10-Q

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

FORM 10-Q

(Mark One)
☒	QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended		June 30, 2020
☐	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 001-10822

National Health Investors Inc

(Exact name of registrant as specified in its charter)

Maryland		62-1470956
(State or other jurisdiction of incorporation or organization)		(I.R.S. Employer Identification No.)
222 Robert Rose Drive
Murfreesboro	Tennessee	37129
(Address of principal executive offices)		(Zip Code)

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

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

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

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

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

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

Large accelerated filer	☒	Accelerated filer	☐
Non-accelerated filer	☐	Smaller reporting company	☐
Emerging growth company	☐

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

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

There were 44,650,002 shares of common stock outstanding of the registrant as of August 5, 2020.

1

Table of Contents

	Page
Part I. Financial Information
Item 1. Financial Statements	3
Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations.	28
Item 3. Quantitative and Qualitative Disclosures About Market Risk.	54
Item 4. Controls and Procedures.	55
Part II. Other Information
Item 1. Legal Proceedings	56
Item 1A. Risk Factors	56
Item 6. Exhibits	58
Signatures	59

2

PART I. FINANCIAL INFORMATION

Item 1. Financial Statements

NATIONAL HEALTH INVESTORS, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(in thousands, except share and per share amounts)

	June 30, 2020		December 31, 2019
	(unaudited)
Assets:
Real estate properties:
Land	$	219,919	$	213,617
Buildings and improvements	3,025,619		2,836,673
Construction in progress	1,600		24,556
	3,247,138		3,074,846
Less accumulated depreciation	(555,762)		(514,453)
Real estate properties, net	2,691,376		2,560,393
Mortgage and other notes receivable, net	300,130		340,143
Cash and cash equivalents	46,853		5,215
Straight-line rent receivable	89,090		86,044
Assets held for sale, net	—		18,420
Other assets	39,522		32,020
Total Assets	$	3,166,971	$	3,042,235
Liabilities and Stockholders’ Equity:
Debt	$	1,554,241	$	1,440,465
Accounts payable and accrued expenses	33,026		26,313
Dividends payable	49,226		46,817
Lease deposit liabilities	10,638		10,638
Deferred income	16,371		19,750
Total Liabilities	1,663,502		1,543,983
Commitments and Contingencies
National Health Investors, Inc. Stockholders' Equity:
Common stock, $0.01 par value; 100,000,000 and 60,000,000 shares authorized;
44,650,002 and 44,587,486 shares issued and outstanding	447		446
Capital in excess of par value	1,505,265		1,505,948
Cumulative dividends in excess of net income	(2,618)		(5,331)
Accumulated other comprehensive loss	(10,735)		(3,432)
Total National Health Investors, Inc. Stockholders' Equity	1,492,359		1,497,631
Noncontrolling interests	11,110		621
Total Equity	1,503,469		1,498,252
Total Liabilities and Stockholders’ Equity	$	3,166,971	$	3,042,235

The accompanying notes to condensed consolidated financial statements are an integral part of these condensed consolidated financial statements. The Condensed Consolidated Balance Sheet at December 31, 2019 was derived from the audited consolidated financial statements at that date.

3

NATIONAL HEALTH INVESTORS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF INCOME

(in thousands, except share and per share amounts)

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2020		2019		2020		2019
	(unaudited)				(unaudited)
Revenues:
Rental income	$	77,917	$	72,578	$	154,444	$	143,531
Interest income and other	6,257		5,518		12,827		10,673
	84,174		78,096		167,271		154,204
Expenses:
Depreciation	20,847		19,020		41,290		37,511
Interest	13,557		13,746		27,697		27,264
Legal	250		99		585		369
Franchise, excise and other taxes	145		775		389		1,320
General and administrative	3,032		2,972		7,342		6,986
Property taxes and insurance on leased properties	1,450		1,506		3,002		2,597
Loan and realty (gains) losses	(380)		—		1,195		2,500
	38,901		38,118		81,500		78,547
Loss from equity method investment	(848)		—		(1,290)		—
Gains on sales of real estate	—		—		21,007		—
Net income	44,425		39,978		105,488		75,657
Less: net (income) loss attributable to noncontrolling interests	(57)		1		(96)		1
Net income attributable to common stockholders	$	44,368	$	39,979	$	105,392	$	75,658
Weighted average common shares outstanding:
Basic	44,650,002		43,232,384		44,631,797		43,029,104
Diluted	44,650,002		43,498,021		44,634,070		43,311,527
Earnings per common share:
Net income attributable to common stockholders - basic	$	0.99	$	0.92	$	2.36	$	1.76
Net income attributable to common stockholders - diluted	$	0.99	$	0.92	$	2.36	$	1.75

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

4

NATIONAL HEALTH INVESTORS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(in thousands)

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2020		2019		2020		2019
	(unaudited)				(unaudited)
Net income	$	44,425	$	39,978	$	105,488	$	75,657
Other comprehensive income (loss):
Decrease in fair value of cash flow hedges	(867)		(3,451)		(10,058)		(4,117)
Reclassification for amounts recognized as interest expense	2,263		(350)		2,755		(641)
Total other comprehensive income (loss)	1,396		(3,801)		(7,303)		(4,758)
Comprehensive income	45,821		36,177		98,185		70,899
Comprehensive (income) loss attributable to noncontrolling interest	(57)		1		(96)		1
Comprehensive income attributable to common stockholders	$	45,764	$	36,178	$	98,089	$	70,900

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

5

NATIONAL HEALTH INVESTORS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(in thousands)

	Six Months Ended
	June 30,
	2020		2019
	(unaudited)
Cash flows from operating activities:
Net income	$	105,488	$	75,657
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation	41,290		37,511
Amortization of debt issuance costs, debt discounts and prepaids	2,350		2,551
Amortization of commitment fees and note receivable discounts	(435)		(241)
Amortization of lease incentives	485		383
Straight-line rent income	(10,395)		(10,535)
Non-cash interest income on construction loans	(1,844)		(1,005)
Gains on sales of real estate	(21,007)		—
Loss from equity method investment	1,290		—
Loan and realty losses	1,195		2,500
Payment of lease incentives	—		(2,600)
Non-cash stock-based compensation	2,315		2,478
Changes in operating assets and liabilities:
Other assets	(742)		2,474
Accounts payable and accrued expenses	(3,318)		1,571
Deferred income	137		16,170
Net cash provided by operating activities	116,809		126,914
Cash flows from investing activities:
Investments in mortgage and other notes receivable	(32,826)		(59,655)
Collections of mortgage and other notes receivable	14,579		558
Investments in real estate	(94,630)		(200,632)
Investments in real estate development	(54)		—
Investments in renovations of existing real estate	(5,579)		(8,300)
Equity method investment	(875)		—
Proceeds from sale of real estate	39,260		—
Net cash used in investing activities	(80,125)		(268,029)
Cash flows from financing activities:
Proceeds from revolving credit facility	145,000		292,000
Payments on revolving credit facility	(32,000)		(103,000)
Payments on term loans	(609)		(589)
Debt issuance costs	—		(90)
Distributions to noncontrolling interests	(298)		—
Proceeds from noncontrolling interests	13		642
Taxes remitted on employee stock awards	(2,705)		(1,016)
Proceeds from issuance of common shares, net	—		47,854
Equity issuance costs	(293)		—
Dividends paid to stockholders	(96,043)		(88,060)
Net cash provided by financing activities	13,065		147,741
Increase in cash and cash equivalents and restricted cash	49,749		6,626
Cash and cash equivalents and restricted cash, beginning of period	15,669		9,912
Cash and cash equivalents and restricted cash, end of period	$	65,418	$	16,538

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

6

NATIONAL HEALTH INVESTORS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (CONTINUED)

(in thousands)

	Six Months Ended
	June 30,
	2020		2019
	(unaudited)
Supplemental disclosure of cash flow information:
Interest paid, net of amounts capitalized	$	23,533	$	26,032
Supplemental disclosure of non-cash investing and financing activities:
Real estate acquired in exchange for straight-line rent receivable	$	—	$	38,000
Real estate acquired in exchange for mortgage notes receivable	$	59,350	$	—
Increase in mortgage note receivable from sale of real estate	$	4,000	$	—
Change in other assets related to investments in real estate	$	—	$	176
Change in accounts payable related to investments in real estate construction	$	1,899	$	(1,981)
Change in accounts payable related to investments in real estate acquisition	$	—	$	1,178
Change in accounts payable related to distributions to noncontrolling interests	$	100	$	—

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

7

NATIONAL HEALTH INVESTORS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF EQUITY

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

	Common Stock			Capital in Excess of Par Value		Cumulative Net Income in Excess (Deficit) of Dividends		Accumulated Other Comprehensive Income (Loss)		Total National Health Investors, Inc. Stockholders’ Equity		Noncontrolling Interests		Total Equity
	Shares	Amount
Balances at December 31, 2019	44,587,486	$	446	$	1,505,948	$	(5,331)	$	(3,432)	$	1,497,631	$	621	$	1,498,252
Cumulative effect of change in accounting principle	—	—		—		(4,225)		—		(4,225)		—		(4,225)
Noncontrolling interest conveyed in acquisition	—	—		—		—		—		—		10,791		10,791
Noncontrolling interest distribution	—	—		—		—		—		—		(16)		(16)
Total comprehensive income	—	—		—		61,023		(8,699)		52,324		39		52,363
Equity issuance costs	—	—		(85)		—		—		(85)		—		(85)
Taxes remitted on employee stock awards	—	—		(2,705)		—		—		(2,705)		—		(2,705)
Shares issued on stock options exercised	62,516	1		(2)		—		—		(1)		—		(1)
Stock-based compensation	—	—		1,845		—		—		1,845		—		1,845
Dividends declared, $1.1025 per common share	—	—		—		(49,226)		—		(49,226)		—		(49,226)
Activity for the three months ended March 31, 2020	62,516	1		(947)		7,572		(8,699)		(2,073)		10,814		8,741
Noncontrolling interest distribution	—	—		—		—		—		—		(382)		(382)
Total comprehensive income	—	—		—		44,368		1,396		45,764		57		45,821
Equity issuance costs	—	—		(206)		—		—		(206)		—		(206)
Stock-based compensation	—	—		470		—		—		470		—		470
Dividends declared, $1.1025 per common share	—	—		—		(49,227)		—		(49,227)		—		(49,227)
Activity for the three months ended June 30, 2020	—	—		264		(4,859)		1,396		(3,199)		(325)		(3,524)
Balances at June 30, 2020	44,650,002	$	447	$	1,505,265	$	(2,618)	$	(10,735)	$	1,492,359	$	11,110	$	1,503,469

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

8

NATIONAL HEALTH INVESTORS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF EQUITY

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

	Common Stock			Capital in Excess of Par Value		Cumulative Net Income in Excess of Dividends		Accumulated Other Comprehensive Income (Loss)		Total National Health Investors Stockholders’ Equity		Noncontrolling Interest		Total Equity
	Shares	Amount
Balances at December 31, 2018	42,700,411	$	427	$	1,369,919	$	18,068	$	1,299	$	1,389,713	$	—	$	1,389,713
Total comprehensive income	—	—		—		35,679		(957)		34,722		—		34,722
Issuance of common stock, net	462,925	5		35,908		—		—		35,913		—		35,913
Taxes remitted on employee stock awards	—	—		(1,006)		—		—		(1,006)		—		(1,006)
Shares issued on stock options exercised	35,982	—		(1)		—		—		(1)		—		(1)
Stock-based compensation	—	—		2,001		—		—		2,001		—		2,001
Dividends declared, $1.05 per common share	—	—		—		(45,359)		—		(45,359)		—		(45,359)
Activity for the three months ended March 31, 2019	498,907	5		36,902		(9,680)		(957)		26,270		—		26,270
Noncontrolling interest conveyed in acquisition	—	—		—		—		—		—		642		642
Total comprehensive income	—	—		—		39,979		(3,801)		36,178		(1)		36,177
Issuance of common stock, net	155,729	2		11,940		—		—		11,942		—		11,942
Taxes remitted on employee stock awards	—	—		(10)		—		—		(10)		—		(10)
Shares issued on stock options exercised	1,971	—		—		—		—		—		—		—
Stock-based compensation	—	—		477		—		—		477		—		477
Dividends declared, $1.05 per common share	—	—		—		(45,525)		—		(45,525)		—		(45,525)
Activity for the three months ended June 30, 2019	157,700	2		12,407		(5,546)		(3,801)		3,062		641		3,703
Balances at June 30, 2019	43,357,018	$	434	$	1,419,228	$	2,842	$	(3,459)	$	1,419,045	$	641	$	1,419,686

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

9

NATIONAL HEALTH INVESTORS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

June 30, 2020

(unaudited)

Note 1. Organization and Nature of Business

National Health Investors, Inc. (“NHI” or “the Company”), established in 1991 as a Maryland corporation, is a self-managed real estate investment trust (“REIT”) that invests in need-driven and discretionary senior housing and other healthcare-related real estate properties located throughout the United States. As of June 30, 2020, we had investments of $3,244,562,000 (excluding our corporate office of $2,575,000) in 227 health care real estate properties located in 34 states and leased pursuant primarily to triple-net leases to 34 lessees consisting of 150 senior housing communities (“SHO”), 72 skilled nursing facilities, 3 hospitals and 2 medical office buildings. Our portfolio of 16 mortgage and other notes receivable totaled $305,319,000, excluding an allowance for expected credit losses of $5,189,000, as of June 30, 2020.

Note 2. Basis of Presentation and Significant Accounting Policies

Basis of Presentation

The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) for interim financial statements. In our opinion, the accompanying unaudited condensed consolidated financial statements reflect all adjustments consisting of normal recurring adjustments necessary for a fair presentation. Interim results of operations are not necessarily indicative of the results that may be achieved for a full year. The condensed consolidated financial statements and related notes do not include all information and footnotes required by GAAP for annual reports. These interim condensed consolidated financial statements should be read in conjunction with our audited consolidated financial statements and notes thereto as of and for the year ended December 31, 2019, included in our 2019 Annual Report on Form 10-K filed with the Securities and Exchange Commission (the “SEC”).

Principles of Consolidation

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

At June 30, 2020, we held interests in eight unconsolidated VIEs, and, because we lack either directly or through related parties the power to direct the activities that most significantly impact their economic performance, we have concluded that NHI is not the primary beneficiary. Accordingly, we account for our transactions with these entities and their subsidiaries at either amortized cost or net realizable value for straight-line receivables, excluding Timber Ridge OpCo which is accounted for under the equity-method.

NHI’s VIEs are summarized below by date of initial involvement. For further discussion of the nature of the relationships, including the sources of exposure to these VIEs, see the notes to our condensed consolidated financial statements cross-referenced below.

Date	Name	Source of Exposure	Carrying Amount		Maximum Exposure to Loss		Note Reference
2012	Bickford Senior Living	Various1	$	60,708,000	$	74,864,000	Notes 3, 4
2014	Senior Living Communities	Notes and straight-line receivable	$	93,401,000	$	97,404,000	Notes 3, 4
2016	Senior Living Management	Notes and straight-line receivable	$	26,969,000	$	26,969,000	—
2017	Evolve Senior Living	Notes	$	9,958,000	$	9,958,000	—
2018	Sagewood, LCS affiliate	Notes	$	142,586,000	$	178,697,000	Note 4
2019	41 Management, LLC	Notes and straight-line receivable	$	12,868,000	$	15,315,000	Note 7
2020	Timber Ridge OpCo	Various2	$	(414,000)	$	4,586,000	Notes 3, 5
2020	Watermark Retirement	Notes and straight-line receivable	$	3,628,000	$	8,628,000	Note 7

¹ Notes, loan commitments, straight-line rent receivables, and unamortized lease incentives

² Loan commitment, equity method investment and straight-line rent receivables

10

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

We consolidate two real estate partnerships formed with our partners, Discovery Senior Housing Investor XXIV, LLC, (“Discovery”) and LCS Timber Ridge LLC (“LCS”) to invest in senior housing facilities. As of and for the six months ended June 30, 2020, our non-controlling interests relate to these partnerships with Discovery and LCS.

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

Cash and Cash Equivalents and Restricted Cash

Cash equivalents consist of all highly liquid investments with an original maturity of three months or less. Restricted cash includes amounts required to be held on deposit with a qualified intermediary subject to an Internal Revenue Code §1031 exchange agreement or in accordance with agency agreements governing our Fannie Mae and U.S. Department of Housing and Urban Development (“HUD”) mortgages.

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

	June 30, 2020		June 30, 2019
Cash and cash equivalents	$	46,853	$	5,635
Restricted cash (included in Other assets)	18,565		10,903
	$	65,418	$	16,538

New Accounting Pronouncements

For information about significant accounting policies, refer to the Company’s audited consolidated financial statements and notes thereto for the year ended December 31, 2019 included in the Company’s 2019 Annual Report on Form 10-K filed with the SEC. During the six months ended June 30, 2020, there were no material changes to these policies except as noted below.

With the adoption of Accounting Standards Update 2016-13, Financial Instruments - Credit Losses effective January 1, 2020, we estimate and record an allowance for credit losses upon origination of the loan, based on expected credit losses over the term of the loan and update this estimate quarterly as of the balance sheet date. We calculate the estimated credit losses on mortgages by pooling these loans into two groups – investments in existing or new mortgages and construction mortgages. Mezzanine and revolving lines of credit are evaluated at the individual loan level. We estimate the allowance for credit losses by utilizing a loss model that relies on future expected credit losses, rather than incurred losses. This loss model incorporates our historical experience, adjusted for current conditions and our forecasts, using the probability of default and loss given default method. Incorporated into the construction mortgage loss model is an estimate of the probability that NHI will acquire the property. Using the resulting estimate, a portion of the outstanding construction mortgage balance which we currently expect will be reduced by our acquisition of the underlying property when construction is complete, is deducted from the construction mortgage balance included in the expected loss calculation. Mezzanine loans and revolving lines of credit are also based on the loss model to recognize expected future credit losses and are applied to each individual loan using borrower specific information. We also perform a qualitative assessment beyond model estimates and apply adjustments as necessary. The credit loss estimate is based on the net amortized cost balance of our mortgage and other notes receivables as of the balance sheet date.

Calculation of the allowance for credit losses involves significant judgement. It is possible that actual credit losses will differ materially from our current estimates. Write-offs are deducted from the allowance for credit losses when we judge the principal to be uncollectable.

11

Upon adoption, we recorded an allowance for expected credit losses of $3,900,000 that is reflected as an adjustment to Mortgage and other notes receivable, net, in the Condensed Consolidated Balance Sheets and recorded a corresponding cumulative-effect adjustment to cumulative dividends in excess of net income. Upon adoption, we also recorded a $325,000 liability for estimated credit losses pertaining to unfunded loan commitments as a cumulative dividends in excess of net income. The corresponding credit loss liability is included in the financial statement caption Accounts payable and accrued expenses in the Condensed Consolidated Balance Sheets.

In March 2020, the Financial Accounting Standards Board (“FASB”) issued ASU 2020-04, Reference Rate Reform (Topic 848). ASU 2020-04 contains practical expedients for reference rate reform related activities that impact debt, leases, derivatives and other contracts. The guidance in ASU 2020-04 is optional and may be elected over time as reference rate reform activities occur. During the first quarter of 2020, the Company elected to apply the hedge accounting expedients related to probability and the assessments of effectiveness for future London Inter-bank Offered Rate (”LIBOR”) indexed cash flows to assume that the index upon which future hedged transactions will be based matches the index on the corresponding derivatives. Application of these expedients preserves the presentation of derivatives consistent with past presentation. We continue to evaluate the impact of the guidance and may apply other elections as applicable as additional changes in the market occur.

In April 2020, the FASB issued a question-and-answer document (the “Lease Modification Q&A”) focused on the application of lease accounting guidance to lease concessions provided as a result of the coronavirus pandemic (“COVID-19”). Prior to issuance of the Lease Modification Q&A, we would determine, on a lease-by-lease basis, if a lease concession was the result of a new arrangement reached with the tenant (treated within the lease modification accounting framework) or if a lease concession was under the enforceable rights and obligations within the existing lease agreement (precluded from applying the lease modification accounting framework). The Lease Modification Q&A clarifies that entities may elect not to evaluate whether lease-related relief provided to mitigate the economic effects of COVID-19 is a lease modification under ASC 842. Instead, an entity that elects not to evaluate whether a concession directly related to COVID-19 is a modification can then elect whether to apply the modification guidance (i.e., assume relief was always contemplated by the contract or assume the relief was not contemplated by the contract), with such election applied consistently to leases with similar characteristics and similar circumstances. During the six months ended June 30, 2020, the Company did not provide any lease concessions as a result of COVID-19. If lease concessions related to the effects of COVID-19 become necessary, NHI has elected to account for those concessions which do not substantially increase either our rights as lessor or the obligations of the tenant consistent with how those concessions would be accounted for as though the enforceable rights and obligations for those concessions existed under our leases. The future impact of the Lease Modification Q&A is dependent upon the nature and extent of lease concessions granted to tenants as a result of COVID-19 in future periods and the elections made by the Company at the time of entering into such concessions.

Note 3. Real Estate Properties and Investments

During the six months ended June 30, 2020, we made the following real estate investments and related commitments ($ in thousands):

Operator	Date	Properties	Asset Class	Land		Improvements		Total
Bickford Senior Living	Q1 2020	1	SHO	$	1,588	$	13,512	$	15,100
Life Care Services	Q1 2020	1	SHO	4,370		130,522		134,892
Autumn Trace	Q2 2020	2	SHO	344		13,906		14,250
				$	6,302	$	157,940	$	164,242

Bickford - Shelby, MI

On January 27, 2020, we acquired a 60-unit assisted living/memory care facility located in Shelby, Michigan, from Bickford. The acquisition price was $15,100,000 and included the full payment of an outstanding construction note receivable of $14,091,000, including interest. We added the facility to an existing master lease for a term of twelve years at an initial lease rate of 8%, with CPI escalators subject to a floor and ceiling.

Life Care Services

On January 31, 2020 we acquired an 80% equity interest in a property company, NHI-LCS JV I, LLC (“Timber Ridge PropCo”), which owns a 401-unit Continuing Care Retirement Community (“CCRC”) located in Issaquah, Washington comprising 330 independent living units, 26 assisted living/memory care units and 45 skilled nursing beds. The same transaction

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conveyed to NHI a 25% equity interest in the newly formed operating company, Timber Ridge OpCo, LLC (“Timber Ridge OpCo”).

Total consideration for NHI’s interests in the combined venture was $124,989,000, comprised of the $59,350,000 remaining balance of a mortgage note initially funded in 2015, an additional loan of $21,650,000, and cash of $43,114,000 to Timber Ridge PropCo and $875,000 to Timber Ridge OpCo. Total debt due from Timber Ridge PropCo of $81,000,000, bears interest to NHI at 5.75%. LCS paid $10,778,000 for its 20% equity stake in Timber Ridge PropCo and provided $2,625,000 for a 75% equity participation in Timber Ridge OpCo.

The lease between Timber Ridge PropCo and Timber Ridge OpCo carries a rate of 6.75% for an initial term of seven years plus renewal options and has a CPI-based lease escalator, subject to floor and ceiling. Including interest payments on debt to NHI and our lease participation in the Timber Ridge PropCo, as detailed above, we expect to receive $8,216,000 in the first twelve months plus 25% of the remaining Timber Ridge OpCo cash flow. NHI’s contribution was allocated to our interest in the tangible assets of Timber Ridge PropCo with no material fair value allocated to Timber Ridge OpCo beyond our initial investment. The lease between Timber Ridge PropCo and Timber Ridge OpCo includes an “earn out” provision whereby Timber Ridge OpCo could become eligible for a payment of $10,000,000 based on the attainment of certain operating metrics. See Note 5 for a discussion of Timber Ridge OpCo.

Autumn Trace

On May 1, 2020, we acquired two senior housing facilities each with 44 assisted living units for a total purchase price of $14,250,000, including $150,000 in closing costs. The facilities are located in Indiana and are leased to Autumn Trace Senior Communities, which is a new operator relationship for NHI. The 15-year master lease has an initial lease rate of 7.25% with fixed annual escalators of 2.25% and offers two optional extensions of 5 years each. NHI was also granted a purchase option on a newly opened Indiana facility that is expected to stabilize during 2020.

Tenant Concentration

The following table contains information regarding tenant concentration in our portfolio, based on the percentage of revenues for the six months ended June 30, 2020 and 2019, related to tenants or affiliates of tenants, that exceed 10% of total revenue ($ in thousands):

	as of June 30, 2020					Revenues2
	Number of	Real		Notes		Six Months Ended June 30,
	Properties	Estate		Receivable1		2020			2019
Senior Living Communities	10	$	573,631	$	57,675	$	26,140	16%	$	23,962	16%
Holiday Retirement	26	531,378		—		20,353		12%	20,106		13%
Bickford Senior Living	48	534,376		32,744		27,392		16%	26,122		17%
National HealthCare	42	171,297		—		18,904		11%	19,209		12%
All others		1,433,880		214,900		74,482			64,805
		$	3,244,562	$	305,319	$	167,271		$	154,204

¹ excludes estimated credit loss reserve of $5,189

² includes interest income on notes receivable

At June 30, 2020, the one state in which we had an investment concentration of 10% or more was South Carolina (10.3%).

Purchase Options

Certain of our leases contain purchase options allowing tenants to acquire the leased properties. At June 30, 2020, we had a net investment of $11,784,000 in two real estate properties which are subject to exercisable tenant purchase options. Tenant purchase options on 12 properties in which we had an aggregate net investment of $120,808,000 at June 30, 2020, become exercisable between 2021 and 2028.

Rental income from leased properties with tenant purchase options either currently exercisable or exercisable in the future was $8,715,000 and $9,216,000 for the six months ended June 30, 2020 and 2019, respectively. We cannot reasonably estimate at this

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time the probability that these purchase options will be exercised in the future. Consideration to be received from the exercise of any tenant purchase option is expected to exceed our net investment in the leased property or properties.

Other Portfolio Activity

Tenant Bankruptcy

We have a net investment of $10,075,000 in an acute care hospital leased to Quorum Health Corporation (“Quorum”) pursuant to a triple-net lease that expires in June 2022. Quorum filed for Chapter 11 bankruptcy in April 2020. As a result, the Company wrote off straight-line rent receivable under the lease of $380,000 in the first quarter of 2020 and began recognizing revenues under the lease as cash is received. In July 2020 Quorum completed its bankruptcy restructuring and continues to operate the hospital while timely paying its rent under the lease, which totaled $1,751,000 for the six months ended June 30, 2020.

Tenant Transitioning

As of June 30, 2020, we had nine properties that have been transitioned to five new tenants following a period of non-compliance by the former operator. The leases with the new operators specify periods during which rental income is based on net operating income, after deduction of management fees. We recognized rental income from these properties of $1,269,000 and $2,824,000 for the three and six months ended June 30, 2020, respectively and $506,000 and $1,208,000 for the three and six months ended June 30, 2019, respectively.

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

Asset Dispositions

In September 2019, we classified a portfolio of eight assisted living properties located in Arizona (4), Tennessee (3) and South Carolina (1) as held for sale, after the current tenant, Brookdale Senior Living, expressed an intention to exercise its purchase option on the properties. The purchase option called for the parties to split any appreciation on an equal basis above $37,520,000. During the first quarter of 2020, NHI and the tenant agreed to a fair valuation of $41,000,000 for the properties, and, accordingly, on January 22, 2020, we disposed of the properties at the agreed price of $39,260,000 and recognized a gain of $20,752,000. For the six months ended June 30, 2020 and 2019, we recognized $229,000 and $2,125,000, respectively, of rental income from this portfolio.

On February 21, 2020, we disposed of two assisted living properties previously classified as held-for-sale in exchange for a term note of $4,000,000 from the buyer, Bickford. The note, which is due February 2025 and bears interest at 7%, will begin amortizing on a twenty-five-year basis in January 2021. In the first quarter of 2019 we recorded an adjustment to write off straight-line rent receivables of $124,000 and recognized an impairment loss of $2,500,000, included in loan and realty (gains) losses on the Condensed Consolidated Statements of Income to write down the properties to their estimated net realizable value upon classification of these properties as held-for-sale.

Future Minimum Base Rent

Future minimum base rents due under the remaining non-cancelable terms of operating leases in place as of June 30, 2020, are as follows (in thousands):

Remainder of 2020	$	141,225
2021	281,081
2022	285,478
2023	281,615
2024	274,075
2025	267,462
Thereafter	1,394,428
	$	2,925,364

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We assess the collectability of lease payments to be received from our tenants, which includes receivables, consisting primarily of straight-line rents receivable, based on several factors, including payment history, the financial strength of the tenant and any guarantors, historical operations and operating trends of the property, and current economic conditions. If our evaluation of these factors indicates it is not probable that we will be able to collect substantially all of the lease payments, we recognize lease payments on a cash basis and de-recognize all rent receivable assets, including the straight-line rent receivable asset as a reduction in rental revenue.

Variable Lease Payments

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

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2020		2019		2020		2019
Lease payments based on fixed escalators	$	69,669	$	64,570	$	138,103	$	128,033
Lease payments based on variable escalators	1,400		1,195		2,764		2,366
Straight-line rent income	5,218		5,307		10,395		10,535
Escrow funds received from tenants	1,630		1,506		3,182		2,597
Rental income	$	77,917	$	72,578	$	154,444	$	143,531

Note 4. Mortgage and Other Notes Receivable

At June 30, 2020, we had investments in mortgage notes receivable secured by real estate and other assets of the borrower (e.g. UCC liens on personal property) related to 16 facilities and other notes receivable guaranteed by significant parties to the notes or by cross-collateralization of properties with the same owner with an aggregate carrying value of $300,130,000, net of an allowance of $5,189,000. All our notes were on full accrual basis at June 30, 2020.

Credit Loss Reserve

Our principal measures of credit quality, except for construction mortgages, are debt service coverage for amortizing loans and interest or fixed charge coverage for non-amortizing loans collectively (“Coverage”). A Coverage ratio provides a measure of the borrower’s ability to make scheduled principal and interest payments. The Coverage ratios presented in the following table have been calculated utilizing the most recent date for which data is available, March 31, 2020, using EBITDARM (earnings before interest, taxes, depreciation, amortization, rent and management fees) and the requisite debt service, interest service or fixed charges, as defined in the applicable loan agreement. We categorize Coverage into three levels: (i) over 1.5x, (ii) between 1.0x and 1.5x, (iii) less than 1.0x. We update the calculation of coverage on a quarterly basis. Coverage is not a meaningful credit quality indicator for construction mortgages as either these developments are not generating any operating income, or they have insufficient operating income as occupancy levels necessary to stabilize the properties have not yet been achieved. We measure credit quality for these mortgages by considering the construction and stabilization timeline and the financial condition of the borrower as well as economic and market conditions. As of June 30, 2020, we did not have any construction loans that we considered underperforming. The tables below present outstanding note balances as of June 30, 2020 at amortized cost.

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We consider the guidance in ASC 310-20 when determining whether a modification, extension or renewal constitutes a current period origination. The credit quality indicator as of March 31, 2020, is presented below for the amortized cost, net by year of origination ($ in thousands):

	2020		2019		2018		2017		2016		Prior		Total
Mortgages
more than 1.5x	$	1,471	$	8,268	$	169,859	$	—	$	—	$	6,989	$	186,587
between 1.0x and 1.5x	—		3,854		—		—		10,000		—		13,854
below 1.0x	4,000		39,123		—		9,958		—		—		53,081
No coverage available	—		—		—		—		—		—		—
	5,471		51,245		169,859		9,958		10,000		6,989		253,522
Mezzanine
more than 1.5x	—		—		—		—		—		—		—
between 1.0x and 1.5x	—		—		—		—		14,472		—		14,472
below 1.0x	—		—		—		—		13,979		11,875		25,854
No coverage available	—		475		—		—		—		—		475
	—		475		—		—		28,451		11,875		40,801
Revolver
more than 1.5x													—
between 1.0x and 1.5x													10,996
below 1.0x													—
													10,996
									Credit loss reserve				(5,189)
													$	300,130

Due to the economic uncertainty created by COVID-19 and the potential impact on the collectability of our mortgages and other notes receivable, we are forecasting a 20% increase in the probability of a default and a 20% increase in the amount of loss from a default resulting in an effective adjustment of 44%. The COVID-19 adjustments resulted in a $1,700,000 increase in the credit loss reserve during the first quarter of 2020. Excluding the effects of the COVID-19 adjustment, our provision for expected credit losses decreased by $411,000 since our adoption of the credit loss guidance on January 1, 2020, due primarily to a decrease in the balance of our construction mortgage receivables and the resulting reduction in our historical probability of default experience for our acquisition and construction mortgage pool.

The allowance for expected credit losses for our commercial loans is presented in the following table for the six months ended June 30, 2020 ($ in thousands):

Beginning balance January 1, 2020 (upon adoption of ASU 2016-13)	$	3,900
Provision for expected credit losses	1,289
Balance June 30, 2020	$	5,189

Bickford

At June 30, 2020, our construction loans to Bickford are summarized in the following table ($ in thousands):

Commencement	Rate	Maturity	Commitment		Drawn		Location
January 2018	9%	5 years	$	14,000	$	(13,377)	Virginia
July 2018	9%	5 years	14,700		(13,896)		Michigan
June 2020	9%	5 years	14,200		(1,471)		Virginia
			$	42,900	$	(28,744)

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On June 30, 2020, we entered into a $14,200,000 construction loan agreement with Bickford to construct a 64-unit assisted living facility.

The construction loans are secured by first mortgage liens on substantially all real and personal property as well as a pledge of any and all leases or agreements which may grant a right of use to the property. Usual and customary covenants extend to the agreements, including the borrower’s obligation for payment of insurance and taxes. NHI has a fair market value purchase option on the properties at stabilization of the underlying operations. On these development projects, Bickford as borrower is entitled to up to $2,000,000 per project in incentives based on the achievement of predetermined operational milestones and, if funded, will increase NHI's future purchase price and eventual NHI lease payment.

Our loans to Bickford represent a variable interest and Bickford is considered a VIE. We have concluded that we are not the primary beneficiary.

Life Care Services - Timber Ridge

In February 2015, we entered into a loan agreement in which the proceeds were used to fund the construction of Phase II of Timber Ridge at Talus, a Type-A continuing care retirement community in Issaquah, Washington. The outstanding balance due from LCS-Westminster Partnership III LLP (“LCS-WP III”), an affiliate of LCS and the manager of the facility, was $59,350,000 as of January 31, 2020, when we acquired the property and Timber Ridge PropCo assumed the debt (see Note 3) which was increased to $81,000,000 as part of the transaction. To provide working capital in support of the CCRC’s entry-fee model, NHI agreed to supply a revolving line of credit permitting draws up to a maximum of $5,000,000. See Note 5 for more information about our equity-method investment in Timber Ridge OpCo.

Life Care Services - Sagewood

In December 2018, we entered into an agreement to lend LCS-Westminster Partnership IV LLP (“LCS-WP IV”), an affiliate of LCS, the manager of the facility, up to $180,000,000. The loan agreement conveys a mortgage interest and will facilitate the construction of Phase II of Sagewood, a Type-A Continuing Care Retirement Community in Scottsdale, AZ. As an affiliate of a larger company, LCS-WP IV is structured to limit liability for potential damage claims, is capitalized to achieve that purpose and is considered a VIE. As discussed more fully in Note 2, we have concluded that we are not the primary beneficiary.

The loan conveys a mortgage interest in the form of two notes under a master credit agreement. The senior note (“Note A”) totals $118,800,000 at a 7.25% interest rate with 10 basis-point annual escalators after three years and has a term of 10 years. We have funded $82,689,000 of Note A as of June 30, 2020. Note A is interest-only and is locked to prepayment until January 2021. After 2020, the prepayment penalty starts at 2% and declines to 1% in 2022. The second note (“Note B”) is a construction loan for up to $61,200,000 at an annual interest rate of 8.5% and carries a maturity of five years. The total amount funded on Note B was $61,200,000 as of June 30, 2020.

Senior Living Communities

In December 2014, we provided a revolving line of credit, the maturity of which mirrors the 15-year term of the master lease. Borrowings are used primarily to finance construction projects within the Senior Living portfolio, including building additional units and may also be used to meet general working capital needs. The facility was amended in December 2019, to reduce availability to $12,000,000 with a further reduction in capacity to $7,000,000 beginning January 1, 2022 through lease maturity in December 2029. Also effective in December 2019, a sub-limit on the availability of funding for working capital needs was established at $10,000,000 for this loan, extending through January 1, 2022, at which time the limit is to be reduced to $5,000,000. At June 30, 2020, the $10,996,000 outstanding under the facility bears interest at 6.66% per annum, the prevailing 10-year U.S. Treasury rate plus 6%.

NHI had two mezzanine loans of up to $12,000,000 and $2,000,000, respectively, to affiliates of Senior Living, whose purpose was to partially fund construction of a 186-unit senior living campus on Daniel Island in South Carolina, which opened in April 2018. The loans bore interest, payable monthly, at a 10% annual rate. The fully drawn loan balances including accrued interest were paid in full on July 31, 2020.

Our loans to Senior Living and its subsidiaries represent a variable interest. Senior Living is structured to limit liability for potential claims for damages, is appropriately capitalized for that purpose and is considered a VIE. As discussed more fully in Note 2, we have concluded that we are not the primary beneficiary of Senior Living.

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Note 5. Equity Method Investment

Equity Method Investment

As discussed in Note 2, our investment in the operating company, Timber Ridge OpCo, held by our Taxable REIT Subsidiary (“TRS”) and recorded in the initial amount of $875,000, arose in conjunction with the acquisition of a CCRC from LCS-WP III. We structured our arrangement with our JV partner, LCS Timber Ridge LLC, to be compliant with the provisions of the REIT Investment Diversification and Empowerment Act of 2007 (“RIDEA”) which permits NHI to receive rent payments through a triple-net lease between Timber Ridge PropCo, the property company, and Timber Ridge OpCo and is designed to give NHI the opportunity to capture additional value on the improving performance of the operating company through distributions from the TRS. Accordingly, the TRS holds our 25% equity interest in Timber Ridge OpCo in order to provide an organizational structure that will allow the TRS to engage in a broad range of activities and share in cash-flows that would otherwise be non-qualifying income under the REIT gross income tests.

Timber Ridge OpCo’s activities are managed through an “eligible independent contractor” subject to the oversight of Timber Ridge OpCo’s board. This organizational structure meets the requirements of Internal Revenue Code regulations for TRS entities. LCS is the managing member of Timber Ridge OpCo, although we have retained specific non-controlling rights. As a result of LCS’s retention of operations oversight and control over all day-to-day business matters, our participating influence at Timber Ridge OpCo does not amount to control of the entity.

As part of our acquisition of the Timber Ridge property in January 2020, we accepted the property subject to trust liens previously granted to residents of Timber Ridge. Beginning in 2008, early residents of Timber Ridge executed loans to the then owner/operators backed by liens and entered into a Deed of Trust and Indenture of Trust (the “Deed and Indenture”) for the benefit of the trustee (now Wilmington Trust, N.A., “Trustee”) on behalf of all residents who made mortgage loans to the owner/operator in accordance with a resident agreement. The Deed and Indenture granted a security interest in the Timber Ridge property to secure the loans made by the early residents of the property. Subsequent to these early transactions, the practice was discontinued at Timber Ridge.

Our entry into the Timber Ridge joint venture involved the separation of the existing owner/operator configuration into property and operating companies. Accomplishing the split required the allocation of assets and liabilities of the previously unified entity. Timber Ridge PropCo acquired the Timber Ridge property, subject to the resident mortgages secured by the Deed and Indenture. Accordingly, the remaining outstanding “old” loans made by the residents are still secured by a security interest in the Timber Ridge property. The trustee for all of the residents who made “old” loans in accordance with the resident agreements, entered into a subordination agreement concurrent with our acquisition, pursuant to which the Trustee acknowledged and confirmed that the security interests created under the Deed and Indenture were subordinate to any security interests granted in connection with the loan made by NHI to Timber Ridge PropCo.

With the periodic settlement of some of the outstanding resident loans in the course of normal entrance-fee community operations, the balance owing on the Deed and Indenture at the date of our acquisition on January 31, 2020 had been reduced to $20,063,000 and was further reduced to $17,530,000 at June 30, 2020. By terms of the resident loan assumption agreement, during the term of the lease (7 years with two renewal options), Timber Ridge OpCo is to indemnify Timber Ridge PropCo for any repayment by Timber Ridge PropCo of these liabilities under the guarantee. NHI estimates that no material outflow of cash will result from Timber Ridge PropCo’s secondary obligation as guarantor under the resident mortgages. Accordingly, no liability was recorded on NHI’s books for the guarantee obligation upon acquisition and as of June 30, 2020.

Timber Ridge OpCo meets the criteria to be considered a VIE. However, we are not the primary beneficiary of Timber Ridge OpCo as our participating rights do not give us the power to direct the activities that most significantly impact Timber Ridge OpCo’s economic performance. As a result, we report our investment in Timber Ridge OpCo under the equity method of accounting as prescribed by ASC Topic 970, Real Estate - General, Subtopic 323-30 Equity Method and Joint Ventures. Our equity share in the losses of Timber Ridge OpCo during the three months and six months ended June 30, 2020 was $848,000 and$1,290,000. Under the equity method, we decrease the carrying value of our investment for losses in the entity and distributions to NHI for cumulative amounts up to and including our basis plus any commitments to fund operations. As of June 30, 2020, we have recognized our share of Timber Ridge OpCo’s operating losses in excess of our initial investment. These cumulative losses in excess of our basis of $414,000 are included in accounts payable and accrued expenses in our Condensed Consolidated Balance Sheets. Our commitments are currently limited to an additional $5,000,000 under a revolving credit facility.

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Note 6. Debt

Debt consists of the following (in thousands):

	June 30, 2020		December 31, 2019
Revolving credit facility - unsecured	$	413,000	$	300,000
Bank term loans - unsecured	550,000		550,000
Private placement term loans - unsecured	400,000		400,000
HUD mortgage loans - secured, non-recourse	41,743		42,138
Fannie Mae term loans - secured, non-recourse	95,532		95,706
Convertible senior notes - unsecured	59,898		59,697
Unamortized loan costs	(5,932)		(7,076)
	$	1,554,241	$	1,440,465

The HUD loans are presented in the table above net of discounts of $1,198,000 and $1,238,000 as of June 30, 2020 and December 31, 2019, respectively. The Convertible Senior Notes are presented in the table above net of discounts of $102,000 and $303,000 as of June 30, 2020 and December 31, 2019, respectively.

Aggregate principal maturities of debt as of June 30, 2020 are as follows (in thousands):

Remainder of 2020	$	621
2021	61,279
2022	664,328
2023	476,378
2024	76,429
2025	144,800
Thereafter	137,638
	1,561,473
Less: discount	(1,300)
Less: unamortized loan costs	(5,932)
	$	1,554,241

Revolving credit facility and bank term loans - unsecured

Our unsecured bank credit facility consists of $250,000,000 and $300,000,000 term loans and a $550,000,000 revolving credit facility. The $250,000,000 term loan and $550,000,000 revolving facility mature in August 2022, and the $300,000,000 term loan matures in September 2023. On March 22, 2019 and June 28, 2019, we entered into swap agreements to fix the interest rates on $340,000,000 of term loans and $60,000,000 of our revolving credit facility through December 2021, when LIBOR is scheduled for discontinuation.

The revolving facility fee is currently 20 basis points per annum, and based on our current leverage ratios, the facility presently provides for floating interest on the revolver and the term loans at 30-day LIBOR plus 120 basis points and a blended 132 basis points, respectively. At June 30, 2020 and December 31, 2019, 30-day LIBOR was 16 basis points and 176 basis points, respectively. Through June 2020, the Company utilized $610 million in interest rate swaps, designated as cash flow hedges, to fix the variable interest rate on the amounts outstanding on our term loans and revolving credit facility. On June 29 and 30, 2020, $80 million and $130 million of these hedges expired. As of June 30, 2020, we had $563,000,000 of outstanding variable rate debt exposed to interest rate risk through December 2021, at which time our remaining hedges expire. Our swaps and the financial instruments to which they relate are described in the table below, under the caption “Interest Rate Swap Agreements.”

At June 30, 2020, we had $137,000,000 available to draw on the revolving portion of our credit facility, subject to usual and customary covenants. Among other stipulations, the unsecured credit facility agreement requires that we maintain certain financial ratios within limits set by our creditors. At June 30, 2020, we were in compliance with these ratios.

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On July 9, 2020, we entered into a one-year $100,000,000 term loan bearing interest at 30-day LIBOR (with a 50 basis point floor) plus 185 basis points. The term loan provides us with the option to extend the maturity by one year subject to the payment of a 20 basis point extension fee. The term loan proceeds were used to reduce the outstanding balance on our revolving credit facility.

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

Private placement term loans - unsecured

Our unsecured private placement term loans, payable interest-only, are summarized below ($ in thousands):

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

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

HUD mortgage loans

Our HUD mortgage loans are secured by ten properties leased to Bickford and have a net book value of $48,287,000 at June 30, 2020. Nine mortgage notes require monthly payments of principal and interest from 4.3% to 4.4% (inclusive of mortgage insurance premiums) and mature in August and October 2049. These nine HUD mortgage loans are subject to prepayment penalty until the third quarter of 2024. One additional HUD mortgage loan assumed in 2014, at a discount, requires monthly payments of principal and interest of 2.9% (inclusive of mortgage insurance premium) and matures in October 2047. As of June 30, 2020, the loan has an outstanding principal balance of $8,385,000 and a carrying value of $7,187,000, which approximates fair value.

Fannie Mae term loans - secured, non-recourse

In March 2015 we obtained $78,084,000 in Fannie Mae financing. The term-debt financing consists of interest-only payments at an annual rate of 3.79% and a 10-year maturity. The mortgages are non-recourse and secured by thirteen properties leased to Bickford. In a December 2017 acquisition, we assumed additional Fannie Mae debt that amortizes through 2025 when a balloon payment will be due, is subject to prepayment penalties until 2024, bears interest at a nominal rate of 4.60%, and has a remaining balance of $17,448,000 at June 30, 2020. All together, these notes are secured by facilities having a net book value of $132,042,000 at June 30, 2020.

Convertible senior notes - unsecured

In March 2014 we issued $200,000,000 of 3.25% senior unsecured convertible notes due April 2021 (the “Notes”) with interest payable April 1st and October 1st of each year. The Notes were convertible at an initial rate of 13.93 shares of common stock per $1,000 principal amount, representing a conversion price of approximately $71.81 per share for a total of approximately 2,785,200 underlying shares. The conversion rate is subsequently adjusted upon each occurrence of certain events, as defined in the indenture governing the Notes, including the payment of dividends at a rate exceeding that prevailing in 2014. The conversion option was accounted for as an “optional net-share settlement conversion feature,” meaning that upon conversion, NHI’s conversion obligation may be satisfied, at our option, in cash, shares of common stock or a combination of cash and shares of common stock. Because we have the ability and intent to settle the convertible securities in cash upon exercise, we use the treasury stock method to account for potential dilution in the calculation of earnings per diluted share.

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In December 2019, through the issuance of common stock and cash we retired $60,000,000 of our convertible notes. Settlement of the notes requires management to allocate the consideration we ultimately pay between the debt component and the equity conversion feature as though they were separate instruments. The allocation is effected by recording the fair value of the debt component first, with any remainder allocated to the conversion feature. Amounts expended to settle the notes are recognized first as a settlement of the notes at our carrying value and then are recognized in income to the extent the portion allocated to the debt instrument differs from carrying value. The remainder of the allocation, if any, is treated as settlement of equity and adjusted through our capital in excess of par account.

As of June 30, 2020, our $60,000,000 of senior unsecured convertible notes were convertible at a rate of 14.80 shares of common stock per $1,000 principal amount, representing a conversion price of approximately $67.58 per share for a total of 887,856 shares on the remaining $60,000,000 of senior unsecured convertible notes. For the three and six months ended June 30, 2020, there was no dilution resulting from the conversion option within our convertible debt. If our current share price increases above the adjusted $67.58 conversion price, dilution may become attributable to the conversion feature. At June 30, 2020, the face amount of the convertible debt exceeded its value on conversion, when value on conversion was computed as if the debt were immediately eligible to convert.

Interest Rate Swap Agreements

Our existing interest rate swap agreements will collectively continue through December 2021 to hedge against fluctuations in variable interest rates applicable to $400,000,000 of our bank loans. On June 29 and 30, 2020, there were $210,000,000 notional amount of swaps that matured. During the next year, approximately $7,094,000 of losses, which are included in accumulated other comprehensive loss, are projected to be reclassified into earnings.

Through June 30, 2020, we employed the following interest rate swap contracts to mitigate our interest rate risk on our bank term and revolver loans described above ($ in thousands):

Date Entered	Maturity Date	Swap Rate	Rate Index	Notional Amount		Fair Value (Liability)
June 2013	June 2020	2.11%	1-month LIBOR	$	80,000	$	—
March 2014	June 2020	2.16%	1-month LIBOR	$	130,000	$	—
March 2019	December 2021	2.22%	1-month LIBOR	$	100,000	$	(3,143)
March 2019	December 2021	2.21%	1-month LIBOR	$	100,000	$	(3,163)
June 2019	December 2021	1.61%	1-month LIBOR	$	150,000	$	(3,316)
June 2019	December 2021	1.63%	1-month LIBOR	$	50,000	$	(1,115)

If the fair value of the hedge is an asset, we include it in our Condensed Consolidated Balance Sheets among other assets, and, if a liability, as a component of accounts payable and accrued expenses. See Note 11 for fair value disclosures about our interest rate swap agreements. Net liability balances for our hedges included as components of accounts payable and accrued expenses on June 30, 2020 and December 31, 2019, were $10,737,000 and $3,434,000, respectively.

The following table summarizes interest expense (in thousands):

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2020		2019		2020		2019
Interest expense on debt at contractual rates	$	10,569	$	13,355	$	23,572	$	26,429
Losses reclassified from accumulated other
comprehensive income (loss) into interest expense	2,263		(350)		2,755		(641)
Capitalized interest	(19)		(158)		(117)		(315)
Amortization of debt issuance costs and debt discount	744		899		1,487		1,791
Total interest expense	$	13,557	$	13,746	$	27,697	$	27,264

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Note 7. Commitments, Contingencies and Uncertainties

In the normal course of business, we enter into a variety of commitments, typically consisting of funding of revolving credit arrangements, construction and mezzanine loans to our operators to conduct expansions and acquisitions for their own account, and commitments for the funding of construction for expansion or renovation to our existing properties under lease. In our leasing operations, we offer to our tenants and to sellers of newly acquired properties a variety of inducements which originate contractually as contingencies but which may become commitments upon the satisfaction of the contingent event. Contingent payments earned will be included in the respective lease bases when funded. The tables below summarize our existing, known commitments and contingencies as of June 30, 2020 according to the nature of their impact on our leasehold or loan portfolios. ($ in thousands)

	Asset Class	Type	Total		Funded		Remaining
Loan Commitments:
LCS Sagewood Note A	SHO	Construction	$	118,800	$	(82,689)	$	36,111
LCS Sagewood Note B	SHO	Construction	61,200		(61,200)		—
Bickford Senior Living	SHO	Construction	42,900		(28,744)		14,156
Senior Living Communities	SHO	Revolving Credit	12,000		(10,996)		1,004
41 Management	SHO	Construction	10,800		(8,353)		2,447
Timber Ridge OpCo	SHO	Working Capital	5,000		—		5,000
Watermark Retirement	SHO	Working Capital	5,000		—		5,000
Discovery Senior Living	SHO	Working Capital	750		(475)		275
			$	256,450	$	(192,457)	$	63,993

As provided above, loans funded do not include the effects of discounts or commitment fees. Our loans and loan commitments to 41 Management, LLC (“41 Management”) represent a variable interest. 41 Management is structured to limit liability for potential claims for damages, is capitalized to achieve that purpose and is considered a VIE. On June 12, 2020, we provided a $5,000,000 loan commitment to Watermark Retirement to provide working capital liquidity in connection with the renewal of an existing lease on two continuing care retirement communities.

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

The liability for expected credit losses on our unfunded loans is presented in the following table for the six months ended June 30, 2020 ($ in thousands):

Beginning balance January 1, 2020 (upon adoption of ASU 2016-13)	$	325
Benefit to expected credit losses	(94)
Balance at June 30, 2020	$	231

	Asset Class	Type	Total		Funded		Remaining
Development Commitments:
Ignite Medical Resorts	SNF	Construction	$	25,350	$	(23,114)	$	2,236
Woodland Village	SHO	Renovation	7,515		(7,425)		90
Senior Living Communities	SHO	Renovation	9,930		(9,763)		167
Wingate Healthcare	SHO	Renovation	1,900		(818)		1,082
Discovery Senior Living	SHO	Renovation	900		(586)		314
Navion Senior Solutions	SHO	Construction	650		—		650
41 Management	SHO	Renovation	400		—		400
			$	46,645	$	(41,706)	$	4,939

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In addition to the commitments listed above, Discovery PropCo has committed to Discovery for funding up to $2,000,000 toward the purchase of condominium units located at one of the facilities. As of June 30, 2020, we have funded $968,000 toward this commitment. On May 1, 2020, we completed development of a 144 unit skilled nursing facility located in Wisconsin which will be operated by Ignite Medical Resorts.

As of June 30, 2020, we had $31,850,000 of contingent lease inducement commitments in six lease agreements which are generally based on the performance of facility operations and may or may not be met by the tenant. At June 30, 2020, we had funded $500,000 toward these commitments.

COVID-19 Pandemic Contingencies

The World Health Organization declared COVID-19 a pandemic on March 11, 2020. The continually evolving pandemic has resulted in a widespread health crisis adversely affecting governments, businesses, and financial markets. In response to the COVID-19 pandemic, many state, local and federal agencies instituted various health and safety measures including temporary closures of many businesses, “shelter in place” orders, and social distancing guidelines that remain in place to some degree. The COVID-19 pandemic and related health and safety measures have created a significant strain on the operations of many of our tenants, operators and borrowers.

We have not granted any rent concessions to tenants as a result of the COVID-19 pandemic as of June 30, 2020. Effective July 1, 2020, we agreed to defer $2,100,000 in rent due for the third quarter of 2020 from Bickford with half of the deferral being escrowed with the Company. We have also executed a non-binding letter of intent with Bickford to negotiate the potential sale to Bickford, or to other third parties, of nine properties currently leased to Bickford at a price in excess of the Company’s gross book value of approximately $76,658,000 as of June 30, 2020. Rental income from this portfolio for the six months ended June 30, 2020 totaled $4,464,000, including $151,000 in straight-line rent. Bickford’s obligation to repay the deferred rent will be forgiven and the escrowed funds returned provided the transaction is closed no later than December 31, 2020.

We will evaluate any rent deferral requests as a result of the COVID-19 pandemic on a tenant-by-tenant basis. The extent of future concessions we make as a result of the COVID-19 pandemic, which could have a material impact on our future operating results, cannot be reasonably or reliably projected by us at this time.

We have evaluated the impacts of COVID-19 on our operations thus far and incorporated COVID-19 information, where possible, into our assessments of liquidity, asset impairments, and collectability of amounts due from tenants and borrowers as of June 30, 2020. The extent of the impact of COVID-19 on our financial condition, results of operations and cash flows, in the near term, will depend on future developments which are highly uncertain and cannot be predicted at this time. We will continue to monitor for any material or adverse effects resulting from the COVID-19 pandemic.

Litigation

Our facilities are subject to claims and suits in the ordinary course of business. Our lessees and borrowers have indemnified, and are obligated to continue to indemnify us, against all liabilities arising from the operation of the facilities, and are further obligated to indemnify us against environmental or title problems affecting the real estate underlying such facilities. While there may be lawsuits pending against certain of the owners and/or lessees of the facilities, management believes that the ultimate resolution of all such pending proceedings will have no direct material adverse effect on our financial condition, results of operations or cash flows.

In June 2018, East Lake Capital Management LLC and certain related entities, including Regency (for three assisted living facilities in Tennessee, Indiana and North Carolina), filed suit against NHI in Texas seeking injunctive and declaratory relief and unspecified monetary damages. NHI responded with counterclaims and filed motions requesting the immediate appointment of a receiver and for pre-judgment possession. Resulting from these claims and counterclaims, on December 6, 2018, the parties entered into an agreement resulting in Regency vacating the facilities in December 2018. Litigation is ongoing.

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Note 8. Equity and Dividends

Additional Common Shares Authorized

At our annual meeting on May 6, 2020, our stockholders approved an amendment to the Articles of Incorporation to increase the number of authorized common shares from 60,000,000 to 100,000,000.

At-the-Market (ATM) Equity Program

In March 2020 the Company entered into a new ATM equity offering sales agreement pursuant to which the Company may sell, from time to time, up to an aggregate sales price of $500,000,000 of the Company’s common shares through the ATM equity program. The Company terminated its previously existing ATM equity program, dated February 22, 2017, upon entering into the new agreement. No common stock has been issued under the ATM equity programs during the six months ended June 30, 2020 and 618,654 shares were issued during the six months ended June 30, 2019 for $47,999,000 in net proceeds.

Dividends

The following table summarizes dividends declared by the Board of Directors or paid during the six months ended June 30, 2020 and 2019:

Six Months Ended June 30, 2020
Date of Declaration	Date of Record	Date Paid/Payable	Quarterly Dividend
November 7, 2019	December 31, 2019	January 31, 2020	$1.05
February 19, 2020	March 30, 2020	May 8, 2020	$1.1025
June 15, 2020	June 30, 2020	August 7, 2020	$1.1025

Six Months Ended June 30, 2019
Date of Declaration	Date of Record	Date Paid/Payable	Quarterly Dividend
December 17, 2018	December 28, 2018	January 31, 2019	$1.00
February 19, 2019	March 29, 2019	May 10, 2019	$1.05
May 7, 2019	June 28, 2019	August 9, 2019	$1.05

Note 9. Stock-Based Compensation

We have two incentive plans – the 2012 Stock Incentive Plan (“2012 Plan”) and the 2019 Stock Incentive Plan (“2019” Plan”). As of June 30, 2020, shares available for future grants totaled 2,730,169. Stock options granted during 2020 under the 2012 Plan totaled 319,669. No shares remain available for issuance under the 2012 Plan. The following is a summary of stock-based compensation expense, net of forfeitures, included in General and administrative expenses in the Condensed Consolidated Statements of Income ($ in thousands):

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2020		2019		2020		2019
Non-cash stock-based compensation expense	$	470	$	477	$	2,315	$	2,478

The weighted average fair value of options granted during the six months ended June 30, 2020 and 2019 was $5.57 and $6.17 per option, respectively. The fair value of each grant is estimated on the date of grant using the Black-Scholes option-pricing model with the following weighted average assumptions:

	2020	2019
Dividend yield	5.1%	5.5%
Expected volatility	17.1%	18.6%
Expected lives	2.9 years	2.9 years
Risk-free interest rate	1.30%	2.50%

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The following table summarizes our outstanding stock options:

			Weighted Average
	Number	Weighted Average	Remaining
	of Shares	Exercise Price	Contractual Life (Years)
Options outstanding January 1, 2019	920,346	$69.24
Options granted	602,000	$79.96
Options exercised	(367,830)	$71.14
Options outstanding, June 30, 2019	1,154,516	$74.26
Exercisable at June 30, 2019	663,997	$73.64
Options outstanding January 1, 2020	1,004,014	$74.35
Options granted	592,000	$90.32
Options exercised	(512,509)	$72.98
Options forfeited	(10,500)	$88.73
Options outstanding, June 30, 2020	1,073,005	$83.68	3.95
Exercisable at June 30, 2020	601,994	$81.09	3.65

For options outstanding and exercisable at June 30, 2020, the exercise price exceeds the closing price of our common stock. The aggregate intrinsic value of stock options exercised during the six months ended June 30, 2020 and 2019 was $8,118,000 or $15.84 per share and $4,100,000 or $11.00 per share, respectively.

As of June 30, 2020, unrecognized compensation expense totaling $1,703,000 associated with unvested stock options is expected to be recognized over the following periods: remainder of 2020 - $915,000, 2021 - $706,000 and 2022 - $82,000.

Note 10. Earnings Per Common Share

The weighted average number of common shares outstanding during the reporting period is used to calculate basic earnings per common share. Diluted earnings per common share assume the exercise of stock options and the conversion of our convertible debt using the treasury stock method, to the extent dilutive. If our average stock price for the period increases over the conversion price of our convertible debt, the conversion feature will be considered dilutive.

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

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2020		2019		2020		2019
Net income attributable to common stockholders	$	44,368	$	39,979	$	105,392	$	75,658
BASIC:
Weighted average common shares outstanding	44,650,002		43,232,384		44,631,797		43,029,104
DILUTED:
Weighted average common shares outstanding	44,650,002		43,232,384		44,631,797		43,029,104
Stock options	—		66,145		2,273		70,920
Convertible subordinated debentures	—		199,492		—		211,503
Weighted average dilutive common shares outstanding	44,650,002		43,498,021		44,634,070		43,311,527
Net income attributable to common stockholders - basic	$	0.99	$	0.92	$	2.36	$	1.76
Net income attributable to common stockholders - diluted	$	0.99	$	0.92	$	2.36	$	1.75
Incremental anti-dilutive shares excluded:
Net share effect of stock options with an exercise price in excess of the average market price for our common shares	610,367		40,173		439,962		21,227
Regular dividends declared per common share	$	1.1025	$	1.05	$	2.205	$	2.10

Note 11. Fair Value of Financial Instruments

Our financial assets and liabilities measured at fair value (based on the hierarchy of the three levels of inputs described in Note 1 to the consolidated financial statements contained in our most recent Annual Report on Form 10-K) on a recurring basis include derivative financial instruments. Derivative financial instruments include our interest rate swap agreements.

Derivative financial instruments. Derivative financial instruments are valued in the market using discounted cash flow techniques. These techniques incorporate Level 1 and Level 2 inputs. The market inputs are utilized in the discounted cash flow calculation considering the instrument’s term, notional amount, discount rate and credit risk. Significant inputs to the derivative valuation model for interest rate swaps are observable in active markets and are classified as Level 2 in the hierarchy.

Liabilities measured at fair value on a recurring basis are as follows (in thousands):

		Fair Value Measurement
	Balance Sheet Classification	June 30, 2020		December 31, 2019
Level 2
Interest rate swap liability	Accounts payable and accrued expenses	$	(10,737)	$	(3,434)

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Carrying amounts and fair values of financial instruments that are not carried at fair value at June 30, 2020 and December 31, 2019 in the Condensed Consolidated Balance Sheets are as follows (in thousands):

	Carrying Amount				Fair Value Measurement
	June 30, 2020		December 31, 2019		June 30, 2020		December 31, 2019
Level 2
Variable rate debt	$	959,579	$	845,744	$	963,000	$	850,000
Fixed rate debt	$	594,662	$	594,721	$	635,787	$	602,926
Level 3
Mortgage and other notes receivable	$	300,130	$	340,143	$	333,415	$	347,543

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

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

Carrying amounts of cash and cash equivalents and restricted cash, accounts receivable and accounts payable approximate fair value due to their short-term nature. The fair value of our borrowings under our revolving credit facility and other variable rate debt are reasonably estimated at their notional amounts at June 30, 2020 and December 31, 2019, due to the predominance of floating interest rates, which generally reflect market conditions.

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

Forward Looking Statements

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

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

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

* Actual or perceived risks associated with public health epidemics or outbreaks, such as the Coronavirus (COVID-19), has had and is expected to continue to have a material adverse effect on our business and results of operations.

* We depend on the operating success of our tenants and borrowers for collection of our lease and note payments;

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

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

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

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

* We are exposed to risks related to governmental regulations and payors, principally Medicare and Medicaid, and the effect that lower reimbursement rates would have on our tenants’ and borrowers’ business;

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

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

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

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

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

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

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

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

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

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

* When interest rates increase, our common stock may decline in price;

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

* We are subject to risks related to changes in the method of determining LIBOR, or the replacement of LIBOR with an alternative reference rate, which may adversely affect interest rates on our current or future indebtedness and may otherwise adversely affect our financial condition and result of operations;

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

* We depend on the ability to continue to qualify for taxation as a Real Estate Investment Trust;

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

* We are subject to risks associated with our joint venture investment with Life Care Services for Timber Ridge, an Entrance Fee CCRC, associated with Type A benefits offered to the residents of the joint venture's Entrance Fee community and related accounting requirements;

* We have ownership limits in our charter with respect to our common stock and other classes of capital stock which may delay, defer or prevent a transaction or a change of control that might involve a premium price for our common stock or might otherwise be in the best interests of our stockholders;

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

* If our efforts to maintain the privacy and security of Company information are not successful, we could incur substantial costs and reputational damage, and could become subject to litigation and enforcement actions.

See the notes to the annual audited consolidated financial statements in our most recent Annual Report on Form 10-K for the year ended December 31, 2019, and “Business” and “Risk Factors” under Item 1 and Item 1A therein for a further discussion of these and of various governmental regulations and other operating factors relating to the healthcare industry and the risk factors inherent in them. See also an update to the “Risk Factors” under item 1A in this Form 10-Q. You should carefully consider these risks before making any investment decisions in the Company. These risks and uncertainties are not the only ones facing the Company. There may be additional risks that we do not presently know of and or that we currently deem immaterial. If any of the risks actually occur, our business, financial condition, results of operations, or cash flows could be materially and adversely affected. In that case, the trading price of our shares of stock could decline and you may lose part or all of your investment. Given these risks and uncertainties, we can give no assurance that these forward-looking statements will, in fact, occur and, therefore, caution investors not to place undue reliance on them.

Executive Overview

National Health Investors, Inc., established in 1991 as a Maryland corporation, is a self-managed real estate investment trust (“REIT”) specializing in sale-leaseback, joint-venture, mortgage and mezzanine financing of need-driven and discretionary senior housing and medical facility investments. Our portfolio consists of real estate investments in independent living facilities, assisted living facilities, entrance-fee communities, senior living campuses, skilled nursing facilities, specialty hospitals and

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medical office buildings. We fund our real estate investments primarily through: (1) operating cash flow, (2) debt offerings, including bank lines of credit and term debt, both unsecured and secured, and (3) the sale of equity securities.

Portfolio

As of June 30, 2020, we had investments in real estate and mortgage and other notes receivable involving 243 facilities located in 34 states. These investments involve 162 senior housing properties, 76 skilled nursing facilities, 3 hospitals, 2 medical office buildings and other notes receivable. These investments (excluding our corporate office of $2,575,000) consisted of properties with an original cost of approximately $3,244,562,000, rented under, primarily, triple-net leases to 34 lessees, and $305,319,000 aggregate net carrying value of mortgage and other notes receivable, excluding an allowance for expected credit losses of $5,189,000, due from 11 borrowers. We are managed as one unit for internal reporting and decision making. Therefore, our reporting reflects our financial position and operations as a single segment.

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

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

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

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

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The following tables summarize our investments in real estate and mortgage and other notes receivable as of and for the six months ended June 30, 2020 ($ in thousands):

			Properties	Beds/Sq. Ft.*		Revenue		%		Investment
Real Estate Properties
	Senior Housing - Need-Driven
		Assisted Living	93	5,088		$	41,228	24.6	%	$	938,210
		Senior Living Campus	14	1,976		12,219		7.3	%	306,257
		Total Senior Housing - Need-Driven	107	7,064		53,447		31.9	%	1,244,467
	Senior Housing - Discretionary
		Independent Living	32	3,703		23,547		14.1	%	599,321
		Entrance-Fee Communities	11	2,707		29,664		17.7	%	739,985
		Total Senior Housing - Discretionary	43	6,410		53,211		31.8	%	1,339,306
		Total Senior Housing	150	13,474		106,658		63.7	%	2,583,773
	Medical Facilities
		Skilled Nursing Facilities	72	9,433		40,331		24.1	%	594,332
		Hospitals	3	207		3,666		2.2	%	55,971
		Medical Office Buildings	2	88,517	*	334		0.2	%	10,486
		Total Medical Facilities	77			44,331		26.5	%	660,789
		Total Real Estate Properties	227			150,989		90.2	%	$	3,244,562
		Income from properties sold				272
		Escrow Funds Received From Tenants				3,183
		Total Rental Income				154,444
Mortgage and Other Notes Receivable
	Senior Housing - Need-Driven		10	543		2,904		1.8	%	$	71,247
	Senior Housing - Discretionary		2	714		6,537		3.9	%	175,286
	Medical Facilities		4	270		318		0.2	%	6,989
	Other Notes Receivable		—	—		2,320		1.4	%	51,797
		Total Mortgage and Other Notes Receivable	16	1,527		12,079		7.3	%	$	305,319
		Income from notes paid off				625
		Other Income				123
		Total Revenue				$	167,271

Portfolio Summary			Properties	Revenue		%		Investment
	Real Estate Properties		227	$	150,989	92.6	%	$	3,244,562
	Mortgage and Other Notes Receivable		16	12,079		7.4	%	305,319
		Total Portfolio	243	$	163,068	100.0	%	$	3,549,881
Portfolio by Operator Type
	Public		66	$	34,850	21.4	%	$	511,293
	National Chain (Privately-Owned)		28	29,703		18.2	%	808,856
	Regional		136	94,054		57.7	%	2,109,932
	Small		13	4,461		2.7	%	119,800
		Total Portfolio	243	$	163,068	100.0	%	$	3,549,881

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For the six months ended June 30, 2020, operators of facilities which provided more than 3% of our total revenues were (in alphabetical order): Bickford Senior Living; Chancellor Health Care; Discovery Senior Living; The Ensign Group; Health Services Management; Holiday Retirement; Life Care Services; National HealthCare Corporation; Senior Living Communities; and Senior Living Management.

As of June 30, 2020, our average effective annualized rental income was $8,740 per bed for SNFs, $12,399 per unit for SLCs, $16,232 per unit for ALFs, $12,719 per unit for ILFs, $22,507 per unit for EFCs, $39,092 per bed for hospitals, and $8 per square foot for MOBs.

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

COVID-19 Pandemic

The World Health Organization declared coronavirus disease 2019 (“COVID-19”) a pandemic on March 11, 2020. The continually evolving pandemic has resulted in a widespread health crisis adversely affecting governments, businesses, and financial markets. In response to the COVID-19 pandemic, many state, local and federal agencies instituted various health and safety measures including temporary closures of many businesses, “shelter in place” orders, and social distancing guidelines that remain in place to some degree. The COVID-19 pandemic and related health and safety measures have created a significant strain on the operations of many of the Company’s tenants, operators and borrowers.

Revenues for the operators of our properties are significantly impacted by occupancy. Building occupancy rates will be adversely affected by the COVID-19 pandemic if it continues to cause sustained negative trends such as early resident move-outs, delays in admitting new residents, or other collateral events such as a weakening in the housing market, a typical funding source for our senior housing operators’ customers. In addition, actions our operators take to address outbreaks could materially increase their operating costs, including costs related to enhanced health and safety precautions among other measures. A decrease in occupancy or increase in costs could have a material adverse effect on the ability of our operators to meet their financial and other contractual obligations to us, including the payment of rent, as well as on our results of operations.

We collected approximately 100% of contractual rents due for the second quarter ended June 30, 2020 and approximately 97% of contractual rents due for July 2020. We have not granted any rent concessions to tenants as a result of the COVID-19 pandemic as of June 30, 2020. Effective July 1, 2020, we have agreed to defer $2,100,000 in rent due for the third quarter of 2020 from Bickford with half of the deferral being escrowed with the Company. We have also executed a non-binding letter of intent with Bickford to negotiate the potential sale to Bickford, or to other third parties, of nine properties currently leased to Bickford at a price in excess of the Company’s gross book value of approximately $76,658,000 as of June 30, 2020. Rental income from this portfolio for the six months ended June 30, 2020 totaled $4,464,000, including $151,000 in straight-line rent. Bickford’s obligation to repay the deferred rent will be forgiven and the escrowed funds returned provided the transaction is closed no later than December 31, 2020.

We are negotiating an agreement to defer a portion of rents for the remainder of 2020 with another tenant that would also grant the tenant the option to defer a portion of rents related to the first half of 2021. We have not agreed to grant rent relief to any other tenants. We will evaluate any rent deferral requests as a result of the COVID-19 pandemic on a tenant-by-tenant basis. The extent of future concessions we make as a result of the COVID-19 pandemic, which could have a material impact on our future operating results, cannot be reasonably or reliably projected by us at this time.

Fitch Ratings (“Fitch”) reaffirmed its BBB- and “Stable” outlook on the Company as an issuer as well as on its senior unsecured debt on July 1, 2020. S&P Global Ratings (“S&P Global”) also currently maintains a BBB- and “Stable” outlook on the Company. On July 9, 2020, we entered into a new one-year $100 million term loan bearing interest at a rate of 30-day LIBOR (with a 0.50% floor) plus 1.85% with a syndicate of banks. We have the right to extend the maturity by an additional year, subject to the payment of a 20 basis point extension fee. We had approximately $83,936,000 in unrestricted cash and cash equivalents on hand and $237,000,000 in availability under our unsecured revolving credit facility as of July 31, 2020. We believe this liquidity positions us to manage through the negative effects of the COVID-19 pandemic. Any reduction in outlook or downgrade in our credit ratings from the rating agencies could impact our costs of borrowings. However, we believe we continue to have access to

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additional debt sources and maintain availability under our at-the-market (“ATM”) equity issuance program and shelf registration statement to fund our future obligations, although no assurances can be made.

See “Item 1A. Risk Factors” in this Quarterly Report on Form 10-Q for further information regarding the risks presented by the COVID-19 pandemic.

Critical Accounting Policies

See our most recent Annual Report on Form 10-K for a discussion of critical accounting policies including those concerning revenue recognition, our status as a REIT, principles of consolidation, evaluation of impairments and allocation of property acquisition costs.

With the adoption of ASU 2016-13 beginning January 1, 2020, and the onset of COVID-19 in the United States, we have revised our discussion of estimates and valuations and impairments to include specific reference to additional judgments required under the new standard and evolving economic conditions, as follows:

Estimates

We prepare our consolidated financial statements in conformity with accounting principles generally accepted in the United States of America. These accounting principles require us to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates. If actual experience differs from the assumptions and other considerations used in estimating amounts reflected in our consolidated financial statements, the resulting changes could have a material adverse effect on our consolidated results of operations, liquidity and/or financial condition.

We consider an accounting estimate or assumption critical if:

1.the nature of the estimates or assumptions is material due to the levels of subjectivity and judgment necessary to account for highly uncertain matters or the susceptibility of such matters to change; and

2.the impact of the estimates and assumptions on financial condition or operating performance is material.

Valuations and Impairments

Our tenants and borrowers who operate SNFs derive their revenues primarily from Medicare, Medicaid and other government programs. Amounts paid under these government programs are subject to legislative and government budget constraints. From time to time, there may be material changes in government reimbursement. In the past, SNFs have experienced material reductions in government reimbursement.

The long-term health care industry has experienced significant professional liability claims which have resulted in an increase in the cost of insurance to cover potential claims. In previous years, these factors have combined to cause a number of bankruptcy filings, bankruptcy court rulings and court judgments affecting our lessees and borrowers. In prior years, we have determined that impairment of certain of our loan investments had occurred as a result of these events. The frequency and breadth of bankruptcies may intensify as a result of macro-economic conditions.

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

Lease accounting standards require that, for purposes of lease classification, we assess whether the lease, by its terms, transfers substantially all of the fair value of the asset under lease. This consideration will drive accounting for the alternative classifications among either operating, sales, or direct financing types of leases. For classification purposes, we distinguish cash flows that follow under terms of the lease from those that will derive, subsequent to the lease, from the ultimate disposition or re-deployment of the asset. From this segregation of the sources of cash flow, we are able to establish whether the lease is, in

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essence, a sale or financing in its having transferred substantially all of the fair value of the leased asset. Accordingly, management’s projected residual values represent significant assumptions in our accounting for leases.

While we do not incorporate residual value guarantees in our lease provisions, the contractual structure of other provisions provides a basis for expectations of realizable value from our properties, upon expiration of their lease terms. We additionally consider historical, demographic and market trends in developing our estimates. For each new lease, we discount our estimate of unguaranteed residual value and include this amount along with the stream of lease payments (also discounted) called for in the lease. We assess the stream of lease payments and the value deriving from eventual return of our property to establish whether the lease payments themselves comprise a return of substantially all of the fair value of the property under lease. We do not use a “bright line” in considering what constitutes “substantially all of the fair value,” but we undertake heightened vigilance in our assessment when the lease payments approach 90% of the composition of all future cash flows expected from the asset.

For our mortgage and other notes receivable, we evaluate the estimated collectability of contractual loan payments amid general economic conditions on the basis of a like-kind pooling of our loans. We estimate credit losses over the entire contractual term of the instrument from the date of initial recognition of that instrument. In developing our expectation of losses, we will consider financial assets that share similar risk characteristics such as rate, age, type, location and adequacy of collateral on a collective basis. Other note investments which do not share common features will continue to be evaluated on an instrument-by-instrument basis.

The determination of fair value and whether a shortfall in operating revenues or the existence of operating losses is indicative of a loss in value that is other than temporary involves significant judgment. Our estimates consider all available evidence including, as appropriate, the present value of the expected future cash flows discounted at market rates, general economic conditions and trends, the duration of the fair value deficiency, and any other relevant factors. When an economic downturn whose duration is expected to span a year or more is encountered, such as the potential impact of the COVID-19 pandemic, we consider projections about the length and impetus of an expected economic recovery before we conclude that evidence of impairment is likely to be other than temporary. While we believe our assumptions are reasonable, changes in these assumptions may have a material impact on our financial results.

While we believe that the carrying amounts of our properties are recoverable and our notes receivable and other investments are realizable, it is possible that future events could require us to make significant adjustments or revisions to these estimates.

Investment Highlights

Since January 1, 2020, we have made or announced the following investments and related commitments ($ in thousands):

	Date	Properties	Asset Class	Amount
Lease Investments
Bickford Senior Living	January 2020	1	SHO	$	15,100
Life Care Services	January 2020	1	SHO	134,892
Autumn Trace	May 2020	2	SHO	14,250
Note Investments
Timber Ridge OpCo	January 2020	1	SHO	5,000
Bickford Senior Living	January 2020	1	SHO	4,000
Bickford Senior Living	June 2020	1	SHO	14,200
Watermark Retirement	June 2020	2	SHO	5,000
				$	192,442

Bickford

On January 27, 2020, we acquired a 60-unit assisted living/memory care facility located in Shelby, Michigan, from Bickford. The acquisition price was $15,100,000, including $100,000 in closing costs, and the cancellation of an outstanding construction note receivable of $14,091,000, including interest. We added the facility to an existing master lease for a term of twelve years at an initial lease rate of 8%, with CPI escalators subject to a floor and ceiling.

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On June 30, 2020, we entered into a $14,200,000 construction loan agreement with Bickford to construct a 64-unit assisted living facility in Virginia, of which $1,471,000 was funded.

Life Care Services

On January 31, 2020 we acquired an 80% equity interest in a property company, NHI-LCS JV I, LLC (“Timber Ridge PropCo”), which owns a 401-unit Continuing Care Retirement Community (“CCRC”) located in Issaquah, Washington comprising 330 independent living units, 26 assisted living/memory care units and 45 skilled nursing beds. The same transaction conveyed to NHI a 25% equity interest in the newly formed operating company, Timber Ridge OpCo, LLC (“Timber Ridge OpCo”).

Total consideration for NHI’s interests in the combined venture was $124,989,000, comprised of the $59,350,000 remaining balance of a mortgage note initially funded in 2015, an additional loan of $21,650,000, and cash of $43,114,000 to Timber Ridge PropCo and $875,000 to Timber Ridge OpCo. Total debt due from Timber Ridge PropCo of $81,000,000, bears interest to NHI at 5.75%. LCS Timber Ridge LLC (“LCS”) paid $10,778,000 for its 20% equity stake in Timber Ridge PropCo and provided $2,625,000 for a 75% equity participation in Timber Ridge OpCo. To provide working capital in support of the CCRC’s entry-fee model, NHI agreed to supply a revolving line of credit permitting draws up to a maximum of $5,000,000.

The lease between Timber Ridge PropCo and Timber Ridge OpCo carries a rate of 6.75% for an initial term of seven years plus renewal options and has a CPI-based lease escalator, subject to floor and ceiling. Including interest payments on debt to NHI and our lease participation in the Timber Ridge PropCo, as detailed above, we expect to receive $8,216,000 in the first twelve months plus 25% of the remaining Timber Ridge OpCo cash flow. NHI’s contribution was allocated to our interest in the tangible assets of Timber Ridge PropCo with no material fair value allocated to Timber Ridge OpCo beyond our initial investment. The lease between Timber Ridge PropCo and Timber Ridge OpCo includes an “earn out” provision whereby Timber Ridge OpCo could become eligible for a payment of $10,000,000 based on the attainment of certain operating metrics.

Our investment in Timber Ridge OpCo was structured, to be compliant with the provisions of the REIT Investment Diversification and Empowerment Act of 2007 ("RIDEA") which permits us to receive rent payments through a triple-net lease between Timber Ridge PropCo and Timber Ridge OpCo and is designed to give us the opportunity to capture additional value on the improving performance of the operating company through distributions from the TRS. Accordingly, the TRS holds our 25% equity interest in Timber Ridge OpCo in order to provide an organizational structure that will allow the TRS to engage in a broad range of activities and share in cash flows that would otherwise be non-qualifying income under the REIT gross income tests.

Timber Ridge OpCo’s activities are managed through an "eligible independent contractor" subject to the oversight of Timber Ridge OpCo’s board. This organizational structure meets the requirements of Internal Revenue Code regulations for TRS entities. LCS is the managing member of Timber Ridge OpCo, although we have retained specific non-controlling rights. As a result of LCS’s retention of operations oversight and control over all day-to-day business matters, our participating influence at Timber Ridge OpCo does not amount to control of the entity.

Timber Ridge OpCo meets the criteria to be considered a variable interest entity based on ASC Topic 810, Consolidation. However, we are not the primary beneficiary of Timber Ridge OpCo as our participating rights do not give us the power to direct the activities that most significantly impact Timber Ridge OpCo’s economic performance. As a result, we report our investment in Timber Ridge OpCo under the equity method of accounting as prescribed by ASC Topic 970, Real Estate - General, Subtopic 323-30 Equity Method and Joint Ventures. Our equity share in the losses of Timber Ridge OpCo during the three months and six months ended June 30, 2020 was $848,000 and$1,290,000, respectively, and was recorded as a reduction in our carrying value of Timber Ridge OpCo. As of June 30, 2020, we have recognized our share of Timber Ridge OpCo’s operating losses in excess of our initial investment. These cumulative losses in excess of our basis of $414,000 are included in accounts payable and accrued expenses in our Condensed Consolidated Balance Sheets.

Autumn Trace

On May 1, 2020, we acquired two senior housing facilities each with 44 assisted living units for a total purchase price of $14,250,000, including $150,000 in closing costs. The facilities are located in Indiana and are leased to Autumn Trace Senior Communities, which is a new operator relationship for NHI. The 15-year master lease has an initial lease rate of 7.25% with fixed annual escalators of 2.25% and offers two optional extensions of 5 years each. NHI was also granted a purchase option on a newly opened Indiana facility that is expected to stabilize during 2020.

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Watermark Retirement

On June 12, 2020, we provided a $5,000,000 loan commitment to Watermark Retirement to provide working capital liquidity in connection with the renewal of an existing lease on two continuing care retirement communities.

Asset Dispositions

In September 2019, we classified a portfolio of eight assisted living properties located in Arizona (4), Tennessee (3) and South Carolina (1) as held for sale, after the current tenant, Brookdale Senior Living, expressed an intention to exercise its purchase option on the properties. The purchase option called for the parties to split any appreciation on a 50/50 basis above $37,520,000. During the first quarter of 2020, NHI and the tenant agreed to a fair valuation of $41,000,000 for the properties, and, accordingly, on January 22, 2020, we disposed of the properties at the agreed price of $39,260,000. For the six months ended June 30, 2020 and 2019, we recognized $229,000 and $2,125,000, respectively, of rental income from this portfolio.

On February 21, 2020, we disposed of two assisted living properties previously classified as held-for-sale in exchange for a term note of $4,000,000 from the buyer, Bickford. The note, which is due February 2025 and bears interest at 7%, will begin amortizing on a twenty-five-year basis in January 2021. In January 2019 we classified these properties as held-for-sale, recorded an adjustment to lease revenues to write off the associated $124,000 in straight-line receivables and recognized an impairment loss of $2,500,000 to write down the properties to their estimated net realizable value.

Other

Our leases are typically structured as “triple net leases” on single-tenant properties having an initial leasehold term of 10 to 15 years with one or more five-year renewal options. As such, there may be reporting periods in which we experience few, if any, lease renewals or expirations. During the six months ended June 30, 2020, we did not have any significant renewing or expiring leases.

Most of our existing leases contain annual escalators in rent payments. For financial statement purposes, rental income on our operating leases is recognized on a straight-line basis over the term of the lease. Certain of our operators hold purchase options allowing them to acquire properties they currently lease from NHI. We regularly engage in negotiations with these tenants to continue as lessor or in some other capacity.

We adjust rental income for the amortization of lease inducements paid to our tenants. Current outstanding commitments and contingencies are listed under our discussion of liquidity and capital resources. Amortization of these payments against revenues was $485,000 and $383,000 for the six months ended June 30, 2020 and 2019, respectively.

Tenant Concentration

As discussed in Note 3 to the condensed consolidated financial statements, we have four lessees (including their affiliated entities, which are the legal tenants) from whom we individually derive at least 10% of our rental income as follows ($ in thousands):

				Rental Income
		Investment		Six Months Ended June 30,						Lease
	Asset Class	Amount		2020			2019			Renewal
Senior Living Communities	EFC	$	573,631	$	23,863	16%	$	23,077	16%	2029
Holiday Retirement	ILF	531,378		20,353		13%	20,106		14%	2035
Bickford Senior Living	ALF	534,376		26,130		17%	25,643		18%	Various
National HealthCare Corporation	SNF	171,297		18,904		12%	19,209		14%	2026
All others	Various	1,433,880		62,012		42%	52,899		38%	Various
		$	3,244,562	$	151,262		$	140,934

The table above, for the six months ended June 30, 2020 and 2019, excludes $3,182,000 and $2,597,000, respectively, for certain property operating expenses (e.g. property tax and insurance) received from our tenants through escrow reimbursement. Straight-line rent of $3,328,000 and $3,294,000 was recognized from the Holiday lease for the six months ended June 30, 2020 and 2019, respectively. Straight-line rent of $2,135,000 and $2,115,000 was recognized from the Senior Living Communities

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lease for the six months ended June 30, 2020 and 2019, respectively. Straight-line rent of $1,505,000 and $2,607,000 was recognized from the Bickford leases for the six months ended June 30, 2020 and 2019, respectively. For NHC, rent escalations are based on a percentage increase in revenue over a base year and do not give rise to non-cash, straight-line rental income. The amounts in the table above are reflected with prior period amounts for properties transitioned to new operators or disposed being reclassified into the All others category.

For the six months ended June 30, 2020, approximately 24% of our revenue was derived from operators of our skilled nursing facilities who receive a significant portion of their revenue from governmental payors, primarily Medicare and Medicaid. Such revenues are subject annually to statutory and regulatory changes and in recent years have been reduced due to federal and state budgetary pressures. We have selectively diversified our portfolio by directing a significant portion of our investments into properties which do not rely primarily on Medicare and Medicaid reimbursement, but rather on private pay sources (assisted living and memory care facilities, senior living campuses, independent living facilities and entrance-fee communities). We will occasionally acquire skilled nursing facilities in good physical condition with a proven operator and strong local market fundamentals.

The following table summarizes the average portfolio occupancy for Bickford, Holiday and Senior Living Communities for the periods indicated, excluding development properties in operation less than 24 months, notes receivable, and properties transitioned to new operators or disposed. Bickford (SS) occupancy excludes properties that have been operated by Bickford for less than 24 months.

	Properties	2Q19		3Q19		4Q19		1Q20		2Q20		June 2020		July 2020
Bickford	47	84.6	%	86.0	%	86.3	%	85.2	%	82.5	%	81.7	%	81.7	%
Bickford (SS)	42	86.5	%	88.3	%	88.5	%	87.2	%	84.2	%	83.5	%	83.5	%
Senior Living Communities	9	81.2	%	80.3	%	80.4	%	80.3	%	79.1	%	79.0	%	79.2	%
Holiday	26	88.7	%	87.6	%	87.0	%	87.3	%	83.5	%	82.3	%	80.7	%

Tenant Monitoring

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

We believe that EBITDARM is a useful way to analyze the cash potential of a group of assets. From EBITDARM we calculate a coverage ratio (EBITDARM/Cash Rent), measuring the ability of the operator to meet its monthly obligation. In addition to EBITDARM and the coverage ratio, we rely on a careful balance sheet analysis and other analytical procedures to help us identify potential areas of concern relative to our operators’ ability to generate sufficient liquidity to meet their obligations, including their obligation to continue to pay the amount due to us. Typical among our operators is a varying lag in reporting to us the results of their operations. Across our portfolio, however, our operators report their results, typically within either 30 or 45 days and at the latest, within 90 days of month’s end. For computational purposes, we exclude development and lease-up properties that have been in operation less than 24 months and selected immaterial properties identified in 2019 as available for sale and subsequently sold in the first quarter of 2020. For stabilized acquisitions in the portfolio less than 24 months and renewing leases with changes in scheduled rent, we include pro forma cash rent. Same-store portfolio coverage excludes properties that have transitioned operators in past 24 months.

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The results of our coverage ratio analysis are presented below on a trailing twelve-month basis, as of March 31, 2020 and 2019 (the most recent periods available):

Total Portfolio
By asset type	SHO	SNF	HOSP	MOB	TOTAL
Properties	133	74	3	2	212
1Q19	1.19x	2.68x	1.85x	2.28x	1.64x
1Q20	1.18x	2.81x	2.11x	6.22x	1.69x
Market served	Need Driven	Need Driven excl. Bickford	Discretionary	Discretionary excl. SLC & Holiday	Medical	Medical excl. NHC
Properties	94	47	39	4	79	37
1Q19	1.13x	1.17x	1.24x	1.65x	2.60x	1.72x
1Q20	1.13x	1.15x	1.23x	1.74x	2.77x	2.01x
Major tenants	NHC1	SLC	Bickford	Holiday
Properties	42	9	47	26
1Q19	3.76x	1.14x	1.10x	1.20x
1Q20	3.79x	1.06x	1.10x	1.20x
Same-Store Portfolio
By asset type	SHO	SNF	HOSP	MOB	Total
Properties	120	74	2	2	198
1Q19	1.20x	2.68x	1.53x	2.28x	1.66x
1Q20	1.19x	2.81x	1.48x	6.22x	1.70x
Market served	Need Driven	Need Driven excl. Bickford	Discretionary	Discretionary excl. SLC & Holiday	Medical	Medical excl. NHC
Properties	82	40	38	3	78	36
1Q19	1.16x	1.18x	1.24x	1.67x	2.61x	1.67x
1Q20	1.15x	1.14x	1.23x	1.82x	2.76x	1.93x
Major tenants	NHC1	SLC	Bickford	Holiday
Properties	42	9	42	26
1Q19	3.76x	1.14x	1.14x	1.20x
1Q20	3.79x	1.06x	1.15x	1.20x

¹ NHC based on corporate-level FCCR and includes 3 independent living facilities

Fluctuations in portfolio coverage are a result of market and economic trends, local market competition, and regulatory factors as well as the operational success of our tenants. We use the results of individual leases to inform our decision making with respect to specific tenants, but trends described above by property type and operator bear analysis. Our senior housing portfolio shows a decline brought about primarily by a softening in occupancy and lower net entrance-fees within particular markets, as well as rising wage pressures. Additionally, the COVID-19 pandemic in the U.S. has further softened coverage for these operators as well as across our portfolio. For many of the affected operators, as is typical of our portfolio in general, NHI has security deposits in place and/or corporate guarantees should actual cash rental shortfalls eventually materialize. In certain instances, our operators may increase their security deposits with us in an amount equal to the coverage shortfall, and, upon

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subsequent compliance with the required lease coverage ratio, the operator would then be entitled to a full refund. The sufficiency of credit enhancements (e.g. tenant deposits and guarantees) as a protection against economic downturn will be a focus as the economic effects of the pandemic continue. The metrics presented in the tables above give no effect to the presence of these security deposits. Each MOB’s coverage is driven by the underlying performance of its on-campus hospital as the tenant or guarantor under the lease. As a result, it is typical for MOB operations to have large fluctuations in coverage resulting from hospital operations.

Other Portfolio Activity

Tenant Transitioning

As of June 30, 2020, we had nine properties that have been transitioned to five new tenants following a period of non-compliance by the former operators. The leases with the new operators specify periods during which rental income is based on net operating income, after deduction of management fees. We recognized rental income from these properties of $1,269,000 and $2,824,000 for the three and six months ended June 30, 2020, respectively and $506,000 and $1,208,000 for the three and six months ended June 30, 2019, respectively.

The following table summarizes the transition properties during the six months ended June 30, 2020:

			Occupancy1
Facility Name (New Tenant)	Units	State	September 2019	December 2019	March 2020	June 2020
Discovery Commons of College Park	148	IN	16.2%	15.5%	16.0%	14.2%
The Charlotte (SLC)	99	NC	12.8%	20.8%	28.5%	34.8%
Maybelle Carter (Vitality)	135	TN	78.5%	80.1%	82.2%	77.3%
Chancellor TX-IL portfolio	196	IL/TX	66.0%	65.9%	67.1%	57.2%
Beaver Dam Assisted Living (BAKA)	120	WI	68.3%	66.9%	68.3%	61.7%
	698		50.7%	51.7%	53.9%	49.6%

¹ Monthly Average

Real Estate and Mortgage Write-downs

Our borrowers and tenants experience periods of significant financial pressures and difficulties similar to those encountered by other health care providers. Governments at both the federal and state levels have enacted legislation to lower, or at least slow, the growth in payments to health care providers. Furthermore, the cost of professional liability insurance has increased significantly during this same period.

We have a net investment of $10,075,000 in an acute care hospital leased to Quorum Health Corporation (“Quorum”) pursuant to a triple-net lease that expires in June 2022. Quorum filed for Chapter 11 bankruptcy in April 2020. As a result, the Company wrote off straight-line rent receivable under the lease of $380,000 in the first quarter of 2020 and began recognizing revenues under the lease as cash is received. In July 2020 Quorum completed its bankruptcy restructuring and continues to operate the hospital while timely paying its rent under the lease, which totaled $1,751,000 for the six months ended June 30, 2020.

Our consolidated financial statements for the three and six months ended June 30, 2020 do not reflect any significant impairment of our long-lived assets as a result of the COVID-19 pandemic or other factors. We have no significant intangible assets currently recorded on our balance sheet that would require assessment for impairment.

Effective January 1, 2020, we adopted ASU 2016-13, Financial Instruments – Credit Losses, which broadened the information we must consider in developing our expected credit loss estimates to include forecasted economic information in addition to our historical experience. We have established a reserve for estimated credit losses of $5,189,000 and a liability of $231,000 for estimated credit losses on unfunded loan commitments as of June 30, 2020. We evaluate the reserves for estimated credit losses on a quarterly basis and make adjustments based on current circumstances as considered necessary.

We believe that the carrying amounts of our real estate properties are recoverable and that mortgage and other notes receivable are realizable and supported by the value of the underlying collateral. However, it is possible that future events could require us to make significant adjustments to these carrying amounts.

39

Results of Operations

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

	Three Months Ended
	June 30,				Period Change
	2020		2019		$		%
Revenues:
Rental income
CCRC leased to Timber Ridge OpCo	$	2,276	$	—	$	2,276	NM
SHOs leased to Discovery Senior Living	3,039		1,569		1,470		NM
ALFs leased to Bickford Senior Living	12,374		11,553		821		7.1	%
ALFs leased to 41 Management	434		—		434		NM
EFCs leased to Senior Living Communities	10,858		10,488		370		3.5	%
SNF leased to Ignite Team Partners	342		—		342		NM
ALFs leased to Comfort Care Senior Living	774		548		226		41.2	%
Other new and existing leases	40,972		40,023		949		2.4	%
Current year disposals	—		1,584		(1,584)		(100.0)	%
	71,069		65,765		5,304		8.1	%
Straight-line rent adjustments, new and existing leases	5,218		5,307		(89)		(1.7)	%
Escrow funds received from tenants for property taxes and insurance	1,630		1,506		124		8.2	%
Total Rental Income	77,917		72,578		5,339		7.4	%
Interest income and other
Life Care Services mortgages and construction loans	2,770		1,861		909		48.8	%
Senior Living Communities mortgage and other notes	1,136		471		665		NM
Bickford construction loans	677		277		400		NM
Current year note payoffs	—		1,670		(1,670)		NM
Other new and existing mortgages and notes	1,603		1,209		394		32.6	%
Total Interest Income from Mortgage and Other Notes	6,186		5,488		698		12.7	%
Other income	71		30		41		NM
Total Revenues	84,174		78,096		6,078		7.8	%
Expenses:
Depreciation
CCRC leased to Timber Ridge OpCo	937		—		937		NM
SHOs leased to Discovery Senior Living	1,384		786		598		76.1	%
SHOs leased to Senior Living Communities	3,853		3,710		143		3.9	%
Other new and existing assets	14,673		14,524		149		1.0	%
Total Depreciation	20,847		19,020		1,827		9.6	%
Interest	13,557		13,746		(189)		(1.4)	%
Payroll and related compensation expenses	1,471		1,396		75		5.4	%
Non-cash stock-based compensation expense	470		477		(7)		(1.5)	%
Loan and realty gains	(380)		—		(380)		NM
Property taxes and insurance on leased properties	1,450		1,506		(56)		(3.7)	%
Other expenses	1,486		1,973		(487)		(24.7)	%
Total Expenses	38,901		38,118		783		2.1	%
Loss from equity-method investee	(848)		—		(848)		NM
Net income	44,425		39,978		4,447		11.1	%
Less: net (income) loss attributable to noncontrolling interest	(57)		1		(58)		NM
Net income attributable to common stockholders	$	44,368	$	39,979	$	4,389	11.0	%
NM - not meaningful

40

Financial highlights of the quarter ended June 30, 2020, compared to the same quarter of 2019 were as follows:

•The rental income received from our tenants increased by $5,304,000, or 8.1%, primarily due to the impact of new investments since June 2019. Included in the year-over-year increase in rental income, escrow funds received from tenants totaling $1,630,000 were used to pay certain property operating expenses (e.g. property taxes and insurance), which is typical of triple net leases.

•Interest income from mortgage and other notes increased $698,000, or 12.7%, primarily due to interest income received on loans to Life Care Services, Senior Living Communities and Bickford Senior Living.

•Depreciation expense increased $1,827,000 primarily due to new real estate investments completed since June 2019.

•As part of our current period assessment of expected credit losses, we recorded a $380,000 decrease in our credit loss reserve which is included in loan and realty (gains) losses in our Condensed Consolidated Statements of Income.

•The following table summarizes our stabilizing real estate recently transitioned to new tenants ($ in thousands):

	Three Months Ended
	June 30,				Period Change
	2020		2019		$		%
Revenues:
Rental income
SHOs leased to Chancellor Health Care	$	287	$	287	$	—	—	%
SHO leased to Senior Living Communities	39		—		39		NM
SHO leased to Discovery Senior Living	31		—		31		NM
SLC leased to Vitality Senior Living	105		69		36		52.2	%
ALF leased to BAKA Enterprises	180		150		30		20.0	%
Straight-line rent adjustments	626		—		626		NM
Total Rental Income	1,268		506		762		NM
Expenses:
Depreciation
SHOs leased to Chancellor Health Care	406		406		—		—	%
SHO leased to Senior Living Communities	153		121		32		26.4	%
SHO leased to Discovery Senior Living	171		171		—		—	%
SLC leased to Vitality Senior Living	158		154		4		2.6	%
ALF leased to BAKA Enterprises	135		145		(10)		(6.9)	%
Total Depreciation	1,023		997		26		2.6	%
Legal	(22)		99		(121)		NM
Franchise, excise and other taxes	(15)		528		(543)		NM
	986		1,624		(638)		(39.3)	%
Net income (loss)	$	282	$	(1,118)	$	1,400	NM

41

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

	Six Months Ended
	June 30,				Period Change
	2020		2019		$		%
Revenues:
Rental income
CCRC leased to Timber Ridge OpCo	$	3,794	$	—	$	3,794	NM
SHOs leased to Discovery Senior Living	6,030		2,442		3,588		NM
ALFs leased to 41 Management	823		—		823		NM
ALFs leased to Bickford Senior Living	24,625		23,817		808		3.4	%
EFCs leased to Senior Living Communities	21,728		20,962		766		3.7	%
SHOs leased to Chancellor Health Care	4,971		4,264		707		16.6	%
ALFs leased to Comfort Care Senior Living	1,541		858		683		79.6	%
Other new and existing leases	77,355		75,668		1,687		2.2	%
Current year disposals	—		2,388		(2,388)		NM
	140,867		130,399		10,468		8.0	%
Straight-line rent adjustments, new and existing leases	10,395		10,535		(140)		(1.3)	%
Escrow funds received from tenants for property taxes and insurance	3,182		2,597		585		22.5	%
Total Rental Income	154,444		143,531		10,913		7.6	%
Interest income and other
Senior Living Communities mortgage and other notes	2,276		885		1,391		NM
Bickford construction loans	1,261		479		782		NM
41 Management mortgage and construction loans	595		8		587		NM
Bickford construction loan payoffs	—		1,217		(1,217)		NM
Life Care Services mortgages and construction loans	5,352		5,609		(257)		(4.6)	%
Other existing mortgages and notes	3,220		2,409		811		33.7	%
Total Interest Income from Mortgage and Other Notes	12,704		10,607		2,097		19.8	%
Other income	123		66		57		86.4	%
Total Rental Income	167,271		154,204		13,067		8.5	%
Expenses:
Depreciation
CCRC leased to Timber Ridge OpCo	1,562		—		1,562		NM
SHOs leased to Discovery Senior Living	2,767		1,269		1,498		NM
ALFs leased to 41 Management	337		—		337		NM
EFCs leased to Senior Living Communities	7,705		7,419		286		3.9	%
Other new and existing assets	28,919		28,823		96		0.3	%
Total Depreciation	41,290		37,511		3,779		10.1	%
Interest	27,697		27,264		433		1.6	%
Payroll and related compensation expenses	2,986		2,599		387		14.9	%
Non-cash stock-based compensation expense	2,315		2,478		(163)		(6.6)	%
Loan and realty losses	1,195		2,500		(1,305)		(52.2)	%
Property taxes and insurance on leased properties	3,002		2,597		405		15.6	%
Other expenses	3,015		3,598		(583)		(16.2)	%
Total Expenses	81,500		78,547		2,953		3.8	%
Loss from equity method investment	(1,290)		—		(1,290)		NM
Gains on sales of real estate	21,007		—		21,007		NM
Net income	105,488		75,657		29,831		39.4	%
Less: net (income) loss attributable to noncontrolling interest	(96)		1		(97)		NM
Net income attributable to common stockholders	$	105,392	$	75,658	$	29,734	39.3	%
NM - not meaningful

42

Financial highlights of the six months ended June 30, 2020, compared to the same period in 2019 were as follows:

•Rental income received from our tenants increased $10,468,000, or 8.0%, primarily as a result of new investments funded since June 2019. Included in the year-over-year increase in rental income, funds received from tenants totaling $3,182,000 were used to pay certain property operating expenses (e.g. property taxes and insurance), which is typical of triple net leases.

•Interest income from mortgage and other notes increased $2,097,000, primarily due to interest income received on loans to Senior Living Communities, Bickford Senior Living and 41 Management.

•Depreciation expense increased $3,779,000 primarily due to new real estate investments completed since June 2019.

•Interest expense increased $433,000 primarily as a result of additional borrowings on our revolving credit facility.

•Payroll and related compensation expenses increased $387,000 due primarily to several new employees added during the first half of 2020.

•As part of our assessment of expected credit losses, we recorded a $1,195,000 increase in our credit loss reserve for the six months ended June 30, 2020, which is included in loan and realty (gains) losses in our Condensed Consolidated Statements of Income. Loan and realty losses of $2,500,000 represent a write-down recognized in 2019 related to two facilities classified as held for sale and subsequently sold in the first quarter of 2020.

•The following table summarizes our real estate under lease to transitioning tenants (in thousands):

	Six Months Ended
	June 30,				Period Change
	2020		2019		$		%
Revenues:
Rental income
SHOs leased to Chancellor Health Care	$	875	$	287	$	588	NM
SHO leased to Senior Living Communities	91		—		91		NM
SHO leased to Discovery Senior Living	31		—		31		NM
SLC leased to Vitality Senior Living	185		145		40		27.6	%
ALF leased to BAKA Enterprises1	330		775		(445)		(57.4)	%
Straight-line rent adjustments	1,312		—		1,312		NM
Total Revenues	2,824		1,207		1,617		NM
Expenses:
Depreciation
SHOs leased to Chancellor Health Care	811		811		—		—	%
SHO leased to Senior Living Communities	306		243		63		25.9	%
SHO leased to Discovery Senior Living	342		342		—		—	%
SLC leased to Vitality Senior Living	314		308		6		1.9	%
ALF leased to BAKA Enterprises	269		291		(22)		(7.6)	%
Total Depreciation	2,042		1,995		47		2.4	%
Legal	(11)		133		(144)		NM
Franchise, excise and other taxes	—		828		(828)		NM
	2,031		2,956		(925)		(31.3)	%
Net income (loss)	$	793	$	(1,749)	$	2,542	NM
1 includes $625,000 received during 2019 as a settlement payment

43

Liquidity and Capital Resources

At June 30, 2020, we had $137,000,000 available to draw on our revolving credit facility, $46,853,000 in unrestricted cash and cash equivalents, and the potential to access capital through the issuance of common stock under the Company’s $500 million ATM equity program. In addition, the Company maintains an effective automatic shelf registration statement through which capital could be raised via the issuance of debt and or equity securities.

On July 9, 2020, we entered into a new one-year $100 million term loan bearing interest at a rate of 30-day LIBOR (with a 50 basis point floor) plus 185 basis points with a syndicate of banks. We have the right to extend the maturity by an additional year subject to the payment of a 20 basis point extension fee. The proceeds from this loan were used to repay amounts outstanding on the unsecured revolving credit facility.

Sources and Uses of Funds

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

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

	Six Months Ended June 30,				One Year Change
	2020		2019		$		%
Cash and cash equivalents and restricted cash, January 1	$	15,669	$	9,912	$	5,757	58.1	%
Net cash provided by operating activities	116,809		126,914		(10,105)		(8.0)	%
Net cash used in investing activities	(80,125)		(268,029)		187,904		(70.1)	%
Net cash provided by financing activities	13,065		147,741		(134,676)		NM
Cash and cash equivalents and restricted cash, June 30	$	65,418	$	16,538	$	48,880	NM

Operating Activities – Net cash provided by operating activities for the six months ended June 30, 2020 was favorably impacted by new real estate investments in 2019 and 2020, an increase in lease payment collections arising from escalators on existing leases and previously funded lease incentives.

Investing Activities – Net cash used in investing activities for the six months ended June 30, 2020 was comprised primarily of $133,089,000 of investments in real estate and notes, and was offset by the collection of principal on mortgage and other notes receivable of $14,579,000 and $39,260,000 in proceeds from the disposition of real estate.

Financing Activities – Net cash provided by financing activities for the six months ended June 30, 2020 compared to the same period in 2019 is primarily the result of $113,000,000 in net proceeds drawn on the revolving credit facility and dividend payments which increased $7,983,000 over the same period in 2019. During the first quarter of 2019, we received $47,854,000 in net proceeds from issuance of common stock.

Debt Obligations

Reference Note 6 to the condensed consolidated financial statements for additional information about our outstanding indebtedness. Also, reference “Item 3. Quantitative and Qualitative Disclosures About Market Risk” for more details on our indebtedness and the impact of interest rate risk.

Unsecured Bank Credit Facility - Our bank credit facility derives from the Credit Agreement dated as of August 3, 2017 (the “2017 Agreement”), and the Term Loan Agreement dated as of September 17, 2018 (the “2018 Agreement”). Together these agreements establish our unsecured $1,100,000,000 bank credit facility, which consists of $250,000,000 and $300,000,000 term loans and a $550,000,000 revolving credit facility. The $250,000,000 term loan and $550,000,000 revolving facility mature in August 2022, and the $300,000,000 term loan is set to mature in September 2023. With the 2018 Agreement, we converted $300,000,000 of debt initially drawn on our revolving facility into a five-year term loan.

The revolving facility fee is currently 20 basis points per annum, and based on our current leverage ratios, the facility presently provides for floating interest on the revolver and the term loans at 30-day LIBOR plus 120 bps and a blended 132 bps,

44

respectively. At June 30, 2020 and December 31, 2019, 30-day LIBOR was 16 and 176 bps, respectively. Through June 2020, the Company utilized $610 million in interest rate swaps, designated as cash flow hedges, to fix the variable interest rate on the amounts outstanding on our term loans and revolving credit facility. On June 29 and 30, 2020, $80 million and $130 million of these hedges expired. As of June 30, 2020, we had $563 million of outstanding variable rate debt exposed to interest rate risk through December 2021, at which time our remaining hedges expire. Our swaps and the financial instruments to which they relate are described in the table below, under the caption “Interest Rate Swap Agreements.” The current interest spreads and facility fee reflect our leverage-ratio compliance based on the applicable margin for LIBOR loans, measuring debt to “Total Asset Value,” at Level 3 in the Interest Rate Schedule provided below in summary format:

Interest Rate Schedule

		LIBOR Margin
Level	Leverage Ratio	Revolver	$300m Term Loan	$250m Term Loan	Facility Fee
1	< 0.35	1.10%	1.20%	1.25%	0.15%
2	≥ 0.35 & < 0.40	1.15%	1.25%	1.30%	0.20%
3	≥ 0.40 & < 0.45	1.20%	1.30%	1.35%	0.20%
4	≥ 0.45 & < 0.50	1.25%	1.40%	1.45%	0.25%

Beyond the applicable ratios detailed above, increasing levels of leverage (not shown) will subject our debt to defined increases in interest rates and fees.

The 2017 Agreement requires that we calculate specified financial statement metrics and meet or exceed a variety of financial ratios, which are usual and customary in nature. These ratios are calculated quarterly and as of June 30, 2020, were within required limits. The calculation of our leverage ratio involves intermediate determinations of our “total indebtedness” and of our “total asset value,” as defined. As discussed below in connection with our leverage-based LIBOR Margin schedule, under provisions of which we are given credit for collateral based on cash rental revenue (capitalized at standard rates based on asset class), if we experience significant declines in rent collections, we could shift to Level 4 or beyond, resulting in significant additional interest expense.

Aside from a more favorable rate, the 2018 Agreement generally calls for the same covenants and financial statement metrics required for compliance with terms of the 2017 Agreement. Although we are currently eligible under the 2017 and 2018 Agreements to transact in our unsecured bank credit facilities at the respective scheduled rates represented by Level 3, the movement of our leverage ratio into Level 4 at current levels of debt would result in additional annual interest charges of $1,032,000, assuming an average revolver balance of approximately $413,000,000. Further movement of our leverage ratio beyond levels currently contemplated by management would be subject to escalating increases in interest. If, in addition to changes in the leverage ratio, certain qualitative indicators of our risk profile were to materially change, further interest-rate escalations may result.

We remain in compliance with all debt covenants under the unsecured bank credit facility and other debt agreements.

Convertible Senior Notes - As of June 30, 2020, our $60,000,000 of senior unsecured convertible notes were convertible at a rate of 14.80 shares of common stock per $1,000 principal amount, representing a conversion price of approximately $67.58 per share for a total of 887,856 shares on the remaining $60,000,000 of senior unsecured convertible notes. For the three and six months ended June 30, 2020, there was no dilution resulting from the conversion option within our convertible debt. If NHI’s current share price increases above the adjusted $67.58 conversion price, dilution may become attributable to the conversion feature. At June 30, 2020, the face amount of the convertible debt exceeded its value on conversion, when value on conversion was computed as if the debt were immediately eligible to convert.

We may continue from time to time to seek to retire or purchase some of our outstanding convertible notes through cash open market purchases, privately negotiated transactions or otherwise. The amounts and timing of further repurchases or exchanges, if any, will be dependent on prevailing market conditions, liquidity requirements, contractual restrictions and other factors.

Debt Maturities - Reference Note 6 to the condensed consolidated financial statements for more information on our debt maturities.

Credit Ratings - Both Fitch and S&P Global announced on November 2019 a public issuer credit rating of BBB- with an outlook of “Stable” to us as an issuer as well as on our senior unsecured debt. Fitch confirmed its rating most recently on July 1, 2020. Our unsecured bank credit facility includes an option to shift from the leverage-based LIBOR margin schedule in the table above to a ratings-based LIBOR margin schedule. Shifting to a ratings-based LIBOR margin schedule potentially reduces

45

volatility of our interest cost during periods of time when our leverage may fluctuate modestly. Our decision to move to a ratings-based margin schedule will be based on several factors including the relative cost of the ratings-based versus leverage-based margin schedules and our desire to have a more stable interest cost if our leverage modestly changes as compared to the existing leverage-based margin schedule. Our unsecured private placement term loan agreements include a rate increase provision that is effective if any rating agency lowers our credit rating below investment grade and our compliance leverage increases to 50% or more.

Reference Rate Reform - LIBOR is scheduled for discontinuation by December 2021. In the United States, the Alternative Reference Rates Committee, a group convened by the Federal Reserve Board and the Federal Reserve Bank of New York has identified the Secured Overnight Financing Rate as its preferred alternative rate for USD LIBOR. The Company continues to monitor the establishment of a new replacement index with the assistance of its banking advisors. In June 2020 interest rate swaps on $210,000,000 of our LIBOR-based variable rate debt expired. We may choose not to hedge our LIBOR positions for the relatively short duration remaining during which LIBOR may be referenced.

If a suitable replacement to LIBOR is not identified, bank facilities provide for rate alternatives which have historically been disadvantageous. Upon the discontinuation of LIBOR, the imposition of a new index rate may materially change interest expense and the credit spread, relative to that determined under the Company’s original pricing structure. However, with a public issuer credit rating and our shelf registration statement filed in March 2020, the Company is positioned to access the public bond market, which would reduce the Company’s exposure to LIBOR-based financial instruments.

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

We calculate our fixed charge coverage ratio as approximately 5.8x for the six months ended June 30, 2020 (see our discussion under the heading Adjusted EBITDA including a reconciliation to our net income). Giving effect to our acquisitions and financings on an annualized basis, our consolidated net debt to Annualized Adjusted EBITDA ratio is approximately 4.8x for the three months ended June 30, 2020 (in thousands):

Consolidated Total Debt	$	1,554,241
Less: cash and cash equivalents	(46,853)
Consolidated Net Debt	$	1,507,388
Adjusted EBITDA	$	78,594
Annualizing Adjustment	235,782
Annualized impact of recent investments	1,011
	$	315,387
Consolidated Net Debt to Annualized Adjusted EBITDA	4.8x

46

Interest Rate Swap Agreements

To mitigate our exposure to interest rate risk, we have in place the following interest rate swap contracts in place to hedge against floating rates on our bank term loans and a portion of our revolving credit facility as of June 30, 2020 ($ in thousands):

Date Entered	Maturity Date	Fixed Rate	Rate Index	Notional Amount		Fair Value (Liability)
June 2013	June 2020	2.11%	1-month LIBOR	$	80,000	$	—
March 2014	June 2020	2.16%	1-month LIBOR	$	130,000	$	—
March 2019	December 2021	2.22%	1-month LIBOR	$	100,000	$	(3,143)
March 2019	December 2021	2.21%	1-month LIBOR	$	100,000	$	(3,163)
June 2019	December 2021	1.61%	1-month LIBOR	$	150,000	$	(3,316)
June 2019	December 2021	1.63%	1-month LIBOR	$	50,000	$	(1,115)

For instruments that are designated and qualify as cash flow hedges, the effective portion of the gain or loss on the derivative has been reported as a component of other comprehensive income (loss), and reclassified into earnings in the same period, or periods, during which the hedged transaction affects earnings. Gains and losses on the derivative representing either hedge ineffectiveness or hedge components excluded from the assessment of effectiveness have been recognized in earnings.

Equity

At June 30, 2020 we had 44,650,002 shares of common stock outstanding with a market value of $2,711,148,000. Equity on our Condensed Consolidated Balance Sheet totaled $1,503,469,000.

Dividends - We manage our business with a goal of increasing the regular annual dividends paid to stockholders. Our Board of Directors approves a regular quarterly dividend which is reflective of expected taxable income on a recurring basis. Taxable income is determined in accordance with the Internal Revenue Code and differs from net income for financial statements purposes determined in accordance with U.S. generally accepted accounting principles. Our goal of increasing annual dividends requires a careful balance between identification of high-quality lease and mortgage assets in which to invest and the cost of our capital with which to fund such investments. We consider the competing interests of short and long-term debt (interest rates, maturities and other terms) versus the higher cost of new equity. We accept some level of risk associated with leveraging our investments. We intend to continue to make new investments that meet our underwriting criteria and where the spreads over our cost of capital will generate sufficient returns to our stockholders.

We intend to comply with REIT dividend requirements that we distribute at least 90% of our annual taxable income for the year ending December 31, 2020 and thereafter. Historically, the Company has distributed at least 100% of annual taxable income. Dividends declared for the fourth quarter of each fiscal year are paid by the end of the following January and are, with some exceptions, treated for tax purposes as having been paid in the fiscal year just ended as provided in IRS Code Sec. 857(b)(8).

The following table summarizes dividends declared by the Board of Directors or paid during the six months ended June 30, 2020 and 2019:

Six Months Ended June 30, 2020
Date of Declaration	Date of Record	Date Paid/Payable	Quarterly Dividend
November 7, 2019	December 31, 2019	January 31, 2020	$1.05
February 19, 2020	March 30, 2020	May 8, 2020	$1.1025
June 15, 2020	June 30, 2020	August 7, 2020	$1.1025

Six Months Ended June 30, 2019
Date of Declaration	Date of Record	Date Paid/Payable	Quarterly Dividend
December 17, 2018	December 28, 2018	January 31, 2019	$1.00
February 19, 2019	March 29, 2019	May 10, 2019	$1.05
May 7, 2019	June 28, 2019	August 9, 2019	$1.05

At-the-Market Equity Program - We maintain an ATM program which allows us to sell our common stock directly into the market. In March 2020 the Company entered into a new ATM equity offering sales agreement pursuant to which the Company

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may sell, from time to time, up to an aggregate sales price of $500 million of the Company’s common shares through the ATM equity program. The Company terminated its previously existing ATM equity program, dated February 22, 2017, upon entering into the new agreement. During 2019, we issued 1,209,522 common shares, with an average price of $80.58 for shares sold, resulting in net proceeds during the year of $95,774,000. No sales have been made under the ATM program for the six months ended June 30, 2020.

Shelf Registration Statement - In March 2020, the Company filed an automatic shelf registration statement with the Securities and Exchange Commission that allows the Company to offer and sell to the public an unspecified amount of common stock, preferred stock, debt securities, warrants and or units at prices and on terms to be announced when and if such securities are offered. The details of any future offerings, along with the use of proceeds from any securities offered, will be described in a prospectus supplement or other offering materials, at the time of offering.

Off Balance Sheet Arrangements

As part of the Timber Ridge transaction in January 2020, we acquired the property subject to trust liens previously granted to residents of Timber Ridge. Beginning in 2008, the initial residents of Timber Ridge executed loans to the then owner/operators which were backed by a Deed of Trust and Indenture of Trust (the “Deed and Indenture”) for the benefit of the trustee (now Wilmington Trust, N.A., “Trustee”) on behalf of all the residents who made loans to the owner/operator in accordance with a resident agreement. The Deed and Indenture granted a security interest in the Timber Ridge property to secure the loans made by the residents of the property. Subsequent to these early transactions, the repayment obligation with respect to “new” loans made to the owner/operator was no longer secured by the Timber Ridge property under the Deed and Indenture.

Our entry into the Timber Ridge transaction involved the separation of the existing owner/operator configuration into property and operating companies. Accomplishing the split required the allocation of assets and liabilities of the previously unified entity. Timber Ridge PropCo acquired the Timber Ridge property, subject to the resident mortgages secured by the Deed and Indenture. Accordingly, the remaining outstanding “old” loans made by the residents are still secured by a security interest in the Timber Ridge property. The trustee for all of the residents who made “old” loans in accordance with the resident agreements, entered into a subordination agreement concurrent with our acquisition, pursuant to which the Trustee acknowledged and confirmed that the security interests created under the Deed and Indenture were subordinate to any security interests granted in connection with the loan made by NHI to Timber Ridge PropCo.

With the periodic settlement of some of the outstanding resident loans in the normal course of entrance-fee operations, the balance secured by the Deed and Indenture at the date of our acquisition on January 31, 2020, had been reduced to $20,063,000 and was further reduced to $17,530,000 at June 30, 2020. By terms of the resident loan assumption agreement, during the term of the lease (7 years with two renewal options), Timber Ridge OpCo is to indemnify Timber Ridge PropCo for any repayment by Timber Ridge PropCo of these liabilities under the guarantee. NHI expects that no eventual outflow of cash will result from Timber Ridge PropCo’s secondary obligation as guarantor under the resident mortgages. Accordingly, no liability was recorded on NHI’s books for the guarantee obligation upon acquisition and as of June 30, 2020.

As described in Note 2 to the condensed consolidated financial statements, our leases, mortgages and other notes receivable with certain unconsolidated entities represent variable interests in those enterprises. However, because we do not control these entities, nor do we have any role in their day-to-day management, we are not their primary beneficiary and therefore do not consolidate their financial statements. Except as discussed in our Annual Report on Form 10-K for the year ended December 31, 2019, under Contractual Obligations and Contingent Liabilities, we have no further material obligations arising from our transactions with these entities, and we believe our maximum exposure to loss at June 30, 2020, due to this involvement would be limited to our contractual commitments and contingent liabilities and the amount of our current investments with them, as detailed further in Notes 2, 3, 5 and 7 to the condensed consolidated financial statements. As of June 30, 2020, we furnished no direct support to any of these entities.

In March 2014 we issued convertible notes, which have a carrying amount of $59,833,000 as of June 30, 2020, with the conversion feature intended to broaden the Company’s credit profile and as a means to obtain a more favorable coupon rate. For this feature we calculate the dilutive effect using market prices prevailing over the reporting period. Because the dilution calculation is market-driven, and per share guidance we provide is based on diluted amounts, the theoretical effects of the conversion feature result in per share unpredictability.

Additional disclosure requirements also give widely ranging results depending on market price variability. The notes will be freely convertible in the last six months of their contractual life, beginning in the fourth quarter of 2020; however, generally accepted accounting principles require us to periodically report the amount by which the notes’ convertible value exceeds their principal amount, without regard to the current availability of the conversion feature. Further, the mechanics of the calculation

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require the use of an end-of-period stock price, so that the face amount of the convertible debt exceeded its value on conversion at June 30, 2020, whereas the use of another price point would give a different result.

The conversion feature is generally available to the noteholders entering the last six months of the notes’ term but may also become actionable if the market price of NHI’s common stock should, for 20 of 30 consecutive trading days within a calendar quarter, sustain a level in excess of 130% of the adjusted conversion price, or $87.85 per share, down from $93.55 per share, initially. The notes are “optional net-share settlement” instruments, meaning that NHI has the ability and intent to settle the principal amount of the indebtedness in cash, with possible dilutive share issuances for any excess, at NHI’s option. Settlement of the notes requires management to allocate the consideration we ultimately pay between the debt component and the equity conversion feature as though they were separate instruments. The allocation is effected by valuing the debt component first, with any remainder allocated to the conversion feature. Amounts expended to settle the notes will be recognized first as a settlement of the notes at par and then will be recognized in income to the extent the portion allocated to the debt instrument differs from par value. The remainder of the allocation, if any, will be treated as settlement of equity and adjusted through our paid in capital account.

Contractual Obligations and Contingent Liabilities

For our contractual obligations as of December 31, 2019, see our Management’s Discussion and Analysis contained in our Form 10-K for the year ended December 31, 2019.

Commitments and Contingencies

The following tables summarize information as of June 30, 2020 related to our outstanding commitments and contingencies which are more fully described in the notes to the condensed consolidated financial statements ($ in thousands).

	Asset Class	Type	Total		Funded		Remaining
Loan Commitments:
LCS Sagewood Note A	SHO	Construction	$	118,800	$	(82,689)	$	36,111
LCS Sagewood Note B	SHO	Construction	61,200		(61,200)		—
Bickford Senior Living	SHO	Construction	42,900		(28,744)		14,156
Senior Living Communities	SHO	Revolving Credit	12,000		(10,996)		1,004
41 Management	SHO	Construction	10,800		(8,353)		2,447
Timber Ridge OpCo	SHO	Working Capital	5,000		—		5,000
Watermark Retirement	SHO	Working Capital	5,000		—		5,000
Discovery Senior Living	SHO	Working Capital	750		(475)		275
			$	256,450	$	(192,457)	$	63,993

See Note 4 to our condensed consolidated financial statements for further details of our loan commitments. As provided above, loans funded do not include the effects of discounts or commitment fees. Our loans and loan commitments to 41 Management, LLC (“41 Management”) represent a variable interest. 41 Management is structured to limit liability for potential claims for damages, is capitalized to achieve that purpose and is considered a VIE within the definition set forth in Note 2 to our condensed consolidated financial statements.

The credit loss liability for unfunded loan commitments is estimated using the same methodology as for our funded mortgage and other notes receivable based on the estimated amount that we expect to fund. We applied the same COVID-19 adjustments as discussed in Note 4 to the condensed consolidated financial statements. The liability for expected credit losses on our unfunded loans was $231,000 as of June 30, 2020.

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	Asset Class	Type	Total		Funded		Remaining
Development Commitments:
Ignite Medical Resorts	SNF	Construction	$	25,350	$	(23,114)	$	2,236
Woodland Village	SHO	Renovation	7,515		(7,425)		90
Senior Living Communities	SHO	Renovation	9,930		(9,763)		167
Wingate Healthcare	SHO	Renovation	1,900		(818)		1,082
Discovery Senior Living	SHO	Renovation	900		(586)		314
Navion Senior Solutions	SHO	Construction	650		—		650
41 Management	SHO	Renovation	400		—		400
			$	46,645	$	(41,706)	$	4,939

In addition to the commitments listed above, Discovery PropCo has committed to Discovery for funding up to $2,000,000 toward the purchase of condominium units located at one of the facilities, of which $968,000 has been funded as of June 30, 2020.

	Asset Class	Total		Funded		Remaining
Contingencies (Lease Inducements):
Timber Ridge OpCo	SHO	$	10,000	$	—	$	10,000
Comfort Care Senior Living	SHO	6,000		—		6,000
Wingate Healthcare	SHO	5,000		—		5,000
Navion Senior Solutions	SHO	4,850		(500)		4,350
Discovery Senior Living	SHO	4,000		—		4,000
Ignite Medical Resorts	SNF	2,000		—		2,000
		$	31,850	$	(500)	$	31,350

Litigation

Our facilities are subject to claims and suits in the ordinary course of business. Our lessees and borrowers have indemnified, and are obligated to continue to indemnify us, against all liabilities arising from the operation of the facilities, and are further obligated to indemnify us against environmental or title problems affecting the real estate underlying such facilities. While there may be lawsuits pending against certain of the owners and/or lessees of the facilities, management believes that the ultimate resolution of all such pending proceedings will have no material adverse effect on our financial condition, results of operations or cash flows.

In June 2018, East Lake Capital Management LLC and certain related entities, including Regency (for three assisted living facilities in Tennessee, Indiana and North Carolina), filed suit against NHI in Texas seeking injunctive and declaratory relief and unspecified monetary damages. NHI responded with counterclaims and filed motions requesting the immediate appointment of a receiver and for pre-judgment possession. Resulting from these claims and counterclaims, on December 6, 2018, the parties entered into an agreement resulting in Regency vacating the facilities in December 2018. Litigation is ongoing.

FFO, AFFO & FAD

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

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Funds From Operations - FFO

Our FFO per diluted common share for the six months ended June 30, 2020 increased $0.14 (5.2%) over the same period in 2019 due primarily to the impact of new investments completed since June 2019. FFO, as defined by the National Association of Real Estate Investment Trusts (“NAREIT”) and applied by us, is net income (computed in accordance with GAAP), excluding gains (or losses) from sales of real estate property, impairments of real estate, plus real estate depreciation and amortization, and after adjustments for unconsolidated partnerships and joint ventures, if any. The Company’s computation of FFO may not be comparable to FFO reported by other REITs that do not define the term in accordance with the current NAREIT definition or have a different interpretation of the current NAREIT definition from that of the Company; therefore, caution should be exercised when comparing our Company’s FFO to that of other REITs. Diluted FFO assumes the exercise of stock options and other potentially dilutive securities.

Our normalized FFO per diluted common share for the six months ended June 30, 2020 increased $0.15 (5.6%) over the same period in 2019 due primarily to the impact of new investments completed since June 2019. Normalized FFO excludes from FFO certain items which, due to their infrequent or unpredictable nature, may create some difficulty in comparing FFO for the current period to similar prior periods, and may include, but are not limited to, impairment of non-real estate assets, gains and losses attributable to the acquisition and disposition of assets and liabilities, and recoveries of previous write-downs.

FFO and normalized FFO are important supplemental measures of operating performance for a REIT. Because the historical cost accounting convention used for real estate assets requires depreciation (except on land), such accounting presentation implies that the value of real estate assets diminishes predictably over time. Since real estate values instead have historically risen and fallen with market conditions, presentations of operating results for a REIT that uses historical cost accounting for depreciation could be less informative, and should be supplemented with a measure such as FFO. The term FFO was designed by the REIT industry to address this issue.

Adjusted Funds From Operations - AFFO

Our normalized AFFO per diluted common share for the six months ended June 30, 2020 increased $0.17 (6.9%) over the same period in 2019 due primarily to the impact of new investments completed since June 2019. In addition to the adjustments included in the calculation of normalized FFO, normalized AFFO excludes the impact of any straight-line rent revenue, amortization of the original issue discount on our convertible senior notes and amortization of debt issuance costs.

Normalized AFFO is an important supplemental measure of operating performance for a REIT. GAAP requires a lessor to recognize contractual lease payments into income on a straight-line basis over the expected term of the lease. This straight-line adjustment has the effect of reporting lease income that is significantly more or less than the contractual cash flows received pursuant to the terms of the lease agreement. GAAP also requires the original issue discount of our convertible senior notes and debt issuance costs to be amortized as non-cash adjustments to earnings. We also adjust Normalized AFFO for the net change in our allowance for expected credit losses as well as certain non-cash items related to our equity method investments. Normalized AFFO is useful to our investors as it reflects the growth inherent in the contractual lease payments of our real estate portfolio.

Funds Available for Distribution - FAD

Our normalized FAD for the six months ended June 30, 2020 increased $10,687,000 (9.7%) over the same period in 2019 due primarily to the impact of new investments completed since June 2019. In addition to the adjustments included in the calculation of normalized AFFO, normalized FAD excludes the impact of non-cash stock based compensation. We also adjust Normalized FAD for items related to our equity method investments such as capital expenditures and the net change in non-refundable entrance fees. Normalized FAD is an important supplemental measure of liquidity for a REIT as a useful indicator of the ability to distribute dividends to stockholders.

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

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2020		2019		2020		2019
Net income attributable to common stockholders	$	44,368	$	39,979	$	105,392	$	75,658
Elimination of certain non-cash items in net income:
Depreciation	20,847		19,020		41,290		37,511
Depreciation related to noncontrolling interests	(210)		(7)		(357)		(7)
Gain on sale of real estate	—		—		(21,007)		—
Impairment of real estate	—		—		—		2,500
NAREIT FFO attributable to common stockholders	65,005		58,992		125,318		115,662
Non-cash write-off of straight-line rent receivable	—		—		380		—
Normalized FFO attributable to common stockholders	65,005		58,992		125,698		115,662
Straight-line lease revenue, net	(5,218)		(5,307)		(10,775)		(10,535)
Straight-line lease revenue, net, related to noncontrolling interests	30		2		52		2
Amortization of lease incentives	249		215		485		383
Amortization of original issue discount	101		195		202		388
Amortization of debt issuance costs	643		704		1,285		1,404
Equity method investment adjustments, net	29		—		49		—
Note receivable credit loss expense	(380)		—		1,195		—
Normalized AFFO attributable to common stockholders	60,459		54,801		118,191		107,304
Equity method investment capital expenditure	(105)		—		(210)		—
Equity method investment non-refundable fees received	101		—		173		—
Non-cash stock-based compensation	470		477		2,315		2,478
Normalized FAD attributable to common stockholders	$	60,925	$	55,278	$	120,469	$	109,782
BASIC
Weighted average common shares outstanding	44,650,002		43,232,384		44,631,797		43,029,104
NAREIT FFO attributable to common stockholders per share	$	1.46	$	1.36	$	2.81	$	2.69
Normalized FFO attributable to common stockholders per share	$	1.46	$	1.36	$	2.82	$	2.69
Normalized AFFO attributable to common stockholders per share	$	1.35	$	1.27	$	2.65	$	2.49
DILUTED
Weighted average common shares outstanding	44,650,002		43,498,021		44,634,070		43,311,527
NAREIT FFO attributable to common stockholders per share	$	1.46	$	1.36	$	2.81	$	2.67
Normalized FFO attributable to common stockholders per share	$	1.46	$	1.36	$	2.82	$	2.67
Normalized AFFO attributable to common stockholders per share	$	1.35	$	1.26	$	2.65	$	2.48

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Adjusted EBITDA

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

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

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2020		2019		2020		2019
Net income	$	44,425	$	39,978	$	105,488	$	75,657
Interest expense	13,557		13,746		27,697		27,264
Franchise, excise and other taxes	145		775		389		1,320
Depreciation	20,847		19,020		41,290		37,511
Gain on sale of real estate	—		—		(21,007)		—
Impairment of real estate	—		—		—		2,500
Non-cash write-off of straight-line rent receivable	—		—		380		—
Note receivable credit loss expense	(380)		—		1,195		—
Adjusted EBITDA	$	78,594	$	73,519	$	155,432	$	144,252
Interest expense at contractual rates	$	10,569	$	13,355	$	23,572	$	26,429
Interest rate swap payments, net	2,263		(315)		2,741		(596)
Principal payments	305		294		609		589
Fixed Charges	$	13,137	$	13,334	$	26,922	$	26,422
Fixed Charge Coverage	6.0x		5.5x		5.8x		5.5x

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Item 3. Quantitative and Qualitative Disclosures About Market Risk

Interest Rate Risk

At June 30, 2020, we were exposed to market risks related to fluctuations in interest rates on approximately $563,000,000 of variable-rate indebtedness (excludes $400,000,000 of variable-rate debt that has been hedged through interest-rate swap contracts) and on our mortgage and other notes receivable. The unused portion ($137,000,000 at June 30, 2020) of our revolving credit facility, should it be drawn upon, is subject to variable rates.

Interest rate fluctuations will generally not affect our future earnings or cash flows on our fixed rate debt and loans receivable unless such instruments mature or are otherwise terminated. However, interest rate changes will affect the fair value of our fixed rate instruments. Conversely, changes in interest rates on variable rate debt and investments would change our future earnings and cash flows, but not significantly affect the fair value of those instruments. Assuming a 50 basis-point increase or decrease in the interest rate related to variable-rate debt, and assuming no change in the outstanding balance as of June 30, 2020, net interest expense would increase or decrease annually by approximately $2,815,000 or $0.06 per common share on a diluted basis.

We use derivative financial instruments in the normal course of business to mitigate interest rate risk. We do not use derivative financial instruments for speculative purposes. Derivatives are included in the Condensed Consolidated Balance Sheets at their fair value. We may engage in hedging strategies to manage our exposure to market risks in the future, depending on an analysis of the interest rate environment and the costs and risks of such strategies.

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

	June 30, 2020						December 31, 2019
	Balance1		% of total		Rate3		Balance1		% of total		Rate3
Fixed rate:
Convertible senior notes	$	60,000	3.8	%	3.25	%	$	60,000	4.1	%	3.25	%
Private placement term loans	400,000		25.6	%	4.15	%	400,000		27.6	%	4.15	%
Bank term loans - unsecured	340,000		21.8	%	3.27	%	550,000		38.0	%	3.36	%
HUD mortgage loans2	42,941		2.8	%	4.04	%	43,376		3.0	%	4.04	%
Fannie Mae term loans	95,532		6.1	%	3.94	%	95,706		6.6	%	3.94	%
Revolving credit facility - unsecured	60,000		3.8	%	2.81	%	60,000		4.1	%	2.81	%
Variable rate:
Bank term loans - unsecured	210,000		13.5	%	1.51	%	—		—	%	—	%
Revolving credit facility - unsecured	353,000		22.6	%	1.36	%	240,000		16.6	%	2.96	%
	$	1,561,473	100.0	%	2.87	%	$	1,449,082	100.0	%	3.54	%
1 Differs from carrying amount due to unamortized discounts and loan costs.
2 Includes 10 HUD mortgages; rate is a weighted average inclusive of a mortgage insurance premium
3 Total is weighted average rate

The unsecured term loans in the table above reflect the effect of $50,000,000, two $100,000,000 and $150,000,000 notional amount interest rate swaps with maturities in December 2021 that effectively convert variable rate debt to fixed rate debt. These loans bear interest at LIBOR plus a spread, currently a blended 131 basis points, based on our Leverage-Based Applicable Margin, as defined.

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To highlight the sensitivity of our convertible senior notes and secured mortgage debt to changes in interest rates, the following summary shows the effects on fair value (“FV”) assuming a parallel shift of 50 basis points (“bps”) in market interest rates for a contract with similar maturities as of June 30, 2020 ($ in thousands):

	Balance		Fair Value1		FV reflecting change in interest rates
Fixed rate:					-50 bps		+50 bps
Private placement term loans - unsecured	$	400,000	$	422,760	$	431,254	$	414,468
Convertible senior notes	60,000		60,797		61,048		60,548
Fannie Mae loans	95,532		99,643		101,853		97,484
HUD mortgage loans	42,941		52,586		56,332		49,172
1 The change in fair value of our fixed rate debt was due primarily to the overall change in interest rates.

At June 30, 2020, the fair value of our mortgage and other notes receivable, discounted for estimated changes in the risk-free rate, was approximately $333,415,000. A 50 basis-point increase in market rates would decrease the estimated fair value of our mortgage and other loans by approximately $10,109,000, while a 50 basis point decrease in such rates would increase their estimated fair value by approximately $1,543,000.

Item 4. Controls and Procedures.

Evaluation of Disclosure Control and Procedures. As of June 30, 2020, an evaluation was performed under the supervision and with the participation of our management, including the Chief Executive Officer (“CEO”) and Chief Financial Officer (“CFO”), of the effectiveness of the design and operation of management’s disclosure controls and procedures (as defined in rules 13a-15(e) and 15d-15(e) under the Securities and Exchange Act of 1934) to ensure information required to be disclosed in our filings under the Securities and Exchange Act of 1934, is (i) recorded, processed, summarized, and reported within the time periods specified in the SEC rules and forms; and (ii) accumulated and communicated to our management, including our CEO and our CFO, as appropriate, to allow timely decisions regarding required disclosure. Management recognizes that any controls and procedures, no matter how well designed and operated, can only provide reasonable assurance of achieving desired control objectives, and management is necessarily required to apply its judgment when evaluating the cost-benefit relationship of potential controls and procedures. Based upon the evaluation, the CEO and CFO concluded that the design and operation of these disclosure controls and procedures were effective as of June 30, 2020.

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

Changes in Internal Control over Financial Reporting. There were no changes in our internal control over financial reporting identified in management’s evaluation during the six months ended June 30, 2020 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

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PART II. OTHER INFORMATION

Item 1. Legal Proceedings.

Our health care facilities are subject to claims and suits in the ordinary course of business. Our lessees and borrowers have indemnified, and are obligated to continue to indemnify us, against all liabilities arising from the operation of the facilities, and are further obligated to indemnify us against environmental or title problems affecting the real estate underlying such facilities. While there may be lawsuits pending against certain of the owners and/or lessees of our facilities, management believes that the ultimate resolution of all such pending proceedings will have no material adverse effect on our financial condition, results of operations or cash flows.

In June 2018, East Lake Capital Management LLC and certain related entities, including Regency (for three assisted living facilities in Tennessee, Indiana and North Carolina), filed suit against NHI in Texas seeking injunctive and declaratory relief and unspecified monetary damages. NHI responded with counterclaims and filed motions requesting the immediate appointment of a receiver and for pre-judgment possession. Resulting from these claims and counterclaims, on December 6, 2018, the parties entered into an agreement resulting in Regency vacating the facilities in December 2018. Litigation is ongoing.

Item 1A. Risk Factors.

During the six months ended June 30, 2020, other than as noted below, there were no material changes to the risk factors that were disclosed in Item 1A of National Health Investors, Inc.’s Annual Report on Form 10-K for the year ended December 31, 2019.

To reflect the outbreak of COVID-19 and its actual and potential impact on public health and our business, we have added the following risk factor not previously disclosed in Item 1A of our Annual Report on Form 10-K for the year ended December 31, 2019:

Actual or perceived risks associated with public health epidemics or outbreaks, such as the Coronavirus (COVID-19), has had and is expected to continue to have a material adverse effect on our business and results of operations.

The Coronavirus (COVID-19) has had a negative impact and is expected to continue to have a negative impact on the business and results of operations of the operators of our properties and on the Company. Revenues for the operators of our properties are significantly impacted by occupancy. Building occupancy rates have been and will likely continue to be adversely affected by COVID-19. It has been reported that COVID-19 appears most dangerous for seniors, and the mortality rate increases with age. The occupancy at our properties could significantly decrease if COVID-19 or other public health outbreak results in early resident move-outs, our operators delay accepting new residents due to quarantines or otherwise, or potential occupants determine to postpone moving to a senior housing facility. A decrease in occupancy or increase in costs is likely to have a material adverse effect on the ability of our operators to meet their financial and other contractual obligations to us, including the payment of rent, as well as on our results of operations. In addition, actions our operators take to address COVID-19 are expected to materially increase their operating costs, including costs related to enhanced health and safety precautions among other measures, which could have a material adverse effect on the ability of our operators to meet their financial and other contractual obligations to us, including the payment of rent. The federal, state and local governments have implemented or announced assistance programs in connection with COVID-19 that have benefited or in the future may benefit certain of our operators, but such government assistance may be insufficient to offset the downturn in business of our operators. In some cases, we may have to write-off unpaid rental payments, incur lease accounting charges due to the uncollectibility of rental payments and/or restructure our operators’ long-term rent obligations and may not be able to do so on terms that are as favorable to us as those currently in place. Furthermore, infections at our facilities could lead to material increases in litigation costs for which our operators, or possibly we, may be liable.

COVID-19 has also caused, and is likely to continue to cause, severe economic, market and other disruptions worldwide. We cannot assure you that conditions in the bank lending, capital and other financial markets will not continue to deteriorate as a result of the pandemic, or that our access to capital and other sources of funding will not become constrained, which could adversely affect the availability and terms of future borrowings, renewals or refinancings. Such future constraints could increase our borrowing costs, which would make it more difficult or expensive to obtain additional financing or refinance existing obligations and commitments.

The impact of COVID-19 on our results of operations, liquidity and financial condition could adversely affect our ability to pay dividends at expected levels or at all. All dividends are made at the discretion of our Board of Directors in accordance with Maryland law and depend on our earnings, our financial condition, debt and equity capital available to us, our expectation of our

56

future capital requirements and operating performance, restrictive covenants in our financial and other contractual arrangements, maintenance of our REIT qualification, restrictions under Maryland law and other factors as our Board of Directors may deem relevant from time to time. Our Board of Directors will continue to assess our dividend rate on an ongoing basis, as COVID-19 and related market conditions and our financial position continue to evolve.

If these developments continue or increase in severity, such developments are likely to have a material adverse effect on our business and results of operations. The extent to which COVID-19 could impact our business and results of operations will depend on future developments, which are highly uncertain and cannot be predicted with confidence, including the duration and scope of the outbreak, new information that may emerge concerning the severity of COVID-19 and the actions taken to contain COVID-19 or treat its impact, among others.

57

Item 6. Exhibits.

Exhibit No.	Description
3.1	Articles of Incorporation (incorporated by reference to Exhibit 3.1 to Form S-11 Registration Statement No. 33-41863, filed in paper - hyperlink is not required pursuant to Rule 105 of Regulation S-T)
3.2	Amendment to Articles of Incorporation (incorporated by reference to Exhibit A to the Company’s Definitive Proxy Statement filed March 21, 2009)
3.3	Amendment to Articles of Incorporation approved by shareholders on May 2, 2014 (incorporated by reference to Exhibit 3.3 to the Company’s Form 10-Q filed August 4, 2014)
3.4	Restated Bylaws (incorporated by reference to Exhibit 3.3 to the Company’s Form 10-K filed February 15, 2013)
3.5	Amendment No. 1 to Restated Bylaws dated February 14, 2014 (incorporated by reference to Exhibit 3.3 to the Company’s Form 10-K filed February 14, 2014)
3.6	Amendment to Articles of Incorporation approved by shareholders on May 6, 2020 (filed herewith)
4.1	Form of Common Stock Certificate (incorporated by reference to Exhibit 39 to Form S-11 Registration Statement No. 33-41863, filed in paper - hyperlink is not required pursuant to Rule 105 of Regulation S-T)
4.2	Indenture, dated as of March 25, 2014, between National Health Investors, Inc. and The Bank of New York Mellon Trust Company, N.A., as Trustee (incorporated by reference to Exhibit 4.1 to the Company’s Form 8-K filed March 31, 2014)
4.3	First Supplemental Indenture, dated as of March 25, 2014, to the Indenture, dated as of March 25, 2014, between National Health Investors, Inc. and The Bank of New York Mellon Trust Company, N.A., as Trustee (incorporated by reference to Exhibit 4.2 to the Company’s Form 8-K filed March 31, 20143)
31.1	Certification of Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 (filed herewith)
31.2	Certification of Principal Certification of Principal Financial Officer pursuant to 18 U.S.C Section 1350, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 Officer pursuant to 18 U.S.C Section 1350, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 (filed herewith)
32	Certification of Chief Executive Officer and Principal Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (filed herewith)
101.INS	XBRL Instance Document - the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document
101.SCH	Inline XBRL Taxonomy Extension Schema Document
101.CAL	Inline XBRL Taxonomy Extension Calculation Linkbase Document
101.LAB	Inline XBRL Taxonomy Extension Label Linkbase Document
101.PRE	Inline XBRL Taxonomy Extension Presentation Linkbase Document
101.DEF	Inline XBRL Taxonomy Extension Definition Linkbase Document
104	Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101)

58

SIGNATURES

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

		NATIONAL HEALTH INVESTORS, INC.
		(Registrant)
Date:	August 10, 2020	/s/ D. Eric Mendelsohn
		D. Eric Mendelsohn
		President and Chief Executive Officer
		(duly authorized officer)
Date:	August 10, 2020	/s/ John L. Spaid
		John L. Spaid
		Chief Financial Officer
		(Principal Financial Officer)

59

EX-3.6

ARTICLES OF AMENDMENT

TO

ARTICLES OF INCORPORATION

OF

NATIONAL HEALTH INVESTORS, INC.

NATIONAL HEALTH INVESTORS, INC., a Maryland corporation, hereby certifies to the State Department of Assessments and Taxation of Maryland that its Articles of Incorporation are hereby amended as follows:

1.  Section 7.1 shall be deleted in its entirety and is hereby replaced with the following new Section 7.1:

7.1  The total number of shares of stock of all classes which the Corporation has authority to issue is one hundred ten million (110,000,000) shares, each share having a par value of $.01, of which one hundred million (100,000,000) shares shall be Common Stock and ten million (10,000,000) shares shall be Preferred Stock. The Board of Directors may issue the Preferred Stock in such one or more series consisting of such numbers of shares and having such preferences, conversion and other rights, voting powers, restrictions and limitations as to dividends, qualifications and terms and conditions of redemption of stock as the Board of Directors may from time to time determine when designating such series.

2. The total number of shares of stock of all classes which the Corporation had authority to issue immediately before the foregoing amendment was seventy million (70,000,000) shares, each share having a par value of $.01 for a total aggregate par value of $700,000, of which sixty million (60,000,000) shares were Common Stock and ten million (10,000,000) shares were Preferred Stock.

3. The total number of shares of stock of all classes which the Corporation has authority to issue after the foregoing amendment is one hundred ten million (110,000,000) shares, each share having a par value of $.01 for a total aggregate par value of $1,100,000, of which one hundred million (100,000,000) shares shall be Common Stock and ten million (10,000,000) shares shall be Preferred Stock.

4. The foregoing amendment to the Articles of Incorporation of the Corporation has been advised and approved by the Board of Directors on February 14, 2020 and approved by the stockholders of the Corporation as of May 6, 2020.

We, the undersigned President and Secretary, swear under penalties of perjury that the foregoing is a corporate act.

Executed on this 6^th day of May 2020.

NATIONAL HEALTH INVESTORS, INC.

By: /s/ Eric Mendelsohn__________________

Eric Mendelsohn, Chief Executive Officer

Attest:

/s/Susan Sidwell________

Susan V. Sidwell, Secretary

EX-31.1

Exhibit 31.2

CERTIFICATION PURSUANT TO

SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, D. Eric Mendelsohn, certify that:

1.I have reviewed this quarterly report on Form 10-Q of the registrant, National Health Investors, Inc.;

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(s) 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(s) 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:	August 10, 2020	/s/ D. Eric Mendelsohn
		D. Eric Mendelsohn
		President and Chief Executive Officer

EX-31.2

Exhibit 31.2

CERTIFICATION PURSUANT TO

SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, John L. Spaid, certify that:

1.I have reviewed this quarterly report on Form 10-Q of the registrant, National Health Investors, Inc.;

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(s) 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(s) 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:	August 10, 2020	/s/ John L. Spaid
		John L. Spaid
		Chief Financial Officer
		(Principal Financial Officer)

EX-32

Exhibit 32

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

The undersigned hereby certify, pursuant to 18 U.S.C. Section 1350, as added by Section 906 of the Sarbanes-Oxley Act of 2002, that, to the undersigned's best knowledge and belief, the quarterly report on Form 10-Q for National Health Investors, Inc. ("Issuer") for the period ended June 30, 2020 as filed with the Securities and Exchange Commission on the date hereof (the "Report"):

(a)The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(b)The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Issuer.

Date:	August 10, 2020	/s/ D. Eric Mendelsohn
		D. Eric Mendelsohn
		President and Chief Executive Officer,
Date:	August 10, 2020	/s/ John L. Spaid
		John L. Spaid
		Chief Financial Officer
		(Principal Financial Officer)

XML

Document And Entity Information - shares	6 Months Ended
	Jun. 30, 2020	Aug. 05, 2020
Document And Entity Information [Abstract]
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Jun. 30, 2020
Document Transition Report	false
Entity File Number	001-10822
Entity Registrant Name	National Health Investors Inc
Entity Incorporation, State or Country Code	MD
Entity Tax Identification Number	62-1470956
Entity Address, Address Line One	222 Robert Rose Drive
Entity Address, City or Town	Murfreesboro
Entity Address, State or Province	TN
Entity Address, Postal Zip Code	37129
City Area Code	(615)
Local Phone Number	890-9100
Title of 12(b) Security	Common Stock, $0.01 par value
Trading Symbol	NHI
Security Exchange Name	NYSE
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
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		44,650,002
Amendment Flag	false
Document Fiscal Year Focus	2020
Document Fiscal Period Focus	FY
Entity Central Index Key	0000877860
Current Fiscal Year End Date	--12-31

XML

Consolidated Balance Sheets - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019
Assets:
Land	$ 219,919	$ 213,617
Buildings and improvements	3,025,619	2,836,673
Construction in progress	1,600	24,556
Real estate properties, gross	3,247,138	3,074,846
Less accumulated depreciation	(555,762)	(514,453)
Real estate properties, net	2,691,376	2,560,393
Mortgage and other notes receivable, net	300,130	340,143
Cash and cash equivalents	46,853	5,215
Straight-line rent receivable	89,090	86,044
Assets held for sale, net	0	18,420
Other assets	39,522	32,020
Total Assets	3,166,971	3,042,235
Liabilities and Stockholders' Equity:
Debt	1,554,241	1,440,465
Accounts payable and accrued expenses	33,026	26,313
Dividends Payable	49,226	46,817
Lease deposit liabilities	10,638	10,638
Deferred income	16,371	19,750
Total Liabilities	1,663,502	1,543,983
Commitments and Contingencies
National Health Investors, Inc. Stockholders' Equity:
Common stock, $.01 par value; 60,000,000 shares authorized; 43,357,018 and 42,700,411 shares issued and outstanding, respectively	447	446
Capital in excess of par value	1,505,265	1,505,948
Cumulative net income in excess of dividends	(2,618)	(5,331)
Accumulated other comprehensive income	(10,735)	(3,432)
Total National Health Investors, Inc. Stockholders' Equity	1,492,359	1,497,631
Noncontrolling interest	11,110	621
Total Equity	1,503,469	1,498,252
Total Liabilities and Equity	$ 3,166,971	$ 3,042,235

XML

Consolidated Balance Sheets (Parenthetical) - $ / shares	Jun. 30, 2020	Dec. 31, 2019
Statement of Financial Position [Abstract]
Common stock, par value	$ 0.01	$ 0.01
Common stock, shares authorized	100,000,000	60,000,000
Common stock, shares issued	44,650,002	44,587,486
Common stock, shares outstanding	44,650,002	44,587,486

XML

Consolidated Statements Of Income - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Revenues:
Rental income	$ 77,917	$ 72,578	$ 154,444	$ 143,531
Interest income and other	6,257	5,518	12,827	10,673
Revenues	84,174	78,096	167,271	154,204
Expenses:
Depreciation	20,847	19,020	41,290	37,511
Interest	13,557	13,746	27,697	27,264
Legal	250	99	585	369
Franchise, excise and other taxes	145	775	389	1,320
General and administrative	3,032	2,972	7,342	6,986
Property taxes and insurance on leased properties	1,450	1,506	3,002	2,597
Loan and realty losses	(380)	0	1,195	2,500
Total operating expenses	38,901	38,118	81,500	78,547
Income (Loss) from Equity Method Investments	(848)	0	(1,290)	0
Gains (Losses) on Sales of Investment Real Estate	0	0	21,007	0
Net income	44,425	39,978	105,488	75,657
Less: net loss attributable to noncontrolling interest	(57)	1	(96)	1
Net income	$ 44,368	$ 39,979	$ 105,392	$ 75,658
Weighted average common shares outstanding:
Basic	44,650,002	43,232,384	44,631,797	43,029,104
Diluted	44,650,002	43,498,021	44,634,070	43,311,527
Basic:
Net income attributable to common stockholders - basic	$ 0.99	$ 0.92	$ 2.36	$ 1.76
Diluted:
Net income attributable to common stockholders - diluted	$ 0.99	$ 0.92	$ 2.36	$ 1.75

XML

Consolidated Statements of Comprehensive Income - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Statement of Comprehensive Income [Abstract]
Net income	$ 44,425	$ 39,978	$ 105,488	$ 75,657
Other comprehensive income (loss):
Increase (decrease) in fair value of cash flow hedge	867	3,451	10,058	4,117
Less: reclassification adjustment for amounts recognized in net income	2,263	(350)	2,755	(641)
Total other comprehensive income (loss)	1,396	(3,801)	(7,303)	(4,758)
Comprehensive income	45,821	36,177	98,185	70,899
Comprehensive Income (Loss), Net of Tax, Attributable to Noncontrolling Interest	(57)	1	(96)	1
Comprehensive income	$ 45,764	$ 36,178	$ 98,089	$ 70,900

XML

Consolidated Statements Of Cash Flows - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019
Cash flows from operating activities:
Net income	$ 105,488	$ 75,657
Changes in operating assets and liabilities:
Depreciation	41,290	37,511
Amortization of Debt Issuance Costs	2,350	2,551
Amortization of commitment fees	(435)	(241)
Amortization of lease incentives	485	383
Straight-line rental income	(10,395)	(10,535)
Non-cash interest income on construction loan	(1,844)	(1,005)
Gains (Losses) on Sales of Investment Real Estate	(21,007)	0
Income (Loss) from Equity Method Investments	1,290	0
Loan and realty losses	1,195	2,500
Payment of Tenant Lease Incentives	0	(2,600)
Share-based compensation	2,315	2,478
Change in operating assets and liabilities:
Other assets	(742)	2,474
Accounts payable and accrued expenses	(3,318)	1,571
Deferred income	137	16,170
Net cash provided by operating activities	116,809	126,914
Cash flows from investing activities:
Investment in mortgage and other notes receivable	(32,826)	(59,655)
Collection of mortgage and other notes receivable	14,579	558
Investment in real estate	(94,630)	(200,632)
Payments to Develop Real Estate Assets	(54)	0
Payments to Renovate Real Estate	(5,579)	(8,300)
Payments to Acquire Equity Method Investments	(875)	0
Proceeds from Sale of Wholly Owned Real Estate and Real Estate Acquired in Settlement of Loans	39,260	0
Net cash used in investing activities	(80,125)	(268,029)
Cash flows from financing activities:
Proceeds from revolving credit facilities	145,000	292,000
Payments on revolving credit facilities	(32,000)	(103,000)
Repayments of Long-term Debt	(609)	(589)
Debt issuance costs	0	(90)
Payments to Noncontrolling Interests	(298)	0
Proceeds from Noncontrolling Interests	13	642
Value of shares withheld from options exercised for employee tax withholding	(2,705)	(1,016)
Proceeds from issuance of common shares, net	0	47,854
Payments of Stock Issuance Costs	(293)	0
Dividends paid to stockholders	(96,043)	(88,060)
Net cash provided by (used in) financing activities	13,065	147,741
Increase in cash and cash equivalents and restricted cash	49,749	6,626
Cash and cash equivalents and restricted cash, beginning of period	65,418	16,538
Supplemental disclosure of cash flow information:
Interest paid, net of amounts capitalized	23,533	26,032
Supplemental schedule of non-cash investing and financing activities:
Change in straight-line rent receivable related to investments in real estate	0	38,000
Change in mortgage notes receivable related to investments in real estate	59,350	0
Increase in mortgage note receivable from sale of real estate	4,000	0
Change in other assets related to investments in real estate	0	176
Change in accounts payable related to investments in real estate construction	1,899	(1,981)
Change in accounts payable related to investments in real estate acquisition	0	1,178
Change in accounts payable related to distributions to noncontrolling interests	$ 100	$ 0

XML

Consolidated Statement Of Equity - USD ($) $ in Thousands	Total	Revision of Prior Period, Accounting Standards Update, Adjustment	Common Stock [Member]	Additional Paid-in Capital [Member]	Cumulative Dividends In Excess Of Net Income [Member]	Cumulative Dividends In Excess Of Net Income [Member] Revision of Prior Period, Accounting Standards Update, Adjustment	Accumulated Other Comprehensive Income (Loss) [Member]	Parent [Member]	Parent [Member] Revision of Prior Period, Accounting Standards Update, Adjustment	Noncontrolling Interest [Member]
Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest	$ 1,389,713		$ 427	$ 1,369,919	$ 18,068		$ 1,299	$ 1,389,713		$ 0
Balance, shares at Dec. 31, 2018			42,700,411
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Stock Issued During Period, Shares, New Issues	618,654
Net income (loss) attributable to common stockholders	$ 75,658
Comprehensive Income (Loss), Net of Tax, Attributable to Noncontrolling Interest	(1)
Comprehensive Income (Loss), Net of Tax, Including Portion Attributable to Noncontrolling Interest	70,899
Balance, shares at Jun. 30, 2019			43,357,018
Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest	1,419,686		$ 434	1,419,228	2,842		(3,459)	1,419,045		641
Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest	$ 1,498,252		$ 446	1,505,948	(5,331)		(3,432)	1,497,631		621
Balance, shares at Dec. 31, 2019	44,587,486		44,587,486
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Stock Issued During Period, Shares, New Issues	0
Net income (loss) attributable to common stockholders	$ 105,392
Comprehensive Income (Loss), Net of Tax, Attributable to Noncontrolling Interest	96
Comprehensive Income (Loss), Net of Tax, Including Portion Attributable to Noncontrolling Interest	$ 98,185
Balance, shares at Jun. 30, 2020	44,650,002		44,650,002
Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest	$ 1,503,469		$ 447	$ 1,505,265	$ (2,618)		$ (10,735)	$ 1,492,359		$ 11,110
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Retained Earnings (Accumulated Deficit)		$ (4,225)				$ (4,225)			$ (4,225)

XML

Consolidated Statement Of Equity Consolidated Statement of Equity (Parenthetical) - $ / shares	3 Months Ended				6 Months Ended
	Jun. 30, 2020	Mar. 31, 2020	Jun. 30, 2019	Mar. 31, 2019	Jun. 30, 2020	Jun. 30, 2019
Statement of Stockholders' Equity [Abstract]
Common Stock, Dividends, Per Share, Declared	$ 1.1025	$ 1.1025	$ 1.05	$ 1.05	$ 2.205	$ 2.10

XML

Organization, Consolidation and Presentation of Financial Statements

6 Months Ended

Jun. 30, 2020

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Organization, Consolidation and Presentation of Financial Statements Disclosure

Note 1. Organization and Nature of Business

National Health Investors, Inc. (“NHI” or “the Company”), established in 1991 as a Maryland corporation, is a self-managed real estate investment trust (“REIT”) that invests in need-driven and discretionary senior housing and other healthcare-related real estate properties located throughout the United States. As of June 30, 2020, we had investments of $3,244,562,000 (excluding our corporate office of $2,575,000) in 227 health care real estate properties located in 34 states and leased pursuant primarily to triple-net leases to 34 lessees consisting of 150 senior housing communities (“SHO”), 72 skilled nursing facilities, 3 hospitals and 2 medical office buildings. Our portfolio of 16 mortgage and other notes receivable totaled $305,319,000, excluding an allowance for expected credit losses of $5,189,000, as of June 30, 2020.

XML

Significant Accounting Policies

6 Months Ended

Jun. 30, 2020

Accounting Policies [Abstract]

Significant Accounting Policies

Note 2. Basis of Presentation and Significant Accounting Policies

Basis of Presentation

The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) for interim financial statements. In our opinion, the accompanying unaudited condensed consolidated financial statements reflect all adjustments consisting of normal recurring adjustments necessary for a fair presentation. Interim results of operations are not necessarily indicative of the results that may be achieved for a full year. The condensed consolidated financial statements and related notes do not include all information and footnotes required by GAAP for annual reports. These interim condensed consolidated financial statements should be read in conjunction with our audited consolidated financial statements and notes thereto as of and for the year ended December 31, 2019, included in our 2019 Annual Report on Form 10-K filed with the Securities and Exchange Commission (the “SEC”).

Principles of Consolidation

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

At June 30, 2020, we held interests in eight unconsolidated VIEs, and, because we lack either directly or through related parties the power to direct the activities that most significantly impact their economic performance, we have concluded that NHI is not the primary beneficiary. Accordingly, we account for our transactions with these entities and their subsidiaries at either amortized cost or net realizable value for straight-line receivables, excluding Timber Ridge OpCo which is accounted for under the equity-method.

NHI’s VIEs are summarized below by date of initial involvement. For further discussion of the nature of the relationships, including the sources of exposure to these VIEs, see the notes to our condensed consolidated financial statements cross-referenced below.

Date	Name	Source of Exposure	Carrying Amount		Maximum Exposure to Loss		Note Reference
2012	Bickford Senior Living	Various1	$	60,708,000	$	74,864,000	Notes 3, 4
2014	Senior Living Communities	Notes and straight-line receivable	$	93,401,000	$	97,404,000	Notes 3, 4
2016	Senior Living Management	Notes and straight-line receivable	$	26,969,000	$	26,969,000	—
2017	Evolve Senior Living	Notes	$	9,958,000	$	9,958,000	—
2018	Sagewood, LCS affiliate	Notes	$	142,586,000	$	178,697,000	Note 4
2019	41 Management, LLC	Notes and straight-line receivable	$	12,868,000	$	15,315,000	Note 7
2020	Timber Ridge OpCo	Various2	$	(414,000)	$	4,586,000	Notes 3, 5
2020	Watermark Retirement	Notes and straight-line receivable	$	3,628,000	$	8,628,000	Note 7

¹ Notes, loan commitments, straight-line rent receivables, and unamortized lease incentives

² Loan commitment, equity method investment and straight-line rent receivables

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

We consolidate two real estate partnerships formed with our partners, Discovery Senior Housing Investor XXIV, LLC, (“Discovery”) and LCS Timber Ridge LLC (“LCS”) to invest in senior housing facilities. As of and for the six months ended June 30, 2020, our non-controlling interests relate to these partnerships with Discovery and LCS.

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

Cash and Cash Equivalents and Restricted Cash

Cash equivalents consist of all highly liquid investments with an original maturity of three months or less. Restricted cash includes amounts required to be held on deposit with a qualified intermediary subject to an Internal Revenue Code §1031 exchange agreement or in accordance with agency agreements governing our Fannie Mae and U.S. Department of Housing and Urban Development (“HUD”) mortgages.

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

	June 30, 2020		June 30, 2019
Cash and cash equivalents	$	46,853	$	5,635
Restricted cash (included in Other assets)	18,565		10,903
	$	65,418	$	16,538

New Accounting Pronouncements

For information about significant accounting policies, refer to the Company’s audited consolidated financial statements and notes thereto for the year ended December 31, 2019 included in the Company’s 2019 Annual Report on Form 10-K filed with the SEC. During the six months ended June 30, 2020, there were no material changes to these policies except as noted below.

With the adoption of Accounting Standards Update 2016-13, Financial Instruments - Credit Losses effective January 1, 2020, we estimate and record an allowance for credit losses upon origination of the loan, based on expected credit losses over the term of the loan and update this estimate quarterly as of the balance sheet date. We calculate the estimated credit losses on mortgages by pooling these loans into two groups – investments in existing or new mortgages and construction mortgages. Mezzanine and revolving lines of credit are evaluated at the individual loan level. We estimate the allowance for credit losses by utilizing a loss model that relies on future expected credit losses, rather than incurred losses. This loss model incorporates our historical experience, adjusted for current conditions and our forecasts, using the probability of default and loss given default method. Incorporated into the construction mortgage loss model is an estimate of the probability that NHI will acquire the property. Using the resulting estimate, a portion of the outstanding construction mortgage balance which we currently expect will be reduced by our acquisition of the underlying property when construction is complete, is deducted from the construction mortgage balance included in the expected loss calculation. Mezzanine loans and revolving lines of credit are also based on the loss model to recognize expected future credit losses and are applied to each individual loan using borrower specific information. We also perform a qualitative assessment beyond model estimates and apply adjustments as necessary. The credit loss estimate is based on the net amortized cost balance of our mortgage and other notes receivables as of the balance sheet date.

Calculation of the allowance for credit losses involves significant judgement. It is possible that actual credit losses will differ materially from our current estimates. Write-offs are deducted from the allowance for credit losses when we judge the principal to be uncollectable.

Upon adoption, we recorded an allowance for expected credit losses of $3,900,000 that is reflected as an adjustment to Mortgage and other notes receivable, net, in the Condensed Consolidated Balance Sheets and recorded a corresponding cumulative-effect adjustment to cumulative dividends in excess of net income. Upon adoption, we also recorded a $325,000 liability for estimated credit losses pertaining to unfunded loan commitments as a cumulative dividends in excess of net income. The corresponding credit loss liability is included in the financial statement caption Accounts payable and accrued expenses in the Condensed Consolidated Balance Sheets.

In March 2020, the Financial Accounting Standards Board (“FASB”) issued ASU 2020-04, Reference Rate Reform (Topic 848). ASU 2020-04 contains practical expedients for reference rate reform related activities that impact debt, leases, derivatives and other contracts. The guidance in ASU 2020-04 is optional and may be elected over time as reference rate reform activities occur. During the first quarter of 2020, the Company elected to apply the hedge accounting expedients related to probability and the assessments of effectiveness for future London Inter-bank Offered Rate (”LIBOR”) indexed cash flows to assume that the index upon which future hedged transactions will be based matches the index on the corresponding derivatives. Application of these expedients preserves the presentation of derivatives consistent with past presentation. We continue to evaluate the impact of the guidance and may apply other elections as applicable as additional changes in the market occur.

In April 2020, the FASB issued a question-and-answer document (the “Lease Modification Q&A”) focused on the application of lease accounting guidance to lease concessions provided as a result of the coronavirus pandemic (“COVID-19”). Prior to issuance of the Lease Modification Q&A, we would determine, on a lease-by-lease basis, if a lease concession was the result of a new arrangement reached with the tenant (treated within the lease modification accounting framework) or if a lease concession was under the enforceable rights and obligations within the existing lease agreement (precluded from applying the lease modification accounting framework). The Lease Modification Q&A clarifies that entities may elect not to evaluate whether lease-related relief provided to mitigate the economic effects of COVID-19 is a lease modification under ASC 842. Instead, an entity that elects not to evaluate whether a concession directly related to COVID-19 is a modification can then elect whether to apply the modification guidance (i.e., assume relief was always contemplated by the contract or assume the relief was not contemplated by the contract), with such election applied consistently to leases with similar characteristics and similar circumstances. During the six months ended June 30, 2020, the Company did not provide any lease concessions as a result of COVID-19. If lease concessions related to the effects of COVID-19 become necessary, NHI has elected to account for those concessions which do not substantially increase either our rights as lessor or the obligations of the tenant consistent with how those concessions would be accounted for as though the enforceable rights and obligations for those concessions existed under our leases. The future impact of the Lease Modification Q&A is dependent upon the nature and extent of lease concessions granted to tenants as a result of COVID-19 in future periods and the elections made by the Company at the time of entering into such concessions.

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Real Estate

6 Months Ended

Jun. 30, 2020

Real Estate [Abstract]

Real Estate Disclosure [Text Block]

Note 3. Real Estate Properties and Investments

During the six months ended June 30, 2020, we made the following real estate investments and related commitments ($ in thousands):

Operator	Date	Properties	Asset Class	Land		Improvements		Total
Bickford Senior Living	Q1 2020	1	SHO	$	1,588	$	13,512	$	15,100
Life Care Services	Q1 2020	1	SHO	4,370		130,522		134,892
Autumn Trace	Q2 2020	2	SHO	344		13,906		14,250
				$	6,302	$	157,940	$	164,242

Bickford - Shelby, MI

On January 27, 2020, we acquired a 60-unit assisted living/memory care facility located in Shelby, Michigan, from Bickford. The acquisition price was $15,100,000 and included the full payment of an outstanding construction note receivable of $14,091,000, including interest. We added the facility to an existing master lease for a term of twelve years at an initial lease rate of 8%, with CPI escalators subject to a floor and ceiling.

Life Care Services

On January 31, 2020 we acquired an 80% equity interest in a property company, NHI-LCS JV I, LLC (“Timber Ridge PropCo”), which owns a 401-unit Continuing Care Retirement Community (“CCRC”) located in Issaquah, Washington comprising 330 independent living units, 26 assisted living/memory care units and 45 skilled nursing beds. The same transaction

conveyed to NHI a 25% equity interest in the newly formed operating company, Timber Ridge OpCo, LLC (“Timber Ridge OpCo”).

Total consideration for NHI’s interests in the combined venture was $124,989,000, comprised of the $59,350,000 remaining balance of a mortgage note initially funded in 2015, an additional loan of $21,650,000, and cash of $43,114,000 to Timber Ridge PropCo and $875,000 to Timber Ridge OpCo. Total debt due from Timber Ridge PropCo of $81,000,000, bears interest to NHI at 5.75%. LCS paid $10,778,000 for its 20% equity stake in Timber Ridge PropCo and provided $2,625,000 for a 75% equity participation in Timber Ridge OpCo.

The lease between Timber Ridge PropCo and Timber Ridge OpCo carries a rate of 6.75% for an initial term of seven years plus renewal options and has a CPI-based lease escalator, subject to floor and ceiling. Including interest payments on debt to NHI and our lease participation in the Timber Ridge PropCo, as detailed above, we expect to receive $8,216,000 in the first twelve months plus 25% of the remaining Timber Ridge OpCo cash flow. NHI’s contribution was allocated to our interest in the tangible assets of Timber Ridge PropCo with no material fair value allocated to Timber Ridge OpCo beyond our initial investment. The lease between Timber Ridge PropCo and Timber Ridge OpCo includes an “earn out” provision whereby Timber Ridge OpCo could become eligible for a payment of $10,000,000 based on the attainment of certain operating metrics. See Note 5 for a discussion of Timber Ridge OpCo.

Autumn Trace

On May 1, 2020, we acquired two senior housing facilities each with 44 assisted living units for a total purchase price of $14,250,000, including $150,000 in closing costs. The facilities are located in Indiana and are leased to Autumn Trace Senior Communities, which is a new operator relationship for NHI. The 15-year master lease has an initial lease rate of 7.25% with fixed annual escalators of 2.25% and offers two optional extensions of 5 years each. NHI was also granted a purchase option on a newly opened Indiana facility that is expected to stabilize during 2020.

Tenant Concentration

The following table contains information regarding tenant concentration in our portfolio, based on the percentage of revenues for the six months ended June 30, 2020 and 2019, related to tenants or affiliates of tenants, that exceed 10% of total revenue ($ in thousands):

	as of June 30, 2020					Revenues2
	Number of	Real		Notes		Six Months Ended June 30,
	Properties	Estate		Receivable1		2020			2019
Senior Living Communities	10	$	573,631	$	57,675	$	26,140	16%	$	23,962	16%
Holiday Retirement	26	531,378		—		20,353		12%	20,106		13%
Bickford Senior Living	48	534,376		32,744		27,392		16%	26,122		17%
National HealthCare	42	171,297		—		18,904		11%	19,209		12%
All others		1,433,880		214,900		74,482			64,805
		$	3,244,562	$	305,319	$	167,271		$	154,204

¹ excludes estimated credit loss reserve of $5,189

² includes interest income on notes receivable

At June 30, 2020, the one state in which we had an investment concentration of 10% or more was South Carolina (10.3%).

Purchase Options

Certain of our leases contain purchase options allowing tenants to acquire the leased properties. At June 30, 2020, we had a net investment of $11,784,000 in two real estate properties which are subject to exercisable tenant purchase options. Tenant purchase options on 12 properties in which we had an aggregate net investment of $120,808,000 at June 30, 2020, become exercisable between 2021 and 2028.

Rental income from leased properties with tenant purchase options either currently exercisable or exercisable in the future was $8,715,000 and $9,216,000 for the six months ended June 30, 2020 and 2019, respectively. We cannot reasonably estimate at this

time the probability that these purchase options will be exercised in the future. Consideration to be received from the exercise of any tenant purchase option is expected to exceed our net investment in the leased property or properties.

Other Portfolio Activity

Tenant Bankruptcy

We have a net investment of $10,075,000 in an acute care hospital leased to Quorum Health Corporation (“Quorum”) pursuant to a triple-net lease that expires in June 2022. Quorum filed for Chapter 11 bankruptcy in April 2020. As a result, the Company wrote off straight-line rent receivable under the lease of $380,000 in the first quarter of 2020 and began recognizing revenues under the lease as cash is received. In July 2020 Quorum completed its bankruptcy restructuring and continues to operate the hospital while timely paying its rent under the lease, which totaled $1,751,000 for the six months ended June 30, 2020.

Tenant Transitioning

As of June 30, 2020, we had nine properties that have been transitioned to five new tenants following a period of non-compliance by the former operator. The leases with the new operators specify periods during which rental income is based on net operating income, after deduction of management fees. We recognized rental income from these properties of $1,269,000 and $2,824,000 for the three and six months ended June 30, 2020, respectively and $506,000 and $1,208,000 for the three and six months ended June 30, 2019, respectively.

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

Asset Dispositions

In September 2019, we classified a portfolio of eight assisted living properties located in Arizona (4), Tennessee (3) and South Carolina (1) as held for sale, after the current tenant, Brookdale Senior Living, expressed an intention to exercise its purchase option on the properties. The purchase option called for the parties to split any appreciation on an equal basis above $37,520,000. During the first quarter of 2020, NHI and the tenant agreed to a fair valuation of $41,000,000 for the properties, and, accordingly, on January 22, 2020, we disposed of the properties at the agreed price of $39,260,000 and recognized a gain of $20,752,000. For the six months ended June 30, 2020 and 2019, we recognized $229,000 and $2,125,000, respectively, of rental income from this portfolio.

On February 21, 2020, we disposed of two assisted living properties previously classified as held-for-sale in exchange for a term note of $4,000,000 from the buyer, Bickford. The note, which is due February 2025 and bears interest at 7%, will begin amortizing on a twenty-five-year basis in January 2021. In the first quarter of 2019 we recorded an adjustment to write off straight-line rent receivables of $124,000 and recognized an impairment loss of $2,500,000, included in loan and realty (gains) losses on the Condensed Consolidated Statements of Income to write down the properties to their estimated net realizable value upon classification of these properties as held-for-sale.

Future Minimum Base Rent

Future minimum base rents due under the remaining non-cancelable terms of operating leases in place as of June 30, 2020, are as follows (in thousands):

Remainder of 2020	$	141,225
2021	281,081
2022	285,478
2023	281,615
2024	274,075
2025	267,462
Thereafter	1,394,428
	$	2,925,364

We assess the collectability of lease payments to be received from our tenants, which includes receivables, consisting primarily of straight-line rents receivable, based on several factors, including payment history, the financial strength of the tenant and any guarantors, historical operations and operating trends of the property, and current economic conditions. If our evaluation of these factors indicates it is not probable that we will be able to collect substantially all of the lease payments, we recognize lease payments on a cash basis and de-recognize all rent receivable assets, including the straight-line rent receivable asset as a reduction in rental revenue.

Variable Lease Payments

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

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2020		2019		2020		2019
Lease payments based on fixed escalators	$	69,669	$	64,570	$	138,103	$	128,033
Lease payments based on variable escalators	1,400		1,195		2,764		2,366
Straight-line rent income	5,218		5,307		10,395		10,535
Escrow funds received from tenants	1,630		1,506		3,182		2,597
Rental income	$	77,917	$	72,578	$	154,444	$	143,531

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Mortgage And Other Notes Receivable

6 Months Ended

Jun. 30, 2020

Mortgage and Other Notes Receivable [Abstract]

Mortgage Notes Receivable

Mortgage and Other Notes Receivable

At June 30, 2020, we had investments in mortgage notes receivable secured by real estate and other assets of the borrower (e.g. UCC liens on personal property) related to 16 facilities and other notes receivable guaranteed by significant parties to the notes or by cross-collateralization of properties with the same owner with an aggregate carrying value of $300,130,000, net of an allowance of $5,189,000. All our notes were on full accrual basis at June 30, 2020.

Credit Loss Reserve

Our principal measures of credit quality, except for construction mortgages, are debt service coverage for amortizing loans and interest or fixed charge coverage for non-amortizing loans collectively (“Coverage”). A Coverage ratio provides a measure of the borrower’s ability to make scheduled principal and interest payments. The Coverage ratios presented in the following table have been calculated utilizing the most recent date for which data is available, March 31, 2020, using EBITDARM (earnings before interest, taxes, depreciation, amortization, rent and management fees) and the requisite debt service, interest service or fixed charges, as defined in the applicable loan agreement. We categorize Coverage into three levels: (i) over 1.5x, (ii) between 1.0x and 1.5x, (iii) less than 1.0x. We update the calculation of coverage on a quarterly basis. Coverage is not a meaningful credit quality indicator for construction mortgages as either these developments are not generating any operating income, or they have insufficient operating income as occupancy levels necessary to stabilize the properties have not yet been achieved. We measure credit quality for these mortgages by considering the construction and stabilization timeline and the financial condition of the borrower as well as economic and market conditions. As of June 30, 2020, we did not have any construction loans that we considered underperforming. The tables below present outstanding note balances as of June 30, 2020 at amortized cost.

We consider the guidance in ASC 310-20 when determining whether a modification, extension or renewal constitutes a current period origination. The credit quality indicator as of March 31, 2020, is presented below for the amortized cost, net by year of origination ($ in thousands):

	2020		2019		2018		2017		2016		Prior		Total
Mortgages
more than 1.5x	$	1,471	$	8,268	$	169,859	$	—	$	—	$	6,989	$	186,587
between 1.0x and 1.5x	—		3,854		—		—		10,000		—		13,854
below 1.0x	4,000		39,123		—		9,958		—		—		53,081
No coverage available	—		—		—		—		—		—		—
	5,471		51,245		169,859		9,958		10,000		6,989		253,522
Mezzanine
more than 1.5x	—		—		—		—		—		—		—
between 1.0x and 1.5x	—		—		—		—		14,472		—		14,472
below 1.0x	—		—		—		—		13,979		11,875		25,854
No coverage available	—		475		—		—		—		—		475
	—		475		—		—		28,451		11,875		40,801
Revolver
more than 1.5x													—
between 1.0x and 1.5x													10,996
below 1.0x													—
													10,996
									Credit loss reserve				(5,189)
													$	300,130

Due to the economic uncertainty created by COVID-19 and the potential impact on the collectability of our mortgages and other notes receivable, we are forecasting a 20% increase in the probability of a default and a 20% increase in the amount of loss from a default resulting in an effective adjustment of 44%. The COVID-19 adjustments resulted in a $1,700,000 increase in the credit loss reserve during the first quarter of 2020. Excluding the effects of the COVID-19 adjustment, our provision for expected credit losses decreased by $411,000 since our adoption of the credit loss guidance on January 1, 2020, due primarily to a decrease in the balance of our construction mortgage receivables and the resulting reduction in our historical probability of default experience for our acquisition and construction mortgage pool.

The allowance for expected credit losses for our commercial loans is presented in the following table for the six months ended June 30, 2020 ($ in thousands):

Beginning balance January 1, 2020 (upon adoption of ASU 2016-13)	$	3,900
Provision for expected credit losses	1,289
Balance June 30, 2020	$	5,189

Bickford

At June 30, 2020, our construction loans to Bickford are summarized in the following table ($ in thousands):

Commencement	Rate	Maturity	Commitment		Drawn		Location
January 2018	9%	5 years	$	14,000	$	(13,377)	Virginia
July 2018	9%	5 years	14,700		(13,896)		Michigan
June 2020	9%	5 years	14,200		(1,471)		Virginia
			$	42,900	$	(28,744)

On June 30, 2020, we entered into a $14,200,000 construction loan agreement with Bickford to construct a 64-unit assisted living facility.

The construction loans are secured by first mortgage liens on substantially all real and personal property as well as a pledge of any and all leases or agreements which may grant a right of use to the property. Usual and customary covenants extend to the agreements, including the borrower’s obligation for payment of insurance and taxes. NHI has a fair market value purchase option on the properties at stabilization of the underlying operations. On these development projects, Bickford as borrower is entitled to up to $2,000,000 per project in incentives based on the achievement of predetermined operational milestones and, if funded, will increase NHI's future purchase price and eventual NHI lease payment.

Our loans to Bickford represent a variable interest and Bickford is considered a VIE. We have concluded that we are not the primary beneficiary.

Life Care Services - Timber Ridge

In February 2015, we entered into a loan agreement in which the proceeds were used to fund the construction of Phase II of Timber Ridge at Talus, a Type-A continuing care retirement community in Issaquah, Washington. The outstanding balance due from LCS-Westminster Partnership III LLP (“LCS-WP III”), an affiliate of LCS and the manager of the facility, was $59,350,000 as of January 31, 2020, when we acquired the property and Timber Ridge PropCo assumed the debt (see Note 3) which was increased to $81,000,000 as part of the transaction. To provide working capital in support of the CCRC’s entry-fee model, NHI agreed to supply a revolving line of credit permitting draws up to a maximum of $5,000,000. See Note 5 for more information about our equity-method investment in Timber Ridge OpCo.

Life Care Services - Sagewood

In December 2018, we entered into an agreement to lend LCS-Westminster Partnership IV LLP (“LCS-WP IV”), an affiliate of LCS, the manager of the facility, up to $180,000,000. The loan agreement conveys a mortgage interest and will facilitate the construction of Phase II of Sagewood, a Type-A Continuing Care Retirement Community in Scottsdale, AZ. As an affiliate of a larger company, LCS-WP IV is structured to limit liability for potential damage claims, is capitalized to achieve that purpose and is considered a VIE. As discussed more fully in Note 2, we have concluded that we are not the primary beneficiary.

The loan conveys a mortgage interest in the form of two notes under a master credit agreement. The senior note (“Note A”) totals $118,800,000 at a 7.25% interest rate with 10 basis-point annual escalators after three years and has a term of 10 years. We have funded $82,689,000 of Note A as of June 30, 2020. Note A is interest-only and is locked to prepayment until January 2021. After 2020, the prepayment penalty starts at 2% and declines to 1% in 2022. The second note (“Note B”) is a construction loan for up to $61,200,000 at an annual interest rate of 8.5% and carries a maturity of five years. The total amount funded on Note B was $61,200,000 as of June 30, 2020.

Senior Living Communities

In December 2014, we provided a revolving line of credit, the maturity of which mirrors the 15-year term of the master lease. Borrowings are used primarily to finance construction projects within the Senior Living portfolio, including building additional units and may also be used to meet general working capital needs. The facility was amended in December 2019, to reduce availability to $12,000,000 with a further reduction in capacity to $7,000,000 beginning January 1, 2022 through lease maturity in December 2029. Also effective in December 2019, a sub-limit on the availability of funding for working capital needs was established at $10,000,000 for this loan, extending through January 1, 2022, at which time the limit is to be reduced to $5,000,000. At June 30, 2020, the $10,996,000 outstanding under the facility bears interest at 6.66% per annum, the prevailing 10-year U.S. Treasury rate plus 6%.

NHI had two mezzanine loans of up to $12,000,000 and $2,000,000, respectively, to affiliates of Senior Living, whose purpose was to partially fund construction of a 186-unit senior living campus on Daniel Island in South Carolina, which opened in April 2018. The loans bore interest, payable monthly, at a 10% annual rate. The fully drawn loan balances including accrued interest were paid in full on July 31, 2020.

Our loans to Senior Living and its subsidiaries represent a variable interest. Senior Living is structured to limit liability for potential claims for damages, is appropriately capitalized for that purpose and is considered a VIE. As discussed more fully in Note 2, we have concluded that we are not the primary beneficiary of Senior Living.

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Equity Method Investment

6 Months Ended

Jun. 30, 2020

Equity Method Investments and Joint Ventures [Abstract]

Equity Method Investments and Joint Ventures Disclosure

Note 5. Equity Method Investment

Equity Method Investment

As discussed in Note 2, our investment in the operating company, Timber Ridge OpCo, held by our Taxable REIT Subsidiary (“TRS”) and recorded in the initial amount of $875,000, arose in conjunction with the acquisition of a CCRC from LCS-WP III. We structured our arrangement with our JV partner, LCS Timber Ridge LLC, to be compliant with the provisions of the REIT Investment Diversification and Empowerment Act of 2007 (“RIDEA”) which permits NHI to receive rent payments through a triple-net lease between Timber Ridge PropCo, the property company, and Timber Ridge OpCo and is designed to give NHI the opportunity to capture additional value on the improving performance of the operating company through distributions from the TRS. Accordingly, the TRS holds our 25% equity interest in Timber Ridge OpCo in order to provide an organizational structure that will allow the TRS to engage in a broad range of activities and share in cash-flows that would otherwise be non-qualifying income under the REIT gross income tests.

Timber Ridge OpCo’s activities are managed through an “eligible independent contractor” subject to the oversight of Timber Ridge OpCo’s board. This organizational structure meets the requirements of Internal Revenue Code regulations for TRS entities. LCS is the managing member of Timber Ridge OpCo, although we have retained specific non-controlling rights. As a result of LCS’s retention of operations oversight and control over all day-to-day business matters, our participating influence at Timber Ridge OpCo does not amount to control of the entity.

As part of our acquisition of the Timber Ridge property in January 2020, we accepted the property subject to trust liens previously granted to residents of Timber Ridge. Beginning in 2008, early residents of Timber Ridge executed loans to the then owner/operators backed by liens and entered into a Deed of Trust and Indenture of Trust (the “Deed and Indenture”) for the benefit of the trustee (now Wilmington Trust, N.A., “Trustee”) on behalf of all residents who made mortgage loans to the owner/operator in accordance with a resident agreement. The Deed and Indenture granted a security interest in the Timber Ridge property to secure the loans made by the early residents of the property. Subsequent to these early transactions, the practice was discontinued at Timber Ridge.

Our entry into the Timber Ridge joint venture involved the separation of the existing owner/operator configuration into property and operating companies. Accomplishing the split required the allocation of assets and liabilities of the previously unified entity. Timber Ridge PropCo acquired the Timber Ridge property, subject to the resident mortgages secured by the Deed and Indenture. Accordingly, the remaining outstanding “old” loans made by the residents are still secured by a security interest in the Timber Ridge property. The trustee for all of the residents who made “old” loans in accordance with the resident agreements, entered into a subordination agreement concurrent with our acquisition, pursuant to which the Trustee acknowledged and confirmed that the security interests created under the Deed and Indenture were subordinate to any security interests granted in connection with the loan made by NHI to Timber Ridge PropCo.

With the periodic settlement of some of the outstanding resident loans in the course of normal entrance-fee community operations, the balance owing on the Deed and Indenture at the date of our acquisition on January 31, 2020 had been reduced to $20,063,000 and was further reduced to $17,530,000 at June 30, 2020. By terms of the resident loan assumption agreement, during the term of the lease (7 years with two renewal options), Timber Ridge OpCo is to indemnify Timber Ridge PropCo for any repayment by Timber Ridge PropCo of these liabilities under the guarantee. NHI estimates that no material outflow of cash will result from Timber Ridge PropCo’s secondary obligation as guarantor under the resident mortgages. Accordingly, no liability was recorded on NHI’s books for the guarantee obligation upon acquisition and as of June 30, 2020.

Timber Ridge OpCo meets the criteria to be considered a VIE. However, we are not the primary beneficiary of Timber Ridge OpCo as our participating rights do not give us the power to direct the activities that most significantly impact Timber Ridge OpCo’s economic performance. As a result, we report our investment in Timber Ridge OpCo under the equity method of accounting as prescribed by ASC Topic 970, Real Estate - General, Subtopic 323-30 Equity Method and Joint Ventures. Our equity share in the losses of Timber Ridge OpCo during the three months and six months ended June 30, 2020 was $848,000 and$1,290,000. Under the equity method, we decrease the carrying value of our investment for losses in the entity and distributions to NHI for cumulative amounts up to and including our basis plus any commitments to fund operations. As of June 30, 2020, we have recognized our share of Timber Ridge OpCo’s operating losses in excess of our initial investment. These cumulative losses in excess of our basis of $414,000 are included in accounts payable and accrued expenses in our Condensed Consolidated Balance Sheets. Our commitments are currently limited to an additional $5,000,000 under a revolving credit facility.

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Debt

6 Months Ended

Jun. 30, 2020

Debt Instruments [Abstract]

Debt Disclosure

Debt

Debt consists of the following (in thousands):

	June 30, 2020		December 31, 2019
Revolving credit facility - unsecured	$	413,000	$	300,000
Bank term loans - unsecured	550,000		550,000
Private placement term loans - unsecured	400,000		400,000
HUD mortgage loans - secured, non-recourse	41,743		42,138
Fannie Mae term loans - secured, non-recourse	95,532		95,706
Convertible senior notes - unsecured	59,898		59,697
Unamortized loan costs	(5,932)		(7,076)
	$	1,554,241	$	1,440,465

The HUD loans are presented in the table above net of discounts of $1,198,000 and $1,238,000 as of June 30, 2020 and December 31, 2019, respectively. The Convertible Senior Notes are presented in the table above net of discounts of $102,000 and $303,000 as of June 30, 2020 and December 31, 2019, respectively.

Aggregate principal maturities of debt as of June 30, 2020 are as follows (in thousands):

Remainder of 2020	$	621
2021	61,279
2022	664,328
2023	476,378
2024	76,429
2025	144,800
Thereafter	137,638
	1,561,473
Less: discount	(1,300)
Less: unamortized loan costs	(5,932)
	$	1,554,241

Revolving credit facility and bank term loans - unsecured

Our unsecured bank credit facility consists of $250,000,000 and $300,000,000 term loans and a $550,000,000 revolving credit facility. The $250,000,000 term loan and $550,000,000 revolving facility mature in August 2022, and the $300,000,000 term loan matures in September 2023. On March 22, 2019 and June 28, 2019, we entered into swap agreements to fix the interest rates on $340,000,000 of term loans and $60,000,000 of our revolving credit facility through December 2021, when LIBOR is scheduled for discontinuation.

The revolving facility fee is currently 20 basis points per annum, and based on our current leverage ratios, the facility presently provides for floating interest on the revolver and the term loans at 30-day LIBOR plus 120 basis points and a blended 132 basis points, respectively. At June 30, 2020 and December 31, 2019, 30-day LIBOR was 16 basis points and 176 basis points, respectively. Through June 2020, the Company utilized $610 million in interest rate swaps, designated as cash flow hedges, to fix the variable interest rate on the amounts outstanding on our term loans and revolving credit facility. On June 29 and 30, 2020, $80 million and $130 million of these hedges expired. As of June 30, 2020, we had $563,000,000 of outstanding variable rate debt exposed to interest rate risk through December 2021, at which time our remaining hedges expire. Our swaps and the financial instruments to which they relate are described in the table below, under the caption “Interest Rate Swap Agreements.”

At June 30, 2020, we had $137,000,000 available to draw on the revolving portion of our credit facility, subject to usual and customary covenants. Among other stipulations, the unsecured credit facility agreement requires that we maintain certain financial ratios within limits set by our creditors. At June 30, 2020, we were in compliance with these ratios.

On July 9, 2020, we entered into a one-year $100,000,000 term loan bearing interest at 30-day LIBOR (with a 50 basis point floor) plus 185 basis points. The term loan provides us with the option to extend the maturity by one year subject to the payment of a 20 basis point extension fee. The term loan proceeds were used to reduce the outstanding balance on our revolving credit facility.

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

Private placement term loans - unsecured

Our unsecured private placement term loans, payable interest-only, are summarized below ($ in thousands):

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

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

HUD mortgage loans

Our HUD mortgage loans are secured by ten properties leased to Bickford and have a net book value of $48,287,000 at June 30, 2020. Nine mortgage notes require monthly payments of principal and interest from 4.3% to 4.4% (inclusive of mortgage insurance premiums) and mature in August and October 2049. These nine HUD mortgage loans are subject to prepayment penalty until the third quarter of 2024. One additional HUD mortgage loan assumed in 2014, at a discount, requires monthly payments of principal and interest of 2.9% (inclusive of mortgage insurance premium) and matures in October 2047. As of June 30, 2020, the loan has an outstanding principal balance of $8,385,000 and a carrying value of $7,187,000, which approximates fair value.

Fannie Mae term loans - secured, non-recourse

In March 2015 we obtained $78,084,000 in Fannie Mae financing. The term-debt financing consists of interest-only payments at an annual rate of 3.79% and a 10-year maturity. The mortgages are non-recourse and secured by thirteen properties leased to Bickford. In a December 2017 acquisition, we assumed additional Fannie Mae debt that amortizes through 2025 when a balloon payment will be due, is subject to prepayment penalties until 2024, bears interest at a nominal rate of 4.60%, and has a remaining balance of $17,448,000 at June 30, 2020. All together, these notes are secured by facilities having a net book value of $132,042,000 at June 30, 2020.

Convertible senior notes - unsecured

In March 2014 we issued $200,000,000 of 3.25% senior unsecured convertible notes due April 2021 (the “Notes”) with interest payable April 1st and October 1st of each year. The Notes were convertible at an initial rate of 13.93 shares of common stock per $1,000 principal amount, representing a conversion price of approximately $71.81 per share for a total of approximately 2,785,200 underlying shares. The conversion rate is subsequently adjusted upon each occurrence of certain events, as defined in the indenture governing the Notes, including the payment of dividends at a rate exceeding that prevailing in 2014. The conversion option was accounted for as an “optional net-share settlement conversion feature,” meaning that upon conversion, NHI’s conversion obligation may be satisfied, at our option, in cash, shares of common stock or a combination of cash and shares of common stock. Because we have the ability and intent to settle the convertible securities in cash upon exercise, we use the treasury stock method to account for potential dilution in the calculation of earnings per diluted share.

In December 2019, through the issuance of common stock and cash we retired $60,000,000 of our convertible notes. Settlement of the notes requires management to allocate the consideration we ultimately pay between the debt component and the equity conversion feature as though they were separate instruments. The allocation is effected by recording the fair value of the debt component first, with any remainder allocated to the conversion feature. Amounts expended to settle the notes are recognized first as a settlement of the notes at our carrying value and then are recognized in income to the extent the portion allocated to the debt instrument differs from carrying value. The remainder of the allocation, if any, is treated as settlement of equity and adjusted through our capital in excess of par account.

As of June 30, 2020, our $60,000,000 of senior unsecured convertible notes were convertible at a rate of 14.80 shares of common stock per $1,000 principal amount, representing a conversion price of approximately $67.58 per share for a total of 887,856 shares on the remaining $60,000,000 of senior unsecured convertible notes. For the three and six months ended June 30, 2020, there was no dilution resulting from the conversion option within our convertible debt. If our current share price increases above the adjusted $67.58 conversion price, dilution may become attributable to the conversion feature. At June 30, 2020, the face amount of the convertible debt exceeded its value on conversion, when value on conversion was computed as if the debt were immediately eligible to convert.

Interest Rate Swap Agreements

Our existing interest rate swap agreements will collectively continue through December 2021 to hedge against fluctuations in variable interest rates applicable to $400,000,000 of our bank loans. On June 29 and 30, 2020, there were $210,000,000 notional amount of swaps that matured. During the next year, approximately $7,094,000 of losses, which are included in accumulated other comprehensive loss, are projected to be reclassified into earnings.

Through June 30, 2020, we employed the following interest rate swap contracts to mitigate our interest rate risk on our bank term and revolver loans described above ($ in thousands):

Date Entered	Maturity Date	Swap Rate	Rate Index	Notional Amount		Fair Value (Liability)
June 2013	June 2020	2.11%	1-month LIBOR	$	80,000	$	—
March 2014	June 2020	2.16%	1-month LIBOR	$	130,000	$	—
March 2019	December 2021	2.22%	1-month LIBOR	$	100,000	$	(3,143)
March 2019	December 2021	2.21%	1-month LIBOR	$	100,000	$	(3,163)
June 2019	December 2021	1.61%	1-month LIBOR	$	150,000	$	(3,316)
June 2019	December 2021	1.63%	1-month LIBOR	$	50,000	$	(1,115)

If the fair value of the hedge is an asset, we include it in our Condensed Consolidated Balance Sheets among other assets, and, if a liability, as a component of accounts payable and accrued expenses. See Note 11 for fair value disclosures about our interest rate swap agreements. Net liability balances for our hedges included as components of accounts payable and accrued expenses on June 30, 2020 and December 31, 2019, were $10,737,000 and $3,434,000, respectively.

The following table summarizes interest expense (in thousands):

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2020		2019		2020		2019
Interest expense on debt at contractual rates	$	10,569	$	13,355	$	23,572	$	26,429
Losses reclassified from accumulated other
comprehensive income (loss) into interest expense	2,263		(350)		2,755		(641)
Capitalized interest	(19)		(158)		(117)		(315)
Amortization of debt issuance costs and debt discount	744		899		1,487		1,791
Total interest expense	$	13,557	$	13,746	$	27,697	$	27,264

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Commitments And Contingencies

6 Months Ended

Jun. 30, 2020

Commitments and Contingencies Disclosure [Abstract]

Commitments And Contingencies

Commitments, Contingencies and Uncertainties

In the normal course of business, we enter into a variety of commitments, typically consisting of funding of revolving credit arrangements, construction and mezzanine loans to our operators to conduct expansions and acquisitions for their own account, and commitments for the funding of construction for expansion or renovation to our existing properties under lease. In our leasing operations, we offer to our tenants and to sellers of newly acquired properties a variety of inducements which originate contractually as contingencies but which may become commitments upon the satisfaction of the contingent event. Contingent payments earned will be included in the respective lease bases when funded. The tables below summarize our existing, known commitments and contingencies as of June 30, 2020 according to the nature of their impact on our leasehold or loan portfolios. ($ in thousands)

	Asset Class	Type	Total		Funded		Remaining
Loan Commitments:
LCS Sagewood Note A	SHO	Construction	$	118,800	$	(82,689)	$	36,111
LCS Sagewood Note B	SHO	Construction	61,200		(61,200)		—
Bickford Senior Living	SHO	Construction	42,900		(28,744)		14,156
Senior Living Communities	SHO	Revolving Credit	12,000		(10,996)		1,004
41 Management	SHO	Construction	10,800		(8,353)		2,447
Timber Ridge OpCo	SHO	Working Capital	5,000		—		5,000
Watermark Retirement	SHO	Working Capital	5,000		—		5,000
Discovery Senior Living	SHO	Working Capital	750		(475)		275
			$	256,450	$	(192,457)	$	63,993

As provided above, loans funded do not include the effects of discounts or commitment fees. Our loans and loan commitments to 41 Management, LLC (“41 Management”) represent a variable interest. 41 Management is structured to limit liability for potential claims for damages, is capitalized to achieve that purpose and is considered a VIE. On June 12, 2020, we provided a $5,000,000 loan commitment to Watermark Retirement to provide working capital liquidity in connection with the renewal of an existing lease on two continuing care retirement communities.

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

The liability for expected credit losses on our unfunded loans is presented in the following table for the six months ended June 30, 2020 ($ in thousands):

Beginning balance January 1, 2020 (upon adoption of ASU 2016-13)	$	325
Benefit to expected credit losses	(94)
Balance at June 30, 2020	$	231

	Asset Class	Type	Total		Funded		Remaining
Development Commitments:
Ignite Medical Resorts	SNF	Construction	$	25,350	$	(23,114)	$	2,236
Woodland Village	SHO	Renovation	7,515		(7,425)		90
Senior Living Communities	SHO	Renovation	9,930		(9,763)		167
Wingate Healthcare	SHO	Renovation	1,900		(818)		1,082
Discovery Senior Living	SHO	Renovation	900		(586)		314
Navion Senior Solutions	SHO	Construction	650		—		650
41 Management	SHO	Renovation	400		—		400
			$	46,645	$	(41,706)	$	4,939

In addition to the commitments listed above, Discovery PropCo has committed to Discovery for funding up to $2,000,000 toward the purchase of condominium units located at one of the facilities. As of June 30, 2020, we have funded $968,000 toward this commitment. On May 1, 2020, we completed development of a 144 unit skilled nursing facility located in Wisconsin which will be operated by Ignite Medical Resorts.

As of June 30, 2020, we had $31,850,000 of contingent lease inducement commitments in six lease agreements which are generally based on the performance of facility operations and may or may not be met by the tenant. At June 30, 2020, we had funded $500,000 toward these commitments.

COVID-19 Pandemic Contingencies

The World Health Organization declared COVID-19 a pandemic on March 11, 2020. The continually evolving pandemic has resulted in a widespread health crisis adversely affecting governments, businesses, and financial markets. In response to the COVID-19 pandemic, many state, local and federal agencies instituted various health and safety measures including temporary closures of many businesses, “shelter in place” orders, and social distancing guidelines that remain in place to some degree. The COVID-19 pandemic and related health and safety measures have created a significant strain on the operations of many of our tenants, operators and borrowers.

We have not granted any rent concessions to tenants as a result of the COVID-19 pandemic as of June 30, 2020. Effective July 1, 2020, we agreed to defer $2,100,000 in rent due for the third quarter of 2020 from Bickford with half of the deferral being escrowed with the Company. We have also executed a non-binding letter of intent with Bickford to negotiate the potential sale to Bickford, or to other third parties, of nine properties currently leased to Bickford at a price in excess of the Company’s gross book value of approximately $76,658,000 as of June 30, 2020. Rental income from this portfolio for the six months ended June 30, 2020 totaled $4,464,000, including $151,000 in straight-line rent. Bickford’s obligation to repay the deferred rent will be forgiven and the escrowed funds returned provided the transaction is closed no later than December 31, 2020.

We will evaluate any rent deferral requests as a result of the COVID-19 pandemic on a tenant-by-tenant basis. The extent of future concessions we make as a result of the COVID-19 pandemic, which could have a material impact on our future operating results, cannot be reasonably or reliably projected by us at this time.

We have evaluated the impacts of COVID-19 on our operations thus far and incorporated COVID-19 information, where possible, into our assessments of liquidity, asset impairments, and collectability of amounts due from tenants and borrowers as of June 30, 2020. The extent of the impact of COVID-19 on our financial condition, results of operations and cash flows, in the near term, will depend on future developments which are highly uncertain and cannot be predicted at this time. We will continue to monitor for any material or adverse effects resulting from the COVID-19 pandemic.

Litigation

Our facilities are subject to claims and suits in the ordinary course of business. Our lessees and borrowers have indemnified, and are obligated to continue to indemnify us, against all liabilities arising from the operation of the facilities, and are further obligated to indemnify us against environmental or title problems affecting the real estate underlying such facilities. While there may be lawsuits pending against certain of the owners and/or lessees of the facilities, management believes that the ultimate resolution of all such pending proceedings will have no direct material adverse effect on our financial condition, results of operations or cash flows.

In June 2018, East Lake Capital Management LLC and certain related entities, including Regency (for three assisted living facilities in Tennessee, Indiana and North Carolina), filed suit against NHI in Texas seeking injunctive and declaratory relief and unspecified monetary damages. NHI responded with counterclaims and filed motions requesting the immediate appointment of a receiver and for pre-judgment possession. Resulting from these claims and counterclaims, on December 6, 2018, the parties entered into an agreement resulting in Regency vacating the facilities in December 2018. Litigation is ongoing.

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Equity

6 Months Ended

Jun. 30, 2020

Equity [Abstract]

Stockholders' Equity Note Disclosure

Note 8. Equity and Dividends

Additional Common Shares Authorized

At our annual meeting on May 6, 2020, our stockholders approved an amendment to the Articles of Incorporation to increase the number of authorized common shares from 60,000,000 to 100,000,000.

At-the-Market (ATM) Equity Program

In March 2020 the Company entered into a new ATM equity offering sales agreement pursuant to which the Company may sell, from time to time, up to an aggregate sales price of $500,000,000 of the Company’s common shares through the ATM equity program. The Company terminated its previously existing ATM equity program, dated February 22, 2017, upon entering into the new agreement. No common stock has been issued under the ATM equity programs during the six months ended June 30, 2020 and 618,654 shares were issued during the six months ended June 30, 2019 for $47,999,000 in net proceeds.

Dividends

The following table summarizes dividends declared by the Board of Directors or paid during the six months ended June 30, 2020 and 2019:

Six Months Ended June 30, 2020
Date of Declaration	Date of Record	Date Paid/Payable	Quarterly Dividend
November 7, 2019	December 31, 2019	January 31, 2020	$1.05
February 19, 2020	March 30, 2020	May 8, 2020	$1.1025
June 15, 2020	June 30, 2020	August 7, 2020	$1.1025

Six Months Ended June 30, 2019
Date of Declaration	Date of Record	Date Paid/Payable	Quarterly Dividend
December 17, 2018	December 28, 2018	January 31, 2019	$1.00
February 19, 2019	March 29, 2019	May 10, 2019	$1.05
May 7, 2019	June 28, 2019	August 9, 2019	$1.05

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Stock-Based Compensation

6 Months Ended

Jun. 30, 2020

Deferred Compensation Arrangements [Abstract]

Stock-Based Compensation

Note 9. Stock-Based Compensation

We have two incentive plans – the 2012 Stock Incentive Plan (“2012 Plan”) and the 2019 Stock Incentive Plan (“2019” Plan”). As of June 30, 2020, shares available for future grants totaled 2,730,169. Stock options granted during 2020 under the 2012 Plan totaled 319,669. No shares remain available for issuance under the 2012 Plan. The following is a summary of stock-based compensation expense, net of forfeitures, included in General and administrative expenses in the Condensed Consolidated Statements of Income ($ in thousands):

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2020		2019		2020		2019
Non-cash stock-based compensation expense	$	470	$	477	$	2,315	$	2,478

The weighted average fair value of options granted during the six months ended June 30, 2020 and 2019 was $5.57 and $6.17 per option, respectively. The fair value of each grant is estimated on the date of grant using the Black-Scholes option-pricing model with the following weighted average assumptions:

	2020	2019
Dividend yield	5.1%	5.5%
Expected volatility	17.1%	18.6%
Expected lives	2.9 years	2.9 years
Risk-free interest rate	1.30%	2.50%

The following table summarizes our outstanding stock options:

			Weighted Average
	Number	Weighted Average	Remaining
	of Shares	Exercise Price	Contractual Life (Years)
Options outstanding January 1, 2019	920,346	$69.24
Options granted	602,000	$79.96
Options exercised	(367,830)	$71.14
Options outstanding, June 30, 2019	1,154,516	$74.26
Exercisable at June 30, 2019	663,997	$73.64
Options outstanding January 1, 2020	1,004,014	$74.35
Options granted	592,000	$90.32
Options exercised	(512,509)	$72.98
Options forfeited	(10,500)	$88.73
Options outstanding, June 30, 2020	1,073,005	$83.68	3.95
Exercisable at June 30, 2020	601,994	$81.09	3.65

For options outstanding and exercisable at June 30, 2020, the exercise price exceeds the closing price of our common stock. The aggregate intrinsic value of stock options exercised during the six months ended June 30, 2020 and 2019 was $8,118,000 or $15.84 per share and $4,100,000 or $11.00 per share, respectively.

As of June 30, 2020, unrecognized compensation expense totaling $1,703,000 associated with unvested stock options is expected to be recognized over the following periods: remainder of 2020 - $915,000, 2021 - $706,000 and 2022 - $82,000.

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Earnings and Dividends Per Share

6 Months Ended

Jun. 30, 2020

Earnings Per Share [Abstract]

Earnings Per Share

Earnings Per Common Share

The weighted average number of common shares outstanding during the reporting period is used to calculate basic earnings per common share. Diluted earnings per common share assume the exercise of stock options and the conversion of our convertible debt using the treasury stock method, to the extent dilutive. If our average stock price for the period increases over the conversion price of our convertible debt, the conversion feature will be considered dilutive.

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

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2020		2019		2020		2019
Net income attributable to common stockholders	$	44,368	$	39,979	$	105,392	$	75,658
BASIC:
Weighted average common shares outstanding	44,650,002		43,232,384		44,631,797		43,029,104
DILUTED:
Weighted average common shares outstanding	44,650,002		43,232,384		44,631,797		43,029,104
Stock options	—		66,145		2,273		70,920
Convertible subordinated debentures	—		199,492		—		211,503
Weighted average dilutive common shares outstanding	44,650,002		43,498,021		44,634,070		43,311,527
Net income attributable to common stockholders - basic	$	0.99	$	0.92	$	2.36	$	1.76
Net income attributable to common stockholders - diluted	$	0.99	$	0.92	$	2.36	$	1.75
Incremental anti-dilutive shares excluded:
Net share effect of stock options with an exercise price in excess of the average market price for our common shares	610,367		40,173		439,962		21,227
Regular dividends declared per common share	$	1.1025	$	1.05	$	2.205	$	2.10

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Fair Value Of Financial Instruments

6 Months Ended

Jun. 30, 2020

Fair Value Of Financial Instruments [Abstract]

Fair Value Disclosures [Text Block]

Fair Value of Financial Instruments

Our financial assets and liabilities measured at fair value (based on the hierarchy of the three levels of inputs described in Note 1 to the consolidated financial statements contained in our most recent Annual Report on Form 10-K) on a recurring basis include derivative financial instruments. Derivative financial instruments include our interest rate swap agreements.

Derivative financial instruments. Derivative financial instruments are valued in the market using discounted cash flow techniques. These techniques incorporate Level 1 and Level 2 inputs. The market inputs are utilized in the discounted cash flow calculation considering the instrument’s term, notional amount, discount rate and credit risk. Significant inputs to the derivative valuation model for interest rate swaps are observable in active markets and are classified as Level 2 in the hierarchy.

Liabilities measured at fair value on a recurring basis are as follows (in thousands):

		Fair Value Measurement
	Balance Sheet Classification	June 30, 2020		December 31, 2019
Level 2
Interest rate swap liability	Accounts payable and accrued expenses	$	(10,737)	$	(3,434)

Carrying amounts and fair values of financial instruments that are not carried at fair value at June 30, 2020 and December 31, 2019 in the Condensed Consolidated Balance Sheets are as follows (in thousands):

	Carrying Amount				Fair Value Measurement
	June 30, 2020		December 31, 2019		June 30, 2020		December 31, 2019
Level 2
Variable rate debt	$	959,579	$	845,744	$	963,000	$	850,000
Fixed rate debt	$	594,662	$	594,721	$	635,787	$	602,926
Level 3
Mortgage and other notes receivable	$	300,130	$	340,143	$	333,415	$	347,543

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

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

Carrying amounts of cash and cash equivalents and restricted cash, accounts receivable and accounts payable approximate fair value due to their short-term nature. The fair value of our borrowings under our revolving credit facility and other variable rate debt are reasonably estimated at their notional amounts at June 30, 2020 and December 31, 2019, due to the predominance of floating interest rates, which generally reflect market conditions.

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Significant Accounting Policies (Policy)

6 Months Ended

Jun. 30, 2020

Policy Text Block [Abstract]

Basis of Accounting, Policy

Basis of Presentation

The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) for interim financial statements. In our opinion, the accompanying unaudited condensed consolidated financial statements reflect all adjustments consisting of normal recurring adjustments necessary for a fair presentation. Interim results of operations are not necessarily indicative of the results that may be achieved for a full year. The condensed consolidated financial statements and related notes do not include all information and footnotes required by GAAP for annual reports. These interim condensed consolidated financial statements should be read in conjunction with our audited consolidated financial statements and notes thereto as of and for the year ended December 31, 2019, included in our 2019 Annual Report on Form 10-K filed with the Securities and Exchange Commission (the “SEC”).

Consolidation, Policy

Principles of Consolidation

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

At June 30, 2020, we held interests in eight unconsolidated VIEs, and, because we lack either directly or through related parties the power to direct the activities that most significantly impact their economic performance, we have concluded that NHI is not the primary beneficiary. Accordingly, we account for our transactions with these entities and their subsidiaries at either amortized cost or net realizable value for straight-line receivables, excluding Timber Ridge OpCo which is accounted for under the equity-method.

NHI’s VIEs are summarized below by date of initial involvement. For further discussion of the nature of the relationships, including the sources of exposure to these VIEs, see the notes to our condensed consolidated financial statements cross-referenced below.

Date	Name	Source of Exposure	Carrying Amount		Maximum Exposure to Loss		Note Reference
2012	Bickford Senior Living	Various1	$	60,708,000	$	74,864,000	Notes 3, 4
2014	Senior Living Communities	Notes and straight-line receivable	$	93,401,000	$	97,404,000	Notes 3, 4
2016	Senior Living Management	Notes and straight-line receivable	$	26,969,000	$	26,969,000	—
2017	Evolve Senior Living	Notes	$	9,958,000	$	9,958,000	—
2018	Sagewood, LCS affiliate	Notes	$	142,586,000	$	178,697,000	Note 4
2019	41 Management, LLC	Notes and straight-line receivable	$	12,868,000	$	15,315,000	Note 7
2020	Timber Ridge OpCo	Various2	$	(414,000)	$	4,586,000	Notes 3, 5
2020	Watermark Retirement	Notes and straight-line receivable	$	3,628,000	$	8,628,000	Note 7

¹ Notes, loan commitments, straight-line rent receivables, and unamortized lease incentives

² Loan commitment, equity method investment and straight-line rent receivables

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

We consolidate two real estate partnerships formed with our partners, Discovery Senior Housing Investor XXIV, LLC, (“Discovery”) and LCS Timber Ridge LLC (“LCS”) to invest in senior housing facilities. As of and for the six months ended June 30, 2020, our non-controlling interests relate to these partnerships with Discovery and LCS.

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

Cash and Cash Equivalents, Restricted Cash and Cash Equivalents, Policy [Policy Text Block]

Cash and Cash Equivalents and Restricted Cash

Cash equivalents consist of all highly liquid investments with an original maturity of three months or less. Restricted cash includes amounts required to be held on deposit with a qualified intermediary subject to an Internal Revenue Code §1031 exchange agreement or in accordance with agency agreements governing our Fannie Mae and U.S. Department of Housing and Urban Development (“HUD”) mortgages.

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

	June 30, 2020		June 30, 2019
Cash and cash equivalents	$	46,853	$	5,635
Restricted cash (included in Other assets)	18,565		10,903
	$	65,418	$	16,538

New Accounting Pronouncements, Policy

New Accounting Pronouncements

For information about significant accounting policies, refer to the Company’s audited consolidated financial statements and notes thereto for the year ended December 31, 2019 included in the Company’s 2019 Annual Report on Form 10-K filed with the SEC. During the six months ended June 30, 2020, there were no material changes to these policies except as noted below.

With the adoption of Accounting Standards Update 2016-13, Financial Instruments - Credit Losses effective January 1, 2020, we estimate and record an allowance for credit losses upon origination of the loan, based on expected credit losses over the term of the loan and update this estimate quarterly as of the balance sheet date. We calculate the estimated credit losses on mortgages by pooling these loans into two groups – investments in existing or new mortgages and construction mortgages. Mezzanine and revolving lines of credit are evaluated at the individual loan level. We estimate the allowance for credit losses by utilizing a loss model that relies on future expected credit losses, rather than incurred losses. This loss model incorporates our historical experience, adjusted for current conditions and our forecasts, using the probability of default and loss given default method. Incorporated into the construction mortgage loss model is an estimate of the probability that NHI will acquire the property. Using the resulting estimate, a portion of the outstanding construction mortgage balance which we currently expect will be reduced by our acquisition of the underlying property when construction is complete, is deducted from the construction mortgage balance included in the expected loss calculation. Mezzanine loans and revolving lines of credit are also based on the loss model to recognize expected future credit losses and are applied to each individual loan using borrower specific information. We also perform a qualitative assessment beyond model estimates and apply adjustments as necessary. The credit loss estimate is based on the net amortized cost balance of our mortgage and other notes receivables as of the balance sheet date.

Calculation of the allowance for credit losses involves significant judgement. It is possible that actual credit losses will differ materially from our current estimates. Write-offs are deducted from the allowance for credit losses when we judge the principal to be uncollectable.

Upon adoption, we recorded an allowance for expected credit losses of $3,900,000 that is reflected as an adjustment to Mortgage and other notes receivable, net, in the Condensed Consolidated Balance Sheets and recorded a corresponding cumulative-effect adjustment to cumulative dividends in excess of net income. Upon adoption, we also recorded a $325,000 liability for estimated credit losses pertaining to unfunded loan commitments as a cumulative dividends in excess of net income. The corresponding credit loss liability is included in the financial statement caption Accounts payable and accrued expenses in the Condensed Consolidated Balance Sheets.

In March 2020, the Financial Accounting Standards Board (“FASB”) issued ASU 2020-04, Reference Rate Reform (Topic 848). ASU 2020-04 contains practical expedients for reference rate reform related activities that impact debt, leases, derivatives and other contracts. The guidance in ASU 2020-04 is optional and may be elected over time as reference rate reform activities occur. During the first quarter of 2020, the Company elected to apply the hedge accounting expedients related to probability and the assessments of effectiveness for future London Inter-bank Offered Rate (”LIBOR”) indexed cash flows to assume that the index upon which future hedged transactions will be based matches the index on the corresponding derivatives. Application of these expedients preserves the presentation of derivatives consistent with past presentation. We continue to evaluate the impact of the guidance and may apply other elections as applicable as additional changes in the market occur.

In April 2020, the FASB issued a question-and-answer document (the “Lease Modification Q&A”) focused on the application of lease accounting guidance to lease concessions provided as a result of the coronavirus pandemic (“COVID-19”). Prior to issuance of the Lease Modification Q&A, we would determine, on a lease-by-lease basis, if a lease concession was the result of a new arrangement reached with the tenant (treated within the lease modification accounting framework) or if a lease concession was under the enforceable rights and obligations within the existing lease agreement (precluded from applying the lease modification accounting framework). The Lease Modification Q&A clarifies that entities may elect not to evaluate whether lease-related relief provided to mitigate the economic effects of COVID-19 is a lease modification under ASC 842. Instead, an entity that elects not to evaluate whether a concession directly related to COVID-19 is a modification can then elect whether to apply the modification guidance (i.e., assume relief was always contemplated by the contract or assume the relief was not contemplated by the contract), with such election applied consistently to leases with similar characteristics and similar circumstances. During the six months ended June 30, 2020, the Company did not provide any lease concessions as a result of COVID-19. If lease concessions related to the effects of COVID-19 become necessary, NHI has elected to account for those concessions which do not substantially increase either our rights as lessor or the obligations of the tenant consistent with how those concessions would be accounted for as though the enforceable rights and obligations for those concessions existed under our leases. The future impact of the Lease Modification Q&A is dependent upon the nature and extent of lease concessions granted to tenants as a result of COVID-19 in future periods and the elections made by the Company at the time of entering into such concessions.

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Significant Accounting Policies (Tables)

6 Months Ended

Jun. 30, 2020

Accounting Policies [Abstract]

Schedule of Variable Interest Entities [Table Text Block]

NHI’s VIEs are summarized below by date of initial involvement. For further discussion of the nature of the relationships, including the sources of exposure to these VIEs, see the notes to our condensed consolidated financial statements cross-referenced below.

Date	Name	Source of Exposure	Carrying Amount		Maximum Exposure to Loss		Note Reference
2012	Bickford Senior Living	Various1	$	60,708,000	$	74,864,000	Notes 3, 4
2014	Senior Living Communities	Notes and straight-line receivable	$	93,401,000	$	97,404,000	Notes 3, 4
2016	Senior Living Management	Notes and straight-line receivable	$	26,969,000	$	26,969,000	—
2017	Evolve Senior Living	Notes	$	9,958,000	$	9,958,000	—
2018	Sagewood, LCS affiliate	Notes	$	142,586,000	$	178,697,000	Note 4
2019	41 Management, LLC	Notes and straight-line receivable	$	12,868,000	$	15,315,000	Note 7
2020	Timber Ridge OpCo	Various2	$	(414,000)	$	4,586,000	Notes 3, 5
2020	Watermark Retirement	Notes and straight-line receivable	$	3,628,000	$	8,628,000	Note 7

¹ Notes, loan commitments, straight-line rent receivables, and unamortized lease incentives

² Loan commitment, equity method investment and straight-line rent receivables

Schedule of Cash, Cash Equivalents and Restricted Cash [Table Text Block]

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

	June 30, 2020		June 30, 2019
Cash and cash equivalents	$	46,853	$	5,635
Restricted cash (included in Other assets)	18,565		10,903
	$	65,418	$	16,538

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Real Estate (Tables)

6 Months Ended

Jun. 30, 2020

Real Estate [Abstract]

New Real Estate Investments [Table Text Block]

During the six months ended June 30, 2020, we made the following real estate investments and related commitments ($ in thousands):

Operator	Date	Properties	Asset Class	Land		Improvements		Total
Bickford Senior Living	Q1 2020	1	SHO	$	1,588	$	13,512	$	15,100
Life Care Services	Q1 2020	1	SHO	4,370		130,522		134,892
Autumn Trace	Q2 2020	2	SHO	344		13,906		14,250
				$	6,302	$	157,940	$	164,242

Schedule of Tenant Concentrations

Tenant Concentration

The following table contains information regarding tenant concentration in our portfolio, based on the percentage of revenues for the six months ended June 30, 2020 and 2019, related to tenants or affiliates of tenants, that exceed 10% of total revenue ($ in thousands):

	as of June 30, 2020					Revenues2
	Number of	Real		Notes		Six Months Ended June 30,
	Properties	Estate		Receivable1		2020			2019
Senior Living Communities	10	$	573,631	$	57,675	$	26,140	16%	$	23,962	16%
Holiday Retirement	26	531,378		—		20,353		12%	20,106		13%
Bickford Senior Living	48	534,376		32,744		27,392		16%	26,122		17%
National HealthCare	42	171,297		—		18,904		11%	19,209		12%
All others		1,433,880		214,900		74,482			64,805
		$	3,244,562	$	305,319	$	167,271		$	154,204

¹ excludes estimated credit loss reserve of $5,189

² includes interest income on notes receivable

Schedule of Future Minimum Rental Payments for Operating Leases [Table Text Block]

Future minimum base rents due under the remaining non-cancelable terms of operating leases in place as of June 30, 2020, are as follows (in thousands):

Remainder of 2020	$	141,225
2021	281,081
2022	285,478
2023	281,615
2024	274,075
2025	267,462
Thereafter	1,394,428
	$	2,925,364

Schedule of Fixed and Variable Lease Payments [Table Text Block]

The table below indicates the revenue recognized as a result of fixed and variable lease escalators (in thousands):

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2020		2019		2020		2019
Lease payments based on fixed escalators	$	69,669	$	64,570	$	138,103	$	128,033
Lease payments based on variable escalators	1,400		1,195		2,764		2,366
Straight-line rent income	5,218		5,307		10,395		10,535
Escrow funds received from tenants	1,630		1,506		3,182		2,597
Rental income	$	77,917	$	72,578	$	154,444	$	143,531

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Mortgage And Other Notes Receivable (Tables)

6 Months Ended

Jun. 30, 2020

Mortgage and Other Notes Receivable [Abstract]

Financing Receivable Credit Quality Indicators

The credit quality indicator as of March 31, 2020, is presented below for the amortized cost, net by year of origination ($ in thousands):

	2020		2019		2018		2017		2016		Prior		Total
Mortgages
more than 1.5x	$	1,471	$	8,268	$	169,859	$	—	$	—	$	6,989	$	186,587
between 1.0x and 1.5x	—		3,854		—		—		10,000		—		13,854
below 1.0x	4,000		39,123		—		9,958		—		—		53,081
No coverage available	—		—		—		—		—		—		—
	5,471		51,245		169,859		9,958		10,000		6,989		253,522
Mezzanine
more than 1.5x	—		—		—		—		—		—		—
between 1.0x and 1.5x	—		—		—		—		14,472		—		14,472
below 1.0x	—		—		—		—		13,979		11,875		25,854
No coverage available	—		475		—		—		—		—		475
	—		475		—		—		28,451		11,875		40,801
Revolver
more than 1.5x													—
between 1.0x and 1.5x													10,996
below 1.0x													—
													10,996
									Credit loss reserve				(5,189)
													$	300,130

Schedule of Financing Receivable, Allowance for Credit Loss, Roll Forward

The allowance for expected credit losses for our commercial loans is presented in the following table for the six months ended June 30, 2020 ($ in thousands):

Beginning balance January 1, 2020 (upon adoption of ASU 2016-13)	$	3,900
Provision for expected credit losses	1,289
Balance June 30, 2020	$	5,189

Schedule of Accounts, Notes, Loans and Financing Receivable [Table Text Block]

At June 30, 2020, our construction loans to Bickford are summarized in the following table ($ in thousands):

Commencement	Rate	Maturity	Commitment		Drawn		Location
January 2018	9%	5 years	$	14,000	$	(13,377)	Virginia
July 2018	9%	5 years	14,700		(13,896)		Michigan
June 2020	9%	5 years	14,200		(1,471)		Virginia
			$	42,900	$	(28,744)

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Debt (Tables)

6 Months Ended

Jun. 30, 2020

Debt Instruments [Abstract]

Schedule of Debt

Debt consists of the following (in thousands):

	June 30, 2020		December 31, 2019
Revolving credit facility - unsecured	$	413,000	$	300,000
Bank term loans - unsecured	550,000		550,000
Private placement term loans - unsecured	400,000		400,000
HUD mortgage loans - secured, non-recourse	41,743		42,138
Fannie Mae term loans - secured, non-recourse	95,532		95,706
Convertible senior notes - unsecured	59,898		59,697
Unamortized loan costs	(5,932)		(7,076)
	$	1,554,241	$	1,440,465

Schedule of Maturities of Long-term Debt

Aggregate principal maturities of debt as of June 30, 2020 are as follows (in thousands):

Remainder of 2020	$	621
2021	61,279
2022	664,328
2023	476,378
2024	76,429
2025	144,800
Thereafter	137,638
	1,561,473
Less: discount	(1,300)
Less: unamortized loan costs	(5,932)
	$	1,554,241

Schedule of Unsecured Term Loans

Our unsecured private placement term loans, payable interest-only, are summarized below ($ in thousands):

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

Schedule of Interest Rate Derivatives

June 30, 2020, we employed the following interest rate swap contracts to mitigate our interest rate risk on our bank term and revolver loans described above ($ in thousands):

Date Entered	Maturity Date	Swap Rate	Rate Index	Notional Amount		Fair Value (Liability)
June 2013	June 2020	2.11%	1-month LIBOR	$	80,000	$	—
March 2014	June 2020	2.16%	1-month LIBOR	$	130,000	$	—
March 2019	December 2021	2.22%	1-month LIBOR	$	100,000	$	(3,143)
March 2019	December 2021	2.21%	1-month LIBOR	$	100,000	$	(3,163)
June 2019	December 2021	1.61%	1-month LIBOR	$	150,000	$	(3,316)
June 2019	December 2021	1.63%	1-month LIBOR	$	50,000	$	(1,115)

Schedule of Interest Expense

The following table summarizes interest expense (in thousands):

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2020		2019		2020		2019
Interest expense on debt at contractual rates	$	10,569	$	13,355	$	23,572	$	26,429
Losses reclassified from accumulated other
comprehensive income (loss) into interest expense	2,263		(350)		2,755		(641)
Capitalized interest	(19)		(158)		(117)		(315)
Amortization of debt issuance costs and debt discount	744		899		1,487		1,791
Total interest expense	$	13,557	$	13,746	$	27,697	$	27,264

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Commitments and Contingencies (Tables)

6 Months Ended

Jun. 30, 2020

Commitments and Contingencies Disclosure [Abstract]

Schedule of Loan Commitments [Table Text Block]

The tables below summarize our existing, known commitments and contingencies as of June 30, 2020 according to the nature of their impact on our leasehold or loan portfolios. ($ in thousands)

	Asset Class	Type	Total		Funded		Remaining
Loan Commitments:
LCS Sagewood Note A	SHO	Construction	$	118,800	$	(82,689)	$	36,111
LCS Sagewood Note B	SHO	Construction	61,200		(61,200)		—
Bickford Senior Living	SHO	Construction	42,900		(28,744)		14,156
Senior Living Communities	SHO	Revolving Credit	12,000		(10,996)		1,004
41 Management	SHO	Construction	10,800		(8,353)		2,447
Timber Ridge OpCo	SHO	Working Capital	5,000		—		5,000
Watermark Retirement	SHO	Working Capital	5,000		—		5,000
Discovery Senior Living	SHO	Working Capital	750		(475)		275
			$	256,450	$	(192,457)	$	63,993

As provided above, loans funded do not include the effects of discounts or commitment fees. Our loans and loan commitments to 41 Management, LLC (“41 Management”) represent a variable interest. 41 Management is structured to limit liability for potential claims for damages, is capitalized to achieve that purpose and is considered a VIE. On June 12, 2020, we provided a $5,000,000 loan commitment to Watermark Retirement to provide working capital liquidity in connection with the renewal of an existing lease on two continuing care retirement communities.

Off Balance Sheet, Credit Loss, Liability, Roll Forward

The liability for expected credit losses on our unfunded loans is presented in the following table for the six months ended June 30, 2020 ($ in thousands):

Beginning balance January 1, 2020 (upon adoption of ASU 2016-13)	$	325
Benefit to expected credit losses	(94)
Balance at June 30, 2020	$	231

Schedule of Lease Commitments [Table Text Block]

	Asset Class	Type	Total		Funded		Remaining
Development Commitments:
Ignite Medical Resorts	SNF	Construction	$	25,350	$	(23,114)	$	2,236
Woodland Village	SHO	Renovation	7,515		(7,425)		90
Senior Living Communities	SHO	Renovation	9,930		(9,763)		167
Wingate Healthcare	SHO	Renovation	1,900		(818)		1,082
Discovery Senior Living	SHO	Renovation	900		(586)		314
Navion Senior Solutions	SHO	Construction	650		—		650
41 Management	SHO	Renovation	400		—		400
			$	46,645	$	(41,706)	$	4,939

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Equity (Tables)

6 Months Ended

Jun. 30, 2020

Equity [Abstract]

Dividends Declared

The following table summarizes dividends declared by the Board of Directors or paid during the six months ended June 30, 2020 and 2019:

Six Months Ended June 30, 2020
Date of Declaration	Date of Record	Date Paid/Payable	Quarterly Dividend
November 7, 2019	December 31, 2019	January 31, 2020	$1.05
February 19, 2020	March 30, 2020	May 8, 2020	$1.1025
June 15, 2020	June 30, 2020	August 7, 2020	$1.1025

Six Months Ended June 30, 2019
Date of Declaration	Date of Record	Date Paid/Payable	Quarterly Dividend
December 17, 2018	December 28, 2018	January 31, 2019	$1.00
February 19, 2019	March 29, 2019	May 10, 2019	$1.05
May 7, 2019	June 28, 2019	August 9, 2019	$1.05

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Stock-Based Compensation (Tables)

6 Months Ended

Jun. 30, 2020

Deferred Compensation Arrangements [Abstract]

Share-based Payment Arrangement, Expensed and Capitalized, Amount

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

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2020		2019		2020		2019
Non-cash stock-based compensation expense	$	470	$	477	$	2,315	$	2,478

Schedule of Share-based Payment Award, Stock Options, Valuation Assumptions [Table Text Block]

The fair value of each grant is estimated on the date of grant using the Black-Scholes option-pricing model with the following weighted average assumptions:

	2020	2019
Dividend yield	5.1%	5.5%
Expected volatility	17.1%	18.6%
Expected lives	2.9 years	2.9 years
Risk-free interest rate	1.30%	2.50%

Schedule of Stock Option Activity

The following table summarizes our outstanding stock options:

			Weighted Average
	Number	Weighted Average	Remaining
	of Shares	Exercise Price	Contractual Life (Years)
Options outstanding January 1, 2019	920,346	$69.24
Options granted	602,000	$79.96
Options exercised	(367,830)	$71.14
Options outstanding, June 30, 2019	1,154,516	$74.26
Exercisable at June 30, 2019	663,997	$73.64
Options outstanding January 1, 2020	1,004,014	$74.35
Options granted	592,000	$90.32
Options exercised	(512,509)	$72.98
Options forfeited	(10,500)	$88.73
Options outstanding, June 30, 2020	1,073,005	$83.68	3.95
Exercisable at June 30, 2020	601,994	$81.09	3.65

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Earnings and Dividends Per Share (Tables)

6 Months Ended

Jun. 30, 2020

Earnings Per Share [Abstract]

Schedule of Earnings Per Share, Basic and Diluted

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

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2020		2019		2020		2019
Net income attributable to common stockholders	$	44,368	$	39,979	$	105,392	$	75,658
BASIC:
Weighted average common shares outstanding	44,650,002		43,232,384		44,631,797		43,029,104
DILUTED:
Weighted average common shares outstanding	44,650,002		43,232,384		44,631,797		43,029,104
Stock options	—		66,145		2,273		70,920
Convertible subordinated debentures	—		199,492		—		211,503
Weighted average dilutive common shares outstanding	44,650,002		43,498,021		44,634,070		43,311,527
Net income attributable to common stockholders - basic	$	0.99	$	0.92	$	2.36	$	1.76
Net income attributable to common stockholders - diluted	$	0.99	$	0.92	$	2.36	$	1.75
Incremental anti-dilutive shares excluded:
Net share effect of stock options with an exercise price in excess of the average market price for our common shares	610,367		40,173		439,962		21,227
Regular dividends declared per common share	$	1.1025	$	1.05	$	2.205	$	2.10

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Fair Value Of Financial Instruments Fair Value Of Financial Instruments (Tables)

6 Months Ended

Jun. 30, 2020

Fair Value Of Financial Instruments [Abstract]

Schedule of Assets and Liabilities Measured on Recurring Basis

iabilities measured at fair value on a recurring basis are as follows (in thousands):

		Fair Value Measurement
	Balance Sheet Classification	June 30, 2020		December 31, 2019
Level 2
Interest rate swap liability	Accounts payable and accrued expenses	$	(10,737)	$	(3,434)

Fair Value Measurements, Nonrecurring [Table Text Block]

Carrying amounts and fair values of financial instruments that are not carried at fair value at June 30, 2020 and December 31, 2019 in the Condensed Consolidated Balance Sheets are as follows (in thousands):

	Carrying Amount				Fair Value Measurement
	June 30, 2020		December 31, 2019		June 30, 2020		December 31, 2019
Level 2
Variable rate debt	$	959,579	$	845,744	$	963,000	$	850,000
Fixed rate debt	$	594,662	$	594,721	$	635,787	$	602,926
Level 3
Mortgage and other notes receivable	$	300,130	$	340,143	$	333,415	$	347,543

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Organization, Consolidation and Presentation of Financial Statements (Details) - Jun. 30, 2020 $ in Thousands	USD ($)	properties	Total	beds_or_units
Real Estate Investment Property, Portfolio Assets | $	$ 3,244,562
Nonportfolio Assets, Original Cost | $	2,575
Number of Properties		227
Number of States in which Entity Operates			34
Number of Lessees			34
Number of health care properties related to mortgage notes receivables		16		16
Loans and Leases Receivable, Gross | $	305,319
Financing Receivable, Allowance for Credit Loss | $	$ 5,189
Senior Housing Community [Member]
Number of Properties		150
Skilled Nursing Facility [Member]
Number of Properties		72
Hospital [Member]
Number of Properties		3
Medical Office Building [Member]
Number of Properties		2

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Significant Accounting Policies (Schedule of Variable Interest Entities) (Details) - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019
Variable Interest Entity [Line Items]
Assets	$ 3,166,971	$ 3,042,235
Straight-Line Rent Receivable [Member] | Bickford Senior Living [Member]
Variable Interest Entity [Line Items]
Variable Interest Entity, Reporting Entity Involvement, Maximum Loss Exposure, Amount	74,864
Variable Interest Entity, Reporting Entity Involvement, Carrying Amount	(60,708)
Straight-Line Rent Receivable [Member] | Senior Living Communities [Member]
Variable Interest Entity [Line Items]
Variable Interest Entity, Reporting Entity Involvement, Maximum Loss Exposure, Amount	97,404
Variable Interest Entity, Reporting Entity Involvement, Carrying Amount	(93,401)
Straight-Line Rent Receivable [Member] | Senior Living Management [Member]
Variable Interest Entity [Line Items]
Variable Interest Entity, Reporting Entity Involvement, Maximum Loss Exposure, Amount	26,969
Variable Interest Entity, Reporting Entity Involvement, Carrying Amount	(26,969)
Notes Receivable [Member] | Evolve Senior Living [Member]
Variable Interest Entity [Line Items]
Variable Interest Entity, Reporting Entity Involvement, Maximum Loss Exposure, Amount	9,958
Variable Interest Entity, Reporting Entity Involvement, Carrying Amount	(9,958)
Notes Receivable [Member] | LCS Sagewood [Member]
Variable Interest Entity [Line Items]
Variable Interest Entity, Reporting Entity Involvement, Maximum Loss Exposure, Amount	178,697
Variable Interest Entity, Reporting Entity Involvement, Carrying Amount	(142,586)
Notes Receivable [Member] | 41 Management [Member]
Variable Interest Entity [Line Items]
Variable Interest Entity, Reporting Entity Involvement, Maximum Loss Exposure, Amount	15,315
Variable Interest Entity, Reporting Entity Involvement, Carrying Amount	(12,868)
Notes Receivable [Member] | Timber Ridge OpCo
Variable Interest Entity [Line Items]
Variable Interest Entity, Reporting Entity Involvement, Maximum Loss Exposure, Amount	4,586
Variable Interest Entity, Reporting Entity Involvement, Carrying Amount	(414)
Notes Receivable [Member] | Watermark Retirement [Member]
Variable Interest Entity [Line Items]
Variable Interest Entity, Reporting Entity Involvement, Maximum Loss Exposure, Amount	8,628
Variable Interest Entity, Reporting Entity Involvement, Carrying Amount	$ (3,628)

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Significant Accounting Policies Schedule of Cash (Details) - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019	Jun. 30, 2019	Dec. 31, 2018
Schedule of Cash [Abstract]
Cash and cash equivalents	$ 46,853		$ 5,635
Restricted cash	18,565		10,903
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents	$ 65,418	$ 15,669	$ 16,538	$ 9,912

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Significant Accounting Policies (Details) $ in Thousands	Jun. 30, 2020 USD ($) properties
Variable Interest Entity Number Of Entities Not Primary Beneficiary | properties	8
Financing Receivable, Allowance for Credit Loss	$ 5,189
Off-Balance Sheet, Credit Loss, Liability	231
Accounting Standards Update 2016-13 [Member]
Financing Receivable, Allowance for Credit Loss	3,900
Off-Balance Sheet, Credit Loss, Liability	$ 325

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Real Estate (Schedule of New Real Estate Investments) (Details) $ in Thousands	6 Months Ended
	Jun. 30, 2020 USD ($) beds_or_units properties	Dec. 31, 2019 USD ($)
Number of Properties | properties	227
Land	$ 219,919	$ 213,617
Current Period Real Estate Acquisition
Real Estate Investments During The Period	164,242
Land	6,302
Buildings and Improvements, Gross	157,940
Bickford Senior Living [Member]
Real Estate Investments During The Period	$ 15,100
Number of Properties | properties	48
Bickford Senior Living [Member] | Current Period Real Estate Acquisition
Real Estate Investments During The Period	$ 15,100
Number of Properties | beds_or_units	1
Land	$ 1,588
Buildings and Improvements, Gross	13,512
LCS Timber Ridge [Member] | Current Period Real Estate Acquisition
Real Estate Investments During The Period	$ 134,892
Number of Properties | beds_or_units	1
Land	$ 4,370
Buildings and Improvements, Gross	130,522
Autumn Trace
Real Estate Investments During The Period	14,250
Autumn Trace | Current Period Real Estate Acquisition
Real Estate Investments During The Period	$ 14,250
Number of Properties | beds_or_units	2
Land	$ 344
Buildings and Improvements, Gross	$ 13,906

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Real Estate (Schedule of Tenant Concentrations) (Details) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020 USD ($) properties	Jun. 30, 2019 USD ($)	Jun. 30, 2020 USD ($) properties	Jun. 30, 2019 USD ($)	Dec. 31, 2019 USD ($)
Number of Properties | properties	227		227
Property, Plant and Equipment, Gross	$ 3,247,138		$ 3,247,138		$ 3,074,846
Loans and Leases Receivable, Net Amount	300,130		300,130		$ 340,143
Operating Leases, Income Statement, Lease Revenue	77,917	$ 72,578	154,444	$ 143,531
Financing Receivable, Allowance for Credit Loss	$ 5,189		$ 5,189
Senior Living Communities [Member]
Number of Properties | properties	10		10
Property, Plant and Equipment, Gross	$ 573,631		$ 573,631
Loans and Leases Receivable, Net Amount	$ 57,675		57,675
Operating Leases, Income Statement, Lease Revenue			$ 26,140	$ 23,962
Percentage of Continuing Revenue			16.00%	16.00%
Holiday Acquisition Holdings [Member]
Number of Properties | properties	26		26
Property, Plant and Equipment, Gross	$ 531,378		$ 531,378
Loans and Leases Receivable, Net Amount	$ 0		0
Operating Leases, Income Statement, Lease Revenue			$ 20,353	$ 20,106
Percentage of Continuing Revenue			12.00%	13.00%
Bickford Senior Living [Member]
Number of Properties | properties	48		48
Property, Plant and Equipment, Gross	$ 534,376		$ 534,376
Loans and Leases Receivable, Net Amount	$ 32,744		32,744
Operating Leases, Income Statement, Lease Revenue			$ 27,392	$ 26,122
Percentage of Continuing Revenue			16.00%	17.00%
National Healthcare Corporation [Member]
Number of Properties | properties	42		42
Property, Plant and Equipment, Gross	$ 171,297		$ 171,297
Loans and Leases Receivable, Net Amount	0		0
Operating Leases, Income Statement, Lease Revenue			$ 18,904	$ 19,209
Percentage of Continuing Revenue			11.00%	12.00%
Less than 10% Operators [Member]
Property, Plant and Equipment, Gross	1,433,880		$ 1,433,880
Loans and Leases Receivable, Net Amount	$ 214,900		214,900
Operating Leases, Income Statement, Lease Revenue			$ 74,482	$ 64,805

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Real Estate (Schedule of Future Minimum Lease Payments) (Details) $ in Thousands	Jun. 30, 2020 USD ($)
Operating Leases, Future Minimum Payments Due, Rolling Maturity [Abstract]
Operating Leases, Future Minimum Payments, Remainder of Fiscal Year	$ 141,225
Operating Leases, Future Minimum Payments Due, Next Twelve Months	281,081
Operating Leases, Future Minimum Payments, Due in Two Years	285,478
Operating Leases, Future Minimum Payments, Due in Three Years	281,615
Operating Leases, Future Minimum Payments, Due in Four Years	274,075
Operating Leases, Future Minimum Payments, Due in Five Years	267,462
Operating Leases, Future Minimum Payments, Due Thereafter	1,394,428
Operating Leases, Future Minimum Payments Due	$ 2,925,364

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Real Estate (Schedule of Fixed and Variable Lease Payments) (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Operating Leases, Income Statement, Lease Revenue	$ 77,917	$ 72,578	$ 154,444	$ 143,531
Fixed Lease Escalation [Member]
Operating Leases, Income Statement, Lease Revenue	69,669	64,570	138,103	128,033
Variable Lease Escalation [Member]
Operating Leases, Income Statement, Lease Revenue	1,400	1,195	2,764	2,366
Straight Line Rent Income [Member]
Operating Leases, Income Statement, Lease Revenue	5,218	5,307	10,395	10,535
Escrow Funds Received From Tenants [Member]
Operating Leases, Income Statement, Lease Revenue	$ 1,630	$ 1,506	$ 3,182	$ 2,597

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Real Estate (Narrative) (Details) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020 USD ($) properties beds_or_units	Jun. 30, 2019 USD ($)	Jun. 30, 2020 USD ($) properties beds_or_units	Jun. 30, 2019 USD ($)	Dec. 31, 2019 USD ($)
Number of Real Estate Properties | properties	227		227
Number of States in which Entity Operates	34		34
Real Estate Investment Property, Portfolio Assets	$ 3,244,562		$ 3,244,562
Number of Lessees	34		34
Payments to Acquire Real Estate			$ 94,630	$ 200,632
Operating Leases, Income Statement, Lease Revenue	$ 77,917	$ 72,578	154,444	143,531
Loan and Lease Losses and Recoveries, Net	(380)	0	1,195	2,500
Contingent Funding Commitment	31,850		31,850
Property, Plant and Equipment, Net	$ 2,691,376		$ 2,691,376		$ 2,560,393
Lease Escalator Minimum	2.25%		2.25%
Gains (Losses) on Sales of Investment Real Estate	$ 0	0	$ 21,007	0
Loans and Leases Receivable, Gross	$ 305,319		$ 305,319
Revenue as % of Total, Exceeds 10% [Member]
Number of States in which Entity Operates | beds_or_units	1		1
Open Now [Member]
Number of Real Estate Properties | beds_or_units	2		2
Minimum Annual Lease Income			$ 8,715	9,216
Property, Plant and Equipment, Net	$ 11,784		$ 11,784
After 2021 [Member]
Number of Real Estate Properties | beds_or_units	12		12
Property, Plant and Equipment, Net	$ 120,808		$ 120,808
Bickford Senior Living [Member]
Number of Real Estate Properties | properties	48		48
Real Estate Investments During The Period			$ 15,100
Number of Units in Real Estate Property | beds_or_units	60		60
Lessor, Operating Lease, Term of Contract	12 years		12 years
Initial lease rate	8.00%		8.00%
Operating Leases, Income Statement, Lease Revenue			$ 27,392	$ 26,122
Percentage of Continuing Revenue			16.00%	17.00%
Proceeds from Sale and Collection of Notes Receivable			$ 14,091
Non-Performing Lease [Member]
Number of Real Estate Properties | beds_or_units	9		9
Operating Leases, Income Statement, Lease Revenue	$ 1,269	$ 506	$ 2,824	$ 1,208
Number of Operators/Tenants | beds_or_units	5		5
LCS Timber Ridge [Member]
Number of Units in Real Estate Property | beds_or_units	401		401
Lessor, Operating Lease, Term of Contract	7 years		7 years
Initial lease rate	6.75%		6.75%
Note Receivable Interest Rate	5.75%		5.75%
Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures	$ 124,989		$ 124,989
Expected Proceeds Joint Venture			8,216
Timber Ridge OpCo
Contingent Funding Commitment	10,000		10,000
Quorum Health [Member]
Operating Leases, Income Statement, Lease Revenue			1,751
Loan and Lease Losses and Recoveries, Net			380
Property, Plant and Equipment, Net	$ 10,075		10,075
Autumn Trace
Real Estate Investments During The Period			$ 14,250
Number of Units in Real Estate Property | beds_or_units	44		44
Asset Purchase Transaction Costs			$ 150
Lessor, Operating Lease, Term of Contract	15 years		15 years
Initial lease rate	7.25%		7.25%
Lessee, Operating Lease, Renewal Term	5 years		5 years
Skilled Nursing Facility [Member]
Number of Real Estate Properties | properties	72		72
Skilled Nursing Facility [Member] | LCS Timber Ridge [Member]
Number of Units in Real Estate Property | beds_or_units	45		45
Assisted Living Facility [Member] | LCS Timber Ridge [Member]
Number of Units in Real Estate Property | beds_or_units	26		26
Independent Living Facility [Member] | LCS Timber Ridge [Member]
Number of Units in Real Estate Property | beds_or_units	330		330
Asset Held For Sale [Member] | Brookdale Senior Living [Member]
Number of Real Estate Properties | properties	8		8
Real Estate Property Company [Member] | Noncontrolling Interest [Member]
Noncash or Part Noncash Acquisition, Interest Acquired			20.00%
Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures	$ 10,778		$ 10,778
Real Estate Property Company [Member] | LCS Timber Ridge [Member]
Noncash or Part Noncash Acquisition, Interest Acquired			80.00%
Real Estate Operating Company [Member] | Noncontrolling Interest [Member]
Noncash or Part Noncash Acquisition, Interest Acquired			75.00%
Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures	875		$ 875
Real Estate Operating Company [Member] | Controlling Interest [Member]
Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures	2,625		$ 2,625
Real Estate Operating Company [Member] | LCS Timber Ridge [Member]
Noncash or Part Noncash Acquisition, Interest Acquired			25.00%
Consideration Type, Existing Mortgage [Member] | LCS Timber Ridge [Member]
Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures	59,350		$ 59,350
Consideration Type, Additional Mortgage [Member] | LCS Timber Ridge [Member]
Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures	21,650		21,650
Consideration Type, Total Mortgage [Member] | LCS Timber Ridge [Member]
Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures	81,000		81,000
Consideration Type, Cash [Member] | LCS Timber Ridge [Member]
Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures	$ 43,114		$ 43,114
Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member] | Bickford Senior Living [Member]
Number of Real Estate Properties | properties	2		2
Note Receivable Interest Rate	7.00%		7.00%
Write Off Of Straight Line Rent Receivable			$ 124
Loans and Leases Receivable, Gross	$ 4,000		4,000
Impairment of Real Estate			2,500
Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member] | Brookdale Senior Living [Member]
Operating Leases, Income Statement, Lease Revenue			229	$ 2,125
Purchase Option, Amount, Minimum	37,520		37,520
Real Estate Property, Fair Value, Purchase Option Calculation	$ 41,000		41,000
Proceeds from Sale of Real Estate			39,260
Gains (Losses) on Sales of Investment Real Estate			$ 20,752
ARIZONA | Asset Held For Sale [Member] | Brookdale Senior Living [Member]
Number of Real Estate Properties | properties	4		4
TENNESSEE | Asset Held For Sale [Member] | Brookdale Senior Living [Member]
Number of Real Estate Properties | properties	3		3
SOUTH CAROLINA
Percentage of Continuing Revenue			10.30%
SOUTH CAROLINA | Asset Held For Sale [Member] | Brookdale Senior Living [Member]
Number of Real Estate Properties | properties	1		1

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Mortgage And Other Notes Receivable (Schedule of Financing Receivables By Credit Quality Indicator) (Details) - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	$ 305,319
Financing Receivable, Allowance for Credit Loss	5,189
Loans and Leases Receivable, Net Amount	300,130	$ 340,143
Mortgages [Member]
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	253,522
Mortgages [Member] | 2020 [Member]
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	5,471
Mortgages [Member] | 2019
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	51,245
Mortgages [Member] | 2018
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	169,859
Mortgages [Member] | 2017
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	9,958
Mortgages [Member] | 2016
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	10,000
Mortgages [Member] | Prior to 2016
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	6,989
Mortgages [Member] | EBITDARM Coverage above 1.5x
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	186,587
Mortgages [Member] | EBITDARM Coverage above 1.5x | 2020 [Member]
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	1,471
Mortgages [Member] | EBITDARM Coverage above 1.5x | 2019
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	8,268
Mortgages [Member] | EBITDARM Coverage above 1.5x | 2018
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	169,859
Mortgages [Member] | EBITDARM Coverage above 1.5x | Prior to 2016
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	6,989
Mortgages [Member] | EBITDARM Coverage, 1.0x to 1.5x
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	13,854
Mortgages [Member] | EBITDARM Coverage, 1.0x to 1.5x | 2019
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	3,854
Mortgages [Member] | EBITDARM Coverage, 1.0x to 1.5x | 2016
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	10,000
Mortgages [Member] | EBITDARM Coverage Below 1.0x
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	53,081
Mortgages [Member] | EBITDARM Coverage Below 1.0x | 2020 [Member]
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	4,000
Mortgages [Member] | EBITDARM Coverage Below 1.0x | 2019
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	39,123
Mortgages [Member] | EBITDARM Coverage Below 1.0x | 2017
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	9,958
Mezzanine
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	40,801
Mezzanine | 2019
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	475
Mezzanine | 2016
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	28,451
Mezzanine | Prior to 2016
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	11,875
Mezzanine | EBITDARM Coverage, 1.0x to 1.5x
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	14,472
Mezzanine | EBITDARM Coverage, 1.0x to 1.5x | 2016
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	14,472
Mezzanine | EBITDARM Coverage Below 1.0x
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	25,854
Mezzanine | EBITDARM Coverage Below 1.0x | 2016
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	13,979
Mezzanine | EBITDARM Coverage Below 1.0x | Prior to 2016
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	11,875
Mezzanine | EBITDARM Coverage Not Available
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	475
Mezzanine | EBITDARM Coverage Not Available | 2019
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	475
Revolving Credit Facility
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	10,996
Revolving Credit Facility | EBITDARM Coverage, 1.0x to 1.5x
Financing Receivable, Credit Quality Indicator [Line Items]
Loans and Leases Receivable, Gross	$ 10,996

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Mortgage And Other Notes Receivable (Schedule of Financing Receivables, Allowance for Credit Loss Roll Forward) (Details) $ in Thousands	6 Months Ended
	Jun. 30, 2020 USD ($)
Financing Receivable, Allowance for Credit Loss [Line Items]
Financing Receivable, Allowance for Credit Loss, Period Increase (Decrease)	$ 1,289
Financing Receivable, Allowance for Credit Loss, Ending Balance	5,189
Accounting Standards Update 2016-13 [Member]
Financing Receivable, Allowance for Credit Loss [Line Items]
Financing Receivable, Allowance for Credit Loss, Ending Balance	$ 3,900

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Mortgage And Other Notes Receivable (Schedule of Bickford Construction Loans) (Details) - USD ($)	6 Months Ended
	Jun. 30, 2020	Dec. 31, 2019
Loans and Leases Receivable, Commitments, Fixed Rates	$ 256,450,000
Loans and Leases Receivable, Net Amount	(300,130,000)	$ (340,143,000)
Bickford Note Investment [Member]
Loans and Leases Receivable, Commitments, Fixed Rates	42,900,000
Loans and Leases Receivable, Net Amount	$ (28,744,000)
January 2018 [Member] | Bickford Note Investment [Member]
Note Receivable Interest Rate	9.00%
Loan Term	5 years
Loans and Leases Receivable, Commitments, Fixed Rates	$ 14,000,000
Loans and Leases Receivable, Net Amount	$ (13,377,000)
July 2018 [Member] | Bickford Note Investment [Member]
Note Receivable Interest Rate	9.00%
Loan Term	5 years
Loans and Leases Receivable, Commitments, Fixed Rates	$ 14,700,000
Loans and Leases Receivable, Net Amount	$ (13,896,000)
June 2020 | Bickford Note Investment [Member]
Note Receivable Interest Rate	9.00%
Loan Term	5 years
Loans and Leases Receivable, Commitments, Fixed Rates	$ 14,200,000
Loans and Leases Receivable, Net Amount	$ (1,471,000)

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Mortgage And Other Notes Receivable (Narrative) (Details)	6 Months Ended
	Jun. 30, 2020 USD ($)	Jun. 30, 2020 USD ($)	Jun. 30, 2020 beds_or_units	Jun. 30, 2020	Jun. 30, 2020 properties	Dec. 31, 2019 USD ($)
Loans and Leases Receivable, Net Amount		$ 300,130,000				$ 340,143,000
Number of health care properties related to mortgage notes receivables			16		16
Loans and Leases Receivable, Commitments, Fixed Rates	$ 256,450,000
Probability of Default, Increase, Current Conditions Adjustment				20.00%
Loss Given Default, Increase, Current Conditions Adjustment				20.00%
Estimated Credit Losses, Current Conditions Adjustment, Combined				44.00%
Interest Rate Swaps, Maturity Date, After June 2020 [Member]
Derivative, Notional Amount		400,000,000
Current Conditions Adjustment, COVID-19 Allowance Increase [Member]
Financing Receivable, Allowance for Credit Loss, Noncurrent		1,700,000
Current Conditions Adjustment, Portfolio Allowance Decrease [Member]
Financing Receivable, Allowance for Credit Loss, Noncurrent		411,000
Bickford Note Investment [Member]
Loans and Leases Receivable, Net Amount		28,744,000
Loans and Leases Receivable, Commitments, Fixed Rates	$ 42,900,000
Contingent Incentive Payments		2,000,000
LCS Sagewood [Member]
Notes Receivable, Total Borrowings, Master Credit Agreement		180,000,000
Notes Receivable, Number Of Loans, Master Credit Agreement				2
LCS Timber Ridge [Member]
Number of Units in Real Estate Property | beds_or_units			401
Lessor, Operating Lease, Term of Contract	7 years
Note Receivable Interest Rate				5.75%
Timber Ridge OpCo
Financing Receivable, Revolving		5,000,000
Senior Living Communities [Member]
Loans and Leases Receivable, Net Amount		57,675,000
Loans and Lease Receivable, Maximum Revolving Amount		12,000,000
Lessor, Operating Lease, Term of Contract	15 years
Revolving Note Receivable, Maximum Amount Available for Working Capital Purposes		10,000,000
Revolving Note Receivable, Amount Outstanding		(10,996,000)
Loans Receivable, Description of Variable Rate Basis, Reference Rate Maturity	10 years
Loans Receivable, Basis Spread on Variable Rate				6.00%
Number of Term Loans				2
Note Receivable Interest Rate				10.00%
Loans Receivable, Description, Variable Rate Basis, Reference Rate	6.66%
Not Secured By Real Estate [Member] | Senior Living Communities [Member]
Number of Units in Real Estate Property | beds_or_units			186
Note A [Member] | LCS Sagewood [Member]
Loans and Leases Receivable, Net Amount		82,689,000
Loans and Leases Receivable, Commitments, Fixed Rates	$ 118,800,000
Notes Receivable, Interest Rate, Master Credit Agreement				7.25%
Loan Term	10 years
Notes Receivable, Total Borrowings, Master Credit Agreement		118,800,000
Loans And Leases Receivable, Commitment, Fixed Rates, Escalator, Basis Points				10
Note Receivable, First Note Year For Rate Escalator	three years
Note Receivable, Prepayment Penalty, Rate				2.00%
Note Receivable, Prepayment Penalty, Rate Decrease				1.00%
Note A [Member] | Senior Living Communities [Member]
Loans and Leases Receivable, Commitments, Fixed Rates	$ 12,000,000
Note B [Member] | LCS Sagewood [Member]
Loans and Leases Receivable, Net Amount		61,200,000
Loans and Leases Receivable, Commitments, Fixed Rates	$ 61,200,000
Notes Receivable, Interest Rate, Master Credit Agreement				8.50%
Loan Term	5 years
Notes Receivable, Total Borrowings, Master Credit Agreement		61,200,000
Note B [Member] | Senior Living Communities [Member]
Loans and Leases Receivable, Commitments, Fixed Rates	$ 2,000,000
After 2021 [Member] | Senior Living Communities [Member]
Loans and Lease Receivable, Maximum Revolving Amount		7,000,000
Revolving Note Receivable, Maximum Amount Available for Working Capital Purposes		5,000,000
June 2020 | Bickford Note Investment [Member]
Loans and Leases Receivable, Net Amount		$ 1,471,000
Loans and Leases Receivable, Commitments, Fixed Rates	$ 14,200,000
Number of Units in Real Estate Property | beds_or_units			64
Loan Term	5 years
Note Receivable Interest Rate				9.00%

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Equity Method Investment (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019	Jan. 31, 2020
Guarantor Obligations, Maximum Exposure, Undiscounted	$ 17,530		$ 17,530		$ 20,063
Income (Loss) from Equity Method Investments	(848)	$ 0	(1,290)	$ 0
Equity Method Investments	(414)		(414)
Noncontrolling Interest [Member] | Real Estate Operating Company [Member]
Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures	875		$ 875
Noncash or Part Noncash Acquisition, Interest Acquired			75.00%
Timber Ridge OpCo
Financing Receivable, Revolving	5,000		$ 5,000
LCS Timber Ridge [Member]
Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures	$ 124,989		$ 124,989
LCS Timber Ridge [Member] | Real Estate Operating Company [Member]
Noncash or Part Noncash Acquisition, Interest Acquired			25.00%

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Debt (Schedule of Debt) (Details) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2020	Dec. 31, 2019
Debt Instrument [Line Items]
Revolving credit facility - unsecured	$ 413,000	$ 300,000
Bank term loans - unsecured	400,000
Convertible senior notes - unsecured	59,898	59,697
Unamortized loan costs	(5,932)	(7,076)
Debt, Long-term and Short-term, Combined Amount	1,554,241	1,440,465
Bank Term Loans [Member]
Debt Instrument [Line Items]
Bank term loans - unsecured	$ 550,000	550,000
Debt Instrument, Basis Spread on Variable Rate	13200.00%
Private Placement Term Loans [Member]
Debt Instrument [Line Items]
Bank term loans - unsecured	$ 400,000	400,000
Debt Instrument, Name, HUD Mortgages [Member]
Debt Instrument [Line Items]
Secured Debt	41,743	42,138
Debt Instrument, Name, Fannie Mae Term Loans [Member]
Debt Instrument [Line Items]
Secured Debt	95,532	$ 95,706
Variable Interest Rate Debt [Member]
Debt Instrument [Line Items]
Debt, Long-term and Short-term, Combined Amount	$ 563,000

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Debt (Schedule of Debt) (Captions) (Details) - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019
Debt Instrument [Line Items]
Debt Instrument, Unamortized Discount	$ (1,300)
Debt Instrument, Name, Q3 2014 HUD Mortgages [Member]
Debt Instrument [Line Items]
Debt Instrument, Unamortized Discount	(1,198)	$ (1,238)
Debt Instrument, Name, Convertible Senior Notes [Member]
Debt Instrument [Line Items]
Debt Instrument, Unamortized Discount	$ (102)	$ (303)

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Debt (Schedule of Maturities of Long-term Debt) (Details) - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019
Long-term Debt, Fiscal Year Maturity [Abstract]
Long-Term Debt, Maturity, Remainder of Fiscal Year	$ 621
Long-term Debt, Maturities, Repayments of Principal in Next Rolling Twelve Months	61,279
Long-term Debt, Maturities, Repayments of Principal in Rolling Year Two	664,328
Long-term Debt, Maturities, Repayments of Principal in Next Rolling Year Three	476,378
Long-term Debt, Maturities, Repayments of Principal in Rolling Year Four	76,429
Long-term Debt, Maturities, Repayments of Principal in Rolling Year Five	144,800
Long-term Debt, Maturities, Repayments of Principal in Rolling after Year Five	137,638
Long-term Debt, Gross	1,561,473
Debt Instrument, Unamortized Discount	(1,300)
Unamortized loan costs	(5,932)	$ (7,076)
Debt	$ 1,554,241	$ 1,440,465

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Debt (Schedule of Unsecured Term Loans) (Details) $ in Thousands	Jun. 30, 2020 USD ($)
Unsecured Debt	$ 400,000
January 2023 [Member]
Unsecured Debt	$ 125,000
Debt Instrument, Interest Rate, Stated Percentage	3.99%
November 2023 [Member]
Unsecured Debt	$ 50,000
Debt Instrument, Interest Rate, Stated Percentage	3.99%
September 2024 [Member]
Unsecured Debt	$ 75,000
Debt Instrument, Interest Rate, Stated Percentage	3.93%
November 2025 [Member]
Unsecured Debt	$ 50,000
Debt Instrument, Interest Rate, Stated Percentage	4.33%
January 2027 [Member]
Unsecured Debt	$ 100,000
Debt Instrument, Interest Rate, Stated Percentage	4.51%

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Debt (Schedule of Interest Rate Derivatives) (Details) $ in Thousands	6 Months Ended
	Jun. 30, 2020 USD ($)
Interest Rate Swap, Date Entered, June 2013 [Member]
Derivative [Line Items]
Derivative, Fixed Interest Rate	2.11%
Debt Instrument, Description of Variable Rate Basis	1-month LIBOR
Derivative, Notional Amount	$ 80,000
Interest Rate Derivative Liabilities, at Fair Value	$ 0
Interest Rate Swap, Date Entered, March 2014 [Member]
Derivative [Line Items]
Derivative, Fixed Interest Rate	2.16%
Debt Instrument, Description of Variable Rate Basis	1-month LIBOR
Derivative, Notional Amount	$ 130,000
Interest Rate Derivative Liabilities, at Fair Value	$ 0
Interest Rate Swap, Date Entered, March 2019 - 2.22%
Derivative [Line Items]
Derivative, Fixed Interest Rate	2.22%
Debt Instrument, Description of Variable Rate Basis	1-month LIBOR
Derivative, Notional Amount	$ 100,000
Interest Rate Derivative Liabilities, at Fair Value	$ (3,143)
Interest Rate Swap, Date Entered, March 2019 - 2.21%
Derivative [Line Items]
Derivative, Fixed Interest Rate	2.21%
Debt Instrument, Description of Variable Rate Basis	1-month LIBOR
Derivative, Notional Amount	$ 100,000
Interest Rate Derivative Liabilities, at Fair Value	$ (3,163)
Interest Rate Swap, Date Entered, June 2019 - 1.61%
Derivative [Line Items]
Derivative, Fixed Interest Rate	1.61%
Debt Instrument, Description of Variable Rate Basis	1-month LIBOR
Derivative, Notional Amount	$ 150,000
Interest Rate Derivative Liabilities, at Fair Value	$ (3,316)
Interest Rate Swap, Date Entered, June 2019 - 1.63%
Derivative [Line Items]
Derivative, Fixed Interest Rate	1.63%
Debt Instrument, Description of Variable Rate Basis	1-month LIBOR
Derivative, Notional Amount	$ 50,000
Interest Rate Derivative Liabilities, at Fair Value	$ (1,115)

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Debt (Schedule of Interest Expense) (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Schedule of Interest Expense [Abstract]
Interest expense on debt at contractual rates	$ 10,569	$ 13,355	$ 23,572	$ 26,429
Losses reclassified from accumulated other comprehensive income (loss) into interest expense	2,263	350	2,755	641
Capitalized interest	(19)	(158)	(117)	(315)
Amortization of debt issuance costs and debt discount	744	899	1,487	1,791
Total Interest Expense	$ 13,557	$ 13,746	$ 27,697	$ 27,264

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Debt (Narrative) (Details)		6 Months Ended
	Jul. 09, 2020 USD ($)	Jun. 30, 2020 USD ($) number_of_loans properties shares $ / shares	Dec. 31, 2019 USD ($)
Debt Leverage Limit, Coupon Change, Trigger		50.00%
Credit Facility, Current Revolving Borrowing Capacity		$ 550,000,000
Line of Credit Facility, Unused Capacity, Commitment Fee Percentage		2000.00%
Debt Instrument, Variable Rate Basis, Minimum		1600.00%	17600.00%
Number of Real Estate Properties | properties		227
Debt Instrument, Convertible, Conversion Ratio		14.80
Debt Instrument, Convertible, Conversion Price | $ / shares		$ 67.58
Debt Instrument, Convertible, Number of Equity Instruments | shares		887,856
Interest Rate Cash Flow Hedge Gain (Loss) to be Reclassified During Next 12 Months, Net		$ 7,094,000
Derivative, Fair Value, Net			$ (3,434,000)
Convertible Debt		59,898,000	$ 59,697,000
Allocated to Debt [Member]
Repayments of Convertible Debt		60,000,000
$250M Term Loan [Member]
Term Loans, Outstanding Balance		250,000,000
$300M Term Loan [Member]
Term Loans, Outstanding Balance		$ 300,000,000
Debt Instrument, Name, Revolving Credit Facility [Member]
Debt Instrument, Basis Spread on Variable Rate		12000.00%
Unused balance of the unsecured revolving credit facility		$ 137,000,000
Bank Term Loans [Member]
Debt Instrument, Basis Spread on Variable Rate		13200.00%
Debt Instrument, Name, HUD Mortgages [Member]
Number of Real Estate Properties | properties		10
Net Book Value of Real Estate Pledged Toward Mortgage		$ 48,287,000
Debt Instrument, Name, HUD Mortgages [Member] | Minimum [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate		4.30%
Debt Instrument, Name, HUD Mortgages [Member] | Maximum [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Interest Rate		4.40%
Debt Instrument, HUD Mortgages, 2049 Maturity [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Number of Loans | number_of_loans		9
Debt Instrument, HUD Mortgages, 2047 Maturity [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Number of Loans | number_of_loans		1
Debt Instrument, Name, Fannie Mae Term Loans [Member]
Number of Real Estate Properties		13
Net Book Value of Real Estate Pledged Toward Mortgage		$ 132,042,000
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Face Amount of Mortgages		$ 78,084,000
Debt Instrument, Interest Rate, Stated Percentage		3.79%
Debt Instrument, Term		10 years
FNMA Berkadia Note [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Face Amount of Mortgages		$ 17,448,000
Debt Instrument, Interest Rate, Stated Percentage		4.60%
At Inception [Member]
Proceeds from convertible senior notes		$ 200,000,000
Debt Instrument, Convertible, Conversion Ratio		13.93
Debt Instrument, Convertible, Conversion Price | $ / shares		$ 71.81
Debt Instrument, Convertible, Number of Equity Instruments | shares		2,785,200
Debt Instrument, Name, Convertible Senior Notes [Member]
Debt Instrument, Interest Rate, Stated Percentage		3.25%
Convertible Debt Instrument, Conversion Ratio, Principal Amount, Basis		$ 1,000
Principal Amount [Member]
Convertible Debt		$ 60,000,000
$100M Term Loan [Member] | Subsequent Event [Member]
Term Loans, Outstanding Balance	$ 100,000,000
Debt Instrument, Basis Spread on Variable Rate	18500.00%
Debt Instrument, Variable Rate Basis, Minimum	5000.00%
Debt Instrument, Maturity, Renewal Fee	20
Bickford Senior Living [Member]
Number of Real Estate Properties | properties		48
Middletown, OH [Member] | Bickford Senior Living [Member]
Noncash or Part Noncash Acquisition, Noncash Financial or Equity Instrument Consideration, Rate		2.90%
Noncash or Part Noncash Acquisition, Debt Assumed		$ 8,385,000
Noncash or Part Noncash Acquisition, Value of Liabilities Assumed		7,187,000
Interest Rate Swap(s), Date Entered, March & June 2019 [Member] | Debt Instrument, Name, Revolving Credit Facility [Member]
Derivative, Notional Amount		60,000,000
Interest Rate Swap(s), Date Entered, March & June 2019 [Member] | Bank Term Loans [Member]
Derivative, Notional Amount		340,000,000
Interest Rate Swap, Date Entered, June 2013 [Member]
Derivative, Notional Amount		80,000,000
Interest Rate Swap, Date Entered, March 2014 [Member]
Derivative, Notional Amount		130,000,000
Interest Rate Swaps, Maturity Date, After June 2020 [Member]
Derivative, Notional Amount		400,000,000
Interest rate swaps, Matured June 2020 [Member]
Derivative, Notional Amount		$ 210,000,000

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Commitments and Contingencies (Schedule of Loan Commitments) (Details) - USD ($)	6 Months Ended
	Jun. 30, 2020	Dec. 31, 2019
Loans and Leases Receivable, Commitments, Fixed Rates	$ 256,450,000
Loans and Leases Receivable, Net Amount	(300,130,000)	$ (340,143,000)
Notes Receivable Funding Commitment	63,993,000
$300M Term Loan [Member]
Term Loans, Outstanding Balance	300,000,000
Bickford Senior Living [Member]
Loans and Leases Receivable, Net Amount	(32,744,000)
Senior Living Communities [Member]
Loans and Leases Receivable, Net Amount	(57,675,000)
Note A [Member] | LCS Sagewood [Member]
Loans and Leases Receivable, Commitments, Fixed Rates	118,800,000
Loans and Leases Receivable, Net Amount	(82,689,000)
Notes Receivable Funding Commitment	36,111,000
Note A [Member] | Senior Living Communities [Member]
Loans and Leases Receivable, Commitments, Fixed Rates	12,000,000
Note B [Member] | LCS Sagewood [Member]
Loans and Leases Receivable, Commitments, Fixed Rates	61,200,000
Loans and Leases Receivable, Net Amount	(61,200,000)
Notes Receivable Funding Commitment	0
Note B [Member] | Senior Living Communities [Member]
Loans and Leases Receivable, Commitments, Fixed Rates	2,000,000
Development Commitment [Member] | Bickford Senior Living [Member]
Loans and Leases Receivable, Commitments, Fixed Rates	42,900,000
Loans and Leases Receivable, Net Amount	(28,744,000)
Notes Receivable Funding Commitment	14,156,000
Revolving Credit Facility [Member] | Senior Living Communities [Member]
Loans and Leases Receivable, Commitments, Fixed Rates	12,000,000
Loans and Leases Receivable, Net Amount	(10,996,000)
Notes Receivable Funding Commitment	1,004,000
Notes Receivable Remain Unfunded [Member]
Loans and Leases Receivable, Net Amount	(192,457,000)
Working Capital | 41 Management [Member]
Loans and Leases Receivable, Commitments, Fixed Rates	10,800,000
Loans and Leases Receivable, Net Amount	(8,353,000)
Notes Receivable Funding Commitment	2,447,000
Working Capital | Timber Ridge OpCo
Loans and Leases Receivable, Commitments, Fixed Rates	5,000,000
Loans and Leases Receivable, Net Amount	0
Notes Receivable Funding Commitment	5,000,000
Working Capital | Watermark Retirement [Member]
Loans and Leases Receivable, Commitments, Fixed Rates	5,000,000
Loans and Leases Receivable, Net Amount	0
Notes Receivable Funding Commitment	5,000,000
Working Capital | Discovery Senior Living [Member]
Loans and Leases Receivable, Commitments, Fixed Rates	750,000
Loans and Leases Receivable, Net Amount	(475,000)
Notes Receivable Funding Commitment	$ 275,000

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Commitments And Contingencies (Off Balance Sheet Credit Loss Liability Roll Forward Schedule) (Details)	6 Months Ended
	Jun. 30, 2020 USD ($)
Commitments and Contingencies Disclosure [Abstract]
Off-Balance Sheet, Credit Loss, Liability, Credit Loss Expense (Reversal)	$ (94,000)
Off-Balance Sheet, Credit Loss, Liability, Ending Balance	$ 231,000

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Commitments and Contingencies (Schedule of Lease Commitments) (Details)	Jun. 30, 2020 USD ($)
Maximum Commitment For All Active Development Projects	$ 46,645,000
Development in Process	(41,706,000)
Remaining Unfunded Development Commitment	4,939,000
Development Commitment [Member] | Ignite Medical Resorts [Member]
Maximum Commitment For All Active Development Projects	25,350,000
Development in Process	(23,114,000)
Remaining Unfunded Development Commitment	2,236,000
Development Commitment [Member] | Navion Senior Solutions [Member]
Maximum Commitment For All Active Development Projects	650,000
Development in Process	0
Remaining Unfunded Development Commitment	650,000
Capital Improvement Commitment [Member] | Woodland Village [Member]
Maximum Commitment For All Active Development Projects	7,515,000
Development in Process	(7,425,000)
Remaining Unfunded Development Commitment	90,000
Capital Improvement Commitment [Member] | Senior Living Communities [Member]
Maximum Commitment For All Active Development Projects	9,930,000
Development in Process	(9,763,000)
Remaining Unfunded Development Commitment	167,000
Capital Improvement Commitment [Member] | Wingate Healthcare [Member]
Maximum Commitment For All Active Development Projects	1,900,000
Development in Process	(818,000)
Remaining Unfunded Development Commitment	1,082,000
Capital Improvement Commitment [Member] | Discovery Senior Living [Member]
Maximum Commitment For All Active Development Projects	900,000
Development in Process	(586,000)
Remaining Unfunded Development Commitment	314,000
Capital Improvement Commitment [Member] | 41 Management [Member]
Maximum Commitment For All Active Development Projects	400,000
Development in Process	0
Remaining Unfunded Development Commitment	$ 400,000

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Commitments And Contingencies (Narrative) (Details) $ in Thousands	3 Months Ended		6 Months Ended		9 Months Ended
	Jun. 30, 2020 USD ($) beds_or_units properties	Jun. 30, 2019 USD ($)	Jun. 30, 2020 USD ($) beds_or_units properties	Jun. 30, 2019 USD ($)	Sep. 30, 2020 USD ($)	Dec. 31, 2019 USD ($)
Maximum Commitment For All Active Development Projects	$ 46,645		$ 46,645
Development in Process	41,706		41,706
Contingent Funding Commitment	$ 31,850		$ 31,850
Number of Properties | properties	227		227
Property, Plant and Equipment, Gross	$ 3,247,138		$ 3,247,138			$ 3,074,846
Operating Leases, Income Statement, Lease Revenue	(77,917)	$ (72,578)	(154,444)	$ (143,531)
Straight Line Rent			10,395	10,535
Debt	1,554,241		1,554,241			$ 1,440,465
Timber Ridge OpCo
Contingent Funding Commitment	10,000		10,000
Discovery PropCo [Member]
Maximum Commitment For All Active Development Projects	$ 2,000		$ 2,000
Ignite Medical Resorts [Member]
Number of Units in Real Estate Property | beds_or_units	144		144
Bickford Senior Living [Member]
Number of Units in Real Estate Property | beds_or_units	60		60
Number of Properties | properties	48		48
Property, Plant and Equipment, Gross	$ 534,376		$ 534,376
Operating Leases, Income Statement, Lease Revenue			$ (27,392)	(26,122)
Bickford Senior Living [Member] | Subsequent Event [Member] | Lease Payment Deferral [Member]
Operating Lease, Lease Income					$ 2,100
Senior Living Communities [Member]
Number of Properties | properties	10		10
Property, Plant and Equipment, Gross	$ 573,631		$ 573,631
Operating Leases, Income Statement, Lease Revenue			(26,140)	$ (23,962)
Development Commitment [Member] | Discovery PropCo [Member]
Development in Process	968		968
Development Commitment [Member] | Ignite Medical Resorts [Member]
Maximum Commitment For All Active Development Projects	25,350		25,350
Development in Process	$ 23,114		$ 23,114
Lease Inducement [Member]
Number of Properties | beds_or_units	6		6
Contingent Funding Commitment, Amount Funded	$ 500		$ 500
Disposal Group, To Be Sold, Not Discontinued Operations [Member] | Bickford Senior Living [Member]
Property, Plant and Equipment, Gross	$ 76,658		76,658
Operating Leases, Income Statement, Lease Revenue			(4,464)
Straight Line Rent			$ 151

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Equity (Schedule of Dividends Declared) (Details) - $ / shares	6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019
Declared November 7, 2019
Common Stock Dividends, Per Share, Declared, Regular	$ 1.05
Declared February 19, 2020
Common Stock Dividends, Per Share, Declared, Regular	1.1025
Declared June 15, 2020
Common Stock Dividends, Per Share, Declared, Regular	$ 1.1025
Declared December 17, 2018
Common Stock Dividends, Per Share, Declared, Regular		$ 1.00
Declared February 19, 2019
Common Stock Dividends, Per Share, Declared, Regular		1.05
Declared May 7, 2019
Common Stock Dividends, Per Share, Declared, Regular		$ 1.05

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Equity (Narrative) (Details) - USD ($) $ in Thousands	3 Months Ended				6 Months Ended
	Jun. 30, 2020	Mar. 31, 2020	Jun. 30, 2019	Mar. 31, 2019	Jun. 30, 2020	Jun. 30, 2019	Dec. 31, 2019
Common stock, shares authorized	100,000,000				100,000,000		60,000,000
At-The Market Shelf Registration, Equity Offering Sales Agreement, Aggregate Sales Price	$ 500,000				$ 500,000
Stock Issued During Period, Shares, New Issues				462,925	0	618,654
Stock Issued During Period, Value, New Issues	$ 206	$ 85	$ 11,942	$ 35,913
Authorized Shares, Prior to Charter Amendment [Member]
Common stock, shares authorized	60,000,000				60,000,000
Authorized Shares, After Charter Amendment [Member]
Common stock, shares authorized	100,000,000				100,000,000
Gross ATM Proceeds [Member]
Stock Issued During Period, Value, New Issues						$ 47,999

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Stock-Based Compensation (Schedule of Share-Based Payments) (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Share-based Payment Arrangement [Abstract]
Share-based compensation	$ 470	$ 477	$ 2,315	$ 2,478

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Stock-Based Compensation (Schedule of Stock Option Valuation Assumptions) (Details) - $ / shares	6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019
Schedule of Stock Option Valuation Assumptions [Abstract]
Dividend yield	5.10%	5.50%
Expected volatility	17.10%	18.60%
Expected lives	2 years 10 months 24 days	2 years 10 months 24 days
Risk-free interest rate	1.30%	2.50%
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value	$ 5.57	$ 6.17

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Stock-Based Compensation (Schedule Of Stock Option Activity) (Details) - $ / shares	6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Dec. 31, 2019	Dec. 31, 2018
Options outstanding January 1,	1,004,014	920,346
Options granted under 2012 Plan	592,000
Options exercised under 2012 Plan	(512,509)
Options forfeited under 2012 Plan	(10,500)
Options outstanding, June 30,	1,073,005	1,154,516
Exercisable at June 30,	601,994	663,997
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price	$ 83.68	$ 74.26	$ 74.35	$ 69.24
Share-based Compensation Arrangements by Share-based Payment Award, Options, Grants in Period, Weighted Average Exercise Price	90.32	79.96
Share-based Compensation Arrangements by Share-based Payment Award, Options, Exercises in Period, Weighted Average Exercise Price	72.98	71.14
Share-based Compensation Arrangements by Share-based Payment Award, Options, Forfeitures in Period, Weighted Average Exercise Price	88.73
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Weighted Average Exercise Price	$ 81.09	$ 73.64
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Remaining Contractual Term	3 years 11 months 12 days
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Weighted Average Remaining Contractual Term	3 years 7 months 24 days
2012 Plan [Member]
Options granted under 2012 Plan	319,669	602,000
Options exercised under 2012 Plan		(367,830)

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Stock-Based Compensation (Narrative) (Details) - USD ($) $ / shares in Units, $ in Thousands	6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019
Shares available for grants	2,730,169
Options granted under 2012 Plan	592,000
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value	$ 5.57	$ 6.17
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period, Intrinsic Value	$ 8,118	$ 4,100
Aggregate Intrinsic Value Per Share Options Exercised	$ 15.84	$ 11.00
Unrecognized compensation cost	$ 1,703
2012 Plan [Member]
Options granted under 2012 Plan	319,669	602,000
Expected To Be Recognized During 2021 [Member]
Unrecognized compensation cost	$ 706
Expected To Be Recognized During 2022 [Member]
Unrecognized compensation cost	82
Expected To Be Recognized Remainder of 2020 [Member]
Unrecognized compensation cost	$ 915

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Earnings and Dividends Per Share (Summary Of Calculation Of Basic And Diluted Earnings Per Share) (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended				6 Months Ended
	Jun. 30, 2020	Mar. 31, 2020	Jun. 30, 2019	Mar. 31, 2019	Jun. 30, 2020	Jun. 30, 2019
Earnings Per Share [Abstract]
Net income (loss) attributable to common stockholders	$ 44,368		$ 39,979		$ 105,392	$ 75,658
BASIC:
Weighted average common shares outstanding	44,650,002		43,232,384		44,631,797	43,029,104
Net income per common share - basic	$ 0.99		$ 0.92		$ 2.36	$ 1.76
DILUTED:
Weighted average common shares outstanding	44,650,002		43,232,384		44,631,797	43,029,104
Stock options	0		66,145		2,273	70,920
Convertible subordinated debentures	0		199,492		0	211,503
Weighed average dilutive common shares outstanding	44,650,002		43,498,021		44,634,070	43,311,527
Net income per common share - diluted	$ 0.99		$ 0.92		$ 2.36	$ 1.75
Incremental shares excluded since anti-dilutive:
Net share effect of stock options with an exercise price in excess of the average market price for our common shares	610,367		40,173		439,962	21,227
Common Stock, Dividends, Per Share, Declared	$ 1.1025	$ 1.1025	$ 1.05	$ 1.05	$ 2.205	$ 2.10

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Fair Value Of Financial Instruments (Schedule Of Assets And Liabilities Measured On A Recurring Basis) (Details) - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019
Fair Value, Inputs, Level 2 [Member]
Interest rate swap liability	$ (10,737)	$ (3,434)

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Fair Value of Financial Instruments (Fair Value Measurements, Nonrecurring) (Details) - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Loans and Leases Receivable, Net Amount	$ 300,130	$ 340,143
Fair Value, Inputs, Level 3 [Member] | Reported Value Measurement [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Loans and Leases Receivable, Net Amount	300,130	340,143
Fair Value, Inputs, Level 3 [Member] | Estimate of Fair Value Measurement [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Loans and Leases Receivable, Net Amount	333,415	347,543
Variable Interest Rate Debt [Member] | Fair Value, Inputs, Level 2 [Member] | Reported Value Measurement [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt Instrument, Fair Value Disclosure	959,579	845,744
Variable Interest Rate Debt [Member] | Fair Value, Inputs, Level 2 [Member] | Estimate of Fair Value Measurement [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt Instrument, Fair Value Disclosure	963,000	850,000
Fixed Interest Rate Debt [Member] | Fair Value, Inputs, Level 2 [Member] | Reported Value Measurement [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt Instrument, Fair Value Disclosure	594,662	594,721
Fixed Interest Rate Debt [Member] | Fair Value, Inputs, Level 2 [Member] | Estimate of Fair Value Measurement [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt Instrument, Fair Value Disclosure	$ 635,787	$ 602,926

XML

Label	Element	Value
Share-based Payment Arrangement, Decrease for Tax Withholding Obligation	us-gaap_AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation	$ 10,000
Share-based Payment Arrangement, Decrease for Tax Withholding Obligation	us-gaap_AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation	1,006,000
Share-based Payment Arrangement, Decrease for Tax Withholding Obligation	us-gaap_AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation	2,705,000
Dividends, Common Stock, Cash	us-gaap_DividendsCommonStockCash	49,227,000
Dividends, Common Stock, Cash	us-gaap_DividendsCommonStockCash	49,226,000
Dividends, Common Stock, Cash	us-gaap_DividendsCommonStockCash	45,525,000
Dividends, Common Stock, Cash	us-gaap_DividendsCommonStockCash	45,359,000
Share-based Payment Arrangement, Noncash Expense	us-gaap_ShareBasedCompensation	2,001,000
Share-based Payment Arrangement, Noncash Expense	us-gaap_ShareBasedCompensation	477,000
Share-based Payment Arrangement, Noncash Expense	us-gaap_ShareBasedCompensation	1,845,000
Share-based Payment Arrangement, Noncash Expense	us-gaap_ShareBasedCompensation	470,000
Noncontrolling Interest, Decrease from Distributions to Noncontrolling Interest Holders	us-gaap_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders	382,000
Noncontrolling Interest, Decrease from Distributions to Noncontrolling Interest Holders	us-gaap_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders	16,000
Stock Issued During Period, Value, Stock Options Exercised	us-gaap_StockIssuedDuringPeriodValueStockOptionsExercised	1,000
Stock Issued During Period, Value, Stock Options Exercised	us-gaap_StockIssuedDuringPeriodValueStockOptionsExercised	1,000
Noncontrolling Interest, Increase from Subsidiary Equity Issuance	us-gaap_NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance	$ 10,791,000
Shares Issued, Shares, Share-based Payment Arrangement, after Forfeiture	us-gaap_StockIssuedDuringPeriodSharesShareBasedCompensation	35,982
AOCI Attributable to Parent [Member]
Net Income (Loss) Attributable to Parent	us-gaap_NetIncomeLoss	$ 1,396,000
Net Income (Loss) Attributable to Parent	us-gaap_NetIncomeLoss	(3,801,000)
Net Income (Loss) Attributable to Parent	us-gaap_NetIncomeLoss	(8,699,000)
Net Income (Loss) Attributable to Parent	us-gaap_NetIncomeLoss	(957,000)
Parent [Member]
Net Income (Loss) Attributable to Parent	us-gaap_NetIncomeLoss	45,764,000
Net Income (Loss) Attributable to Parent	us-gaap_NetIncomeLoss	36,178,000
Net Income (Loss) Attributable to Parent	us-gaap_NetIncomeLoss	34,722,000
Net Income (Loss) Attributable to Parent	us-gaap_NetIncomeLoss	52,324,000
Share-based Payment Arrangement, Decrease for Tax Withholding Obligation	us-gaap_AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation	(1,006,000)
Share-based Payment Arrangement, Decrease for Tax Withholding Obligation	us-gaap_AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation	(2,705,000)
Share-based Payment Arrangement, Decrease for Tax Withholding Obligation	us-gaap_AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation	(10,000)
Dividends, Common Stock, Cash	us-gaap_DividendsCommonStockCash	45,525,000
Dividends, Common Stock, Cash	us-gaap_DividendsCommonStockCash	49,227,000
Dividends, Common Stock, Cash	us-gaap_DividendsCommonStockCash	49,226,000
Dividends, Common Stock, Cash	us-gaap_DividendsCommonStockCash	45,359,000
Share-based Payment Arrangement, Noncash Expense	us-gaap_ShareBasedCompensation	477,000
Share-based Payment Arrangement, Noncash Expense	us-gaap_ShareBasedCompensation	2,001,000
Share-based Payment Arrangement, Noncash Expense	us-gaap_ShareBasedCompensation	1,845,000
Share-based Payment Arrangement, Noncash Expense	us-gaap_ShareBasedCompensation	470,000
Stock Issued During Period, Value, New Issues	us-gaap_StockIssuedDuringPeriodValueNewIssues	206,000
Stock Issued During Period, Value, New Issues	us-gaap_StockIssuedDuringPeriodValueNewIssues	35,913,000
Stock Issued During Period, Value, New Issues	us-gaap_StockIssuedDuringPeriodValueNewIssues	85,000
Stock Issued During Period, Value, New Issues	us-gaap_StockIssuedDuringPeriodValueNewIssues	11,942,000
Stock Issued During Period, Value, Stock Options Exercised	us-gaap_StockIssuedDuringPeriodValueStockOptionsExercised	1,000
Stock Issued During Period, Value, Stock Options Exercised	us-gaap_StockIssuedDuringPeriodValueStockOptionsExercised	1,000
Noncontrolling Interest [Member]
Comprehensive Income (Loss), Net of Tax, Attributable to Noncontrolling Interest	us-gaap_ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest	0
Comprehensive Income (Loss), Net of Tax, Attributable to Noncontrolling Interest	us-gaap_ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest	39,000
Comprehensive Income (Loss), Net of Tax, Attributable to Noncontrolling Interest	us-gaap_ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest	57,000
Share-based Payment Arrangement, Decrease for Tax Withholding Obligation	us-gaap_AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation	0
Dividends, Common Stock, Cash	us-gaap_DividendsCommonStockCash	0
Share-based Payment Arrangement, Noncash Expense	us-gaap_ShareBasedCompensation	0
Noncontrolling Interest, Decrease from Distributions to Noncontrolling Interest Holders	us-gaap_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders	(382,000)
Noncontrolling Interest, Decrease from Distributions to Noncontrolling Interest Holders	us-gaap_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders	(16,000)
Stock Issued During Period, Value, New Issues	us-gaap_StockIssuedDuringPeriodValueNewIssues	0
Noncontrolling Interest, Increase from Subsidiary Equity Issuance	us-gaap_NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance	10,791,000
Noncontrolling Interest, Increase from Subsidiary Equity Issuance	us-gaap_NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance	(1,000)
Retained Earnings, Appropriated [Member]
Net Income (Loss) Attributable to Parent	us-gaap_NetIncomeLoss	35,679,000
Net Income (Loss) Attributable to Parent	us-gaap_NetIncomeLoss	61,023,000
Net Income (Loss) Attributable to Parent	us-gaap_NetIncomeLoss	39,979,000
Net Income (Loss) Attributable to Parent	us-gaap_NetIncomeLoss	44,368,000
Dividends, Common Stock, Cash	us-gaap_DividendsCommonStockCash	45,525,000
Dividends, Common Stock, Cash	us-gaap_DividendsCommonStockCash	49,226,000
Dividends, Common Stock, Cash	us-gaap_DividendsCommonStockCash	49,227,000
Dividends, Common Stock, Cash	us-gaap_DividendsCommonStockCash	45,359,000
Additional Paid-in Capital [Member]
Share-based Payment Arrangement, Decrease for Tax Withholding Obligation	us-gaap_AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation	(10,000)
Share-based Payment Arrangement, Decrease for Tax Withholding Obligation	us-gaap_AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation	(1,006,000)
Share-based Payment Arrangement, Decrease for Tax Withholding Obligation	us-gaap_AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation	(2,705,000)
Share-based Payment Arrangement, Noncash Expense	us-gaap_ShareBasedCompensation	477,000
Share-based Payment Arrangement, Noncash Expense	us-gaap_ShareBasedCompensation	470,000
Share-based Payment Arrangement, Noncash Expense	us-gaap_ShareBasedCompensation	1,845,000
Share-based Payment Arrangement, Noncash Expense	us-gaap_ShareBasedCompensation	2,001,000
Stock Issued During Period, Value, New Issues	us-gaap_StockIssuedDuringPeriodValueNewIssues	206,000
Stock Issued During Period, Value, New Issues	us-gaap_StockIssuedDuringPeriodValueNewIssues	35,908,000
Stock Issued During Period, Value, New Issues	us-gaap_StockIssuedDuringPeriodValueNewIssues	85,000
Stock Issued During Period, Value, New Issues	us-gaap_StockIssuedDuringPeriodValueNewIssues	11,940,000
Stock Issued During Period, Value, Stock Options Exercised	us-gaap_StockIssuedDuringPeriodValueStockOptionsExercised	2,000
Stock Issued During Period, Value, Stock Options Exercised	us-gaap_StockIssuedDuringPeriodValueStockOptionsExercised	1,000
Common Stock [Member]
Stock Issued During Period, Value, New Issues	us-gaap_StockIssuedDuringPeriodValueNewIssues	2,000
Stock Issued During Period, Value, New Issues	us-gaap_StockIssuedDuringPeriodValueNewIssues	5,000
Stock Issued During Period, Value, Stock Options Exercised	us-gaap_StockIssuedDuringPeriodValueStockOptionsExercised	$ 1,000
Stock Issued During Period, Shares, New Issues	us-gaap_StockIssuedDuringPeriodSharesNewIssues	155,729
Shares Issued, Shares, Share-based Payment Arrangement, after Forfeiture	us-gaap_StockIssuedDuringPeriodSharesShareBasedCompensation	1,971
Shares Issued, Shares, Share-based Payment Arrangement, after Forfeiture	us-gaap_StockIssuedDuringPeriodSharesShareBasedCompensation	62,516