%                
Secured Mortgage Loans | Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate, Last Six Months                      
Loans receivable                      
Variable rate     7.00%                
Loans receivable, extension fee     $ 1,000                
XML 100 R84.htm IDEA: XBRL DOCUMENT v3.24.0.1
Loans Receivable - 2023 Loans Receivable Transactions (Details)
$ in Millions
1 Months Ended
Oct. 31, 2023
USD ($)
May 31, 2023
USD ($)
loan
Apr. 30, 2023
USD ($)
loan
Feb. 28, 2023
USD ($)
loan
Dec. 31, 2022
loan
Nov. 30, 2022
loan
May 31, 2022
loan
Sep. 30, 2021
USD ($)
Jul. 31, 2021
USD ($)
May 31, 2021
loan
Secured Mortgage Loans                    
Loans Receivable:                    
Proceeds from the collection of loans receivable       $ 102            
Other | Secured Mortgage Loans                    
Loans Receivable:                    
Secured loan | loan   1 1 1 4 1 1     1
Proceeds from the collection of loans receivable $ 21 $ 21 $ 14 $ 35       $ 15 $ 8  
Other | Secured Mortgage Loans | Secured Overnight Financing Rate (SOFR)                    
Loans Receivable:                    
Loans receivable, conversion of basis spread on variable rate   0.10%     0.11%          
Other | Secured Mortgage Loans 1                    
Loans Receivable:                    
Secured loan | loan   2                
Proceeds from the collection of loans receivable   $ 12                
XML 101 R85.htm IDEA: XBRL DOCUMENT v3.24.0.1
Loans Receivable - 2022 Loans Receivable Transactions (Details) - Secured Mortgage Loans
$ in Millions
1 Months Ended
May 31, 2023
loan
Apr. 30, 2023
loan
Feb. 28, 2023
loan
Dec. 31, 2022
USD ($)
loan
Nov. 30, 2022
USD ($)
loan
May 31, 2022
USD ($)
loan
May 31, 2021
USD ($)
loan
Other              
Loans Receivable:              
Secured loan | loan 1 1 1 4 1 1 1
Principal repayments received         $ 1 $ 2 $ 10
Outstanding balance       $ 61      
Loans receivable, term       1 year      
Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate, First Six Months              
Loans Receivable:              
Variable rate     6.00%        
Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate, First Six Months | Other              
Loans Receivable:              
Variable rate       8.50%      
Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate, Last Six Months              
Loans Receivable:              
Variable rate     7.00%        
Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate, Last Six Months | Other              
Loans Receivable:              
Variable rate       10.50%      
XML 102 R86.htm IDEA: XBRL DOCUMENT v3.24.0.1
Loans Receivable - 2021 Loans Receivable Transactions (Details)
$ in Thousands
1 Months Ended 3 Months Ended 12 Months Ended
Oct. 31, 2023
USD ($)
May 31, 2023
USD ($)
loan
Apr. 30, 2023
USD ($)
loan
Feb. 28, 2023
USD ($)
loan
Dec. 31, 2022
USD ($)
loan
Nov. 30, 2022
USD ($)
loan
May 31, 2022
USD ($)
loan
Nov. 30, 2021
USD ($)
Sep. 30, 2021
USD ($)
loan
Jul. 31, 2021
USD ($)
May 31, 2021
USD ($)
loan
Apr. 30, 2021
loan
Mar. 31, 2022
USD ($)
Jun. 30, 2021
USD ($)
loan
Dec. 31, 2021
USD ($)
Dec. 31, 2023
USD ($)
Loans Receivable:                                
Loans receivable         $ 374,832                     $ 218,450
Reserve for loans receivable         $ 8,280                   $ 1,813 $ 2,830
Loss on sale of direct financing lease                         $ (23,000)      
Number of loans sold | loan                 1     2        
Proceeds from sale of receivables                 $ 2,000              
Secured Mortgage Loans                                
Loans Receivable:                                
Number of loans | loan                           2    
Total                           $ 64,000    
Decrease in financing receivable                           11,000    
Loans receivable                           53,000    
Reserve for loans receivable                           $ 8,000    
Loss on sale of direct financing lease                             $ 3,000  
Proceeds from sale of receivables               $ 51,000                
Proceeds from the collection of loans receivable       $ 102,000                        
Secured Mortgage Loans | Other                                
Loans Receivable:                                
Principal repayments received           $ 1,000 $ 2,000       $ 10,000          
Secured loan | loan   1 1 1 4 1 1       1          
Proceeds from the collection of loans receivable $ 21,000 $ 21,000 $ 14,000 $ 35,000         $ 15,000 $ 8,000            
XML 103 R87.htm IDEA: XBRL DOCUMENT v3.24.0.1
Loans Receivable - CCRC Resident Loans (Details) - USD ($)
$ in Thousands
Dec. 31, 2023
Dec. 31, 2022
Loans Receivable:    
Loans receivable $ 218,450 $ 374,832
Brookedale MTCA | CCRC JV Investment | Other non-reportable    
Loans Receivable:    
Loans receivable $ 43,000 $ 33,000
XML 104 R88.htm IDEA: XBRL DOCUMENT v3.24.0.1
Loans Receivable - Schedule of Loans Receivable by Origination Year (Details)
$ in Thousands
Dec. 31, 2023
USD ($)
Secured Mortgage Loans  
Loans receivable  
2023 $ 0
2022 0
2021 175,717
2020 0
2019 0
Prior 0
Total 175,717
CCRC resident loans  
Loans receivable  
2023 42,132
2022 601
2021 0
2020 0
2019 0
Prior 0
Total 42,733
Performing loans | Secured Mortgage Loans  
Loans receivable  
2023 0
2022 0
2021 175,717
2020 0
2019 0
Prior 0
Total 175,717
Performing loans | CCRC resident loans  
Loans receivable  
2023 42,132
2022 601
2021 0
2020 0
2019 0
Prior 0
Total 42,733
Watch list loans | Secured Mortgage Loans  
Loans receivable  
2023 0
2022 0
2021 0
2020 0
2019 0
Prior 0
Total 0
Watch list loans | CCRC resident loans  
Loans receivable  
2023 0
2022 0
2021 0
2020 0
2019 0
Prior 0
Total 0
Workout loans | Secured Mortgage Loans  
Loans receivable  
2023 0
2022 0
2021 0
2020 0
2019 0
Prior 0
Total 0
Workout loans | CCRC resident loans  
Loans receivable  
2023 0
2022 0
2021 0
2020 0
2019 0
Prior 0
Total 0
Current period gross write-offs | Secured Mortgage Loans  
Loans receivable  
2023 0
2022 0
2021 0
2020 0
2019 0
Prior 0
Total 0
Current period gross write-offs | CCRC resident loans  
Loans receivable  
2023 0
2022 0
2021 0
2020 0
2019 0
Prior 0
Total
Current period recoveries | Secured Mortgage Loans  
Loans receivable  
2023 0
2022 0
2021 0
2020 0
2019 0
Prior 0
Total 0
Current period recoveries | CCRC resident loans  
Loans receivable  
2023 0
2022 0
2021 0
2020 0
2019 0
Prior 0
Total
Current period net write-offs | Secured Mortgage Loans  
Loans receivable  
2023 0
2022 0
2021 0
2020 0
2019 0
Prior 0
Total 0
Current period net write-offs | CCRC resident loans  
Loans receivable  
2023 0
2022 0
2021 0
2020 0
2019 0
Prior 0
Total
XML 105 R89.htm IDEA: XBRL DOCUMENT v3.24.0.1
Loans Receivable - Loan Losses (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Financing Receivable, Allowance for Credit Loss [Roll Forward]    
Reserve for loan losses, beginning of period $ 8,280 $ 1,813
Provision for expected loan losses 2,088 6,534
Expected loan losses related to loans sold or repaid (7,538) (67)
Reserve for loan losses, end of period 2,830 8,280
Credit loss reserve on unfunded loan commitments 700 800
Secured Loans    
Financing Receivable, Allowance for Credit Loss [Roll Forward]    
Reserve for loan losses, beginning of period 8,280 1,804
Provision for expected loan losses 2,088 6,527
Expected loan losses related to loans sold or repaid (7,538) (51)
Reserve for loan losses, end of period 2,830 8,280
Other    
Financing Receivable, Allowance for Credit Loss [Roll Forward]    
Reserve for loan losses, beginning of period 0 9
Provision for expected loan losses 0 7
Expected loan losses related to loans sold or repaid 0 (16)
Reserve for loan losses, end of period $ 0 $ 0
XML 106 R90.htm IDEA: XBRL DOCUMENT v3.24.0.1
Investments in and Advances to Unconsolidated Joint Ventures - Schedule of Equity Method Investments (Details)
$ in Thousands
1 Months Ended
Apr. 30, 2023
USD ($)
property
Dec. 31, 2021
USD ($)
property
Dec. 31, 2023
USD ($)
property
joint_venture
Dec. 31, 2022
USD ($)
property
Schedule of Equity Method Investments [Line Items]        
Investments in and advances to unconsolidated joint ventures | $     $ 782,853 $ 706,677
Medical Office JVs        
Schedule of Equity Method Investments [Line Items]        
Property count 2      
Number of unconsolidated joint ventures | joint_venture     2  
HCP Ventures IV, LLC        
Schedule of Equity Method Investments [Line Items]        
Property count 1      
Investment ownership percentage 80.00%   20.00%  
Payments to acquire equity method investments | $ $ 4,000      
Suburban Properties, LLC        
Schedule of Equity Method Investments [Line Items]        
Investment ownership percentage     67.00%  
Lab        
Schedule of Equity Method Investments [Line Items]        
Property count     2  
Lab | South San Francisco JVs        
Schedule of Equity Method Investments [Line Items]        
Property count     7  
Investment ownership percentage     70.00%  
Equity method investments | $     $ 393,374 309,969
Number of unconsolidated joint ventures | joint_venture     7  
Lab | Lab JV        
Schedule of Equity Method Investments [Line Items]        
Property count     1  
Investment ownership percentage     49.00%  
Equity method investments | $     $ 31,761 26,601
Lab | Needham Land Parcel JV        
Schedule of Equity Method Investments [Line Items]        
Property count     0  
Investment ownership percentage   38.00% 38.00%  
Equity method investments | $     $ 17,084 15,391
Payments to acquire equity method investments | $   $ 13,000    
Other non-reportable | SWF SH JV        
Schedule of Equity Method Investments [Line Items]        
Property count     19  
Investment ownership percentage     54.00%  
Equity method investments | $     $ 332,693 $ 345,978
Outpatient medical        
Schedule of Equity Method Investments [Line Items]        
Property count   4   3
Outpatient medical | Medical Office JVs        
Schedule of Equity Method Investments [Line Items]        
Property count     2  
Equity method investments | $     $ 7,941 $ 8,738
Outpatient medical | Medical Office JVs | Minimum        
Schedule of Equity Method Investments [Line Items]        
Investment ownership percentage     20.00%  
Outpatient medical | Medical Office JVs | Maximum        
Schedule of Equity Method Investments [Line Items]        
Investment ownership percentage     67.00%  
XML 107 R91.htm IDEA: XBRL DOCUMENT v3.24.0.1
Investments in and Advances to Unconsolidated Joint Ventures - Narrative (Details)
$ in Millions
1 Months Ended 12 Months Ended
Aug. 01, 2022
USD ($)
property
Dec. 31, 2023
USD ($)
property
Dec. 31, 2022
USD ($)
Schedule of Equity Method Investments [Line Items]      
Difference between carrying amount and underlying equity   $ 49 $ 41
Gain (loss) on deconsolidation     $ 311
Lab      
Schedule of Equity Method Investments [Line Items]      
Property count | property   2  
Life Science Joint Venture In San Francisco, California | Lab      
Schedule of Equity Method Investments [Line Items]      
Investment ownership percentage 70.00%    
Property count | property 7    
Callan Ridge Joint Venture      
Schedule of Equity Method Investments [Line Items]      
Proceeds from nonrefundable deposit   $ 8  
Callan Ridge Joint Venture | Lab      
Schedule of Equity Method Investments [Line Items]      
Property count | property   2  
Life Science Joint Venture In San Francisco, California | Life Science Joint Venture In San Francisco, California | Lab      
Schedule of Equity Method Investments [Line Items]      
Investment ownership percentage 30.00%    
Cash proceeds $ 126    
Callan Ridge Joint Venture | Callan Ridge Joint Venture | Lab      
Schedule of Equity Method Investments [Line Items]      
Investment ownership percentage   65.00%  
Cash proceeds   $ 128  
Equity method investments   $ 110  
XML 108 R92.htm IDEA: XBRL DOCUMENT v3.24.0.1
Intangibles - Schedule of Intangibles Lease Assets (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Intangibles [Abstract]    
Gross intangible lease assets $ 739,228 $ 770,285
Accumulated depreciation and amortization (425,072) (352,224)
Intangible assets, net $ 314,156 $ 418,061
Weighted average remaining amortization period in years 5 years 5 years
Finite-Lived Intangible Assets [Line Items]    
Intangible assets, net $ 314,156 $ 418,061
Discontinued Operations, Held-for-sale or Disposed of by Sale    
Intangibles [Abstract]    
Intangible assets, net 2,000  
Finite-Lived Intangible Assets [Line Items]    
Intangible assets, net $ 2,000  
XML 109 R93.htm IDEA: XBRL DOCUMENT v3.24.0.1
Intangibles - Schedule of Intangible Lease Liabilities (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Intangibles [Abstract]    
Gross intangible lease liabilities $ 228,105 $ 237,464
Accumulated depreciation and amortization (100,725) (81,271)
Intangible liabilities, net $ 127,380 $ 156,193
Weighted average remaining amortization period in years 7 years 7 years
XML 110 R94.htm IDEA: XBRL DOCUMENT v3.24.0.1
Intangibles - Amortization of Deferred Leasing Costs and Acquisition Related Intangibles (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Intangibles [Abstract]      
Depreciation and amortization expense related to amortization of lease-up intangibles $ 102,249 $ 104,885 $ 106,106
Rental and related revenues related to amortization of net below market lease liabilities $ 27,012 $ 24,640 $ 20,597
XML 111 R95.htm IDEA: XBRL DOCUMENT v3.24.0.1
Intangibles - Narrative (Details) - USD ($)
3 Months Ended 12 Months Ended
Sep. 30, 2021
Jun. 30, 2021
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Finite-Lived Intangible Assets [Line Items]          
Weighted average remaining amortization period in years     5 years 5 years  
Weighted average remaining amortization period in years     7 years 7 years  
Goodwill     $ 18,000,000 $ 18,000,000  
Goodwill, impairment loss     0 0 $ 0
Other Property          
Finite-Lived Intangible Assets [Line Items]          
Finite-lived intangible assets acquired     $ 500,000 7,000,000  
Intangible liabilities acquired       $ 6,000,000  
Weighted average remaining amortization period in years     5 years 7 years  
Weighted average remaining amortization period in years       11 years  
Held-for-sale          
Finite-Lived Intangible Assets [Line Items]          
Goodwill         0
Goodwill, impairment loss $ 22,000,000 $ 7,000,000     $ 29,000,000
XML 112 R96.htm IDEA: XBRL DOCUMENT v3.24.0.1
Intangibles - Estimated Aggregate Amortization of Intangible Assets and Liabilities (Details) - USD ($)
$ in Thousands
Dec. 31, 2023
Dec. 31, 2022
Estimated aggregate amortization of Intangible Assets    
Intangible assets, net $ 314,156 $ 418,061
Rental and Related Revenues    
Estimated aggregate amortization of Intangible Assets    
2024 22,577  
2025 21,560  
2026 19,071  
2027 15,064  
2028 11,945  
Thereafter 29,909  
Intangible assets, net 120,126  
Depreciation and Amortization    
Estimated aggregate amortization of Intangible Assets    
2024 95,208  
2025 83,629  
2026 51,580  
2027 25,981  
2028 16,216  
Thereafter 34,288  
Intangible assets, net $ 306,902  
XML 113 R97.htm IDEA: XBRL DOCUMENT v3.24.0.1
Debt - Bank Line of Credit and Term Loan (Details)
1 Months Ended 12 Months Ended
Aug. 22, 2022
USD ($)
loan
May 23, 2019
USD ($)
renewal_option
Jan. 31, 2024
USD ($)
Sep. 30, 2021
USD ($)
renewal_option
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Oct. 31, 2022
USD ($)
Aug. 31, 2022
derivative_held
Debt Instrument [Line Items]                
Bank line of credit and commercial paper         $ 720,000,000 $ 995,606,000    
Long-term debt         6,876,299,000      
Senior unsecured notes         $ 5,403,378,000 4,659,451,000    
Interest rate swap instruments | Designated as Hedging Instrument                
Debt Instrument [Line Items]                
Number of interest-rate contracts held | derivative_held               2
Term Loan Agreement                
Debt Instrument [Line Items]                
Number of loans | loan 2              
Debt instrument, covenant secured debt to assets (as a percent)         40.00%      
Debt instrument, covenant unsecured debt to unencumbered assets (as a percent)         60.00%      
Debt instrument, covenant minimum fixed charge coverage ratio         1.5      
Debt instrument, covenant net worth, minimum         $ 7,700,000,000      
Term Loan Agreement | Interest rate swap instruments                
Debt Instrument [Line Items]                
Fixed interest rate         3.76%      
2024 Term Loan | Subsequent Event                
Debt Instrument [Line Items]                
Debt instrument, term (in months)     5 years          
Senior unsecured notes     $ 750,000,000          
Interest rate (as a percent)     4.50%          
Bank Line of Credit                
Debt Instrument [Line Items]                
Long-term debt         $ 0      
Revolving Credit Facility | Bank Line of Credit                
Debt Instrument [Line Items]                
Line of credit facility, maximum borrowing capacity   $ 2,500,000,000   $ 3,000,000,000        
Number of extensions (in renewal options) | renewal_option   2   2        
Length of debt instrument extension period   6 months   6 months        
Debt instrument, interest rate, reduction available for sustainability metrics         0.00025      
Line of credit facility additional aggregate amount, maximum       $ 750,000,000        
Bank line of credit and commercial paper         $ 0 0    
Revolving Credit Facility | Bank Line of Credit | Secured Overnight Financing Rate (SOFR)                
Debt Instrument [Line Items]                
Loan, basis spread on variable rate         0.85%      
Debt instrument, facility fee (as a percent)         0.15%      
Term Loan Facilities | Term Loan Agreement                
Debt Instrument [Line Items]                
Debt instrument, covenant debt to assets (as a percent)         60.00%      
Term Loan Facilities | Bank Line of Credit | Term Loan Agreement                
Debt Instrument [Line Items]                
Length of debt instrument extension period 1 year              
Debt instrument, interest rate, reduction available for sustainability metrics 0.0001              
Face amount $ 500,000,000           $ 500,000,000  
Debt instrument, period after closing 180 days              
Debt instrument, term (in months) 4 years 6 months              
Long-term debt         $ 500,000,000 $ 500,000,000    
Margin rate (as a percent)         0.94%      
Line of credit facility, loan feature, higher borrowing capacity option $ 500,000,000              
Term Loan Facilities One | Bank Line of Credit | Term Loan Agreement                
Debt Instrument [Line Items]                
Line of credit facility, maximum borrowing capacity 250,000,000              
Term Loan Facilities Two | Bank Line of Credit | Term Loan Agreement                
Debt Instrument [Line Items]                
Line of credit facility, maximum borrowing capacity $ 250,000,000              
Debt instrument, term (in months) 5 years              
XML 114 R98.htm IDEA: XBRL DOCUMENT v3.24.0.1
Debt - Commercial Paper Program (Details) - Commercial Paper Program - USD ($)
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Debt Instrument [Line Items]    
Maximum borrowing capacity $ 2,000,000,000 $ 2,000,000,000
Short-term debt $ 720,000,000 $ 996,000,000
Term of facility 37 days 2 months
Weighted-average interest rate (as a percent) 5.70% 4.90%
XML 115 R99.htm IDEA: XBRL DOCUMENT v3.24.0.1
Debt - Senior Unsecured Notes (Details)
$ in Thousands
12 Months Ended
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Dec. 31, 2021
USD ($)
bond
May 10, 2023
USD ($)
Jan. 17, 2023
USD ($)
Nov. 24, 2021
USD ($)
Jul. 12, 2021
USD ($)
May 19, 2021
USD ($)
Feb. 26, 2021
USD ($)
Jan. 28, 2021
USD ($)
Debt Instrument [Line Items]                    
Long-term debt, gross $ 6,925,122                  
Number of bond offerings | bond     2              
Loss on extinguishment of debt 0 $ 0 $ 225,824              
Senior Unsecured Notes                    
Debt Instrument [Line Items]                    
Long-term debt, gross $ 5,450,000 $ 4,700,000                
Senior Unsecured Notes | Senior Unsecured Notes 5.25%                    
Debt Instrument [Line Items]                    
Face amount       $ 350,000 $ 400,000          
Interest rate (as a percent)       5.25% 5.25%          
Senior Unsecured Notes | Senior Unsecured Notes 2.13%                    
Debt Instrument [Line Items]                    
Face amount           $ 500,000        
Interest rate (as a percent)           2.13%        
Senior Unsecured Notes | Senior Unsecured Notes 1.35%                    
Debt Instrument [Line Items]                    
Face amount             $ 450,000      
Interest rate (as a percent)             1.35%      
Senior Unsecured Notes | Senior Unsecured Notes 3.40%                    
Debt Instrument [Line Items]                    
Face amount               $ 251,806    
Interest rate (as a percent)               3.40%    
Senior Unsecured Notes | Senior Unsecured Notes 4.00%                    
Debt Instrument [Line Items]                    
Face amount               $ 298,194    
Interest rate (as a percent)               4.00%    
Senior Unsecured Notes | Senior Unsecured Notes 4.25%                    
Debt Instrument [Line Items]                    
Face amount                 $ 188,000  
Interest rate (as a percent)                 4.25%  
Senior Unsecured Notes | Senior Unsecured Notes 4.20%                    
Debt Instrument [Line Items]                    
Face amount                 $ 149,000  
Interest rate (as a percent)                 4.20%  
Senior Unsecured Notes | Senior Unsecured Notes 3.88%                    
Debt Instrument [Line Items]                    
Face amount                 $ 331,000  
Interest rate (as a percent)                 3.88%  
Senior Unsecured Notes | Senior Unsecured Notes 4.25%                    
Debt Instrument [Line Items]                    
Face amount                   $ 112,000
Interest rate (as a percent)                   4.25%
Senior Unsecured Notes | Senior Unsecured Notes 4.20%                    
Debt Instrument [Line Items]                    
Face amount                   $ 201,000
Interest rate (as a percent)                   4.20%
Senior Unsecured Notes | Senior Unsecured Notes 3.88%                    
Debt Instrument [Line Items]                    
Face amount                   $ 469,000
Interest rate (as a percent)                   3.88%
Senior Unsecured Notes | Senior Notes During Year Ended December 31, 2021                    
Debt Instrument [Line Items]                    
Loss on extinguishment of debt     $ 225,000              
XML 116 R100.htm IDEA: XBRL DOCUMENT v3.24.0.1
Debt - Mortgage Debt (Details)
$ in Thousands
1 Months Ended 12 Months Ended
Dec. 31, 2023
USD ($)
facility
property
Dec. 31, 2023
USD ($)
facility
Dec. 31, 2022
USD ($)
facility
property
Dec. 31, 2021
USD ($)
property
Feb. 28, 2023
derivative_held
Aug. 31, 2022
derivative_held
Apr. 30, 2022
derivative_held
Apr. 30, 2021
USD ($)
Debt Instrument [Line Items]                
Principal balance on debt $ 6,925,122 $ 6,925,122            
Interest rate swap instruments | Designated as Hedging Instrument                
Debt Instrument [Line Items]                
Number of interest-rate contracts held | derivative_held           2    
Interest rate swap instruments | Cash Flow Hedging | Designated as Hedging Instrument                
Debt Instrument [Line Items]                
Number of interest-rate contracts held | derivative_held         2   2  
Outpatient Medical                
Debt Instrument [Line Items]                
Property count | property     3 4        
Outpatient Medical | Mortgage Debt                
Debt Instrument [Line Items]                
Property count | facility 13 13            
Face amount $ 142,000 $ 142,000           $ 142,000
CCRC | Mortgage Debt                
Debt Instrument [Line Items]                
Face amount $ 85,000 85,000            
Number of loans | property 1              
Mortgage Debt                
Debt Instrument [Line Items]                
Principal balance on debt $ 255,122 255,122 $ 345,000          
Debt instrument, collateral, healthcare facilities carrying value $ 587,000 587,000 793,000          
Debt instrument, periodic payment, principal   $ 90,000 $ 5,000 $ 9,000        
Mortgage Debt | Outpatient Medical                
Debt Instrument [Line Items]                
Property count | facility 15 15 15          
Mortgage Debt | CCRC                
Debt Instrument [Line Items]                
Property count | facility 2 2 3          
Debt instrument, periodic payment, principal   $ 90,000            
XML 117 R101.htm IDEA: XBRL DOCUMENT v3.24.0.1
Debt - Schedule of Debt Maturities (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Debt Instrument [Line Items]    
2024 $ 7,024  
2025 803,209  
2026 1,614,523  
2027 950,366  
2028 500,000  
Thereafter 3,050,000  
Long-term debt, gross 6,925,122  
Premiums, (discounts), and debt issuance costs, net (48,823)  
Long-term debt 6,876,299  
Bank Line of Credit    
Debt Instrument [Line Items]    
2024 0  
2025 0  
2026 0  
2027 0  
2028 0  
Thereafter 0  
Long-term debt, gross 0  
Premiums, (discounts), and debt issuance costs, net 0  
Long-term debt 0  
Commercial Paper    
Debt Instrument [Line Items]    
2024 0  
2025 0  
2026 720,000  
2027 0  
2028 0  
Thereafter 0  
Long-term debt, gross 720,000  
Premiums, (discounts), and debt issuance costs, net 0  
Long-term debt 720,000  
Term Loans    
Debt Instrument [Line Items]    
2024 0  
2025 0  
2026 0  
2027 500,000  
2028 0  
Thereafter 0  
Long-term debt, gross 500,000  
Premiums, (discounts), and debt issuance costs, net (3,176)  
Long-term debt 496,824  
Senior Unsecured Notes    
Debt Instrument [Line Items]    
2024 0  
2025 800,000  
2026 650,000  
2027 450,000  
2028 500,000  
Thereafter 3,050,000  
Long-term debt, gross 5,450,000 $ 4,700,000
Premiums, (discounts), and debt issuance costs, net (46,622)  
Long-term debt $ 5,403,378  
Weighted-average interest rate (as a percent) 3.66%  
Weighted-average maturity 6 years  
Senior Unsecured Notes | 2024    
Debt Instrument [Line Items]    
Interest rate (as a percent) 0.00%  
Senior Unsecured Notes | 2025    
Debt Instrument [Line Items]    
Interest rate (as a percent) 3.92%  
Senior Unsecured Notes | 2026    
Debt Instrument [Line Items]    
Interest rate (as a percent) 3.40%  
Senior Unsecured Notes | 2027    
Debt Instrument [Line Items]    
Interest rate (as a percent) 1.54%  
Senior Unsecured Notes | 2028    
Debt Instrument [Line Items]    
Interest rate (as a percent) 2.35%  
Senior Unsecured Notes | Thereafter    
Debt Instrument [Line Items]    
Interest rate (as a percent) 4.18%  
Senior Unsecured Notes | Minimum    
Debt Instrument [Line Items]    
Interest rate (as a percent) 1.54%  
Senior Unsecured Notes | Maximum    
Debt Instrument [Line Items]    
Interest rate (as a percent) 6.87%  
Mortgage Debt    
Debt Instrument [Line Items]    
2024 $ 7,024  
2025 3,209  
2026 244,523  
2027 366  
2028 0  
Thereafter 0  
Long-term debt, gross 255,122 $ 345,000
Premiums, (discounts), and debt issuance costs, net 975  
Long-term debt $ 256,097  
Weighted-average interest rate (as a percent) 4.50%  
Weighted-average maturity 3 years  
Mortgage Debt | 2024    
Debt Instrument [Line Items]    
Interest rate (as a percent) 6.90%  
Mortgage Debt | 2025    
Debt Instrument [Line Items]    
Interest rate (as a percent) 3.82%  
Mortgage Debt | 2026    
Debt Instrument [Line Items]    
Interest rate (as a percent) 4.44%  
Mortgage Debt | 2027    
Debt Instrument [Line Items]    
Interest rate (as a percent) 5.91%  
Mortgage Debt | 2028    
Debt Instrument [Line Items]    
Interest rate (as a percent) 0.00%  
Mortgage Debt | Thereafter    
Debt Instrument [Line Items]    
Interest rate (as a percent) 0.00%  
Mortgage Debt | Minimum    
Debt Instrument [Line Items]    
Interest rate (as a percent) 3.44%  
Mortgage Debt | Maximum    
Debt Instrument [Line Items]    
Interest rate (as a percent) 9.26%  
XML 118 R102.htm IDEA: XBRL DOCUMENT v3.24.0.1
Commitments and Contingencies - Legal Proceedings (Details)
Dec. 31, 2023
lawsuit
Other Commitments [Line Items]  
Number of lawsuits 3
Physicians Realty Trust  
Other Commitments [Line Items]  
Number of lawsuits 4
Physicians Realty Trust  
Other Commitments [Line Items]  
Number of lawsuits 1
XML 119 R103.htm IDEA: XBRL DOCUMENT v3.24.0.1
Commitments and Contingencies - DownREIT LLCs (Details)
Dec. 31, 2023
property
Lab JV | Lab  
Loss Contingencies [Line Items]  
Investment ownership percentage 49.00%
Indemnification Agreement  
Loss Contingencies [Line Items]  
Number of properties may be contributed in the agreement 29
XML 120 R104.htm IDEA: XBRL DOCUMENT v3.24.0.1
Commitments and Contingencies - Schedule of Contractual Obligation (Details)
$ in Thousands
Dec. 31, 2023
USD ($)
Other Commitments [Line Items]  
Commitments $ 179,651
Development and redevelopment commitments  
Other Commitments [Line Items]  
Commitments 151,996
Lease and other contractual commitments  
Other Commitments [Line Items]  
Commitments $ 27,655
XML 121 R105.htm IDEA: XBRL DOCUMENT v3.24.0.1
Equity and Redeemable Noncontrolling Interests - Dividends (Details) - $ / shares
12 Months Ended
Jan. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Subsequent Event [Line Items]        
Dividends declared per common share (in dollars per share)   $ 1.20 $ 1.20 $ 1.20
Subsequent Event        
Subsequent Event [Line Items]        
Dividends declared per common share (in dollars per share) $ 0.30      
XML 122 R106.htm IDEA: XBRL DOCUMENT v3.24.0.1
Equity and Redeemable Noncontrolling Interests - ATM Program (Details) - USD ($)
1 Months Ended 12 Months Ended
Dec. 31, 2022
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Subsidiary or Equity Method Investee [Line Items]        
Issuance of common stock, net   $ 1,438,000 $ 309,417,000 $ 1,745,000
At-The-Market Program        
Subsidiary or Equity Method Investee [Line Items]        
Aggregate amount authorized   $ 1,500,000,000    
Maximum shares issuable under forward equity sales agreement (in shares) 9,100,000      
Forward rate per share (in dollars per share) $ 34.01      
Issuance of common stock, net $ 308,000,000      
At-The-Market Program | Minimum        
Subsidiary or Equity Method Investee [Line Items]        
Option indexed to issuers equity, term   1 year    
At-The-Market Program | Maximum        
Subsidiary or Equity Method Investee [Line Items]        
Option indexed to issuers equity, term   2 years    
2023 At-The-Market Program        
Subsidiary or Equity Method Investee [Line Items]        
Aggregate amount remaining   $ 1,500,000,000    
Maximum shares issuable under forward equity sales agreement (in shares)       9,100,000
2020 ATM Program        
Subsidiary or Equity Method Investee [Line Items]        
Forward rate per share (in dollars per share)       $ 35.25
ATM Direct Issuances | Common Stock        
Subsidiary or Equity Method Investee [Line Items]        
Issuance of common stock, net (in shares)   0 0 0
XML 123 R107.htm IDEA: XBRL DOCUMENT v3.24.0.1
Equity and Redeemable Noncontrolling Interests - Share Repurchase Program (Details) - USD ($)
$ / shares in Units, shares in Millions
1 Months Ended
Aug. 31, 2022
Dec. 31, 2023
Aug. 01, 2022
Equity [Abstract]      
Stock repurchase program, authorized amount     $ 500,000,000
Common stock repurchased (in shares) 2.1    
Average cost per share (in dollars per share) $ 27.16    
Stock repurchase program, total value $ 56,000,000    
Stock repurchase program, remaining authorized repurchase amount   $ 444,000,000  
XML 124 R108.htm IDEA: XBRL DOCUMENT v3.24.0.1
Equity and Redeemable Noncontrolling Interests - Schedule of Other Common Stock Activities (Details) - Common Stock - shares
shares in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Class of Stock [Line Items]      
Dividend Reinvestment and Stock Purchase Plan (in shares) 70 59 81
Conversion of DownREIT units (in shares) 72 27 8
Exercise of stock options (in shares) 0 0 97
Vesting of restricted stock units (in shares) 613 820 924
Repurchase of common stock (in shares) 241 2,418 418
XML 125 R109.htm IDEA: XBRL DOCUMENT v3.24.0.1
Equity and Redeemable Noncontrolling Interests - Schedule of Accumulated Other Comprehensive Income (Loss) (Details)
$ in Thousands
12 Months Ended
Dec. 31, 2023
USD ($)
plan_participant
Dec. 31, 2022
USD ($)
Equity [Abstract]    
Unrealized gains (losses) on derivatives, net $ 21,245 $ 30,145
Supplemental Executive Retirement Plan minimum liability (1,874) (2,011)
Total accumulated other comprehensive income (loss) $ 19,371 $ 28,134
Number of plan participants | plan_participant 1  
XML 126 R110.htm IDEA: XBRL DOCUMENT v3.24.0.1
Equity and Redeemable Noncontrolling Interests - Healthpeak OP (Details)
unit in Millions
12 Months Ended
Feb. 10, 2023
shares
Dec. 31, 2023
interest
unit
Noncontrolling Interest [Line Items]    
Number of redeemable noncontrolling interest redemptions   3
Number of redeemable noncontrolling interests, redeemable over time   1
Healthpeak OP    
Noncontrolling Interest [Line Items]    
Noncontrolling interest, ownership percentage by parent 100.00%  
Healthpeak OP | Total Noncontrolling Interests    
Noncontrolling Interest [Line Items]    
Issuance of OP units (in units) | unit   2
Common stock, unit redemption share amount | shares 1  
XML 127 R111.htm IDEA: XBRL DOCUMENT v3.24.0.1
Equity and Redeemable Noncontrolling Interests - DownREITs (Details)
$ in Thousands, shares in Millions
Dec. 31, 2023
USD ($)
entity
shares
Dec. 31, 2022
USD ($)
shares
Noncontrolling Interest [Line Items]    
Non-managing member unitholders $ 214,598 $ 200,176
Total Noncontrolling Interests    
Noncontrolling Interest [Line Items]    
DownREIT units outstanding (in shares) | shares 5 5
Common stock issuable (in shares) | shares 7  
Number of DownREIT LLCs (in entities) | entity 7  
Non-managing member unitholders $ 199,000 $ 200,000
DownREIT unit, fair value $ 143,000 $ 183,000
XML 128 R112.htm IDEA: XBRL DOCUMENT v3.24.0.1
Earnings Per Common Share - Computation of EPS (Details) - USD ($)
$ / shares in Units, $ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Numerator      
Income (loss) from continuing operations $ 334,757 $ 513,540 $ 137,728
Noncontrolling interests’ share in continuing operations (28,748) (15,975) (17,851)
Income (loss) from continuing operations attributable to Healthpeak Properties, Inc. 306,009 497,565 119,877
Less: Participating securities’ share in continuing operations (1,725) (2,657) (3,269)
Income (loss) from continuing operations applicable to common shares 304,284 494,908 116,608
Income (loss) from discontinued operations 0 2,884 388,202
Noncontrolling interests’ share in discontinued operations 0 0 (2,539)
Net income (loss) applicable to common shares 304,284 497,792 502,271
Net income (loss) applicable to common shares $ 304,284 $ 497,792 $ 502,271
Denominator      
Basic weighted average shares outstanding (in shares) 547,006,000 538,809,000 538,930,000
Dilutive potential common shares - equity awards (in shares) 269,000 338,000 310,000
Dilutive potential common shares - forward equity agreements (in shares) 0 0 1,000
Diluted (in shares) 547,275,000 539,147,000 539,241,000
Basic earnings (loss) per common share:      
Continuing operations (in dollars per share) $ 0.56 $ 0.92 $ 0.22
Discontinued operations (in dollars per share) 0 0.00 0.71
Net income (loss) applicable to common shares (in dollars per share) 0.56 0.92 0.93
Diluted earnings (loss) per common share      
Continuing operations (in dollars per share) 0.56 0.92 0.22
Discontinued operations (in dollars per share) 0 0.00 0.71
Net income (loss) applicable to common shares (in dollars per share) $ 0.56 $ 0.92 $ 0.93
Outstanding equity awards (in shares) 1,000,000 1,000,000 1,000,000
Antidilutive securities excluded from computation of earnings per share (in shares) 0    
Forward sales agreements that have not been settled (in shares)   9,100,000  
Forward sales agreements that have been settled (in shares)     9,100,000
XML 129 R113.htm IDEA: XBRL DOCUMENT v3.24.0.1
Earnings Per Common Share - Additional Information (Details) - shares
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]      
Antidilutive securities excluded from computation of earnings per share (in shares) 0    
Down REIT      
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]      
Antidilutive securities excluded from computation of earnings per share (in shares) 7,000,000 7,000,000 7,000,000
XML 130 R114.htm IDEA: XBRL DOCUMENT v3.24.0.1
Compensation Plans - Stock Based Compensation (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Apr. 23, 2023
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Total share-based compensation expense recognized $ 19 $ 32 $ 23  
Accelerated cost   10    
Share-based payment arrangement, amount capitalized 4 $ 4 $ 3  
Nonvested award, cost not yet recognized, amount $ 20      
Total unrecognized compensation cost, period of recognition 1 year 6 months      
2006 Incentive Plan        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Maximum number of shares available for future awards (in shares)       0
2014 Incentive Plan        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Maximum number of shares available for future awards (in shares)       0
2023 Incentive Plan        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Maximum number of shares available for future awards (in shares) 31,000,000      
Maximum number of shares reserved for awards (in shares) 31,000,000      
Maximum number of shares available for future awards to be issued as restricted stock and performance restricted stock unit (in shares) 21,000,000      
XML 131 R115.htm IDEA: XBRL DOCUMENT v3.24.0.1
Compensation Plans - Restricted Stock Awards (Details)
shares in Thousands, unit in Millions, $ in Millions
12 Months Ended
Dec. 31, 2023
USD ($)
unit
shares
Dec. 31, 2022
USD ($)
shares
Dec. 31, 2021
USD ($)
shares
Healthpeak OP | Total Noncontrolling Interests      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Issuance of OP units (in units) | unit 2    
Restricted Stock Units      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Shares withheld to offset tax withholding obligations (in shares) | shares 241 356 418
Market Based Restricted Stock Units      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Stock-based awards, vesting period 3 years    
Expected term 3 years 3 years 3 years
Volatility rate 33.00% 38.90% 39.10%
Expected dividend yield 4.40% 3.50% 4.00%
Risk free interest rate 4.40% 1.80% 0.20%
Postvesting restrictions 10.00% 5.80% 12.90%
Total grant date fair value $ 9 $ 27 $ 23
Total fair values (at vesting) of restricted stock and restricted stock units vested 16 27 29
Time Based Restricted Stock Units      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Total grant date fair value 9 27 23
Total fair values (at vesting) of restricted stock and restricted stock units vested $ 16 $ 27 $ 29
LTIP Units      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Stock-based awards, vesting period 3 years    
Percentage of performance metrics during performance period 10.00%    
Total grant date fair value $ 29    
Total fair values (at vesting) of restricted stock and restricted stock units vested $ 2    
Minimum | Restricted Stock Units      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Stock-based awards, vesting period 3 years    
Minimum | Market Based Restricted Stock Units      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Percentage of performance metrics during performance period 0.00%    
Minimum | LTIP Units      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Stock-based awards, vesting period 3 years    
Percentage of performance metrics during performance period 0.00%    
Maximum | Restricted Stock Units      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Stock-based awards, vesting period 5 years    
Maximum | Market Based Restricted Stock Units      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Percentage of performance metrics during performance period 200.00%    
Maximum | LTIP Units      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Stock-based awards, vesting period 6 years    
Percentage of performance metrics during performance period 200.00%    
XML 132 R116.htm IDEA: XBRL DOCUMENT v3.24.0.1
Compensation Plans - Stock Options (Details) - USD ($)
shares in Millions
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Total share-based compensation expense recognized $ 19,000,000 $ 32,000,000 $ 23,000,000
Common Stock Options      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Number of stock options shares outstanding (in shares) 0.2 0.3  
Proceeds received from options exercised $ 0 $ 0 3,000,000
Total share-based compensation expense recognized $ 0 $ 0 $ 0
XML 133 R117.htm IDEA: XBRL DOCUMENT v3.24.0.1
Compensation Plans - Schedule of Restricted Stock Unit and LTIP Unit activity (Details)
shares in Thousands
12 Months Ended
Dec. 31, 2023
$ / shares
shares
Restricted Stock Units  
Unvested restricted stock and performance restricted stock units activity  
Unvested at the beginning of the period (in shares) | shares 1,709
Granted (in shares) | shares 393
Vested (in shares) | shares (613)
Forfeited (in shares) | shares (610)
Unvested at the end of the period (in shares) | shares 879
Weighted Average Grant Date Fair Value  
Unvested at the beginning of the period, Weighted Average Grant Date Fair Value (in dollars per share) | $ / shares $ 33.66
Granted, Weighted Average Grant Date Fair Value (in dollars per share) | $ / shares 28.12
Vested, Weighted Average Grant Date Fair Value (in dollars per share) | $ / shares 37.97
Forfeited, Weighted Average Grant Date Fair Value (in dollars per share) | $ / shares 31.16
Unvested at the end of the period, Weighted Average Grant Date Fair Value (in dollars per share) | $ / shares $ 29.91
LTIP Units  
Unvested restricted stock and performance restricted stock units activity  
Unvested at the beginning of the period (in shares) | shares 0
Granted (in shares) | shares 1,970
Vested (in shares) | shares (76)
Forfeited (in shares) | shares 0
Unvested at the end of the period (in shares) | shares 1,894
Weighted Average Grant Date Fair Value  
Unvested at the beginning of the period, Weighted Average Grant Date Fair Value (in dollars per share) | $ / shares $ 0
Granted, Weighted Average Grant Date Fair Value (in dollars per share) | $ / shares 14.66
Vested, Weighted Average Grant Date Fair Value (in dollars per share) | $ / shares 24.56
Forfeited, Weighted Average Grant Date Fair Value (in dollars per share) | $ / shares 0
Unvested at the end of the period, Weighted Average Grant Date Fair Value (in dollars per share) | $ / shares $ 14.26
XML 134 R118.htm IDEA: XBRL DOCUMENT v3.24.0.1
Compensation Plans - Departure of Executives (Details) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2022
Dec. 31, 2023
Dec. 31, 2022
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Severance costs $ 10    
Accounts Payable and Accrued Liabilities      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Severance costs   $ 8 $ 15
General and Administrative Expense      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Severance costs $ 33    
XML 135 R119.htm IDEA: XBRL DOCUMENT v3.24.0.1
Segment Disclosures - Narrative (Details)
$ in Millions
Dec. 31, 2023
USD ($)
property
Dec. 31, 2022
USD ($)
Segment Reporting Information [Line Items]    
Number of facilities owned by unconsolidated joint venture | property 19  
Goodwill $ 18 $ 18
Outpatient Medical | Operating segment    
Segment Reporting Information [Line Items]    
Goodwill 14 14
CCRC | Operating segment    
Segment Reporting Information [Line Items]    
Goodwill 2 2
Other Non-Reporting Segment | Operating segment    
Segment Reporting Information [Line Items]    
Goodwill $ 2 $ 2
XML 136 R120.htm IDEA: XBRL DOCUMENT v3.24.0.1
Segment Disclosures - Summary Information for the Reportable Segments (Details) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Mar. 31, 2023
Sep. 30, 2022
Jun. 30, 2022
Mar. 31, 2022
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Segment Reporting Information, Revenue for Reportable Segment [Abstract]              
Total revenues         $ 2,181,003 $ 2,061,178 $ 1,896,184
Government grant income         184 6,765 1,412
Less: Interest income         (21,781) (23,300) (37,773)
Healthpeak’s share of unconsolidated joint venture total revenues         95,383 86,805 83,377
Healthpeak’s share of unconsolidated joint venture government grant income         229 878 1,749
Noncontrolling interests’ share of consolidated joint venture total revenues         (35,692) (35,985) (35,655)
Operating expenses         (902,060) (862,991) (773,279)
Healthpeak’s share of unconsolidated joint venture operating expenses         (66,092) (61,693) (61,515)
Noncontrolling interests’ share of consolidated joint venture operating expenses         10,077 10,404 10,158
Adjustments to NOI         (56,264) (75,798) (54,513)
Adjusted NOI         1,204,987 1,106,263 1,030,145
Plus: Adjustments to NOI         56,264 75,798 54,513
Interest income         21,781 23,300 37,773
Interest expense         (200,331) (172,944) (157,980)
Depreciation and amortization         (749,901) (710,569) (684,286)
General and administrative         (95,132) (131,033) (98,303)
Transaction and merger-related costs         (17,515) (4,853) (1,841)
Impairments and loan loss reserves, net         5,601 (7,004) (23,160)
Gain (loss) on sales of real estate, net         86,463 9,078 190,590
Gain (loss) on debt extinguishments         0 0 (225,824)
Other income (expense), net         6,808 326,268 6,266
Less: Government grant income         (184) (6,765) (1,412)
Less: Healthpeak’s share of unconsolidated joint venture NOI         (29,520) (25,990) (23,611)
Plus: Noncontrolling interests’ share of consolidated joint venture NOI         25,615 25,581 25,497
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures         314,936 507,130 128,367
Income tax benefit (expense)         9,617 4,425 3,261
Equity income (loss) from unconsolidated joint ventures         10,204 1,985 6,100
Income (loss) from continuing operations         334,757 513,540 137,728
Income (loss) from discontinued operations         0 2,884 388,202
Net income (loss)         334,757 516,424 525,930
Corporate Non-segment              
Segment Reporting Information, Revenue for Reportable Segment [Abstract]              
Total revenues         0 0 0
Government grant income         0 0 0
Less: Interest income         0 0 0
Healthpeak’s share of unconsolidated joint venture total revenues         0 0 0
Healthpeak’s share of unconsolidated joint venture government grant income         0 0 0
Noncontrolling interests’ share of consolidated joint venture total revenues         0 0 0
Operating expenses         4,174 0 0
Healthpeak’s share of unconsolidated joint venture operating expenses         0 0 0
Noncontrolling interests’ share of consolidated joint venture operating expenses         0 0 0
Adjustments to NOI         (4,174) 0 0
Adjusted NOI         0 0 0
Plus: Adjustments to NOI         4,174 0 0
Interest income         0 0 0
Interest expense         (185,551) (158,535) (147,210)
Depreciation and amortization         0 0 0
General and administrative         (95,132) (131,033) (98,303)
Transaction and merger-related costs         (14,181) (2,486) 0
Impairments and loan loss reserves, net         0 0 0
Gain (loss) on sales of real estate, net         0 0 0
Gain (loss) on debt extinguishments             (225,824)
Other income (expense), net         3,957 3,013 6,309
Less: Government grant income         0 0 0
Less: Healthpeak’s share of unconsolidated joint venture NOI         0 0 0
Plus: Noncontrolling interests’ share of consolidated joint venture NOI         0 0 0
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures         (286,733) (289,041) (465,028)
Income tax benefit (expense)         9,617 4,425 3,261
Equity income (loss) from unconsolidated joint ventures         0 0 0
Income (loss) from continuing operations         (277,116) (284,616) (461,767)
Income (loss) from discontinued operations         0 2,884 388,202
Net income (loss)         (277,116) (281,732) (73,565)
Lab              
Segment Reporting Information, Revenue for Reportable Segment [Abstract]              
Gain (loss) on sales of real estate, net $ 60,000     $ 4,000      
Lab | Operating Segment              
Segment Reporting Information, Revenue for Reportable Segment [Abstract]              
Total revenues         878,326 817,573 715,844
Government grant income         0 0 0
Less: Interest income         0 0 0
Healthpeak’s share of unconsolidated joint venture total revenues         9,924 9,921 5,757
Healthpeak’s share of unconsolidated joint venture government grant income         0 0 0
Noncontrolling interests’ share of consolidated joint venture total revenues         (619) (268) (292)
Operating expenses         (229,630) (209,143) (169,044)
Healthpeak’s share of unconsolidated joint venture operating expenses         (4,092) (2,883) (1,836)
Noncontrolling interests’ share of consolidated joint venture operating expenses         156 87 87
Adjustments to NOI         (36,524) (62,754) (46,589)
Adjusted NOI         617,541 552,533 503,927
Plus: Adjustments to NOI         36,524 62,754 46,589
Interest income         0 0 0
Interest expense         0 0 (232)
Depreciation and amortization         (328,349) (302,649) (303,196)
General and administrative         0 0 0
Transaction and merger-related costs         (333) (387) (24)
Impairments and loan loss reserves, net         0 0 0
Gain (loss) on sales of real estate, net         60,498 3,744 0
Gain (loss) on debt extinguishments             0
Other income (expense), net         7 311,939 55
Less: Government grant income         0 0 0
Less: Healthpeak’s share of unconsolidated joint venture NOI         (5,832) (7,038) (3,921)
Plus: Noncontrolling interests’ share of consolidated joint venture NOI         463 181 205
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures         380,519 621,077 243,403
Income tax benefit (expense)         0 0 0
Equity income (loss) from unconsolidated joint ventures         4,540 (972) 1,118
Income (loss) from continuing operations         385,059 620,105 244,521
Income (loss) from discontinued operations         0 0 0
Net income (loss)         385,059 620,105 244,521
Outpatient Medical              
Segment Reporting Information, Revenue for Reportable Segment [Abstract]              
Gain (loss) on sales of real estate, net $ 21,000 $ 1,000 $ 10,000        
Outpatient Medical | Operating Segment              
Segment Reporting Information, Revenue for Reportable Segment [Abstract]              
Total revenues         753,479 725,370 671,242
Government grant income         0 0 0
Less: Interest income         0 0 0
Healthpeak’s share of unconsolidated joint venture total revenues         3,033 2,999 2,882
Healthpeak’s share of unconsolidated joint venture government grant income         0 0 0
Noncontrolling interests’ share of consolidated joint venture total revenues         (35,073) (35,717) (35,363)
Operating expenses         (263,132) (253,309) (223,383)
Healthpeak’s share of unconsolidated joint venture operating expenses         (1,189) (1,178) (1,174)
Noncontrolling interests’ share of consolidated joint venture operating expenses         9,921 10,317 10,071
Adjustments to NOI         (14,314) (15,513) (11,118)
Adjusted NOI         452,725 432,969 413,157
Plus: Adjustments to NOI         14,314 15,513 11,118
Interest income         0 0 0
Interest expense         (7,770) (6,900) (2,837)
Depreciation and amortization         (289,683) (279,546) (255,746)
General and administrative         0 0 0
Transaction and merger-related costs         (1,120) (1,255) (323)
Impairments and loan loss reserves, net         0 0 (21,577)
Gain (loss) on sales of real estate, net         21,312 10,659 190,590
Gain (loss) on debt extinguishments             0
Other income (expense), net         2,697 12,709 (2,725)
Less: Government grant income         0 0 0
Less: Healthpeak’s share of unconsolidated joint venture NOI         (1,844) (1,821) (1,708)
Plus: Noncontrolling interests’ share of consolidated joint venture NOI         25,152 25,400 25,292
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures         215,783 207,728 355,241
Income tax benefit (expense)         0 0 0
Equity income (loss) from unconsolidated joint ventures         835 852 794
Income (loss) from continuing operations         216,618 208,580 356,035
Income (loss) from discontinued operations         0 0 0
Net income (loss)         216,618 208,580 356,035
CCRC | Operating Segment              
Segment Reporting Information, Revenue for Reportable Segment [Abstract]              
Total revenues         527,417 494,935 471,325
Government grant income         184 6,765 1,412
Less: Interest income         0 0 0
Healthpeak’s share of unconsolidated joint venture total revenues         0 0 6,903
Healthpeak’s share of unconsolidated joint venture government grant income         0 380 200
Noncontrolling interests’ share of consolidated joint venture total revenues         0 0 0
Operating expenses         (413,472) (400,539) (380,865)
Healthpeak’s share of unconsolidated joint venture operating expenses         0 0 (6,639)
Noncontrolling interests’ share of consolidated joint venture operating expenses         0 0 0
Adjustments to NOI         (1,618) 2,300 3,241
Adjusted NOI         112,511 103,841 95,577
Plus: Adjustments to NOI         1,618 (2,300) (3,241)
Interest income         0 0 0
Interest expense         (7,010) (7,509) (7,701)
Depreciation and amortization         (131,869) (128,374) (125,344)
General and administrative         0 0 0
Transaction and merger-related costs         (1,881) (725) (1,445)
Impairments and loan loss reserves, net         0 0 0
Gain (loss) on sales of real estate, net         0 0 0
Gain (loss) on debt extinguishments             0
Other income (expense), net         228 (1,380) 2,141
Less: Government grant income         (184) (6,765) (1,412)
Less: Healthpeak’s share of unconsolidated joint venture NOI         0 (380) (464)
Plus: Noncontrolling interests’ share of consolidated joint venture NOI         0 0 0
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures         (26,587) (43,592) (41,889)
Income tax benefit (expense)         0 0 0
Equity income (loss) from unconsolidated joint ventures         0 539 1,484
Income (loss) from continuing operations         (26,587) (43,053) (40,405)
Income (loss) from discontinued operations         0 0 0
Net income (loss)         (26,587) (43,053) (40,405)
Other Non-Reporting Segment | Operating Segment              
Segment Reporting Information, Revenue for Reportable Segment [Abstract]              
Total revenues         21,781 23,300 37,773
Government grant income         0 0 0
Less: Interest income         (21,781) (23,300) (37,773)
Healthpeak’s share of unconsolidated joint venture total revenues         82,426 73,885 67,835
Healthpeak’s share of unconsolidated joint venture government grant income         229 498 1,549
Noncontrolling interests’ share of consolidated joint venture total revenues         0 0 0
Operating expenses         0 0 13
Healthpeak’s share of unconsolidated joint venture operating expenses         (60,811) (57,632) (51,866)
Noncontrolling interests’ share of consolidated joint venture operating expenses         0 0 0
Adjustments to NOI         366 169 (47)
Adjusted NOI         22,210 16,920 17,484
Plus: Adjustments to NOI         (366) (169) 47
Interest income         21,781 23,300 37,773
Interest expense         0 0 0
Depreciation and amortization         0 0 0
General and administrative         0 0 0
Transaction and merger-related costs         0 0 (49)
Impairments and loan loss reserves, net         5,601 (7,004) (1,583)
Gain (loss) on sales of real estate, net         4,653 (5,325) 0
Gain (loss) on debt extinguishments             0
Other income (expense), net         (81) (13) 486
Less: Government grant income         0 0 0
Less: Healthpeak’s share of unconsolidated joint venture NOI         (21,844) (16,751) (17,518)
Plus: Noncontrolling interests’ share of consolidated joint venture NOI         0 0 0
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures         31,954 10,958 36,640
Income tax benefit (expense)         0 0 0
Equity income (loss) from unconsolidated joint ventures         4,829 1,566 2,704
Income (loss) from continuing operations         36,783 12,524 39,344
Income (loss) from discontinued operations         0 0 0
Net income (loss)         $ 36,783 $ 12,524 $ 39,344
XML 137 R121.htm IDEA: XBRL DOCUMENT v3.24.0.1
Segment Disclosures - Revenues and Assets by Segment (Details) - USD ($)
$ in Thousands
Dec. 31, 2023
Dec. 31, 2022
Segment Disclosure    
Total assets $ 15,698,850 $ 15,771,229
Assets held for sale, net 117,986 49,866
Operating segment    
Segment Disclosure    
Gross assets 18,059,469 17,588,155
Accumulated depreciation and amortization (4,017,023) (3,540,362)
Total assets 14,042,446 14,047,793
Operating segment | Lab    
Segment Disclosure    
Gross assets 9,313,395 9,019,271
Operating segment | Outpatient Medical    
Segment Disclosure    
Gross assets 6,376,191 6,291,986
Operating segment | CCRC    
Segment Disclosure    
Gross assets 2,369,883 2,276,898
Operating segment | Other Non-reportable    
Segment Disclosure    
Total assets 553,031 744,550
Other non-segment    
Segment Disclosure    
Total assets $ 985,387 $ 929,020
XML 138 R122.htm IDEA: XBRL DOCUMENT v3.24.0.1
Income Taxes - Schedule of Common Stock Distribution (Details) - $ / shares
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Dividends Payable [Line Items]      
Dividends (in dollars per share) $ 1.200000 $ 1.200000 $ 1.200000
Qualified business income for purpose of Code Section 199A (in dollars per share) 0.882312 0.872948 0.137064
Qualified dividend income for purposes of Code Section 1(h)(11) (in dollars per share) 0.027380   0.015272
Unrecaptured Section 1250 gain (in dollars per share) $ 0.036256 $ 0.017760 $ 0.379960
Section 1231, capital distribution percentage 0.00% 89.6708% 0.00%
Section 897, capital distribution percentage 100.00% 10.3292% 100.00%
Ordinary dividends      
Dividends Payable [Line Items]      
Dividends (in dollars per share) $ 0.909692 $ 0.872948 $ 0.152336
Capital gains      
Dividends Payable [Line Items]      
Dividends (in dollars per share) 0.116992 0.183208 0.379960
Nondividend distributions      
Dividends Payable [Line Items]      
Dividends (in dollars per share) $ 0.173316 $ 0.143844 $ 0.667704
XML 139 R123.htm IDEA: XBRL DOCUMENT v3.24.0.1
Income Taxes - Narrative (Details) - USD ($)
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Operating Loss Carryforwards [Line Items]        
Income (loss) from continuing operations before income taxes $ 325,000,000 $ 509,000,000 $ 134,000,000  
Income (loss) before income taxes 314,936,000 507,130,000 128,367,000  
Income tax benefit (expense) 0 300,000 1,000,000  
Income tax benefit (9,617,000) (4,425,000) (3,261,000)  
Deferred income tax expense (benefit) (14,605,000) (6,001,000) (5,792,000)  
Net operating loss carryforward 54,136,000 62,280,000 71,744,000  
Unrecognized tax benefits 0 0 469,000 $ 469,000
Down REIT        
Operating Loss Carryforwards [Line Items]        
Income (loss) from continuing operations before income taxes 318,000,000 527,000,000 150,000,000  
TRS        
Operating Loss Carryforwards [Line Items]        
Income (loss) before income taxes 7,000,000 (18,000,000) (16,000,000)  
Income tax benefit 14,000,000      
Deferred income tax expense (benefit) 13,000,000 $ 26,000,000 $ 36,000,000  
Net operating loss carryforward 216,000,000      
Net operating loss carryforwards subject to expiration 15,000,000      
Net operating loss carryforwards not subject to expiration $ 201,000,000      
XML 140 R124.htm IDEA: XBRL DOCUMENT v3.24.0.1
Income Taxes - Schedule of Income Tax (Expense) Benefit (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Current      
Federal $ (1,663) $ (632) $ (126)
State (3,325) (689) (1,003)
Total current (4,988) (1,321) (1,129)
Deferred      
Federal 11,682 3,157 3,469
State 2,923 2,589 921
Total deferred 14,605 5,746 4,390
Total income tax benefit (expense) from continuing operations $ 9,617 $ 4,425 $ 3,261
XML 141 R125.htm IDEA: XBRL DOCUMENT v3.24.0.1
Income Taxes - Schedule of Income Tax Expense (Benefit) Reconciliation (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Income Tax Disclosure [Abstract]      
Tax benefit (expense) at U.S. federal statutory income tax rate on income or loss subject to tax $ (1,404) $ 3,698 $ 3,345
State income tax benefit (expense), net of federal tax (1,035) 911 706
Gross receipts and margin taxes (1,647) (956) (989)
Return to provision adjustments (90) 1,260 (4)
Change in valuation allowance for deferred tax assets 13,797 194 203
Change in tax status of TRS (4) (682) 0
Total income tax benefit (expense) from continuing operations $ 9,617 $ 4,425 $ 3,261
XML 142 R126.htm IDEA: XBRL DOCUMENT v3.24.0.1
Income Taxes - Schedule of Deferred Tax Assets and Liabilities (Details) - USD ($)
$ in Thousands
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Deferred tax assets:      
Deferred revenue $ 103,530 $ 102,504 $ 104,397
Net operating loss carryforward 54,136 62,280 71,744
Expense accruals 12,324 12,399 14,229
Real estate 850 150 129
Other 58 689 0
Total deferred tax assets 170,898 178,022 190,499
Valuation allowance (13,004) (26,098) (35,772)
Deferred tax assets, net of valuation allowance 157,894 151,924 154,727
Deferred tax liabilities:      
Real estate 43,488 52,266 61,097
Other 818 674 648
Deferred tax liabilities 44,306 52,940 61,745
Net deferred tax assets $ 113,588 $ 98,984 $ 92,982
XML 143 R127.htm IDEA: XBRL DOCUMENT v3.24.0.1
Income Taxes - Unrecognized Tax Benefits (Details) - USD ($)
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Reconciliation of Unrecognized Tax Benefits, Excluding Amounts Pertaining to Examined Tax Returns [Roll Forward]      
Total unrecognized tax benefits at January 1 $ 0 $ 469,000 $ 469,000
Gross amount of decreases for prior years’ tax positions 0 (469,000) 0
Total unrecognized tax benefits at December 31 $ 0 $ 0 $ 469,000
XML 144 R128.htm IDEA: XBRL DOCUMENT v3.24.0.1
Supplemental Cash Flow Information - Summary of Supplemental (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Supplemental cash flow information:      
Interest paid, net of capitalized interest $ 188,213 $ 162,115 $ 173,044
Income taxes paid (refunded) 1,923 (1,903) 4,521
Capitalized interest 56,849 41,046 24,084
Cash paid for amounts included in the measurement of lease liability for operating leases 21,488 12,594 10,620
Supplemental schedule of non-cash investing and financing activities:      
Increase in ROU asset in exchange for new lease liability related to operating leases 3,951 9,454 28,866
Decrease in ROU asset with corresponding change in lease liability related to operating leases 0 0 8,410
Accrued construction costs 105,572 178,626 179,995
Net noncash impact from the consolidation of property previously held in an unconsolidated joint venture 993 0 0
Retained investment in connection with South San Francisco JVs transaction 0 293,265 0
Seller financing provided on disposition of real estate asset 0 0 559,745
Carrying value of mortgages assumed by buyer in real estate dispositions $ 0 $ 0 $ 143,676
XML 145 R129.htm IDEA: XBRL DOCUMENT v3.24.0.1
Supplemental Cash Flow Information - Summary of cash flow information discontinued operations (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Schedule of Equity Method Investments [Line Items]      
Leasing costs, tenant improvements, and recurring capital expenditures $ 113,596 $ 108,510 $ 111,480
Development, redevelopment, and other major improvements of real estate 731,206 861,636 610,555
Depreciation and amortization of real estate, in-place lease, and other intangibles 749,901 710,569 684,286
Discontinued Operations      
Schedule of Equity Method Investments [Line Items]      
Leasing costs, tenant improvements, and recurring capital expenditures 0 21 2,636
Development, redevelopment, and other major improvements of real estate 0 18 5,780
Depreciation and amortization of real estate, in-place lease, and other intangibles $ 0 $ 0 $ 0
XML 146 R130.htm IDEA: XBRL DOCUMENT v3.24.0.1
Supplemental Cash Flow Information - Summary of cash equivalents and restricted cash (Details) - USD ($)
$ in Thousands
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Continuing operations        
Cash and cash equivalents $ 117,635 $ 72,032 $ 158,287 $ 44,226
Restricted cash 51,388 54,802 53,454 67,206
Cash, cash equivalents, and restricted cash 169,023 126,834 211,741 111,432
Discontinued operations        
Cash and cash equivalents 0 0 7,707 53,085
Restricted cash 0 0 0 17,168
Cash, cash equivalents, and restricted cash 0 0 7,707 70,253
Cash and cash equivalents 117,635 72,032 165,994 97,311
Restricted cash 51,388 54,802 53,454 84,374
Cash, cash equivalents, and restricted cash $ 169,023 $ 126,834 $ 219,448 $ 181,685
XML 147 R131.htm IDEA: XBRL DOCUMENT v3.24.0.1
Variable Interest Entities - Narrative (Details)
$ in Millions
1 Months Ended 12 Months Ended
Dec. 31, 2021
USD ($)
Dec. 31, 2023
joint_venture
hospital
Dec. 31, 2022
USD ($)
joint_venture
Lab | Needham Land Parcel JV      
Variable Interest Entity [Line Items]      
Investment ownership percentage 38.00% 38.00%  
Payments to acquire equity method investment | $ $ 13    
Variable Interest Entity, Not Primary Beneficiary      
Variable Interest Entity [Line Items]      
Number of unconsolidated joint ventures   2 2
Number of VIE borrowers with marketable debt securities   1 1
Variable Interest Entity, Not Primary Beneficiary | Commercial Mortgage-Backed Securities      
Variable Interest Entity [Line Items]      
Number of hospitals | hospital   3  
Debt securities | $     $ 22
Ventures V, LLC      
Variable Interest Entity [Line Items]      
Ownership percentage   51.00%  
Lab JV      
Variable Interest Entity [Line Items]      
Ownership percentage   98.00%  
MSREI MOB JV      
Variable Interest Entity [Line Items]      
Ownership percentage   51.00%  
DownREIT Partnerships      
Variable Interest Entity [Line Items]      
Controlling interest entity controlling ownership interest   7  
XML 148 R132.htm IDEA: XBRL DOCUMENT v3.24.0.1
Variable Interest Entities - Schedule of Variable Interest Entities (Details)
$ in Thousands
Dec. 31, 2023
USD ($)
LLC Investment  
Variable Interest Entity [Line Items]  
Maximum loss exposure and carrying amount $ 14,985
Needham Land Parcel JV  
Variable Interest Entity [Line Items]  
Maximum loss exposure and carrying amount $ 17,084
XML 149 R133.htm IDEA: XBRL DOCUMENT v3.24.0.1
Variable Interest Entities - Balance Sheet Disclosures (Details) - USD ($)
$ in Thousands
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
ASSETS        
Buildings and improvements $ 13,329,464 $ 12,784,078    
Development costs and construction in progress 643,217 760,355    
Accumulated depreciation and amortization (3,591,951) (3,188,138)    
Net real estate 13,028,363 13,023,483    
Accounts receivable, net 55,820 53,436    
Cash and cash equivalents 117,635 72,032 $ 158,287 $ 44,226
Intangible assets, net 314,156 418,061    
Right-of-use asset, net 240,155 237,318    
Other assets, net 772,044 780,722    
Total assets 15,698,850 15,771,229    
LIABILITIES AND EQUITY        
Mortgage debt 256,097 346,599    
Intangible liabilities, net 127,380 156,193    
Lease liability 206,743 208,515    
Accounts payable, accrued liabilities, and other liabilities 657,196 772,485    
Deferred revenue 905,633 844,076    
Total liabilities 8,773,980 8,482,952    
Variable Interest Entity        
ASSETS        
Buildings and improvements 2,392,375 2,356,905    
Development costs and construction in progress 47,481 58,499    
Land and improvements 307,166 324,714    
Accumulated depreciation and amortization (665,791) (623,244)    
Net real estate 2,081,231 2,116,874    
Accounts receivable, net 5,906 6,893    
Cash and cash equivalents 18,410 20,586    
Restricted cash 613 354    
Intangible assets, net 56,975 73,860    
Assets held for sale, net 0 30,355    
Right-of-use asset, net 97,575 99,376    
Other assets, net 79,248 73,690    
Total assets 2,339,958 2,421,988    
LIABILITIES AND EQUITY        
Mortgage debt 144,874 144,604    
Intangible liabilities, net 11,884 15,066    
Liabilities related to assets held for sale, net 0 401    
Lease liability 99,725 99,039    
Accounts payable, accrued liabilities, and other liabilities 54,975 68,979    
Deferred revenue 48,316 39,661    
Total liabilities 359,774 367,750    
Discontinued Operations | Variable Interest Entity        
ASSETS        
Buildings and improvements 0 39,934    
Land and improvements 0 1,926    
Accumulated depreciation and amortization 0 (15,612)    
Net real estate 0 26,248    
Intangible assets, net 0 215    
Other assets, net 0 3,892    
Total assets 0 30,355    
LIABILITIES AND EQUITY        
Deferred revenue 0 401    
Total liabilities $ 0 $ 401    
XML 150 R134.htm IDEA: XBRL DOCUMENT v3.24.0.1
Concentration of Credit Risk - Schedule of Geographical Concentration of Credit Risk (Details)
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Percentage of Total Company Revenues | Customer Concentration Risk | Lab | Largest Tenant      
Concentration Risk [Line Items]      
Concentration risk (as a percent) 2.00%    
Percentage of Total Company Revenues | Customer Concentration Risk | Outpatient Medical | Largest Tenant      
Concentration Risk [Line Items]      
Concentration risk (as a percent) 8.00%    
California | Percentage of Total Company Assets | Geographic Concentration Risk | Continuing Operations      
Concentration Risk [Line Items]      
Concentration risk (as a percent) 38.00% 37.00%  
California | Percentage of Total Company Revenues | Geographic Concentration Risk | Continuing Operations      
Concentration Risk [Line Items]      
Concentration risk (as a percent) 31.00% 31.00% 28.00%
Florida | Percentage of Total Company Assets | Geographic Concentration Risk | Continuing Operations      
Concentration Risk [Line Items]      
Concentration risk (as a percent) 10.00% 10.00%  
Florida | Percentage of Total Company Revenues | Geographic Concentration Risk | Continuing Operations      
Concentration Risk [Line Items]      
Concentration risk (as a percent) 18.00% 18.00% 17.00%
Texas | Percentage of Total Company Assets | Geographic Concentration Risk | Continuing Operations      
Concentration Risk [Line Items]      
Concentration risk (as a percent) 10.00% 10.00%  
Texas | Percentage of Total Company Revenues | Geographic Concentration Risk | Continuing Operations      
Concentration Risk [Line Items]      
Concentration risk (as a percent) 11.00% 11.00% 11.00%
Massachusetts | Percentage of Total Company Assets | Geographic Concentration Risk | Continuing Operations      
Concentration Risk [Line Items]      
Concentration risk (as a percent) 17.00% 17.00%  
Massachusetts | Percentage of Total Company Revenues | Geographic Concentration Risk | Continuing Operations      
Concentration Risk [Line Items]      
Concentration risk (as a percent) 11.00% 10.00% 9.00%
XML 151 R135.htm IDEA: XBRL DOCUMENT v3.24.0.1
Fair Value Measurements (Details) - USD ($)
$ in Thousands
Dec. 31, 2023
Dec. 31, 2022
Summary of financial instruments    
Bank line of credit and commercial paper $ 720,000 $ 995,606
Senior unsecured notes 5,403,378 4,659,451
Mortgage debt 256,097 346,599
Carrying Value    
Summary of financial instruments    
Loans receivable, net 218,450 374,832
Marketable debt securities 0 21,702
Bank line of credit and commercial paper 720,000 995,606
Term loan 496,824 495,957
Senior unsecured notes 5,403,378 4,659,451
Mortgage debt 256,097 346,599
Carrying Value | Interest rate swap instruments    
Summary of financial instruments    
Interest rate instruments 21,359 30,259
Fair Value | Level 1    
Summary of financial instruments    
Senior unsecured notes 5,144,667 4,238,124
Fair Value | Level 2    
Summary of financial instruments    
Loans receivable, net 218,450 369,425
Marketable debt securities 0 21,702
Bank line of credit and commercial paper 720,000 995,606
Term loan 496,824 495,957
Mortgage debt 244,135 330,867
Fair Value | Level 2 | Interest rate swap instruments    
Summary of financial instruments    
Interest rate instruments $ 21,359 $ 30,259
XML 152 R136.htm IDEA: XBRL DOCUMENT v3.24.0.1
Derivative Financial Instruments - Narrative (Details)
$ in Millions
12 Months Ended
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Jan. 31, 2024
USD ($)
Feb. 28, 2023
derivative_held
Aug. 31, 2022
USD ($)
derivative_held
Apr. 30, 2022
derivative_held
Apr. 30, 2021
USD ($)
derivative_held
Derivative [Line Items]              
Asset at fair value, changes in fair value resulting from changes in assumptions $ 18            
Subsequent Event | 2024 Term Loan              
Derivative [Line Items]              
Interest rate (as a percent)     4.50%        
Interest rate cap instruments | Not Designated as Hedging Instrument              
Derivative [Line Items]              
Number of interest-rate contracts held | derivative_held             2
Derivative amount             $ 142
Increase in the fair value of the interest rate cap agreements   $ 2          
Interest rate swap instruments | Designated as Hedging Instrument              
Derivative [Line Items]              
Number of interest-rate contracts held | derivative_held         2    
Derivative amount         $ 500    
Interest rate swap instruments | Designated as Hedging Instrument | Subsequent Event              
Derivative [Line Items]              
Derivative amount     $ 750        
Interest rate swap instruments | Designated as Hedging Instrument | Cash Flow Hedging              
Derivative [Line Items]              
Number of interest-rate contracts held | derivative_held       2   2  
XML 153 R137.htm IDEA: XBRL DOCUMENT v3.24.0.1
Derivative Financial Instruments - Financial Instruments (Details) - Designated as Hedging Instrument - Cash Flow Hedging - USD ($)
$ in Thousands
Dec. 31, 2023
Dec. 31, 2022
Interest Rate Swap, 4.99% Pay Rate    
Derivative Instruments and Hedging Activities Disclosures [Line Items]    
Notional Amount $ 51,100  
Pay Rate 4.99%  
Receive Rate 2.50%  
Fair value $ 1,602 $ 2,300
Interest Rate Swap, 4.54% Pay Rate    
Derivative Instruments and Hedging Activities Disclosures [Line Items]    
Notional Amount $ 91,000  
Pay Rate 4.54%  
Receive Rate 2.05%  
Fair value $ 2,851 4,096
Interest Rate Swap, 2.60% Pay Rate    
Derivative Instruments and Hedging Activities Disclosures [Line Items]    
Notional Amount $ 250,000  
Pay Rate 2.60%  
Fair value $ 7,933 11,299
Interest Rate Swap, 2.54% Pay Rate    
Derivative Instruments and Hedging Activities Disclosures [Line Items]    
Notional Amount $ 250,000  
Pay Rate 2.54%  
Fair value $ 8,973 12,564
Interest Rate Swap, 5.08% Pay Rate    
Derivative Instruments and Hedging Activities Disclosures [Line Items]    
Notional Amount   $ 51,000
Pay Rate   5.08%
Receive Rate   2.50%
Interest Rate Swap, 4.63% Pay Rate    
Derivative Instruments and Hedging Activities Disclosures [Line Items]    
Notional Amount   $ 91,000
Pay Rate   4.63%
Receive Rate   2.05%
XML 154 R138.htm IDEA: XBRL DOCUMENT v3.24.0.1
Accounts Payable, Accrued Liabilities, and Other Liabilities (Details) - USD ($)
$ in Thousands
Dec. 31, 2023
Dec. 31, 2022
Payables and Accruals [Abstract]    
Refundable entrance fees $ 251,874 $ 268,972
Accrued construction costs 105,572 178,626
Accrued interest 59,492 59,291
Other accounts payable and accrued liabilities 240,258 265,596
Accounts payable, accrued liabilities, and other liabilities $ 657,196 $ 772,485
XML 155 R139.htm IDEA: XBRL DOCUMENT v3.24.0.1
Deferred Revenue - Schedule of Deferred Revenue (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Revenues [Abstract]      
Nonrefundable entrance fees $ 562,026 $ 518,573  
Other deferred revenue 343,607 325,503  
Deferred revenue 905,633 844,076  
Proceeds from nonrefundable entrance fees 127,000 101,000  
Amortization of nonrefundable entrance fee 83,000 79,000 $ 76,000
Amortization of other deferred charges $ 68,000 $ 44,000 $ 39,000
XML 156 R140.htm IDEA: XBRL DOCUMENT v3.24.0.1
Schedule II: Valuation and Qualifying Accounts (Details) - Allowance Accounts - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Continuing Operations      
Movement in Valuation Allowances and Reserves      
Balance at Beginning of Year $ 2,399 $ 1,870  
Additions      
Amounts Charged Against Operations, net 0 529 $ 0
Acquired Properties 0 0 0
Deductions (117) 0 (2,124)
Balance at End of Year 2,282 2,399 1,870
Discontinued Operations      
Movement in Valuation Allowances and Reserves      
Balance at Beginning of Year 0 4,138  
Additions      
Amounts Charged Against Operations, net 0 0 46
Acquired Properties 0 0 0
Deductions 0 (4,138) (1,781)
Balance at End of Year $ 0 $ 0 4,138
ASU 2016-02 | Continuing Operations      
Movement in Valuation Allowances and Reserves      
Balance at Beginning of Year     3,994
ASU 2016-02 | Discontinued Operations      
Movement in Valuation Allowances and Reserves      
Balance at Beginning of Year     $ 5,873
XML 157 R141.htm IDEA: XBRL DOCUMENT v3.24.0.1
Schedule III: Real Estate and Accumulated Depreciation - Details of Real Estate and Accumulated Depreciation (Details) - USD ($)
$ in Thousands
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Held-for-sale        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end $ 0      
Initial Cost to Company        
Land and improvements 9,125      
Building and Improvements 10,213      
Costs Capitalized Subsequent to Acquisition 103,849      
Gross Amount at Which Carried As of Year End        
Land and improvements 9,154      
Buildings and Improvements 114,033      
Total 123,187      
Accumulated Depreciation (5,365)      
Discontinued Operations        
Gross Amount at Which Carried As of Year End        
Total 0 $ 0 $ 0 $ 2,930,566
Accumulated Depreciation 0 $ 0 $ 0 $ (615,708)
Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 256,097      
Initial Cost to Company        
Land and improvements 2,618,324      
Building and Improvements 8,722,627      
Costs Capitalized Subsequent to Acquisition 5,279,363      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,647,633      
Buildings and Improvements 13,972,681      
Total 16,620,314      
Accumulated Depreciation (3,591,951)      
Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,936,228      
Building and Improvements 3,238,815      
Costs Capitalized Subsequent to Acquisition 3,654,501      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,939,357      
Buildings and Improvements 6,890,187      
Total 8,829,544      
Accumulated Depreciation (1,444,864)      
Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 146,426      
Initial Cost to Company        
Land and improvements 529,287      
Building and Improvements 3,887,576      
Costs Capitalized Subsequent to Acquisition 1,467,286      
Gross Amount at Which Carried As of Year End        
Land and improvements 546,448      
Buildings and Improvements 5,337,701      
Total 5,884,149      
Accumulated Depreciation (1,796,189)      
Continuing care retirement community | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 109,671      
Initial Cost to Company        
Land and improvements 161,934      
Building and Improvements 1,606,449      
Costs Capitalized Subsequent to Acquisition 261,425      
Gross Amount at Which Carried As of Year End        
Land and improvements 170,982      
Buildings and Improvements 1,858,826      
Total 2,029,808      
Accumulated Depreciation (356,263)      
1483 Brisbane, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 8,498      
Building and Improvements 500      
Costs Capitalized Subsequent to Acquisition 82,955      
Gross Amount at Which Carried As of Year End        
Land and improvements 8,498      
Buildings and Improvements 83,455      
Total 91,953      
Accumulated Depreciation (6,065)      
1484 Brisbane, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 11,331      
Building and Improvements 689      
Costs Capitalized Subsequent to Acquisition 159,209      
Gross Amount at Which Carried As of Year End        
Land and improvements 11,331      
Buildings and Improvements 159,898      
Total 171,229      
Accumulated Depreciation (10,321)      
1485 Brisbane, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 11,331      
Building and Improvements 600      
Costs Capitalized Subsequent to Acquisition 151,954      
Gross Amount at Which Carried As of Year End        
Land and improvements 11,331      
Buildings and Improvements 152,554      
Total 163,885      
Accumulated Depreciation (11,224)      
1486 Brisbane, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 11,331      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 135,416      
Gross Amount at Which Carried As of Year End        
Land and improvements 11,331      
Buildings and Improvements 135,416      
Total 146,747      
Accumulated Depreciation (22,767)      
1487 Brisbane, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 8,498      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 76,398      
Gross Amount at Which Carried As of Year End        
Land and improvements 8,498      
Buildings and Improvements 76,398      
Total 84,896      
Accumulated Depreciation (7,089)      
2874 Brisbane, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 26,895      
Building and Improvements 62,318      
Costs Capitalized Subsequent to Acquisition 75,811      
Gross Amount at Which Carried As of Year End        
Land and improvements 26,295      
Buildings and Improvements 138,729      
Total 165,024      
Accumulated Depreciation (13,636)      
2875 Brisbane, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 24,092      
Building and Improvements 56,623      
Costs Capitalized Subsequent to Acquisition 7,302      
Gross Amount at Which Carried As of Year End        
Land and improvements 24,092      
Buildings and Improvements 63,925      
Total 88,017      
Accumulated Depreciation (10,162)      
3139 Brisbane, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 35,805      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 5,505      
Gross Amount at Which Carried As of Year End        
Land and improvements 35,805      
Buildings and Improvements 5,505      
Total 41,310      
Accumulated Depreciation 0      
3140 Brisbane, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 35,805      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 2,668      
Gross Amount at Which Carried As of Year End        
Land and improvements 35,805      
Buildings and Improvements 2,668      
Total 38,473      
Accumulated Depreciation 0      
3142 Brisbane, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 3,724      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 3,724      
Total 3,724      
Accumulated Depreciation 0      
1401 Hayward, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 900      
Building and Improvements 7,100      
Costs Capitalized Subsequent to Acquisition 12,450      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,338      
Buildings and Improvements 19,112      
Total 20,450      
Accumulated Depreciation (5,630)      
1402 Hayward, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,500      
Building and Improvements 6,400      
Costs Capitalized Subsequent to Acquisition 6,837      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,500      
Buildings and Improvements 13,237      
Total 14,737      
Accumulated Depreciation (2,971)      
1403 Hayward, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,900      
Building and Improvements 7,100      
Costs Capitalized Subsequent to Acquisition 7,873      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,900      
Buildings and Improvements 14,973      
Total 16,873      
Accumulated Depreciation (5,801)      
1404 Hayward, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,200      
Building and Improvements 17,200      
Costs Capitalized Subsequent to Acquisition 8,948      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,200      
Buildings and Improvements 26,148      
Total 28,348      
Accumulated Depreciation (10,059)      
1405 Hayward, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,000      
Building and Improvements 3,200      
Costs Capitalized Subsequent to Acquisition 646      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,000      
Buildings and Improvements 3,846      
Total 4,846      
Accumulated Depreciation (1,625)      
1549 Hayward, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,006      
Building and Improvements 4,259      
Costs Capitalized Subsequent to Acquisition 4,208      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,006      
Buildings and Improvements 8,467      
Total 9,473      
Accumulated Depreciation (4,388)      
1550 Hayward, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 677      
Building and Improvements 2,761      
Costs Capitalized Subsequent to Acquisition 876      
Gross Amount at Which Carried As of Year End        
Land and improvements 677      
Buildings and Improvements 3,637      
Total 4,314      
Accumulated Depreciation (2,027)      
1551 Hayward, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 661      
Building and Improvements 1,995      
Costs Capitalized Subsequent to Acquisition 2,899      
Gross Amount at Which Carried As of Year End        
Land and improvements 661      
Buildings and Improvements 4,894      
Total 5,555      
Accumulated Depreciation (1,675)      
1552 Hayward, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,187      
Building and Improvements 7,139      
Costs Capitalized Subsequent to Acquisition 1,435      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,187      
Buildings and Improvements 8,574      
Total 9,761      
Accumulated Depreciation (5,601)      
1553 Hayward, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,189      
Building and Improvements 9,465      
Costs Capitalized Subsequent to Acquisition 6,555      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,189      
Buildings and Improvements 16,020      
Total 17,209      
Accumulated Depreciation (12,099)      
1554 Hayward, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,246      
Building and Improvements 5,179      
Costs Capitalized Subsequent to Acquisition 11,951      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,246      
Buildings and Improvements 17,130      
Total 18,376      
Accumulated Depreciation (6,357)      
1555 Hayward, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,521      
Building and Improvements 13,546      
Costs Capitalized Subsequent to Acquisition 7,482      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,521      
Buildings and Improvements 21,028      
Total 22,549      
Accumulated Depreciation (14,370)      
1556 Hayward, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,212      
Building and Improvements 5,120      
Costs Capitalized Subsequent to Acquisition 1,127      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,212      
Buildings and Improvements 6,247      
Total 7,459      
Accumulated Depreciation (3,853)      
1424 La Jolla, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 11,175      
Building and Improvements 25,283      
Costs Capitalized Subsequent to Acquisition 44,107      
Gross Amount at Which Carried As of Year End        
Land and improvements 11,389      
Buildings and Improvements 69,176      
Total 80,565      
Accumulated Depreciation (16,131)      
1425 La Jolla, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 7,217      
Building and Improvements 19,883      
Costs Capitalized Subsequent to Acquisition 61      
Gross Amount at Which Carried As of Year End        
Land and improvements 7,217      
Buildings and Improvements 19,944      
Total 27,161      
Accumulated Depreciation (8,193)      
1426 La Jolla, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 8,381      
Building and Improvements 12,412      
Costs Capitalized Subsequent to Acquisition 11,260      
Gross Amount at Which Carried As of Year End        
Land and improvements 8,381      
Buildings and Improvements 23,672      
Total 32,053      
Accumulated Depreciation (15,449)      
1427 La Jolla, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 10,127      
Building and Improvements 16,983      
Costs Capitalized Subsequent to Acquisition 7,965      
Gross Amount at Which Carried As of Year End        
Land and improvements 10,148      
Buildings and Improvements 24,927      
Total 35,075      
Accumulated Depreciation (11,048)      
1949 La Jolla, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,686      
Building and Improvements 11,045      
Costs Capitalized Subsequent to Acquisition 17,501      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,686      
Buildings and Improvements 28,546      
Total 31,232      
Accumulated Depreciation (8,278)      
2229 La Jolla, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 8,753      
Building and Improvements 32,528      
Costs Capitalized Subsequent to Acquisition 16,498      
Gross Amount at Which Carried As of Year End        
Land and improvements 8,777      
Buildings and Improvements 49,002      
Total 57,779      
Accumulated Depreciation (13,320)      
1470 Poway, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 5,826      
Building and Improvements 12,200      
Costs Capitalized Subsequent to Acquisition 341      
Gross Amount at Which Carried As of Year End        
Land and improvements 5,826      
Buildings and Improvements 12,541      
Total 18,367      
Accumulated Depreciation (5,094)      
1471 Poway, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 5,978      
Building and Improvements 14,200      
Costs Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried As of Year End        
Land and improvements 5,978      
Buildings and Improvements 14,200      
Total 20,178      
Accumulated Depreciation (5,828)      
1472 Poway, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 8,654      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 11,895      
Gross Amount at Which Carried As of Year End        
Land and improvements 8,654      
Buildings and Improvements 11,895      
Total 20,549      
Accumulated Depreciation (3,723)      
1473 Poway, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 11,024      
Building and Improvements 2,405      
Costs Capitalized Subsequent to Acquisition 25,455      
Gross Amount at Which Carried As of Year End        
Land and improvements 11,024      
Buildings and Improvements 27,860      
Total 38,884      
Accumulated Depreciation (11,513)      
1474 Poway, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 5,051      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 19,939      
Gross Amount at Which Carried As of Year End        
Land and improvements 5,051      
Buildings and Improvements 19,939      
Total 24,990      
Accumulated Depreciation (7,191)      
1475 Poway, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 5,655      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 10,299      
Gross Amount at Which Carried As of Year End        
Land and improvements 5,655      
Buildings and Improvements 10,299      
Total 15,954      
Accumulated Depreciation (837)      
1478 Poway, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 6,700      
Building and Improvements 14,400      
Costs Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried As of Year End        
Land and improvements 6,700      
Buildings and Improvements 14,400      
Total 21,100      
Accumulated Depreciation (5,910)      
1499 Redwood City, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 3,400      
Building and Improvements 5,500      
Costs Capitalized Subsequent to Acquisition 1,501      
Gross Amount at Which Carried As of Year End        
Land and improvements 3,455      
Buildings and Improvements 6,946      
Total 10,401      
Accumulated Depreciation (3,391)      
1500 Redwood City, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,500      
Building and Improvements 4,100      
Costs Capitalized Subsequent to Acquisition 988      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,500      
Buildings and Improvements 5,088      
Total 7,588      
Accumulated Depreciation (2,478)      
1501 Redwood City, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 3,600      
Building and Improvements 4,600      
Costs Capitalized Subsequent to Acquisition 1,892      
Gross Amount at Which Carried As of Year End        
Land and improvements 3,600      
Buildings and Improvements 6,492      
Total 10,092      
Accumulated Depreciation (3,293)      
1502 Redwood City, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 3,100      
Building and Improvements 5,100      
Costs Capitalized Subsequent to Acquisition 1,647      
Gross Amount at Which Carried As of Year End        
Land and improvements 3,100      
Buildings and Improvements 6,747      
Total 9,847      
Accumulated Depreciation (3,253)      
1503 Redwood City, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 4,800      
Building and Improvements 17,300      
Costs Capitalized Subsequent to Acquisition 8,276      
Gross Amount at Which Carried As of Year End        
Land and improvements 4,800      
Buildings and Improvements 25,576      
Total 30,376      
Accumulated Depreciation (9,310)      
1504 Redwood City, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 5,400      
Building and Improvements 15,500      
Costs Capitalized Subsequent to Acquisition 10,956      
Gross Amount at Which Carried As of Year End        
Land and improvements 5,400      
Buildings and Improvements 26,456      
Total 31,856      
Accumulated Depreciation (11,249)      
1505 Redwood City, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 3,000      
Building and Improvements 3,500      
Costs Capitalized Subsequent to Acquisition 5,316      
Gross Amount at Which Carried As of Year End        
Land and improvements 3,000      
Buildings and Improvements 8,816      
Total 11,816      
Accumulated Depreciation (3,374)      
1506 Redwood City, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 6,000      
Building and Improvements 14,300      
Costs Capitalized Subsequent to Acquisition 14,300      
Gross Amount at Which Carried As of Year End        
Land and improvements 6,000      
Buildings and Improvements 28,600      
Total 34,600      
Accumulated Depreciation (15,991)      
1507 Redwood City, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,900      
Building and Improvements 12,800      
Costs Capitalized Subsequent to Acquisition 10,680      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,900      
Buildings and Improvements 23,480      
Total 25,380      
Accumulated Depreciation (7,910)      
1508 Redwood City, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,700      
Building and Improvements 11,300      
Costs Capitalized Subsequent to Acquisition 17,193      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,700      
Buildings and Improvements 28,493      
Total 31,193      
Accumulated Depreciation (9,485)      
1509 Redwood City, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,700      
Building and Improvements 10,900      
Costs Capitalized Subsequent to Acquisition 1,565      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,700      
Buildings and Improvements 12,465      
Total 15,165      
Accumulated Depreciation (5,042)      
1510 Redwood City, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,200      
Building and Improvements 12,000      
Costs Capitalized Subsequent to Acquisition 6,243      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,200      
Buildings and Improvements 18,243      
Total 20,443      
Accumulated Depreciation (7,367)      
1511 Redwood City, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,600      
Building and Improvements 9,300      
Costs Capitalized Subsequent to Acquisition 19,676      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,600      
Buildings and Improvements 28,976      
Total 31,576      
Accumulated Depreciation (15,352)      
1512 Redwood City, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 3,300      
Building and Improvements 18,000      
Costs Capitalized Subsequent to Acquisition 19,072      
Gross Amount at Which Carried As of Year End        
Land and improvements 3,300      
Buildings and Improvements 37,072      
Total 40,372      
Accumulated Depreciation (18,557)      
1513 Redwood City, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 3,300      
Building and Improvements 17,900      
Costs Capitalized Subsequent to Acquisition 12,092      
Gross Amount at Which Carried As of Year End        
Land and improvements 3,326      
Buildings and Improvements 29,966      
Total 33,292      
Accumulated Depreciation (16,766)      
678 San Diego, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,603      
Building and Improvements 11,051      
Costs Capitalized Subsequent to Acquisition 3,514      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,766      
Buildings and Improvements 14,402      
Total 17,168      
Accumulated Depreciation (6,897)      
679 San Diego CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 5,269      
Building and Improvements 23,566      
Costs Capitalized Subsequent to Acquisition 23,961      
Gross Amount at Which Carried As of Year End        
Land and improvements 5,669      
Buildings and Improvements 47,127      
Total 52,796      
Accumulated Depreciation (18,457)      
837 San Diego, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 4,630      
Building and Improvements 2,028      
Costs Capitalized Subsequent to Acquisition 3,302      
Gross Amount at Which Carried As of Year End        
Land and improvements 4,630      
Buildings and Improvements 5,330      
Total 9,960      
Accumulated Depreciation (2,426)      
838 San Diego, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,040      
Building and Improvements 903      
Costs Capitalized Subsequent to Acquisition 3,354      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,040      
Buildings and Improvements 4,257      
Total 6,297      
Accumulated Depreciation (1,325)      
839 San Diego, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 3,940      
Building and Improvements 3,184      
Costs Capitalized Subsequent to Acquisition 2,863      
Gross Amount at Which Carried As of Year End        
Land and improvements 4,036      
Buildings and Improvements 5,951      
Total 9,987      
Accumulated Depreciation (2,499)      
840 San Diego, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 5,690      
Building and Improvements 4,579      
Costs Capitalized Subsequent to Acquisition 1,289      
Gross Amount at Which Carried As of Year End        
Land and improvements 5,830      
Buildings and Improvements 5,728      
Total 11,558      
Accumulated Depreciation (2,587)      
1418 San Diego, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 11,700      
Building and Improvements 31,243      
Costs Capitalized Subsequent to Acquisition 59,282      
Gross Amount at Which Carried As of Year End        
Land and improvements 11,700      
Buildings and Improvements 90,525      
Total 102,225      
Accumulated Depreciation (16,917)      
1419 San Diego, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,324      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 33,144      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,324      
Buildings and Improvements 33,144      
Total 35,468      
Accumulated Depreciation (2,735)      
1420 San Diego, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 4,200      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 41,121      
Gross Amount at Which Carried As of Year End        
Land and improvements 4,200      
Buildings and Improvements 41,121      
Total 45,321      
Accumulated Depreciation (2,293)      
1421 San Diego, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 7,000      
Building and Improvements 33,779      
Costs Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried As of Year End        
Land and improvements 7,000      
Buildings and Improvements 33,779      
Total 40,779      
Accumulated Depreciation (13,863)      
1422 San Diego, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 7,179      
Building and Improvements 3,687      
Costs Capitalized Subsequent to Acquisition 1,171      
Gross Amount at Which Carried As of Year End        
Land and improvements 7,179      
Buildings and Improvements 4,858      
Total 12,037      
Accumulated Depreciation (3,687)      
1423 San Diego CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 8,400      
Building and Improvements 33,144      
Costs Capitalized Subsequent to Acquisition 33,504      
Gross Amount at Which Carried As of Year End        
Land and improvements 8,400      
Buildings and Improvements 66,648      
Total 75,048      
Accumulated Depreciation (21,043)      
1558 San Diego, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 7,740      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 61,285      
Gross Amount at Which Carried As of Year End        
Land and improvements 7,740      
Buildings and Improvements 61,285      
Total 69,025      
Accumulated Depreciation 0      
1947 San Diego, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,581      
Building and Improvements 10,534      
Costs Capitalized Subsequent to Acquisition 4,485      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,581      
Buildings and Improvements 15,019      
Total 17,600      
Accumulated Depreciation (7,859)      
1948 San Diego, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 5,879      
Building and Improvements 25,305      
Costs Capitalized Subsequent to Acquisition 7,951      
Gross Amount at Which Carried As of Year End        
Land and improvements 5,879      
Buildings and Improvements 33,256      
Total 39,135      
Accumulated Depreciation (13,014)      
2197 San Diego, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 7,621      
Building and Improvements 3,913      
Costs Capitalized Subsequent to Acquisition 7,541      
Gross Amount at Which Carried As of Year End        
Land and improvements 7,621      
Buildings and Improvements 11,454      
Total 19,075      
Accumulated Depreciation (6,884)      
2476 San Diego, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 7,661      
Building and Improvements 9,918      
Costs Capitalized Subsequent to Acquisition 13,883      
Gross Amount at Which Carried As of Year End        
Land and improvements 7,661      
Buildings and Improvements 23,801      
Total 31,462      
Accumulated Depreciation (3,731)      
2477 San Diego, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 9,207      
Building and Improvements 14,613      
Costs Capitalized Subsequent to Acquisition 5,993      
Gross Amount at Which Carried As of Year End        
Land and improvements 9,207      
Buildings and Improvements 20,606      
Total 29,813      
Accumulated Depreciation (6,371)      
2478 San Diego, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 6,000      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 112,511      
Gross Amount at Which Carried As of Year End        
Land and improvements 6,000      
Buildings and Improvements 112,511      
Total 118,511      
Accumulated Depreciation 0      
2617 San Diego, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,734      
Building and Improvements 5,195      
Costs Capitalized Subsequent to Acquisition 9,364      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,734      
Buildings and Improvements 14,559      
Total 17,293      
Accumulated Depreciation (3,269)      
2618 San Diego, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 4,100      
Building and Improvements 12,395      
Costs Capitalized Subsequent to Acquisition 22,843      
Gross Amount at Which Carried As of Year End        
Land and improvements 4,100      
Buildings and Improvements 35,238      
Total 39,338      
Accumulated Depreciation (11,689)      
2622 San Diego, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 17,231      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 17,231      
Total 17,231      
Accumulated Depreciation (1,658)      
2872 San Diego, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 10,120      
Building and Improvements 38,351      
Costs Capitalized Subsequent to Acquisition 1,044      
Gross Amount at Which Carried As of Year End        
Land and improvements 10,120      
Buildings and Improvements 39,395      
Total 49,515      
Accumulated Depreciation (7,919)      
2873 San Diego, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 6,052      
Building and Improvements 14,122      
Costs Capitalized Subsequent to Acquisition 1,846      
Gross Amount at Which Carried As of Year End        
Land and improvements 6,052      
Buildings and Improvements 15,968      
Total 22,020      
Accumulated Depreciation (3,117)      
3069 San Diego, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 7,054      
Building and Improvements 7,794      
Costs Capitalized Subsequent to Acquisition 19,748      
Gross Amount at Which Carried As of Year End        
Land and improvements 6,954      
Buildings and Improvements 27,642      
Total 34,596      
Accumulated Depreciation (3,467)      
3104 San Diego, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 40,755      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 40,755      
Total 40,755      
Accumulated Depreciation 0      
3110 San Diego, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 19,120      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 7,212      
Gross Amount at Which Carried As of Year End        
Land and improvements 20,587      
Buildings and Improvements 5,745      
Total 26,332      
Accumulated Depreciation 0      
3111 San Diego, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 24,729      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 1,261      
Gross Amount at Which Carried As of Year End        
Land and improvements 24,830      
Buildings and Improvements 1,160      
Total 25,990      
Accumulated Depreciation 0      
3153 San Diego, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,215      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 30      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,216      
Buildings and Improvements 29      
Total 1,245      
Accumulated Depreciation 0      
1410 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 4,900      
Building and Improvements 18,100      
Costs Capitalized Subsequent to Acquisition 12,159      
Gross Amount at Which Carried As of Year End        
Land and improvements 4,900      
Buildings and Improvements 30,259      
Total 35,159      
Accumulated Depreciation (14,389)      
1411 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 8,000      
Building and Improvements 27,700      
Costs Capitalized Subsequent to Acquisition 33,159      
Gross Amount at Which Carried As of Year End        
Land and improvements 8,000      
Buildings and Improvements 60,859      
Total 68,859      
Accumulated Depreciation (18,496)      
1412 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 10,100      
Building and Improvements 22,521      
Costs Capitalized Subsequent to Acquisition 10,207      
Gross Amount at Which Carried As of Year End        
Land and improvements 10,100      
Buildings and Improvements 32,728      
Total 42,828      
Accumulated Depreciation (12,170)      
1413 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 8,000      
Building and Improvements 28,299      
Costs Capitalized Subsequent to Acquisition 8,489      
Gross Amount at Which Carried As of Year End        
Land and improvements 8,000      
Buildings and Improvements 36,788      
Total 44,788      
Accumulated Depreciation (17,427)      
1430 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 10,700      
Building and Improvements 23,621      
Costs Capitalized Subsequent to Acquisition 27,632      
Gross Amount at Which Carried As of Year End        
Land and improvements 10,700      
Buildings and Improvements 51,253      
Total 61,953      
Accumulated Depreciation (14,113)      
1431 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 7,000      
Building and Improvements 15,500      
Costs Capitalized Subsequent to Acquisition 9,493      
Gross Amount at Which Carried As of Year End        
Land and improvements 7,000      
Buildings and Improvements 24,993      
Total 31,993      
Accumulated Depreciation (10,242)      
1435 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 13,800      
Building and Improvements 42,500      
Costs Capitalized Subsequent to Acquisition 26,975      
Gross Amount at Which Carried As of Year End        
Land and improvements 13,800      
Buildings and Improvements 69,475      
Total 83,275      
Accumulated Depreciation (25,159)      
1436 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 14,500      
Building and Improvements 45,300      
Costs Capitalized Subsequent to Acquisition 25,437      
Gross Amount at Which Carried As of Year End        
Land and improvements 14,500      
Buildings and Improvements 70,737      
Total 85,237      
Accumulated Depreciation (24,676)      
1437 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 9,400      
Building and Improvements 24,800      
Costs Capitalized Subsequent to Acquisition 36,758      
Gross Amount at Which Carried As of Year End        
Land and improvements 9,400      
Buildings and Improvements 61,558      
Total 70,958      
Accumulated Depreciation (21,946)      
1439 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 11,900      
Building and Improvements 68,848      
Costs Capitalized Subsequent to Acquisition 929      
Gross Amount at Which Carried As of Year End        
Land and improvements 11,900      
Buildings and Improvements 69,777      
Total 81,677      
Accumulated Depreciation (28,268)      
1440 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 10,000      
Building and Improvements 57,954      
Costs Capitalized Subsequent to Acquisition 471      
Gross Amount at Which Carried As of Year End        
Land and improvements 10,000      
Buildings and Improvements 58,425      
Total 68,425      
Accumulated Depreciation (23,883)      
1441 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 9,300      
Building and Improvements 43,549      
Costs Capitalized Subsequent to Acquisition 3,004      
Gross Amount at Which Carried As of Year End        
Land and improvements 9,300      
Buildings and Improvements 46,553      
Total 55,853      
Accumulated Depreciation (16,875)      
1442 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 11,000      
Building and Improvements 47,289      
Costs Capitalized Subsequent to Acquisition 42,670      
Gross Amount at Which Carried As of Year End        
Land and improvements 11,000      
Buildings and Improvements 89,959      
Total 100,959      
Accumulated Depreciation (21,784)      
1443 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 13,200      
Building and Improvements 60,932      
Costs Capitalized Subsequent to Acquisition 3,259      
Gross Amount at Which Carried As of Year End        
Land and improvements 13,200      
Buildings and Improvements 64,191      
Total 77,391      
Accumulated Depreciation (24,832)      
1444 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 10,500      
Building and Improvements 33,776      
Costs Capitalized Subsequent to Acquisition 9,449      
Gross Amount at Which Carried As of Year End        
Land and improvements 10,500      
Buildings and Improvements 43,225      
Total 53,725      
Accumulated Depreciation (13,088)      
1445 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 10,600      
Building and Improvements 34,083      
Costs Capitalized Subsequent to Acquisition 11      
Gross Amount at Which Carried As of Year End        
Land and improvements 10,600      
Buildings and Improvements 34,094      
Total 44,694      
Accumulated Depreciation (13,995)      
1458 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 10,900      
Building and Improvements 20,900      
Costs Capitalized Subsequent to Acquisition 6,560      
Gross Amount at Which Carried As of Year End        
Land and improvements 10,900      
Buildings and Improvements 27,460      
Total 38,360      
Accumulated Depreciation (9,607)      
1459 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 9,800      
Building and Improvements 400      
Costs Capitalized Subsequent to Acquisition 157,931      
Gross Amount at Which Carried As of Year End        
Land and improvements 9,800      
Buildings and Improvements 158,331      
Total 168,131      
Accumulated Depreciation (4,460)      
1462 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 7,117      
Building and Improvements 600      
Costs Capitalized Subsequent to Acquisition 4,112      
Gross Amount at Which Carried As of Year End        
Land and improvements 7,117      
Buildings and Improvements 4,712      
Total 11,829      
Accumulated Depreciation (1,785)      
1463 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 10,381      
Building and Improvements 2,300      
Costs Capitalized Subsequent to Acquisition 19,648      
Gross Amount at Which Carried As of Year End        
Land and improvements 10,381      
Buildings and Improvements 21,948      
Total 32,329      
Accumulated Depreciation (8,511)      
1464 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 7,403      
Building and Improvements 700      
Costs Capitalized Subsequent to Acquisition 8,819      
Gross Amount at Which Carried As of Year End        
Land and improvements 7,403      
Buildings and Improvements 9,519      
Total 16,922      
Accumulated Depreciation (2,723)      
1468 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 10,100      
Building and Improvements 24,013      
Costs Capitalized Subsequent to Acquisition 12,188      
Gross Amount at Which Carried As of Year End        
Land and improvements 10,100      
Buildings and Improvements 36,201      
Total 46,301      
Accumulated Depreciation (15,058)      
1480 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 32,210      
Building and Improvements 3,110      
Costs Capitalized Subsequent to Acquisition 161,341      
Gross Amount at Which Carried As of Year End        
Land and improvements 32,210      
Buildings and Improvements 164,451      
Total 196,661      
Accumulated Depreciation (472)      
1528 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 165,770      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 165,770      
Total 165,770      
Accumulated Depreciation 0      
1559 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 5,666      
Building and Improvements 5,773      
Costs Capitalized Subsequent to Acquisition 161      
Gross Amount at Which Carried As of Year End        
Land and improvements 5,666      
Buildings and Improvements 5,934      
Total 11,600      
Accumulated Depreciation (5,919)      
1560 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,204      
Building and Improvements 1,293      
Costs Capitalized Subsequent to Acquisition 2,683      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,204      
Buildings and Improvements 3,976      
Total 5,180      
Accumulated Depreciation (2,917)      
1983 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 8,648      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 97,280      
Gross Amount at Which Carried As of Year End        
Land and improvements 8,648      
Buildings and Improvements 97,280      
Total 105,928      
Accumulated Depreciation (34,710)      
1984 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 7,845      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 90,818      
Gross Amount at Which Carried As of Year End        
Land and improvements 7,844      
Buildings and Improvements 90,819      
Total 98,663      
Accumulated Depreciation (29,712)      
1985 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 6,708      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 122,646      
Gross Amount at Which Carried As of Year End        
Land and improvements 6,708      
Buildings and Improvements 122,646      
Total 129,354      
Accumulated Depreciation (37,274)      
1986 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 6,708      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 120,613      
Gross Amount at Which Carried As of Year End        
Land and improvements 6,708      
Buildings and Improvements 120,613      
Total 127,321      
Accumulated Depreciation (31,623)      
1987 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 8,544      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 100,777      
Gross Amount at Which Carried As of Year End        
Land and improvements 8,544      
Buildings and Improvements 100,777      
Total 109,321      
Accumulated Depreciation (23,837)      
1988 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 10,120      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 118,498      
Gross Amount at Which Carried As of Year End        
Land and improvements 10,120      
Buildings and Improvements 118,498      
Total 128,618      
Accumulated Depreciation (29,452)      
1989 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 9,169      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 100,338      
Gross Amount at Which Carried As of Year End        
Land and improvements 9,169      
Buildings and Improvements 100,338      
Total 109,507      
Accumulated Depreciation (18,597)      
2553 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,897      
Building and Improvements 8,691      
Costs Capitalized Subsequent to Acquisition 4,478      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,897      
Buildings and Improvements 13,169      
Total 16,066      
Accumulated Depreciation (4,340)      
2554 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 995      
Building and Improvements 2,754      
Costs Capitalized Subsequent to Acquisition 2,332      
Gross Amount at Which Carried As of Year End        
Land and improvements 995      
Buildings and Improvements 5,086      
Total 6,081      
Accumulated Depreciation (1,393)      
2555 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,202      
Building and Improvements 10,776      
Costs Capitalized Subsequent to Acquisition 2,497      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,202      
Buildings and Improvements 13,273      
Total 15,475      
Accumulated Depreciation (3,326)      
2556 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,962      
Building and Improvements 15,108      
Costs Capitalized Subsequent to Acquisition 1,557      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,962      
Buildings and Improvements 16,665      
Total 19,627      
Accumulated Depreciation (4,087)      
2557 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,453      
Building and Improvements 13,063      
Costs Capitalized Subsequent to Acquisition 3,616      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,453      
Buildings and Improvements 16,679      
Total 19,132      
Accumulated Depreciation (5,840)      
2558 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,163      
Building and Improvements 5,925      
Costs Capitalized Subsequent to Acquisition 315      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,163      
Buildings and Improvements 6,240      
Total 7,403      
Accumulated Depreciation (1,438)      
2624 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 25,502      
Building and Improvements 42,910      
Costs Capitalized Subsequent to Acquisition 14,017      
Gross Amount at Which Carried As of Year End        
Land and improvements 25,502      
Buildings and Improvements 56,927      
Total 82,429      
Accumulated Depreciation (13,911)      
2870 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 23,297      
Building and Improvements 41,797      
Costs Capitalized Subsequent to Acquisition 28,777      
Gross Amount at Which Carried As of Year End        
Land and improvements 23,297      
Buildings and Improvements 70,574      
Total 93,871      
Accumulated Depreciation (17,071)      
2871 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 20,293      
Building and Improvements 41,262      
Costs Capitalized Subsequent to Acquisition 22,089      
Gross Amount at Which Carried As of Year End        
Land and improvements 20,293      
Buildings and Improvements 63,351      
Total 83,644      
Accumulated Depreciation (19,258)      
3100 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 24,059      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 3,733      
Gross Amount at Which Carried As of Year End        
Land and improvements 24,059      
Buildings and Improvements 3,733      
Total 27,792      
Accumulated Depreciation 0      
3101 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 61,208      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 22,276      
Gross Amount at Which Carried As of Year End        
Land and improvements 61,208      
Buildings and Improvements 22,276      
Total 83,484      
Accumulated Depreciation 0      
3102 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 43,885      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 3,806      
Gross Amount at Which Carried As of Year End        
Land and improvements 43,885      
Buildings and Improvements 3,806      
Total 47,691      
Accumulated Depreciation 0      
3123 South San Francisco, CA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 6,455      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 6,455      
Total 6,455      
Accumulated Depreciation 0      
2705 Cambridge, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 24,371      
Building and Improvements 128,498      
Costs Capitalized Subsequent to Acquisition 83      
Gross Amount at Which Carried As of Year End        
Land and improvements 24,371      
Buildings and Improvements 128,581      
Total 152,952      
Accumulated Depreciation (13,274)      
2706 Cambridge, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 15,473      
Building and Improvements 149,051      
Costs Capitalized Subsequent to Acquisition 797      
Gross Amount at Which Carried As of Year End        
Land and improvements 15,473      
Buildings and Improvements 149,848      
Total 165,321      
Accumulated Depreciation (16,851)      
2707 Cambridge, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 25,549      
Building and Improvements 229,547      
Costs Capitalized Subsequent to Acquisition 8,597      
Gross Amount at Which Carried As of Year End        
Land and improvements 25,549      
Buildings and Improvements 238,144      
Total 263,693      
Accumulated Depreciation (24,757)      
2708 Cambridge, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 17,751      
Costs Capitalized Subsequent to Acquisition 513      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 18,264      
Total 18,264      
Accumulated Depreciation (1,419)      
2709 Cambridge, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 15,451      
Costs Capitalized Subsequent to Acquisition 29      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 15,480      
Total 15,480      
Accumulated Depreciation (1,192)      
2928 Cambridge, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 44,215      
Building and Improvements 24,120      
Costs Capitalized Subsequent to Acquisition 3,076      
Gross Amount at Which Carried As of Year End        
Land and improvements 44,215      
Buildings and Improvements 27,196      
Total 71,411      
Accumulated Depreciation (3,966)      
2929 Cambridge, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 20,517      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 158,992      
Gross Amount at Which Carried As of Year End        
Land and improvements 20,517      
Buildings and Improvements 158,992      
Total 179,509      
Accumulated Depreciation (8,248)      
3074 Cambridge, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 78,762      
Building and Improvements 252,153      
Costs Capitalized Subsequent to Acquisition 11,380      
Gross Amount at Which Carried As of Year End        
Land and improvements 78,762      
Buildings and Improvements 263,533      
Total 342,295      
Accumulated Depreciation (32,549)      
3106 Cambridge, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 20,644      
Building and Improvements 2,982      
Costs Capitalized Subsequent to Acquisition 570      
Gross Amount at Which Carried As of Year End        
Land and improvements 20,644      
Buildings and Improvements 3,552      
Total 24,196      
Accumulated Depreciation (238)      
3107 Cambridge, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 19,009      
Building and Improvements 12,327      
Costs Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried As of Year End        
Land and improvements 19,009      
Buildings and Improvements 12,327      
Total 31,336      
Accumulated Depreciation (841)      
3108 Cambridge, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 123,074      
Building and Improvements 7,513      
Costs Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried As of Year End        
Land and improvements 123,074      
Buildings and Improvements 7,513      
Total 130,587      
Accumulated Depreciation (678)      
3109 Cambridge, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 5,903      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 362      
Gross Amount at Which Carried As of Year End        
Land and improvements 5,903      
Buildings and Improvements 362      
Total 6,265      
Accumulated Depreciation 0      
3112 Cambridge, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 23,402      
Building and Improvements 47,623      
Costs Capitalized Subsequent to Acquisition 69      
Gross Amount at Which Carried As of Year End        
Land and improvements 23,402      
Buildings and Improvements 47,692      
Total 71,094      
Accumulated Depreciation (3,950)      
3113 Cambridge, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 32,244      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 6,730      
Gross Amount at Which Carried As of Year End        
Land and improvements 36,119      
Buildings and Improvements 2,855      
Total 38,974      
Accumulated Depreciation 0      
3114 Cambridge, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 22,969      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition (2,306)      
Gross Amount at Which Carried As of Year End        
Land and improvements 22,969      
Buildings and Improvements (2,306)      
Total 20,663      
Accumulated Depreciation 0      
3115 Cambridge, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 66,786      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 1,418      
Gross Amount at Which Carried As of Year End        
Land and improvements 66,786      
Buildings and Improvements 1,418      
Total 68,204      
Accumulated Depreciation 0      
3116 Cambridge, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 9,680      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 9,680      
Total 9,680      
Accumulated Depreciation 0      
3119 Cambridge, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 29,667      
Costs Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 29,667      
Total 29,667      
Accumulated Depreciation (2,041)      
3120 Cambridge, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 18,063      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 670      
Gross Amount at Which Carried As of Year End        
Land and improvements 18,063      
Buildings and Improvements 670      
Total 18,733      
Accumulated Depreciation 0      
3122 Cambridge, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 25,247      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 2,081      
Gross Amount at Which Carried As of Year End        
Land and improvements 25,247      
Buildings and Improvements 2,081      
Total 27,328      
Accumulated Depreciation 0      
3136 Cambridge, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 4,118      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition (219)      
Gross Amount at Which Carried As of Year End        
Land and improvements 4,119      
Buildings and Improvements (220)      
Total 3,899      
Accumulated Depreciation 0      
3137 Cambridge, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 41,327      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 2,767      
Gross Amount at Which Carried As of Year End        
Land and improvements 41,327      
Buildings and Improvements 2,767      
Total 44,094      
Accumulated Depreciation 0      
3141 Cambridge, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 72,466      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 5,757      
Gross Amount at Which Carried As of Year End        
Land and improvements 72,768      
Buildings and Improvements 5,455      
Total 78,223      
Accumulated Depreciation 0      
3148 Cambridge, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,277      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 704      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,290      
Buildings and Improvements 691      
Total 2,981      
Accumulated Depreciation 0      
3149 Cambridge, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 5,690      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 314      
Gross Amount at Which Carried As of Year End        
Land and improvements 5,734      
Buildings and Improvements 270      
Total 6,004      
Accumulated Depreciation 0      
3150 Cambridge, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,651      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 206      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,659      
Buildings and Improvements 198      
Total 1,857      
Accumulated Depreciation 0      
3151 Cambridge, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 8,532      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 457      
Gross Amount at Which Carried As of Year End        
Land and improvements 8,583      
Buildings and Improvements 406      
Total 8,989      
Accumulated Depreciation 0      
3152 Cambridge, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 9,892      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 1,035      
Gross Amount at Which Carried As of Year End        
Land and improvements 10,507      
Buildings and Improvements 420      
Total 10,927      
Accumulated Depreciation 0      
2630 Lexington, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 16,411      
Building and Improvements 49,681      
Costs Capitalized Subsequent to Acquisition (2,292)      
Gross Amount at Which Carried As of Year End        
Land and improvements 12,967      
Buildings and Improvements 50,833      
Total 63,800      
Accumulated Depreciation (10,653)      
2631 Lexington, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 7,759      
Building and Improvements 142,081      
Costs Capitalized Subsequent to Acquisition 30,228      
Gross Amount at Which Carried As of Year End        
Land and improvements 6,978      
Buildings and Improvements 173,090      
Total 180,068      
Accumulated Depreciation (27,404)      
2632 Lexington, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 21,390      
Costs Capitalized Subsequent to Acquisition 125,076      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 146,466      
Total 146,466      
Accumulated Depreciation (18,615)      
3070 Lexington, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 14,013      
Building and Improvements 17,083      
Costs Capitalized Subsequent to Acquisition (269)      
Gross Amount at Which Carried As of Year End        
Land and improvements 14,013      
Buildings and Improvements 16,814      
Total 30,827      
Accumulated Depreciation (2,534)      
3071 Lexington, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 14,930      
Building and Improvements 16,677      
Costs Capitalized Subsequent to Acquisition (359)      
Gross Amount at Which Carried As of Year End        
Land and improvements 14,930      
Buildings and Improvements 16,318      
Total 31,248      
Accumulated Depreciation (2,236)      
3072 Lexington, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 34,598      
Building and Improvements 43,032      
Costs Capitalized Subsequent to Acquisition (288)      
Gross Amount at Which Carried As of Year End        
Land and improvements 34,598      
Buildings and Improvements 42,744      
Total 77,342      
Accumulated Depreciation (7,547)      
3073 Lexington, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 37,050      
Building and Improvements 44,647      
Costs Capitalized Subsequent to Acquisition 144      
Gross Amount at Which Carried As of Year End        
Land and improvements 37,050      
Buildings and Improvements 44,791      
Total 81,841      
Accumulated Depreciation (8,051)      
3093 Waltham, MA | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 47,792      
Building and Improvements 275,556      
Costs Capitalized Subsequent to Acquisition 18,351      
Gross Amount at Which Carried As of Year End        
Land and improvements 47,792      
Buildings and Improvements 293,907      
Total 341,699      
Accumulated Depreciation (38,172)      
9999 Denton, TX | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 100      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried As of Year End        
Land and improvements 100      
Buildings and Improvements 0      
Total 100      
Accumulated Depreciation 0      
464 Salt Lake City, UT | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 630      
Building and Improvements 6,921      
Costs Capitalized Subsequent to Acquisition 2,563      
Gross Amount at Which Carried As of Year End        
Land and improvements 630      
Buildings and Improvements 9,484      
Total 10,114      
Accumulated Depreciation (5,812)      
465 Salt Lake City, UT | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 125      
Building and Improvements 6,368      
Costs Capitalized Subsequent to Acquisition 68      
Gross Amount at Which Carried As of Year End        
Land and improvements 125      
Buildings and Improvements 6,436      
Total 6,561      
Accumulated Depreciation (3,267)      
466 Salt Lake City, UT | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 14,614      
Costs Capitalized Subsequent to Acquisition (1,401)      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 13,213      
Total 13,213      
Accumulated Depreciation (5,371)      
1593 Salt Lake City, UT | Lab | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 23,998      
Costs Capitalized Subsequent to Acquisition 250      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 24,248      
Total 24,248      
Accumulated Depreciation (9,774)      
638 Anchorage, AK | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,456      
Building and Improvements 10,650      
Costs Capitalized Subsequent to Acquisition 10,727      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,456      
Buildings and Improvements 21,377      
Total 22,833      
Accumulated Depreciation (9,272)      
3026 Bentonville, AR | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 912      
Building and Improvements 21,724      
Costs Capitalized Subsequent to Acquisition 658      
Gross Amount at Which Carried As of Year End        
Land and improvements 912      
Buildings and Improvements 22,382      
Total 23,294      
Accumulated Depreciation (1,712)      
0126 Sherwood, AR | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 709      
Building and Improvements 9,604      
Costs Capitalized Subsequent to Acquisition 208      
Gross Amount at Which Carried As of Year End        
Land and improvements 709      
Buildings and Improvements 9,812      
Total 10,521      
Accumulated Depreciation (7,007)      
2572 Springdale, AR | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 27,714      
Costs Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 27,714      
Total 27,714      
Accumulated Depreciation (6,413)      
520 Chandler, AZ | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 3,669      
Building and Improvements 13,503      
Costs Capitalized Subsequent to Acquisition 6,374      
Gross Amount at Which Carried As of Year End        
Land and improvements 4,013      
Buildings and Improvements 19,533      
Total 23,546      
Accumulated Depreciation (9,353)      
0113 Glendale, AZ | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,565      
Building and Improvements 7,050      
Costs Capitalized Subsequent to Acquisition 175      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,565      
Buildings and Improvements 7,225      
Total 8,790      
Accumulated Depreciation (5,317)      
2040 Mesa, AZ | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 17,314      
Costs Capitalized Subsequent to Acquisition 3,047      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 20,361      
Total 20,361      
Accumulated Depreciation (4,856)      
1066 Scottsdale, AZ | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 5,115      
Building and Improvements 14,064      
Costs Capitalized Subsequent to Acquisition 5,912      
Gross Amount at Which Carried As of Year End        
Land and improvements 4,888      
Buildings and Improvements 20,203      
Total 25,091      
Accumulated Depreciation (8,153)      
2021 Scottsdale, AZ | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 12,312      
Costs Capitalized Subsequent to Acquisition 4,763      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 17,075      
Total 17,075      
Accumulated Depreciation (7,205)      
2022 Scottsdale, AZ | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 9,179      
Costs Capitalized Subsequent to Acquisition 3,033      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 12,212      
Total 12,212      
Accumulated Depreciation (4,579)      
2023 Scottsdale, AZ | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 6,398      
Costs Capitalized Subsequent to Acquisition 1,818      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 8,216      
Total 8,216      
Accumulated Depreciation (3,614)      
2024 Scottsdale, AZ | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 9,522      
Costs Capitalized Subsequent to Acquisition 1,163      
Gross Amount at Which Carried As of Year End        
Land and improvements 32      
Buildings and Improvements 10,653      
Total 10,685      
Accumulated Depreciation (4,712)      
2025 Scottsdale, AZ | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 4,102      
Costs Capitalized Subsequent to Acquisition 2,451      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 6,553      
Total 6,553      
Accumulated Depreciation (2,764)      
2026 Scottsdale, AZ | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 3,655      
Costs Capitalized Subsequent to Acquisition 2,031      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 5,686      
Total 5,686      
Accumulated Depreciation (2,734)      
2027 Scottsdale, AZ | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 7,168      
Costs Capitalized Subsequent to Acquisition 2,119      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 9,287      
Total 9,287      
Accumulated Depreciation (4,289)      
2028 Scottsdale, AZ | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 6,659      
Costs Capitalized Subsequent to Acquisition 5,065      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 11,724      
Total 11,724      
Accumulated Depreciation (5,306)      
2696 Scottsdale, AZ | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 10,151      
Building and Improvements 14,925      
Costs Capitalized Subsequent to Acquisition 3,195      
Gross Amount at Which Carried As of Year End        
Land and improvements 10,211      
Buildings and Improvements 18,060      
Total 28,271      
Accumulated Depreciation (5,217)      
1041 Brentwood, CA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 30,864      
Costs Capitalized Subsequent to Acquisition 9,237      
Gross Amount at Which Carried As of Year End        
Land and improvements 183      
Buildings and Improvements 39,918      
Total 40,101      
Accumulated Depreciation (14,995)      
1200 Encino, CA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 6,151      
Building and Improvements 10,438      
Costs Capitalized Subsequent to Acquisition 6,043      
Gross Amount at Which Carried As of Year End        
Land and improvements 6,388      
Buildings and Improvements 16,244      
Total 22,632      
Accumulated Depreciation (8,073)      
1038 Fresno, CA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 3,652      
Building and Improvements 29,113      
Costs Capitalized Subsequent to Acquisition 21,935      
Gross Amount at Which Carried As of Year End        
Land and improvements 3,652      
Buildings and Improvements 51,048      
Total 54,700      
Accumulated Depreciation (23,741)      
436 Murietta, CA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 400      
Building and Improvements 9,266      
Costs Capitalized Subsequent to Acquisition 2,855      
Gross Amount at Which Carried As of Year End        
Land and improvements 608      
Buildings and Improvements 11,913      
Total 12,521      
Accumulated Depreciation (7,909)      
239 Poway, CA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,700      
Building and Improvements 10,839      
Costs Capitalized Subsequent to Acquisition 3,172      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,944      
Buildings and Improvements 13,767      
Total 16,711      
Accumulated Depreciation (8,922)      
2654 Riverside, CA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,758      
Building and Improvements 9,908      
Costs Capitalized Subsequent to Acquisition 529      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,266      
Buildings and Improvements 10,929      
Total 13,195      
Accumulated Depreciation (2,233)      
318 Sacramento, CA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,860      
Building and Improvements 37,566      
Costs Capitalized Subsequent to Acquisition 24,613      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,911      
Buildings and Improvements 62,128      
Total 65,039      
Accumulated Depreciation (26,629)      
2404 Sacramento, CA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,268      
Building and Improvements 5,109      
Costs Capitalized Subsequent to Acquisition 1,652      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,299      
Buildings and Improvements 6,730      
Total 8,029      
Accumulated Depreciation (2,581)      
421 San Diego, CA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,910      
Building and Improvements 19,984      
Costs Capitalized Subsequent to Acquisition 15,146      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,964      
Buildings and Improvements 35,076      
Total 38,040      
Accumulated Depreciation (17,632)      
564 San Jose, CA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,935      
Building and Improvements 1,728      
Costs Capitalized Subsequent to Acquisition 2,213      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,935      
Buildings and Improvements 3,941      
Total 5,876      
Accumulated Depreciation (1,596)      
565 San Jose, CA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,460      
Building and Improvements 7,672      
Costs Capitalized Subsequent to Acquisition 2,175      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,492      
Buildings and Improvements 9,815      
Total 11,307      
Accumulated Depreciation (4,641)      
659 Los Gatos, CA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,718      
Building and Improvements 3,124      
Costs Capitalized Subsequent to Acquisition 1,515      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,796      
Buildings and Improvements 4,561      
Total 6,357      
Accumulated Depreciation (2,028)      
439 Valencia, CA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,300      
Building and Improvements 6,967      
Costs Capitalized Subsequent to Acquisition 3,080      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,314      
Buildings and Improvements 10,033      
Total 12,347      
Accumulated Depreciation (6,726)      
440 West Hills, CA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,100      
Building and Improvements 11,595      
Costs Capitalized Subsequent to Acquisition 11,851      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,203      
Buildings and Improvements 23,343      
Total 25,546      
Accumulated Depreciation (8,502)      
3008 West Hills, CA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 12,093      
Initial Cost to Company        
Land and improvements 5,795      
Building and Improvements 13,933      
Costs Capitalized Subsequent to Acquisition 2,897      
Gross Amount at Which Carried As of Year End        
Land and improvements 5,823      
Buildings and Improvements 16,802      
Total 22,625      
Accumulated Depreciation (1,645)      
728 Aurora, CO | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 8,764      
Costs Capitalized Subsequent to Acquisition 1,620      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 10,384      
Total 10,384      
Accumulated Depreciation (3,927)      
1196 Aurora, CO | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 210      
Building and Improvements 12,362      
Costs Capitalized Subsequent to Acquisition 6,172      
Gross Amount at Which Carried As of Year End        
Land and improvements 210      
Buildings and Improvements 18,534      
Total 18,744      
Accumulated Depreciation (7,855)      
1197 Aurora, CO | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 200      
Building and Improvements 8,414      
Costs Capitalized Subsequent to Acquisition 5,673      
Gross Amount at Which Carried As of Year End        
Land and improvements 285      
Buildings and Improvements 14,002      
Total 14,287      
Accumulated Depreciation (6,527)      
127 Colorado Springs, CO | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 690      
Building and Improvements 8,338      
Costs Capitalized Subsequent to Acquisition 367      
Gross Amount at Which Carried As of Year End        
Land and improvements 690      
Buildings and Improvements 8,705      
Total 9,395      
Accumulated Depreciation (6,071)      
882 Colorado Springs, CO | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 12,933      
Costs Capitalized Subsequent to Acquisition 9,106      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 22,039      
Total 22,039      
Accumulated Depreciation (10,586)      
1199 Denver, CO | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 493      
Building and Improvements 7,897      
Costs Capitalized Subsequent to Acquisition 1,789      
Gross Amount at Which Carried As of Year End        
Land and improvements 604      
Buildings and Improvements 9,575      
Total 10,179      
Accumulated Depreciation (5,226)      
808 Englewood, CO | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 8,616      
Costs Capitalized Subsequent to Acquisition 8,886      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 17,502      
Total 17,502      
Accumulated Depreciation (9,595)      
809 Englewood, CO | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 8,449      
Costs Capitalized Subsequent to Acquisition 19,042      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 27,491      
Total 27,491      
Accumulated Depreciation (6,442)      
810 Englewood, CO | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 8,040      
Costs Capitalized Subsequent to Acquisition 15,564      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 23,604      
Total 23,604      
Accumulated Depreciation (9,606)      
811 Englewood, CO | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 8,472      
Costs Capitalized Subsequent to Acquisition 11,904      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 20,376      
Total 20,376      
Accumulated Depreciation (7,895)      
2658 Highlands Ranch, CO | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,637      
Building and Improvements 10,063      
Costs Capitalized Subsequent to Acquisition 95      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,732      
Buildings and Improvements 10,063      
Total 11,795      
Accumulated Depreciation (2,334)      
812 Littleton, CO | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 4,562      
Costs Capitalized Subsequent to Acquisition 2,775      
Gross Amount at Which Carried As of Year End        
Land and improvements 177      
Buildings and Improvements 7,160      
Total 7,337      
Accumulated Depreciation (3,465)      
813 Littleton, CO | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 4,926      
Costs Capitalized Subsequent to Acquisition 2,072      
Gross Amount at Which Carried As of Year End        
Land and improvements 246      
Buildings and Improvements 6,752      
Total 6,998      
Accumulated Depreciation (3,092)      
570 Lone Tree, CO | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 22,171      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 22,171      
Total 22,171      
Accumulated Depreciation (10,271)      
666 Lone Tree, CO | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 23,274      
Costs Capitalized Subsequent to Acquisition 3,843      
Gross Amount at Which Carried As of Year End        
Land and improvements 17      
Buildings and Improvements 27,100      
Total 27,117      
Accumulated Depreciation (12,486)      
2233 Lone Tree, CO | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 6,734      
Costs Capitalized Subsequent to Acquisition 34,696      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 41,430      
Total 41,430      
Accumulated Depreciation (11,074)      
2965 Aurora, CO | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 2,251      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 2,251      
Total 2,251      
Accumulated Depreciation 0      
3000 Lone Tree, CO | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 4,393      
Building and Improvements 31,643      
Costs Capitalized Subsequent to Acquisition 9,516      
Gross Amount at Which Carried As of Year End        
Land and improvements 4,552      
Buildings and Improvements 41,000      
Total 45,552      
Accumulated Depreciation (3,772)      
510 Thornton, CO | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 236      
Building and Improvements 10,206      
Costs Capitalized Subsequent to Acquisition 13,728      
Gross Amount at Which Carried As of Year End        
Land and improvements 455      
Buildings and Improvements 23,715      
Total 24,170      
Accumulated Depreciation (8,016)      
434 Atlantis, FL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 2,027      
Costs Capitalized Subsequent to Acquisition 171      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 2,198      
Total 2,198      
Accumulated Depreciation (1,493)      
435 Atlantis, FL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 2,000      
Costs Capitalized Subsequent to Acquisition 608      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 2,608      
Total 2,608      
Accumulated Depreciation (1,568)      
602 Atlantis, FL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 455      
Building and Improvements 2,231      
Costs Capitalized Subsequent to Acquisition 744      
Gross Amount at Which Carried As of Year End        
Land and improvements 455      
Buildings and Improvements 2,975      
Total 3,430      
Accumulated Depreciation (1,357)      
2963 Brooksville, FL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 11,558      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 11,558      
Total 11,558      
Accumulated Depreciation (1,526)      
604 Englewood, FL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 170      
Building and Improvements 1,134      
Costs Capitalized Subsequent to Acquisition 1,021      
Gross Amount at Which Carried As of Year End        
Land and improvements 197      
Buildings and Improvements 2,128      
Total 2,325      
Accumulated Depreciation (823)      
2962 Orange Park, FL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 17,657      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 17,657      
Total 17,657      
Accumulated Depreciation (1,571)      
609 Kissimmee, FL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 788      
Building and Improvements 174      
Costs Capitalized Subsequent to Acquisition 1,135      
Gross Amount at Which Carried As of Year End        
Land and improvements 788      
Buildings and Improvements 1,309      
Total 2,097      
Accumulated Depreciation (655)      
610 Kissimmee, FL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 481      
Building and Improvements 347      
Costs Capitalized Subsequent to Acquisition 258      
Gross Amount at Which Carried As of Year End        
Land and improvements 488      
Buildings and Improvements 598      
Total 1,086      
Accumulated Depreciation (336)      
671 Kissimmee, FL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 7,574      
Costs Capitalized Subsequent to Acquisition 818      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 8,392      
Total 8,392      
Accumulated Depreciation (3,727)      
603 Lake Worth, FL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,507      
Building and Improvements 2,894      
Costs Capitalized Subsequent to Acquisition 534      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,507      
Buildings and Improvements 3,428      
Total 4,935      
Accumulated Depreciation (1,459)      
612 Margate, FL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,553      
Building and Improvements 6,898      
Costs Capitalized Subsequent to Acquisition 2,984      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,553      
Buildings and Improvements 9,882      
Total 11,435      
Accumulated Depreciation (4,880)      
613 Miami, FL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 4,392      
Building and Improvements 11,841      
Costs Capitalized Subsequent to Acquisition 11,366      
Gross Amount at Which Carried As of Year End        
Land and improvements 4,454      
Buildings and Improvements 23,145      
Total 27,599      
Accumulated Depreciation (8,513)      
2202 Miami, FL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 13,123      
Costs Capitalized Subsequent to Acquisition 10,907      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 24,030      
Total 24,030      
Accumulated Depreciation (10,231)      
2203 Miami, FL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 8,877      
Costs Capitalized Subsequent to Acquisition 4,890      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 13,767      
Total 13,767      
Accumulated Depreciation (5,359)      
1067 Milton, FL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 8,566      
Costs Capitalized Subsequent to Acquisition 1,662      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 10,228      
Total 10,228      
Accumulated Depreciation (4,057)      
2577 Naples, FL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 29,186      
Costs Capitalized Subsequent to Acquisition 1,805      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 30,991      
Total 30,991      
Accumulated Depreciation (6,953)      
2578 Naples, FL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 18,819      
Costs Capitalized Subsequent to Acquisition 667      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 19,486      
Total 19,486      
Accumulated Depreciation (3,709)      
2964 Okeechobee, FL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 16,951      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 16,951      
Total 16,951      
Accumulated Depreciation (1,266)      
563 Orlando, FL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,144      
Building and Improvements 5,136      
Costs Capitalized Subsequent to Acquisition 13,507      
Gross Amount at Which Carried As of Year End        
Land and improvements 12,022      
Buildings and Improvements 8,765      
Total 20,787      
Accumulated Depreciation (6,599)      
833 Pace, FL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 10,309      
Costs Capitalized Subsequent to Acquisition 1,628      
Gross Amount at Which Carried As of Year End        
Land and improvements 28      
Buildings and Improvements 11,909      
Total 11,937      
Accumulated Depreciation (4,541)      
834 Pensacola, FL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 11,166      
Costs Capitalized Subsequent to Acquisition 428      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 11,594      
Total 11,594      
Accumulated Depreciation (4,506)      
673 Plantation, FL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,091      
Building and Improvements 7,176      
Costs Capitalized Subsequent to Acquisition 2,623      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,091      
Buildings and Improvements 9,799      
Total 10,890      
Accumulated Depreciation (4,461)      
674 Plantation, FL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 8,273      
Costs Capitalized Subsequent to Acquisition 1,560      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 9,833      
Total 9,833      
Accumulated Depreciation (1,042)      
2579 Punta Gorda, FL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 9,379      
Costs Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 9,379      
Total 9,379      
Accumulated Depreciation (1,957)      
2833 St. Petersburg, FL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 13,754      
Costs Capitalized Subsequent to Acquisition 10,299      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 24,053      
Total 24,053      
Accumulated Depreciation (9,609)      
887 Atlanta, GA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 4,300      
Building and Improvements 13,690      
Costs Capitalized Subsequent to Acquisition (1,800)      
Gross Amount at Which Carried As of Year End        
Land and improvements 4,300      
Buildings and Improvements 11,890      
Total 16,190      
Accumulated Depreciation (10,007)      
3214 Savannah, GA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 10,178      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 10,178      
Total 10,178      
Accumulated Depreciation 0      
2576 Statesboro, GA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 10,234      
Costs Capitalized Subsequent to Acquisition 1,430      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 11,664      
Total 11,664      
Accumulated Depreciation (2,973)      
3006 Arlington Heights, IL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 4,861      
Initial Cost to Company        
Land and improvements 3,011      
Building and Improvements 9,651      
Costs Capitalized Subsequent to Acquisition 1,857      
Gross Amount at Which Carried As of Year End        
Land and improvements 3,187      
Buildings and Improvements 11,332      
Total 14,519      
Accumulated Depreciation (1,299)      
2702 Bolingbrook, IL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 21,237      
Costs Capitalized Subsequent to Acquisition 3,884      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 25,121      
Total 25,121      
Accumulated Depreciation (3,025)      
3004 Highland Park, IL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 5,853      
Initial Cost to Company        
Land and improvements 2,767      
Building and Improvements 11,495      
Costs Capitalized Subsequent to Acquisition 572      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,767      
Buildings and Improvements 12,067      
Total 14,834      
Accumulated Depreciation (1,226)      
3005 Lockport, IL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 11,011      
Initial Cost to Company        
Land and improvements 3,106      
Building and Improvements 22,645      
Costs Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried As of Year End        
Land and improvements 3,106      
Buildings and Improvements 22,645      
Total 25,751      
Accumulated Depreciation (2,256)      
1065 Marion, IL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 99      
Building and Improvements 11,538      
Costs Capitalized Subsequent to Acquisition 2,005      
Gross Amount at Which Carried As of Year End        
Land and improvements 100      
Buildings and Improvements 13,542      
Total 13,642      
Accumulated Depreciation (5,978)      
2719 Marion, IL | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 5,098      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 5,098      
Total 5,098      
Accumulated Depreciation (452)      
2696 Indianapolis, IN | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 59,746      
Costs Capitalized Subsequent to Acquisition 954      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 60,700      
Total 60,700      
Accumulated Depreciation (5,797)      
2699 Indianapolis, IN | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 23,211      
Costs Capitalized Subsequent to Acquisition 737      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 23,948      
Total 23,948      
Accumulated Depreciation (2,364)      
2698 Mooresville, IN | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 20,646      
Costs Capitalized Subsequent to Acquisition 922      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 21,568      
Total 21,568      
Accumulated Depreciation (2,080)      
1057 Newburgh, IN | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 14,019      
Costs Capitalized Subsequent to Acquisition 4,149      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 18,168      
Total 18,168      
Accumulated Depreciation (8,511)      
2700 Zionsville, IN | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,969      
Building and Improvements 7,281      
Costs Capitalized Subsequent to Acquisition 804      
Gross Amount at Which Carried As of Year End        
Land and improvements 3,040      
Buildings and Improvements 8,014      
Total 11,054      
Accumulated Depreciation (1,204)      
2039 Kansas City, KS | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 440      
Building and Improvements 2,173      
Costs Capitalized Subsequent to Acquisition 390      
Gross Amount at Which Carried As of Year End        
Land and improvements 440      
Buildings and Improvements 2,563      
Total 3,003      
Accumulated Depreciation (740)      
112 Overland Park, KS | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,316      
Building and Improvements 10,681      
Costs Capitalized Subsequent to Acquisition 116      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,316      
Buildings and Improvements 10,797      
Total 13,113      
Accumulated Depreciation (8,176)      
2043 Overland Park, KS | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 7,668      
Costs Capitalized Subsequent to Acquisition 2,000      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 9,668      
Total 9,668      
Accumulated Depreciation (2,732)      
3062 Overland Park, KS | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 872      
Building and Improvements 11,813      
Costs Capitalized Subsequent to Acquisition 59      
Gross Amount at Which Carried As of Year End        
Land and improvements 992      
Buildings and Improvements 11,752      
Total 12,744      
Accumulated Depreciation (2,570)      
483 Wichita, KS | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 530      
Building and Improvements 3,341      
Costs Capitalized Subsequent to Acquisition 437      
Gross Amount at Which Carried As of Year End        
Land and improvements 605      
Buildings and Improvements 3,703      
Total 4,308      
Accumulated Depreciation (1,738)      
3018 Wichita, KS | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 3,946      
Building and Improvements 39,795      
Costs Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried As of Year End        
Land and improvements 3,946      
Buildings and Improvements 39,795      
Total 43,741      
Accumulated Depreciation (3,933)      
1064 Lexington, KY | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 12,726      
Costs Capitalized Subsequent to Acquisition 2,213      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 14,939      
Total 14,939      
Accumulated Depreciation (6,642)      
735 Louisville, KY | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 936      
Building and Improvements 8,426      
Costs Capitalized Subsequent to Acquisition 13,840      
Gross Amount at Which Carried As of Year End        
Land and improvements 661      
Buildings and Improvements 22,541      
Total 23,202      
Accumulated Depreciation (12,657)      
737 Louisville, KY | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 835      
Building and Improvements 27,627      
Costs Capitalized Subsequent to Acquisition 7,477      
Gross Amount at Which Carried As of Year End        
Land and improvements 560      
Buildings and Improvements 35,379      
Total 35,939      
Accumulated Depreciation (16,906)      
738 Louisville, KY | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 780      
Building and Improvements 8,582      
Costs Capitalized Subsequent to Acquisition 4,544      
Gross Amount at Which Carried As of Year End        
Land and improvements 585      
Buildings and Improvements 13,321      
Total 13,906      
Accumulated Depreciation (10,521)      
739 Louisville, KY | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 826      
Building and Improvements 13,814      
Costs Capitalized Subsequent to Acquisition 3,542      
Gross Amount at Which Carried As of Year End        
Land and improvements 602      
Buildings and Improvements 17,580      
Total 18,182      
Accumulated Depreciation (7,444)      
2834 Louisville, KY | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,983      
Building and Improvements 13,171      
Costs Capitalized Subsequent to Acquisition 5,433      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,983      
Buildings and Improvements 18,604      
Total 21,587      
Accumulated Depreciation (10,498)      
1945 Louisville, KY | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 3,255      
Building and Improvements 28,644      
Costs Capitalized Subsequent to Acquisition 2,678      
Gross Amount at Which Carried As of Year End        
Land and improvements 3,365      
Buildings and Improvements 31,212      
Total 34,577      
Accumulated Depreciation (13,208)      
1946 Louisville, KY | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 430      
Building and Improvements 6,125      
Costs Capitalized Subsequent to Acquisition 230      
Gross Amount at Which Carried As of Year End        
Land and improvements 430      
Buildings and Improvements 6,355      
Total 6,785      
Accumulated Depreciation (2,769)      
2237 Louisville, KY | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,519      
Building and Improvements 15,386      
Costs Capitalized Subsequent to Acquisition 7,130      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,672      
Buildings and Improvements 22,363      
Total 24,035      
Accumulated Depreciation (8,330)      
2238 Louisville, KY | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,334      
Building and Improvements 12,172      
Costs Capitalized Subsequent to Acquisition 3,049      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,558      
Buildings and Improvements 14,997      
Total 16,555      
Accumulated Depreciation (5,429)      
2239 Louisville, KY | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,644      
Building and Improvements 10,832      
Costs Capitalized Subsequent to Acquisition 9,879      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,043      
Buildings and Improvements 20,312      
Total 22,355      
Accumulated Depreciation (7,588)      
3023 Covington, LA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 9,490      
Building and Improvements 21,918      
Costs Capitalized Subsequent to Acquisition 128      
Gross Amount at Which Carried As of Year End        
Land and improvements 9,507      
Buildings and Improvements 22,029      
Total 31,536      
Accumulated Depreciation (2,254)      
3121 Cambrigde, MA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 40,663      
Building and Improvements 23,102      
Costs Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried As of Year End        
Land and improvements 40,663      
Buildings and Improvements 23,102      
Total 63,765      
Accumulated Depreciation (1,776)      
1213 Ellicott City, MD | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,115      
Building and Improvements 3,206      
Costs Capitalized Subsequent to Acquisition 3,013      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,357      
Buildings and Improvements 5,977      
Total 7,334      
Accumulated Depreciation (2,657)      
1052 Towson, MD | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 14,233      
Costs Capitalized Subsequent to Acquisition 1,231      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 15,464      
Total 15,464      
Accumulated Depreciation (6,004)      
2650 Biddeford, ME | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,341      
Building and Improvements 17,376      
Costs Capitalized Subsequent to Acquisition 388      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,341      
Buildings and Improvements 17,764      
Total 19,105      
Accumulated Depreciation (4,251)      
3002 Burnsville, MN | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 7,737      
Initial Cost to Company        
Land and improvements 2,801      
Building and Improvements 17,779      
Costs Capitalized Subsequent to Acquisition 1,151      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,861      
Buildings and Improvements 18,870      
Total 21,731      
Accumulated Depreciation (3,424)      
3003 Burnsville, MN | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 5,158      
Initial Cost to Company        
Land and improvements 516      
Building and Improvements 13,200      
Costs Capitalized Subsequent to Acquisition 462      
Gross Amount at Which Carried As of Year End        
Land and improvements 533      
Buildings and Improvements 13,645      
Total 14,178      
Accumulated Depreciation (2,225)      
3009 Burnsville, MN | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 19,046      
Initial Cost to Company        
Land and improvements 4,640      
Building and Improvements 38,064      
Costs Capitalized Subsequent to Acquisition 333      
Gross Amount at Which Carried As of Year End        
Land and improvements 4,664      
Buildings and Improvements 38,373      
Total 43,037      
Accumulated Depreciation (3,990)      
240 Minneapolis, MN | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 117      
Building and Improvements 13,213      
Costs Capitalized Subsequent to Acquisition 5,337      
Gross Amount at Which Carried As of Year End        
Land and improvements 117      
Buildings and Improvements 18,550      
Total 18,667      
Accumulated Depreciation (11,776)      
300 Minneapolis, MN | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 160      
Building and Improvements 10,131      
Costs Capitalized Subsequent to Acquisition 5,086      
Gross Amount at Which Carried As of Year End        
Land and improvements 214      
Buildings and Improvements 15,163      
Total 15,377      
Accumulated Depreciation (9,547)      
2703 Columbia, MO | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 4,141      
Building and Improvements 20,364      
Costs Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried As of Year End        
Land and improvements 4,141      
Buildings and Improvements 20,364      
Total 24,505      
Accumulated Depreciation (2,696)      
2032 Independence, MO | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 48,025      
Costs Capitalized Subsequent to Acquisition 1,872      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 49,897      
Total 49,897      
Accumulated Depreciation (12,858)      
2863 Lee's Summitt, MO | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 16,470      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 16,470      
Total 16,470      
Accumulated Depreciation (2,633)      
1078 Flowood, MS | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 8,413      
Costs Capitalized Subsequent to Acquisition 1,472      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 9,885      
Total 9,885      
Accumulated Depreciation (4,097)      
1059 Jackson, MS | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 8,868      
Costs Capitalized Subsequent to Acquisition 668      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 9,536      
Total 9,536      
Accumulated Depreciation (4,090)      
1060 Jackson, MS | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 7,187      
Costs Capitalized Subsequent to Acquisition 2,038      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 9,225      
Total 9,225      
Accumulated Depreciation (3,797)      
1068 Omaha, NE | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 16,243      
Costs Capitalized Subsequent to Acquisition 2,667      
Gross Amount at Which Carried As of Year End        
Land and improvements 24      
Buildings and Improvements 18,886      
Total 18,910      
Accumulated Depreciation (8,250)      
2651 Charlotte, NC | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,032      
Building and Improvements 6,196      
Costs Capitalized Subsequent to Acquisition 253      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,032      
Buildings and Improvements 6,449      
Total 7,481      
Accumulated Depreciation (1,252)      
2695 Charlotte, NC | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 844      
Building and Improvements 5,021      
Costs Capitalized Subsequent to Acquisition 266      
Gross Amount at Which Carried As of Year End        
Land and improvements 844      
Buildings and Improvements 5,287      
Total 6,131      
Accumulated Depreciation (960)      
2655 Wilmington, NC | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,949      
Building and Improvements 12,244      
Costs Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,949      
Buildings and Improvements 12,244      
Total 14,193      
Accumulated Depreciation (2,749)      
2656 Wilmington, NC | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,071      
Building and Improvements 11,592      
Costs Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,071      
Buildings and Improvements 11,592      
Total 13,663      
Accumulated Depreciation (2,575)      
2657 Shallotte, NC | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 918      
Building and Improvements 3,609      
Costs Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried As of Year End        
Land and improvements 918      
Buildings and Improvements 3,609      
Total 4,527      
Accumulated Depreciation (1,106)      
2647 Concord, NH | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,961      
Building and Improvements 23,516      
Costs Capitalized Subsequent to Acquisition (614)      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,032      
Buildings and Improvements 23,831      
Total 24,863      
Accumulated Depreciation (3,577)      
2648 Concord, NH | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 815      
Building and Improvements 8,902      
Costs Capitalized Subsequent to Acquisition 172      
Gross Amount at Which Carried As of Year End        
Land and improvements 408      
Buildings and Improvements 9,481      
Total 9,889      
Accumulated Depreciation (2,073)      
2649 Epsom, NH | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 919      
Building and Improvements 5,868      
Costs Capitalized Subsequent to Acquisition (513)      
Gross Amount at Which Carried As of Year End        
Land and improvements 304      
Buildings and Improvements 5,970      
Total 6,274      
Accumulated Depreciation (1,174)      
3011 Cherry Hill, NV | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 5,235      
Building and Improvements 21,731      
Costs Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried As of Year End        
Land and improvements 5,235      
Buildings and Improvements 21,731      
Total 26,966      
Accumulated Depreciation (2,695)      
3012 Morristown, NJ | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 21,703      
Building and Improvements 32,517      
Costs Capitalized Subsequent to Acquisition 5,472      
Gross Amount at Which Carried As of Year End        
Land and improvements 21,703      
Buildings and Improvements 37,989      
Total 59,692      
Accumulated Depreciation (4,413)      
3013 Morristown, NJ | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 14,567      
Building and Improvements 20,548      
Costs Capitalized Subsequent to Acquisition 8,647      
Gross Amount at Which Carried As of Year End        
Land and improvements 14,567      
Buildings and Improvements 29,195      
Total 43,762      
Accumulated Depreciation (2,439)      
3014 Morristown, NJ | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 20,563      
Building and Improvements 31,849      
Costs Capitalized Subsequent to Acquisition 1,721      
Gross Amount at Which Carried As of Year End        
Land and improvements 20,563      
Buildings and Improvements 33,570      
Total 54,133      
Accumulated Depreciation (2,591)      
729 Albuquerque, NM | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 5,380      
Costs Capitalized Subsequent to Acquisition 1,944      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 7,324      
Total 7,324      
Accumulated Depreciation (2,828)      
571 Las Vegas, NV | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 23,267      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 23,267      
Total 23,267      
Accumulated Depreciation (9,353)      
660 Las Vegas, NV | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,121      
Building and Improvements 4,363      
Costs Capitalized Subsequent to Acquisition 9,560      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,147      
Buildings and Improvements 13,897      
Total 15,044      
Accumulated Depreciation (4,967)      
661 Las Vegas, NV | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,305      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 1,371      
Gross Amount at Which Carried As of Year End        
Land and improvements 3,676      
Buildings and Improvements 0      
Total 3,676      
Accumulated Depreciation 0      
662 Las Vegas, NV | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,000      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,000      
Buildings and Improvements 0      
Total 1,000      
Accumulated Depreciation 0      
663 Las Vegas, NV | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,717      
Building and Improvements 3,597      
Costs Capitalized Subsequent to Acquisition 12,799      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,724      
Buildings and Improvements 16,389      
Total 18,113      
Accumulated Depreciation (6,718)      
664 Las Vegas, NV | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,172      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 633      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,805      
Buildings and Improvements 0      
Total 1,805      
Accumulated Depreciation (433)      
691 Las Vegas, NV | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 3,073      
Building and Improvements 18,339      
Costs Capitalized Subsequent to Acquisition 8,001      
Gross Amount at Which Carried As of Year End        
Land and improvements 3,116      
Buildings and Improvements 26,297      
Total 29,413      
Accumulated Depreciation (16,290)      
2037 Mesquite, NV | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 5,559      
Costs Capitalized Subsequent to Acquisition 988      
Gross Amount at Which Carried As of Year End        
Land and improvements 34      
Buildings and Improvements 6,513      
Total 6,547      
Accumulated Depreciation (2,148)      
400 Harrison, OH | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 4,561      
Costs Capitalized Subsequent to Acquisition 366      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 4,927      
Total 4,927      
Accumulated Depreciation (3,149)      
1054 Durant, OK | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 619      
Building and Improvements 9,256      
Costs Capitalized Subsequent to Acquisition 3,111      
Gross Amount at Which Carried As of Year End        
Land and improvements 666      
Buildings and Improvements 12,320      
Total 12,986      
Accumulated Depreciation (5,294)      
817 Owasso, OK | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 6,582      
Costs Capitalized Subsequent to Acquisition (443)      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 6,139      
Total 6,139      
Accumulated Depreciation (2,789)      
404 Roseburg, OR | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 5,707      
Costs Capitalized Subsequent to Acquisition 895      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 6,602      
Total 6,602      
Accumulated Depreciation (3,892)      
3010 Springfield, OR | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 20,732      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 51,998      
Costs Capitalized Subsequent to Acquisition 416      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 52,414      
Total 52,414      
Accumulated Depreciation (5,426)      
2570 Limerick, PA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 925      
Building and Improvements 20,072      
Costs Capitalized Subsequent to Acquisition (119)      
Gross Amount at Which Carried As of Year End        
Land and improvements 755      
Buildings and Improvements 20,123      
Total 20,878      
Accumulated Depreciation (5,075)      
2234 Philadelphia, PA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 24,264      
Building and Improvements 99,904      
Costs Capitalized Subsequent to Acquisition 50,137      
Gross Amount at Which Carried As of Year End        
Land and improvements 24,288      
Buildings and Improvements 150,017      
Total 174,305      
Accumulated Depreciation (43,316)      
2403 Philadelphia, PA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 26,063      
Building and Improvements 97,646      
Costs Capitalized Subsequent to Acquisition 39,404      
Gross Amount at Which Carried As of Year End        
Land and improvements 26,134      
Buildings and Improvements 136,979      
Total 163,113      
Accumulated Depreciation (49,725)      
2571 Wilkes-Barre, PA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 9,138      
Costs Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 9,138      
Total 9,138      
Accumulated Depreciation (2,550)      
2694 Anderson, SC | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 405      
Building and Improvements 1,211      
Costs Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried As of Year End        
Land and improvements 405      
Buildings and Improvements 1,211      
Total 1,616      
Accumulated Depreciation (352)      
2573 Florence, SC | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 12,090      
Costs Capitalized Subsequent to Acquisition 90      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 12,180      
Total 12,180      
Accumulated Depreciation (2,712)      
2574 Florence, SC | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 12,190      
Costs Capitalized Subsequent to Acquisition 87      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 12,277      
Total 12,277      
Accumulated Depreciation (2,729)      
2575 Florence, SC | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 11,243      
Costs Capitalized Subsequent to Acquisition 56      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 11,299      
Total 11,299      
Accumulated Depreciation (3,076)      
2841 Greenville, SC | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 634      
Building and Improvements 38,386      
Costs Capitalized Subsequent to Acquisition 1,277      
Gross Amount at Which Carried As of Year End        
Land and improvements 13      
Buildings and Improvements 40,284      
Total 40,297      
Accumulated Depreciation (9,241)      
2842 Greenville, SC | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 794      
Building and Improvements 41,293      
Costs Capitalized Subsequent to Acquisition 211      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 42,298      
Total 42,298      
Accumulated Depreciation (9,320)      
2843 Greenville, SC | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 626      
Building and Improvements 22,210      
Costs Capitalized Subsequent to Acquisition (368)      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 22,468      
Total 22,468      
Accumulated Depreciation (5,258)      
2844 Greenville, SC | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 806      
Building and Improvements 18,889      
Costs Capitalized Subsequent to Acquisition 259      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 19,954      
Total 19,954      
Accumulated Depreciation (4,349)      
2845 Greenville, SC | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 932      
Building and Improvements 40,879      
Costs Capitalized Subsequent to Acquisition (3,557)      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 38,254      
Total 38,254      
Accumulated Depreciation (5,148)      
2846 Greenville, SC | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 896      
Building and Improvements 38,486      
Costs Capitalized Subsequent to Acquisition 205      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 39,587      
Total 39,587      
Accumulated Depreciation (8,339)      
2847 Greenville, SC | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 600      
Building and Improvements 26,472      
Costs Capitalized Subsequent to Acquisition 4,750      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 31,822      
Total 31,822      
Accumulated Depreciation (8,164)      
2850 Greenville, SC | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 211      
Building and Improvements 6,503      
Costs Capitalized Subsequent to Acquisition 153      
Gross Amount at Which Carried As of Year End        
Land and improvements 211      
Buildings and Improvements 6,656      
Total 6,867      
Accumulated Depreciation (1,920)      
2853 Greenville, SC | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 534      
Building and Improvements 6,430      
Costs Capitalized Subsequent to Acquisition (1,388)      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 5,576      
Total 5,576      
Accumulated Depreciation (1,038)      
2854 Greenville, SC | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 824      
Building and Improvements 13,645      
Costs Capitalized Subsequent to Acquisition (512)      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 13,957      
Total 13,957      
Accumulated Depreciation (3,785)      
2848 Greer, SC | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 318      
Building and Improvements 5,816      
Costs Capitalized Subsequent to Acquisition 97      
Gross Amount at Which Carried As of Year End        
Land and improvements 318      
Buildings and Improvements 5,913      
Total 6,231      
Accumulated Depreciation (1,512)      
2849 Greer, SC | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 319      
Building and Improvements 5,836      
Costs Capitalized Subsequent to Acquisition (777)      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 5,378      
Total 5,378      
Accumulated Depreciation (734)      
2851 Travelers Rest, SC | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 498      
Building and Improvements 1,015      
Costs Capitalized Subsequent to Acquisition 3      
Gross Amount at Which Carried As of Year End        
Land and improvements 299      
Buildings and Improvements 1,217      
Total 1,516      
Accumulated Depreciation (611)      
2862 Myrtle Beach, SC | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 28,496      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 28,496      
Total 28,496      
Accumulated Depreciation (6,051)      
2865 Brentwood, TN | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 35,219      
Gross Amount at Which Carried As of Year End        
Land and improvements 52      
Buildings and Improvements 35,167      
Total 35,219      
Accumulated Depreciation (3,870)      
624 Hendersonville, TN | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 256      
Building and Improvements 1,530      
Costs Capitalized Subsequent to Acquisition 2,383      
Gross Amount at Which Carried As of Year End        
Land and improvements 256      
Buildings and Improvements 3,913      
Total 4,169      
Accumulated Depreciation (1,991)      
559 Hermitage, TN | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 830      
Building and Improvements 5,036      
Costs Capitalized Subsequent to Acquisition 13,157      
Gross Amount at Which Carried As of Year End        
Land and improvements 837      
Buildings and Improvements 18,186      
Total 19,023      
Accumulated Depreciation (6,882)      
561 Hermitage, TN | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 596      
Building and Improvements 9,698      
Costs Capitalized Subsequent to Acquisition 4,262      
Gross Amount at Which Carried As of Year End        
Land and improvements 596      
Buildings and Improvements 13,960      
Total 14,556      
Accumulated Depreciation (7,331)      
562 Hermitage, TN | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 317      
Building and Improvements 6,528      
Costs Capitalized Subsequent to Acquisition 2,979      
Gross Amount at Which Carried As of Year End        
Land and improvements 317      
Buildings and Improvements 9,507      
Total 9,824      
Accumulated Depreciation (4,491)      
625 Nashville, TN | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 955      
Building and Improvements 14,289      
Costs Capitalized Subsequent to Acquisition 7,675      
Gross Amount at Which Carried As of Year End        
Land and improvements 955      
Buildings and Improvements 21,964      
Total 22,919      
Accumulated Depreciation (9,756)      
626 Nashville, TN | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,050      
Building and Improvements 5,211      
Costs Capitalized Subsequent to Acquisition 5,198      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,050      
Buildings and Improvements 10,409      
Total 12,459      
Accumulated Depreciation (3,987)      
627 Nashville, TN | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,007      
Building and Improvements 181      
Costs Capitalized Subsequent to Acquisition 986      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,113      
Buildings and Improvements 1,061      
Total 2,174      
Accumulated Depreciation (555)      
628 Nashville, TN | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,980      
Building and Improvements 7,164      
Costs Capitalized Subsequent to Acquisition 3,046      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,980      
Buildings and Improvements 10,210      
Total 13,190      
Accumulated Depreciation (4,235)      
630 Nashville, TN | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 515      
Building and Improvements 848      
Costs Capitalized Subsequent to Acquisition 339      
Gross Amount at Which Carried As of Year End        
Land and improvements 515      
Buildings and Improvements 1,187      
Total 1,702      
Accumulated Depreciation (536)      
631 Nashville, TN | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 266      
Building and Improvements 1,305      
Costs Capitalized Subsequent to Acquisition 1,266      
Gross Amount at Which Carried As of Year End        
Land and improvements 266      
Buildings and Improvements 2,571      
Total 2,837      
Accumulated Depreciation (1,450)      
632 Nashville, TN | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 827      
Building and Improvements 7,642      
Costs Capitalized Subsequent to Acquisition 3,034      
Gross Amount at Which Carried As of Year End        
Land and improvements 827      
Buildings and Improvements 10,676      
Total 11,503      
Accumulated Depreciation (5,283)      
633 Nashville, TN | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 5,425      
Building and Improvements 12,577      
Costs Capitalized Subsequent to Acquisition 5,720      
Gross Amount at Which Carried As of Year End        
Land and improvements 5,425      
Buildings and Improvements 18,297      
Total 23,722      
Accumulated Depreciation (8,059)      
634 Nashville, TN | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 3,818      
Building and Improvements 15,185      
Costs Capitalized Subsequent to Acquisition 12,266      
Gross Amount at Which Carried As of Year End        
Land and improvements 3,818      
Buildings and Improvements 27,451      
Total 31,269      
Accumulated Depreciation (11,240)      
636 Nashville, TN | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 583      
Building and Improvements 450      
Costs Capitalized Subsequent to Acquisition 424      
Gross Amount at Which Carried As of Year End        
Land and improvements 604      
Buildings and Improvements 853      
Total 1,457      
Accumulated Depreciation (372)      
2967 Nashville, TN | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 52,503      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 52,503      
Total 52,503      
Accumulated Depreciation (4,519)      
2720 Nashville, TN | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 102      
Building and Improvements 10,925      
Costs Capitalized Subsequent to Acquisition 1,058      
Gross Amount at Which Carried As of Year End        
Land and improvements 102      
Buildings and Improvements 11,983      
Total 12,085      
Accumulated Depreciation (2,038)      
2611 Allen, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,330      
Building and Improvements 5,960      
Costs Capitalized Subsequent to Acquisition 1,245      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,374      
Buildings and Improvements 7,161      
Total 8,535      
Accumulated Depreciation (1,868)      
2612 Allen, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,310      
Building and Improvements 4,165      
Costs Capitalized Subsequent to Acquisition 1,516      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,310      
Buildings and Improvements 5,681      
Total 6,991      
Accumulated Depreciation (1,540)      
573 Arlington, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 769      
Building and Improvements 12,355      
Costs Capitalized Subsequent to Acquisition 26,097      
Gross Amount at Which Carried As of Year End        
Land and improvements 769      
Buildings and Improvements 38,452      
Total 39,221      
Accumulated Depreciation (8,657)      
2621 Cedar Park, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,617      
Building and Improvements 11,640      
Costs Capitalized Subsequent to Acquisition 950      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,617      
Buildings and Improvements 12,590      
Total 14,207      
Accumulated Depreciation (2,144)      
576 Conroe, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 324      
Building and Improvements 4,842      
Costs Capitalized Subsequent to Acquisition 4,171      
Gross Amount at Which Carried As of Year End        
Land and improvements 324      
Buildings and Improvements 9,013      
Total 9,337      
Accumulated Depreciation (3,998)      
577 Conroe, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 397      
Building and Improvements 7,966      
Costs Capitalized Subsequent to Acquisition 2,981      
Gross Amount at Which Carried As of Year End        
Land and improvements 397      
Buildings and Improvements 10,947      
Total 11,344      
Accumulated Depreciation (4,740)      
578 Conroe, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 388      
Building and Improvements 7,975      
Costs Capitalized Subsequent to Acquisition 2,576      
Gross Amount at Which Carried As of Year End        
Land and improvements 388      
Buildings and Improvements 10,551      
Total 10,939      
Accumulated Depreciation (4,587)      
579 Conroe, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 188      
Building and Improvements 3,618      
Costs Capitalized Subsequent to Acquisition 1,045      
Gross Amount at Which Carried As of Year End        
Land and improvements 188      
Buildings and Improvements 4,663      
Total 4,851      
Accumulated Depreciation (2,423)      
581 Corpus Christi, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 717      
Building and Improvements 8,181      
Costs Capitalized Subsequent to Acquisition 4,253      
Gross Amount at Which Carried As of Year End        
Land and improvements 717      
Buildings and Improvements 12,434      
Total 13,151      
Accumulated Depreciation (5,699)      
600 Corpus Christi, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 328      
Building and Improvements 3,210      
Costs Capitalized Subsequent to Acquisition 1,913      
Gross Amount at Which Carried As of Year End        
Land and improvements 328      
Buildings and Improvements 5,123      
Total 5,451      
Accumulated Depreciation (2,851)      
601 Corpus Christi, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 313      
Building and Improvements 1,771      
Costs Capitalized Subsequent to Acquisition 2,014      
Gross Amount at Which Carried As of Year End        
Land and improvements 325      
Buildings and Improvements 3,773      
Total 4,098      
Accumulated Depreciation (1,886)      
2839 Cypress, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 37,639      
Gross Amount at Which Carried As of Year End        
Land and improvements 11      
Buildings and Improvements 37,628      
Total 37,639      
Accumulated Depreciation (12,404)      
582 Dallas, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,664      
Building and Improvements 6,785      
Costs Capitalized Subsequent to Acquisition 4,342      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,718      
Buildings and Improvements 11,073      
Total 12,791      
Accumulated Depreciation (5,040)      
1314 Dallas, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 15,230      
Building and Improvements 162,970      
Costs Capitalized Subsequent to Acquisition 29,075      
Gross Amount at Which Carried As of Year End        
Land and improvements 23,630      
Buildings and Improvements 183,645      
Total 207,275      
Accumulated Depreciation (88,337)      
1315 Dallas, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 4,083      
Gross Amount at Which Carried As of Year End        
Land and improvements 17      
Buildings and Improvements 4,066      
Total 4,083      
Accumulated Depreciation (1,663)      
1316 Dallas, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 9,691      
Gross Amount at Which Carried As of Year End        
Land and improvements 64      
Buildings and Improvements 9,627      
Total 9,691      
Accumulated Depreciation (1,720)      
1317 Dallas, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 12,061      
Gross Amount at Which Carried As of Year End        
Land and improvements 166      
Buildings and Improvements 11,895      
Total 12,061      
Accumulated Depreciation (2,256)      
1319 Dallas, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 18,840      
Building and Improvements 155,659      
Costs Capitalized Subsequent to Acquisition 6,539      
Gross Amount at Which Carried As of Year End        
Land and improvements 18,840      
Buildings and Improvements 162,198      
Total 181,038      
Accumulated Depreciation (76,716)      
2721 Dallas, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 31,707      
Building and Improvements 2,000      
Costs Capitalized Subsequent to Acquisition 347      
Gross Amount at Which Carried As of Year End        
Land and improvements 31,707      
Buildings and Improvements 2,347      
Total 34,054      
Accumulated Depreciation (1,998)      
3007 Denton, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 5,654      
Initial Cost to Company        
Land and improvements 2,298      
Building and Improvements 9,502      
Costs Capitalized Subsequent to Acquisition 97      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,338      
Buildings and Improvements 9,559      
Total 11,897      
Accumulated Depreciation (1,298)      
3020 Frisco, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 27,201      
Costs Capitalized Subsequent to Acquisition 1,214      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 28,415      
Total 28,415      
Accumulated Depreciation (2,394)      
3021 Frisco, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 26,181      
Costs Capitalized Subsequent to Acquisition 2,186      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 28,367      
Total 28,367      
Accumulated Depreciation (2,700)      
583 Fort Worth, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 898      
Building and Improvements 4,866      
Costs Capitalized Subsequent to Acquisition 4,115      
Gross Amount at Which Carried As of Year End        
Land and improvements 898      
Buildings and Improvements 8,981      
Total 9,879      
Accumulated Depreciation (4,168)      
805 Fort Worth, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 2,481      
Costs Capitalized Subsequent to Acquisition 1,316      
Gross Amount at Which Carried As of Year End        
Land and improvements 45      
Buildings and Improvements 3,752      
Total 3,797      
Accumulated Depreciation (2,458)      
806 Fort Worth, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 6,070      
Costs Capitalized Subsequent to Acquisition 1,206      
Gross Amount at Which Carried As of Year End        
Land and improvements 5      
Buildings and Improvements 7,271      
Total 7,276      
Accumulated Depreciation (3,310)      
2619 Fort Worth, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,180      
Building and Improvements 13,432      
Costs Capitalized Subsequent to Acquisition 1,910      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,180      
Buildings and Improvements 15,342      
Total 16,522      
Accumulated Depreciation (2,149)      
2620 Fort Worth, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,961      
Building and Improvements 14,155      
Costs Capitalized Subsequent to Acquisition 1,521      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,000      
Buildings and Improvements 15,637      
Total 17,637      
Accumulated Depreciation (2,272)      
2982 Fort Worth, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,720      
Building and Improvements 6,225      
Costs Capitalized Subsequent to Acquisition 5,959      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,719      
Buildings and Improvements 12,185      
Total 14,904      
Accumulated Depreciation (3,194)      
1061 Granbury, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 6,863      
Costs Capitalized Subsequent to Acquisition 1,321      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 8,184      
Total 8,184      
Accumulated Depreciation (3,667)      
430 Houston, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,927      
Building and Improvements 33,140      
Costs Capitalized Subsequent to Acquisition 20,350      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,388      
Buildings and Improvements 53,029      
Total 55,417      
Accumulated Depreciation (31,358)      
446 Houston, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,200      
Building and Improvements 19,585      
Costs Capitalized Subsequent to Acquisition 13,593      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,936      
Buildings and Improvements 32,442      
Total 35,378      
Accumulated Depreciation (23,431)      
589 Houston, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,676      
Building and Improvements 12,602      
Costs Capitalized Subsequent to Acquisition 15,520      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,676      
Buildings and Improvements 28,122      
Total 29,798      
Accumulated Depreciation (8,121)      
702 Houston, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 7,414      
Costs Capitalized Subsequent to Acquisition 2,570      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 9,984      
Total 9,984      
Accumulated Depreciation (4,628)      
1044 Houston, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 4,838      
Costs Capitalized Subsequent to Acquisition 6,971      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,321      
Buildings and Improvements 10,488      
Total 11,809      
Accumulated Depreciation (3,602)      
2542 Houston, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 304      
Building and Improvements 17,764      
Costs Capitalized Subsequent to Acquisition (304)      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 17,764      
Total 17,764      
Accumulated Depreciation (4,314)      
2543 Houston, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 116      
Building and Improvements 6,555      
Costs Capitalized Subsequent to Acquisition (116)      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 6,555      
Total 6,555      
Accumulated Depreciation (1,857)      
2544 Houston, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 312      
Building and Improvements 12,094      
Costs Capitalized Subsequent to Acquisition (312)      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 12,094      
Total 12,094      
Accumulated Depreciation (3,427)      
2545 Houston, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 316      
Building and Improvements 13,931      
Costs Capitalized Subsequent to Acquisition (300)      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 13,947      
Total 13,947      
Accumulated Depreciation (2,960)      
2546 Houston, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 408      
Building and Improvements 18,332      
Costs Capitalized Subsequent to Acquisition 740      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 19,480      
Total 19,480      
Accumulated Depreciation (6,233)      
2547 Houston, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 470      
Building and Improvements 18,197      
Costs Capitalized Subsequent to Acquisition (250)      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 18,417      
Total 18,417      
Accumulated Depreciation (5,156)      
2548 Houston, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 313      
Building and Improvements 7,036      
Costs Capitalized Subsequent to Acquisition (140)      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 7,209      
Total 7,209      
Accumulated Depreciation (2,392)      
2549 Houston, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 530      
Building and Improvements 22,711      
Costs Capitalized Subsequent to Acquisition 68      
Gross Amount at Which Carried As of Year End        
Land and improvements 530      
Buildings and Improvements 22,779      
Total 23,309      
Accumulated Depreciation (4,740)      
2966 Houston, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 39,448      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 39,448      
Total 39,448      
Accumulated Depreciation (2,576)      
590 Irving, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 828      
Building and Improvements 6,160      
Costs Capitalized Subsequent to Acquisition 5,455      
Gross Amount at Which Carried As of Year End        
Land and improvements 828      
Buildings and Improvements 11,615      
Total 12,443      
Accumulated Depreciation (4,835)      
700 Irving, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 8,550      
Costs Capitalized Subsequent to Acquisition 3,091      
Gross Amount at Which Carried As of Year End        
Land and improvements 8      
Buildings and Improvements 11,633      
Total 11,641      
Accumulated Depreciation (5,109)      
1207 Irving, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,955      
Building and Improvements 12,793      
Costs Capitalized Subsequent to Acquisition 4,699      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,032      
Buildings and Improvements 17,415      
Total 19,447      
Accumulated Depreciation (6,471)      
2840 Kingwood, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 3,035      
Building and Improvements 28,373      
Costs Capitalized Subsequent to Acquisition 464      
Gross Amount at Which Carried As of Year End        
Land and improvements 3,422      
Buildings and Improvements 28,450      
Total 31,872      
Accumulated Depreciation (6,005)      
591 Lewisville, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 561      
Building and Improvements 8,043      
Costs Capitalized Subsequent to Acquisition 1,102      
Gross Amount at Which Carried As of Year End        
Land and improvements 561      
Buildings and Improvements 9,145      
Total 9,706      
Accumulated Depreciation (4,487)      
144 Longview, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 102      
Building and Improvements 7,998      
Costs Capitalized Subsequent to Acquisition 988      
Gross Amount at Which Carried As of Year End        
Land and improvements 102      
Buildings and Improvements 8,986      
Total 9,088      
Accumulated Depreciation (5,735)      
143 Lufkin, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 338      
Building and Improvements 2,383      
Costs Capitalized Subsequent to Acquisition 219      
Gross Amount at Which Carried As of Year End        
Land and improvements 338      
Buildings and Improvements 2,602      
Total 2,940      
Accumulated Depreciation (1,648)      
568 McKinney, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 541      
Building and Improvements 6,217      
Costs Capitalized Subsequent to Acquisition 3,371      
Gross Amount at Which Carried As of Year End        
Land and improvements 541      
Buildings and Improvements 9,588      
Total 10,129      
Accumulated Depreciation (4,892)      
569 McKinney, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 636      
Costs Capitalized Subsequent to Acquisition 8,319      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 8,955      
Total 8,955      
Accumulated Depreciation (4,506)      
3216 McKinney, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 1,415      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 1,415      
Total 1,415      
Accumulated Depreciation 0      
596 N Richland Hills, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 812      
Building and Improvements 8,883      
Costs Capitalized Subsequent to Acquisition 4,524      
Gross Amount at Which Carried As of Year End        
Land and improvements 812      
Buildings and Improvements 13,407      
Total 14,219      
Accumulated Depreciation (5,619)      
2048 North Richland Hills, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,385      
Building and Improvements 10,213      
Costs Capitalized Subsequent to Acquisition 1,849      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,400      
Buildings and Improvements 12,047      
Total 13,447      
Accumulated Depreciation (5,367)      
2835 Pearland, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 4,014      
Costs Capitalized Subsequent to Acquisition 4,238      
Gross Amount at Which Carried As of Year End        
Land and improvements 29      
Buildings and Improvements 8,223      
Total 8,252      
Accumulated Depreciation (3,217)      
2838 Pearland, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 18,363      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 18,363      
Total 18,363      
Accumulated Depreciation (5,422)      
597 Plano, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,210      
Building and Improvements 9,588      
Costs Capitalized Subsequent to Acquisition 7,506      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,225      
Buildings and Improvements 17,079      
Total 18,304      
Accumulated Depreciation (6,930)      
672 Plano, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,389      
Building and Improvements 12,768      
Costs Capitalized Subsequent to Acquisition 3,922      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,389      
Buildings and Improvements 16,690      
Total 18,079      
Accumulated Depreciation (6,958)      
1384 Plano, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 6,290      
Building and Improvements 22,686      
Costs Capitalized Subsequent to Acquisition 7,966      
Gross Amount at Which Carried As of Year End        
Land and improvements 6,290      
Buildings and Improvements 30,652      
Total 36,942      
Accumulated Depreciation (24,603)      
2653 Rockwall, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 788      
Building and Improvements 9,020      
Costs Capitalized Subsequent to Acquisition 2      
Gross Amount at Which Carried As of Year End        
Land and improvements 788      
Buildings and Improvements 9,022      
Total 9,810      
Accumulated Depreciation (1,847)      
815 San Antonio, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 9,193      
Costs Capitalized Subsequent to Acquisition 3,285      
Gross Amount at Which Carried As of Year End        
Land and improvements 75      
Buildings and Improvements 12,403      
Total 12,478      
Accumulated Depreciation (5,948)      
816 San Antonio, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 1,552      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 8,699      
Costs Capitalized Subsequent to Acquisition 13,192      
Gross Amount at Which Carried As of Year End        
Land and improvements 175      
Buildings and Improvements 21,716      
Total 21,891      
Accumulated Depreciation (6,649)      
2837 San Antonio, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 26,191      
Costs Capitalized Subsequent to Acquisition 4,115      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 30,306      
Total 30,306      
Accumulated Depreciation (12,352)      
2852 Shenandoah, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 29,980      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 29,980      
Total 29,980      
Accumulated Depreciation (8,235)      
598 Sugar Land, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,078      
Building and Improvements 5,158      
Costs Capitalized Subsequent to Acquisition 3,261      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,164      
Buildings and Improvements 8,333      
Total 9,497      
Accumulated Depreciation (3,579)      
599 Texas City, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 9,519      
Costs Capitalized Subsequent to Acquisition 1,971      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 11,490      
Total 11,490      
Accumulated Depreciation (4,972)      
152 Victoria, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 125      
Building and Improvements 8,977      
Costs Capitalized Subsequent to Acquisition 535      
Gross Amount at Which Carried As of Year End        
Land and improvements 125      
Buildings and Improvements 9,512      
Total 9,637      
Accumulated Depreciation (5,842)      
2198 Webster, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 2,220      
Building and Improvements 9,602      
Costs Capitalized Subsequent to Acquisition 142      
Gross Amount at Which Carried As of Year End        
Land and improvements 2,220      
Buildings and Improvements 9,744      
Total 11,964      
Accumulated Depreciation (3,920)      
3024 Webster, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 3,196      
Building and Improvements 12,911      
Costs Capitalized Subsequent to Acquisition (28)      
Gross Amount at Which Carried As of Year End        
Land and improvements 3,212      
Buildings and Improvements 12,867      
Total 16,079      
Accumulated Depreciation (892)      
3025 Webster, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 3,209      
Building and Improvements 23,782      
Costs Capitalized Subsequent to Acquisition 114      
Gross Amount at Which Carried As of Year End        
Land and improvements 3,225      
Buildings and Improvements 23,880      
Total 27,105      
Accumulated Depreciation (1,571)      
2550 The Woodlands, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 115      
Building and Improvements 5,141      
Costs Capitalized Subsequent to Acquisition (115)      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 5,141      
Total 5,141      
Accumulated Depreciation (1,249)      
2551 The Woodlands, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 296      
Building and Improvements 18,282      
Costs Capitalized Subsequent to Acquisition (296)      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 18,282      
Total 18,282      
Accumulated Depreciation (3,885)      
2552 The Woodlands, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 374      
Building and Improvements 25,125      
Costs Capitalized Subsequent to Acquisition (374)      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 25,125      
Total 25,125      
Accumulated Depreciation (4,746)      
3215 Wylie, TX | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 874      
Building and Improvements 4,122      
Costs Capitalized Subsequent to Acquisition (64)      
Gross Amount at Which Carried As of Year End        
Land and improvements 874      
Buildings and Improvements 4,058      
Total 4,932      
Accumulated Depreciation (180)      
1592 Bountiful, UT | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 999      
Building and Improvements 7,426      
Costs Capitalized Subsequent to Acquisition 1,963      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,019      
Buildings and Improvements 9,369      
Total 10,388      
Accumulated Depreciation (3,953)      
169 Bountiful, UT | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 276      
Building and Improvements 5,237      
Costs Capitalized Subsequent to Acquisition 4,602      
Gross Amount at Which Carried As of Year End        
Land and improvements 599      
Buildings and Improvements 9,516      
Total 10,115      
Accumulated Depreciation (4,262)      
2035 Draper, UT | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 3,952      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 10,803      
Costs Capitalized Subsequent to Acquisition 561      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 11,364      
Total 11,364      
Accumulated Depreciation (2,826)      
469 Kaysville, UT | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 530      
Building and Improvements 4,493      
Costs Capitalized Subsequent to Acquisition 426      
Gross Amount at Which Carried As of Year End        
Land and improvements 530      
Buildings and Improvements 4,919      
Total 5,449      
Accumulated Depreciation (2,245)      
456 Layton, UT | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 371      
Building and Improvements 7,073      
Costs Capitalized Subsequent to Acquisition 2,191      
Gross Amount at Which Carried As of Year End        
Land and improvements 401      
Buildings and Improvements 9,234      
Total 9,635      
Accumulated Depreciation (5,132)      
2042 Layton, UT | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 10,975      
Costs Capitalized Subsequent to Acquisition 1,831      
Gross Amount at Which Carried As of Year End        
Land and improvements 44      
Buildings and Improvements 12,762      
Total 12,806      
Accumulated Depreciation (3,379)      
2864 Washington Terrace, UT | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 0      
Costs Capitalized Subsequent to Acquisition 19,898      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 19,898      
Total 19,898      
Accumulated Depreciation (3,091)      
357 Orem, UT | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 337      
Building and Improvements 8,744      
Costs Capitalized Subsequent to Acquisition 1,177      
Gross Amount at Which Carried As of Year End        
Land and improvements 306      
Buildings and Improvements 9,952      
Total 10,258      
Accumulated Depreciation (6,286)      
353 Salt Lake City, UT | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 190      
Building and Improvements 779      
Costs Capitalized Subsequent to Acquisition 238      
Gross Amount at Which Carried As of Year End        
Land and improvements 273      
Buildings and Improvements 934      
Total 1,207      
Accumulated Depreciation (628)      
354 Salt Lake City, UT | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 220      
Building and Improvements 10,732      
Costs Capitalized Subsequent to Acquisition 4,186      
Gross Amount at Which Carried As of Year End        
Land and improvements 220      
Buildings and Improvements 14,918      
Total 15,138      
Accumulated Depreciation (8,926)      
355 Salt Lake City, UT | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 180      
Building and Improvements 14,792      
Costs Capitalized Subsequent to Acquisition 5,141      
Gross Amount at Which Carried As of Year End        
Land and improvements 180      
Buildings and Improvements 19,933      
Total 20,113      
Accumulated Depreciation (11,708)      
467 Salt Lake City, UT | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 3,000      
Building and Improvements 7,541      
Costs Capitalized Subsequent to Acquisition 2,459      
Gross Amount at Which Carried As of Year End        
Land and improvements 3,019      
Buildings and Improvements 9,981      
Total 13,000      
Accumulated Depreciation (5,598)      
566 Salt Lake City, UT | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 509      
Building and Improvements 4,044      
Costs Capitalized Subsequent to Acquisition 3,763      
Gross Amount at Which Carried As of Year End        
Land and improvements 509      
Buildings and Improvements 7,807      
Total 8,316      
Accumulated Depreciation (3,555)      
2041 Salt Lake City, UT | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 12,326      
Costs Capitalized Subsequent to Acquisition 877      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 13,203      
Total 13,203      
Accumulated Depreciation (3,406)      
2033 Sandy, UT | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 867      
Building and Improvements 3,513      
Costs Capitalized Subsequent to Acquisition 2,919      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,356      
Buildings and Improvements 5,943      
Total 7,299      
Accumulated Depreciation (3,380)      
351 Washington Terrace, UT | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 4,573      
Costs Capitalized Subsequent to Acquisition 1,317      
Gross Amount at Which Carried As of Year End        
Land and improvements 17      
Buildings and Improvements 5,873      
Total 5,890      
Accumulated Depreciation (3,724)      
352 Washington Terrace, UT | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 2,692      
Costs Capitalized Subsequent to Acquisition 641      
Gross Amount at Which Carried As of Year End        
Land and improvements 15      
Buildings and Improvements 3,318      
Total 3,333      
Accumulated Depreciation (2,231)      
2034 West Jordan, UT | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 12,021      
Costs Capitalized Subsequent to Acquisition (177)      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 11,844      
Total 11,844      
Accumulated Depreciation (3,016)      
2036 West Jordan, UT | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 1,383      
Costs Capitalized Subsequent to Acquisition 1,328      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 2,711      
Total 2,711      
Accumulated Depreciation (1,655)      
1208 Fairfax, VA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 8,396      
Building and Improvements 16,710      
Costs Capitalized Subsequent to Acquisition 12,121      
Gross Amount at Which Carried As of Year End        
Land and improvements 8,781      
Buildings and Improvements 28,446      
Total 37,227      
Accumulated Depreciation (15,291)      
2230 Fredericksburg, VA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,101      
Building and Improvements 8,570      
Costs Capitalized Subsequent to Acquisition 156      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,113      
Buildings and Improvements 8,714      
Total 9,827      
Accumulated Depreciation (2,308)      
3001 Leesburg, VA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 10,217      
Initial Cost to Company        
Land and improvements 3,549      
Building and Improvements 24,059      
Costs Capitalized Subsequent to Acquisition 4,826      
Gross Amount at Which Carried As of Year End        
Land and improvements 3,549      
Buildings and Improvements 28,885      
Total 32,434      
Accumulated Depreciation (3,912)      
3015 Midlothian, VA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 12,688      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 21,442      
Costs Capitalized Subsequent to Acquisition 10      
Gross Amount at Which Carried As of Year End        
Land and improvements 59      
Buildings and Improvements 21,393      
Total 21,452      
Accumulated Depreciation (1,653)      
3016 Midlothian, VA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 11,994      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 20,610      
Costs Capitalized Subsequent to Acquisition (137)      
Gross Amount at Which Carried As of Year End        
Land and improvements 32      
Buildings and Improvements 20,441      
Total 20,473      
Accumulated Depreciation (1,766)      
3017 Midlothian, VA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 13,878      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 22,531      
Costs Capitalized Subsequent to Acquisition 176      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 22,707      
Total 22,707      
Accumulated Depreciation (2,846)      
572 Reston, VA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 11,902      
Costs Capitalized Subsequent to Acquisition (864)      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 11,038      
Total 11,038      
Accumulated Depreciation (5,515)      
448 Renton, WA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 18,724      
Costs Capitalized Subsequent to Acquisition 3,750      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 22,474      
Total 22,474      
Accumulated Depreciation (13,933)      
781 Seattle, WA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 52,703      
Costs Capitalized Subsequent to Acquisition 10,129      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 62,832      
Total 62,832      
Accumulated Depreciation (31,470)      
782 Seattle, WA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 24,382      
Costs Capitalized Subsequent to Acquisition 22,413      
Gross Amount at Which Carried As of Year End        
Land and improvements 104      
Buildings and Improvements 46,691      
Total 46,795      
Accumulated Depreciation (16,953)      
783 Seattle, WA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 5,625      
Costs Capitalized Subsequent to Acquisition 1,607      
Gross Amount at Which Carried As of Year End        
Land and improvements 211      
Buildings and Improvements 7,021      
Total 7,232      
Accumulated Depreciation (6,247)      
785 Seattle, WA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 7,293      
Costs Capitalized Subsequent to Acquisition 1,475      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 8,768      
Total 8,768      
Accumulated Depreciation (5,205)      
1385 Seattle, WA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 45,027      
Costs Capitalized Subsequent to Acquisition 17,489      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 62,516      
Total 62,516      
Accumulated Depreciation (26,972)      
3022 Seattle, WA | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 35,624      
Building and Improvements 4,176      
Costs Capitalized Subsequent to Acquisition 1      
Gross Amount at Which Carried As of Year End        
Land and improvements 35,625      
Buildings and Improvements 4,176      
Total 39,801      
Accumulated Depreciation (1,898)      
2038 Evanston, WY | Outpatient Medical | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 0      
Building and Improvements 4,601      
Costs Capitalized Subsequent to Acquisition 1,204      
Gross Amount at Which Carried As of Year End        
Land and improvements 0      
Buildings and Improvements 5,805      
Total 5,805      
Accumulated Depreciation (1,953)      
3089 Birmingham, AL | Continuing care retirement community | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 6,193      
Building and Improvements 32,146      
Costs Capitalized Subsequent to Acquisition 6,411      
Gross Amount at Which Carried As of Year End        
Land and improvements 6,670      
Buildings and Improvements 38,080      
Total 44,750      
Accumulated Depreciation (7,612)      
3090 Bradenton, FL | Continuing care retirement community | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 5,496      
Building and Improvements 95,671      
Costs Capitalized Subsequent to Acquisition 27,694      
Gross Amount at Which Carried As of Year End        
Land and improvements 6,228      
Buildings and Improvements 122,633      
Total 128,861      
Accumulated Depreciation (21,444)      
2997 Clearwater, FL | Continuing care retirement community | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 66,436      
Initial Cost to Company        
Land and improvements 6,680      
Building and Improvements 132,521      
Costs Capitalized Subsequent to Acquisition 20,619      
Gross Amount at Which Carried As of Year End        
Land and improvements 7,195      
Buildings and Improvements 152,625      
Total 159,820      
Accumulated Depreciation (21,252)      
3086 Jacksonville, FL | Continuing care retirement community | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 19,660      
Building and Improvements 167,860      
Costs Capitalized Subsequent to Acquisition 22,367      
Gross Amount at Which Carried As of Year End        
Land and improvements 21,042      
Buildings and Improvements 188,845      
Total 209,887      
Accumulated Depreciation (29,940)      
2996 Leesburg, FL | Continuing care retirement community | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 8,941      
Building and Improvements 65,698      
Costs Capitalized Subsequent to Acquisition 16,620      
Gross Amount at Which Carried As of Year End        
Land and improvements 9,779      
Buildings and Improvements 81,480      
Total 91,259      
Accumulated Depreciation (14,936)      
2995 Port Charlotte, FL | Continuing care retirement community | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 5,344      
Building and Improvements 159,612      
Costs Capitalized Subsequent to Acquisition 16,205      
Gross Amount at Which Carried As of Year End        
Land and improvements 6,008      
Buildings and Improvements 175,153      
Total 181,161      
Accumulated Depreciation (23,576)      
2998 Seminole, FL | Continuing care retirement community | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 43,235      
Initial Cost to Company        
Land and improvements 14,080      
Building and Improvements 77,485      
Costs Capitalized Subsequent to Acquisition 13,228      
Gross Amount at Which Carried As of Year End        
Land and improvements 15,030      
Buildings and Improvements 89,763      
Total 104,793      
Accumulated Depreciation (11,367)      
3085 Seminole, FL | Continuing care retirement community | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 13,915      
Building and Improvements 125,796      
Costs Capitalized Subsequent to Acquisition 16,519      
Gross Amount at Which Carried As of Year End        
Land and improvements 14,698      
Buildings and Improvements 141,532      
Total 156,230      
Accumulated Depreciation (23,135)      
3092 Sun City Center, FL | Continuing care retirement community | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 25,254      
Building and Improvements 175,535      
Costs Capitalized Subsequent to Acquisition 21,862      
Gross Amount at Which Carried As of Year End        
Land and improvements 26,460      
Buildings and Improvements 196,191      
Total 222,651      
Accumulated Depreciation (36,004)      
3087 The Villages, FL | Continuing care retirement community | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 7,091      
Building and Improvements 120,493      
Costs Capitalized Subsequent to Acquisition 16,363      
Gross Amount at Which Carried As of Year End        
Land and improvements 7,331      
Buildings and Improvements 136,616      
Total 143,947      
Accumulated Depreciation (21,450)      
3084 Holland, MI | Continuing care retirement community | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 1,572      
Building and Improvements 88,960      
Costs Capitalized Subsequent to Acquisition 10,401      
Gross Amount at Which Carried As of Year End        
Land and improvements 1,898      
Buildings and Improvements 99,035      
Total 100,933      
Accumulated Depreciation (15,129)      
2991 Coatesville, PA | Continuing care retirement community | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 16,443      
Building and Improvements 126,243      
Costs Capitalized Subsequent to Acquisition 17,270      
Gross Amount at Which Carried As of Year End        
Land and improvements 17,064      
Buildings and Improvements 142,892      
Total 159,956      
Accumulated Depreciation (20,601)      
3080 Haverford, PA | Continuing care retirement community | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 16,461      
Building and Improvements 108,816      
Costs Capitalized Subsequent to Acquisition 24,097      
Gross Amount at Which Carried As of Year End        
Land and improvements 16,461      
Buildings and Improvements 132,913      
Total 149,374      
Accumulated Depreciation (52,714)      
3088 Spring, TX | Continuing care retirement community | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 3,210      
Building and Improvements 30,085      
Costs Capitalized Subsequent to Acquisition 11,821      
Gross Amount at Which Carried As of Year End        
Land and improvements 3,524      
Buildings and Improvements 41,592      
Total 45,116      
Accumulated Depreciation (5,695)      
3081 Fort Belvoir, VA | Continuing care retirement community | Operating segment        
Real Estate and Accumulated Depreciation        
Encumbrances as of Year end 0      
Initial Cost to Company        
Land and improvements 11,594      
Building and Improvements 99,528      
Costs Capitalized Subsequent to Acquisition 19,948      
Gross Amount at Which Carried As of Year End        
Land and improvements 11,594      
Buildings and Improvements 119,476      
Total 131,070      
Accumulated Depreciation $ (51,408)      
XML 158 R142.htm IDEA: XBRL DOCUMENT v3.24.0.1
Schedule III: Real Estate and Accumulated Depreciation - Amount that Tax Basis of Net Real Estate Assets Less Than the Reported Amounts (Details)
$ in Millions
Dec. 31, 2023
USD ($)
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation Disclosure [Abstract]  
Amount that the tax basis of the Company's net real estate is less than the reported amounts $ 900
Life on Which Depreciation in Latest Income Statement is Computed 50 years
XML 159 R143.htm IDEA: XBRL DOCUMENT v3.24.0.1
Schedule III: Real Estate and Accumulated Depreciation - Summary of Activity for Real Estate and Accumulated Depreciation (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Accumulated depreciation:      
Deconsolidation of real estate $ 0 $ (89,766) $ 0
Continuing Operations      
Real estate:      
Balances at beginning of year 16,211,621 15,506,658 13,528,893
Acquisition of real estate and development and improvements 754,225 1,102,593 2,157,539
Sales and/or transfers to assets held for sale (137,731) (82,350) (72,819)
Deconsolidation of real estate 0 (189,605) 0
Impairments 0 0 (21,294)
Other (207,801) (125,675) (85,661)
Balances at end of year 16,620,314 16,211,621 15,506,658
Accumulated depreciation:      
Balances at beginning of year 3,188,138 2,839,229 2,409,135
Depreciation expense 609,461 575,125 548,063
Sales and/or transfers to assets held for sale (12,711) (30,428) (32,692)
Other (192,937) (106,022) (85,277)
Balances at end of year 3,591,951 3,188,138 2,839,229
Discontinued Operations      
Real estate:      
Balances at beginning of year 0 0 2,930,566
Acquisition of real estate and development and improvements 0 0 8,238
Sales and/or transfers to assets held for sale 0 0 (2,929,713)
Impairments 0 0 (5,315)
Other 0 0 (3,776)
Balances at end of year 0 0 0
Accumulated depreciation:      
Balances at beginning of year 0 0 615,708
Sales and/or transfers to assets held for sale 0 0 (615,708)
Balances at end of year $ 0 $ 0 $ 0
XML 160 R144.htm IDEA: XBRL DOCUMENT v3.24.0.1
Schedule IV: Mortgage Loans on Real Estate (Details)
$ in Thousands
12 Months Ended
Dec. 31, 2023
USD ($)
property
Dec. 31, 2022
USD ($)
Dec. 31, 2021
USD ($)
Dec. 31, 2020
USD ($)
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]        
Prior Liens $ 0      
Face Amount of Mortgages 178,678      
Carrying Amount of Mortgages 175,717 $ 341,749 $ 390,291 $ 157,572
Principal Amount Subject to Delinquent Principal or Interest $ 0      
Mortgage loan on real estate, multiple due 2024        
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]        
Number of properties with first mortgages | property 10      
Mortgage loan on real estate, multiple due 2024 | Other Non-reportable | California, Florida, and Other        
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]        
Interest Rate 4.00%      
Prior Liens $ 0      
Face Amount of Mortgages 130,678      
Carrying Amount of Mortgages 128,027      
Principal Amount Subject to Delinquent Principal or Interest $ 0      
Mortgage loan on real estate, multiple due 2024 | Secured Overnight Financing Rate (SOFR) | Other Non-reportable | California, Florida, and Other        
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]        
Interest Rate 0.10%      
Mortgage loan on real estate, multiple due 2023        
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]        
Number of properties with first mortgages | property 10      
Mortgage loan on real estate, multiple due 2023 | Other Non-reportable | California, Florida, and Other        
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]        
Interest Rate 7.00%      
Prior Liens $ 0      
Face Amount of Mortgages 48,000      
Carrying Amount of Mortgages 47,690      
Principal Amount Subject to Delinquent Principal or Interest $ 0      
Mortgage loan on real estate, multiple due 2023 | Secured Overnight Financing Rate (SOFR) | Other Non-reportable | California, Florida, and Other        
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]        
Interest Rate 0.11%      
XML 161 R145.htm IDEA: XBRL DOCUMENT v3.24.0.1
Schedule IV: Mortgage Loans on Real Estate - Reconciliation of Mortgage Loans (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
SEC Schedule, 12-29, Real Estate Companies, Investment in Movement in Mortgage Loans on Real Estate [Roll Forward]      
Balance at beginning of year $ 341,749 $ 390,291 $ 157,572
New mortgage loans 0 0 310,338
Draws and additions to existing mortgage loans 11,602 5,525 9,370
Total additions 11,602 5,525 319,708
Principal repayments (183,084) (47,591) (84,486)
Reserve for loan losses 5,450 (6,476) (2,503)
Total deductions (177,634) (54,067) (86,989)
Balance at end of year $ 175,717 $ 341,749 $ 390,291
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