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 September 30, 2020

OR

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

For the Transition period from ____ to ____

Commission file number 1-11314

LTC PROPERTIES, INC.

(Exact name of Registrant as specified in its charter)

Maryland	71-0720518
(State or other jurisdiction of	(I.R.S. Employer
incorporation or organization)	Identification No.)

2829 Townsgate Road, Suite 350

Westlake Village, California 91361

(Address of principal executive offices, including zip code)

(805) 981-8655

(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, $.01 par value	LTC	New York Stock Exchange

Indicate by check mark whether 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 þ 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 þ 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 definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer þ 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 þ

The number of shares of common stock outstanding on October 22, 2020 was 39,242,225.

LTC PROPERTIES, INC.

FORM 10-Q

September 30, 2020

INDEX

PART I -- Financial Information		Page
Item 1.	Financial Statements
	Consolidated Balance Sheets	3
	Consolidated Statements of Income and Comprehensive Income	4
	Consolidated Statements of Equity	5
	Consolidated Statements of Cash Flows	6
	Notes to Consolidated Financial Statements	7
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	26
Item 3.	Quantitative and Qualitative Disclosures about Market Risk	45
Item 4.	Controls and Procedures	45
PART II -- Other Information
Item 1.	Legal Proceedings	46
Item 1A.	Risk Factors	46
Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	47
Item 6.	Exhibits	48

LTC PROPERTIES, INC.

CONSOLIDATED BALANCE SHEETS

(amounts in thousands, except per share)

	September 30, 2020		December 31, 2019
	(unaudited)		(audited)
ASSETS
Investments:
Land	$	127,774	$	126,703
Buildings and improvements		1,320,990		1,295,899
Accumulated depreciation and amortization		(339,833)		(312,642)
Operating real estate property, net		1,108,931		1,109,960
Properties held-for-sale, net of accumulated depreciation: 2020—$0; 2019—$35,113		—		26,856
Real property investments, net		1,108,931		1,136,816
Mortgage loans receivable, net of loan loss reserve: 2020—$2,596; 2019—$2,560		257,671		254,099
Real estate investments, net		1,366,602		1,390,915
Notes receivable, net of loan loss reserve: 2020—$144; 2019—$181		14,297		17,927
Investments in unconsolidated joint ventures		7,069		19,003
Investments, net		1,387,968		1,427,845
Other assets:
Cash and cash equivalents		22,811		4,244
Debt issue costs related to bank borrowings		1,546		2,164
Interest receivable		31,248		26,586
Straight-line rent receivable		24,374		45,703
Lease incentives		2,401		2,552
Prepaid expenses and other assets		6,896		5,115
Total assets	$	1,477,244	$	1,514,209
LIABILITIES
Bank borrowings	$	89,900	$	93,900
Senior unsecured notes, net of debt issue costs: 2020—$696; 2019—$812		574,444		599,488
Accrued interest		3,300		4,983
Accrued expenses and other liabilities		30,779		30,412
Total liabilities		698,423		728,783
EQUITY
Stockholders’ equity:
Common stock: $0.01 par value; 60,000 shares authorized; shares issued and outstanding: 2020—39,242; 2019—39,752		392		398
Capital in excess of par value		851,000		867,346
Cumulative net income		1,371,202		1,293,482
Cumulative distributions		(1,452,177)		(1,384,283)
Total LTC Properties, Inc. stockholders’ equity		770,417		776,943
Non-controlling interests		8,404		8,483
Total equity		778,821		785,426
Total liabilities and equity	$	1,477,244	$	1,514,209

See accompanying notes.

3

LTC PROPERTIES, INC.

CONSOLIDATED STATEMENTS OF INCOME AND COMPREHENSIVE INCOME

(amounts in thousands, except per share, unaudited)

	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2020		2019		2020		2019
Revenues:
Rental income	$	30,010	$	38,665	$	88,320	$	114,566
Interest income from mortgage loans		7,890		7,646		23,487		22,308
Interest and other income		273		808		1,257		1,967
Total revenues		38,173		47,119		113,064		138,841
Expenses:
Interest expense		7,361		7,827		22,617		23,004
Depreciation and amortization		9,766		9,932		29,232		29,399
Impairment charges		941		—		941		—
(Recovery) provision for doubtful accounts		(2)		(14)		(1)		153
Transaction costs		63		75		197		275
Property tax expense		3,351		4,270		11,685		12,566
General and administrative expenses		4,814		4,745		14,494		13,912
Total expenses		26,294		26,835		79,165		79,309
Other operating income:
Gain on sale of real estate, net		30		6,236		44,073		6,736
Operating income		11,909		26,520		77,972		66,268
Gain from property insurance proceeds		373		—		373		—
Loss on unconsolidated joint ventures		—		—		(620)		—
Income from unconsolidated joint ventures		56		760		287		1,973
Net income		12,338		27,280		78,012		68,241
Income allocated to non-controlling interests		(121)		(88)		(292)		(257)
Net income attributable to LTC Properties, Inc.		12,217		27,192		77,720		67,984
Income allocated to participating securities		(103)		(112)		(339)		(298)
Net income available to common stockholders	$	12,114	$	27,080	$	77,381	$	67,686
Earnings per common share:
Basic	$	0.31	$	0.68	$	1.97	$	1.71
Diluted	$	0.31	$	0.68	$	1.97	$	1.69
Weighted average shares used to calculate earnings per common share:
Basic		39,061		39,586		39,218		39,565
Diluted		39,112		39,965		39,269		39,944
Dividends declared and paid per common share	$	0.57	$	0.57	$	1.71	$	1.71
Comprehensive Income:
Net income	$	12,338	$	27,280	$	78,012	$	68,241
Comprehensive income	$	12,338	$	27,280	$	78,012	$	68,241

See accompanying notes.

4

LTC PROPERTIES, INC.

CONSOLIDATED STATEMENTS OF EQUITY

(In thousands)

					Capital in		Cumulative				Total		Non-
	Common Stock				Excess of		Net		Cumulative		Stockholder's		Controlling		Total
	Shares		Amount		Par Value		Income		Distributions		Equity		Interests		Equity
Balance—December 31, 2018	39,657	$	397	$	862,712	$	1,255,764	$	(1,293,383)	$	825,490	$	7,481	$	832,971
Cumulative Effect of the adoption of the ASC 842	—		—		—		(42,808)		-		(42,808)		-		(42,808)
As Adjusted Balance at January 1, 2019	39,657	$	397	$	862,712	$	1,212,956	$	(1,293,383)	$	782,682	$	7,481	$	790,163
Common Stock cash distributions ($0.57 per share)	—		—		—		—		(22,631)		(22,631)		—		(22,631)
Vesting of performance-based stock units	48		—		—		—		(300)		(300)		—		(300)
Issuance of restricted stock	78		—		(1)		—		—		(1)		—		(1)
Stock-based compensation expense	—		—		1,689		—		—		1,689		—		1,689
Net income	—		—		—		20,346		—		20,346		81		20,427
Non-controlling interest contributions	—		—		—		—		—		—		919		919
Non-controlling interest distributions	—		—		—		—		—		—		(89)		(89)
Other	(44)		—		(2,024)		—		—		(2,024)		—		(2,024)
Balance—March 31, 2019	39,739	$	397	$	862,376	$	1,233,302	$	(1,316,314)	$	779,761	$	8,392	$	788,153
Common Stock cash distributions ($0.57 per share)	—		—		—		—		(22,653)		(22,653)		—		(22,653)
Issuance of restricted stock	8		—		(6)		—		—		(6)		—		(6)
Stock-based compensation expense	—		—		1,623		—		—		1,623		—		1,623
Net income	—		—		—		20,446		—		20,446		88		20,534
Non-controlling interest contributions	—		—		—		—		—		—		46		46
Non-controlling interest distributions	—		—		—		—		—		—		(87)		(87)
Balance—June 30, 2019	39,747	$	397	$	863,993	$	1,253,748	$	(1,338,967)	$	779,171	$	8,439	$	787,610
Common Stock cash distributions ($0.57 per share)	—		—		—		—		(22,658)		(22,658)		—		(22,658)
Stock option exercises	5		1		122		—		—		123		—		123
Stock-based compensation expense	—		—		1,626		—		—		1,626		—		1,626
Net income	—		—		—		27,192		—		27,192		88		27,280
Non-controlling interest distributions	—		—		—		—		—		—		(67)		(67)
Other	—		—		(20)		—		—		(20)		—		(20)
Balance—September 30, 2019	39,752	$	398	$	865,721	$	1,280,940	$	(1,361,625)	$	785,434	$	8,460	$	793,894
Common Stock cash distributions ($0.57 per share)	—		—		—		—		(22,658)		(22,658)		—		(22,658)
Stock-based compensation expense	—		—		1,625		—		—		1,625		—		1,625
Net income	—		—		—		12,542		—		12,542		89		12,631
Non-controlling interest distributions	—		—		—		—		—		—		(66)		(66)
Balance—December 31, 2019	39,752	$	398	$	867,346	$	1,293,482	$	(1,384,283)	$	776,943	$	8,483	$	785,426
Common Stock cash distributions ($0.57 per share)	—		—		—		—		(22,581)		(22,581)		—		(22,581)
Vesting of performance-based stock units	82		—		—		—		(586)		(586)		—		(586)
Issuance of restricted stock	76		1		(1)		—		—		—		—		—
Repurchase of common stock	(616)		(6)		(18,006)		—		—		(18,012)		—		(18,012)
Stock-based compensation expense	—		—		1,777		—		—		1,777		—		1,777
Net income	—		—		—		63,633		—		63,633		89		63,722
Non-controlling interest distributions	—		—		—		—		—		—		(146)		(146)
Other	(76)		(1)		(3,544)		—		—		(3,545)		—		(3,545)
Balance—March 31, 2020	39,218	$	392	$	847,572	$	1,357,115	$	(1,407,450)	$	797,629	$	8,426	$	806,055
Common Stock cash distributions ($0.57 per share)	—		—		—		—		(22,359)		(22,359)		—		(22,359)
Issuance of restricted stock	25		—		(7)		—		—		(7)		—		(7)
Stock-based compensation expense	—		—		1,761		—		—		1,761		—		1,761
Net income	—		—		—		1,870		—		1,870		82		1,952
Non-controlling interest distributions	—		—		—		—		—		—		(97)		(97)
Balance—June 30, 2020	39,243	$	392	$	849,326	$	1,358,985	$	(1,429,809)	$	778,894	$	8,411	$	787,305
Common Stock cash distributions ($0.57 per share)	—		—		—		—		(22,368)		(22,368)		—		(22,368)
Stock-based compensation expense	—		—		1,693		—		—		1,693		—		1,693
Net income	—		—		—		12,217		—		12,217		121		12,338
Non-controlling interest distributions	—		—		—		—		—		—		(128)		(128)
Other	(1)		—		(19)		—		—		(19)		—		(19)
Balance—September 30, 2020	39,242	$	392	$	851,000	$	1,371,202	$	(1,452,177)	$	770,417	$	8,404	$	778,821

5

LTC PROPERTIES, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(Amounts in thousands, unaudited)

	Nine Months Ended September 30,
	2020		2019
OPERATING ACTIVITIES:
Net income	$	78,012	$	68,241
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization		29,232		29,399
Stock-based compensation expense		5,231		4,938
Impairment charges		941		—
Gain on sale of real estate, net		(44,073)		(6,736)
Loss on unconsolidated joint ventures		620		—
Income from unconsolidated joint ventures		(287)		(1,973)
Income distributions from unconsolidated joint ventures		249		2,577
Straight-line rental income		(1,701)		(3,598)
Adjustment for collectibility of rental income and lease incentives		23,214		1,926
Lease incentives funded		(50)		(322)
Amortization of lease incentives		317		281
(Recovery) provision for doubtful accounts		(1)		153
Other non-cash items, net		772		760
Increase in interest receivable		(4,662)		(4,367)
Decrease in accrued interest payable		(1,683)		(184)
Net change in other assets and liabilities		(502)		(1,003)
Net cash provided by operating activities		85,629		90,092
INVESTING ACTIVITIES:
Investment in real estate properties		(13,581)		(38,334)
Investment in real estate developments		(13,384)		(15,052)
Investment in real estate capital improvements		(3,955)		(2,121)
Capitalized interest		(354)		(441)
Proceeds from sale of real estate, net		72,141		8,068
Investment in real estate mortgage loans receivable		(4,176)		(10,919)
Principal payments received on mortgage loans receivable		565		565
Investments in unconsolidated joint ventures		(6,398)		(394)
Proceeds from liquidation of investments in unconsolidated joint ventures		17,758		6,601
Advances and originations under notes receivable		(1,366)		(8,531)
Principal payments received on notes receivable		4,732		3,446
Net cash provided by (used in) investing activities		51,982		(57,112)
FINANCING ACTIVITIES:
Bank borrowings		24,000		73,400
Repayment of bank borrowings		(28,000)		(20,000)
Principal payments on senior unsecured notes		(25,160)		(14,667)
Stock repurchase plan		(18,012)		—
Stock option exercises		—		123
Distributions paid to stockholders		(67,894)		(68,241)
Contribution from non-controlling interests		—		46
Distributions paid to non-controlling interests		(371)		(243)
Financing costs paid		(35)		(41)
Withheld vested restricted stock and performance-based stock units		(3,564)		(2,047)
Other		(8)		(6)
Net cash used in financing activities		(119,044)		(31,676)
Increase in cash, cash equivalents and restricted cash		18,567		1,304
Cash, cash equivalents and restricted cash, beginning of period		4,244		4,764
Cash, cash equivalents and restricted cash, end of period	$	22,811	$	6,068
Supplemental disclosure of cash flow information:
Interest paid	$	23,531	$	22,431
Non-cash investing and financing transactions:
Right of use asset	$	—	$	1,354
Lease liability	$	—	$	1,354
Reclassification of notes receivable to lease incentives	$	300	$	200

See accompanying notes.

6

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

1. General

LTC Properties, Inc., a health care real estate investment trust (“REIT”), was incorporated on May 12, 1992 in the State of Maryland and commenced operations on August 25, 1992. We invest primarily in seniors housing and health care properties primarily through sale-leaseback transactions, mortgage financing and structured finance solutions including mezzanine lending. We conduct and manage our business as one operating segment, rather than multiple operating segments, for internal reporting and internal decision-making purposes. Our primary objectives are to create, sustain and enhance stockholder equity value and provide current income for distribution to stockholders through real estate investments in seniors housing and health care properties managed by experienced operators. Our primary seniors housing and health care property classifications include skilled nursing centers (“SNF”), assisted living communities (“ALF”), independent living communities (“ILF”), memory care communities (“MC”) and combinations thereof. To meet these objectives, we attempt to invest in properties that provide opportunity for additional value and current returns to our stockholders and diversify our investment portfolio by geographic location, operator, property classification and form of investment.

We have prepared consolidated financial statements included herein without audit and in the opinion of management have included all adjustments necessary for a fair presentation of the consolidated financial statements pursuant to the rules and regulations of the Securities and Exchange Commission (“SEC”). Certain information and note disclosures normally included in financial statements prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) have been condensed or omitted pursuant to rules and regulations governing the presentation of interim financial statements. The accompanying consolidated financial statements include the accounts of our company and its wholly-owned subsidiaries. All significant intercompany accounts and transactions have been eliminated in consolidation. The results of operations for the three and nine months ended September 30, 2020 and 2019 are not necessarily indicative of the results for a full year.

No provision has been made for federal or state income taxes. Our company qualifies as a REIT under Sections 856 through 860 of the Internal Revenue Code of 1986, as amended. As such, we generally are not taxed on income that is distributed to our stockholders.

New Accounting Pronouncements

New Accounting Standards Adopted by Our Company

In February 2016, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2016-02 (“ASU 2016-02”), Leases, which is codified under Accounting Standards Codification (“ASC”) as ASC Topic 842, Leases. Among other changes, ASU 2016-02 amends the previous accounting for lessors to:

● Modify the accounting and lease classification criteria;

● On a quarterly basis, on an individual lease basis, assess the collectibility of substantially all of the lease payments through maturity. If collectibility is not probable, the lease income recorded during the period would be limited to lesser of the income that would have been recognized if collection were probable, and the lease payments received; and

7

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS CONTINUED

(Unaudited)

● Exclude the lessor costs that are directly paid by the lessee to third parties on lessor’s behalf from variable payments. However, the lessor costs that are paid by the lessor and reimbursed by the lessee are required to be included in variable payments.

As a result of adopting ASU 2016-02 on January 1, 2019, using the modified retrospective transition approach, we evaluated the collectibility of our lease payments and determined that the level of collectibility certainty cannot be achieved for certain operators. Accordingly, we recognized a cumulative effect adjustment to equity of $42,808,000. Additionally, we now report real estate taxes that are reimbursed by our operators as Rental income with a corresponding Property tax expense in the Consolidated Statements of Income and Comprehensive Income. Furthermore, we assess the collectibility of substantially all of our lease payments through maturity and if collectibility is not probable, all or a portion of our straight-line rent receivable and other lease receivables may be written off and the rental income during the period would be limited to the lesser of the income that would have been recognized if collection were probable, and the lease payments received. Our assessment of collectibility of leases includes evaluating the data and assumptions used in determining whether substantially all of the future lease payments were probable based on the lessee’s payment history, the financial strength of the lessees, future contractual rents, and the timing of expected payments.

In April 2020, the FASB staff released guidance regarding accounting for lease concessions in response to the novel coronavirus (“COVID-19”) pandemic. The FASB staff guidance indicates that lessors could elect an accounting policy to not evaluate whether rent concessions provided in response to the COVID-19 pandemic are lease modifications. When only the timing of payments is impacted by the rent deferrals, but the amount of the consideration is substantially the same as required by the original lease agreement, the FASB listed two methods for lessors to account for the rent deferrals. We elected the first of the following two methods:

● Account for the rent deferrals as if there were no changes made to the lease agreement. Accordingly, increase the lease receivable and continue to recognize income.

● Account for the rent deferrals as variable lease payments.

In 2016, the FASB issued ASU No. 2016-13, Measurement of Credit Losses on Financial Instruments (“ASU 2016-13”). This standard requires a new forward looking “expected loss” model to be used for receivables, held-to-maturity debt, loans, and other instruments. When shared risk characteristics exist, ASU 2016-13 requires a collective basis measurement of expected credit losses of the financial assets. ASU 2016-13 is effective for fiscal years, and interim periods within those years, beginning after December 15, 2019.

We adopted ASU 2016-13 on January 1, 2020 and determined our Mortgage loans receivable and Notes receivable are within the scope of this ASU. We utilize the probability of default and discounted cash flow methods to estimate expected credit losses. Additionally, we stress-tested the results to reflect the impact of unknown adverse future events including recessions. We concluded that the adoption of ASU 2016-13 did not have a material impact on our financial statements at September 30, 2020.

8

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS CONTINUED

(Unaudited)

The expected credit losses for our financial instruments that are within the scope of ASU 2016-13 are as follows (in thousands):

				Increase
				/(Decrease)
		Balance		in Expected		Balance
	Balance Sheet	at		Credit Loss		at
Description	Location	12/31/2019		During the Quarter		9/30/2020
Expected credit losses for mortgage loans receivable	Mortgage loans receivable, net of loan loss reserve	$	2,560	$	36	$	2,596
Expected credit losses for notes receivable	Notes receivable, net of loan loss reserve	$	181	$	(37)	$	144

We elected not to measure an allowance for expected credit losses on accrued interest receivable under the expected credit loss standard as we have a policy in place to reserve or write off accrued interest receivable in a timely manner through our quarterly review of the loan and property performance. Therefore, we elected the policy to write off accrued interest receivable by reversing interest income and/or recognizing credit loss expense. As of September 30, 2020, the total balance of accrued interest receivable of $31,248,000 was not included in the measurement of expected credit loss. For the three and nine months ended September 30, 2020 and 2019, Company did not recognize any write-off related to accrued interest receivable.

2. Real Estate Investments

Assisted living communities, independent living communities, memory care communities and combinations thereof are included in the assisted living property classification (collectively “ALF”).

Any reference to the number of properties or facilities, number of units, number of beds, number of operators and yield on investments in real estate are unaudited and outside the scope of our independent registered public accounting firm’s review of our consolidated financial statements in accordance with the standards of the Public Company Accounting Oversight Board.

Owned Properties. Our Owned properties are leased pursuant to non-cancelable operating leases generally with an initial term of 10 to 15 years. Each lease is a triple net lease which requires the lessee to pay all taxes, insurance, maintenance and repairs, capital and non-capital expenditures and other costs necessary in the operations of the facilities. Many of the leases contain renewal options. The leases provide for fixed minimum base rent during the initial and renewal periods. The majority of our leases contain provisions for specified annual increases over the rents of the prior year that are generally computed in one of four ways depending on specific provisions of each lease:

(i)a specified percentage increase over the prior year’s rent, generally between 2.0% and 2.5%;

(ii)a calculation based on the Consumer Price Index;

(iii)as a percentage of facility net patient revenues in excess of base amounts; or

(iv)specific dollar increases.

9

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS CONTINUED

(Unaudited)

Our leases that contain fixed annual rental escalations and/or have annual rental escalations that are contingent upon changes in the Consumer Price Index, are generally recognized on a straight-line basis over the minimum lease period. Certain leases have annual rental escalations that are contingent upon changes in the gross operating revenues of the property. This revenue is not recognized until the appropriate contingencies have been resolved.

The following table summarizes our investments in owned properties at September 30, 2020 (dollar amounts in thousands):

								Average
			Percentage		Number	Number of		Investment
	Gross		of		of	SNF	ALF	per
Type of Property	Investment		Investment		Properties (1)	Beds	Units	Bed/Unit
Assisted Living	$	880,307	60.8	%	107	—	6,164	$	142.81
Skilled Nursing		557,097	38.4	%	51	6,277	212	$	85.85
Other (2)		11,360	0.8	%	1	118	—		—
Total	$	1,448,764	100.0	%	159	6,395	6,376

(1) We own properties in 27 states that are leased to 29 different operators.

(2) Includes three parcels of land held-for-use, and one behavioral health care hospital.

Future minimum base rents receivable under the remaining non-cancelable terms of operating leases excluding the effects of straight-line rent receivable, amortization of lease incentives and renewal options are as follows (in thousands):

	Cash
	Rent (1)
2020	$	33,758
2021		143,139
2022		131,294
2023		132,827
2024		131,766
Thereafter		632,675

(1) Represents contractual cash rent, except for Anthem Memory Care (“Anthem”) master lease which is based on estimated cash payments. See below for more disclosure relating to Anthem.

An affiliate of Senior Lifestyle Corporation (“Senior Lifestyle”) operates 23 properties under a master lease with a combination of independent living, assisted living and memory care units. Senior Lifestyle was provided deferral of partial rent in April 2020 and failed to pay full rent during the second quarter of 2020. In accordance with ASC 842, we evaluated the collectibility of receiving substantially all of our lease payments from the Senior Lifestyle master lease through maturity and determined that we did not have the level of certainty required by the standard. Accordingly, we wrote-off a total $17,742,000 of straight-line rent receivable and lease incentives related to this master lease during the second quarter of 2020 and we accounted for the Senior Lifestyle master lease on a cash basis effective July 2020. Contractual rent for April through September 2020 was $9,121,000 of which we collected $5,325,000. In October 2020, we received $1,341,000 of their contractual rent of $1,561,000. The outstanding accounts receivable balance on our Consolidated Balance Sheets of $2,670,000 is covered by a letter of credit and security deposit totaling $3,608,000. We continue to evaluate the collectibility of our Senior Lifestyle master lease quarterly. Additionally, we are evaluating our options for the portfolio which may include a combination of re-leasing and selling some or all of the properties.

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(Unaudited)

During the third quarter of 2020, an operator paid $542,000 of its contractual rent of $1,299,000. Additionally, during the three months ended September 30, 2020, we consolidated our two master leases with the operator into one combined master lease. Under the new combined master lease, we agreed to abate $570,000 of third quarter rent along with $80,000 that had been deferred in second quarter of 2020, totaling $650,000. Additionally, the new combined master lease allows the operator to defer rent as needed through March 31, 2021. In September 2020, the operator deferred $186,000 of its $374,000 contractual rent. During the three months ended September 30, 2020, we recorded an impairment charge of $941,000 related to an assisted living community that was operated by the operator. The community was closed in October 2020 and we are evaluating our options for this community. In accordance with ASC 842, we evaluated the collectibility of receiving substantially all of our lease payments under our master lease with the operator through maturity and determined that we did not have the level of certainty required by the standard. Accordingly, we wrote-off $1,156,000 of straight-line rent receivable related to this master lease during the third quarter of 2020.

On August 10, 2020, in the Quarterly Report on Form 10-Q, Genesis Healthcare, Inc. (“Genesis”) reported doubt regarding its ability to continue as a going concern. Accordingly, in accordance with ASC 842, we evaluated the collectibility of receiving substantially all of our lease payments from the Genesis master lease through maturity and determined that we did not have the level of certainty required by the standard. Accordingly, we wrote-off $4,316,000 of straight-line rent receivable related to this master lease during the third quarter of 2020. Genesis is current on rent payments through October 2020.

Anthem operates 11 memory care communities under a master lease and was placed in default in 2017 resulting from Anthem’s partial payment of its minimum rent. However, we did not enforce our rights and remedies pertaining to the event of default, under the stipulation that Anthem achieves sufficient performance and pays agreed upon rent. In accordance with ASC 842 lease accounting guidance, at January 1, 2019, we evaluated the collectibility of straight-line rent receivable and lease incentive balances related to Anthem and determined that it was not probable that we would collect substantially all of the contractual lease obligations through maturity. Accordingly, we wrote-off the balances to equity as of January 1, 2019, as required by the ASC 842 transition guidance. We continue to evaluate the collectibility of our Anthem master lease on a quarterly basis. We currently anticipate that Anthem will pay $9,900,000 of annual cash rent during 2020. However, COVID-19 may adversely impact Anthem’s operating cash flow and ability to pay rent. Anthem is current on 2020 rent payments through October 2020.

Preferred Care, Inc. (“Preferred Care”) and affiliated entities filed for Chapter 11 bankruptcy in 2017 as a result of a multi-million-dollar judgment in a lawsuit in Kentucky against Preferred Care and certain affiliated entities. Preferred Care leased 24 properties (“Properties”) under two master leases from us and the Preferred Care operating entities that sublease those Properties did not file for bankruptcy. In accordance with ASC 842 lease accounting guidance, at January 1, 2019, we evaluated the collectibility of straight-line rent receivable and lease incentive balances related to Preferred Care and determined it was not probable that we would collect substantially all of the contractual lease obligations through maturity. Accordingly, we wrote-off the balances to equity as of January 1, 2019, as required by the ASC 842 transition guidance. Preferred Care did not affirm our master leases and subsequently filed for Chapter 7 bankruptcy in 2019.

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(Unaudited)

During the fourth quarter of 2019, we entered into multiple contracts to sell the Properties, all of which were completed during the first quarter of 2020. The combined net proceeds from the sales, including the 2019 transactions, was approximately $77,900,000 resulting in a total gain of approximately $44,000,000. The Properties had a combined net book value of $35,600,000. The 21 properties sold in the first quarter of 2020, which included 2,411 beds in Arizona, Colorado, Iowa, Kansas and Texas, were sold through multiple transactions and generated net proceeds of approximately $72,100,000. These 21 properties had a combined net book value of $29,100,000 and resulted in total gain on sale of $44,073,000.

Senior Care Centers, LLC and affiliates and subsidiaries (“Senior Care”) filed for Chapter 11 bankruptcy as a result of lease terminations from certain landlords and on-going operational challenges in December 2018. Senior Care did not pay us December 2018 rent and accordingly, in December 2018, we placed Senior Care on a cash basis. In accordance with ASC 842 lease accounting guidance, at January 1, 2019, we evaluated the collectibility of the straight-line rent receivable and lease incentive balance related to Senior Care and determined it was not probable that we would collect substantially all of the contractual lease obligations through maturity. Accordingly, we wrote-off the balances to equity as of January 1, 2019, as required by the ASC 842 transition guidance. During 2019, we received a court ordered reimbursement from Senior Care for the December 2018 unpaid rent, late fees and legal costs totaling $1,596,000. In March 2020, Senior Care emerged from bankruptcy and affirmed our master lease. We continue to evaluate the collectibility of our Senior Care master lease on a quarterly basis. Senior Care is current on all its rent, real estate property tax escrow and maintenance deposits through October 2020.

During the third quarter of 2020, we consolidated our four leases with Brookdale Senior Living Communities, Inc (“Brookdale”) into one master lease and extended the term by one year to December 31, 2021. The master lease provides three renewal options consisting of a four-year renewal option, a five-year renewal option and a 10-year renewal option. The notice period for the first renewal option is January 1, 2021 to April 30, 2021. The economic terms of rent remain the same as the consolidated rent terms under the previous four separate lease agreements.

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(Unaudited)

The following table summarizes components of our rental income for the three and nine months ended September 30, 2020 and 2019 (in thousands):

	Three Months Ended						Nine Months Ended
	September 30,						September 30,
Rental Income		2020			2019			2020			2019
Base cash rental income	$	32,006	(1)	$	33,754		$	98,357	(1)	$	100,687
Variable cash rental income		3,356	(2)		3,926	(2)		11,793	(2)		12,488	(2)
Straight-line rent		228			1,085			1,701			3,598
Adjustment for collectability of rental income and lease incentives		(5,472)	(3)		—			(23,214)	(4)		(1,926)
Amortization of lease incentives		(108)			(100)			(317)			(281)
Total	$	30,010		$	38,665		$	88,320		$	114,566

(1) Decreased primarily due to reduction of rent from Preferred Care portfolio sale and Senior Lifestyle rent shortfall and abated and deferred rent partially offset by increase in rent from acquisitions and completion of development projects and contractual rent increases.

(2) The variable rental income for the three and nine months ended September 30, 2020, includes contingent rental income of $4 and $108, respectively, and reimbursement of real estate taxes by our lessees of $3,352 and $11,685, respectively. The variable rental income for the three and nine months ended September 30, 2019 includes contingent rental income of $77 and $394, respectively, and reimbursement of real estate taxes by our lessees of $3,849 and $12,094, respectively.

(3) Represents the write-off of the Genesis and another operator straight-line rent receivable balances.

(4) Represents the write-off of the Senior Lifestyle straight-line rent receivable and lease incentive balances and (3) above.

Some of our lease agreements provide purchase options allowing the lessees to purchase the properties they currently lease from us. The following table summarizes information about purchase options included in our lease agreements (dollar amount in thousands):

	Type	Number
	of	of		Gross		Carrying	Option
State	Property	Properties		Investments		Value	Window
California	ALF/MC	2	$	38,895	$	35,836	2024-2029
California	ALF	2		30,609		17,088	2021-TBD	(1)
Florida	MC	1		14,340		12,631	2028-2029
Kentucky and Ohio	MC	2		30,152		27,320	2028-2029
Texas	MC	2		25,265		23,870	2025-2027
South Carolina	ALF/MC	1		11,680		10,358	2028-2029
Total			$	150,941	$	127,103

(1) The option window ending date will be either 24 months or 48 months after the option window commences, based on certain contingencies.

On March 11, 2020, the World Health Organization declared the outbreak of COVID-19 as a pandemic, and on March 13, 2020, the United States declared a national emergency with regard to COVID-19. As required by ASC 842, we assess the collectibility of our lease payments through maturity on a quarterly basis. At September 30, 2020, in conjunction with the continued levels of uncertainty related to the adverse effects of COVID-19, we assessed the probability of collecting substantially all of our lease payments through maturity and concluded that we did not have sufficient information available to evaluate the impact of COVID-19 on the collectibility of our lease payments. The extent to which COVID-19 could impact our operators and the collectibility of our future lease payments will depend on the future developments including the financial impact significance and the duration of the pandemic. We will continue to evaluate the collectibility of our lease payments through maturity on a quarterly basis, including the financial impact of COVID-19. If we determine that we do not have the level of collectibility certainty required by ASC 842 related to certain operators, all or a portion of our straight-

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(Unaudited)

line rent receivable and other lease receivables will be written-off. In recognition of the unique conditions affecting our operators, we have agreed to rent deferrals for certain operators totaling $1,176,000, or 1.5% of contractual rent, for April through September 2020. Additionally, we granted rent deferrals of $566,000 for October 2020. Through October 2020, we have received $553,000 of rent deferral payments. The remaining $1,189,000 balance of deferred rent is due to LTC over the next 24 months or upon the operators’ receipt of government funds from the U.S. Coronavirus Aid, Relief, and Economic Security ACT (the “CARES Act”).

Acquisitions and Developments: The following table summarizes our acquisitions for the nine months ended September 30, 2020 and 2019 (dollar amounts in thousands):

						Total		Number	Number
		Purchase		Transaction		Acquisition		of	of
Year	Type of Property	Price		Costs (1)		Costs		Properties	Beds/Units
2020	Skilled Nursing (2)	$	13,500	$	81	$	13,581	1	140
2019	Assisted Living (3)	$	16,719	$	176	$	16,895	1	74
	Skilled Nursing (4)		19,500		77		19,577	1	90
	Land (5)		2,732		49		2,781	—	—
Total		$	38,951	$	302	$	39,253	2	164

(1) Represents cost associated with our acquisitions; however, upon adoption of ASU 2017-01, our acquisitions meet the definition of an asset acquisition resulting in capitalization of transaction costs to the properties’ basis. For our land purchases with forward development commitments, transaction costs are capitalized as part of construction in progress. Transaction costs per our Consolidated Statements of Income and Comprehensive Income represents current and prior year transaction costs due to timing and terminated transactions.

(2) We acquired a SNF located in Texas.

(3) We entered into a joint venture (“JV”) (consolidated on our financial statements) to purchase an existing operational 74-unit ALF/MC community. The non-controlling partner contributed $919 of equity and we contributed $15,971 in cash. Our economic interest in the real estate JV is approximately 95%.

(4) We acquired a newly constructed 90-bed SNF located in Missouri.

(5) We acquired a parcel of land adjacent to an existing SNF in California. Additionally, we acquired a parcel of land and developed a 90-bed SNF in Missouri. The commitment totals approximately $17,400.

During the nine months ended September 30, 2020 and 2019, we invested the following in development and improvement projects (in thousands):

	Nine Months Ended September 30,
	2020				2019
Type of Property	Developments		Improvements		Developments		Improvements
Assisted Living Communities	$	4,491	$	3,941	$	10,266	$	1,826
Skilled Nursing Centers		8,893		14		4,786		—
Other		—		—		—		295
Total	$	13,384	$	3,955	$	15,052	$	2,121

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(Unaudited)

Completed Developments. The following table summarizes our completed developments during the nine months ended September 30, 2020 and 2019 (dollar amounts in thousands):

		Number	Type	Number
		of	of	of				Total
Year	Type of Project	Properties	Property	Beds/Units	State		Investment
2020	Development	1	ALF/MC	78	Oregon	(1)	$	18,447
	Development	1	SNF	90	Missouri			13,272
Total		2		168			$	31,719
2019	Development	1	SNF	143	Kentucky		$	24,496
	Development	1	ILF/ALF/MC	110	Wisconsin			21,893
Total		2		253			$	46,389

(1) Certificate of occupancy was received in March 2020, however, due to the COVID-19 pandemic, we consented to delay the opening of this community to September 2020.

Properties Sold. The following table summarizes property sales during the nine months ended September 30, 2020 and 2019 (dollar amounts in thousands):

		Type		Number	Number
		of		of	of		Sales		Carrying		Net
Year	State	Properties		Properties	Beds/Units		Price		Value		Gain
2020	N/A	N/A		—	—	$	—	$	—	$	108	(1)
	Arizona	SNF		1	194		12,550		2,229		10,292
	Colorado	SNF		3	275		15,000		4,271		10,364
	Iowa	SNF	(2)	7	544		14,500		4,886		9,029
	Kansas	SNF		3	250		9,750		7,438		1,993
	Texas	SNF		7	1,148		23,000		10,260		12,287
Total 2020 (3)				21	2,411	$	74,800	$	29,084	$	44,073	(3)
2019	N/A	N/A		—	—	$	—	$	—	$	500	(4)
	Georgia	SNF		1	148		7,920		1,639		6,236
Total 2019				1	148	$	7,920	$	1,639	$	6,736

(

(1) Gain recognized from the $90 repayment of a holdback related to a property sold during the fourth quarter of 2019 and the reassessment adjustment of $18 from the holdback under the expected value model per ASC Topic 606, Contracts with Customers (“ASC 606”).

(2) This transaction includes a holdback of $838 which is held in an interest-bearing account with an escrow holder on behalf of the buyer for potential specific losses. Using the expected value model per ASC 606, we estimated and recorded the holdback value of $471. During the nine months ended September 30, 2020, we received $150 of the holdback. We reassessed the holdback under the expected value model and recorded an additional gain of $115.

(3) Properties sold within the Preferred Care portfolio.

(4) Gain recognized from the repayment of a holdback related to a portfolio of six ALFs sold during the second quarter of 2018.

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(Unaudited)

Mortgage Loans. The following table summarizes our investments in mortgage loans secured by first mortgages at September 30, 2020 (dollar amounts in thousands):

				Type	Percentage		Number of			Investment
		Gross		of	of				SNF	per
Interest Rate (1)	Maturity	Investment		Property	Investment		Loans (2)	Properties (3)	Beds	Bed/Unit
9.9%	2043	$	186,865	SNF	71.8	%	1	15	1,941	$	96.27
9.2%	2045		38,853	SNF	14.9	%	1	4	501	$	77.55
9.4%	2045		19,624	SNF	7.6	%	1	2	205	$	95.73
9.6%	2045		14,925	SNF	5.7	%	1	1	157	$	95.06
Total		$	260,267		100.0	%	4	22	2,804	$	92.82

(1) The majority of the mortgage loans provide for annual increases in the interest rate after a certain time period increasing by 2.25%.

(2) Some loans contain certain guarantees, provide for certain facility fees and the majority of the mortgage loans have a 30-year term.

(3) The properties securing these mortgage loans are located in one state and are operated by one operator.

The following table summarizes our mortgage loan activity for the nine months ended September 30, 2020 and 2019 (in thousands):

	Nine Months Ended September 30,
	2020			2019
	Amounts			Origination/Funding
Originations and funding under mortgage loans receivable	$	4,176	(1)	$	10,919	(2)
Scheduled principal payments received		(565)			(565)
Mortgage loan premium amortization		(3)			(3)
Provision for loan loss reserve		(36)			(104)
Net increase in mortgage loans receivable	$	3,572		$	10,247

(1) During 2020, we funded an additional $2,000 under and existing mortgage loan. The incremental funding bears interest at 8.89% and escalating by 2.25% thereafter.

(2) During 2019, we funded an additional $7,500 under an existing mortgage loan. The incremental funding bears interest at 9.41% fixed for two years and escalating by 2.25% thereafter.

3. Investment in Unconsolidated Joint Ventures

We had a preferred equity investment in an unconsolidated joint venture that owned four communities located in Arizona, providing independent living, assisted living and memory care services. During the fourth quarter of 2019, the JV signed a contract to sell the four properties comprising the JV (“Properties”). The contract was subject to standard due diligence and other contingencies to close, all of which were met in January 2020. Accordingly, based on the information available to us regarding alternatives and courses of action, we performed a recoverability test on the carrying value of our preferred equity investment and concluded that a portion of our preferred equity investment will not be recoverable. Therefore, we recorded an other than temporary impairment loss from investment in unconsolidated joint ventures of $5,500,000 and wrote our preferred equity investment down to its estimated fair value at December 31, 2019. Upon sale of the Properties, we received partial liquidation proceeds totaling $17,758,000 during the second and third quarters of 2020. During the nine months ended September 30, 2020, we incurred an additional $620,000 of loss. We anticipate receiving additional proceeds of $729,000 through March 31, 2021.

During the nine months ended September 30, 2020, we provided preferred capital contribution

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(Unaudited)

commitments to two joint ventures. We determined that each of these JVs meets the accounting criteria to be considered a variable interest entity (“VIE”). We are not the primary beneficiary of the VIEs as we do not have both: 1) the power to direct the activities that most significantly affect the VIE’s economic performance, and 2) the right to receive benefits from the VIE or the obligation to absorb losses of the VIE that could be significant to the VIE. However, we do have significant influence over the JVs. Therefore, we accounted for the joint venture investments using the equity method of accounting. The following table provides information regarding these preferred equity investments:

	Type	Type		Total		Contractual		Number
	of	of		Preferred		Cash		of		Investment			Carrying
State	Properties	Investment		Return		Portion		Beds/ Units		Commitment			Value
Washington	UDP	Preferred Equity	(1)	12	%	7	%	—	$	—	(1)	$	6,340	(1)
Washington	UDP	Preferred Equity	(2)	12	%	8	%	—		13,000	(2)		-	(2)
Total								—	$	13,000		$	6,340

(1) Invested $6,340 of preferred equity in an entity that will develop a 95-unit ALF/MC in Washington. Our investment represents 15.5% of the estimated total investment. The preferred equity investment earns an initial cash rate of 7% increasing to 9% in year four until the internal rate of return (“IRR”) is 8%. After achieving an 8% IRR, the cash rate drops to 8% with an IRR ranging between 12% to 14%.

(2) Entered into a preferred equity agreement in an entity that will develop and own a 267-unit ILF/ALF in Washington. Our investment represents 11.6% of the estimated total investment. Upon the satisfaction of certain conditions which are projected to be met by year-end, LTC will invest $13,000 into the entity. The preferred equity investment will earn an initial cash rate of 8% and a 12% IRR.

The following table summarizes our capital contributions, income recognized, and cash interest received related to our investments in unconsolidated joint ventures for the nine months ended September 30, 2020 and 2019 (in thousands):

	Type
	of			Capital			Income			Cash Interest
Year	Properties			Contribution			Recognized			Received
2020	ALF/MC/ILF	(1)	$	58	(1)	$	231	(1)	$	231	(1)
	UDP			6,340	(2)		56	(2)		18	(2)
Total			$	6,398		$	287		$	249
2019	ALF/MC/ILF		$	394	(1)	$	614	(1)	$	1,166	(1)
	ALF/ILF/MC	(3)		—	(3)		955	(3)		979	(3)
	ALF/MC	(4)		—	(4)		404	(4)		432	(4)
Total			$	394		$	1,973		$	2,577

(1) Relates to our preferred equity investment in Arizona discussed above with a total preferred return of 15%. During the nine months ended September 30, 2020, the properties comprising the JV were sold.

(2) During the third quarter of 2020, we provided a total preferred equity investment of $6,340 to a JV for the development of a 95-unit ALF and MC.

(3) We had a $2,900 mezzanine loan commitment for a 99-unit seniors housing community in Florida with a total preferred return of 15%. The mezzanine loan was an ADC arrangement which we determined it to have characteristics similar to a jointly-owned arrangement and recorded it as an unconsolidated joint venture. Since interest payments were deferred and no interest was recorded for the first twelve months of the loan, we used the effective interest method in accordance with GAAP to recognize interest income and recorded the difference between the effective interest income and cash interest income to the loan principal balance. During the third quarter of 2019, the mezzanine loan was paid off.

(4) We had a $3,400 mezzanine loan commitment for the development of a 127-unit seniors housing community in Florida with a total preferred return of 15%. The mezzanine loan was an ADC arrangement which we determined it to have characteristics similar to a jointly-owned arrangement and recorded it as an unconsolidated joint venture. During the first quarter of 2019, the mezzanine loan was paid off.

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(Unaudited)

4. Notes Receivable

Notes receivable consists of mezzanine loans and other loan arrangements. The following table is a summary of our notes receivable components as of September 30, 2020 and December 31, 2019 (in thousands):

	September 30, 2020		December 31, 2019
Mezzanine loans	$	8,566	$	13,284
Other loans		5,875		4,824
Notes receivable reserve		(144)		(181)
Total	$	14,297	$	17,927

The following table summarizes our notes receivable activity for the nine months ended September 30, 2020 and 2019 (in thousands):

	Nine Months Ended September 30,
		2020			2019
Advances under notes receivable	$	1,366	(1)	$	8,531	(2)
Principal payments received under notes receivable		(4,732)			(3,446)
Reclassified to lease incentives		(300)	(3)		(200)	(3)
Notes receivable reserve		36			(48)
Total	$	(3,630)		$	4,837

(1) We originated a $1,250 note agreement, funding $1,000 with a commitment to fund $250. The note bears interest at 5.0%.

(2) We originated a $6,800 mezzanine loan commitment for the development of a 204-unit ILF/ALF/MC in Georgia. The mezzanine loan has a five-year term and a 12.0% return, a portion of which is paid in cash, and the remaining portion of which is deferred during the first 46 months. Additionally, we originated a $1,400 note agreement, funding $1,124 with a commitment to fund $276. The note bears interest at 7.0%. Further, we originated a $550 note agreement, funding $400 with a commitment to fund $150. The note bears interest at 7.5%.

(3) Represents interim working capital loans related to development projects which matured upon completion of the development projects and commencement of the master leases.

5. Lease Incentives

Our lease incentive balances at September 30, 2020 and December 31, 2019 are as follows (in thousands):

		September 30, 2020		December 31, 2019
Non-contingent lease incentives	$	2,401	$	2,552

The following table summarizes our lease incentives activity for the nine months ended September 30, 2020 and 2019 (in thousands):

	2020							2019
		Funding		Amortization		Adjustment			Funding		Amortization		Adjustment
Non-contingent lease incentives	$	50	$	(317)	$	115	(1)	$	322	$	(281)	$	(11,893)	(2)

(1) We reclassified a $300 interim working capital loan as lease incentive. See Note 4. Notes Receivable for further discussion. Additionally, we wrote-off $185 of lease incentive related to a master lease for which we determined it was not probable we will collect substantially all of the contractual lease obligations through maturity. See Note 2. Real Estate Investments for further discussion.

(2) In accordance with ASC 842 lease standard adopted on January 1, 2019, we wrote-off $12,093 of lease incentives related to leases for which we determined it is not probable we will collect substantially all of the contractual lease obligation through maturity. See Note 1. General for further discussion. Additionally, we reclassified a $200 interim working capital loan as lease incentive. See Note 4. Notes Receivable for further discussion.

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(Unaudited)

Non-contingent lease incentives represent payments made to our lessees for various reasons including entering into a new lease or lease amendments and extensions. Contingent lease incentives represent potential contingent earn-out payments that may be made to our lessees in the future, as part of our lease agreements. From time to time, we may commit to provide contingent payments to our lessees, upon our properties achieving certain rent coverage ratios. Once the contingent payment becomes probable and estimable, the contingent payment is recorded as a lease incentive. Lease incentives are amortized as a yield adjustment to rental income over the remaining life of the lease.

6. Debt Obligations

Bank Borrowings. We have an unsecured credit agreement that provides for a revolving aggregate commitment of the lenders of up to $600,000,000 with the opportunity to increase the commitment size of the credit agreement up to a total of $1,000,000,000. The unsecured credit agreement matures on June 27, 2022 and provides for a one-year extension option at our discretion, subject to customary conditions. Based on our leverage at September 30, 2020, the facility provides for interest annually at LIBOR plus 115 basis points and a facility fee of 20 basis points. At September 30, 2020, we were in compliance with all covenants.

Senior Unsecured Notes. We have senior unsecured notes held by institutional investors with interest rates ranging from 3.85% to 5.03%. The senior unsecured notes mature between 2021 and 2032.

The debt obligations by component as of September 30, 2020 and December 31, 2019 are as follows (dollar amounts in thousands):

		At September 30, 2020				At December 31, 2019
	Applicable			Available				Available
	Interest	Outstanding		for		Outstanding		for
Debt Obligations	Rate (1)	Balance		Borrowing		Balance		Borrowing
Bank borrowings	1.33%	$	89,900	$	510,100	$	93,900	$	506,100
Senior unsecured notes, net of debt issue costs	4.36%		574,444		—		599,488		21,500
Total	3.95%	$	664,344	$	510,100	$	693,388	$	527,600

(1) Represents weighted average of interest rate as of September 30, 2020.

Our borrowings and repayments are as follows (in thousands):

	Nine Months Ended September 30,
	2020				2019
Debt Obligations		Borrowings		Repayments	Borrowings		Repayments
Bank borrowings	$	24,000	$	(28,000)	$	73,400	$	(20,000)
Senior unsecured notes		—		(25,160)		—		(14,667)
Total	$	24,000	$	(53,160)	$	73,400	$	(34,667)

7. Equity

Common Stock. We have separate equity distribution agreements (collectively, “Equity Distribution Agreements”) to offer and sell, from time to time, up to $200,000,000 in aggregate offering price of shares of our common stock. As of September 30, 2020, no shares had been issued under the Equity Distribution Agreements. Accordingly, at September 30, 2020, we had $200,000,000 available under the Equity Distribution Agreements.

19

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS CONTINUED

(Unaudited)

During the nine months ended September 30, 2020 and 2019, we acquired 76,574 shares and 45,030 shares, respectively, of common stock held by employees who tendered owned shares to satisfy tax withholding obligations.

Stock Repurchase Plan. During the first quarter of 2020, our Board of Directors authorized the repurchase of up to 5,000,000 outstanding shares of common stock. Due to the rising level of uncertainty in financial markets and the adverse effects of COVID-19 on the public health and our operators, our Board of Directors terminated the stock repurchase plan on March 25, 2020. During the nine months ended September 30, 2020, we purchased 615,827 shares at an average price of $29.25 per share, including commissions, for a total purchase price of $18,012,000.

Non-controlling Interests. We have entered into partnerships to develop and/or own real estate. Given that our limited members do not have the substantive kick-out rights, liquidation rights, or participation rights, we have concluded that the partnerships are VIEs. As we exercise power over and receive benefits from the VIEs, we are considered the primary beneficiary. Accordingly, we consolidate the VIEs and record the non-controlling interests on the consolidated financial statements.

As of September 30, 2020, we have the following consolidated VIEs (in thousands):

					Gross
Investment		Property			Consolidated		Non-Controlling
Year	Purpose	Type	State		Assets		Interests
2019	Owned real estate	ALF/MC	VA	$	16,895	$	919
2018	Owned real estate	ILF	OR		14,400		2,858
2018	Owned real estate and development	ALF/MC	OR		18,447		1,081
2017	Owned real estate and development	ILF/ALF/MC	WI		22,007		2,305
2017	Owned real estate	ALF/MC	SC		11,680		1,241
Total				$	83,429	$	8,404

Available Shelf Registration. We have an automatic shelf registration statement on file with the SEC, and currently have the ability to file additional automatic shelf registration statements, to provide us with capacity to publicly offer an indeterminate amount of common stock, preferred stock, warrants, debt, depositary shares, or units. We may from time to time raise capital under our automatic shelf registration statement in amounts, at prices, and on terms to be announced when and if the securities are offered. The specifics of any future offerings, along with the use of proceeds of any securities offered, will be described in detail in a prospectus supplement, or other offering materials, at the time of the offering. Our shelf registration statement expires on February 28, 2022.

Distributions. We declared and paid the following cash dividends (in thousands):

	Nine Months Ended September 30,
	2020						2019
	Declared			Paid			Declared			Paid
Common Stock (1)	$	67,894	(2)	$	67,894	(2)	$	68,241	(3)	$	68,241	(3)

(1) Represents $0.19 per share per month for the nine months ended September 30, 2020 and 2019.

(2) Includes $586 related to the vesting of performance-based stock units.

(3) Includes $300 related to the vesting of performance-based stock units.

In October 2020, we declared a monthly cash dividend of $0.19 per share on our common stock

20

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS CONTINUED

(Unaudited)

for the months of October, November and December 2020, payable on October 30, November 30, and December 31, 2020, respectively, to stockholders of record on October 22, November 20, and December 23, 2020, respectively.

Stock-Based Compensation. Under our 2015 Equity Participation Plan (“the 2015 Plan”), 1,400,000 shares of common stock have been reserved for awards, including nonqualified stock option grants and restricted stock grants to officers, employees, non-employee directors and consultants. The terms of the awards granted under the 2015 Plan are set by our compensation committee at its discretion.

At September 30, 2020, we had 15,000 stock options outstanding and exercisable. During the nine months ended September 30, 2020 and 2019, no stock options were granted. The stock options exercised during the nine months ended September 30, 2020 and 2019 were as follows:

		Weighted
		Average
	Options	Exercise		Option		Market
	Exercised	Price		Value		Value (1)
2020	—	$	—	$	—	$	—
2019	5,000	$	24.65	$	123,000	$	233,000

(1)

(1) As of exercise date.

The following table summarizes our restricted stock and performance-based stock units activity for the nine months ended September 30, 2020 and 2019:

	Nine Months Ended September 30,
	2020			2019
Outstanding, January 1		345,633			325,750
Granted		167,375			147,608
Vested		(166,051)	(1)		(127,725)	(2)
Outstanding, September 30		346,957			345,633

(1) Includes 81,574 performance-based stock units.

(2) Includes 48,225 performance-based stock units.

During the nine months ended September 30, 2020 and 2019, we granted restricted stock and performance-based stock units under the 2015 Plan as follows:

	No. of	Price per
Year	Shares/Units	Share		Vesting Period
2020	76,464	$	48.95	ratably over 3 years
	66,027	$	49.98	TSR targets (1)
	9,884	$	38.45	May 27, 2021
	15,000	$	38.45	ratably over 3 years
	167,375
2019	78,276	$	46.54	ratably over 3 years
	60,836	$	46.54	TSR targets (1)
	8,496	$	44.73	May 29, 2020
	147,608

(1) Vesting is based on achieving certain total shareholder return (“TSR”) targets in 4 years with acceleration opportunity in 3 years.

21

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS CONTINUED

(Unaudited)

Compensation expense recognized related to the vesting of restricted common stock and performance-based stock units for the nine months ended September 30, 2020 and 2019 were $5,231,000 and $4,938,000, respectively. At September 30, 2020, the remaining compensation expense to be recognized related to the future service period of unvested outstanding restricted common stock and performance-based stock units are as follows (in thousands):

	Remaining
	Compensation
Vesting Date	Expense
2020	$	1,781
2021		5,201
2022		2,729
2023		367
Total	$	10,078

8. Commitments and Contingencies

At September 30, 2020, we had commitments as follows (in thousands):

						Total
	Investment			2020		Commitment		Remaining
	Commitment			Funding		Funded		Commitment
Real estate properties (Note 2. Real Estate Investments)	$	28,713	(1)	$	12,487	$	17,459	$	11,254
Accrued incentives and earn-out liabilities (Note 5. Lease Incentives)		9,000			—		—		9,000
Mortgage loans (Note 2. Real Estate Investments)		27,200	(2)		2,928		8,873		18,327
Joint venture investments (Note 3. Investments in Unconsolidated Joint Ventures)		13,000			—		—		13,000
Notes receivable (Note 4. Notes Receivable)		1,854			1,275		1,275		579
Total	$	79,767		$	16,690	$	27,607	$	52,160

(1) Represents commitments to purchase land and improvements, if applicable, and to develop, re-develop, renovate or expand seniors housing and health care properties.

(2) Represents $9,200 of commitments to expand and renovate the seniors housing and health care properties securing the mortgage loans and $18,000 represents contingent funding upon the borrower achieving certain coverage ratios.

Also, some of our lease agreements provide purchase options allowing the lessee to purchase the properties they currently lease from us. See Note 2. Real Estate Investments for a table summarizing information about our purchase options.

We are a party from time to time to various general and professional liability claims and lawsuits asserted against the lessees or borrowers of our properties, which in our opinion are not singularly or in the aggregate material to our results of operations or financial condition. These types of claims and lawsuits may include matters involving general or professional liability, which we believe under applicable legal principles are not our responsibility as a non-possessory landlord or mortgage holder. We believe that these matters are the responsibility of our lessees and borrowers pursuant to general legal principles and pursuant to insurance and indemnification provisions in the applicable leases or mortgages. We intend to continue to vigorously defend such claims.

9. Major Operators

We have two operators that derive 10% or more of our combined rental revenue and interest income from mortgage loans. The following table sets forth information regarding our major operators as

22

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS CONTINUED

(Unaudited)

of September 30, 2020:

	Number of		Number of		Percentage of
			SNF	ALF	Total		Total
Operator	SNF	ALF	Beds	Units	Revenue (1)		Assets (2)
Prestige Healthcare	24	—	2,922	93	19.8	%	18.0	%
Senior Lifestyle Corporation (3)	—	23	—	1,457	10.4	%	10.2	%
Total	24	23	2,922	1,550	30.2	%	28.2	%

(1) Includes rental income from owned properties and interest income from mortgage loans as of September 30, 2020 and excludes rental income from lessee reimbursement and sold properties.

(2) Represents the net carrying value of the properties divided by the Total assets on the Consolidated Balance Sheets.

(3) See Note 2. Real Estate Investments for further information regarding Senior Lifestyle.

23

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS CONTINUED

(Unaudited)

Our financial position and ability to make distributions may be adversely affected if Prestige Healthcare, Senior Lifestyle Corporation, or any of our lessees and borrowers face financial difficulties, including any bankruptcies, inability to emerge from bankruptcy, insolvency or general downturn in business of any such operator, impact upon services or occupancy levels due to COVID-19, or in the event any such operator does not renew and/or extend its relationship with us.

10. Earnings per Share

The following table sets forth the computation of basic and diluted net income per share (in thousands, except per share amounts):

	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2020		2019		2020		2019
Net income	$	12,338	$	27,280	$	78,012	$	68,241
Less income allocated to non-controlling interests		(121)		(88)		(292)		(257)
Less income allocated to participating securities:
Non-forfeitable dividends on participating securities		(103)		(93)		(294)		(279)
Income allocated to participating securities		—		(19)		(45)		(19)
Total net income allocated to participating securities (1)		(103)		(112)		(339)		(298)
Net income available to common stockholders		12,114		27,080		77,381		67,686
Effect of dilutive securities:
Participating securities (2)		—		—		—		—
Net income for diluted net income per share	$	12,114	$	27,080	$	77,381	$	67,686
Shares for basic net income per share		39,061		39,586		39,218		39,565
Effect of dilutive securities:
Stock options		—		4		—		4
Performance-based stock units		51		375		51		375
Participating securities (2)		—		—		—		—
Total effect of dilutive securities		51		379		51		379
Shares for diluted net income per share		39,112		39,965		39,269		39,944
Basic net income per share	$	0.31	$	0.68	$	1.97	$	1.71
Diluted net income per share	$	0.31	$	0.68	$	1.97	$	1.69

(1) Under the two-class method of computing earnings per share in accordance with GAAP, income (loss) allocated to participating securities is calculated independently for each quarter and year-to-date period. Therefore, the sum of the amounts for the quarter may not agree with the amounts for the year. 

(2) For the three and nine months ended September 30, 2020, and 2019, the participating securities have been excluded from the computation of diluted net income per share as such inclusion would be anti-dilutive.

11. Fair Value Measurements

In accordance with the accounting guidance regarding the fair value option for financial assets and financial liabilities, entities are permitted to choose to measure certain financial assets and liabilities at fair value, with the change in unrealized gains and losses reported in earnings. We did not elect the fair value option for any of our financial assets and financial liabilities.

24

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS CONTINUED

(Unaudited)

The carrying amount of cash and cash equivalents approximates fair value because of the short-term maturity of these instruments. We do not invest our cash in auction rate securities. The carrying value and fair value of our financial instruments as of September 30, 2020 and December 31, 2019 assuming election of fair value for our financial assets and financial liabilities were as follows (in thousands):

	At September 30, 2020					At December 31, 2019
	Carrying		Fair			Carrying		Fair
	Value		Value			Value		Value
Mortgage loans receivable	$	257,671	$	299,151	(1)	$	254,099	$	312,824	(1)
Bank borrowings		89,900		89,900	(2)		93,900		93,900	(2)
Senior unsecured notes, net of debt issue costs		574,444		582,480	(3)		599,488		612,375	(3)

(1) Our investment in mortgage loans receivable is classified as Level 3. The fair value is determined using a widely accepted valuation technique, discounted cash flow analysis on the expected cash flows. The discount rate is determined using our assumption on market conditions adjusted for market and credit risk and current returns on our investments. The discount rate used to value our future cash inflows of the mortgage loans receivable at September 30, 2020 and December 31, 2019 was 10.0% and 9.0%, respectively.

(2) Our bank borrowings bear interest at a variable interest rate. The estimated fair value of our bank borrowings approximated their carrying values at September 30, 2020 and December 31, 2019 based upon prevailing market interest rates for similar debt arrangements.

(3) Our obligation under our senior unsecured notes is classified as Level 3 and thus the fair value is determined using a widely accepted valuation technique, discounted cash flow analysis on the expected cash flows. The discount rate is measured based upon management’s estimates of rates currently prevailing for comparable loans available to us, and instruments of comparable maturities. At September 30, 2020, the discount rate used to value our future cash outflow of our senior unsecured notes was 3.75% for those maturing before year 2026 and 4.00% for those maturing at or beyond year 2026. At December 31, 2019, the discount rate used to value our future cash outflow of our senior unsecured notes was 3.70% for those maturing before year 2026 and 3.90% for those maturing at or beyond year 2026.

12. Subsequent Events

Subsequent to September 30, 2020 the following events occurred:

Equity: We declared a monthly cash dividend of $0.19 per share on our common stock for the months of October, November and December 2020, payable on October 30, November 30, and December 31, 2020, respectively to stockholders of record on October 22, November 20, and December 23, 2020, respectively.

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Item 2.MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

Statement Regarding Forward Looking Disclosure

This quarterly report contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, adopted pursuant to the Private Securities Litigation Reform Act of 1995. Statements that are not purely historical may be forward-looking. You can identify some of the forward-looking statements by their use of forward-looking words, such as “believes,” “expects,” “may,” “will,” “could,” “would,” “should,” “seeks,” “approximately,” “intends,” “plans,” “estimates” or “anticipates,” or the negative of those words or similar words. Forward-looking statements involve inherent risks and uncertainties regarding events, conditions and financial trends that may affect our future plans of operation, business strategy, results of operations and financial position. A number of important factors could cause actual results to differ materially from those included within or contemplated by such forward-looking statements, including, but not limited to, the status of the economy; the status of capital markets (including prevailing interest rates) and our access to capital; the income and returns available from investments in health care related real estate (including our ability to re-lease properties upon expiration of a lease term); the ability of our borrowers and lessees to meet their obligations to us; our reliance on a few major operators; our dependence on operators for revenue and cash flow; the bankruptcy, insolvency or financial deterioration of our lessees; potential limitations on our remedies when mortgage loans default; competition faced by our borrowers and lessees within the health care industry, public health epidemics such as coronavirus (COVID-19); regulation of the health care industry by federal, state and local governments; changes in Medicare and Medicaid reimbursement amounts (including due to federal and state budget constraints); compliance with and changes to regulations and payment policies within the health care industry; debt that we may incur and changes in financing terms; our ability to continue to qualify as a real estate investment trust; the relative illiquidity of our real estate investments; and risks and liabilities in connection with properties owned through limited liability companies and partnerships. For a discussion of these and other factors that could cause actual results to differ from those contemplated in the forward-looking statements, please see the discussion under “Risk Factors” contained in our Annual Report on Form 10-K for the fiscal year ended December 31, 2019 and in our publicly available filings with the Securities and Exchange Commission. We do not undertake any responsibility to update or revise any of these factors or to announce publicly any revisions to forward-looking statements, whether as a result of new information, future events or otherwise.

Executive Overview

Business and Investment Strategy

We are a self-administered health care real estate investment trust (“REIT”) that invests in seniors housing and health care properties through sale-leaseback transactions, mortgage financing and structured finance solutions including mezzanine lending. We conduct and manage our business as one operating segment, rather than multiple operating segments, for internal reporting and internal decision-making purposes. Our primary objectives are to create, sustain and enhance stockholder equity value and provide current income for distribution to stockholders through real estate investments in seniors housing and health care properties managed by experienced operators.

26

The following graph summarizes our gross investments as of September 30, 2020:

Our primary seniors housing and health care property classifications include skilled nursing centers (“SNF”), assisted living communities (“ALF”), independent living communities (“ILF”), memory care communities (“MC”) and combinations thereof. ALF, ILF, MC, and combinations thereof are included in the ALF classification. As of September 30, 2020, seniors housing and long-term health care properties comprised approximately 99.3% of our real estate investment portfolio. We have been operating since August 1992.

Substantially all of our revenues and sources of cash flows from operations are derived from operating lease rentals, interest earned on outstanding loans receivable and income from investments in unconsolidated joint ventures. Our investments in owned properties and mortgage loans represent our primary source of liquidity to fund distributions and are dependent upon the performance of the operators on their lease and loan obligations and the rates earned thereon. To the extent that the operators experience operating difficulties and are unable to generate sufficient cash to make payments to us, there could be a material adverse impact on our consolidated results of operations, liquidity and/or financial condition. To mitigate this risk, we monitor our investments through a variety of methods determined by property type and operator. Our monitoring process includes periodic review of financial statements for each facility, periodic review of operator credit, scheduled property inspections and review of covenant compliance.

In addition to our monitoring and research efforts, we also structure our investments to help mitigate payment risk. Some operating leases and loans are credit enhanced by guaranties and/or letters of credit. In addition, operating leases are typically structured as master leases and loans are generally cross-

27

defaulted and cross-collateralized with other loans, operating leases or agreements between us and the operator and its affiliates.

COVID-19

On March 11, 2020, the World Health Organization declared the outbreak of coronavirus (“COVID-19”) as a pandemic, and on March 13, 2020, the United States declared a national emergency with regard to COVID-19. The COVID-19 pandemic has had repercussions across regional and global economies and financial markets. The outbreak of COVID-19 in many countries, including the United States, has significantly and adversely impacted public health and economic activity, and has contributed to significant volatility and negative pressure in financial markets.

The operations and occupancy levels at our properties will be adversely affected if COVID-19 or another pandemic results in infections on a large scale at our properties, early resident move-outs, our operators delay accepting new residents due to quarantines, and/or potential occupants postpone moving to a senior housing facility. Additionally, as our operators have responded to the pandemic, operating costs have begun to rise. A decrease in occupancy, ability to collect rents from residents and/or increase in operating 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. In recognition of the pandemic impact affecting our operators, we have agreed to rent deferrals for certain operators totaling $1.2 million, or 1.5% of contractual rent, for April through September 2020. Additionally, we granted rent deferrals of $0.6 million for October 2020. Through October 2020, we have received $0.6 million of rent deferral payments. The remaining balance of deferred rent is due to LTC over the next 24 months or upon receipt of government funds from the U.S. Coronavirus Aid, Relief, and Economic Security (the “CARES Act”).

The extent to which COVID-19 could impact our operations and those of our operators will depend on future developments, which are highly uncertain and cannot be predicted with confidence, including the duration, spread and severity of the outbreak and the actions taken to contain the virus or mitigate its impact, and the direct and indirect economic effects of the pandemic and containment measures.

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Real Estate Portfolio Overview

The following tables summarize our real estate investment portfolio by owned properties and mortgage loans and by type, as of September 30, 2020 (dollar amounts in thousands):

					Nine Months Ended
			Percentage		September 30, 2020				Percentage		Number	Number of
	Gross		of		Rental		Interest		of		of	SNF	ALF
Owned Properties	Investments		Investments		Income (1)		Income		Revenues		Properties (2)	Beds (3)	Units (3)
Assisted Living	$	880,307	51.5	%	$	52,599	$	—	42.7	%	107	—	6,164
Skilled Nursing		557,097	32.6	%		46,226		—	37.6	%	51	6,277	212
Other (4)		11,360	0.7	%		727		—	0.6	%	1	118	—
Total Owned Properties		1,448,764	84.8	%		99,552		—	80.9	%	159	6,395	6,376
Mortgage Loans
Skilled Nursing		260,267	15.2	%		—		23,487	19.1	%	22	2,804	—
Total Mortgage Loans		260,267	15.2	%		—		23,487	19.1	%	22	2,804	—
Total Portfolio	$	1,709,031	100.0	%	$	99,552	$	23,487	100.0	%	181	9,199	6,376

					Nine Months Ended
			Percentage		September 30, 2020				Percentage		Number	Number of
	Gross		of		Rental		Interest		of		of	SNF	ALF
Summary of Properties by Type	Investments		Investments		Income (1)		Income		Revenues		Properties (2)	Beds (3)	Units (3)
Assisted Living	$	880,307	51.5	%	$	52,599	$	—	42.7	%	107	—	6,164
Skilled Nursing		817,364	47.8	%		46,226		23,487	56.7	%	73	9,081	212
Other (4)		11,360	0.7	%		727		—	0.6	%	1	118	—
Total Portfolio	$	1,709,031	100.0	%	$	99,552	$	23,487	100.0	%	181	9,199	6,376

(1) Excludes variable rental income from lessee reimbursement and sold properties.

(2) We have investments in 27 states leased or mortgaged to 29 different operators.

(3) See Item 1. Financial Statements – Note 2. Real Estate Investments for discussion of bed/unit count.

(4) Includes three parcels of land held-for-use and one behavioral health care hospital.

As of September 30, 2020, we had $1.4 billion in net carrying value of real estate investments, consisting of $1.1 billion or 81.1% invested in owned and leased properties and $0.3 billion or 18.9% invested in mortgage loans secured by first mortgages. Our investment in mortgage loans mature in 2043 and beyond and contain interest rates between 9.2% and 9.9%.

For the nine months ended September 30, 2020, rental income and interest income from mortgage loans represented 78.1% and 20.8%, respectively, of total gross revenues. In most instances, our lease structure contains fixed annual rental escalations and/or annual rental escalations that are contingent upon changes in the Consumer Price Index, which are generally recognized on a straight-line basis over the minimum lease period. Certain leases have annual rental escalations that are contingent upon changes in the gross operating revenues of the property. This revenue is not recognized until the appropriate contingencies have been resolved.

During the nine months ended September 30, 2020, there were no lease renewals. During the nine months ended September 30, 2020, we consolidated our four leases with Brookdale Senior Living Communities, Inc (“Brookdale”) into one master lease and extended the term by one year to December 31, 2021. The master lease provides three renewal options consisting of a four-year renewal option, a five-year renewal option and a 10-year renewal option. Also, during the nine months ended September 30, 2020, we consolidated our two master leases with an operator into one combined master lease. Under the new combined master lease, we agreed to abate $0.6 million of third quarter rent along with $0.1 million that had been deferred in second quarter of 2020 totaling $0.7 million. Additionally, the new combined master lease allows the operator to defer rent as needed through March 31, 2021.

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For the nine months ended September 30, 2020, we recorded $1.7 million in straight-line rental income and amortization of lease incentive cost of $0.5 million. During the nine months ended September 30, 2020, we received $110.2 million of cash rental income, which includes $11.7 million of operator reimbursements for our real estate taxes. At September 30, 2020, the straight-line rent receivable balance, net of reserves, on the balance sheet was $24.4 million.

Update on Certain Operators

An affiliate of Senior Lifestyle Corporation (“Senior Lifestyle”) operates 23 properties under a master lease with a combination of independent living, assisted living and memory care units. Senior Lifestyle was provided partial deferred rent in April 2020 and failed to pay full rent during the second quarter of 2020. In accordance with ASC 842, we evaluated the collectibility of receiving substantially all of our lease payments from the Senior Lifestyle master lease through maturity and determined that we did not have the level of certainty required by the standard. Accordingly, we wrote-off a total $17.7 million of straight-line rent receivable and lease incentives related to this master lease during the second quarter of 2020 and accounted for the Senior Lifestyle master lease on a cash basis effective July 2020. Contractual rent for the quarter was $9.1 million of which we collected $5.3 million. In October 2020, we received $1.3 million of their contractual rent of $1.6 million. The outstanding accounts receivable balance on our Consolidated Balance Sheets of $2.7 million is covered by a letter of credit and security deposit totaling $3.6 million. We continue to evaluate the collectibility of our Senior Lifestyle master lease quarterly. Additionally, we are evaluating our options for the portfolio which may include a combination of re-leasing and selling some or all of the properties.

During the third quarter of 2020, an operator paid $0.5 million of its contractual rent of $1.3 million. Additionally, during the three months ended September 30, 2020, we consolidated our two master leases with the operator into one combined master lease. Under the new combined master lease, we agreed to abate $0.6 million of third quarter rent along with $0.1 million that had been deferred in second quarter of 2020, totaling $0.7 million. Additionally, the new combined master lease allows the operator to defer rent as needed through March 31, 2021. In September 2020, the operator deferred $0.2 million of its $0.4 million contractual rent. During the three months ended September 30, 2020, we recorded an impairment charge of $0.9 million related to an assisted living community that was operated by the operator. The community was closed in October 2020 and we are evaluating our options for this community. In accordance with ASC 842, we evaluated the collectibility of receiving substantially all of our lease payments form the operator master lease through maturity and determined that we did not have the level of certainty required by the standard. Accordingly, we wrote-off $1.2 million of straight-line rent receivable related to this master lease during the third quarter of 2020.

On August 10, 2020, in the Quarterly Report on Form 10-Q, Genesis Healthcare, Inc. (“Genesis”) reported doubt regarding its ability to continue as a going concern. Accordingly, in accordance with ASC 842, we evaluated the collectibility of receiving substantially all of our lease payments from the Genesis master lease through maturity and determined that we did not have the level of certainty required by the standard. Accordingly, we wrote-off $4.3 million of straight-line rent receivable related to this master lease during the third quarter of 2020. Genesis is current on rent payments through October 2020.

Anthem Memory Care (“Anthem”) operates 11 operational memory care communities under a master lease and was placed in default in 2017 resulting from Anthem’s partial payment of its minimum rent. However, we did not enforce our rights and remedies pertaining to the event of default, under the stipulation that Anthem achieves sufficient performance and pays agreed upon rent. In accordance with ASC 842 lease accounting guidance, at January 1, 2019, we evaluated the collectibility of straight-line rent receivable and lease incentive balances related to Anthem and determined that it was not probable that we would collect substantially all of the contractual lease obligations through maturity. Accordingly,

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we wrote-off the balances to equity as of January 1, 2019, as required by the ASC 842 transition guidance. We continue to evaluate the collectibility of our Anthem master lease on a quarterly basis. We currently anticipate that Anthem will pay $9.9 million of annual cash rent during 2020. However, COVID-19 may adversely impact Anthem’s operating cash flow and ability to pay rent. Anthem is current on rent payments through October 2020. Anthem is current on 2020 rent payments through October 2020.

Preferred Care, Inc. (“Preferred Care”) and affiliated entities filed for Chapter 11 bankruptcy in 2017 as a result of a multi-million-dollar judgment in a lawsuit in Kentucky against Preferred Care and certain affiliated entities. Preferred Care leased 24 properties (“Properties”) under two master leases from us and the Preferred Care operating entities that sublease those Properties did not file for bankruptcy. In accordance with ASC 842 lease accounting guidance, at January 1, 2019, we evaluated the collectibility of straight-line rent receivable and lease incentive balances related to Preferred Care and determined it was not probable that we would collect substantially all of the contractual lease obligations through maturity. Accordingly, we wrote-off the balances to equity as of January 1, 2019, as required by the ASC 842 transition guidance. Preferred Care did not affirm our master leases and subsequently filed for Chapter 7 bankruptcy in 2019.

During the fourth quarter of 2019, we entered into multiple contracts to sell the Properties, all of which were completed during the first quarter of 2020. The combined net proceeds from the sales, including the 2019 transactions, was approximately $77.9 million resulting in a total gain of approximately $44.0 million. The Properties had a combined net book value of $35.6 million. The 21 properties sold in the first quarter of 2020, which included 2,411 beds in Arizona, Colorado, Iowa, Kansas and Texas, were sold through multiple transactions and generated net proceeds of $72.1 million. These 21 properties had a combined net book value of $29.1 million and resulted in total gain on sale of $44.1 million.

Senior Care Centers, LLC and affiliates and subsidiaries (“Senior Care”) filed for Chapter 11 bankruptcy as a result of lease terminations from certain landlords and on-going operational challenges in December 2018. Senior Care did not pay us December 2018 rent and accordingly, in December 2018, we placed Senior Care on a cash basis. In accordance with ASC 842 lease accounting guidance, at January 1, 2019, we evaluated the collectibility of the straight-line rent receivable and lease incentive balance related to Senior Care and determined it was not probable that we would collect substantially all of the contractual lease obligations through maturity. Accordingly, we wrote-off the balances to equity as of January 1, 2019, as required by the ASC 842 transition guidance. During 2019, we received a court ordered reimbursement from Senior Care for the December 2018 unpaid rent, late fees and legal costs totaling $1.6 million. In March 2020, Senior Care emerged from bankruptcy and affirmed our master lease. We continue to evaluate the collectibility of our Senior Care master lease on a quarterly basis. Senior Care is current on all its rent, real estate property tax escrow and maintenance deposits through October 2020.

During the third quarter of 2020, we consolidated our four leases with Brookdale into one master lease and extended the term by one year to December 31, 2021. The master lease provides three renewal options consisting of a four-year renewal option, a five-year renewal option and a 10-year renewal option. The notice period for the first renewal option is January 1, 2021 to April 30, 2021. The economic terms of rent remain the same as the consolidated rent terms under the previous four separate lease agreements.

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2020 Activities Overview

The following tables summarize our transactions during the nine months ended September 30, 2020 (dollar amounts in thousands):

Investment in Owned Properties

	Number	Type	Number	Initial					Total		Total
	of	of	of	Cash			Purchase		Transaction		Acquisition
State	Properties	Properties	Beds/Units	Yield			Price		Costs		Costs
Texas	1	SNF	140	8.5	%	$	13,500	$	81	$	13,581

Investment in Development and Improvement projects

	Developments		Improvements
Assisted Living Communities	$	4,491	$	3,941
Skilled Nursing Centers		8,893		14
Total	$	13,384	$	3,955

Completed Developments

Number	Type	Number
of	of	of				Total
Properties	Property	Beds/Units	State		Investment
1	ALF/MC	78	Oregon	(1)​	$	18,447
1	SNF	90	Missouri			13,272
2		168			$	31,719

(1) Certificate of occupancy was received in March 2020, however, due to the COVID-19 pandemic, we consented to delay the opening of this community to a later date. As of September 2020, this community is open and taking residents.

Properties Sold

	Type		Number	Number
	of		of	of		Sales		Carrying		Net
State	Properties		Properties	Beds/Units		Price		Value		Gain
N/A	N/A		—	—	$	—	$	—	$	108	(1)​
Arizona	SNF		1	194		12,550		2,229		10,292
Colorado	SNF		3	275		15,000		4,271		10,364
Iowa	SNF	(2)​	7	544		14,500		4,886		9,029
Kansas	SNF		3	250		9,750		7,438		1,993
Texas	SNF		7	1,148		23,000		10,260		12,287
			21	2,411	$	74,800	$	29,084	$	44,073	(3)​

(1) Gain recognized from the $90 repayment of a holdback related to a property sold during the fourth quarter of 2019 and the reassessment adjustment of $18 from the holdback under the expected value model per ASC Topic 606, Contracts with Customers (“ASC 606”).

(2) This transaction includes a holdback of $838 which is held in an interest-bearing account with an escrow holder on behalf of the buyer for potential specific losses. Using the expected value model per ASC 606, we estimated and recorded the holdback value of $471. During the nine months ended September 30, 2020, we received $150 of the holdback. We reassessed the holdback under the expected value model and recorded an additional gain of $115.

(3) Properties sold within the Preferred Care portfolio.

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Investment in Mortgage Loans

Originations and funding under mortgage loans receivable	$	4,176
Scheduled principal payments received		(565)
Mortgage loan premium amortization		(3)
Provision for loan loss reserve		(36)
Net increase in mortgage loans receivable	$	3,572

Investment in Unconsolidated Joint Ventures

	Type	Type		Total		Contractual			Number											Cash
	of	of		Preferred		Cash			of		Investment		Carrying			Capital		Income		Interest
State	Properties	Investment		Return		Portion			Beds/ Units		Commitment		Value			Contribution		Recognized		Received
Arizona	ALF/MC/ILF	Preferred Equity		N/A	%	N/A	%	(1)​	—	$	—	$	729	(1)​	$	58	$	231	$	231
Washington (2)	UDP	Preferred Equity	(2)​	12	%	7	%		—		—		6,340			6,340		56		18
Washington (3)	UDP	Preferred Equity	(3)​	12	%	8	%		—		13,000		—			—		—		—
									—	$	13,000	$	7,069		$	6,398	$	287	$	249

(1) We had a preferred equity investment in an unconsolidated joint venture that owned four communities providing independent living, assisted living ad memory care services. During 2020, the four properties comprising the joint venture were sold. Accordingly, we received partial liquidation proceeds of $17,758 and recorded additional $620 loss. We anticipate receiving remaining proceeds of $729.

(2) Invested $6,340 of preferred equity in an entity that will develop a 95-unit ALF/MC in Washington. Our investment represents 15.5% of the estimated total investment. The preferred equity investment earns an initial cash rate of 7% increasing to 9% in year four until the internal rate of return (“IRR”) is 8%. After achieving an 8% IRR, the cash rate drops to 8% with an IRR ranging between 12% to 14%.

(3) Entered into a preferred equity agreement in an entity that will develop and own a 267-unit ILF/ALF in Washington. Our investment represents 11.6% of the estimated total investment. Upon the satisfaction of certain conditions which are projected to be met by year-end, LTC will invest $13,000 into the entity. The preferred equity investment will earn an initial cash rate of 8% and a 12% IRR.

Notes Receivable

Advances under notes receivable	$	1,366	(1)​
Principal payments received under notes receivable		(4,732)
Reclassed to real estate under development		(300)	(2)​
Notes receivable reserve		36
Net increase in notes receivable	$	(3,630)

(1) We originated a $1,250 note agreement, funding $1,000 with a commitment to fund $250. The note bears interest at 5.0%.

(2) Represents an interim working capital loan related to a development project which matured upon completion of the development project and commencement of the lease.

Health Care Regulatory Climate

The Centers for Medicare & Medicaid Services (“CMS”) annually updates Medicare skilled nursing facility (“SNF”) prospective payment system rates and other policies. On July 30, 2019, CMS issued its final fiscal year 2020 Medicare skilled nursing facility update. Under the final rule, CMS projects aggregate payments to SNFs will increase by $851 million, or 2.4%, for fiscal year 2020 compared with fiscal year 2019. The final rule also addresses implementation of the new Patient-Driven Payment Model case mix classification system that became effective on October 1, 2019, changes to the group therapy definition in the skilled nursing facility setting, and various SNF Value-Based Purchasing and quality reporting program policies. On April 10, 2020, CMS issued a proposed rule to update SNF rates and policies for fiscal year 2021, which started October 1, 2020, and issued the final rule on July 31, 2020. CMS estimates that payments to SNFs would increase by $750 million, or 2.2%, for fiscal year 2021 compared to fiscal year 2020. CMS also adopted revised geographic delineations to identify a provider’s status as an urban or rural facility and to calculate the wage index, applying a 5% cap on any decreases in a provider’s wage index from fiscal year 2020 to fiscal year 2021. Finally, CMS also

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finalized updates to the SNF value-based purchasing program to reflect previously finalized policies, updated the 30-day phase one review and correction deadline for the baseline period quality measure quarterly report, and announced performance periods and performance standards for the fiscal year 2023 program year.

Since the announcement of the COVID-19 pandemic and beginning as of March 13, 2020, CMS has issued numerous temporary regulatory waivers and new rules to assist health care providers, including SNFs, respond to the COVID-19 pandemic. These include, waiving the SNFs 3-day qualifying inpatient hospital stay requirement, flexibility in calculating a new Medicare benefit period, waiving timing for completing functional assessments, waiving requirements for health care professional licensure, survey and certification, provider enrollment, and reimbursement for services performed by telehealth, among many others. CMS also announced a temporary expansion of its Accelerated and Advance Payment Program to allow SNFs and certain other Medicare providers to request accelerated or advance payments in an amount up to 100% of the Medicare Part A payments they received from October–December 2019; this expansion was suspended April 26, 2020 in light of other CARES Act funding relief. The Continuing Appropriations Acts, 2021 and Other Extensions Act, enacted on October 1, 2020, amended the repayment terms for all providers and suppliers that requested and received accelerated and advance payments during the COVID-19 public health emergency. Specifically, Congress gave providers and suppliers that received Medicare accelerated and advance payment(s) one year from when the first loan payment was made to begin making repayments. In addition, CMS has also enhanced requirements for nursing facilities to report COVID-19 infections to local, state and federal authorities. On October 2, 2020, HHS Secretary Azar announced that he had renewed, effective October 23, 2020, the declared public health emergency for an additional 90-day period.

On March 26, 2020, President Trump signed into law the Coronavirus Aid, Relief, and Economic Security Act (the “CARES Act”), sweeping legislation intended to bolster the nation’s response to the COVID-19 pandemic. In addition to offering economic relief to individuals and impacted businesses, the law expands coverage of COVID-19 testing and preventative services, addresses health care workforce needs, eases restrictions on telehealth services during the crisis, and increases Medicare regulatory flexibility, among many other provisions. Notably, the CARES Act temporarily suspends the 2% across-the-board “sequestration” reduction during the period May 1, 2020 through December 31, 2020, and extends the current Medicare sequester requirement through fiscal year 2030. In addition, the law provides $100 billion in grants to eligible health care providers for health care related expenses or lost revenues that are attributable to COVID-19. On April 10, 2020, CMS announced the distribution of $30 billion in funds to Medicare providers based upon their 2019 Medicare fee for service revenues. Eligible providers were required to agree to certain terms and conditions in receiving these grants. In addition, the Department of Health and Human Services (“HHS”) authorized $20 billion of additional funding for providers that have already received funds from the initial distribution of $30 billion. Unlike the first round of funds, which came automatically, providers were required to apply for these additional funds and submit the required supporting documentation, using the online portal provided by HHS. Providers were required to attest to and agree to specific terms and conditions for the use of such funds. HHS expressed a goal of allocating the whole $50 billion proportionally across all providers based on those providers’ proportional share of 2018 net Medicare fee-for-service revenue, so that some providers will not be eligible for additional funds. On May 22, 2020, HHS announced that it had begun distributing $4.9 billion in additional relief funds to SNFs to offset revenue losses and assist nursing homes with additional costs related to responding to the COVID-19 public health emergency and the shipments of personal protective equipment provided to nursing homes by the Federal Emergency Management Agency. On June 9, 2020, HHS announced that it expects to distribute approximately $15 billion to eligible providers that participate in state Medicaid and Children’s Health Insurance Program (“CHIP”) programs and have not received a payment from the Provider Relief Fund General Allocation. On July 22, 2020, President Trump announced that HHS would devote $5 billion in Provider Relief Funds to Medicare-certified long-

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term care facilities and state veterans’ homes to build nursing home skills and enhance nursing homes’ response to COVID-19, including enhanced infection control. Nursing homes must participate in the Nursing Home COVID-19 training to be qualified to receive this funding. On August 27, 2020, HHS announced that it had distributed almost $2.5 billion to nursing homes to support increased testing, staffing, and personal protective equipment needs. On September 3, 2020, HHS announced a $2 billion performance-based incentive payment distribution to nursing homes and SNFs. Finally, on October 1, 2020, the Trump Administration announced $20 billion in new funding for several types of providers, including those who previously received, rejected, or accepted a general distribution provider relief fund payment. The application deadline for these Phase 3 funds is November 6, 2020.

On July 18, 2019, CMS published a final rule that eliminates the prohibition on pre-dispute binding arbitration agreements between long-term care facilities and their residents. The rule also strengthens the transparency of arbitration agreements and makes other changes to arbitration requirements for long-term care facilities. There can be no assurance that these rules or future regulations modifying Medicare skilled nursing facility payment rates or other requirements for Medicare and/or Medicaid participation will not have an adverse effect on the financial condition of our borrowers and lessees which could, in turn, adversely impact the timing or level of their payments to us.

Congress periodically considers legislation revising Medicare and Medicaid policies, including legislation that could have the impact of reducing Medicare reimbursement for SNFs and other Medicare providers, limiting state Medicaid funding allotments, encouraging home and community-based long-term care services as an alternative to institutional settings, or otherwise reforming payment policy for post-acute care services. Congress continues to consider further legislative action in response to the COVID-19 pandemic. There can be no assurances that enacted or future legislation will not have an adverse impact on the financial condition of our lessees and borrowers, which subsequently could materially adversely impact our company.

Additional reforms affecting the payment for and availability of health care services have been proposed at the federal and state level and adopted by certain states. Increasingly, state Medicaid programs are providing coverage through managed care programs under contracts with private health plans, which is intended to decrease state Medicaid costs. State Medicaid budgets may experience shortfalls due to increased costs in addressing the COVID-19 pandemic. Congress and state legislatures can be expected to continue to review and assess alternative health care delivery systems and payment methodologies. Changes in the law, new interpretations of existing laws, or changes in payment methodologies may have a dramatic effect on the definition of permissible or impermissible activities, the relative costs associated with doing business and the amount of reimbursement by the government and other third-party payors.

Key Performance Indicators, Trends and Uncertainties

We utilize several key performance indicators to evaluate the various aspects of our business. These indicators are discussed below and relate to concentration risk and credit strength. Management uses these key performance indicators to facilitate internal and external comparisons to our historical operating results in making operating decisions and for budget planning purposes.

Concentration Risk. We evaluate by gross investment our concentration risk in terms of asset mix, real estate investment mix, operator mix and geographic mix. Concentration risk is valuable to understand what portion of our real estate investments could be at risk if certain sectors were to experience downturns. Asset mix measures the portion of our investments that are real property or mortgage loans. The National Association of Real Estate Investment Trusts (“NAREIT”), an organization representing U.S. REITs and publicly traded real estate companies, classifies a company with 50% or

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more of assets directly or indirectly in the equity ownership of real estate as an equity REIT. Investment mix measures the portion of our investments that relate to our various property classifications. Operator mix measures the portion of our investments that relate to our top five operators. Geographic mix measures the portion of our real estate investment that relate to our top five states.

The following table reflects our recent historical trends of concentration risk (gross investment, in thousands):

	9/30/20		6/30/20		3/31/20		12/31/19		9/30/19
Asset mix:
Real property	$	1,448,764	$	1,445,691	$	1,438,177	$	1,484,571	$	1,474,692
Loans receivable		260,267		258,649		256,959		256,659		255,737
Real estate investment mix:
Skilled nursing centers (1)	$	817,364	$	812,637	$	807,457	$	857,187	$	864,447
Assisted living communities		880,307		880,343		876,319		872,683		854,622
Under development (1)		—		—		—		—		—
Other (2)		11,360		11,360		11,360		11,360		11,360
Operator mix:
Prestige Healthcare (2)	$	273,399	$	271,781	$	270,091	$	269,792	$	268,869
Senior Lifestyle Corporation		191,622		191,622		191,622		191,283		191,283
Senior Care Centers		138,109		138,109		138,109		138,109		138,109
Anthem Memory Care		136,483		136,483		136,483		136,484		136,483
Carespring Health Care Management		102,520		102,520		102,520		102,520		102,042
Remaining operators		866,898		863,825		856,311		903,042		893,643
Geographic mix:
Michigan (2)	$	282,103	$	279,821	$	277,063	$	276,742	$	256,680
Texas		273,075		273,075		273,075		284,697		292,238
Wisconsin		149,403		149,403		149,405		149,290		149,184
Colorado		106,879		106,879		106,879		114,923		114,923
California		104,924		104,687		103,970		103,240		102,561
Remaining states		792,647		790,475		784,744		812,338		814,843

(1) During the three months ended September 30, 2020, we completed the construction of a 90-bed SNF located in Missouri. Accordingly, this property was reclassified from “Under development” to “Skilled Nursing centers” for all periods presented.

(2) We have three parcels of land located adjacent to properties securing the Prestige Healthcare mortgage loan and are managed by Prestige.

Credit Strength. We measure our credit strength both in terms of leverage ratios and coverage ratios. Our leverage ratios include debt to gross asset value and debt to market capitalization. The leverage ratios indicate how much of our Consolidated Balance Sheets capitalization is related to long-term obligations. Our coverage ratios include interest coverage ratio and fixed charge coverage ratio. The coverage ratios indicate our ability to service interest and fixed charges (interest). The coverage ratios are based on earnings before interest, taxes, depreciation and amortization for real estate (“EBITDAre”) as defined by NAREIT. EBITDAre is calculated as net income available to common stockholders (computed in accordance with GAAP) excluding (i) interest expense, (ii) income tax expense, (iii) real estate depreciation and amortization, (iv) impairment write-downs of depreciable real estate, (v) gains or losses on the sale of depreciable real estate, and (vi) adjustments for unconsolidated partnerships and joint ventures. Leverage ratios and coverage ratios are widely used by investors, analysts and rating agencies in the valuation, comparison, rating and investment recommendations of companies. The following table reflects the recent historical trends for our credit strength measures:

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Balance Sheet Metrics

	Year to Date		Quarter Ended
	9/30/20		9/30/20			6/30/20			3/31/20			12/31/19			9/30/19
Debt to gross asset value	36.5	%	36.5	%	(1)​	37.4	%		37.3	%		37.2	%	(4)​	36.8	%
Debt to market capitalization ratio	32.7	%	32.7	%	(2)​	31.8	%	(3)​	36.3	%	(2)​	28.0	%	(5)​	25.1	%
Interest coverage ratio (6)	4.8	x	4.8	x		4.9	x		4.7	x		4.9	x		4.9	x
Fixed charge coverage ratio (6)	4.8	x	4.8	x		4.9	x		4.7	x		4.9	x		4.9	x

(1) Decreased due to decrease in outstanding debt partially offset by decrease in gross value.

(2) Increased due to decrease in market capitalization, partially offset by decrease in outstanding debt.

(3) Decreased due to increase in market capitalization.

(4) Increased due to increase in outstanding debt partially offset by increase in gross asset value. The increase in asset value was primarily due to acquisitions, developments and capital improvement funding partially offset by property sales.

(5) Increased due to decrease in market capitalization and increase in outstanding debt.

(6) In calculating our interest coverage and fixed charge coverage ratios above, we use EBITDAre, which is a financial measure not derived in accordance with GAAP (non-GAAP financial measure). EBITDAre is not an alternative to net income, operating income or cash flows from operating activities as calculated and presented in accordance with GAAP. You should not rely on EBITDAre as a substitute for any such GAAP financial measures or consider it in isolation, for the purpose of analyzing our financial performance, financial position or cash flows. Net income is the most directly comparable GAAP measure to EBITDAre.

	Year to Date			Quarter Ended
	9/30/20			9/30/20			6/30/20			3/31/20			12/31/19			9/30/19
Net income	$	78,012		$	12,338		$	1,952		$	63,722		$	12,631		$	27,280
Less: (Gain)/ loss on sale		(44,073)			(30)			(189)			(43,854)			4,630			(6,236)
Add: Loss on unconsolidated joint ventures		620			—			620			—			—			—
Add: Impairment loss		941			941			—			—			5,500			—
Add: Interest expense		22,617			7,361			7,546			7,710			7,578			7,827
Add: Depreciation and amortization		29,232			9,766			9,797			9,669			9,817			9,932
EBITDAre	$	87,349		$	30,376		$	19,726		$	37,247		$	40,156		$	38,803
Add (less): Non-recurring one-time items		22,841			5,099			17,742			—			(2,111)			—
Adjusted EBITDAre	$	110,190		$	35,475		$	37,468		$	37,247		$	38,045		$	38,803
Interest expense	$	22,617		$	7,361		$	7,546		$	7,710		$	7,578		$	7,827
Add: Capitalized interest		354			77			86			191			167			108
Interest incurred	$	22,971		$	7,438		$	7,632		$	7,901		$	7,745		$	7,935
Interest coverage ratio		4.8	x		4.8	x		4.9	x		4.7	x		4.9	x		4.9	x
Interest incurred	$	22,971		$	7,438		$	7,632		$	7,901		$	7,745		$	7,935
Total fixed charges	$	22,971		$	7,438		$	7,632		$	7,901		$	7,745		$	7,935
Fixed charge coverage ratio		4.8	x		4.8	x		4.9	x		4.7	x		4.9	x		4.9	x

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We evaluate our key performance indicators in conjunction with current expectations to determine if historical trends are indicative of future results. Our expected results may not be achieved, and actual results may differ materially from our expectations. This may be a result of various factors, including, but not limited to

● The status of the economy;

● The status of capital markets, including prevailing interest rates;

● Compliance with and changes to regulations and payment policies within the health care industry;

● Changes in financing terms;

● Competition within the health care and seniors housing industries; and

● Changes in federal, state and local legislation.

Additionally, as described in the Executive Overview above, COVID-19 is adversely affecting and is expected to continue to adversely affect our business, results of operations, cash flows and financial condition. Depending on the future developments regarding COVID-19, the duration, spread and severity of the outbreak, historical trends reflected in our balance sheet metrics may not be achieved in the future.

Management regularly monitors the economic and other factors listed above. We develop strategic and tactical plans designed to improve performance and maximize our competitive position. Our ability to achieve our financial objectives is dependent upon our ability to effectively execute these plans and to appropriately respond to emerging economic and company-specific trends.

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Operating Results (unaudited, in thousands)

	Three Months Ended
	September 30,
	2020			2019			Difference
Revenues:
Rental income	$	30,010		$	38,665		$	(8,655)	(1)​
Interest income from mortgage loans		7,890			7,646			244
Interest and other income		273			808			(535)	(2)​
Total revenues		38,173			47,119			(8,946)
Expenses:
Interest expense		7,361			7,827			466	(3)​
Depreciation and amortization		9,766			9,932			166
Impairment charges		941			—			(941)	(4)​
Recovery for doubtful accounts		(2)			(14)			(12)
Transaction costs		63			75			12
Property tax expense		3,351			4,270			919	(5)​
General and administrative expenses		4,814			4,745			(69)
Total expenses		26,294			26,835			541
Other operating income:
Gain on sale of real estate, net		30	(6)​		6,236	(7)​		(6,206)
Operating income		11,909			26,520			(14,611)
Gain from property insurance proceeds		373	(8)​		—			373
Income from unconsolidated joint ventures		56			760			(704)	(9)​
Net income		12,338			27,280			(14,942)
Income allocated to non-controlling interests		(121)			(88)			(33)
Net income attributable to LTC Properties, Inc.		12,217			27,192			(14,975)
Income allocated to participating securities		(103)			(112)			9
Net income available to common stockholders	$	12,114		$	27,080		$	(14,966)

(1) Decreased primarily due to write-off of the Genesis and another operator straight-line rent receivable totaling $5,472, reduction in rent related to the sale of the Preferred Care portfolio, abated and deferred rent and short-payment of rent and property tax escrow from Senior Lifestyle master lease, partially offset by increased rent from acquisitions and completed development projects and contractual rent increase.

(2) Decreased primarily due to the partial paydown of a mezzanine loan.

(3) Decreased primarily due to lower outstanding balance and interest rates on our line of credit in 2020, partially offset by increased interest from sale of $100,000 senior unsecured notes during the fourth quarter of 2019.

(4) Represents an impairment loss related to a 61-unit ALF in Florida.

(5) Decreased primarily due to no allocation of Senior Lifestyle cash receipts to Senior Lifestyle’s property tax escrow since it is fully funded for 2020.

(6) Represents recognition of additional gain due to quarterly collectibility evaluation of funds held in escrow from previously sold properties.

(7) Represents the net gain on sale of $6,236 related to a 148-bed SNF in Georgia. Additionally, we recognized an additional $500 gain on sale due to receipt of funds held in escrow related to a portfolio of six ALFs sold in 2018.

(8) Represents gain on insurance proceeds related to roof damage at a 114-bed SNF in Texas sold during the first quarter of 2020.

(9) Decrease due to the sale of properties comprising a joint venture in which we had a preferred equity investment in 2020 and payoff of a mezzanine in 2019.

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	Nine Months Ended
	September 30,
	2020			2019			Difference
Revenues:
Rental income	$	88,320		$	114,566		$	(26,246)	(1)​
Interest income from mortgage loans		23,487			22,308			1,179	(2)​
Interest and other income		1,257			1,967			(710)	(3)​
Total revenues		113,064			138,841			(25,777)
Expenses:
Interest expense		22,617			23,004			387	(4)​
Depreciation and amortization		29,232			29,399			167
Impairment charges		941			—			(941)	(5)​
(Recovery) provision for doubtful accounts		(1)			153			154
Transaction costs		197			275			78
Property tax expense		11,685			12,566			881	(6)​
General and administrative expenses		14,494			13,912			(582)	(7)​
Total expenses		79,165			79,309			144
Other operating income:
Gain on sale of real estate, net		44,073	(8)​		6,736	(9)​		37,337
Operating income		77,972			66,268			11,704
Gain from property insurance proceeds		373	(10)​		—			373
Loss on unconsolidated joint ventures		(620)	(11)​		—			(620)
Income from unconsolidated joint ventures		287			1,973			(1,686)	(12)​
Net income		78,012			68,241			9,771
Income allocated to non-controlling interests		(292)			(257)			(35)
Net income attributable to LTC Properties, Inc.		77,720			67,984			9,736
Income allocated to participating securities		(339)			(298)			(41)
Net income available to common stockholders	$	77,381		$	67,686		$	9,695

(1) Decreased primarily due to the $23,029 write-off of straight-line rent receivable and lease incentives balances during the second and third quarter of 2020, reduction in rent related to the sale of the Preferred Care portfolio and short-payment of rent and property tax escrow from Senior Lifestyle master lease, partially offset by increased rent from acquisitions and lease transitions.

(2) Increased primarily due to additional mortgage and capital improvement funding.

(3) Decreased primarily due to the partial paydown of a mezzanine loan.

(4) Decreased primarily due to lower outstanding balance and interest rates on our line of credit in 2020, partially offset by increased interest from sale of $100,000 senior unsecured notes during the fourth quarter of 2019.

(5) Represents an impairment loss related to a 61-unit ALF in Florida.

(6) Decreased primarily due to no allocation of Senior Lifestyle cash receipts to Senior Lifestyle’s property tax escrow since it is fully funded for 2020.

(7) Increased primarily due to higher incentive compensation expense in 2020.

(8) Represents gain on sale of 21 SNFs within the Preferred Care portfolio and recognition of additional gain due to quarterly evaluation of funds held in escrow from previously sold properties.

(9) Represents the net gain on sale of $6,236 related to a 148-bed SNF in Georgia. Additionally, we recognized an additional $500 net gain on sale due to receipt of funds held in escrow related to a portfolio of six ALFs sold in 2018.

(10) Represents gain on insurance proceeds related to roof damage at a 114-bed SNF in Texas sold during the first quarter of 2020.

(11) Relates to the sale of properties comprising a joint venture in which we had a preferred equity investment.

(12) Decreased due to (11) above and payoff of a mezzanine loan in 2019.

Funds From Operations Available to Common Stockholders

Funds from Operations (“FFO”) attributable to common stockholders, basic FFO attributable to common stockholders per share and diluted FFO attributable to common stockholders per share are supplemental measures of a REIT’s financial performance that are not defined by GAAP. Real estate

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values historically rise and fall with market conditions, but cost accounting for real estate assets in accordance with GAAP assumes that the value of real estate assets diminishes predictably over time. We believe that by excluding the effect of historical cost depreciation, which may be of limited relevance in evaluating current performance, FFO facilitates comparisons of operating performance between periods.

We use FFO as a supplemental performance measurement of our cash flow generated by operations. FFO does not represent cash generated from operating activities in accordance with GAAP, and is not necessarily indicative of cash available to fund cash needs and should not be considered an alternative to net income available to common stockholders.

We calculate and report FFO in accordance with the definition and interpretive guidelines issued by NAREIT. FFO, as defined by NAREIT, means net income available to common stockholders (computed in accordance with GAAP) excluding gains or losses on the sale of real estate and impairment write-downs of depreciable real estate plus real estate depreciation and amortization, and after adjustments for unconsolidated partnerships and joint ventures. Our calculation 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 that have a different interpretation of the current NAREIT definition from us; therefore, caution should be exercised when comparing our FFO to that of other REITs.

The following table reconciles GAAP net income available to common stockholders to NAREIT FFO available to common stockholders (unaudited, amounts in thousands, except per share amounts):

	Three Months Ended						Nine Months Ended
	September 30,						September 30,
	2020			2019			2020			2019
GAAP net income available to common stockholders	$	12,114		$	27,080		$	77,381		$	67,686
Add: Depreciation and amortization		9,766			9,932			29,232			29,399
Add: Impairment charges		941			—			941			—
Add: Loss on unconsolidated joint ventures		—			—			620			—
Less: Gain on sale of real estate, net		(30)			(6,236)			(44,073)			(6,736)
NAREIT FFO attributable to common stockholders	$	22,791		$	30,776		$	64,101		$	90,349
NAREIT FFO attributable to common stockholders per share:
Basic	$	0.58		$	0.78		$	1.63		$	2.28
Diluted	$	0.58	(1)​	$	0.77	(1)  ​	$	1.63		$	2.26	(1)​
Weighted average shares used to calculate NAREIT FFO per share:
Basic		39,061			39,586			39,218			39,565
Diluted		39,293	(2)​		40,129	(3)​		39,269	(4)​		40,106	(3)​

(1) Includes the effect of participating securities.

(2) Includes the effect of performance-based stock units and participating securities.

(3) Includes the effect of stock option equivalents, participating securities and performance-based stock units.

(4) Includes the effect of performance-based stock units.

Liquidity and Capital Resources

Sources and Uses of Cash

As of September 30, 2020, we had a total of $22.8 million of cash and cash equivalents, $510.1 million available under our unsecured revolving line of credit and the potential ability to access the capital markets through the issuance of $200.0 million of common stock under our Equity Distribution Agreements. Furthermore, we have the ability to access the capital markets through the issuance of debt and/ or equity securities under an automatic shelf registration statement.

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We believe that our current cash balance, cash flow from operations available for distribution or reinvestment, our borrowing capacity and our potential ability to access the capital markets are sufficient to provide for payment of our current operating costs, meet debt obligations and pay common dividends at least sufficient to maintain our REIT status and repay borrowings at, or prior to, their maturity. The timing, source and amount of cash flows used in financing and investing activities are sensitive to the capital markets environment, especially to changes in interest rates. In addition, as described in “Item 1A. Risk Factors”, COVID-19 has adversely affected and is expected to continue to adversely affect our operators’ business, results of operations, cash flows and financial condition which could, in turn, adversely affect our financial position.

The operating results of the facilities will be impacted by various factors over which the operators/owners may have no control. Those factors include, without limitation, the health of the economy, changes in supply of or demand for competing seniors housing and health care facilities, ability to control rising operating costs, the potential for significant reforms in the health care industry, and the impact of COVID-19. In addition, our future growth in net income and cash flow may be adversely impacted by various proposals for changes in the governmental regulations and financing of the health care industry, and the impact of COVID-19. We cannot presently predict what impact these proposals may have, if any. We believe that an adequate provision has been made for the possibility of loans proving uncollectible but we will continually evaluate the financial status of the operations of the seniors housing and health care properties. In addition, we will monitor our borrowers and the underlying collateral for mortgage loans and will make future revisions to the provision, if considered necessary.

Depending on the duration, spread and severity of the outbreak, our borrowing capacity, compliance with financial covenants, ability to access the capital markets, and the payment of dividends may be negatively impacted. We continuously evaluate the availability of cost-effective capital and believe we have sufficient liquidity for corporate expenses and additional capital investments in 2020 and 2021.

Our investments, principally our investments in owned properties and mortgage loans, are subject to the possibility of loss of their carrying values as a result of changes in market prices, interest rates and inflationary expectations. The effects on interest rates may affect our costs of financing our operations and the fair market value of our financial assets. Generally, our leases have agreed upon annual increases and our loans have predetermined increases in interest rates. Inasmuch as we may initially fund some of our investments with variable interest rate debt, we would be at risk of net interest margin deterioration if medium and long-term rates were to increase.

Our primary sources of cash include rent and interest receipts, borrowings under our unsecured credit facility, public and private issuances of debt and equity securities, proceeds from investment dispositions and principal payments on loans receivable. Our primary uses of cash include dividend distributions, debt service payments (including principal and interest), real property investments (including acquisitions, capital expenditures and construction advances), loan advances and general and

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

	Nine Months Ended September 30,					Change
Cash provided by (used in):	2020		2019			$
Operating activities	$	85,629	$	90,092	$	(4,463)
Investing activities		51,982		(57,112)		109,094
Financing activities		(119,044)		(31,676)		(87,368)
Increase in cash, cash equivalents and restricted cash		18,567		1,304		17,263
Cash, cash equivalents and restricted cash, beginning of period		4,244		4,764		(520)
Cash, cash equivalents and restricted cash, end of period	$	22,811	$	6,068	$	16,743

Debt Obligations

Bank Borrowings. We have an Unsecured Credit Agreement that provides for a revolving line of credit up to $600.0 million in aggregate commitment of the lenders and the opportunity to increase the commitment size of the credit agreement up to a total of $1.0 billion. The Unsecured Credit Agreement matures on June 27, 2022 and provides for a one-year extension option at our discretion, subject to customary conditions. Based on our leverage at September 30, 2020, the facility provides for interest annually at LIBOR plus 115 basis points and a facility fee of 20 basis points. At September 30, 2020, we were in compliance with all covenants.

Senior Unsecured Notes. We have senior unsecured notes held by institutional investors with interest rates ranging from 3.85% to 5.03%. The senior unsecured notes mature between 2021 and 2032.

The debt obligations by component as of September 30, 2020 are as follows (dollar amounts in thousands):

	Applicable			Available
	Interest	Outstanding		for
Debt Obligations	Rate (1)	Balance		Borrowing
Bank borrowings	1.33%	$	89,900	$	510,100
Senior unsecured notes, net of debt issue costs	4.36%		574,444		—
Total	3.95%	$	664,344	$	510,100

(1) Represents weighted average of interest rate as of September 30, 2020.

Our debt borrowings and repayments during the nine months ended September 30, 2020 are as follows (in thousands):

Debt Obligations		Borrowings		Repayments
Bank borrowings	$	24,000	$	(28,000)
Senior unsecured notes		—		(25,160)
Total	$	24,000	$	(53,160)

Equity

At September 30, 2020, we had 39,242,225 shares of common stock outstanding, equity on our balance sheet totaled $778.8 million and our equity securities had a market value of $1.4 billion. During the nine months ended September 30, 2020, we declared and paid $67.9 million of cash dividends.

Subsequent to September 30, 2020, we declared a monthly cash dividend of $0.19 per share on our common stock for the months of October, November and December 2020, payable on October 30,

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November 30, and December 31, 2020, respectively, to stockholders of record on October 22, November 20, and December 23, 2020, respectively.

Stock Repurchase Plan. During the first quarter of 2020, our Board of Directors authorized the repurchase of up to 5,000,000 outstanding shares of common stock. During the nine months ended September 30, 2020, we purchased 615,827 shares at an average price of $29.25 per share, including commissions, for a total purchase price of $18.0 million. Due to the rising level of uncertainty in financial markets and the adverse effects of COVID-19 on the public health and our operators, our Board of Directors terminated the stock repurchase plan on March 25, 2020.

At-The-Market Program. We have separate equity distribution agreements (collectively, “Equity Distribution Agreements”) to offer and sell, from time to time, up to $200.0 in aggregate offering price of shares of our common stock. As of September 30, 2020, no shares had been issued under the Equity Distribution Agreements. Accordingly, at September 30,2020, we had $200.0 available under the Equity Distribution Agreements.

Available Shelf Registrations. We have an automatic shelf registration statement on file with the SEC and currently have the ability to file additional automatic shelf registration statements to provide us with capacity to publicly offer an indeterminate amount of common stock, preferred stock, warrants, debt, depositary shares, or units. We may from time to time raise capital under our automatic registration statement in amounts, at prices, and on terms to be announced when and if the securities are offered. The specifics of any future offerings, along with the use of proceeds of any securities offered, will be described in detail in a prospectus supplement, or other offering materials, at the time of the offering. Our shelf registration statement expires on February 28, 2022.

Stock-Based Compensation. During the nine months ended September 30, 2020, we granted restricted stock and performance-based stock units under the 2015 Plan as follows:

No. of	Price per
Shares	Share		Vesting Period
76,464	$	48.95	ratably over 3 years
66,027	$	49.98	TSR targets (1)
9,884	$	38.45	May 27, 2021
15,000	$	38.45	ratably over 3 years
167,375

(1) Vesting is based on achieving certain total shareholder return (“TSR”) targets in 4 years with an acceleration opportunity in 3 years.

Critical Accounting Policies

Our consolidated financial statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q are prepared in conformity with U.S. generally accepted accounting principles for interim financial information set forth in the Accounting Standards Codification as published by the Financial Accounting Standards Board, which require us to make estimates and assumptions regarding future events that affect the amounts reported in our financial statements and accompanying footnotes. We base these estimates on our experience and assumptions regarding future events we believe to be reasonable under the circumstances. Actual results could differ from those estimates and such differences may be material to the consolidated financial statements. We have described our most critical accounting policies in our Annual Report on Form 10-K for the year ended December 31, 2019.

There have been no changes to our critical accounting policies or estimates since December 31, 2019, with exception of the adoption of ASC Topic 326, Financial Instrument-Credit Losses. Please refer

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to Note 1. General of these unaudited consolidated financial statements under Part 1, Item 1 of this Quarterly Report on Form 10-Q for information regarding recently adopted standards.

Item 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

There were no material changes in our market risk during the nine months ended September 30, 2020. For additional information, refer to Item 7A as presented in our Annual Report on Form 10-K for the year ended December 31, 2019. In addition, as described in “Item 1A. Risk Factors”, coronavirus (COVID-19) may negatively impact our business and results of operations.

Item 4. CONTROLS AND PROCEDURES

Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of our disclosure controls and procedures (as such term is defined in Rules 13a-15(e) and 15d-15(e) under the Securities and Exchange Act of 1934, as amended). As of the end of the period covered by this report based on such evaluation our Chief Executive Officer and Chief Financial Officer have concluded that, as of the end of such period, our disclosure controls and procedures were effective.

There has been no change in our internal control over financial reporting during the period covered by this report that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

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PART II

OTHER INFORMATION

Item 1. LEGAL PROCEEDINGS

We are and may become from time to time a party to various claims and lawsuits arising in the ordinary course of business, which in our opinion are not singularly or in the aggregate anticipated to be material to our results of operations or financial condition. Claims and lawsuits may include matters involving general or professional liability asserted against the lessees or borrowers related to our properties, which we believe under applicable legal principles are not our responsibility as a non-possessory landlord or mortgage holder. We believe that these matters are the responsibility of our lessees and borrowers pursuant to general legal principles and pursuant to insurance and indemnification provisions in the applicable leases or mortgages. We intend to continue to vigorously defend such claims and lawsuits.

Item 1A. RISK FACTORS

The additional risk factor below should be read in conjunction with the risk factors set forth in our Annual Report on Form 10-K for the fiscal year ended December 31, 2019.

Risks Associated with Public Health Epidemics Such as Coronavirus (COVID-19) Is Adversely Affecting And Is Expected To Continue To Adversely Affect Our Business, Results of Operations, Cash Flows and Financial Condition.

The COVID-19 pandemic continues to have, and another pandemic in the future could have, repercussions across regional and global economies and financial markets. The outbreak of COVID-19 in many countries, including the United States, has significantly adversely impacted public health and economic activity, and has contributed to significant volatility and negative pressure in financial markets.

Substantially all of our revenues and sources of cash flows from operations are derived from operating lease rentals and interest earned on outstanding loans receivable. The operators of our properties are significantly impacted by their ability to provide services and the occupancy levels at our properties. The operations and occupancy levels at our properties will be adversely affected if COVID-19 or another pandemic results in infections on a large scale at our properties, early resident move-outs, our operators delay accepting new residents due to quarantines, and/or potential occupants postpone moving to a senior housing facility. Additionally, as our operators have responded to the pandemic, operating costs have begun to rise. A decrease in occupancy and/or increase in operating 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. In response to requests by operators, we have provided rent deferrals totaling $1.7 million for April through October 2020, of which $0.6 million was paid to us. The $1.7 million rent deferrals represent approximately 2% of our April through October contractual rent. Local, state, federal or other initiatives may affect our ability to collect rent and or enforce remedies for the failure to pay rent. In some cases, we may have to restructure an operator’s 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 may be liable. These risks are heightened due to the potential enhanced danger to senior citizens from COVID-19 generally and at facilities such as those of our operators. The extent to which COVID-19 could impact our operations and those of our operators will depend on future developments, which are highly uncertain and cannot be predicted with confidence, including the duration, spread and severity of the outbreak and

46

the actions taken to contain the virus or mitigate its impact, and the direct and indirect economic effects of the pandemic and containment measures.

The rapid development and fluidity of the pandemic precludes any prediction as to the full adverse impact of COVID-19. Nevertheless, the COVID-19 pandemic presents material uncertainty and risk with respect to our business, results of operations, cash flows and financial condition. Moreover, many risk factors set forth in our Annual Report on Form 10-K for the fiscal year ended December 31, 2019 should be interpreted as heightened risks as a result of the impact of the COVID-19 pandemic.

Except as described in this Item 1A, there have been no other known material changes from the risk factors since December 31, 2019.

Item 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS

During the three months ended September 30, 2020, we did not make any unregistered sales of equity securities.

During the three months ended September 30, 2020, we acquired shares of common stock held by employees and the average prices paid per share for each month in the quarter ended September 30, 2020 are as follows:

				Total Number
				of Shares	Maximum
				Purchased as	Number of
		Average		Part of	Shares that May
	Total Number	Price		Publicly	Yet Be
	of Shares	Paid per		Announced	Purchased
Period	Purchased	Share		Plan	Under the Plan
July 1- July 31, 2020	—	$	—	—	—
August 1 -August 31, 2020	507	$	38.51	—	—
September 1 -September 30, 2020	—	$	—	—	—
Total	507			—	—

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Item 6. EXHIBITS

3.1	LTC Properties, Inc. Articles of Restatement (incorporated by reference to Exhibit 3.1.2 to LTC Properties Inc.’s Current Report on Form 8-K (File No. 1-11314) filed June 6, 2016)
3.2	Bylaws of LTC Properties, Inc., as restated June 2, 2015 (incorporated by reference to Exhibit 3.2 to LTC Properties Inc.’s Current Report on Form 8-K (File No. 1-11314) filed June 5, 2015)
3.2.1	First Amendment to Bylaws of LTC Properties, Inc. (incorporated by reference to Exhibit 3.2.1 to LTC Properties Inc.’s Current Report on Form 8-K (File No. 1-11314) filed April 21, 2020)
31.1	Certification of the Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
31.2	Certification of the Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
32	Certifications pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
101.INS	Inline 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.DEF	Inline XBRL Taxonomy Extension Definitions Linkbase Document
101.LAB	Inline XBRL Taxonomy Extension Label Linkbase Document
101.PRE	Inline XBRL Taxonomy Extension Presentation Linkbase Document
104	Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101)

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SIGNATURES

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

	LTC PROPERTIES, INC.
	Registrant
Dated: October 29, 2020	By:	/s/ Caroline Chikhale
		Caroline Chikhale
		Executive Vice President, Chief Accounting Officer and Treasurer
		(Principal Accounting Officer)

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EX-31.1

Exhibit 31.1

CERTIFICATION OF THE CHIEF EXECUTIVE OFFICER

PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, Wendy L. Simpson, certify that:

1.I have reviewed this quarterly report on Form 10-Q of LTC Properties, 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 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 quarterly report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5.The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a.All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b.Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

/s/ Wendy L. Simpson

Wendy L. Simpson

Chairman and Chief Executive Officer

(Principal Executive Officer)

October 29, 2020

EX-31.2

Exhibit 31.2

CERTIFICATION OF THE CHIEF FINANCIAL OFFICER

PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, Pam Kessler, certify that:

1.I have reviewed this quarterly report on Form 10-Q of LTC Properties, 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 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 quarterly report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5.The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a.All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b.Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

/s/ Pam Kessler

Pam Kessler

Co-President, Chief Financial Officer

and Corporate Secretary

(Principal Financial Officer)

October 29, 2020

EX-32

Exhibit 32

CERTIFICATIONS PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

Pursuant to 18 U.S.C. 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, each of the undersigned officers of LTC Properties, Inc. (the “Company”) hereby certifies with respect to the Quarterly Report on Form 10-Q of the Company for the quarter ended September 30, 2020 as filed with the Securities and Exchange Commission (the “Report”) that to her knowledge:

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

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

Date: October 29, 2020	/s/ Wendy L. Simpson
	Wendy L. Simpson Chairman and Chief Executive Officer
Date: October 29, 2020	/s/ Pam Kessler
	Pam Kessler Co-President, Chief Financial Officer and Corporate Secretary

This certification is not deemed filed with the Securities and Exchange Commission and is not to be incorporated by reference into any filing of the Company under the Securities Act of 1933 or the Securities Act of 1934 (whether made before or after the date of the Report), irrespective of any general incorporation language contained in such filing.

XML

Document and Entity Information - shares	9 Months Ended
	Sep. 30, 2020	Oct. 22, 2020
Document and Entity Information
Document Type	10-Q
Document Quarterly Report	true
Document Transition Report	false
Document Period End Date	Sep. 30, 2020
Entity File Number	1-11314
Entity Registrant Name	LTC PROPERTIES INC
Entity Incorporation, State or Country Code	MD
Entity Tax Identification Number	71-0720518
Entity Address, Address Line One	2829 Townsgate Road, Suite 350
Entity Address, City or Town	Westlake Village
Entity Address, State or Province	CA
Entity Address, Postal Zip Code	91361
City Area Code	805
Local Phone Number	981-8655
Title of 12(b) Security	Common stock, $.01 par value
Trading Symbol	LTC
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		39,242,225
Current Fiscal Year End Date	--12-31
Document Fiscal Year Focus	2020
Document Fiscal Period Focus	Q3
Entity Central Index Key	0000887905
Amendment Flag	false

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CONSOLIDATED BALANCE SHEETS - USD ($) $ in Thousands	Sep. 30, 2020	Dec. 31, 2019
Investments:
Land	$ 127,774	$ 126,703
Buildings and improvements	1,320,990	1,295,899
Accumulated depreciation and amortization	(339,833)	(312,642)
Operating real estate property, net	1,108,931	1,109,960
Properties held-for-sale, net of accumulated depreciation: 2020-$0; 2019-$35,113		26,856
Real property investments, net	1,108,931	1,136,816
Mortgage loans receivable, net of loan loss reserve: 2020-$2,596; 2019-$2,560	257,671	254,099
Real estate investments, net	1,366,602	1,390,915
Notes receivable, net of loan loss reserve: 2020-$144; 2019-$181	14,297	17,927
Investments in unconsolidated joint ventures	7,069	19,003
Investments, net	1,387,968	1,427,845
Other assets:
Cash and cash equivalents	22,811	4,244
Debt issue costs related to bank borrowings	1,546	2,164
Interest receivable	31,248	26,586
Straight-line rent receivable	24,374	45,703
Lease incentives	2,401	2,552
Prepaid expenses and other assets	6,896	5,115
Total assets	1,477,244	1,514,209
LIABILITIES
Bank borrowings	89,900	93,900
Senior unsecured notes, net of debt issue costs: 2020-$696; 2019-$812	574,444	599,488
Accrued interest	3,300	4,983
Accrued expenses and other liabilities	30,779	30,412
Total liabilities	698,423	728,783
Stockholders' equity:
Common stock: $0.01 par value; 60,000 shares authorized; shares issued and outstanding: 2020-39,242; 2019-39,752	392	398
Capital in excess of par value	851,000	867,346
Cumulative net income	1,371,202	1,293,482
Cumulative distributions	(1,452,177)	(1,384,283)
Total LTC Properties, Inc. stockholders' equity	770,417	776,943
Non-controlling interests	8,404	8,483
Total equity	778,821	785,426
Total liabilities and equity	$ 1,477,244	$ 1,514,209

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CONSOLIDATED BALANCE SHEETS (Parenthetical) - USD ($) shares in Thousands, $ in Thousands	9 Months Ended	12 Months Ended
	Sep. 30, 2020	Dec. 31, 2019
Properties held-for-sale, accumulated depreciation	$ 0	$ 35,113
Mortgage loans receivable, loan loss reserve	2,596	2,560
Notes receivable, loan loss reserve	$ 144	$ 181
Common stock, par value (in dollars per share)	$ 0.01	$ 0.01
Common stock, shares authorized	60,000	60,000
Common stock, shares issued	39,242	39,752
Common stock, shares outstanding	39,242	39,752
Senior Unsecured Notes
Debt issue costs, net	$ 696	$ 812

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CONSOLIDATED STATEMENTS OF INCOME AND COMPREHENSIVE INCOME - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019	Sep. 30, 2020	Sep. 30, 2019
Revenues:
Rental income	$ 30,010	$ 38,665	$ 88,320	$ 114,566
Interest income from mortgage loans	7,890	7,646	23,487	22,308
Interest and other income	273	808	1,257	1,967
Total revenues	38,173	47,119	113,064	138,841
Expenses:
Interest expense	7,361	7,827	22,617	23,004
Depreciation and amortization	9,766	9,932	29,232	29,399
Impairment charges	941		941
(Recovery) provision for doubtful accounts	(2)	(14)	(1)	153
Transaction costs	63	75	197	275
Property tax expense	3,351	4,270	11,685	12,566
General and administrative expenses	4,814	4,745	14,494	13,912
Total expenses	26,294	26,835	79,165	79,309
Other operating income:
Gain on sale of real estate, net	30	6,236	44,073	6,736
Operating income	11,909	26,520	77,972	66,268
Gain from property insurance proceeds	373		373
Loss on unconsolidated joint ventures			(620)
Income from unconsolidated joint ventures	56	760	287	1,973
Net income	12,338	27,280	78,012	68,241
Income allocated to non-controlling interests	(121)	(88)	(292)	(257)
Net income attributable to LTC Properties, Inc.	12,217	27,192	77,720	67,984
Income allocated to participating securities	(103)	(112)	(339)	(298)
Net income available to common stockholders	$ 12,114	$ 27,080	$ 77,381	$ 67,686
Earnings per common share:
Basic (in dollars per share)	$ 0.31	$ 0.68	$ 1.97	$ 1.71
Diluted (in dollars per share)	$ 0.31	$ 0.68	$ 1.97	$ 1.69
Weighted average shares used to calculate earnings per common share:
Basic (in shares)	39,061	39,586	39,218	39,565
Diluted (in shares)	39,112	39,965	39,269	39,944
Dividends declared and paid per common share	$ 0.57	$ 0.57	$ 1.71	$ 1.71
Comprehensive Income:
Net income	$ 12,338	$ 27,280	$ 78,012	$ 68,241
Comprehensive income	$ 12,338	$ 27,280	$ 78,012	$ 68,241

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CONSOLIDATED STATEMENTS OF EQUITY - USD ($) shares in Thousands, $ in Thousands	Parent Cumulative Effect of Adoption	Parent As Adjusted Balance	Parent	Common Stock As Adjusted Balance	Common Stock	Capital in Excess of Par Value As Adjusted Balance	Capital in Excess of Par Value	Cumulative Net Income Cumulative Effect of Adoption	Cumulative Net Income As Adjusted Balance	Cumulative Net Income	Cumulative Distributions As Adjusted Balance	Cumulative Distributions	Non-controlling Interests As Adjusted Balance	Non-controlling Interests	Cumulative Effect of Adoption	As Adjusted Balance	Total
Balance at beginning of period at Dec. 31, 2018	$ (42,808)	$ 782,682	$ 825,490	$ 397	$ 397	$ 862,712	$ 862,712	$ (42,808)	$ 1,212,956	$ 1,255,764	$ (1,293,383)	$ (1,293,383)	$ 7,481	$ 7,481	$ (42,808)	$ 790,163	$ 832,971
Balance (in shares) at Dec. 31, 2018				39,657	39,657
Equity activity
Common stock cash distributions			(22,631)									(22,631)					(22,631)
Vesting of performance-based stock units			(300)									(300)					(300)
Vesting of performance-based stock units (in shares)					48
Issuance of restricted stock			(1)				(1)										(1)
Issuance of restricted stock (in shares)					78
Stock-based compensation expense			1,689				1,689										1,689
Net income			20,346							20,346				81			20,427
Non-controlling interests contributions														919			919
Non-controlling interest distributions														(89)			(89)
Other			(2,024)				(2,024)										(2,024)
Other (in shares)					(44)
Balance at end of period at Mar. 31, 2019			779,761		$ 397		862,376			1,233,302		(1,316,314)		8,392			788,153
Balance (in shares) at Mar. 31, 2019					39,739
Balance at beginning of period at Dec. 31, 2018	$ (42,808)	$ 782,682	825,490	$ 397	$ 397	$ 862,712	862,712	$ (42,808)	$ 1,212,956	1,255,764	$ (1,293,383)	(1,293,383)	$ 7,481	7,481	$ (42,808)	$ 790,163	832,971
Balance (in shares) at Dec. 31, 2018				39,657	39,657
Equity activity
Net income																	68,241
Balance at end of period at Sep. 30, 2019			785,434		$ 398		865,721			1,280,940		(1,361,625)		8,460			793,894
Balance (in shares) at Sep. 30, 2019					39,752
Balance at beginning of period at Mar. 31, 2019			779,761		$ 397		862,376			1,233,302		(1,316,314)		8,392			788,153
Balance (in shares) at Mar. 31, 2019					39,739
Equity activity
Common stock cash distributions			(22,653)									(22,653)					(22,653)
Issuance of restricted stock			(6)				(6)										(6)
Issuance of restricted stock (in shares)					8
Stock-based compensation expense			1,623				1,623										1,623
Net income			20,446							20,446				88			20,534
Non-controlling interests contributions														46			46
Non-controlling interest distributions														(87)			(87)
Balance at end of period at Jun. 30, 2019			779,171		$ 397		863,993			1,253,748		(1,338,967)		8,439			787,610
Balance (in shares) at Jun. 30, 2019					39,747
Equity activity
Common stock cash distributions			(22,658)									(22,658)					(22,658)
Stock option exercises			123		$ 1		122										123
Stock option exercises (in shares)					5
Stock-based compensation expense			1,626				1,626										1,626
Net income			27,192							27,192				88			27,280
Non-controlling interest distributions														(67)			(67)
Other			(20)				(20)										(20)
Balance at end of period at Sep. 30, 2019			785,434		$ 398		865,721			1,280,940		(1,361,625)		8,460			793,894
Balance (in shares) at Sep. 30, 2019					39,752
Equity activity
Common stock cash distributions			(22,658)									(22,658)					(22,658)
Stock-based compensation expense			1,625				1,625										1,625
Net income			12,542							12,542				89			12,631
Non-controlling interest distributions														(66)			(66)
Balance at end of period at Dec. 31, 2019			776,943		$ 398		867,346			1,293,482		(1,384,283)		8,483			785,426
Balance (in shares) at Dec. 31, 2019					39,752
Equity activity
Common stock cash distributions			(22,581)									(22,581)					(22,581)
Vesting of performance-based stock units			(586)									(586)					(586)
Vesting of performance-based stock units (in shares)					82
Issuance of restricted stock					$ 1		(1)
Issuance of restricted stock (in shares)					76
Repurchase of common stock			(18,012)		$ (6)		(18,006)										(18,012)
Repurchase of common stock (in shares)					(616)
Stock-based compensation expense			1,777				1,777										1,777
Net income			63,633							63,633				89			63,722
Non-controlling interest distributions														(146)			(146)
Other			(3,545)		$ (1)		(3,544)										(3,545)
Other (in shares)					(76)
Balance at end of period at Mar. 31, 2020			797,629		$ 392		847,572			1,357,115		(1,407,450)		8,426			806,055
Balance (in shares) at Mar. 31, 2020					39,218
Balance at beginning of period at Dec. 31, 2019			776,943		$ 398		867,346			1,293,482		(1,384,283)		8,483			785,426
Balance (in shares) at Dec. 31, 2019					39,752
Equity activity
Net income																	78,012
Balance at end of period at Sep. 30, 2020			770,417		$ 392		851,000			1,371,202		(1,452,177)		8,404			778,821
Balance (in shares) at Sep. 30, 2020					39,242
Balance at beginning of period at Mar. 31, 2020			797,629		$ 392		847,572			1,357,115		(1,407,450)		8,426			806,055
Balance (in shares) at Mar. 31, 2020					39,218
Equity activity
Common stock cash distributions			(22,359)									(22,359)					(22,359)
Issuance of restricted stock			(7)				(7)										(7)
Issuance of restricted stock (in shares)					25
Stock-based compensation expense			1,761				1,761										1,761
Net income			1,870							1,870				82			1,952
Non-controlling interest distributions														(97)			(97)
Balance at end of period at Jun. 30, 2020			778,894		$ 392		849,326			1,358,985		(1,429,809)		8,411			787,305
Balance (in shares) at Jun. 30, 2020					39,243
Equity activity
Common stock cash distributions			(22,368)									(22,368)					(22,368)
Stock-based compensation expense			1,693				1,693										1,693
Net income			12,217							12,217				121			12,338
Non-controlling interest distributions														(128)			(128)
Other			(19)				(19)										(19)
Other (in shares)					(1)
Balance at end of period at Sep. 30, 2020			$ 770,417		$ 392		$ 851,000			$ 1,371,202		$ (1,452,177)		$ 8,404			$ 778,821
Balance (in shares) at Sep. 30, 2020					39,242

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CONSOLIDATED STATEMENTS OF EQUITY (Parenthetical) - $ / shares	3 Months Ended
	Sep. 30, 2020	Jun. 30, 2020	Mar. 31, 2020	Dec. 31, 2019	Sep. 30, 2019	Jun. 30, 2019	Mar. 31, 2019
CONSOLIDATED STATEMENTS OF EQUITY
Common Stock cash distributions	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57

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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019
OPERATING ACTIVITIES:
Net income	$ 78,012	$ 68,241
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	29,232	29,399
Stock-based compensation expense	5,231	4,938
Impairment charges	941
Gain on sale of real estate, net	(44,073)	(6,736)
Loss on unconsolidated joint ventures	620
Income from unconsolidated joint ventures	(287)	(1,973)
Income distributions from unconsolidated joint ventures	249	2,577
Straight-line rental income	(1,701)	(3,598)
Adjustment for collectibility of rental income and lease incentives	23,214	1,926
Lease incentives funded	(50)	(322)
Amortization of lease incentives	317	281
(Recovery) provision for doubtful accounts	(1)	153
Other non-cash items, net	772	760
Increase in interest receivable	(4,662)	(4,367)
Decrease in accrued interest payable	(1,683)	(184)
Net change in other assets and liabilities	(502)	(1,003)
Net cash provided by operating activities	85,629	90,092
INVESTING ACTIVITIES:
Investment in real estate properties	(13,581)	(38,334)
Investment in real estate developments	(13,384)	(15,052)
Investment in real estate capital improvements	(3,955)	(2,121)
Capitalized interest	(354)	(441)
Proceeds from sale of real estate, net	72,141	8,068
Investment in real estate mortgage loans receivable	(4,176)	(10,919)
Principal payments received on mortgage loans receivable	565	565
Investments in unconsolidated joint ventures	(6,398)	(394)
Proceeds from liquidation of investments in unconsolidated joint ventures	17,758	6,601
Advances and originations under notes receivable	(1,366)	(8,531)
Principal payments received on notes receivable	4,732	3,446
Net cash provided by (used in) investing activities	51,982	(57,112)
FINANCING ACTIVITIES:
Bank borrowings	24,000	73,400
Repayment of bank borrowings	(28,000)	(20,000)
Principal payments on senior unsecured notes	(25,160)	(14,667)
Stock repurchase plan	(18,012)
Stock option exercises		123
Distributions paid to stockholders	(67,894)	(68,241)
Contribution from non-controlling interests		46
Distributions paid to non-controlling interests	(371)	(243)
Financing costs paid	(35)	(41)
Withheld vested restricted stock and performance-based stock units	(3,564)	(2,047)
Other	(8)	(6)
Net cash used in financing activities	(119,044)	(31,676)
Increase in cash, cash equivalents and restricted cash	18,567	1,304
Cash, cash equivalents and restricted cash, beginning of period	4,244	4,764
Cash, cash equivalents and restricted cash, end of period	22,811	6,068
Supplemental disclosure of cash flow information:
Interest paid	23,531	22,431
Non-cash investing and financing transactions:
Right of use asset		1,354
Lease liability		1,354
Reclassification of notes receivable to lease incentives	$ 300	$ 200

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General

9 Months Ended

Sep. 30, 2020

General

General

1. General

LTC Properties, Inc., a health care real estate investment trust (“REIT”), was incorporated on May 12, 1992 in the State of Maryland and commenced operations on August 25, 1992. We invest primarily in seniors housing and health care properties primarily through sale-leaseback transactions, mortgage financing and structured finance solutions including mezzanine lending. We conduct and manage our business as one operating segment, rather than multiple operating segments, for internal reporting and internal decision-making purposes. Our primary objectives are to create, sustain and enhance stockholder equity value and provide current income for distribution to stockholders through real estate investments in seniors housing and health care properties managed by experienced operators. Our primary seniors housing and health care property classifications include skilled nursing centers (“SNF”), assisted living communities (“ALF”), independent living communities (“ILF”), memory care communities (“MC”) and combinations thereof. To meet these objectives, we attempt to invest in properties that provide opportunity for additional value and current returns to our stockholders and diversify our investment portfolio by geographic location, operator, property classification and form of investment.

We have prepared consolidated financial statements included herein without audit and in the opinion of management have included all adjustments necessary for a fair presentation of the consolidated financial statements pursuant to the rules and regulations of the Securities and Exchange Commission (“SEC”). Certain information and note disclosures normally included in financial statements prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) have been condensed or omitted pursuant to rules and regulations governing the presentation of interim financial statements. The accompanying consolidated financial statements include the accounts of our company and its wholly-owned subsidiaries. All significant intercompany accounts and transactions have been eliminated in consolidation. The results of operations for the three and nine months ended September 30, 2020 and 2019 are not necessarily indicative of the results for a full year.

No provision has been made for federal or state income taxes. Our company qualifies as a REIT under Sections 856 through 860 of the Internal Revenue Code of 1986, as amended. As such, we generally are not taxed on income that is distributed to our stockholders.

New Accounting Pronouncements

New Accounting Standards Adopted by Our Company

In February 2016, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2016-02 (“ASU 2016-02”), Leases, which is codified under Accounting Standards Codification (“ASC”) as ASC Topic 842, Leases. Among other changes, ASU 2016-02 amends the previous accounting for lessors to:

● Modify the accounting and lease classification criteria;

● On a quarterly basis, on an individual lease basis, assess the collectibility of substantially all of the lease payments through maturity. If collectibility is not probable, the lease income recorded during the period would be limited to lesser of the income that would have been recognized if collection were probable, and the lease payments received; and

● Exclude the lessor costs that are directly paid by the lessee to third parties on lessor’s behalf from variable payments. However, the lessor costs that are paid by the lessor and reimbursed by the lessee are required to be included in variable payments.

As a result of adopting ASU 2016-02 on January 1, 2019, using the modified retrospective transition approach, we evaluated the collectibility of our lease payments and determined that the level of collectibility certainty cannot be achieved for certain operators. Accordingly, we recognized a cumulative effect adjustment to equity of $42,808,000. Additionally, we now report real estate taxes that are reimbursed by our operators as Rental income with a corresponding Property tax expense in the Consolidated Statements of Income and Comprehensive Income. Furthermore, we assess the collectibility of substantially all of our lease payments through maturity and if collectibility is not probable, all or a portion of our straight-line rent receivable and other lease receivables may be written off and the rental income during the period would be limited to the lesser of the income that would have been recognized if collection were probable, and the lease payments received. Our assessment of collectibility of leases includes evaluating the data and assumptions used in determining whether substantially all of the future lease payments were probable based on the lessee’s payment history, the financial strength of the lessees, future contractual rents, and the timing of expected payments.

In April 2020, the FASB staff released guidance regarding accounting for lease concessions in response to the novel coronavirus (“COVID-19”) pandemic. The FASB staff guidance indicates that lessors could elect an accounting policy to not evaluate whether rent concessions provided in response to the COVID-19 pandemic are lease modifications. When only the timing of payments is impacted by the rent deferrals, but the amount of the consideration is substantially the same as required by the original lease agreement, the FASB listed two methods for lessors to account for the rent deferrals. We elected the first of the following two methods:

● Account for the rent deferrals as if there were no changes made to the lease agreement. Accordingly, increase the lease receivable and continue to recognize income.

● Account for the rent deferrals as variable lease payments.

In 2016, the FASB issued ASU No. 2016-13, Measurement of Credit Losses on Financial Instruments (“ASU 2016-13”). This standard requires a new forward looking “expected loss” model to be used for receivables, held-to-maturity debt, loans, and other instruments. When shared risk characteristics exist, ASU 2016-13 requires a collective basis measurement of expected credit losses of the financial assets. ASU 2016-13 is effective for fiscal years, and interim periods within those years, beginning after December 15, 2019.

We adopted ASU 2016-13 on January 1, 2020 and determined our Mortgage loans receivable and Notes receivable are within the scope of this ASU. We utilize the probability of default and discounted cash flow methods to estimate expected credit losses. Additionally, we stress-tested the results to reflect the impact of unknown adverse future events including recessions. We concluded that the adoption of ASU 2016-13 did not have a material impact on our financial statements at September 30, 2020.

The expected credit losses for our financial instruments that are within the scope of ASU 2016-13 are as follows (in thousands):

				Increase
				/(Decrease)
		Balance		in Expected		Balance
	Balance Sheet	at		Credit Loss		at
Description	Location	12/31/2019		During the Quarter		9/30/2020
Expected credit losses for mortgage loans receivable	Mortgage loans receivable, net of loan loss reserve	$	2,560	$	36	$	2,596
Expected credit losses for notes receivable	Notes receivable, net of loan loss reserve	$	181	$	(37)	$	144

We elected not to measure an allowance for expected credit losses on accrued interest receivable under the expected credit loss standard as we have a policy in place to reserve or write off accrued interest receivable in a timely manner through our quarterly review of the loan and property performance. Therefore, we elected the policy to write off accrued interest receivable by reversing interest income and/or recognizing credit loss expense. As of September 30, 2020, the total balance of accrued interest receivable of $31,248,000 was not included in the measurement of expected credit loss. For the three and nine months ended September 30, 2020 and 2019, Company did not recognize any write-off related to accrued interest receivable.

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Real Estate Investments

9 Months Ended

Sep. 30, 2020

Real Estate Investments

Real Estate Investments

2. Real Estate Investments

Assisted living communities, independent living communities, memory care communities and combinations thereof are included in the assisted living property classification (collectively “ALF”).

Any reference to the number of properties or facilities, number of units, number of beds, number of operators and yield on investments in real estate are unaudited and outside the scope of our independent registered public accounting firm’s review of our consolidated financial statements in accordance with the standards of the Public Company Accounting Oversight Board.

Owned Properties. Our Owned properties are leased pursuant to non-cancelable operating leases generally with an initial term of 10 to 15 years. Each lease is a triple net lease which requires the lessee to pay all taxes, insurance, maintenance and repairs, capital and non-capital expenditures and other costs necessary in the operations of the facilities. Many of the leases contain renewal options. The leases provide for fixed minimum base rent during the initial and renewal periods. The majority of our leases contain provisions for specified annual increases over the rents of the prior year that are generally computed in one of four ways depending on specific provisions of each lease:

(i)a specified percentage increase over the prior year’s rent, generally between 2.0% and 2.5%;

(ii)a calculation based on the Consumer Price Index;

(iii)as a percentage of facility net patient revenues in excess of base amounts; or

(iv)specific dollar increases.

Our leases that contain fixed annual rental escalations and/or have annual rental escalations that are contingent upon changes in the Consumer Price Index, are generally recognized on a straight-line basis over the minimum lease period. Certain leases have annual rental escalations that are contingent upon changes in the gross operating revenues of the property. This revenue is not recognized until the appropriate contingencies have been resolved.

The following table summarizes our investments in owned properties at September 30, 2020 (dollar amounts in thousands):

								Average
			Percentage		Number	Number of		Investment
	Gross		of		of	SNF	ALF	per
Type of Property	Investment		Investment		Properties (1)	Beds	Units	Bed/Unit
Assisted Living	$	880,307	60.8	%	107	—	6,164	$	142.81
Skilled Nursing		557,097	38.4	%	51	6,277	212	$	85.85
Other (2)		11,360	0.8	%	1	118	—		—
Total	$	1,448,764	100.0	%	159	6,395	6,376

(1) We own properties in 27 states that are leased to 29 different operators.

(2) Includes three parcels of land held-for-use, and one behavioral health care hospital.

Future minimum base rents receivable under the remaining non-cancelable terms of operating leases excluding the effects of straight-line rent receivable, amortization of lease incentives and renewal options are as follows (in thousands):

	Cash
	Rent (1)
2020	$	33,758
2021		143,139
2022		131,294
2023		132,827
2024		131,766
Thereafter		632,675

(1) Represents contractual cash rent, except for Anthem Memory Care (“Anthem”) master lease which is based on estimated cash payments. See below for more disclosure relating to Anthem.

An affiliate of Senior Lifestyle Corporation (“Senior Lifestyle”) operates 23 properties under a master lease with a combination of independent living, assisted living and memory care units. Senior Lifestyle was provided deferral of partial rent in April 2020 and failed to pay full rent during the second quarter of 2020. In accordance with ASC 842, we evaluated the collectibility of receiving substantially all of our lease payments from the Senior Lifestyle master lease through maturity and determined that we did not have the level of certainty required by the standard. Accordingly, we wrote-off a total $17,742,000 of straight-line rent receivable and lease incentives related to this master lease during the second quarter of 2020 and we accounted for the Senior Lifestyle master lease on a cash basis effective July 2020. Contractual rent for April through September 2020 was $9,121,000 of which we collected $5,325,000. In October 2020, we received $1,341,000 of their contractual rent of $1,561,000. The outstanding accounts receivable balance on our Consolidated Balance Sheets of $2,670,000 is covered by a letter of credit and security deposit totaling $3,608,000. We continue to evaluate the collectibility of our Senior Lifestyle master lease quarterly. Additionally, we are evaluating our options for the portfolio which may include a combination of re-leasing and selling some or all of the properties.

During the third quarter of 2020, an operator paid $542,000 of its contractual rent of $1,299,000. Additionally, during the three months ended September 30, 2020, we consolidated our two master leases with the operator into one combined master lease. Under the new combined master lease, we agreed to abate $570,000 of third quarter rent along with $80,000 that had been deferred in second quarter of 2020, totaling $650,000. Additionally, the new combined master lease allows the operator to defer rent as needed through March 31, 2021. In September 2020, the operator deferred $186,000 of its $374,000 contractual rent. During the three months ended September 30, 2020, we recorded an impairment charge of $941,000 related to an assisted living community that was operated by the operator. The community was closed in October 2020 and we are evaluating our options for this community. In accordance with ASC 842, we evaluated the collectibility of receiving substantially all of our lease payments under our master lease with the operator through maturity and determined that we did not have the level of certainty required by the standard. Accordingly, we wrote-off $1,156,000 of straight-line rent receivable related to this master lease during the third quarter of 2020.

On August 10, 2020, in the Quarterly Report on Form 10-Q, Genesis Healthcare, Inc. (“Genesis”) reported doubt regarding its ability to continue as a going concern. Accordingly, in accordance with ASC 842, we evaluated the collectibility of receiving substantially all of our lease payments from the Genesis master lease through maturity and determined that we did not have the level of certainty required by the standard. Accordingly, we wrote-off $4,316,000 of straight-line rent receivable related to this master lease during the third quarter of 2020. Genesis is current on rent payments through October 2020.

Anthem operates 11 memory care communities under a master lease and was placed in default in 2017 resulting from Anthem’s partial payment of its minimum rent. However, we did not enforce our rights and remedies pertaining to the event of default, under the stipulation that Anthem achieves sufficient performance and pays agreed upon rent. In accordance with ASC 842 lease accounting guidance, at January 1, 2019, we evaluated the collectibility of straight-line rent receivable and lease incentive balances related to Anthem and determined that it was not probable that we would collect substantially all of the contractual lease obligations through maturity. Accordingly, we wrote-off the balances to equity as of January 1, 2019, as required by the ASC 842 transition guidance. We continue to evaluate the collectibility of our Anthem master lease on a quarterly basis. We currently anticipate that Anthem will pay $9,900,000 of annual cash rent during 2020. However, COVID-19 may adversely impact Anthem’s operating cash flow and ability to pay rent. Anthem is current on 2020 rent payments through October 2020.

Preferred Care, Inc. (“Preferred Care”) and affiliated entities filed for Chapter 11 bankruptcy in 2017 as a result of a multi-million-dollar judgment in a lawsuit in Kentucky against Preferred Care and certain affiliated entities. Preferred Care leased 24 properties (“Properties”) under two master leases from us and the Preferred Care operating entities that sublease those Properties did not file for bankruptcy. In accordance with ASC 842 lease accounting guidance, at January 1, 2019, we evaluated the collectibility of straight-line rent receivable and lease incentive balances related to Preferred Care and determined it was not probable that we would collect substantially all of the contractual lease obligations through maturity. Accordingly, we wrote-off the balances to equity as of January 1, 2019, as required by the ASC 842 transition guidance. Preferred Care did not affirm our master leases and subsequently filed for Chapter 7 bankruptcy in 2019.

During the fourth quarter of 2019, we entered into multiple contracts to sell the Properties, all of which were completed during the first quarter of 2020. The combined net proceeds from the sales, including the 2019 transactions, was approximately $77,900,000 resulting in a total gain of approximately $44,000,000. The Properties had a combined net book value of $35,600,000. The 21 properties sold in the first quarter of 2020, which included 2,411 beds in Arizona, Colorado, Iowa, Kansas and Texas, were sold through multiple transactions and generated net proceeds of approximately $72,100,000. These 21 properties had a combined net book value of $29,100,000 and resulted in total gain on sale of $44,073,000.

Senior Care Centers, LLC and affiliates and subsidiaries (“Senior Care”) filed for Chapter 11 bankruptcy as a result of lease terminations from certain landlords and on-going operational challenges in December 2018. Senior Care did not pay us December 2018 rent and accordingly, in December 2018, we placed Senior Care on a cash basis. In accordance with ASC 842 lease accounting guidance, at January 1, 2019, we evaluated the collectibility of the straight-line rent receivable and lease incentive balance related to Senior Care and determined it was not probable that we would collect substantially all of the contractual lease obligations through maturity. Accordingly, we wrote-off the balances to equity as of January 1, 2019, as required by the ASC 842 transition guidance. During 2019, we received a court ordered reimbursement from Senior Care for the December 2018 unpaid rent, late fees and legal costs totaling $1,596,000. In March 2020, Senior Care emerged from bankruptcy and affirmed our master lease. We continue to evaluate the collectibility of our Senior Care master lease on a quarterly basis. Senior Care is current on all its rent, real estate property tax escrow and maintenance deposits through October 2020.

During the third quarter of 2020, we consolidated our four leases with Brookdale Senior Living Communities, Inc (“Brookdale”) into one master lease and extended the term by one year to December 31, 2021. The master lease provides three renewal options consisting of a four-year renewal option, a five-year renewal option and a 10-year renewal option. The notice period for the first renewal option is January 1, 2021 to April 30, 2021. The economic terms of rent remain the same as the consolidated rent terms under the previous four separate lease agreements.

The following table summarizes components of our rental income for the three and nine months ended September 30, 2020 and 2019 (in thousands):

	Three Months Ended						Nine Months Ended
	September 30,						September 30,
Rental Income		2020			2019			2020			2019
Base cash rental income	$	32,006	(1)	$	33,754		$	98,357	(1)	$	100,687
Variable cash rental income		3,356	(2)		3,926	(2)		11,793	(2)		12,488	(2)
Straight-line rent		228			1,085			1,701			3,598
Adjustment for collectability of rental income and lease incentives		(5,472)	(3)		—			(23,214)	(4)		(1,926)
Amortization of lease incentives		(108)			(100)			(317)			(281)
Total	$	30,010		$	38,665		$	88,320		$	114,566

(1) Decreased primarily due to reduction of rent from Preferred Care portfolio sale and Senior Lifestyle rent shortfall and abated and deferred rent partially offset by increase in rent from acquisitions and completion of development projects and contractual rent increases.

(2) The variable rental income for the three and nine months ended September 30, 2020, includes contingent rental income of $4 and $108, respectively, and reimbursement of real estate taxes by our lessees of $3,352 and $11,685, respectively. The variable rental income for the three and nine months ended September 30, 2019 includes contingent rental income of $77 and $394, respectively, and reimbursement of real estate taxes by our lessees of $3,849 and $12,094, respectively.

(3) Represents the write-off of the Genesis and another operator straight-line rent receivable balances.

(4) Represents the write-off of the Senior Lifestyle straight-line rent receivable and lease incentive balances and (3) above.

Some of our lease agreements provide purchase options allowing the lessees to purchase the properties they currently lease from us. The following table summarizes information about purchase options included in our lease agreements (dollar amount in thousands):

	Type	Number
	of	of		Gross		Carrying	Option
State	Property	Properties		Investments		Value	Window
California	ALF/MC	2	$	38,895	$	35,836	2024-2029
California	ALF	2		30,609		17,088	2021-TBD	(1)
Florida	MC	1		14,340		12,631	2028-2029
Kentucky and Ohio	MC	2		30,152		27,320	2028-2029
Texas	MC	2		25,265		23,870	2025-2027
South Carolina	ALF/MC	1		11,680		10,358	2028-2029
Total			$	150,941	$	127,103

(1) The option window ending date will be either 24 months or 48 months after the option window commences, based on certain contingencies.

On March 11, 2020, the World Health Organization declared the outbreak of COVID-19 as a pandemic, and on March 13, 2020, the United States declared a national emergency with regard to COVID-19. As required by ASC 842, we assess the collectibility of our lease payments through maturity on a quarterly basis. At September 30, 2020, in conjunction with the continued levels of uncertainty related to the adverse effects of COVID-19, we assessed the probability of collecting substantially all of our lease payments through maturity and concluded that we did not have sufficient information available to evaluate the impact of COVID-19 on the collectibility of our lease payments. The extent to which COVID-19 could impact our operators and the collectibility of our future lease payments will depend on the future developments including the financial impact significance and the duration of the pandemic. We will continue to evaluate the collectibility of our lease payments through maturity on a quarterly basis, including the financial impact of COVID-19. If we determine that we do not have the level of collectibility certainty required by ASC 842 related to certain operators, all or a portion of our straight-

line rent receivable and other lease receivables will be written-off. In recognition of the unique conditions affecting our operators, we have agreed to rent deferrals for certain operators totaling $1,176,000, or 1.5% of contractual rent, for April through September 2020. Additionally, we granted rent deferrals of $566,000 for October 2020. Through October 2020, we have received $553,000 of rent deferral payments. The remaining $1,189,000 balance of deferred rent is due to LTC over the next 24 months or upon the operators’ receipt of government funds from the U.S. Coronavirus Aid, Relief, and Economic Security ACT (the “CARES Act”).

Acquisitions and Developments: The following table summarizes our acquisitions for the nine months ended September 30, 2020 and 2019 (dollar amounts in thousands):

						Total		Number	Number
		Purchase		Transaction		Acquisition		of	of
Year	Type of Property	Price		Costs (1)		Costs		Properties	Beds/Units
2020	Skilled Nursing (2)	$	13,500	$	81	$	13,581	1	140
2019	Assisted Living (3)	$	16,719	$	176	$	16,895	1	74
	Skilled Nursing (4)		19,500		77		19,577	1	90
	Land (5)		2,732		49		2,781	—	—
Total		$	38,951	$	302	$	39,253	2	164

(1) Represents cost associated with our acquisitions; however, upon adoption of ASU 2017-01, our acquisitions meet the definition of an asset acquisition resulting in capitalization of transaction costs to the properties’ basis. For our land purchases with forward development commitments, transaction costs are capitalized as part of construction in progress. Transaction costs per our Consolidated Statements of Income and Comprehensive Income represents current and prior year transaction costs due to timing and terminated transactions.

(2) We acquired a SNF located in Texas.

(3) We entered into a joint venture (“JV”) (consolidated on our financial statements) to purchase an existing operational 74-unit ALF/MC community. The non-controlling partner contributed $919 of equity and we contributed $15,971 in cash. Our economic interest in the real estate JV is approximately 95%.

(4) We acquired a newly constructed 90-bed SNF located in Missouri.

(5) We acquired a parcel of land adjacent to an existing SNF in California. Additionally, we acquired a parcel of land and developed a 90-bed SNF in Missouri. The commitment totals approximately $17,400.

During the nine months ended September 30, 2020 and 2019, we invested the following in development and improvement projects (in thousands):

	Nine Months Ended September 30,
	2020				2019
Type of Property	Developments		Improvements		Developments		Improvements
Assisted Living Communities	$	4,491	$	3,941	$	10,266	$	1,826
Skilled Nursing Centers		8,893		14		4,786		—
Other		—		—		—		295
Total	$	13,384	$	3,955	$	15,052	$	2,121

Completed Developments. The following table summarizes our completed developments during the nine months ended September 30, 2020 and 2019 (dollar amounts in thousands):

		Number	Type	Number
		of	of	of				Total
Year	Type of Project	Properties	Property	Beds/Units	State		Investment
2020	Development	1	ALF/MC	78	Oregon	(1)	$	18,447
	Development	1	SNF	90	Missouri			13,272
Total		2		168			$	31,719
2019	Development	1	SNF	143	Kentucky		$	24,496
	Development	1	ILF/ALF/MC	110	Wisconsin			21,893
Total		2		253			$	46,389

(1) Certificate of occupancy was received in March 2020, however, due to the COVID-19 pandemic, we consented to delay the opening of this community to September 2020.

Properties Sold. The following table summarizes property sales during the nine months ended September 30, 2020 and 2019 (dollar amounts in thousands):

		Type		Number	Number
		of		of	of		Sales		Carrying		Net
Year	State	Properties		Properties	Beds/Units		Price		Value		Gain
2020	N/A	N/A		—	—	$	—	$	—	$	108	(1)
	Arizona	SNF		1	194		12,550		2,229		10,292
	Colorado	SNF		3	275		15,000		4,271		10,364
	Iowa	SNF	(2)	7	544		14,500		4,886		9,029
	Kansas	SNF		3	250		9,750		7,438		1,993
	Texas	SNF		7	1,148		23,000		10,260		12,287
Total 2020 (3)				21	2,411	$	74,800	$	29,084	$	44,073	(3)
2019	N/A	N/A		—	—	$	—	$	—	$	500	(4)
	Georgia	SNF		1	148		7,920		1,639		6,236
Total 2019				1	148	$	7,920	$	1,639	$	6,736

(

(1) Gain recognized from the $90 repayment of a holdback related to a property sold during the fourth quarter of 2019 and the reassessment adjustment of $18 from the holdback under the expected value model per ASC Topic 606, Contracts with Customers (“ASC 606”).

(2) This transaction includes a holdback of $838 which is held in an interest-bearing account with an escrow holder on behalf of the buyer for potential specific losses. Using the expected value model per ASC 606, we estimated and recorded the holdback value of $471. During the nine months ended September 30, 2020, we received $150 of the holdback. We reassessed the holdback under the expected value model and recorded an additional gain of $115.

(3) Properties sold within the Preferred Care portfolio.

(4) Gain recognized from the repayment of a holdback related to a portfolio of six ALFs sold during the second quarter of 2018.

Mortgage Loans. The following table summarizes our investments in mortgage loans secured by first mortgages at September 30, 2020 (dollar amounts in thousands):

				Type	Percentage		Number of			Investment
		Gross		of	of				SNF	per
Interest Rate (1)	Maturity	Investment		Property	Investment		Loans (2)	Properties (3)	Beds	Bed/Unit
9.9%	2043	$	186,865	SNF	71.8	%	1	15	1,941	$	96.27
9.2%	2045		38,853	SNF	14.9	%	1	4	501	$	77.55
9.4%	2045		19,624	SNF	7.6	%	1	2	205	$	95.73
9.6%	2045		14,925	SNF	5.7	%	1	1	157	$	95.06
Total		$	260,267		100.0	%	4	22	2,804	$	92.82

(1) The majority of the mortgage loans provide for annual increases in the interest rate after a certain time period increasing by 2.25%.

(2) Some loans contain certain guarantees, provide for certain facility fees and the majority of the mortgage loans have a 30-year term.

(3) The properties securing these mortgage loans are located in one state and are operated by one operator.

The following table summarizes our mortgage loan activity for the nine months ended September 30, 2020 and 2019 (in thousands):

	Nine Months Ended September 30,
	2020			2019
	Amounts			Origination/Funding
Originations and funding under mortgage loans receivable	$	4,176	(1)	$	10,919	(2)
Scheduled principal payments received		(565)			(565)
Mortgage loan premium amortization		(3)			(3)
Provision for loan loss reserve		(36)			(104)
Net increase in mortgage loans receivable	$	3,572		$	10,247

(1) During 2020, we funded an additional $2,000 under and existing mortgage loan. The incremental funding bears interest at 8.89% and escalating by 2.25% thereafter.

(2) During 2019, we funded an additional $7,500 under an existing mortgage loan. The incremental funding bears interest at 9.41% fixed for two years and escalating by 2.25% thereafter.

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Investment in Unconsolidated Joint Ventures

9 Months Ended

Sep. 30, 2020

Investment in Unconsolidated Joint Ventures

Investment in Unconsolidated Joint Ventures

3. Investment in Unconsolidated Joint Ventures

We had a preferred equity investment in an unconsolidated joint venture that owned four communities located in Arizona, providing independent living, assisted living and memory care services. During the fourth quarter of 2019, the JV signed a contract to sell the four properties comprising the JV (“Properties”). The contract was subject to standard due diligence and other contingencies to close, all of which were met in January 2020. Accordingly, based on the information available to us regarding alternatives and courses of action, we performed a recoverability test on the carrying value of our preferred equity investment and concluded that a portion of our preferred equity investment will not be recoverable. Therefore, we recorded an other than temporary impairment loss from investment in unconsolidated joint ventures of $5,500,000 and wrote our preferred equity investment down to its estimated fair value at December 31, 2019. Upon sale of the Properties, we received partial liquidation proceeds totaling $17,758,000 during the second and third quarters of 2020. During the nine months ended September 30, 2020, we incurred an additional $620,000 of loss. We anticipate receiving additional proceeds of $729,000 through March 31, 2021.

During the nine months ended September 30, 2020, we provided preferred capital contribution

commitments to two joint ventures. We determined that each of these JVs meets the accounting criteria to be considered a variable interest entity (“VIE”). We are not the primary beneficiary of the VIEs as we do not have both: 1) the power to direct the activities that most significantly affect the VIE’s economic performance, and 2) the right to receive benefits from the VIE or the obligation to absorb losses of the VIE that could be significant to the VIE. However, we do have significant influence over the JVs. Therefore, we accounted for the joint venture investments using the equity method of accounting. The following table provides information regarding these preferred equity investments:

	Type	Type		Total		Contractual		Number
	of	of		Preferred		Cash		of		Investment			Carrying
State	Properties	Investment		Return		Portion		Beds/ Units		Commitment			Value
Washington	UDP	Preferred Equity	(1)	12	%	7	%	—	$	—	(1)	$	6,340	(1)
Washington	UDP	Preferred Equity	(2)	12	%	8	%	—		13,000	(2)		-	(2)
Total								—	$	13,000		$	6,340

(1) Invested $6,340 of preferred equity in an entity that will develop a 95-unit ALF/MC in Washington. Our investment represents 15.5% of the estimated total investment. The preferred equity investment earns an initial cash rate of 7% increasing to 9% in year four until the internal rate of return (“IRR”) is 8%. After achieving an 8% IRR, the cash rate drops to 8% with an IRR ranging between 12% to 14%.

(2) Entered into a preferred equity agreement in an entity that will develop and own a 267-unit ILF/ALF in Washington. Our investment represents 11.6% of the estimated total investment. Upon the satisfaction of certain conditions which are projected to be met by year-end, LTC will invest $13,000 into the entity. The preferred equity investment will earn an initial cash rate of 8% and a 12% IRR.

The following table summarizes our capital contributions, income recognized, and cash interest received related to our investments in unconsolidated joint ventures for the nine months ended September 30, 2020 and 2019 (in thousands):

	Type
	of			Capital			Income			Cash Interest
Year	Properties			Contribution			Recognized			Received
2020	ALF/MC/ILF	(1)	$	58	(1)	$	231	(1)	$	231	(1)
	UDP			6,340	(2)		56	(2)		18	(2)
Total			$	6,398		$	287		$	249
2019	ALF/MC/ILF		$	394	(1)	$	614	(1)	$	1,166	(1)
	ALF/ILF/MC	(3)		—	(3)		955	(3)		979	(3)
	ALF/MC	(4)		—	(4)		404	(4)		432	(4)
Total			$	394		$	1,973		$	2,577

(1) Relates to our preferred equity investment in Arizona discussed above with a total preferred return of 15%. During the nine months ended September 30, 2020, the properties comprising the JV were sold.

(2) During the third quarter of 2020, we provided a total preferred equity investment of $6,340 to a JV for the development of a 95-unit ALF and MC.

(3) We had a $2,900 mezzanine loan commitment for a 99-unit seniors housing community in Florida with a total preferred return of 15%. The mezzanine loan was an ADC arrangement which we determined it to have characteristics similar to a jointly-owned arrangement and recorded it as an unconsolidated joint venture. Since interest payments were deferred and no interest was recorded for the first twelve months of the loan, we used the effective interest method in accordance with GAAP to recognize interest income and recorded the difference between the effective interest income and cash interest income to the loan principal balance. During the third quarter of 2019, the mezzanine loan was paid off.

(4) We had a $3,400 mezzanine loan commitment for the development of a 127-unit seniors housing community in Florida with a total preferred return of 15%. The mezzanine loan was an ADC arrangement which we determined it to have characteristics similar to a jointly-owned arrangement and recorded it as an unconsolidated joint venture. During the first quarter of 2019, the mezzanine loan was paid off.

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Notes Receivable

9 Months Ended

Sep. 30, 2020

Notes Receivable.

Notes Receivable

4. Notes Receivable

Notes receivable consists of mezzanine loans and other loan arrangements. The following table is a summary of our notes receivable components as of September 30, 2020 and December 31, 2019 (in thousands):

	September 30, 2020		December 31, 2019
Mezzanine loans	$	8,566	$	13,284
Other loans		5,875		4,824
Notes receivable reserve		(144)		(181)
Total	$	14,297	$	17,927

The following table summarizes our notes receivable activity for the nine months ended September 30, 2020 and 2019 (in thousands):

	Nine Months Ended September 30,
		2020			2019
Advances under notes receivable	$	1,366	(1)	$	8,531	(2)
Principal payments received under notes receivable		(4,732)			(3,446)
Reclassified to lease incentives		(300)	(3)		(200)	(3)
Notes receivable reserve		36			(48)
Total	$	(3,630)		$	4,837

(1) We originated a $1,250 note agreement, funding $1,000 with a commitment to fund $250. The note bears interest at 5.0%.

(2) We originated a $6,800 mezzanine loan commitment for the development of a 204-unit ILF/ALF/MC in Georgia. The mezzanine loan has a five-year term and a 12.0% return, a portion of which is paid in cash, and the remaining portion of which is deferred during the first 46 months. Additionally, we originated a $1,400 note agreement, funding $1,124 with a commitment to fund $276. The note bears interest at 7.0%. Further, we originated a $550 note agreement, funding $400 with a commitment to fund $150. The note bears interest at 7.5%.

(3) Represents interim working capital loans related to development projects which matured upon completion of the development projects and commencement of the master leases.

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Lease Incentives

9 Months Ended

Sep. 30, 2020

Lease Incentives

Lease Incentives

5. Lease Incentives

Our lease incentive balances at September 30, 2020 and December 31, 2019 are as follows (in thousands):

		September 30, 2020		December 31, 2019
Non-contingent lease incentives	$	2,401	$	2,552

The following table summarizes our lease incentives activity for the nine months ended September 30, 2020 and 2019 (in thousands):

	2020							2019
		Funding		Amortization		Adjustment			Funding		Amortization		Adjustment
Non-contingent lease incentives	$	50	$	(317)	$	115	(1)	$	322	$	(281)	$	(11,893)	(2)

(1) We reclassified a $300 interim working capital loan as lease incentive. See Note 4. Notes Receivable for further discussion. Additionally, we wrote-off $185 of lease incentive related to a master lease for which we determined it was not probable we will collect substantially all of the contractual lease obligations through maturity. See Note 2. Real Estate Investments for further discussion.

(2) In accordance with ASC 842 lease standard adopted on January 1, 2019, we wrote-off $12,093 of lease incentives related to leases for which we determined it is not probable we will collect substantially all of the contractual lease obligation through maturity. See Note 1. General for further discussion. Additionally, we reclassified a $200 interim working capital loan as lease incentive. See Note 4. Notes Receivable for further discussion.

Non-contingent lease incentives represent payments made to our lessees for various reasons including entering into a new lease or lease amendments and extensions. Contingent lease incentives represent potential contingent earn-out payments that may be made to our lessees in the future, as part of our lease agreements. From time to time, we may commit to provide contingent payments to our lessees, upon our properties achieving certain rent coverage ratios. Once the contingent payment becomes probable and estimable, the contingent payment is recorded as a lease incentive. Lease incentives are amortized as a yield adjustment to rental income over the remaining life of the lease.

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Debt Obligations

9 Months Ended

Sep. 30, 2020

Debt Obligations

Debt Obligations

6. Debt Obligations

Bank Borrowings. We have an unsecured credit agreement that provides for a revolving aggregate commitment of the lenders of up to $600,000,000 with the opportunity to increase the commitment size of the credit agreement up to a total of $1,000,000,000. The unsecured credit agreement matures on June 27, 2022 and provides for a one-year extension option at our discretion, subject to customary conditions. Based on our leverage at September 30, 2020, the facility provides for interest annually at LIBOR plus 115 basis points and a facility fee of 20 basis points. At September 30, 2020, we were in compliance with all covenants.

Senior Unsecured Notes. We have senior unsecured notes held by institutional investors with interest rates ranging from 3.85% to 5.03%. The senior unsecured notes mature between 2021 and 2032.

The debt obligations by component as of September 30, 2020 and December 31, 2019 are as follows (dollar amounts in thousands):

		At September 30, 2020				At December 31, 2019
	Applicable			Available				Available
	Interest	Outstanding		for		Outstanding		for
Debt Obligations	Rate (1)	Balance		Borrowing		Balance		Borrowing
Bank borrowings	1.33%	$	89,900	$	510,100	$	93,900	$	506,100
Senior unsecured notes, net of debt issue costs	4.36%		574,444		—		599,488		21,500
Total	3.95%	$	664,344	$	510,100	$	693,388	$	527,600

(1) Represents weighted average of interest rate as of September 30, 2020.

Our borrowings and repayments are as follows (in thousands):

	Nine Months Ended September 30,
	2020				2019
Debt Obligations		Borrowings		Repayments	Borrowings		Repayments
Bank borrowings	$	24,000	$	(28,000)	$	73,400	$	(20,000)
Senior unsecured notes		—		(25,160)		—		(14,667)
Total	$	24,000	$	(53,160)	$	73,400	$	(34,667)

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Equity

9 Months Ended

Sep. 30, 2020

Equity

Equity

7. Equity

Common Stock. We have separate equity distribution agreements (collectively, “Equity Distribution Agreements”) to offer and sell, from time to time, up to $200,000,000 in aggregate offering price of shares of our common stock. As of September 30, 2020, no shares had been issued under the Equity Distribution Agreements. Accordingly, at September 30, 2020, we had $200,000,000 available under the Equity Distribution Agreements.

During the nine months ended September 30, 2020 and 2019, we acquired 76,574 shares and 45,030 shares, respectively, of common stock held by employees who tendered owned shares to satisfy tax withholding obligations.

Stock Repurchase Plan. During the first quarter of 2020, our Board of Directors authorized the repurchase of up to 5,000,000 outstanding shares of common stock. Due to the rising level of uncertainty in financial markets and the adverse effects of COVID-19 on the public health and our operators, our Board of Directors terminated the stock repurchase plan on March 25, 2020. During the nine months ended September 30, 2020, we purchased 615,827 shares at an average price of $29.25 per share, including commissions, for a total purchase price of $18,012,000.

Non-controlling Interests. We have entered into partnerships to develop and/or own real estate. Given that our limited members do not have the substantive kick-out rights, liquidation rights, or participation rights, we have concluded that the partnerships are VIEs. As we exercise power over and receive benefits from the VIEs, we are considered the primary beneficiary. Accordingly, we consolidate the VIEs and record the non-controlling interests on the consolidated financial statements.

As of September 30, 2020, we have the following consolidated VIEs (in thousands):

					Gross
Investment		Property			Consolidated		Non-Controlling
Year	Purpose	Type	State		Assets		Interests
2019	Owned real estate	ALF/MC	VA	$	16,895	$	919
2018	Owned real estate	ILF	OR		14,400		2,858
2018	Owned real estate and development	ALF/MC	OR		18,447		1,081
2017	Owned real estate and development	ILF/ALF/MC	WI		22,007		2,305
2017	Owned real estate	ALF/MC	SC		11,680		1,241
Total				$	83,429	$	8,404

Available Shelf Registration. We have an automatic shelf registration statement on file with the SEC, and currently have the ability to file additional automatic shelf registration statements, to provide us with capacity to publicly offer an indeterminate amount of common stock, preferred stock, warrants, debt, depositary shares, or units. We may from time to time raise capital under our automatic shelf registration statement in amounts, at prices, and on terms to be announced when and if the securities are offered. The specifics of any future offerings, along with the use of proceeds of any securities offered, will be described in detail in a prospectus supplement, or other offering materials, at the time of the offering. Our shelf registration statement expires on February 28, 2022.

Distributions. We declared and paid the following cash dividends (in thousands):

	Nine Months Ended September 30,
	2020						2019
	Declared			Paid			Declared			Paid
Common Stock (1)	$	67,894	(2)	$	67,894	(2)	$	68,241	(3)	$	68,241	(3)

(1) Represents $0.19 per share per month for the nine months ended September 30, 2020 and 2019.

(2) Includes $586 related to the vesting of performance-based stock units.

(3) Includes $300 related to the vesting of performance-based stock units.

In October 2020, we declared a monthly cash dividend of $0.19 per share on our common stock

for the months of October, November and December 2020, payable on October 30, November 30, and December 31, 2020, respectively, to stockholders of record on October 22, November 20, and December 23, 2020, respectively.

Stock-Based Compensation. Under our 2015 Equity Participation Plan (“the 2015 Plan”), 1,400,000 shares of common stock have been reserved for awards, including nonqualified stock option grants and restricted stock grants to officers, employees, non-employee directors and consultants. The terms of the awards granted under the 2015 Plan are set by our compensation committee at its discretion.

At September 30, 2020, we had 15,000 stock options outstanding and exercisable. During the nine months ended September 30, 2020 and 2019, no stock options were granted. The stock options exercised during the nine months ended September 30, 2020 and 2019 were as follows:

		Weighted
		Average
	Options	Exercise		Option		Market
	Exercised	Price		Value		Value (1)
2020	—	$	—	$	—	$	—
2019	5,000	$	24.65	$	123,000	$	233,000

(1)

(1) As of exercise date.

The following table summarizes our restricted stock and performance-based stock units activity for the nine months ended September 30, 2020 and 2019:

	Nine Months Ended September 30,
	2020			2019
Outstanding, January 1		345,633			325,750
Granted		167,375			147,608
Vested		(166,051)	(1)		(127,725)	(2)
Outstanding, September 30		346,957			345,633

(1) Includes 81,574 performance-based stock units.

(2) Includes 48,225 performance-based stock units.

During the nine months ended September 30, 2020 and 2019, we granted restricted stock and performance-based stock units under the 2015 Plan as follows:

	No. of	Price per
Year	Shares/Units	Share		Vesting Period
2020	76,464	$	48.95	ratably over 3 years
	66,027	$	49.98	TSR targets (1)
	9,884	$	38.45	May 27, 2021
	15,000	$	38.45	ratably over 3 years
	167,375
2019	78,276	$	46.54	ratably over 3 years
	60,836	$	46.54	TSR targets (1)
	8,496	$	44.73	May 29, 2020
	147,608

(1) Vesting is based on achieving certain total shareholder return (“TSR”) targets in 4 years with acceleration opportunity in 3 years.

Compensation expense recognized related to the vesting of restricted common stock and performance-based stock units for the nine months ended September 30, 2020 and 2019 were $5,231,000 and $4,938,000, respectively. At September 30, 2020, the remaining compensation expense to be recognized related to the future service period of unvested outstanding restricted common stock and performance-based stock units are as follows (in thousands):

	Remaining
	Compensation
Vesting Date	Expense
2020	$	1,781
2021		5,201
2022		2,729
2023		367
Total	$	10,078

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Commitments and Contingencies

9 Months Ended

Sep. 30, 2020

Commitments and Contingencies

Commitments and Contingencies

8. Commitments and Contingencies

At September 30, 2020, we had commitments as follows (in thousands):

						Total
	Investment			2020		Commitment		Remaining
	Commitment			Funding		Funded		Commitment
Real estate properties (Note 2. Real Estate Investments)	$	28,713	(1)	$	12,487	$	17,459	$	11,254
Accrued incentives and earn-out liabilities (Note 5. Lease Incentives)		9,000			—		—		9,000
Mortgage loans (Note 2. Real Estate Investments)		27,200	(2)		2,928		8,873		18,327
Joint venture investments (Note 3. Investments in Unconsolidated Joint Ventures)		13,000			—		—		13,000
Notes receivable (Note 4. Notes Receivable)		1,854			1,275		1,275		579
Total	$	79,767		$	16,690	$	27,607	$	52,160

(1) Represents commitments to purchase land and improvements, if applicable, and to develop, re-develop, renovate or expand seniors housing and health care properties.

(2) Represents $9,200 of commitments to expand and renovate the seniors housing and health care properties securing the mortgage loans and $18,000 represents contingent funding upon the borrower achieving certain coverage ratios.

Also, some of our lease agreements provide purchase options allowing the lessee to purchase the properties they currently lease from us. See Note 2. Real Estate Investments for a table summarizing information about our purchase options.

We are a party from time to time to various general and professional liability claims and lawsuits asserted against the lessees or borrowers of our properties, which in our opinion are not singularly or in the aggregate material to our results of operations or financial condition. These types of claims and lawsuits may include matters involving general or professional liability, which we believe under applicable legal principles are not our responsibility as a non-possessory landlord or mortgage holder. We believe that these matters are the responsibility of our lessees and borrowers pursuant to general legal principles and pursuant to insurance and indemnification provisions in the applicable leases or mortgages. We intend to continue to vigorously defend such claims.

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Major Operators

9 Months Ended

Sep. 30, 2020

Major Operators

Major Operators

9. Major Operators

We have two operators that derive 10% or more of our combined rental revenue and interest income from mortgage loans. The following table sets forth information regarding our major operators as

of September 30, 2020:

	Number of		Number of		Percentage of
			SNF	ALF	Total		Total
Operator	SNF	ALF	Beds	Units	Revenue (1)		Assets (2)
Prestige Healthcare	24	—	2,922	93	19.8	%	18.0	%
Senior Lifestyle Corporation (3)	—	23	—	1,457	10.4	%	10.2	%
Total	24	23	2,922	1,550	30.2	%	28.2	%

(1) Includes rental income from owned properties and interest income from mortgage loans as of September 30, 2020 and excludes rental income from lessee reimbursement and sold properties.

(2) Represents the net carrying value of the properties divided by the Total assets on the Consolidated Balance Sheets.

(3) See Note 2. Real Estate Investments for further information regarding Senior Lifestyle.

Our financial position and ability to make distributions may be adversely affected if Prestige Healthcare, Senior Lifestyle Corporation, or any of our lessees and borrowers face financial difficulties, including any bankruptcies, inability to emerge from bankruptcy, insolvency or general downturn in business of any such operator, impact upon services or occupancy levels due to COVID-19, or in the event any such operator does not renew and/or extend its relationship with us.

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Earnings per Share

9 Months Ended

Sep. 30, 2020

Earnings per Share

Earnings per Share

10. Earnings per Share

The following table sets forth the computation of basic and diluted net income per share (in thousands, except per share amounts):

	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2020		2019		2020		2019
Net income	$	12,338	$	27,280	$	78,012	$	68,241
Less income allocated to non-controlling interests		(121)		(88)		(292)		(257)
Less income allocated to participating securities:
Non-forfeitable dividends on participating securities		(103)		(93)		(294)		(279)
Income allocated to participating securities		—		(19)		(45)		(19)
Total net income allocated to participating securities (1)		(103)		(112)		(339)		(298)
Net income available to common stockholders		12,114		27,080		77,381		67,686
Effect of dilutive securities:
Participating securities (2)		—		—		—		—
Net income for diluted net income per share	$	12,114	$	27,080	$	77,381	$	67,686
Shares for basic net income per share		39,061		39,586		39,218		39,565
Effect of dilutive securities:
Stock options		—		4		—		4
Performance-based stock units		51		375		51		375
Participating securities (2)		—		—		—		—
Total effect of dilutive securities		51		379		51		379
Shares for diluted net income per share		39,112		39,965		39,269		39,944
Basic net income per share	$	0.31	$	0.68	$	1.97	$	1.71
Diluted net income per share	$	0.31	$	0.68	$	1.97	$	1.69

(1) Under the two-class method of computing earnings per share in accordance with GAAP, income (loss) allocated to participating securities is calculated independently for each quarter and year-to-date period. Therefore, the sum of the amounts for the quarter may not agree with the amounts for the year. 

(2) For the three and nine months ended September 30, 2020, and 2019, the participating securities have been excluded from the computation of diluted net income per share as such inclusion would be anti-dilutive.

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Fair Value Measurements

9 Months Ended

Sep. 30, 2020

Fair Value Measurements

Fair Value Measurements

11. Fair Value Measurements

In accordance with the accounting guidance regarding the fair value option for financial assets and financial liabilities, entities are permitted to choose to measure certain financial assets and liabilities at fair value, with the change in unrealized gains and losses reported in earnings. We did not elect the fair value option for any of our financial assets and financial liabilities.

The carrying amount of cash and cash equivalents approximates fair value because of the short-term maturity of these instruments. We do not invest our cash in auction rate securities. The carrying value and fair value of our financial instruments as of September 30, 2020 and December 31, 2019 assuming election of fair value for our financial assets and financial liabilities were as follows (in thousands):

	At September 30, 2020					At December 31, 2019
	Carrying		Fair			Carrying		Fair
	Value		Value			Value		Value
Mortgage loans receivable	$	257,671	$	299,151	(1)	$	254,099	$	312,824	(1)
Bank borrowings		89,900		89,900	(2)		93,900		93,900	(2)
Senior unsecured notes, net of debt issue costs		574,444		582,480	(3)		599,488		612,375	(3)

(1) Our investment in mortgage loans receivable is classified as Level 3. The fair value is determined using a widely accepted valuation technique, discounted cash flow analysis on the expected cash flows. The discount rate is determined using our assumption on market conditions adjusted for market and credit risk and current returns on our investments. The discount rate used to value our future cash inflows of the mortgage loans receivable at September 30, 2020 and December 31, 2019 was 10.0% and 9.0%, respectively.

(2) Our bank borrowings bear interest at a variable interest rate. The estimated fair value of our bank borrowings approximated their carrying values at September 30, 2020 and December 31, 2019 based upon prevailing market interest rates for similar debt arrangements.

(3) Our obligation under our senior unsecured notes is classified as Level 3 and thus the fair value is determined using a widely accepted valuation technique, discounted cash flow analysis on the expected cash flows. The discount rate is measured based upon management’s estimates of rates currently prevailing for comparable loans available to us, and instruments of comparable maturities. At September 30, 2020, the discount rate used to value our future cash outflow of our senior unsecured notes was 3.75% for those maturing before year 2026 and 4.00% for those maturing at or beyond year 2026. At December 31, 2019, the discount rate used to value our future cash outflow of our senior unsecured notes was 3.70% for those maturing before year 2026 and 3.90% for those maturing at or beyond year 2026.

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Subsequent Events

9 Months Ended

Sep. 30, 2020

Subsequent Events

Subsequent Events

12. Subsequent Events

Subsequent to September 30, 2020 the following events occurred:

Equity: We declared a monthly cash dividend of $0.19 per share on our common stock for the months of October, November and December 2020, payable on October 30, November 30, and December 31, 2020, respectively to stockholders of record on October 22, November 20, and December 23, 2020, respectively.

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General (Policies)

9 Months Ended

Sep. 30, 2020

General

Basis of Presentation

We have prepared consolidated financial statements included herein without audit and in the opinion of management have included all adjustments necessary for a fair presentation of the consolidated financial statements pursuant to the rules and regulations of the Securities and Exchange Commission (“SEC”). Certain information and note disclosures normally included in financial statements prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) have been condensed or omitted pursuant to rules and regulations governing the presentation of interim financial statements. The accompanying consolidated financial statements include the accounts of our company and its wholly-owned subsidiaries.

Reclassifications

All significant intercompany accounts and transactions have been eliminated in consolidation. The results of operations for the three and nine months ended September 30, 2020 and 2019 are not necessarily indicative of the results for a full year.

Income taxes

No provision has been made for federal or state income taxes. Our company qualifies as a REIT under Sections 856 through 860 of the Internal Revenue Code of 1986, as amended. As such, we generally are not taxed on income that is distributed to our stockholders.

New Accounting Pronouncements

New Accounting Pronouncements

New Accounting Standards Adopted by Our Company

In February 2016, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2016-02 (“ASU 2016-02”), Leases, which is codified under Accounting Standards Codification (“ASC”) as ASC Topic 842, Leases. Among other changes, ASU 2016-02 amends the previous accounting for lessors to:

● Modify the accounting and lease classification criteria;

● On a quarterly basis, on an individual lease basis, assess the collectibility of substantially all of the lease payments through maturity. If collectibility is not probable, the lease income recorded during the period would be limited to lesser of the income that would have been recognized if collection were probable, and the lease payments received; and

● Exclude the lessor costs that are directly paid by the lessee to third parties on lessor’s behalf from variable payments. However, the lessor costs that are paid by the lessor and reimbursed by the lessee are required to be included in variable payments.

As a result of adopting ASU 2016-02 on January 1, 2019, using the modified retrospective transition approach, we evaluated the collectibility of our lease payments and determined that the level of collectibility certainty cannot be achieved for certain operators. Accordingly, we recognized a cumulative effect adjustment to equity of $42,808,000. Additionally, we now report real estate taxes that are reimbursed by our operators as Rental income with a corresponding Property tax expense in the Consolidated Statements of Income and Comprehensive Income. Furthermore, we assess the collectibility of substantially all of our lease payments through maturity and if collectibility is not probable, all or a portion of our straight-line rent receivable and other lease receivables may be written off and the rental income during the period would be limited to the lesser of the income that would have been recognized if collection were probable, and the lease payments received. Our assessment of collectibility of leases includes evaluating the data and assumptions used in determining whether substantially all of the future lease payments were probable based on the lessee’s payment history, the financial strength of the lessees, future contractual rents, and the timing of expected payments.

In April 2020, the FASB staff released guidance regarding accounting for lease concessions in response to the novel coronavirus (“COVID-19”) pandemic. The FASB staff guidance indicates that lessors could elect an accounting policy to not evaluate whether rent concessions provided in response to the COVID-19 pandemic are lease modifications. When only the timing of payments is impacted by the rent deferrals, but the amount of the consideration is substantially the same as required by the original lease agreement, the FASB listed two methods for lessors to account for the rent deferrals. We elected the first of the following two methods:

● Account for the rent deferrals as if there were no changes made to the lease agreement. Accordingly, increase the lease receivable and continue to recognize income.

● Account for the rent deferrals as variable lease payments.

In 2016, the FASB issued ASU No. 2016-13, Measurement of Credit Losses on Financial Instruments (“ASU 2016-13”). This standard requires a new forward looking “expected loss” model to be used for receivables, held-to-maturity debt, loans, and other instruments. When shared risk characteristics exist, ASU 2016-13 requires a collective basis measurement of expected credit losses of the financial assets. ASU 2016-13 is effective for fiscal years, and interim periods within those years, beginning after December 15, 2019.

We adopted ASU 2016-13 on January 1, 2020 and determined our Mortgage loans receivable and Notes receivable are within the scope of this ASU. We utilize the probability of default and discounted cash flow methods to estimate expected credit losses. Additionally, we stress-tested the results to reflect the impact of unknown adverse future events including recessions. We concluded that the adoption of ASU 2016-13 did not have a material impact on our financial statements at September 30, 2020.

The expected credit losses for our financial instruments that are within the scope of ASU 2016-13 are as follows (in thousands):

				Increase
				/(Decrease)
		Balance		in Expected		Balance
	Balance Sheet	at		Credit Loss		at
Description	Location	12/31/2019		During the Quarter		9/30/2020
Expected credit losses for mortgage loans receivable	Mortgage loans receivable, net of loan loss reserve	$	2,560	$	36	$	2,596
Expected credit losses for notes receivable	Notes receivable, net of loan loss reserve	$	181	$	(37)	$	144

We elected not to measure an allowance for expected credit losses on accrued interest receivable under the expected credit loss standard as we have a policy in place to reserve or write off accrued interest receivable in a timely manner through our quarterly review of the loan and property performance. Therefore, we elected the policy to write off accrued interest receivable by reversing interest income and/or recognizing credit loss expense. As of September 30, 2020, the total balance of accrued interest receivable of $31,248,000 was not included in the measurement of expected credit loss. For the three and nine months ended September 30, 2020 and 2019, Company did not recognize any write-off related to accrued interest receivable.

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General (Tables)

9 Months Ended

Sep. 30, 2020

General

Schedule of expected credit losses for our financial instruments

The expected credit losses for our financial instruments that are within the scope of ASU 2016-13 are as follows (in thousands):

				Increase
				/(Decrease)
		Balance		in Expected		Balance
	Balance Sheet	at		Credit Loss		at
Description	Location	12/31/2019		During the Quarter		9/30/2020
Expected credit losses for mortgage loans receivable	Mortgage loans receivable, net of loan loss reserve	$	2,560	$	36	$	2,596
Expected credit losses for notes receivable	Notes receivable, net of loan loss reserve	$	181	$	(37)	$	144

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Real Estate Investments (Tables)

9 Months Ended

Sep. 30, 2020

Real Estate Investments

Summary of investments in owned properties

The following table summarizes our investments in owned properties at September 30, 2020 (dollar amounts in thousands):

								Average
			Percentage		Number	Number of		Investment
	Gross		of		of	SNF	ALF	per
Type of Property	Investment		Investment		Properties (1)	Beds	Units	Bed/Unit
Assisted Living	$	880,307	60.8	%	107	—	6,164	$	142.81
Skilled Nursing		557,097	38.4	%	51	6,277	212	$	85.85
Other (2)		11,360	0.8	%	1	118	—		—
Total	$	1,448,764	100.0	%	159	6,395	6,376

(1) We own properties in 27 states that are leased to 29 different operators.

(2) Includes three parcels of land held-for-use, and one behavioral health care hospital.

Schedule of future minimum base rents receivable

Future minimum base rents receivable under the remaining non-cancelable terms of operating leases excluding the effects of straight-line rent receivable, amortization of lease incentives and renewal options are as follows (in thousands):

	Cash
	Rent (1)
2020	$	33,758
2021		143,139
2022		131,294
2023		132,827
2024		131,766
Thereafter		632,675

(1) Represents contractual cash rent, except for Anthem Memory Care (“Anthem”) master lease which is based on estimated cash payments. See below for more disclosure relating to Anthem.

Summary of components of our rental income

The following table summarizes components of our rental income for the three and nine months ended September 30, 2020 and 2019 (in thousands):

	Three Months Ended						Nine Months Ended
	September 30,						September 30,
Rental Income		2020			2019			2020			2019
Base cash rental income	$	32,006	(1)	$	33,754		$	98,357	(1)	$	100,687
Variable cash rental income		3,356	(2)		3,926	(2)		11,793	(2)		12,488	(2)
Straight-line rent		228			1,085			1,701			3,598
Adjustment for collectability of rental income and lease incentives		(5,472)	(3)		—			(23,214)	(4)		(1,926)
Amortization of lease incentives		(108)			(100)			(317)			(281)
Total	$	30,010		$	38,665		$	88,320		$	114,566

(1) Decreased primarily due to reduction of rent from Preferred Care portfolio sale and Senior Lifestyle rent shortfall and abated and deferred rent partially offset by increase in rent from acquisitions and completion of development projects and contractual rent increases.

(2) The variable rental income for the three and nine months ended September 30, 2020, includes contingent rental income of $4 and $108, respectively, and reimbursement of real estate taxes by our lessees of $3,352 and $11,685, respectively. The variable rental income for the three and nine months ended September 30, 2019 includes contingent rental income of $77 and $394, respectively, and reimbursement of real estate taxes by our lessees of $3,849 and $12,094, respectively.

(3) Represents the write-off of the Genesis and another operator straight-line rent receivable balances.

(4) Represents the write-off of the Senior Lifestyle straight-line rent receivable and lease incentive balances and (3) above.

Summary of information about purchase options included in our lease agreements

Some of our lease agreements provide purchase options allowing the lessees to purchase the properties they currently lease from us. The following table summarizes information about purchase options included in our lease agreements (dollar amount in thousands):

	Type	Number
	of	of		Gross		Carrying	Option
State	Property	Properties		Investments		Value	Window
California	ALF/MC	2	$	38,895	$	35,836	2024-2029
California	ALF	2		30,609		17,088	2021-TBD	(1)
Florida	MC	1		14,340		12,631	2028-2029
Kentucky and Ohio	MC	2		30,152		27,320	2028-2029
Texas	MC	2		25,265		23,870	2025-2027
South Carolina	ALF/MC	1		11,680		10,358	2028-2029
Total			$	150,941	$	127,103

(1) The option window ending date will be either 24 months or 48 months after the option window commences, based on certain contingencies.

Summary of investments acquired

Acquisitions and Developments: The following table summarizes our acquisitions for the nine months ended September 30, 2020 and 2019 (dollar amounts in thousands):

						Total		Number	Number
		Purchase		Transaction		Acquisition		of	of
Year	Type of Property	Price		Costs (1)		Costs		Properties	Beds/Units
2020	Skilled Nursing (2)	$	13,500	$	81	$	13,581	1	140
2019	Assisted Living (3)	$	16,719	$	176	$	16,895	1	74
	Skilled Nursing (4)		19,500		77		19,577	1	90
	Land (5)		2,732		49		2,781	—	—
Total		$	38,951	$	302	$	39,253	2	164

(1) Represents cost associated with our acquisitions; however, upon adoption of ASU 2017-01, our acquisitions meet the definition of an asset acquisition resulting in capitalization of transaction costs to the properties’ basis. For our land purchases with forward development commitments, transaction costs are capitalized as part of construction in progress. Transaction costs per our Consolidated Statements of Income and Comprehensive Income represents current and prior year transaction costs due to timing and terminated transactions.

(2) We acquired a SNF located in Texas.

(3) We entered into a joint venture (“JV”) (consolidated on our financial statements) to purchase an existing operational 74-unit ALF/MC community. The non-controlling partner contributed $919 of equity and we contributed $15,971 in cash. Our economic interest in the real estate JV is approximately 95%.

(4) We acquired a newly constructed 90-bed SNF located in Missouri.

(5) We acquired a parcel of land adjacent to an existing SNF in California. Additionally, we acquired a parcel of land and developed a 90-bed SNF in Missouri. The commitment totals approximately $17,400.

Schedule of investment in development and improvement projects

During the nine months ended September 30, 2020 and 2019, we invested the following in development and improvement projects (in thousands):

	Nine Months Ended September 30,
	2020				2019
Type of Property	Developments		Improvements		Developments		Improvements
Assisted Living Communities	$	4,491	$	3,941	$	10,266	$	1,826
Skilled Nursing Centers		8,893		14		4,786		—
Other		—		—		—		295
Total	$	13,384	$	3,955	$	15,052	$	2,121

Schedule of completed projects

Completed Developments. The following table summarizes our completed developments during the nine months ended September 30, 2020 and 2019 (dollar amounts in thousands):

		Number	Type	Number
		of	of	of				Total
Year	Type of Project	Properties	Property	Beds/Units	State		Investment
2020	Development	1	ALF/MC	78	Oregon	(1)	$	18,447
	Development	1	SNF	90	Missouri			13,272
Total		2		168			$	31,719
2019	Development	1	SNF	143	Kentucky		$	24,496
	Development	1	ILF/ALF/MC	110	Wisconsin			21,893
Total		2		253			$	46,389

(1) Certificate of occupancy was received in March 2020, however, due to the COVID-19 pandemic, we consented to delay the opening of this community to September 2020.

Schedule of real estate investment property sold

Properties Sold. The following table summarizes property sales during the nine months ended September 30, 2020 and 2019 (dollar amounts in thousands):

		Type		Number	Number
		of		of	of		Sales		Carrying		Net
Year	State	Properties		Properties	Beds/Units		Price		Value		Gain
2020	N/A	N/A		—	—	$	—	$	—	$	108	(1)
	Arizona	SNF		1	194		12,550		2,229		10,292
	Colorado	SNF		3	275		15,000		4,271		10,364
	Iowa	SNF	(2)	7	544		14,500		4,886		9,029
	Kansas	SNF		3	250		9,750		7,438		1,993
	Texas	SNF		7	1,148		23,000		10,260		12,287
Total 2020 (3)				21	2,411	$	74,800	$	29,084	$	44,073	(3)
2019	N/A	N/A		—	—	$	—	$	—	$	500	(4)
	Georgia	SNF		1	148		7,920		1,639		6,236
Total 2019				1	148	$	7,920	$	1,639	$	6,736

(

(1) Gain recognized from the $90 repayment of a holdback related to a property sold during the fourth quarter of 2019 and the reassessment adjustment of $18 from the holdback under the expected value model per ASC Topic 606, Contracts with Customers (“ASC 606”).

(2) This transaction includes a holdback of $838 which is held in an interest-bearing account with an escrow holder on behalf of the buyer for potential specific losses. Using the expected value model per ASC 606, we estimated and recorded the holdback value of $471. During the nine months ended September 30, 2020, we received $150 of the holdback. We reassessed the holdback under the expected value model and recorded an additional gain of $115.

(3) Properties sold within the Preferred Care portfolio.

(4) Gain recognized from the repayment of a holdback related to a portfolio of six ALFs sold during the second quarter of 2018.

Summary of investments in mortgage loans secured by first mortgages

Mortgage Loans. The following table summarizes our investments in mortgage loans secured by first mortgages at September 30, 2020 (dollar amounts in thousands):

				Type	Percentage		Number of			Investment
		Gross		of	of				SNF	per
Interest Rate (1)	Maturity	Investment		Property	Investment		Loans (2)	Properties (3)	Beds	Bed/Unit
9.9%	2043	$	186,865	SNF	71.8	%	1	15	1,941	$	96.27
9.2%	2045		38,853	SNF	14.9	%	1	4	501	$	77.55
9.4%	2045		19,624	SNF	7.6	%	1	2	205	$	95.73
9.6%	2045		14,925	SNF	5.7	%	1	1	157	$	95.06
Total		$	260,267		100.0	%	4	22	2,804	$	92.82

(1) The majority of the mortgage loans provide for annual increases in the interest rate after a certain time period increasing by 2.25%.

(2) Some loans contain certain guarantees, provide for certain facility fees and the majority of the mortgage loans have a 30-year term.

(3) The properties securing these mortgage loans are located in one state and are operated by one operator.

Schedule of mortgage loan activity

The following table summarizes our mortgage loan activity for the nine months ended September 30, 2020 and 2019 (in thousands):

	Nine Months Ended September 30,
	2020			2019
	Amounts			Origination/Funding
Originations and funding under mortgage loans receivable	$	4,176	(1)	$	10,919	(2)
Scheduled principal payments received		(565)			(565)
Mortgage loan premium amortization		(3)			(3)
Provision for loan loss reserve		(36)			(104)
Net increase in mortgage loans receivable	$	3,572		$	10,247

(1) During 2020, we funded an additional $2,000 under and existing mortgage loan. The incremental funding bears interest at 8.89% and escalating by 2.25% thereafter.

(2) During 2019, we funded an additional $7,500 under an existing mortgage loan. The incremental funding bears interest at 9.41% fixed for two years and escalating by 2.25% thereafter.

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Investment in Unconsolidated Joint Ventures (Tables)

9 Months Ended

Sep. 30, 2020

Investment in Unconsolidated Joint Ventures

Summary of the preferred equity investments

	Type	Type		Total		Contractual		Number
	of	of		Preferred		Cash		of		Investment			Carrying
State	Properties	Investment		Return		Portion		Beds/ Units		Commitment			Value
Washington	UDP	Preferred Equity	(1)	12	%	7	%	—	$	—	(1)	$	6,340	(1)
Washington	UDP	Preferred Equity	(2)	12	%	8	%	—		13,000	(2)		-	(2)
Total								—	$	13,000		$	6,340

(1) Invested $6,340 of preferred equity in an entity that will develop a 95-unit ALF/MC in Washington. Our investment represents 15.5% of the estimated total investment. The preferred equity investment earns an initial cash rate of 7% increasing to 9% in year four until the internal rate of return (“IRR”) is 8%. After achieving an 8% IRR, the cash rate drops to 8% with an IRR ranging between 12% to 14%.

(2) Entered into a preferred equity agreement in an entity that will develop and own a 267-unit ILF/ALF in Washington. Our investment represents 11.6% of the estimated total investment. Upon the satisfaction of certain conditions which are projected to be met by year-end, LTC will invest $13,000 into the entity. The preferred equity investment will earn an initial cash rate of 8% and a 12% IRR.

Summary of capital contributions, income recognized and cash interest received from investments in unconsolidated joint ventures

The following table summarizes our capital contributions, income recognized, and cash interest received related to our investments in unconsolidated joint ventures for the nine months ended September 30, 2020 and 2019 (in thousands):

	Type
	of			Capital			Income			Cash Interest
Year	Properties			Contribution			Recognized			Received
2020	ALF/MC/ILF	(1)	$	58	(1)	$	231	(1)	$	231	(1)
	UDP			6,340	(2)		56	(2)		18	(2)
Total			$	6,398		$	287		$	249
2019	ALF/MC/ILF		$	394	(1)	$	614	(1)	$	1,166	(1)
	ALF/ILF/MC	(3)		—	(3)		955	(3)		979	(3)
	ALF/MC	(4)		—	(4)		404	(4)		432	(4)
Total			$	394		$	1,973		$	2,577

(1) Relates to our preferred equity investment in Arizona discussed above with a total preferred return of 15%. During the nine months ended September 30, 2020, the properties comprising the JV were sold.

(2) During the third quarter of 2020, we provided a total preferred equity investment of $6,340 to a JV for the development of a 95-unit ALF and MC.

(3) We had a $2,900 mezzanine loan commitment for a 99-unit seniors housing community in Florida with a total preferred return of 15%. The mezzanine loan was an ADC arrangement which we determined it to have characteristics similar to a jointly-owned arrangement and recorded it as an unconsolidated joint venture. Since interest payments were deferred and no interest was recorded for the first twelve months of the loan, we used the effective interest method in accordance with GAAP to recognize interest income and recorded the difference between the effective interest income and cash interest income to the loan principal balance. During the third quarter of 2019, the mezzanine loan was paid off.

(4) We had a $3,400 mezzanine loan commitment for the development of a 127-unit seniors housing community in Florida with a total preferred return of 15%. The mezzanine loan was an ADC arrangement which we determined it to have characteristics similar to a jointly-owned arrangement and recorded it as an unconsolidated joint venture. During the first quarter of 2019, the mezzanine loan was paid off.

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Notes Receivable (Tables)

9 Months Ended

Sep. 30, 2020

Notes Receivable.

Summary of mezzanine loans and other loan arrangements

	September 30, 2020		December 31, 2019
Mezzanine loans	$	8,566	$	13,284
Other loans		5,875		4,824
Notes receivable reserve		(144)		(181)
Total	$	14,297	$	17,927

Schedule of new loan commitments

The following table summarizes our notes receivable activity for the nine months ended September 30, 2020 and 2019 (in thousands):

	Nine Months Ended September 30,
		2020			2019
Advances under notes receivable	$	1,366	(1)	$	8,531	(2)
Principal payments received under notes receivable		(4,732)			(3,446)
Reclassified to lease incentives		(300)	(3)		(200)	(3)
Notes receivable reserve		36			(48)
Total	$	(3,630)		$	4,837

(1) We originated a $1,250 note agreement, funding $1,000 with a commitment to fund $250. The note bears interest at 5.0%.

(2) We originated a $6,800 mezzanine loan commitment for the development of a 204-unit ILF/ALF/MC in Georgia. The mezzanine loan has a five-year term and a 12.0% return, a portion of which is paid in cash, and the remaining portion of which is deferred during the first 46 months. Additionally, we originated a $1,400 note agreement, funding $1,124 with a commitment to fund $276. The note bears interest at 7.0%. Further, we originated a $550 note agreement, funding $400 with a commitment to fund $150. The note bears interest at 7.5%.

(3) Represents interim working capital loans related to development projects which matured upon completion of the development projects and commencement of the master leases.

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Lease Incentives (Tables)

9 Months Ended

Sep. 30, 2020

Lease Incentives

Summary of lease incentives by component

Our lease incentive balances at September 30, 2020 and December 31, 2019 are as follows (in thousands):

		September 30, 2020		December 31, 2019
Non-contingent lease incentives	$	2,401	$	2,552

Summary of lease incentive activity

The following table summarizes our lease incentives activity for the nine months ended September 30, 2020 and 2019 (in thousands):

	2020							2019
		Funding		Amortization		Adjustment			Funding		Amortization		Adjustment
Non-contingent lease incentives	$	50	$	(317)	$	115	(1)	$	322	$	(281)	$	(11,893)	(2)

(1) We reclassified a $300 interim working capital loan as lease incentive. See Note 4. Notes Receivable for further discussion. Additionally, we wrote-off $185 of lease incentive related to a master lease for which we determined it was not probable we will collect substantially all of the contractual lease obligations through maturity. See Note 2. Real Estate Investments for further discussion.

(2) In accordance with ASC 842 lease standard adopted on January 1, 2019, we wrote-off $12,093 of lease incentives related to leases for which we determined it is not probable we will collect substantially all of the contractual lease obligation through maturity. See Note 1. General for further discussion. Additionally, we reclassified a $200 interim working capital loan as lease incentive. See Note 4. Notes Receivable for further discussion.

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Debt Obligations (Tables)

9 Months Ended

Sep. 30, 2020

Debt Obligations

Schedule of Debt Obligations

The debt obligations by component as of September 30, 2020 and December 31, 2019 are as follows (dollar amounts in thousands):

		At September 30, 2020				At December 31, 2019
	Applicable			Available				Available
	Interest	Outstanding		for		Outstanding		for
Debt Obligations	Rate (1)	Balance		Borrowing		Balance		Borrowing
Bank borrowings	1.33%	$	89,900	$	510,100	$	93,900	$	506,100
Senior unsecured notes, net of debt issue costs	4.36%		574,444		—		599,488		21,500
Total	3.95%	$	664,344	$	510,100	$	693,388	$	527,600

(1) Represents weighted average of interest rate as of September 30, 2020.

Schedule of borrowings and repayments

Our borrowings and repayments are as follows (in thousands):

	Nine Months Ended September 30,
	2020				2019
Debt Obligations		Borrowings		Repayments	Borrowings		Repayments
Bank borrowings	$	24,000	$	(28,000)	$	73,400	$	(20,000)
Senior unsecured notes		—		(25,160)		—		(14,667)
Total	$	24,000	$	(53,160)	$	73,400	$	(34,667)

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Equity (Tables)

9 Months Ended

Sep. 30, 2020

Equity

Schedule of consolidated VIEs

As of September 30, 2020, we have the following consolidated VIEs (in thousands):

					Gross
Investment		Property			Consolidated		Non-Controlling
Year	Purpose	Type	State		Assets		Interests
2019	Owned real estate	ALF/MC	VA	$	16,895	$	919
2018	Owned real estate	ILF	OR		14,400		2,858
2018	Owned real estate and development	ALF/MC	OR		18,447		1,081
2017	Owned real estate and development	ILF/ALF/MC	WI		22,007		2,305
2017	Owned real estate	ALF/MC	SC		11,680		1,241
Total				$	83,429	$	8,404

Schedule of cash dividends declared and paid

Distributions. We declared and paid the following cash dividends (in thousands):

	Nine Months Ended September 30,
	2020						2019
	Declared			Paid			Declared			Paid
Common Stock (1)	$	67,894	(2)	$	67,894	(2)	$	68,241	(3)	$	68,241	(3)

(1) Represents $0.19 per share per month for the nine months ended September 30, 2020 and 2019.

(2) Includes $586 related to the vesting of performance-based stock units.

(3) Includes $300 related to the vesting of performance-based stock units.

Schedule of options exercised

		Weighted
		Average
	Options	Exercise		Option		Market
	Exercised	Price		Value		Value (1)
2020	—	$	—	$	—	$	—
2019	5,000	$	24.65	$	123,000	$	233,000

(1)

(1) As of exercise date.

Schedule of restricted stock activity

The following table summarizes our restricted stock and performance-based stock units activity for the nine months ended September 30, 2020 and 2019:

	Nine Months Ended September 30,
	2020			2019
Outstanding, January 1		345,633			325,750
Granted		167,375			147,608
Vested		(166,051)	(1)		(127,725)	(2)
Outstanding, September 30		346,957			345,633

(1) Includes 81,574 performance-based stock units.

(2) Includes 48,225 performance-based stock units.

Schedule of restricted stock granted

During the nine months ended September 30, 2020 and 2019, we granted restricted stock and performance-based stock units under the 2015 Plan as follows:

	No. of	Price per
Year	Shares/Units	Share		Vesting Period
2020	76,464	$	48.95	ratably over 3 years
	66,027	$	49.98	TSR targets (1)
	9,884	$	38.45	May 27, 2021
	15,000	$	38.45	ratably over 3 years
	167,375
2019	78,276	$	46.54	ratably over 3 years
	60,836	$	46.54	TSR targets (1)
	8,496	$	44.73	May 29, 2020
	147,608

(1) Vesting is based on achieving certain total shareholder return (“TSR”) targets in 4 years with acceleration opportunity in 3 years.

Schedule of restricted common stock and performance-based stock unit scheduled to vest and remaining compensation expense

	Remaining
	Compensation
Vesting Date	Expense
2020	$	1,781
2021		5,201
2022		2,729
2023		367
Total	$	10,078

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Commitments and Contingencies (Tables)

9 Months Ended

Sep. 30, 2020

Commitments and Contingencies

Schedule of commitments

At September 30, 2020, we had commitments as follows (in thousands):

						Total
	Investment			2020		Commitment		Remaining
	Commitment			Funding		Funded		Commitment
Real estate properties (Note 2. Real Estate Investments)	$	28,713	(1)	$	12,487	$	17,459	$	11,254
Accrued incentives and earn-out liabilities (Note 5. Lease Incentives)		9,000			—		—		9,000
Mortgage loans (Note 2. Real Estate Investments)		27,200	(2)		2,928		8,873		18,327
Joint venture investments (Note 3. Investments in Unconsolidated Joint Ventures)		13,000			—		—		13,000
Notes receivable (Note 4. Notes Receivable)		1,854			1,275		1,275		579
Total	$	79,767		$	16,690	$	27,607	$	52,160

(1) Represents commitments to purchase land and improvements, if applicable, and to develop, re-develop, renovate or expand seniors housing and health care properties.

(2) Represents $9,200 of commitments to expand and renovate the seniors housing and health care properties securing the mortgage loans and $18,000 represents contingent funding upon the borrower achieving certain coverage ratios.

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Major Operators (Tables)

9 Months Ended

Sep. 30, 2020

Major Operators

Schedule of concentration of risk by major operators

	Number of		Number of		Percentage of
			SNF	ALF	Total		Total
Operator	SNF	ALF	Beds	Units	Revenue (1)		Assets (2)
Prestige Healthcare	24	—	2,922	93	19.8	%	18.0	%
Senior Lifestyle Corporation (3)	—	23	—	1,457	10.4	%	10.2	%
Total	24	23	2,922	1,550	30.2	%	28.2	%

(1) Includes rental income from owned properties and interest income from mortgage loans as of September 30, 2020 and excludes rental income from lessee reimbursement and sold properties.

(2) Represents the net carrying value of the properties divided by the Total assets on the Consolidated Balance Sheets.

(3) See Note 2. Real Estate Investments for further information regarding Senior Lifestyle.

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Earnings per Share (Tables)

9 Months Ended

Sep. 30, 2020

Earnings per Share

Schedule of basic and diluted net income per share

The following table sets forth the computation of basic and diluted net income per share (in thousands, except per share amounts):

	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2020		2019		2020		2019
Net income	$	12,338	$	27,280	$	78,012	$	68,241
Less income allocated to non-controlling interests		(121)		(88)		(292)		(257)
Less income allocated to participating securities:
Non-forfeitable dividends on participating securities		(103)		(93)		(294)		(279)
Income allocated to participating securities		—		(19)		(45)		(19)
Total net income allocated to participating securities (1)		(103)		(112)		(339)		(298)
Net income available to common stockholders		12,114		27,080		77,381		67,686
Effect of dilutive securities:
Participating securities (2)		—		—		—		—
Net income for diluted net income per share	$	12,114	$	27,080	$	77,381	$	67,686
Shares for basic net income per share		39,061		39,586		39,218		39,565
Effect of dilutive securities:
Stock options		—		4		—		4
Performance-based stock units		51		375		51		375
Participating securities (2)		—		—		—		—
Total effect of dilutive securities		51		379		51		379
Shares for diluted net income per share		39,112		39,965		39,269		39,944
Basic net income per share	$	0.31	$	0.68	$	1.97	$	1.71
Diluted net income per share	$	0.31	$	0.68	$	1.97	$	1.69

(1) Under the two-class method of computing earnings per share in accordance with GAAP, income (loss) allocated to participating securities is calculated independently for each quarter and year-to-date period. Therefore, the sum of the amounts for the quarter may not agree with the amounts for the year. 

(2) For the three and nine months ended September 30, 2020, and 2019, the participating securities have been excluded from the computation of diluted net income per share as such inclusion would be anti-dilutive.

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Fair Value Measurements (Tables)

9 Months Ended

Sep. 30, 2020

Fair Value Measurements

Schedule of carrying value and fair value of the entity's financial instruments

	At September 30, 2020					At December 31, 2019
	Carrying		Fair			Carrying		Fair
	Value		Value			Value		Value
Mortgage loans receivable	$	257,671	$	299,151	(1)	$	254,099	$	312,824	(1)
Bank borrowings		89,900		89,900	(2)		93,900		93,900	(2)
Senior unsecured notes, net of debt issue costs		574,444		582,480	(3)		599,488		612,375	(3)

(1) Our investment in mortgage loans receivable is classified as Level 3. The fair value is determined using a widely accepted valuation technique, discounted cash flow analysis on the expected cash flows. The discount rate is determined using our assumption on market conditions adjusted for market and credit risk and current returns on our investments. The discount rate used to value our future cash inflows of the mortgage loans receivable at September 30, 2020 and December 31, 2019 was 10.0% and 9.0%, respectively.

(2) Our bank borrowings bear interest at a variable interest rate. The estimated fair value of our bank borrowings approximated their carrying values at September 30, 2020 and December 31, 2019 based upon prevailing market interest rates for similar debt arrangements.

(3) Our obligation under our senior unsecured notes is classified as Level 3 and thus the fair value is determined using a widely accepted valuation technique, discounted cash flow analysis on the expected cash flows. The discount rate is measured based upon management’s estimates of rates currently prevailing for comparable loans available to us, and instruments of comparable maturities. At September 30, 2020, the discount rate used to value our future cash outflow of our senior unsecured notes was 3.75% for those maturing before year 2026 and 4.00% for those maturing at or beyond year 2026. At December 31, 2019, the discount rate used to value our future cash outflow of our senior unsecured notes was 3.70% for those maturing before year 2026 and 3.90% for those maturing at or beyond year 2026.

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General (Details)	9 Months Ended
	Sep. 30, 2020 USD ($) segment	Sep. 30, 2020 USD ($)	Jun. 30, 2020 USD ($)	Mar. 31, 2020 USD ($)	Dec. 31, 2019 USD ($)	Sep. 30, 2019 USD ($)	Jun. 30, 2019 USD ($)	Mar. 31, 2019 USD ($)	Jan. 01, 2019 USD ($)	Dec. 31, 2018 USD ($)
Number of operating segments | segment	1
Provision for federal or state income taxes	$ 0
Cumulative effect of the adoption of the ASC 842		$ 778,821,000	$ 787,305,000	$ 806,055,000	$ 785,426,000	$ 793,894,000	$ 787,610,000	$ 788,153,000		$ 832,971,000
Interest receivable		31,248,000			26,586,000
Mortgage Loans Receivable
Expected credit losses for financial instruments
Balance at the Beginning of the Period	2,560,000
Increase/(Decrease) in Expected Credit Loss	2,596,000	2,596,000			2,560,000
Balance at the End of the Period	2,596,000
Notes Receivable
Expected credit losses for financial instruments
Balance at the Beginning of the Period	181,000
Increase/(Decrease) in Expected Credit Loss	144,000	$ 144,000			181,000
Balance at the End of the Period	144,000
Cumulative Effect of Adoption
Cumulative effect of the adoption of the ASC 842										$ (42,808,000)
ASU 2016-02 | Cumulative Effect of Adoption
Cumulative effect of the adoption of the ASC 842									$ 42,808,000
Restatement Adjustment | ASU 2016-13 | Mortgage Loans Receivable
Expected credit losses for financial instruments
Balance at the Beginning of the Period	36,000
Increase/(Decrease) in Expected Credit Loss	36,000				36,000
Restatement Adjustment | ASU 2016-13 | Notes Receivable
Expected credit losses for financial instruments
Balance at the Beginning of the Period	(37,000)
Increase/(Decrease) in Expected Credit Loss	$ (37,000)				$ (37,000)

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Real Estate Investments - Owned Properties (Details) $ in Thousands	9 Months Ended
	Sep. 30, 2020 USD ($) item property state $ / item	Sep. 30, 2019 item
Real Estate [Line Items]
Number of beds/units under development		204
Real Estate Investment
Real Estate [Line Items]
Gross Investment | $	$ 1,448,764
Percentage of Investment	100.00%
Number of properties | property	159
Number of states | state	27
Number of operators	29
Operating leases
Number of ways to compute annual rent increases	4
Real Estate Investment | Minimum
Operating leases
Initial lease term	10 years
Specified annual increase over the prior year's rent (as a percent)	2.00%
Real Estate Investment | Maximum
Operating leases
Initial lease term	15 years
Specified annual increase over the prior year's rent (as a percent)	2.50%
Real Estate Investment | SNF Beds
Real Estate [Line Items]
Number of beds/units	6,395
Real Estate Investment | ALF Units
Real Estate [Line Items]
Number of beds/units	6,376
ALF | Real Estate Investment
Real Estate [Line Items]
Gross Investment | $	$ 880,307
Percentage of Investment	60.80%
Number of properties | property	107
Investment per Bed/Unit | $ / item	142.81
ALF | Real Estate Investment | ALF Units
Real Estate [Line Items]
Number of beds/units	6,164
SNF | Real Estate Investment
Real Estate [Line Items]
Gross Investment | $	$ 557,097
Percentage of Investment	38.40%
Number of properties | property	51
Investment per Bed/Unit | $ / item	85.85
SNF | Real Estate Investment | SNF Beds
Real Estate [Line Items]
Number of beds/units	6,277
SNF | Real Estate Investment | ALF Units
Real Estate [Line Items]
Number of beds/units	212
Other | Real Estate Investment
Real Estate [Line Items]
Gross Investment | $	$ 11,360
Percentage of Investment	0.80%
Number of properties | property	1
Number of parcels of land	3
Other | Real Estate Investment | SNF Beds
Real Estate [Line Items]
Number of beds/units	118
Hospital | Real Estate Investment
Real Estate [Line Items]
Number of properties | property	1

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Real Estate Investments - Base Rents (Details) $ in Thousands	Sep. 30, 2020 USD ($)
Future minimum base rents receivable
2020	$ 33,758
2021	143,139
2022	131,294
2023	132,827
2024	131,766
Thereafter	$ 632,675

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Real Estate Investments - Operator changes (Details)		1 Months Ended			3 Months Ended				6 Months Ended		9 Months Ended		12 Months Ended
	Oct. 04, 2019 USD ($)	Oct. 31, 2020 USD ($)	Sep. 30, 2020 USD ($) item property	Jul. 31, 2020 USD ($)	Sep. 30, 2020 USD ($) item property lease	Jun. 30, 2020 USD ($)	Mar. 31, 2020 USD ($) property item	Sep. 30, 2019 USD ($)	Sep. 30, 2020 USD ($) item property	Mar. 31, 2020 USD ($)	Sep. 30, 2020 USD ($) property item	Sep. 30, 2019 USD ($)	Dec. 31, 2020 USD ($)	Dec. 31, 2017 item	Dec. 31, 2019 USD ($)
Other disclosures
Rent deferral		$ 566,000	$ 1,176,000		$ 1,176,000				$ 1,176,000		$ 1,176,000
Impairment charges											941,000
Rental income					30,010,000			$ 38,665,000			88,320,000	$ 114,566,000
Proceeds from sale of real estate, net											72,141,000	8,068,000
Gain on sale of real estate, net					30,000			$ 6,236,000			$ 44,073,000	$ 6,736,000
Net book value															$ 26,856,000
Anthem Memory Care
Other disclosures
Number of properties in default | property											11
Anthem Memory Care | Forecast
Other disclosures
Minimum cash rent received													$ 9,900,000
Preferred Care, Inc.
Other disclosures
Number of properties under two master leases | item														24
Number of master leases | item														2
Number of properties sold | property							21
Number of beds or units in property sold | item							2,411
Proceeds from sale of real estate, net							$ 72,100,000			$ 77,900,000
Gain on sale of real estate, net							44,073,000			44,000,000
Net book value							$ 29,100,000			$ 29,100,000					$ 35,600,000
Senior Lifestyle Corporation
Other disclosures
Number of properties in default | property											23
Contractual rent		1,561,000							9,121,000
Remaining outstanding accounts receivable			2,670,000		2,670,000				2,670,000		$ 2,670,000
Rent receivable line of credit and security deposit as collateral			3,608,000		3,608,000				3,608,000		3,608,000
Write-off of rent receivable and lease incentives				$ 17,742,000
Rental income		$ 1,341,000							5,325,000
Veritas Senior Living, LLC
Other disclosures
Contractual rent			374,000		1,299,000
Write-off of rent receivable and lease incentives					$ 1,156,000
Number of master lease into combined one | lease					2
Abated cash rent					$ 570,000	$ 80,000			650,000
Rent deferral			$ 186,000		186,000				$ 186,000		$ 186,000
Impairment charges					941,000
Rental income					542,000
Genesis healthcare
Other disclosures
Write-off of rent receivable and lease incentives					$ 4,316,000
Brookdale Senior Living
Other disclosures
Number of leases consolidated | lease					4
Number of renewal option | item			3		3				3		3
Renewal term option one					4 years
Renewal term option two					5 years
Renewal term option three					10 years
Senior Care Centers
Other disclosures
Court ordered payment amount	$ 1,596,000
Real Estate Investment
Other disclosures
Number of properties | property			159		159				159		159
Real Estate Investment | Maximum
Other disclosures
Initial lease term			15 years		15 years				15 years		15 years

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Real Estate Investments - Lease (Details)	1 Months Ended	3 Months Ended		4 Months Ended	6 Months Ended	9 Months Ended
	Oct. 31, 2020 USD ($)	Sep. 30, 2020 USD ($) property	Sep. 30, 2019 USD ($)	Oct. 31, 2020 USD ($)	Sep. 30, 2020 USD ($) property	Sep. 30, 2020 USD ($) property	Sep. 30, 2019 USD ($)	Dec. 31, 2019 USD ($)
Real estate investments
Carrying value		$ 1,108,931,000			$ 1,108,931,000	$ 1,108,931,000		$ 1,136,816,000
Income and Expenses, Lessor [Abstract]
Base cash rental income		32,006,000	$ 33,754,000			98,357,000	$ 100,687,000
Variable cash rental income		3,356,000	3,926,000			11,793,000	12,488,000
Straight-Line Rent		228,000	1,085,000			1,701,000	3,598,000
Change in straight-line rent receivable and lease incentives due to collectibility		(5,472,000)				(23,214,000)	(1,926,000)
Amortization of Lease Incentives		(108,000)	(100,000)			(317,000)	(281,000)
Total Rental Income		30,010,000	38,665,000			88,320,000	114,566,000
Reimbursement Of Real Estate Tax Expense		3,352,000	3,849,000			11,685,000	12,094,000
Contingent rental income		4,000	$ 77,000			108,000	394,000
Non-contingent lease incentives, Write off						185,000	$ (12,093,000)
Rent deferral	$ 566,000	$ 1,176,000		$ 566,000	$ 1,176,000	$ 1,176,000
Rent deferral, as a percent of contractual rent		1.50%			1.50%	1.50%
Deferred rent received				553,000
Remaining balance of deferred rent	1,189,000			$ 1,189,000
Purchase Option in Lease Arrangements
Real estate investments
Gross Investment		$ 150,941,000			$ 150,941,000	$ 150,941,000
Carrying value		$ 127,103,000			127,103,000	$ 127,103,000
Senior Lifestyle Corporation
Income and Expenses, Lessor [Abstract]
Total Rental Income	$ 1,341,000				$ 5,325,000
ALF | Purchase Option in Lease Arrangements | California
Real estate investments
Number of properties | property		2			2	2
Gross Investment		$ 30,609,000			$ 30,609,000	$ 30,609,000
Carrying value		$ 17,088,000			$ 17,088,000	$ 17,088,000
ALF | Purchase Option in Lease Arrangements | California | Minimum
Real estate investments
Purchase option ending period						24 months
ALF | Purchase Option in Lease Arrangements | California | Maximum
Real estate investments
Purchase option ending period						48 months
MC | Purchase Option in Lease Arrangements | Florida
Real estate investments
Number of properties | property		1			1	1
Gross Investment		$ 14,340,000			$ 14,340,000	$ 14,340,000
Carrying value		$ 12,631,000			$ 12,631,000	$ 12,631,000
MC | Purchase Option in Lease Arrangements | Ohio and Kentucky
Real estate investments
Number of properties | property		2			2	2
Gross Investment		$ 30,152,000			$ 30,152,000	$ 30,152,000
Carrying value		$ 27,320,000			$ 27,320,000	$ 27,320,000
MC | Purchase Option in Lease Arrangements | Texas
Real estate investments
Number of properties | property		2			2	2
Gross Investment		$ 25,265,000			$ 25,265,000	$ 25,265,000
Carrying value		$ 23,870,000			$ 23,870,000	$ 23,870,000
ALF and MC | Purchase Option in Lease Arrangements | California
Real estate investments
Number of properties | property		2			2	2
Gross Investment		$ 38,895,000			$ 38,895,000	$ 38,895,000
Carrying value		$ 35,836,000			$ 35,836,000	$ 35,836,000
ALF and MC | Purchase Option in Lease Arrangements | South Carolina
Real estate investments
Number of properties | property		1			1	1
Gross Investment		$ 11,680,000			$ 11,680,000	$ 11,680,000
Carrying value		$ 10,358,000			$ 10,358,000	$ 10,358,000
Real Estate Investment
Real estate investments
Number of properties | property		159			159	159
Gross Investment		$ 1,448,764,000			$ 1,448,764,000	$ 1,448,764,000
Real Estate Investment | ALF
Real estate investments
Number of properties | property		107			107	107
Gross Investment		$ 880,307,000			$ 880,307,000	$ 880,307,000

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Real Estate Investments - Acquisitions and Developments (Details)	9 Months Ended
	Sep. 30, 2020 USD ($) item	Sep. 30, 2019 USD ($) item	Dec. 31, 2019 USD ($)
Real estate investments
Purchase Price		$ 38,951,000
Transaction Costs		302,000
Total Acquisition Costs		$ 39,253,000
Number of properties acquired		2
Number of beds/units acquired | item		164
Number of units under development | item		204
Investment Commitment	$ 79,767,000
Non-controlling interests	8,404,000		$ 8,483,000
SNF | Missouri
Real estate investments
Number of beds/units acquired | item		90
ALF and MC | 74-Unit ALF/MC
Real estate investments
Investment Commitment		$ 15,971,000
Non-controlling interests		$ 919,000
Land | Missouri
Real estate investments
Number of beds/units acquired | item		90
Properties under Development | Missouri
Real estate investments
Investment Commitment	17,400
2020 Acquisitions | SNF
Real estate investments
Purchase Price	13,500,000
Transaction Costs	81,000
Total Acquisition Costs	$ 13,581,000
Number of properties acquired	1
Number of beds/units acquired | item	140
2019 Acquisitions | SNF
Real estate investments
Purchase Price		$ 19,500,000
Transaction Costs		77,000
Total Acquisition Costs		$ 19,577,000
Number of properties acquired		1
Number of beds/units acquired | item		90
2019 Acquisitions | ALF
Real estate investments
Purchase Price		$ 16,719,000
Transaction Costs		176,000
Total Acquisition Costs		$ 16,895,000
Number of properties acquired		1
Number of beds/units acquired | item		74
2019 Acquisitions | ALF and MC | 74-Unit ALF/MC
Real estate investments
Number of units under development | item		74
Economic interest in joint venture		95.00%
2019 Acquisitions | Land
Real estate investments
Purchase Price		$ 2,732,000
Transaction Costs		49,000
Total Acquisition Costs		$ 2,781,000

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Real Estate Investments - Types of property Development and Improvement (Details) - USD ($)	9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019
Real estate investments
Invested in projects	$ 16,690,000
Developments | Development and Improvement Commitments
Real estate investments
Invested in projects	13,384,000	$ 15,052,000
Improvements | Development and Improvement Commitments
Real estate investments
Invested in projects	3,955,000	2,121,000
ALF | Developments | Development and Improvement Commitments
Real estate investments
Invested in projects	4,491,000	10,266,000
ALF | Improvements | Development and Improvement Commitments
Real estate investments
Invested in projects	3,941,000	1,826,000
SNF | Developments | Development and Improvement Commitments
Real estate investments
Invested in projects	8,893,000	4,786,000
SNF | Improvements | Development and Improvement Commitments
Real estate investments
Invested in projects	$ 14,000
Other | Improvements | Development and Improvement Commitments
Real estate investments
Invested in projects		$ 295,000

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Real Estate Investments - Development and Improvement Projects (Details) - Real Estate Development Commitments - Real Estate Investment Completed Projects $ in Thousands	9 Months Ended
	Sep. 30, 2020 USD ($) item property	Sep. 30, 2019 USD ($) item property
Completed development and improvement projects
Number of Properties | property	2	2
Number of Beds/Units | item	168	253
Total Investment | $	$ 31,719	$ 46,389
ALF and MC | Developments | Oregon
Completed development and improvement projects
Number of Properties | property	1
Number of Beds/Units | item	78
Total Investment | $	$ 18,447
SNF | Developments | Missouri
Completed development and improvement projects
Number of Properties | property	1
Number of Beds/Units | item	90
Total Investment | $	$ 13,272
SNF | Developments | Kentucky
Completed development and improvement projects
Number of Properties | property		1
Number of Beds/Units | item		143
Total Investment | $		$ 24,496
ILF/ALF/MC | Developments | Wisconsin
Completed development and improvement projects
Number of Properties | property		1
Number of Beds/Units | item		110
Total Investment | $		$ 21,893

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Real Estate Investments - Property Sales (Details)	3 Months Ended				6 Months Ended	9 Months Ended
	Sep. 30, 2020 USD ($)	Mar. 31, 2020 USD ($) property item	Sep. 30, 2019 USD ($)	Jun. 30, 2018 property	Mar. 31, 2020 USD ($)	Sep. 30, 2020 USD ($) item property	Sep. 30, 2019 USD ($) item property	Dec. 31, 2019 USD ($)
Disposals and other
Carrying value	$ 1,108,931,000					$ 1,108,931,000		$ 1,136,816,000
Net Gain	30,000		$ 6,236,000			44,073,000	$ 6,736,000
Impairment charges	941,000					$ 941,000
ALF
Disposals and other
Number of properties sold | property				6
Properties sold
Disposals and other
Number of properties sold | property						21	1
Number of beds or units in property sold | item						2,411	148
Sales price						$ 74,800,000	$ 7,920,000
Carrying value	29,084,000		1,639,000			29,084,000	1,639,000
Net Gain						44,073,000	6,736,000
Net Gain						108,000	$ 500,000
Holdback repayment						90,000
Reassessment adjustment						$ 18,000
Properties sold | SNF | Arizona
Disposals and other
Number of properties sold | property						1
Number of beds or units in property sold | item						194
Sales price						$ 12,550,000
Carrying value	2,229,000					2,229,000
Net Gain						$ 10,292,000
Properties sold | SNF | Colorado
Disposals and other
Number of properties sold | property						3
Number of beds or units in property sold | item						275
Sales price						$ 15,000,000
Carrying value	4,271,000					4,271,000
Net Gain						$ 10,364,000
Properties sold | SNF | Kansas
Disposals and other
Number of properties sold | property						3
Number of beds or units in property sold | item						250
Sales price						$ 9,750,000
Carrying value	7,438,000					7,438,000
Net Gain						$ 1,993,000
Properties sold | SNF | Iowa
Disposals and other
Number of properties sold | property						7
Number of beds or units in property sold | item						544
Sales price						$ 14,500,000
Carrying value	4,886,000					4,886,000
Net Gain						9,029,000
Holdback amount	150,000	$ 838,000			$ 838,000	150,000
Realizable holdback amount		$ 471,000				$ 115,000
Properties sold | SNF | Texas
Disposals and other
Number of properties sold | property						7
Number of beds or units in property sold | item						1,148
Sales price						$ 23,000,000
Carrying value	$ 10,260,000					10,260,000
Net Gain						$ 12,287,000
Properties sold | SNF | Georgia
Disposals and other
Number of properties sold | property							1
Number of beds or units in property sold | item							148
Sales price							$ 7,920,000
Carrying value			$ 1,639,000				1,639,000
Net Gain							$ 6,236,000
Preferred Care, Inc.
Disposals and other
Number of properties sold | property		21
Number of beds or units in property sold | item		2,411
Net Gain		$ 44,073,000			$ 44,000,000

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Real Estate Investments - Mortgage Loan (Details) $ in Thousands	9 Months Ended
	Sep. 30, 2020 USD ($) loan property item state $ / item
Mortgage Loans
Real Estate [Line Items]
Gross Investment | $	$ 260,267
Percentage of Investment	100.00%
Number of Loans | loan	4
Number of properties | property	22
Investment per Bed/Unit | $ / item	92.82
Loan Term	30 years
Number of states | state	1
Number of operators	1
Mortgage loans with 9.90% Interest Maturing 2043 | SNF | Mortgage Loans
Real Estate [Line Items]
Interest rate (as a percent)	9.90%
Gross Investment | $	$ 186,865
Percentage of Investment	71.80%
Number of Loans | loan	1
Number of properties | property	15
Investment per Bed/Unit | $ / item	96.27
Mortgage loans with 9.20% Interest Maturing 2045 | SNF | Mortgage Loans
Real Estate [Line Items]
Interest rate (as a percent)	9.20%
Gross Investment | $	$ 38,853
Percentage of Investment	14.90%
Number of Loans | loan	1
Number of properties | property	4
Investment per Bed/Unit | $ / item	77.55
Mortgage loans with 9.40% Interest Maturing 2045 | SNF | Mortgage Loans
Real Estate [Line Items]
Interest rate (as a percent)	9.40%
Gross Investment | $	$ 19,624
Percentage of Investment	7.60%
Number of Loans | loan	1
Number of properties | property	2
Investment per Bed/Unit | $ / item	95.73
Mortgage loans with 9.6% Interest Maturing 2045 | SNF
Real Estate [Line Items]
Interest rate (as a percent)	9.60%
Mortgage loans with 9.6% Interest Maturing 2045 | SNF | Mortgage Loans
Real Estate [Line Items]
Gross Investment | $	$ 14,925
Percentage of Investment	5.70%
Number of Loans | loan	1
Number of properties | property	1
Investment per Bed/Unit | $ / item	95.06
SNF Beds | Mortgage Loans
Real Estate [Line Items]
Number of beds/units	2,804
SNF Beds | Mortgage loans with 9.90% Interest Maturing 2043 | SNF | Mortgage Loans
Real Estate [Line Items]
Number of beds/units	1,941
SNF Beds | Mortgage loans with 9.20% Interest Maturing 2045 | SNF | Mortgage Loans
Real Estate [Line Items]
Number of beds/units	501
SNF Beds | Mortgage loans with 9.40% Interest Maturing 2045 | SNF | Mortgage Loans
Real Estate [Line Items]
Number of beds/units	205
SNF Beds | Mortgage loans with 9.6% Interest Maturing 2045 | SNF | Mortgage Loans
Real Estate [Line Items]
Number of beds/units	157

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Real Estate Investments - Mortgage Loans Activity (Details) - USD ($)	9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019
Mortgage Loans
Originations and fundings under mortgage loans receivable	$ 4,176,000	$ 10,919,000
Scheduled principal payments received	(565,000)	(565,000)
Mortgage loan premium amortization	(3,000)	(3,000)
Provision for loan loss reserve	(36,000)	(104,000)
Net increase in mortgage loans receivable	$ 3,572,000	10,247,000
Mortgage Loans
Mortgage Loans
Loan Term	30 years
Specified basis points for annual increase in interest rate (as a percent)	2.25%
Mortgages With 8.89 Percent Interest With Escalation [Member] | Mortgage Loans
Mortgage Loans
Additions to mortgage loans	$ 2,000
Interest rate (as a percent)	8.89%
Specified basis points for annual increase in interest rate (as a percent)	2.25%
Mortgages with 9.41% Interest, fixed for five years, and escalating by 2.25% thereafter | Mortgage Loans
Mortgage Loans
Additions to mortgage loans		$ 7,500
Interest rate (as a percent)		9.41%
Loan Term		2 years
Specified basis points for annual increase in interest rate (as a percent)		2.25%

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Investment in Unconsolidated Joint Ventures - Investment (Details)	3 Months Ended		9 Months Ended		12 Months Ended
	Sep. 30, 2020 USD ($) item property	Jun. 30, 2020 USD ($)	Sep. 30, 2020 USD ($) item property	Sep. 30, 2019 USD ($) item	Dec. 31, 2019 USD ($) property	Mar. 31, 2021 USD ($)
Investment in Unconsolidated Joint Ventures
Number of joint ventures committed | property			2
Carrying Value	$ 7,069,000		$ 7,069,000		$ 19,003,000
Income Recognized			287,000	$ 1,973,000
Cash Interest Received			249,000	2,577,000
Liquidation proceeds			17,758,000	6,601,000
Joint Venture
Investment in Unconsolidated Joint Ventures
Liquidation proceeds	$ 17,758,000	$ 17,758,000
Additional proceeds						$ 729,000
Amount of gains (losses) on liquidation			$ (620,000,000)
Joint Venture | Preferred Equity Investment | Arizona
Investment in Unconsolidated Joint Ventures
Number of properties owned by joint venture | property	4		4
Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Capital Contributions			$ 6,398,000	394,000
Income Recognized			287,000	1,973,000
Cash Interest Received			249,000	2,577,000
Preferred Equity Investment | Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Investment commitment			13,000,000
Carrying Value	$ 6,340,000		6,340,000
Combination ILF, ALF and MC community | Preferred Equity Investment | Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Number of properties owned by joint venture for sale | property					4
Impairment loss from investments in unconsolidated joint ventures					$ 5,500,000
Combination ALF, MC, ILF | Preferred Equity Investment | Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Capital Contributions			58,000	394,000
Income Recognized			231,000	614,000
Cash Interest Received			$ 231,000	$ 1,166,000
Combination ALF, MC, ILF | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Arizona
Investment in Unconsolidated Joint Ventures
Preferred return percentage			15.00%
UDP | Preferred Equity Investment | Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Number of beds/units	95		95
Capital Contributions	$ 6,340,000		$ 6,340,000
Income Recognized			56,000
Cash Interest Received			$ 18,000
Combination ALF, ILF, MC | Mezzanine Loans | Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Preferred return percentage				15.00%
Number of beds/units | item				99
Investment commitment				$ 2,900,000
Income Recognized				955,000
Cash Interest Received				$ 979,000
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington
Investment in Unconsolidated Joint Ventures
Preferred return percentage			12.00%
Contractual cash portion			7.00%
Number of beds/units | item	95		95
Carrying Value	$ 6,340,000		$ 6,340,000
Percentage of Investment	15.50%		15.50%
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington | Internal Rate of Return is Until Eight Percent
Investment in Unconsolidated Joint Ventures
Percentage of cash return			8.00%
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington | Internal Rate of Return is Until Eight Percent | Minimum
Investment in Unconsolidated Joint Ventures
Percentage of cash return			7.00%
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington | Internal Rate of Return is Until Eight Percent | Maximum
Investment in Unconsolidated Joint Ventures
Percentage of cash return			9.00%
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington | The Internal Rate of Return is Between Twelve and Fourteen Percent | Minimum
Investment in Unconsolidated Joint Ventures
Percentage of cash return			12.00%
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington | The Internal Rate of Return is Between Twelve and Fourteen Percent | Maximum
Investment in Unconsolidated Joint Ventures
Percentage of cash return			14.00%
Combination ALF/MC | Mezzanine Loans | Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Preferred return percentage				15.00%
Number of beds/units | item				127
Investment commitment				$ 3,400,000
Income Recognized				404,000
Cash Interest Received				$ 432,000
Combination ILF/ALF | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington
Investment in Unconsolidated Joint Ventures
Preferred return percentage			12.00%
Contractual cash portion			8.00%
Number of beds/units | item	267		267
Investment commitment			$ 13,000,000
Percentage of Investment	11.60%		11.60%
Percentage of cash return			8.00%
Percentage of internal rate of return			12.00%
Amount of joint venture investment	$ 13,000,000		$ 13,000,000

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Notes Receivable - Components (Details) - USD ($) $ in Thousands	Sep. 30, 2020	Dec. 31, 2019	Sep. 30, 2019
Notes receivable activities
Mezzanine loan			$ 6,800
Notes receivable reserve	$ (144)	$ (181)
Total	14,297	17,927
Mezzanine loan with 12.0% Interest
Notes receivable activities
Mezzanine loan	8,566	13,284
Other loans
Notes receivable activities
Mezzanine loan	$ 5,875	$ 4,824

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Notes Receivable - Notes Receivable Activity (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019
Notes receivable activities
Advances under notes receivable	$ 1,366	$ 8,531
Principal payments received under notes receivable	(4,732)	(3,446)
Reclassified to lease incentives	(300)	(200)
Notes receivable reserve	36	(48)
Total	$ (3,630)	$ 4,837

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Notes Receivable - New Loan Commitment (Details) $ in Thousands	9 Months Ended
	Sep. 30, 2020 USD ($)	Sep. 30, 2019 USD ($) item	Dec. 31, 2019 USD ($)
Notes receivable activities
Notes receivable, gross		$ 6,800
Number of beds/units under development | item		204
Mezzanine loan with 12.0% Interest
Notes receivable activities
Notes receivable, gross	$ 8,566		$ 13,284
$1,250 note agreement
Notes receivable activities
Notes receivable, gross	$ 1,000
Interest rate (as a percent)	5.00%
Loan principal amount	$ 1,250
Committed to fund	$ 250
204-unit ILF/ALF/MC
Notes receivable activities
Loan Term		5 years
Interest rate (as a percent)		12.00%
204-unit ILF/ALF/MC | Mezzanine loan with 12.0% Interest
Notes receivable activities
Loan Term		46 months
204-unit ILF/ALF/MC | $1400 note agreement
Notes receivable activities
Notes receivable, gross		$ 1,124
Interest rate (as a percent)		7.00%
Loan principal amount		$ 1,400
Committed to fund		276
204-unit ILF/ALF/MC | $550 Note Agreement
Notes receivable activities
Notes receivable, gross		$ 400
Interest rate (as a percent)		7.50%
Loan principal amount		$ 550
Committed to fund		$ 150

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Lease Incentives (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019	Sep. 30, 2020	Sep. 30, 2019	Dec. 31, 2019
Lease Incentives
Non-contingent lease incentives	$ 2,401		$ 2,401		$ 2,552
Non-contingent lease incentives, funding			50	$ 322
Non-contingent lease incentives, Amortization	$ (108)	$ (100)	(317)	(281)
Non-contingent lease incentives, Adjustment			115	(11,893)
Reclassified to lease incentives			300	200
Non-contingent lease incentives, Write off			$ 185	$ (12,093)

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Debt Obligations - Bank Borrowings (Details) - Bank Borrowings - USD ($)	9 Months Ended
	Sep. 30, 2020	Dec. 31, 2018
Debt Obligations
Maximum available under facility	$ 1,000,000,000	$ 600,000,000
Additional extension period option	1 year
Unused commitment fee (as a percent)	0.20%
LIBOR
Debt Obligations
Basis spread over base rate (as a percent)	1.15%

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Debt Obligations - Component (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2020	Dec. 31, 2019
Debt Obligations
Applicable Interest Rate (as a percent)	3.95%
Outstanding Balance	$ 664,344	$ 693,388
Available for borrowing	$ 510,100	527,600
Bank Borrowings
Debt Obligations
Applicable Interest Rate (as a percent)	1.33%
Outstanding Balance	$ 89,900	93,900
Available for borrowing	$ 510,100	506,100
Senior Unsecured Notes
Debt Obligations
Applicable Interest Rate (as a percent)	4.36%
Outstanding Balance	$ 574,444	599,488
Available for borrowing		$ 21,500
Senior Unsecured Notes | Minimum
Debt Obligations
Interest rate (as a percent)	3.85%
Senior Unsecured Notes | Maximum
Debt Obligations
Interest rate (as a percent)	5.03%

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Debt Obligations - Borrowings and Repayments (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019
Borrowings
Bank borrowings	$ 24,000	$ 73,400
Total	24,000	73,400
Repayments
Repayment of bank borrowings	(28,000)	(20,000)
Senior unsecured notes	(25,160)	(14,667)
Total	(53,160)	(34,667)
Bank Borrowings
Borrowings
Bank borrowings	24,000	73,400
Repayments
Repayment of bank borrowings	(28,000)	(20,000)
Senior Unsecured Notes
Repayments
Senior unsecured notes	$ (25,160)	$ (14,667)

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Equity - Common Stock (Details) - Common Stock - USD ($)	9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019
Equity
Number of shares repurchased	76,574	45,030
Equity Distribution Agreements
Equity
Maximum offering capacity under shelf registration statement	$ 200,000,000
Shares common stock sold	0
Amount available under effective shelf registration statement	$ 200,000,000

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Equity - Share Repurchase Plan (Details) - USD ($)	9 Months Ended
	Sep. 30, 2020	Mar. 31, 2020
Equity
Shares authorized for repurchase		5,000,000
Number of shares purchased	615,827
Average price per share	$ 29.25
Total purchase price of shares	$ 18,012,000

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Equity - Noncontrolling Interest (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2019	Sep. 30, 2020	Dec. 31, 2019
Noncontrolling interest
Gross Consolidated Assets		$ 1,477,244	$ 1,514,209
Non-controlling interests		8,404	$ 8,483
Purchase Price	$ 38,951
Partnership
Noncontrolling interest
Gross Consolidated Assets		83,429
Non-controlling interests		8,404
2019 Acquisitions | SNF
Noncontrolling interest
Purchase Price	19,500
2019 Acquisitions | ALF
Noncontrolling interest
Purchase Price	$ 16,719
Virginia | 2019 Acquisitions | Partnership | ALF and MC
Noncontrolling interest
Gross Consolidated Assets		16,895
Non-controlling interests		919
Oregon | 2018 Acquisitions | Partnership | ALF and MC
Noncontrolling interest
Gross Consolidated Assets		18,447
Non-controlling interests		1,081
Oregon | 2018 Acquisitions | Partnership | ILF
Noncontrolling interest
Gross Consolidated Assets		14,400
Non-controlling interests		2,858
Wisconsin | 2017 Acquisitions | Partnership | ILF/ALF/MC
Noncontrolling interest
Gross Consolidated Assets		22,007
Non-controlling interests		2,305
South Carolina | 2017 Acquisitions | Partnership | ALF and MC
Noncontrolling interest
Gross Consolidated Assets		11,680
Non-controlling interests		$ 1,241

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Equity - Distributions (Details) - USD ($) $ / shares in Units, $ in Thousands	1 Months Ended			3 Months Ended							9 Months Ended
	Dec. 31, 2020	Nov. 30, 2020	Oct. 31, 2020	Sep. 30, 2020	Jun. 30, 2020	Mar. 31, 2020	Dec. 31, 2019	Sep. 30, 2019	Jun. 30, 2019	Mar. 31, 2019	Sep. 30, 2020	Sep. 30, 2019
Dividend Distributions
Paid											$ 67,894	$ 68,241
Common Stock cash distributions				$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57
Dividends declared and paid per common share				$ 0.57				$ 0.57			$ 1.71	$ 1.71
Common Stock
Dividend Distributions
Declared				$ 67,894				$ 68,241			$ 67,894	$ 68,241
Paid											$ 67,894	$ 68,241
Common Stock cash distributions											$ 0.19	$ 0.19
Common Stock | Subsequent Event
Dividend Distributions
Dividends declared and paid per common share	$ 0.19	$ 0.19	$ 0.19
Common Stock | Performance-based stock units
Dividend Distributions
Paid											$ 586	$ 300

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Equity - Options (Details) - USD ($) $ / shares in Units, $ in Thousands	9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019
Stock Based Compensation Plans
Options outstanding (in shares)	15,000
Options exercisable (in shares)	15,000
Stock options granted (in shares)	0	0
2015 Plan
Stock Based Compensation Plans
Total shares reserved for issuance of common stock related to the conversion of preferred stock	1,400,000
Stock options
Stock Based Compensation Plans
Options Exercised (in shares)		5,000
Weighted Average Exercise Price (in dollars per share)		$ 24.65
Options Value		$ 123,000
Market Value		$ 233,000

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Equity - Restricted Stock and performance-based stock units (Details) - shares	9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019
Restricted stock and performance-based stock units
Restricted stock and performance based stock units activity
Outstanding at the beginning of the year (in shares)	345,633	325,750
Granted (in shares)	167,375	147,608
Vested (in shares)	(166,051)	(127,725)
Outstanding at the end of the year (in shares)	346,957	345,633
Performance-based stock units
Restricted stock and performance based stock units activity
Vested (in shares)	(81,574)	(48,225)

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Equity - Restricted Stock (Details) - Restricted stock and performance-based stock units - USD ($)	9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019
Restricted stock awards
Number of shares granted	167,375	147,608
Compensation expense related to share-based award	$ 5,231,000	$ 4,938,000
Nonvested awards
Remaining compensation expense	10,078,000
2020
Nonvested awards
Remaining compensation expense	1,781,000
2021
Nonvested awards
Remaining compensation expense	5,201,000
2022
Nonvested awards
Remaining compensation expense	2,729,000
2023
Nonvested awards
Remaining compensation expense	$ 367,000
Grant Date Price $48.95 | Three year vesting
Restricted stock awards
Number of shares granted	76,464
Granted (in dollars per share)	$ 48.95
Vesting period	3 years
Grant Date Price $49.98 | TSR Targets
Restricted stock awards
Number of shares granted	66,027
Granted (in dollars per share)	$ 49.98
Vesting period	4 years
Grant Date Price $49.98 | Accelerated TSR Targets
Restricted stock awards
Vesting period	3 years
Grant Date Price $38.45 | Three year vesting
Restricted stock awards
Number of shares granted	15,000
Granted (in dollars per share)	$ 38.45
Vesting period	3 years
Grant Date Price $38.45 | Vesting Date, May 27, 2021
Restricted stock awards
Number of shares granted	9,884
Granted (in dollars per share)	$ 38.45
Grant Date Price $46.54 | Three year vesting
Restricted stock awards
Number of shares granted		78,276
Granted (in dollars per share)		$ 46.54
Vesting period		3 years
Grant Date Price $46.54 | TSR Targets
Restricted stock awards
Number of shares granted		60,836
Granted (in dollars per share)		$ 46.54
Vesting period		4 years
Grant Date Price $46.54 | Accelerated TSR Targets
Restricted stock awards
Vesting period		3 years
Grant Date Price $44.73 | Vesting Date, May 29, 2020
Restricted stock awards
Number of shares granted		8,496
Granted (in dollars per share)		$ 44.73

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Commitments and Contingencies - Summary of Commitments (Details) $ in Thousands	9 Months Ended
	Sep. 30, 2020 USD ($)
Commitments and Contingencies
Investment Commitment	$ 79,767
2020 Funding	16,690
Total Commitments funded	27,607
Remaining commitment	52,160
Real estate properties
Commitments and Contingencies
Investment Commitment	28,713
2020 Funding	12,487
Total Commitments funded	17,459
Remaining commitment	11,254
Accrued incentives and earn-out liabilities
Commitments and Contingencies
Investment Commitment	9,000
Remaining commitment	9,000
Mortgage loans
Commitments and Contingencies
Investment Commitment	27,200
2020 Funding	2,928
Total Commitments funded	8,873
Remaining commitment	18,327
Commitments To Expand and Renovate Properties
Commitments and Contingencies
Investment Commitment	9,200
Contingent Funding Commitments
Commitments and Contingencies
Investment Commitment	18,000
Joint venture investments
Commitments and Contingencies
Investment Commitment	13,000
Remaining commitment	13,000
Notes receivable
Commitments and Contingencies
Investment Commitment	1,854
2020 Funding	1,275
Total Commitments funded	1,275
Remaining commitment	$ 579

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Major Operators (Details)	9 Months Ended
	Sep. 30, 2020 property item
Major Operators
Number of major operators	2
Prestige Healthcare | SNF
Major Operators
Number of beds | property	24
Number of beds/units	2,922
Prestige Healthcare | ALF
Major Operators
Number of beds/units	93
Senior Lifestyle Corporation | ALF
Major Operators
Number of beds | property	23
Number of beds/units	1,457
Operator Concentration Risk | SNF
Major Operators
Number of beds | property	24
Number of beds/units	2,922
Operator Concentration Risk | ALF
Major Operators
Number of beds | property	23
Number of beds/units	1,550
Total Revenue | Operator Concentration Risk
Major Operators
Concentration risk (as a percent)	30.20%
Total Revenue | Operator Concentration Risk | Prestige Healthcare
Major Operators
Concentration risk (as a percent)	19.80%
Total Revenue | Operator Concentration Risk | Senior Lifestyle Corporation
Major Operators
Concentration risk (as a percent)	10.40%
Total Assets | Operator Concentration Risk
Major Operators
Concentration risk (as a percent)	28.20%
Total Assets | Credit Concentration Risk | Prestige Healthcare
Major Operators
Concentration risk (as a percent)	18.00%
Total Assets | Credit Concentration Risk | Senior Lifestyle Corporation
Major Operators
Concentration risk (as a percent)	10.20%

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Earnings per Share (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	3 Months Ended							9 Months Ended
	Sep. 30, 2020	Jun. 30, 2020	Mar. 31, 2020	Dec. 31, 2019	Sep. 30, 2019	Jun. 30, 2019	Mar. 31, 2019	Sep. 30, 2020	Sep. 30, 2019
Net income	$ 12,338	$ 1,952	$ 63,722	$ 12,631	$ 27,280	$ 20,534	$ 20,427	$ 78,012	$ 68,241
Less income allocated to non-controlling interests	(121)				(88)			(292)	(257)
Less income allocated to participating securities:
Non-forfeitable dividends on participating securities	(103)				(93)			(294)	(279)
Income allocated to participating securities					(19)			(45)	(19)
Total net income allocated to participating securities	(103)				(112)			(339)	(298)
Net income available to common stockholders	12,114				27,080			77,381	67,686
Net income for diluted net income per share	$ 12,114				$ 27,080			$ 77,381	$ 67,686
Reconciliation of shares
Shares for basic net income per share	39,061				39,586			39,218	39,565
Effect of dilutive securities: (Shares)
Total effect of dilutive securities (in shares)	51				379			51	379
Shares for diluted net income per share	39,112				39,965			39,269	39,944
Basic (in dollars per share)	$ 0.31				$ 0.68			$ 1.97	$ 1.71
Diluted (in dollars per share)	$ 0.31				$ 0.68			$ 1.97	$ 1.69
Stock options
Effect of dilutive securities: (Shares)
Stock options and performance-based stock units (in shares)					4				4
Performance-based stock units
Effect of dilutive securities: (Shares)
Stock options and performance-based stock units (in shares)	51				375			51	375

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Fair Value Measurements (Details) $ in Thousands	Sep. 30, 2020 USD ($) item	Dec. 31, 2019 USD ($) item
Fair value measurements
Mortgage loans receivable	$ 257,671	$ 254,099
Senior unsecured notes, net of debt issue costs	$ 574,444	$ 599,488
Level 3 | Senior Unsecured Notes maturing before 2026 | Discount Rate
Fair value measurements
Future cash outflows discount rate (as a percent) | item	0.0375	0.0370
Level 3 | Senior Unsecured Notes maturing 2026 and after | Discount Rate
Fair value measurements
Future cash outflows discount rate (as a percent) | item	0.0400	0.0390
Level 3 | Mortgage Loans Receivable | Discount Rate
Fair value measurements
Future cash inflows discount rate (as a percent) | item	0.100	0.090
Carrying Value
Fair value measurements
Mortgage loans receivable	$ 257,671	$ 254,099
Bank borrowings	89,900	93,900
Senior unsecured notes, net of debt issue costs	574,444	599,488
Fair Value
Fair value measurements
Bank borrowings	89,900	93,900
Fair Value | Level 3
Fair value measurements
Mortgage loans receivable	299,151	312,824
Senior unsecured notes, net of debt issue costs	$ 582,480	$ 612,375

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Subsequent Events (Details) - $ / shares	1 Months Ended			3 Months Ended		9 Months Ended
	Dec. 31, 2020	Nov. 30, 2020	Oct. 31, 2020	Sep. 30, 2020	Sep. 30, 2019	Sep. 30, 2020	Sep. 30, 2019
Equity
Dividends declared and paid per common share				$ 0.57	$ 0.57	$ 1.71	$ 1.71
Subsequent Event | Common Stock
Equity
Dividends declared and paid per common share	$ 0.19	$ 0.19	$ 0.19