We are organized to invest in income-producing healthcare-related facilities. In evaluating potential investments, we consider a multitude of factors, including:
| · | | location, construction quality, age, condition and design of the property; |
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| · | | geographic area, proximity to other healthcare facilities, type of property and demographic profile, including new competitive supply; |
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| · | | whether the expected risk-adjusted return exceeds the incremental cost of capital; |
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| · | | whether the rent or operating income provides a competitive market return to our investors; |
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| · | | duration, rental rates, tenant and operator quality and other attributes of in-place leases, including master lease structures and coverage; |
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| · | | current and anticipated cash flow and its adequacy to meet our operational needs; |
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| · | | availability of security such as letters of credit, security deposits and guarantees; |
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| · | | potential for capital appreciation; |
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| · | | expertise and reputation of the tenant or operator; |
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| · | | occupancy and demand for similar healthcare facilities in the same or nearby communities; |
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| · | | the mix of revenues generated at healthcare facilities between privately paid and government reimbursed; |
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| · | | availability of qualified operators or property managers and whether we can manage the property; |
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| · | | potential alternative uses of the facilities; |
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| · | | the regulatory and reimbursement environment in which the properties operate; |
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| · | | tax laws related to REITs; |
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| · | | prospects for liquidity through financing or refinancing; and |
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| · | | our access to and cost of capital. |
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Property and Direct Financing Lease Investments
The following table summarizes our property and direct financing lease (“DFL”) investments in our Owned Portfolio as of and for the year ended December 31, 2015 (square feet and dollars in thousands):
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| | Number of | | | | Gross Asset | | | Rental | | | Operating | | |
| Facility Location | | Facilities | | Capacity | | Value(1) | | | Revenues(2) | | | Expenses | | |
| Senior housing—real estate: | | | | (Units) | | | | | | | | | | |
| California | | 27 | | 2,633 | | $ | 546,272 | | $ | 54,646 | | $ | 2,663 | |
| Texas | | 28 | | 3,513 | | | 438,060 | | | 47,205 | | | 1 | |
| Florida | | 23 | | 2,582 | | | 374,000 | | | 28,590 | | | 8 | |
| Oregon | | 25 | | 2,042 | | | 306,098 | | | 26,427 | | | 329 | |
| Virginia | | 9 | | 1,154 | | | 252,318 | | | 19,555 | | | — | |
| Washington | | 17 | | 1,200 | | | 211,010 | | | 16,778 | | | — | |
| Colorado | | 6 | | 908 | | | 192,532 | | | 17,704 | | | — | |
| Other (33 States) | | 134 | | 11,680 | | | 1,907,453 | | | 173,232 | | | 1,112 | |
| | 269 | | 25,712 | | | 4,227,743 | | | 384,137 | | | 4,113 | |
| Senior housing—real estate (U.K.): | | | | | | | | | | | | | | |
| Other (U.K.) | | 40 | | 1,855 | | | 213,324 | | | 17,557 | | | — | |
| Senior housing—RIDEA: | | | | | | | | | | | | | | |
| Other (25 States) | | 108 | | 15,403 | | | 2,467,708 | | | 525,453 | | | 370,204 | |
| Senior housing—DFLs(3): | | | | | | | | | | | | | | |
| Other (17 States) | | 89 | | 7,638 | | | 1,788,765 | | | 117,408 | | | 300 | |
| | | | | | | | | | | | | | |
| Total senior housing | | 506 | | 50,608 | | $ | 8,697,540 | | $ | 1,044,555 | | $ | 374,617 | |
| Post-acute/skilled nursing—real estate: | | | | (Beds) | | | | | | | | | | |
| Indiana | | 8 | | 947 | | $ | 59,171 | | $ | 9,095 | | $ | — | |
| Virginia | | 9 | | 932 | | | 58,377 | | | 7,425 | | | — | |
| Ohio | | 6 | | 577 | | | 30,826 | | | 4,949 | | | 16 | |
| Nevada | | 2 | | 298 | | | 17,474 | | | 3,329 | | | — | |
| Colorado | | 2 | | 216 | | | 13,800 | | | 1,792 | | | — | |
| Other (6 States) | | 7 | | 693 | | | 25,310 | | | 4,324 | | | 1,735 | |
| | 34 | | 3,663 | | | 204,958 | | | 30,914 | | | 1,751 | |
| Post-acute/skilled nursing—real estate (U.K.): | | | | | | | | | | | | | | |
| Other (U.K.) | | 21 | | 1,341 | | | 145,490 | | | 11,122 | | | — | |
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| | Number of | | | | Gross Asset | | | Rental | | | Operating | | |
| Facility Location | | Facilities | | Capacity | | Value(1) | | | Revenues(2) | | | Expenses | | |
| Post-acute/skilled nursing—DFLs(3): | | | | (Beds) | | | | | | | | | | |
| Other (25 States) | | 256 | | 33,159 | | | 3,992,353 | | | 493,075 | | | 251 | |
| | | | | | | | | | | | | | |
| Total post-acute/skilled nursing | | 311 | | 38,163 | | $ | 4,342,801 | | $ | 535,111 | | $ | 2,002 | |
| Life science: | | | | (Sq. Ft.) | | | | | | | | | | |
| California | | 105 | | 6,637 | | $ | 3,305,305 | | $ | 312,396 | | $ | 64,501 | |
| Other (3 States) | | 13 | | 913 | | | 232,565 | | | 30,588 | | | 5,716 | |
| Total life science | | 118 | | 7,550 | | $ | 3,537,870 | | $ | 342,984 | | $ | 70,217 | |
| Medical office: | | | | (Sq. Ft.) | | | | | | | | | | |
| Texas | | 59 | | 5,509 | | $ | 886,418 | | $ | 114,693 | | $ | 49,986 | |
| Pennsylvania | | 2 | | 1,141 | | | 253,487 | | | 27,852 | | | 9,866 | |
| California | | 16 | | 830 | | | 237,747 | | | 25,054 | | | 7,223 | |
| Colorado | | 16 | | 1,083 | | | 202,891 | | | 30,892 | | | 12,303 | |
| Other (24 States and Mexico) | | 134 | | 8,492 | | | 1,454,549 | | | 220,734 | | | 84,172 | |
| Total medical office | | 227 | | 17,055 | | $ | 3,035,092 | | $ | 419,225 | | $ | 163,550 | |
| Hospital—real estate: | | | | (Beds) | | | | | | | | | | |
| Texas | | 4 | | 912 | | $ | 231,552 | | $ | 31,882 | | $ | 3,857 | |
| California | | 2 | | 111 | | | 143,500 | | | 19,370 | | | 28 | |
| Other (6 States) | | 7 | | 448 | | | 88,742 | | | 13,776 | | | 81 | |
| | 13 | | 1,471 | | $ | 463,794 | | $ | 65,028 | | $ | 3,966 | |
| Hospital—DFLs(3): | | | | | | | | | | | | | | |
| Other (3 States) | | 3 | | 756 | | | 123,891 | | | 23,352 | | | 23 | |
| Total hospital | | 16 | | 2,227 | | $ | 587,685 | | $ | 88,380 | | $ | 3,989 | |
| Total properties | | 1,178 | | | | $ | 20,200,988 | | $ | 2,430,255 | | $ | 614,375 | |
| (1) | | Represents gross real estate and the carrying value of DFLs. Gross real estate represents the carrying amount of real estate after adding back accumulated depreciation and amortization. |
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| (2) | | Represent the combined amount of rental and related revenues, tenant recoveries, resident fees and services and income from direct financing leases. |
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| (3) | | Represents leased properties that are classified as DFLs. |
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Occupancy and Annual Rent Trends
The following table summarizes occupancy and average annual rent trends for our owned portfolio for the years ended December 31, (square feet in thousands):
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| | 2015 | | | 2014 | | | 2013 | | | 2012 | | | 2011 | | |
| Senior housing(1): | | | | | | | | | | | | | | | | |
| Average annual rent per unit(2)(3) | | $ | 13,796 | | $ | 13,596 | | $ | 13,174 | | $ | 13,140 | | $ | 14,431 | |
| Average capacity (available units) | | | 47,702 | | | 45,684 | | | 45,400 | | | 36,694 | | | 30,167 | |
| Average capacity (available units) - RIDEA | | | 12,704 | | | 6,408 | | | 4,620 | | | 4,626 | | | 1,545 | |
| Average resident occupancy percentage - RIDEA | | | 88 | % | | 87 | % | | 88 | % | | 86 | % | | 86 | % |
| Post-acute/skilled nursing(1): | | | | | | | | | | | | | | | | |
| Average annual rent per bed(2)(3) | | $ | 11,767 | | $ | 12,646 | | $ | 12,218 | | $ | 11,802 | | $ | 12,669 | |
| Average capacity (available beds) | | | 38,779 | | | 38,441 | | | 38,464 | | | 38,459 | | | 26,167 | |
| Life science: | | | | | | | | | | | | | | | | |
| Average occupancy percentage | | | 97 | % | | 93 | % | | 92 | % | | 90 | % | | 90 | % |
| Average annual rent per square foot(2) | | $ | 46 | | $ | 46 | | $ | 44 | | $ | 45 | | $ | 44 | |
| Average occupied square feet | | | 7,179 | | | 6,637 | | | 6,480 | | | 6,250 | | | 6,076 | |
| Medical office: | | | | | | | | | | | | | | | | |
| Average occupancy percentage | | | 91 | % | | 91 | % | | 91 | % | | 91 | % | | 91 | % |
| Average annual rent per square foot(2) | | $ | 28 | | $ | 28 | | $ | 27 | | $ | 27 | | $ | 27 | |
| Average occupied square feet | | | 14,762 | | | 13,178 | | | 12,767 | | | 12,147 | | | 11,721 | |
| Hospital(1): | | | | | | | | | | | | | | | | |
| Average annual rent per bed(2) | | $ | 40,212 | | $ | 39,149 | | $ | 38,437 | | $ | 37,679 | | $ | 36,974 | |
| Average capacity (available beds) | | | 2,224 | | | 2,221 | | | 2,175 | | | 2,087 | | | 2,084 | |
| (1) | | Senior housing includes average units that are in a RIDEA structure in which resident occupancy impacts our annual revenue, which structure was initially adopted in 2011 and expanded in August 2014 and June 2015. All other senior housing, post-acute/skilled nursing and hospital facilities are triple-net leased to operator occupied facilities, which makes these facilities 100% leased from our perspective. |
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| (2) | | Average annual rent is presented as a ratio of revenues comprised of rental and related revenues, tenant recoveries and income from DFLs divided by the average capacity or average occupied square feet of the facilities and annualized for mergers and acquisitions for the year in which they occurred. Average annual rent for properties operated under a RIDEA structure is calculated based on NOI divided by the average capacity of the facilities. Average annual rent for leased properties (including DFLs) excludes termination fees and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles and DFL interest accretion). |
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| (3) | | We changed our accounting treatment to recognize income on a cash basis beginning January 1, 2016 on our HCRMC DFL investments (see Note 6 to the Consolidated Financial Statements). |
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Development Properties
The following table sets forth the properties owned by us in our life science, medical office and senior housing segments at December 31, 2015 that were under development or redevelopment (dollars and square feet in thousands):
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| | | | Estimated | | Estimated | | | | | Estimated | | |
| | | | Completion | | Rentable | | Investment | | | Total | | |
| Name of Project | | Location | | Date(1) | | Sq. Ft./Units | | to Date | | | Investment | | |
| Life science: | | | | | | | | | | | | | |
| The Cove at Oyster Point - Phase I | | South San Francisco, CA | | 3Q 2016 | | 247 | | $ | 92,926 | | $ | 184,314 | |
| Medical office: | | | | | | | | | | | | | |
| Memorial Hermann - Pearland II | | Pearland, TX | | 1Q 2016 | | 98 | | | 13,869 | | | 18,800 | |
| Sky Ridge | | Lone Tree, CO | | 1Q 2016 | | 118 | | | 23,315 | | | 29,400 | |
| Memorial Hermann - Cypress | | Cypress, TX | | 2Q 2016 | | 165 | | | 20,330 | | | 35,630 | |
| Folsom | | Sacramento, CA | | 2Q 2016 | | 92 | | | 59,863 | | | 61,850 | |
| Bayfront(2) | | St. Petersburg, FL | | 2Q 2016 | | 117 | | | 13,633 | | | 22,070 | |
| Senior housing: | | | | | | | | | | | | | |
| Deer Park | | Deer Park, IL | | 1Q 2016 | | 180 | | | 41,219 | | | 47,690 | |
| | | | | | | | $ | 265,155 | | $ | 399,754 | |
| (1) | | For development projects, management’s estimate of the date the core and shell structure improvements are expected to be completed. For redevelopment projects, management’s estimate of the time in which major construction activity in relation to the scope of the project is expected to be substantially completed. There are no assurances that any of these projects will be completed on schedule or within estimated amounts. |
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| (2) | | Represents a portion of the facility. |
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At December 31, 2015, we also had $321 million of land held for future development primarily in our life science segment.
Tenant Lease Expirations
The following table shows tenant lease expirations, including those related to DFLs, for the next 10 years and thereafter at our leased properties, assuming that none of the tenants exercise any of their renewal or purchase options, unless otherwise noted below (dollars and square feet in thousands). See “Tenant Purchase Options” section of Note 12 to the Consolidated Financial Statements for additional information on leases subject to purchase options.
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| | Expiration Year | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| Segment | | Total | | | 2016(1) | | | 2017 | | | 2018 | | | 2019 | | | 2020 | | | 2021 | | | 2022 | | | 2023 | | | 2024 | | | 2025 | | | Thereafter | | |
| Senior housing(2): | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| Properties | | | 398 | | | 8 | | | 6 | | | 25 | | | 5 | | | 26 | | | 8 | | | 2 | | | 8 | | | 26 | | | 2 | | | 282 | |
| Base rent(3) | | $ | 512,951 | | $ | 13,338 | | $ | 9,248 | | $ | 50,829 | | $ | 9,161 | | $ | 41,216 | | $ | 10,928 | | $ | 2,157 | | $ | 24,129 | | $ | 31,540 | | $ | 5,613 | | $ | 314,792 | |
| % of segment base rent | | | 100 | | | 3 | | | 2 | | | 10 | | | 2 | | | 8 | | | 2 | | | — | | | 5 | | | 6 | | | 1 | | | 61 | |
| Post-acute/skilled nursing: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| Properties | | | 311 | | | — | | | — | | | 1 | | | 21 | | | 6 | | | 1 | | | 4 | | | — | | | — | | | — | | | 278 | |
| Base rent(3) | | $ | 435,760 | | $ | — | | $ | — | | $ | 1,197 | | $ | 19,056 | | $ | 7,338 | | $ | 351 | | $ | 3,274 | | $ | — | | $ | — | | $ | — | | $ | 404,544 | |
| % of segment base rent | | | 100 | | | — | | | — | | | — | | | 4 | | | 2 | | | — | | | 1 | | | — | | | — | | | — | | | 93 | |
| Life science(4): | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| Square feet | | | 7,411 | | | 844 | | | 883 | | | 1,268 | | | 561 | | | 482 | | | 729 | | | 584 | | | 786 | | | 471 | | | 560 | | | 243 | |
| Base rent(3) | | $ | 283,613 | | $ | 34,935 | | $ | 32,633 | | $ | 60,350 | | $ | 17,629 | | $ | 14,915 | | $ | 39,059 | | $ | 17,948 | | $ | 36,141 | | $ | 7,759 | | $ | 15,062 | | $ | 7,182 | |
| % of segment base rent | | | 100 | | | 12 | | | 12 | | | 21 | | | 6 | | | 5 | | | 14 | | | 6 | | | 13 | | | 3 | | | 5 | | | 3 | |
| Medical office: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| Square feet | | | 15,680 | | | 2,329 | | | 2,306 | | | 2,188 | | | 1,740 | | | 2,040 | | | 828 | | | 845 | | | 454 | | | 483 | | | 1,817 | | | 650 | |
| Base rent(3) | | $ | 354,494 | | $ | 54,977 | | $ | 55,035 | | $ | 50,255 | | $ | 40,910 | | $ | 48,047 | | $ | 20,198 | | $ | 19,881 | | $ | 10,115 | | $ | 12,731 | | $ | 27,984 | | $ | 14,361 | |
| % of segment base rent | | | 100 | | | 15 | | | 15 | | | 14 | | | 11 | | | 14 | | | 6 | | | 6 | | | 3 | | | 4 | | | 8 | | | 4 | |
| Hospital: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| Properties | | | 16 | | | — | | | 3 | | | — | | | 5 | | | 1 | | | 1 | | | 2 | | | — | | | 1 | | | 2 | | | 1 | |
| Base rent(3) | | $ | 75,714 | | $ | — | | $ | 12,800 | | $ | — | | $ | 7,346 | | $ | 7,759 | | $ | 1,482 | | $ | 11,491 | | $ | — | | $ | 13,570 | | $ | 17,138 | | $ | 4,128 | |
| % of segment base rent | | | 100 | | | — | | | 17 | | | — | | | 10 | | | 10 | | | 2 | | | 15 | | | — | | | 18 | | | 23 | | | 5 | |
| Total: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| Base rent(3) | | $ | 1,662,532 | | $ | 103,250 | | $ | 109,716 | | $ | 162,631 | | $ | 94,102 | | $ | 119,275 | | $ | 72,018 | | $ | 54,751 | | $ | 70,385 | | $ | 65,600 | | $ | 65,797 | | $ | 745,007 | |
| % of total base rent | | | 100 | | | 6 | | | 7 | | | 10 | | | 6 | | | 7 | | | 4 | | | 3 | | | 4 | | | 4 | | | 4 | | | 45 | |
| (1) | | Includes month-to-month leases. |
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| (2) | | Excludes 108 RIDEA facilities, leased to consolidated subsidiaries, with annualized NOI of $193 million. |
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| (3) | | The most recent month’s (or subsequent month’s if acquired in the most recent month) base rent including additional rent floors and cash income from DFLs annualized for 12 months. Base rent does not include tenant recoveries, additional rents in excess of floors and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, DFL interest accretion and deferred revenues). |
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| (4) | | Includes 457,000 sq. ft. and 337,000 sq. ft. and annualized revenues of $24 million and $19 million expiring in 2016 and 2018, respectively, related to the exercise of tenant purchase options in January 2016. |
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We specifically incorporate by reference into this section the information set forth in Schedule III: Real Estate and Accumulated Depreciation, included in this report.