LTC PROPERTIES INC (LTC) FY 2022 MD&A
This page reproduces the company's own Item 7 MD&A text from the linked SEC filing. It is filer text, not grepcent analysis, scoring, or investment advice.
Item 7. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
Executive Overview
Business and Investment Strategy
We are a real estate investment trust (“REIT”) that invests in seniors housing and health care properties through sale-leasebacks, financing leases, mortgage financing, joint ventures and structured finance solutions including preferred equity and mezzanine lending. We seek 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 facilities (“SNF”), assisted living facilities (“ALF”), independent living facilities (“ILF”), memory care communities (“MC”) and combinations thereof. We also invest in other (“OTH”) types of properties, such as land parcels, projects under development (“UDP”) and behavioral health care hospitals. 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 conduct and manage our business as one operating segment for internal reporting and internal decision-making purposes. For purposes of this Annual Report on Form 10-K and other presentations, we generally include ALF, ILF, and MC in the ALF property classification. We have been operating since August 1992.
The following graph summarizes our gross investments as of December 31, 2022:
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, financing leases, mortgage loans, mezzanine loans and preferred equity investments 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
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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, financing 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-defaulted and cross-collateralized with other loans, operating leases or agreements between us and the operator and its affiliates.
Depending upon the availability and cost of external capital, we anticipate making additional investments in health care related properties. New investments are generally funded from cash on hand, temporary borrowings under our unsecured revolving line of credit and internally generated cash flows. Our investments generate internal cash from rent and interest receipts and principal payments on mortgage loans receivable. Permanent financing for future investments, which replaces funds drawn under our unsecured revolving line of credit, is expected to be provided through a combination of public and private offerings of debt and equity securities and secured and unsecured debt financing. The timing, source and amount of cash flows provided by financing activities and used in investing activities are sensitive to the capital markets’ environment, especially to changes in interest rates. Changes in the capital markets’ environment may impact the availability of cost-effective capital.
We believe our business model has enabled and will continue to enable us to maintain the integrity of our property investments, including in response to financial difficulties that may be experienced by operators. Traditionally, we have taken a conservative approach to managing our business, choosing to maintain liquidity and exercise patience until favorable investment opportunities arise.
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, dislocations and liquidity disruptions in financial markets.
The operations and occupancy levels at our properties have been adversely affected by COVID-19 and could be further adversely affected by COVID-19 or another pandemic especially if there are infections on a large scale at our properties. The impact of COVID-19 has included, and another pandemic could include, early resident move-outs, our operators delaying accepting new residents due to quarantines or admission suspensions, potential occupants postponing moves to our operators’ facilities, and/or hospitals cancelling or significantly reducing elective surgeries thereby there were fewer people in need of skilled nursing care. 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 or interest. In recognition of the pandemic impact affecting our operators, we provided assistance in form of rent abatements and rent deferrals and may continue to provide assistance as needed.
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Portfolio Overview
The following tables summarize our real estate investment portfolio as of December 31, 2022 (dollar amounts in thousands):
| | | | | | | | | | | | | | | | | | | | | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| | | | | | | | | | | | | | | Twelve Months Ended | | |||||
| | | | | | | | | | | | | | | December 31, 2022 | | |||||
| | | | | Number of | | | | | Percentage | | | | | | | Percentage | | | ||
| | | Number of | | SNF | | ALF | | Gross | | of | | | Rental | | | of Total | | | ||
| Owned Properties | | Properties (1) | | Beds (2) | | Units (2) | | Investments | | Investments | | | Revenue | | | Revenues | | | ||
| Assisted Living | | 99 | | — | | 5,497 | | $ | 797,813 | | 40.7 | % | | $ | 53,923 | | | 34.1 | % | |
| Skilled Nursing | | 52 | | 6,348 | | 236 | | | 600,974 | | 30.7 | % | | | 55,126 | | | 34.8 | % | |
| Other (3) | | 1 | | 118 | | — | | | 11,918 | | 0.6 | % | | | 991 | | | 0.6 | % | |
| Total Owned Properties | | 152 | | 6,466 | | 5,733 | | | 1,410,705 | | 72.0 | % | | | 110,040 | (5) | | 69.5 | % | |
| | | | | | | | | | | | | | | | | | | | | |
| | | | | Number of | | | | | Percentage | | | Interest Income | | | Percentage | | | |||
| | | Number of | | SNF | | ALF | | | Gross | | of | | | from Financing | | | of Total | | | |
| Financing Receivable | | Properties (1) | | Beds | | Units | | | Investments | | Investments | | | Receivable | | | Revenues | | | |
| Skilled Nursing | | 3 | | 299 | | — | | | 76,767 | | 3.9 | % | | | 1,762 | | | 1.1 | % | |
| Total Financing Receivable | | 3 | | 299 | | — | | | 76,767 | | 3.9 | % | | | 1,762 | | | 1.1 | % | |
| | | | | | | | | | | | | | | | | | | | | |
| | | | | Number of | | | | | Percentage | | | Interest Income | | | Percentage | | | |||
| | | Number of | | SNF | | ALF | | | Gross | | of | | | from Mortgage | | | of Total | | | |
| Mortgage Loans | | Properties (1) | | Beds | | Units | | | Investments | | Investments | | | Loans | | | Revenues | | | |
| Assisted Living | | 18 | | — | | 808 | | | 103,626 | | 5.4 | % | | | 6,730 | | | 4.3 | % | |
| Skilled Nursing | | 23 | | 2,891 | | — | | | 287,349 | | 14.6 | % | | | 33,692 | | | 21.3 | % | |
| Other (4) | | — | | — | | — | | | 2,683 | | 0.1 | % | | | 178 | | | 0.1 | % | |
| Total Mortgage Loans | | 41 | | 2,891 | | 808 | | | 393,658 | | 20.1 | % | | | 40,600 | | | 25.7 | % | |
| | | | | | | | | | | | | | | | | | | | | |
| | | | | Number of | | | | | Percentage | | | Interest | | | Percentage | | | |||
| | | Number of | | SNF | | ALF | | | Gross | | of | | | and other | | | of Total | | | |
| Notes Receivable | | Properties (1) | | Beds | | Units | | | Investments | | Investments | | | Income | | | Revenues | | | |
| Assisted Living | | 7 | | — | | 961 | | | 43,662 | | 2.2 | % | | | 3,590 | | | 2.3 | % | |
| Skilled Nursing | | — | | — | | — | | | 15,311 | | 0.8 | % | | | 720 | | | 0.4 | % | |
| Total Notes Receivable | | 7 | | — | | 961 | | | 58,973 | | 3.0 | % | | | 4,310 | | | 2.7 | % | |
| | | | | | | | | | | | | | | | | | | | | |
| | | | | Number of | | | | | Percentage | | | Income from | | | Percentage | | | |||
| | | Number of | | SNF | | ALF | | | Gross | of | | | Unconsolidated | | | of Total | | | ||
| Unconsolidated Joint Ventures | | Properties (1) | | Beds | | Units | | | Investments | Investments | | | Joint Ventures | | | Revenues | | | ||
| Assisted Living | | 1 | | — | | 95 | | | 6,340 | | 0.3 | % | | | 450 | | | 0.3 | % | |
| Under Development | | — | | — | | — | | | 13,000 | | 0.7 | % | | | 1,054 | | | 0.7 | % | |
| Total Unconsolidated Joint Ventures | | 1 | | — | | 95 | | | 19,340 | | 1.0 | % | | | 1,504 | | | 1.0 | % | |
| | | | | | | | | | | | | | | | | | | | | |
| Total Portfolio | | 204 | | 9,656 | | 7,597 | | $ | 1,959,443 | | 100.0 | % | | $ | 158,216 | | | 100.0 | % | |
| | | | | | | | | | | | | | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| | | Number | | Number of | | | | | Percentage | | | ||
| | | of | | SNF | | ALF | | Gross | | of | | | |
| Summary of Properties by Type | | Properties (1) | | Beds (2) | | Units (2) | | Investments | | Investments | | | |
| Skilled Nursing | | 78 | | 9,538 | | 236 | | $ | 980,401 | | 50.0 | % | |
| Assisted Living | | 125 | | — | | 7,361 | | | 951,441 | | 48.6 | % | |
| Under Development | | — | | — | | — | | | 13,000 | | 0.7 | % | |
| Other (3) (4) | | 1 | | 118 | | — | | | 14,601 | | 0.7 | % | |
| Total Portfolio | | 204 | | 9,656 | | 7,597 | | $ | 1,959,443 | | 100.0 | % | |
| Column 1 | Column 2 |
|---|---|
| (1) | We have investments in owned properties, financing receivable, mortgage loans, notes receivable and unconsolidated joint ventures in 29 states to 32 different operators. |
| Column 1 | Column 2 |
|---|---|
| (2) | See Item 2. Properties for discussion of bed/unit count. |
| Column 1 | Column 2 |
|---|---|
| (3) | Includes three parcels of land held-for-use and one behavioral health care hospital. |
| Column 1 | Column 2 |
|---|---|
| (4) | Includes one parcel of land in Missouri securing a first mortgage held for future development of a post-acute SNF and one parcel of land in North Carolina securing a first mortgage held for future development of a seniors housing community. |
| Column 1 | Column 2 |
|---|---|
| (5) | Excludes $15,459 variable rental income from lessee reimbursement of our real estate taxes and $2,745 rental income from sold properties. |
As of December 31, 2022, we had $1.6 billion in carrying value of net investments, consisting of $1.0 billion or 65.2% invested in owned and leased properties, $76.0 million or 4.9% invested in financing receivable, $0.4 billion or
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24.9% invested in mortgage loans secured by first mortgages, $58.4 million or 3.7% in notes receivable and $19.3 million or 1.3% in unconsolidated joint ventures.
Rental income, income from financing receivable and interest income from mortgage loans represented 73.2%, 1% and 23.2%, respectively, of Total revenues on the Consolidated Statements of Income for the year ended December 31, 2022. In most instances, our lease structure contains annual rental escalations. Our leases that contain fixed annual rental escalations and/or have annual rental escalations that are contingent upon changes in the Consumer Price Index or the Medicare Market Basket Rate, 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. For the year ended December 31, 2022, we recognized a $1.4 million straight-line rental adjustment reflecting higher cash rent received than recorded as rental income and $1.1 million in amortization and write-off of lease incentives. For the remaining leases in place at December 31, 2022, assuming no modification or replacement of existing leases and no new leased investments are added to our portfolio, except for the potential subsequent lease extensions and the leases reported below under Update on Certain Operators, we currently expect that the non-cash straight-line rent portion of rental income will decrease from negative $1.4 million in 2022 to negative $1.9 million for projected annual 2023 which represents higher cash rent received than recorded as rental income. Our cash rental income is projected to increase from $130.7 million in 2022 to $120.8 million for projected annual 2023. At December 31, 2022, the straight-line rent receivable balance on the consolidated balance sheet was $21.8 million.
Many of our existing leases contain renewal options that, if exercised, could result in the amount of rent payable upon renewal being greater or less than that currently being paid. During the year ended December 31, 2022, we renewed one lease covering a 99-bed skilled nursing center in Oregon and a master lease covering 11 skilled nursing centers in Texas with a total of 1,444 beds. See Update on Certain Operators and Former Operators below for discussion regarding renewal of a master lease subsequent to December 31, 2022.
Some of our lease agreements provide purchase options allowing the lessees to purchase the properties they currently lease from us. See Item 8. FINANCIAL STATEMENTS— Note 5. Real Estate Investments. Owned Properties for a table that includes information about purchase options included in our lease agreements.
Update on Certain Operators and Former Operators
Anthem Memory Care
Anthem Memory Care (“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. Anthem increased their rent payment every year between 2017 and 2021. During the second and third quarter of 2022, we agreed to a certain temporary rent reduction totaling $1.5 million. During the fourth quarter of 2022, we received payment of Anthem’s $1.5 million temporary rent reduction and a return to Anthem’s previously agreed upon rent of $0.9 million per month. Accordingly, Anthem paid us the agreed upon annual cash rent of $10.8 million in 2022. Anthem is current on agreed upon rent payments through January and February 2023. We receive regular financial performance updates from Anthem and continue to monitor their performance obligations under the master lease agreement.
Brookdale Senior Living Communities, Inc
The Brookdale master lease matures on December 31, 2023 and provides three renewal options consisting of a two-year renewal option, a five-year renewal option and a 10-year renewal option. The first renewal option expires on February 28, 2023. The master lease provides Brookdale a $4.0 million capital commitment, which matures on February 28, 2023, at a yield of 7% with a reduced rate for qualified ESG projects. During the fourth quarter of 2022, we funded $1.5 million under Brookdale’s capital commitment. Accordingly, we have a remaining commitment of $0.9 million. Brookdale is current on rent payments through January and February 2023.
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Other Operators
During the third quarter of 2022, we terminated a master lease with an operator and transitioned the communities to an existing LTC operator. In connection with the lease termination, we abated rent for June 2022 and have forgiven the former operator’s outstanding deferred rent balance of $7.1 million. Also, we paid the former operator a $0.5 million lease termination fee in exchange for cooperation and assistance in facilitating an orderly transition. The transitioned communities are operated pursuant to a new master lease with a two-year term, with zero rent for each of July, August, September, and October of 2022. Thereafter, cash rent is based on mutually agreed upon fair market rent. In conjunction with the new master lease, we paid the new operator a $0.4 million lease incentive payment which will be amortized as a yield adjustment to rental income over the two-year lease term. LTC is evaluating options for this portfolio.
A master lease covering two assisted living communities is scheduled to mature during 2023. One of the two communities is located in Kentucky. During the third quarter of 2022, we classified this community as held-for-sale and recorded an impairment loss of $1.3 million as a result of our decision to sell the community below our carrying value. We are negotiating a new lease for the other community which is located in Ohio.
Subsequent to December 31, 2022, a master lease covering two skilled nursing centers that was scheduled to mature in 2023 was renewed at the contractual rate for another five years extending the maturity to November 2028. The centers have a total 216 beds and are located in Florida.
Senior Care Centers, LLC – Former Operator
Senior Care Centers, LLC and affiliates and subsidiaries (“Senior Care”) filed for Chapter 11 bankruptcy in December 2018. During 2019, while in bankruptcy, Senior Care assumed LTC’s master lease and, in March 2020, Senior Care emerged from bankruptcy. Concurrent with their emergence from bankruptcy, in accordance with the order confirming Senior Care’s plan of reorganization, Abri Health Services, LLC (“Abri Health”) was formed as the parent company of reorganized Senior Care and became co-tenant and co-obligor with reorganized Senior Care under our master lease. In March 2021, Senior Care and Abri Health (collectively, “Lessee”) failed to pay rent and additional obligations owed under the master lease. Accordingly, we sent the lessee a notice of default and applied proceeds from letters of credit to certain obligations owed under the master lease. Furthermore, we sent the Lessee a notice of termination of the master lease to be effective April 17, 2021. On April 16, 2021, the Lessee filed for Chapter 11 bankruptcy. In August 2021, the United States Bankruptcy Court approved a settlement agreement between Lessee and LTC. The settlement provided for, among other things, a one-time payment of $3.3 million from LTC to the affiliates of Lessee in exchange for cooperation and assistance in facilitating an orderly transition of the 11 skilled nursing centers from the Lessee and its affiliates to affiliates of HMG Healthcare, LLC (“HMG”) which occurred on October 1, 2021. As of October 1, 2021, Senior Care and Abri Health no longer operate any properties in our portfolio.
Senior Lifestyle Corporation
During 2020, an affiliate of Senior Lifestyle (“Senior Lifestyle”) failed to pay its contractual obligations under its master lease. As a result, we applied their letter of credit and deposits to past due rent and to their outstanding notes receivable. Senior Lifestyle did not pay rent or its other obligations under the master lease since 2021. During 2021, we transitioned 18 assisted living communities previously leased to Senior Lifestyle to six operators. These communities are located in Illinois, Ohio, Wisconsin, Colorado, Pennsylvania and Nebraska. Also, during 2021, we sold three Wisconsin communities and a closed community in Nebraska previously leased to Senior Lifestyle for a combined total of $35.9 million. We received total proceeds of $34.8 million and recorded a net gain on sale of $5.4 million. During 2022, an assisted living community located in Colorado, which transitioned from Senior Lifestyle to a new operator during the first quarter of 2021, was closed and the lease was terminated. Additionally, during 2022, we transitioned the remaining community located in New Jersey under the Senior Lifestyle master lease to an existing operator. Accordingly, as of December 31, 2022, Senior Lifestyle does not operate any properties in our portfolio.
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2022 Transactions Overview
The following tables summarizes our transactions in 2022 (dollar amounts in thousand):
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) | | 4 | | SNF | | 339 | | 8.0 | % | | $ | 51,534 | | $ | 283 | | $ | 51,817 | |
| Column 1 | Column 2 |
|---|---|
| (1) | The properties are leased to an affiliate of an existing operator under a 10-year lease with two 5-year renewal options. Additionally, the lease allows the operator to elect for either an earn-out payment or purchase option. If neither option is elected within the timeframe defined in the lease, both elections are terminated. The earn-out payment is available, contingent on achieving certain thresholds per the lease, beginning at the end of the second lease year through the end of the fifth lease year. The purchase option is available beginning in the sixth lease year through the end of the seventh lease year. The initial cash yield is 8% for the first lease year increasing to 8.25% for the second year, then increases annually by 2.0% to 4.0% based on the change in the Medicare Market Basket Rate. In connection with the transition, we provided the lessee a 10-year working capital loan for up to $2,000 at 8% for the first year, increasing to 8.25% for the second year, then increasing annually with the lease rate. At December 31, 2022, the working capital loan had an outstanding balance of $1,642. |
Investment in Development and Improvement Projects
| | | | | | | |
|---|---|---|---|---|---|---|
| | | Developments | | Improvements | ||
| Assisted Living Communities | | $ | 105 | | $ | 5,538 |
| Skilled Nursing Centers | | | — | | | 2,897 |
| Other | | | — | | | 559 |
| Total | | $ | 105 | | $ | 8,994 |
Sold Properties
| | | | | | | | | | | | | | | | | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| | | Type | | Number | | Number | | | | | | | | | | |
| | | of | | of | | of | | | Sales | | | Carrying | | | Net | |
| State | | Properties | | Properties | | Beds/Units | | | Price | | | Value | | | Gain (Loss) (1) | |
| California | | ALF | | 2 | | 232 | | $ | 43,715 | | $ | 17,832 | | $ | 25,867 | |
| California | | SNF | | 1 | | 121 | | | 13,250 | | | 1,846 | | | 10,846 | |
| Texas | | SNF | | 1 | | — | | | 485 | | | 697 | | | (441) | |
| Virginia | | ALF | | 1 | | 74 | | | 16,895 | | | 15,549 | | | 1,344 | (2) |
| n/a | | n/a | | — | | — | | | — | | | — | | | 214 | (3) |
| | | | | 5 | | 427 | | $ | 74,345 | | $ | 35,924 | | $ | 37,830 | |
| Column 1 | Column 2 |
|---|---|
| (1) | Calculation of net gain (loss) includes cost of sales and write-off of straight-line rent receivable and lease incentives, when applicable. |
| Column 1 | Column 2 |
|---|---|
| (2) | In connection with this sale, the former operator paid us a lease termination fee of $1,181 which is not included in the gain on sale. |
| Column 1 | Column 2 |
|---|---|
| (3) | We recognized additional gain due to the reassessment adjustment of the holdbacks related to properties sold during 2020 and 2019, under the expected value model per ASC Topic 606, Contracts with Customers. |
Financing Receivable
Financing Receivable. During 2022, we entered into a joint venture and contributed $61.7 million into the JV that purchased three skilled nursing centers located in Florida for $75.8 million. Our JV partner contributed the remaining $14.3 million of equity. The JV leased the centers back to an affiliate of the seller under a 10-year master lease, with two five-year renewal options and provided the seller-lessee with a purchase option, exercisable at the beginning of the fourth year through the end of the fifth year. Accordingly, the transaction has been accounted for as a Financing receivable on our Consolidated Balance Sheets. During 2022, we recognized $1.8 million of Interest income from financing receivable on our Consolidated Statements of Income. Additionally, we recorded $0.8 million provision for expected loan losses during 2022.
Subsequent to December 31, 2022, we entered into a $121.3 million JV with an affiliate of an existing operator
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and contributed $117.9 million into the JV that purchased 11 assisted living and memory care communities from an affiliate of our JV partner. The JV leased the communities back to an affiliate of the seller under a 10-year master lease, with two five-year renewal options. The contractual initial cash yield of 7.25% increases to 7.5% in year three then escalates thereafter based on CPI subject to a floor of 2.0% and a ceiling of 4.0%. Additionally, the JV provided the seller-lessee with a purchase option to buy up to 50% of the properties at the beginning of the third lease year and the remaining properties at the beginning of the fourth lease year through the end of the sixth lease year, with an exit Internal Rate of Return (“IRR”) of 9.0%. In accordance with GAAP, the communities acquired by the JV are required to be presented as a Financing receivable on our Consolidated Balance Sheets.
Investment in Mortgage Loans
| | | | | |
|---|---|---|---|---|
| Originations and funding under mortgage loans receivable | | $ | 40,732 | (1) (2) |
| Application of interest reserve | | | 6,192 | |
| Scheduled principal payments received | | | (1,175) | |
| Mortgage loan premium amortization | | | (6) | |
| Provision for loan loss reserve | | | (457) | |
| Net increase in mortgage loans receivable | | $ | 45,286 | |
| Column 1 | Column 2 |
|---|---|
| (1) | Subsequent to December 31, 2022, we originated a $10,750 mortgage loan secured by a MC located in North Carolina. The loan carries a two-year term with an interest-only rate of 7.25% and an IRR of 9.0%. |
| Column 1 | Column 2 |
|---|---|
| (2) | We originated two senior mortgage loans, secured by four ALFs operated by an existing operator, as well as a land parcel in North Carolina. The communities have a combined total of 217 units, with an average age of less than four years. The land parcel is approximately 7.6 acers adjacent to one of the ALFs and is being held for the future development of a seniors housing community. The mortgage loans have a four-year term, an interest rate of 7.25% and an IRR of 8%. We also funded an additional $2,000 under an existing mortgage loan. |
Investment in Notes Receivable
| | | | | | |
|---|---|---|---|---|---|
| Advances under notes receivable | $ | 37,192 | (1) | ||
| Principal payments received under notes receivable (2) | | | (6,843) | | |
| Provision for credit losses | | | (303) | | |
| Net increase in notes receivable | | $ | 30,046 | | |
| Column 1 | Column 2 |
|---|---|
| (1) | Includes origination of a $25,000 mezzanine loan for the recapitalization of five ALFs located in Oregon and Montana. Additionally includes origination of a working capital loan for a commitment of up to $2,000, of which $1,867 has been funded and $9,761 of funding under a working capital loan to HMG. |
| Column 1 | Column 2 |
|---|---|
| (2) | Subsequent to December 31, 2022, we received $4,545, which includes a prepayment fee and the exit IRR totaling $190, from a mezzanine loan early payoff. The mezzanine loan was on a 136-unit ILF in Oregon. |
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 real estate 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 real estate investments that are real property or mortgage loans. Investment mix measures the portion of our investments that relate to our various property types. Operator mix measures the portion of our real estate 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.
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The following table reflects our recent historical trends of concentration risk (gross investment, in thousands):
| | | | | | | | | | | | | | | | | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| | | | | | | | | | | | | | | | | |
| | | 12/31/22 | | 9/30/22 | | 6/30/22 | | 3/31/22 | | 12/31/21 | ||||||
| Asset mix: | | | | | | | | | | | | |||||
| Real property | | $ | 1,410,705 | | $ | 1,408,402 | | $ | 1,409,937 | | $ | 1,409,625 | | $ | 1,408,557 | |
| Financing receivable | | | 76,767 | | | 76,267 | | | — | | | — | | | — | |
| Loans receivable | | | 393,658 | | | 386,868 | | | 383,647 | | | 350,037 | | | 347,915 | |
| Notes receivable | | | 58,973 | | | 59,014 | | | 58,794 | | | 62,127 | | | 28,623 | |
| Unconsolidated joint ventures | | | 19,340 | | | 19,340 | | | 19,340 | | | 19,340 | | | 19,340 | |
| Real estate investment mix: | | | | | | | | | | | | | | | | |
| Assisted living communities | | $ | 951,441 | | $ | 945,552 | | $ | 942,581 | | $ | 956,642 | | $ | 929,113 | |
| Skilled nursing centers | | | 980,401 | | | 976,753 | | | 901,911 | | | 858,150 | | | 849,182 | |
| Under development | | | 13,000 | | | 13,000 | | | 13,000 | | | 13,000 | | | 13,000 | |
| Other (1) | | | 14,601 | | | 14,586 | | | 14,226 | | | 13,337 | | | 13,140 | |
| Operator mix: | | | | | | | | | | | | | | | | |
| Prestige Healthcare (1) | | $ | 271,476 | | $ | 271,851 | | $ | 271,853 | | $ | 272,326 | | $ | 272,453 | |
| ALG Senior | | | 192,699 | | | 189,533 | | | 110,075 | | | 76,715 | | | 74,888 | |
| HMG Healthcare | | | 175,835 | | | 174,107 | | | 175,532 | | | 180,662 | | | 171,920 | |
| Anthem Memory Care | | | 139,176 | | | 139,176 | | | 139,176 | | | 139,176 | | | 139,176 | |
| Brookdale Senior Living | | | 106,010 | | | 104,461 | | | 103,831 | | | 103,136 | | | 102,921 | |
| Remaining operators | | | 1,074,247 | | | 1,070,763 | | | 1,071,251 | | | 1,069,114 | | | 1,043,077 | |
| Geographic mix: | | | | | | | | | | | | | | | | |
| Texas | | $ | 327,490 | | $ | 325,380 | | $ | 326,983 | | $ | 274,803 | | $ | 274,626 | |
| Michigan | | | 280,389 | | | 280,932 | | | 280,934 | | | 281,407 | | | 281,512 | |
| Florida | | | 158,892 | | | 158,175 | | | 81,525 | | | 80,815 | | | 80,540 | |
| Wisconsin | | | 114,838 | | | 114,838 | | | 114,729 | | | 114,729 | | | 114,538 | |
| Colorado | | | 104,795 | | | 104,760 | | | 104,651 | | | 104,514 | | | 104,514 | |
| Remaining states | | | 973,039 | | | 965,806 | | | 962,896 | | | 984,861 | | | 948,705 | |
| Column 1 | Column 2 |
|---|---|
| (1) | As of December 31, 2022, we have three parcels of land. These parcels are 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 Sheet 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 National Association of Real Estate Investment Trusts (“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. Adjusted EBITDAre is calculated as EBITDAre adjusted for non-recurring items. 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 Ended | | Quarter Ended | | ||||||||||||
| | | 12/31/22 | | 12/31/22 | | | 9/30/22 | | | 6/30/22 | | | 3/31/22 | | | 12/31/21 | |
| Debt to gross asset value | | 37.4 | % | 37.4 | % | (1) | 38.9 | % | (3) | 37.6 | % | (1) | 39.6 | % | (3) | 38.4 | % |
| Debt to market capitalization ratio | | 34.4 | % | 34.4 | % | | 34.4 | % | (4) | 32.2 | % | (5) | 33.4 | % | (6) | 35.0 | % |
| Interest coverage ratio (7) | | 4.3 | x | 4.4 | x | (2) | 4.2 | x | | 4.3 | x | | 4.4 | x | | 4.3 | x |
| Fixed charge coverage ratio (7) | | 4.3 | x | 4.4 | x | (2) | 4.2 | x | | 4.3 | x | | 4.4 | x | | 4.3 | x |
| Column 1 | Column 2 |
|---|---|
| (1) | Decreased due to decrease in outstanding debt and increase in gross asset value. |
| Column 1 | Column 2 |
|---|---|
| (2) | Increased due to increase in interest expense partially offset by increase in rental income and interest income from financing receivable. |
| Column 1 | Column 2 |
|---|---|
| (3) | Increased due to increase in outstanding debt partially offset by increase in gross asset value. |
| Column 1 | Column 2 |
|---|---|
| (4) | Increased due to decrease in market capitalization and increase in outstanding debt primarily related to investments. |
| Column 1 | Column 2 |
|---|---|
| (5) | Decreased due to decrease in outstanding debt and increase in market capitalization. |
| Column 1 | Column 2 |
|---|---|
| (6) | Decreased due to increase in market capitalization partially offset by increase in outstanding debt. |
| Column 1 | Column 2 |
|---|---|
| (7) | 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 and Adjusted EBITDAre are not alternatives 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 and Adjusted 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 and Adjusted EBITDAre. |
| Column 1 | Column 2 | Column 3 | Column 4 | Column 5 | Column 6 | Column 7 | Column 8 | Column 9 | Column 10 | Column 11 | Column 12 | Column 13 | Column 14 | Column 15 | Column 16 | Column 17 | Column 18 | Column 19 | Column 20 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| | | | | | | | | | | | | | | | | | | | |
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| | | Year to Date | | Quarter Ended | | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| | | 12/31/22 | | 12/31/22 | | 9/30/22 | | 6/30/22 | | 3/31/22 | | 12/31/21 | | ||||||
| Net income | | $ | 100,584 | | $ | 18,198 | | $ | 13,389 | | $ | 54,490 | | $ | 14,507 | | $ | 12,930 | |
| Less/Add: (Gain)/loss on sale | | | (37,830) | | | (21) | | | 387 | | | (38,094) | | | (102) | | | (70) | |
| Add: Impairment loss | | | 3,422 | | | 2,136 | | | 1,286 | | | — | | | — | | | — | |
| Add: Interest expense | | | 31,437 | | | 8,830 | | | 7,941 | | | 7,523 | | | 7,143 | | | 6,933 | |
| Add: Depreciation and amortization | | | 37,496 | | | 9,294 | | | 9,385 | | | 9,379 | | | 9,438 | | | 9,449 | |
| EBITDAre | | $ | 135,109 | | $ | 38,437 | | $ | 32,388 | | $ | 33,298 | | $ | 30,986 | | $ | 29,242 | |
| Add (less): Non-recurring one-time items | | | 824 | (1) (2) (3) | | — | | | 1,260 | (1) | | (859) | (2) | | 423 | (3) | | 869 | (4) |
| Adjusted EBITDAre | | $ | 135,933 | | $ | 38,437 | | $ | 33,648 | | $ | 32,439 | | $ | 31,409 | | $ | 30,111 | |
| | | | | | | | | | | | | | | | | | | | |
| Interest expense | | $ | 31,437 | | $ | 8,830 | | $ | 7,941 | | $ | 7,523 | | $ | 7,143 | | $ | 6,933 | |
| Interest incurred | | $ | 31,437 | | $ | 8,830 | | $ | 7,941 | | $ | 7,523 | | $ | 7,143 | | $ | 6,933 | |
| | | | | | | | | | | | | | | | | | | | |
| Interest coverage ratio | | | 4.3 | x | | 4.4 | x | | 4.2 | x | | 4.3 | x | | 4.4 | x | | 4.3 | x |
| | | | | | | | | | | | | | | | | | | | |
| Interest incurred | | $ | 31,437 | | $ | 8,830 | | $ | 7,941 | | $ | 7,523 | | $ | 7,143 | | $ | 6,933 | |
| Total fixed charges | | $ | 31,437 | | $ | 8,830 | | $ | 7,941 | | $ | 7,523 | | $ | 7,143 | | $ | 6,933 | |
| | | | | | | | | | | | | | | | | | | | |
| Fixed charge coverage ratio | | | 4.3 | x | | 4.4 | x | | 4.2 | x | | 4.3 | x | | 4.4 | x | | 4.3 | x |
| Column 1 | Column 2 |
|---|---|
| (1) | Represents $500 lease termination fee paid to a former operator in exchange for cooperation in facilitating an orderly transition and $760 provision for credit losses related to the origination of financing receivable during the third quarter of 2022. |
| Column 1 | Column 2 |
|---|---|
| (2) | Represents the $1,181 lease termination fee income received in connection with the sale of a 74-unit ALF partially offset by $322 provision for credit losses related to the origination of two mortgage loans during the second quarter of 2022. |
| Column 1 | Column 2 |
|---|---|
| (3) | Represents the provision for credit losses related to the origination of a $25,000 mezzanine loan ($250) and a lease incentive balance write-off ($173) related to a closed property and subsequent lease termination. |
| Column 1 | Column 2 |
|---|---|
| (4) | Represents the provision for credit losses related to the origination of $86,900 of mortgage loans. |
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:
| Column 1 | Column 2 | Column 3 |
|---|---|---|
| ● | The status of the economy; |
| Column 1 | Column 2 | Column 3 |
|---|---|---|
| ● | The status of capital markets, including prevailing interest rates; |
| Column 1 | Column 2 | Column 3 |
|---|---|---|
| ● | Compliance with and changes to regulations and payment policies within the health care industry; |
| Column 1 | Column 2 | Column 3 |
|---|---|---|
| ● | Changes in financing terms; |
| Column 1 | Column 2 | Column 3 |
|---|---|---|
| ● | Competition within the health care and seniors housing industries; |
| Column 1 | Column 2 | Column 3 |
|---|---|---|
| ● | Changes in federal, state and local legislation; |
| Column 1 | Column 2 | Column 3 |
|---|---|---|
| ● | The duration, spread and severity of the COVID-19 outbreak. |
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
Year ended December 31, 2022 compared to year ended December 31, 2021 (in thousands):
| | | | | | | | | | | |
|---|---|---|---|---|---|---|---|---|---|---|
| | | Years ended December 31, | | | | |||||
| | | 2022 | | 2021 | | Difference | | |||
| Revenues: | | | | | | | | | | |
| Rental income | | $ | 128,244 | | $ | 121,125 | | $ | 7,119 | (1) |
| Interest income from financing receivable | | | 1,762 | | | — | | | 1,762 | (2) |
| Interest income from mortgage loans | | | 40,600 | | | 32,811 | | | 7,789 | (3) |
| Interest and other income | | | 4,547 | | | 1,386 | | | 3,161 | (4) |
| Total revenues | | | 175,153 | | | 155,322 | | | 19,831 | |
| | | | | | | | | | | |
| Expenses: | | | | | | | | | | |
| Interest expense | | | 31,437 | | | 27,375 | | | (4,062) | (5) |
| Depreciation and amortization | | | 37,496 | | | 38,296 | | | 800 | (6) |
| Impairment loss | | | 3,422 | | | — | | | (3,422) | (7) |
| Provision for credit losses | | | 1,528 | | | 1,021 | | | (507) | (8) |
| Transaction costs | | | 828 | | | 4,433 | | | 3,605 | (9) |
| Property tax expense | | | 15,486 | | | 15,392 | | | (94) | |
| General and administrative expenses | | | 23,706 | | | 21,460 | | | (2,246) | (10) |
| Total expenses | | | 113,903 | | | 107,977 | | | (5,926) | |
| | | | | | | | | | | |
| Other operating income: | | | | | | | | | | |
| Gain on sale of real estate, net | | | 37,830 | (11) | | 7,462 | (12) | | 30,368 | |
| Operating income | | | 99,080 | | | 54,807 | | | 44,273 | |
| Income from unconsolidated joint ventures | | | 1,504 | | | 1,417 | | | 87 | |
| Net income | | | 100,584 | | | 56,224 | | | 44,360 | |
| Income allocated to non-controlling interests | | | (560) | | | (363) | | | (197) | |
| Net income attributable to LTC Properties, Inc. | | | 100,024 | | | 55,861 | | | 44,163 | |
| Income allocated to participating securities | | | (580) | | | (458) | | | (122) | |
| Net income available to common stockholders | | $ | 99,444 | | $ | 55,403 | | $ | 44,041 | |
| Column 1 | Column 2 |
|---|---|
| (1) | Increased primarily due to rent received from transitioned portfolios, lease termination fee income of $1,181 received in connection with the sale of a 74-unit ALF, rental income from acquisitions, completed development projects and annual rent escalations partially offset by property sales. |
| Column 1 | Column 2 |
|---|---|
| (2) | Represents revenue from the acquisition of three SNFs located in Florida for $75,825. In accordance with ASC 842, this transaction is presented as Financing Receivable on our Consolidated Statements of Balance Sheet. See Note 5. Real Estate Investments within our consolidated financial statements for more information. |
| Column 1 | Column 2 |
|---|---|
| (3) | Increased primarily due to mortgage loan originations during 2022 and 2021 fourth quarter. |
| Column 1 | Column 2 |
|---|---|
| (4) | Increased primarily due to a mezzanine loan origination during the first quarter of 2022 and third quarter of 2021 and additional funding under working capital loans partially offset by loan payoffs. |
| Column 1 | Column 2 |
|---|---|
| (5) | Increased primarily due to the origination of two $50,000 term loans in the fourth quarter of 2021, issuance of $75,000 senior unsecured notes during the second quarter of 2022 and higher interest rates on our line of credit in 2022. |
| Column 1 | Column 2 |
|---|---|
| (6) | Decreased due to property sales. |
| Column 1 | Column 2 |
|---|---|
| (7) | Represents impairment loss related to a 60-unit ALF in Kentucky, a 70-unit ALF in Florida and a closed MC located in Florida. See Note 5. Real Estate Investments within our consolidated financial statements for more information. |
| Column 1 | Column 2 |
|---|---|
| (8) | Increased primarily due to the financing receivable origination, as discussed in (2) above, mortgage and mezzanine loan originations and capital improvement funding offset by scheduled principal paydowns. |
| Column 1 | Column 2 |
|---|---|
| (9) | Decreased primarily due to the Senior Care and Abri Health settlement and related fees paid during 2021. |
| Column 1 | Column 2 |
|---|---|
| (10) | Increased due to conference sponsorships and travel, property maintenance expense for closed properties, higher incentive compensation charges and increase in overall costs due to inflationary pressures. |
| Column 1 | Column 2 |
|---|---|
| (11) | Represents the net gain on sale of $38,057 related to a SNF located in California and three ALFs located in Virginia and California and $214 quarterly reassessment of prior years’ sale holdbacks partially offset by the net loss on sale of $441 related to a closed SNF in Texas. |
| Column 1 | Column 2 |
|---|---|
| (12) | Represents the net gain on sale of $8,157 related to a SNF in Washington and three ALFs in Wisconsin and $363 quarterly reassessment of prior years’ sale holdbacks partially offset by the net loss of sale of $1,058 related to a closed ALF in Nebraska and a closed ALF in Florida. |
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Year ended December 31, 2021 compared to year ended December 31, 2020 (in thousands):
| | | | | | | | | | | |
|---|---|---|---|---|---|---|---|---|---|---|
| | | Years ended December 31, | | | | | ||||
| | | 2021 | | 2020 | | Difference | | |||
| Revenues: | | | | | ||||||
| Rental income | | $ | 121,125 | | $ | 126,094 | | $ | (4,969) | (1) |
| Interest income from mortgage loans | | 32,811 | | 31,396 | | 1,415 | (2) | |||
| Interest and other income | | 1,386 | | 1,847 | | (461) | (3) | |||
| Total revenues | | 155,322 | | 159,337 | | (4,015) | | |||
| | | | | | | | | | | |
| Expenses: | | | | | | | | | | |
| Interest expense | | 27,375 | | 29,705 | | 2,330 | (4) | |||
| Depreciation and amortization | | 38,296 | | 39,071 | | 775 | | |||
| Impairment loss | | — | | 3,977 | | 3,977 | (5) | |||
| Provision (recovery) for credit losses | | | 1,021 | | | (3) | | | (1,024) | (6) |
| Transaction costs | | | 4,433 | | | 299 | | | (4,134) | (7) |
| Property tax expense | | | 15,392 | | | 15,065 | | | (327) | |
| General and administrative expenses | | 21,460 | | 19,710 | | (1,750) | (8) | |||
| Total expenses | | 107,977 | | 107,824 | | (153) | | |||
| | | | | | | | | | | |
| Other operating income: | | | | | | | | | | |
| Gain on sale of real estate, net | | | 7,462 | (9) | | 44,117 | (10) | | (36,655) | |
| Operating income | | | 54,807 | | 95,630 | | (40,823) | | ||
| Gain from property insurance proceeds | | | — | | | 373 | (11) | | (373) | |
| Loss on unconsolidated joint ventures | | | — | (11) | | (758) | (12) | | 758 | |
| Impairment loss from investments in unconsolidated joint ventures | | | — | | | — | | | — | |
| Income from unconsolidated joint ventures | | | 1,417 | | | 432 | | | 985 | (13) |
| Net income | | 56,224 | | 95,677 | | (39,453) | | |||
| Income allocated to non-controlling interests | | (363) | | (384) | | 21 | | |||
| Net income attributable to LTC Properties, Inc. | | 55,861 | | 95,293 | | (39,432) | | |||
| Income allocated to participating securities | | (458) | | (422) | | (36) | | |||
| Net income available to common stockholders | | $ | 55,403 | | $ | 94,871 | | $ | (39,468) | |
| Column 1 | Column 2 |
|---|---|
| (1) | Decreased primarily due to defaults of lease obligations from Senior lifestyle and Senior Care and Abri Health, abated and deferred rent, net of repayment, a $758 straight-line rent receivable write-off during 2021, a decrease in property tax revenue, reduced rent from sold properties and 50% reduction of 2021 rent escalations partially offset by a $23,214 write-off of straight-line rent receivable and lease incentive balances related to three operators during 2020, increased rent from re-leasing 18 properties previously leased to Senior lifestyle, completed development projects and contractual rent increases. |
| Column 1 | Column 2 |
|---|---|
| (2) | Increased due to mortgage loan originations and capital improvement funding offset by scheduled principal paydowns and 50% reduction of 2021 interest escalations. |
| Column 1 | Column 2 |
|---|---|
| (3) | Decreased primarily due to the payoff of a mezzanine loan offset by additional notes receivable funding. |
| Column 1 | Column 2 |
|---|---|
| (4) | Decreased due to scheduled principal payments on our senior unsecured notes and lower interest rates under our unsecured revolving line of credit partially offset by higher interest rates on $100,000 of new term loans in fourth quarter of 2021 and higher outstanding balances under our unsecured revolving line of credit. |
| Column 1 | Column 2 |
|---|---|
| (5) | Represents impairment losses related to a 48-unit ALF in Colorado and a 61-unit ALF in Florida. |
| Column 1 | Column 2 |
|---|---|
| (6) | Increased primarily due to mortgage originations and capital improvement funding offset by scheduled principal paydowns. |
| Column 1 | Column 2 |
|---|---|
| (7) | Increased due to Senior Care and Abri Health settlement and related fees. |
| Column 1 | Column 2 |
|---|---|
| (8) | Increased primarily due to higher incentive compensation expense, an increase in non-cash restricted stock and performance-based stock vesting expense and additional employees. |
| Column 1 | Column 2 |
|---|---|
| (9) | Represents the net gain on sale of $2,562 related to a SNF in Washington, $5,595 related to three ALFs in Wisconsin and $363 of quarterly reassessment of the prior years’ sale holdbacks partially offset by the net loss on sale of $200 related to a closed ALF in Nebraska and the net loss on sale of $858 related to a closed property in Florida. |
| Column 1 | Column 2 |
|---|---|
| (10) | Represents net gain on sale of 21 SNFs and additional gain due to quarterly reassessment of prior years’ sale holdbacks. |
| Column 1 | Column 2 |
|---|---|
| (11) | Represents gain on insurance proceeds related to a 114-bed SNF in Texas sold during the first quarter of 2020. |
| Column 1 | Column 2 |
|---|---|
| (12) | Relates to the sale of properties comprising a joint venture in which we had a preferred equity investment with Senior lifestyle. |
| Column 1 | Column 2 |
|---|---|
| (13) | Increased due to preferred equity investments in two unconsolidated joint ventures. |
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Funds From Operations
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 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 net income available to common stockholders to FFO attributable to common stockholders (unaudited, amounts in thousands, except per share amounts):
| | | | | | | | | | | |
|---|---|---|---|---|---|---|---|---|---|---|
| | | For the Year Ended December 31, | ||||||||
| | | 2022 | | 2021 | | 2020 | ||||
| GAAP net income available to common stockholders | | $ | 99,444 | $ | 55,403 | $ | 94,871 | | ||
| Add: Depreciation and amortization | | 37,496 | | 38,296 | | 39,071 | | |||
| Add: Impairment loss | | | 3,422 | | | — | | | 3,977 | |
| Add: Loss on unconsolidated joint ventures | | | — | | | — | | | 758 | |
| Less: Gain on sale of real estate, net | | (37,830) | | (7,462) | | (44,117) | | |||
| NAREIT FFO attributable to common stockholders | | $ | 102,532 | | $ | 86,237 | | $ | 94,560 | |
| NAREIT FFO attributable to common stockholders per share: | | | | | | | | | | |
| Basic | | $ | 2.57 | | $ | 2.20 | | $ | 2.41 | |
| Diluted | | $ | 2.56 | (1) | $ | 2.20 | | $ | 2.41 | |
| Weighted average shares used to calculate NAREIT FFO per share: | | | | | | | | | | |
| Basic | | 39,894 | | 39,156 | | 39,179 | | |||
| Diluted | | 40,296 | (2) | 39,156 | | 39,264 | (3) |
| Column 1 | Column 2 |
|---|---|
| (1) | Includes the effect of participating securities. |
| Column 1 | Column 2 |
|---|---|
| (2) | Diluted weighted average shares used to calculate FFO per share includes the effect of performance-based stock units and participating securities. |
| Column 1 | Column 2 |
|---|---|
| (3) | Diluted weighted average shares used to calculate FFO per share includes the effect of performance-based stock units. |
Critical Accounting Policies and Estimates
Our accounting policies are more fully described under Item 8. FINANCIAL STATEMENTS—Footnote 2. Summary of Significant Accounting Policies. As discussed in Footnote 2, the preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions about future events that affect the amounts reported in our consolidated financial statements and accompanying notes. Actual results could differ from those estimates. Listed below are those policies and estimates that we believe are critical and require the use of significant judgement in their application.
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Table of Contents
Impairment of Long-Lived Assets
Assets that are classified as held-for-use are periodically evaluated for impairment when events or changes in circumstances indicate that the asset may be impaired or the carrying amount of the asset may not be recoverable through future undiscounted cash flows. Where indicators of impairment exist, the estimation required in the undiscounted future cash flow assumption includes management’s probability-weighting of various scenarios such as modifying the lease with the existing operator, identifying a replacement operator or sale of the real property investment. In addition, the undiscounted future cashflows include management’s assumptions of rental revenues, net operating income, capitalization rates and expected hold periods. In determining fair value, we use current appraisals or other third-party opinions of value and other estimates of fair value such as estimated discounted future cash flows.
Collectability of operator obligations
We assess the collectability of substantially all our lease payments through maturity. If collectability is not probable, all or a portion of our straight-line rent receivables and other lease receivables may be written-off. In order to assess our lease payments for collectability, we make assumptions that include evaluating lessee’s payment history, the financial strength of the lessee, future market conditions and contractual rents, and timing of expected payments. Our ability to accurately predict collectability of substantially all of our lease payments impacts the timing of straight-line rent and other lease receivable write-offs, if any. While we believe our assumptions are reasonable, changes in these assumptions may have a material impact on our consolidated financial statements.
Liquidity and Capital Resources
Sources and Uses of Cash
As of December 31, 2022, we had a total of $10.4 million of cash and cash equivalents, $270.0 million available under our unsecured revolving line of credit and the potential ability to access the capital markets through the issuance of $130.6 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.
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 by financing and investing activities are sensitive to the capital markets’ environment, especially to changes in interest rates. In addition, 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 properties 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, inflation pressures, employee availability and cost, changes in supply of or demand for competing seniors housing and health care facilities, ability to hire and maintain qualified staff, ability to control rising operating costs, the potential for significant reforms in the health care industry, and the ongoing 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 continuing impact of COVID-19 or the impact of any other infectious disease outbreaks. We cannot presently predict what impact these potential events may have, if any. We believe that adequate provision has been made for the possibility of loans proving uncollectable 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 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 our current dividend, corporate expenses and additional capital investments in 2023.
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Our investments, principally our investments in owned properties, financing leases 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 issuance 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 administrative expenses. These sources and uses of cash are reflected in our Consolidated Statements of Cash Flows as summarized below (in thousands):
| | | | | | | | | | | |
|---|---|---|---|---|---|---|---|---|---|---|
| | | Year Ended December 31, | | | Change | | ||||
| Cash provided by (used in): | | 2022 | | 2021 | | | $ | | ||
| Operating activities | | $ | 105,586 | | $ | 91,184 | | $ | 14,402 | |
| Investing activities | | | (119,949) | | | (69,786) | | | (50,163) | |
| Financing activities | | | 19,581 | | | (24,009) | | | 43,590 | |
| Increase (decrease) in cash and cash equivalents | | | 5,218 | | | (2,611) | | | 7,829 | |
| Cash and cash equivalents, beginning of period | | | 5,161 | | | 7,772 | | | (2,611) | |
| Cash and cash equivalents, end of period | | $ | 10,379 | | $ | 5,161 | | $ | 5,218 | |
Debt Obligations
Unsecured Credit Facility. We had an unsecured credit agreement (the “Original Credit Agreement”) that provided for a revolving aggregate commitment of the lenders of up to $600.0 million with the opportunity to increase the commitment size of the credit agreement up to a total of $1.0 billion. The Original Credit Agreement’s maturity was on June 27, 2022 and provided for a one-year extension option at our discretion, subject to customary conditions.
In advance of expiration of the Original Credit Agreement, during the fourth quarter of 2021, we entered into the Third Amended and Restated Credit Agreement (the “Credit Agreement”) to replace the Original Credit Agreement. The Credit Agreement decreased the aggregate commitment of the lenders under the Original Credit Agreement to $500.0 million comprised of a $400.0 million revolving credit facility (the “Revolving Line of Credit”) and two $50.0 million term loans (the “Term Loans”). The Credit Agreement permits us to request increases to the Revolving Line of Credit and Term Loans commitments up to a total of $1.0 billion, extends the maturity of the Revolving Line of Credit to November 19, 2025 and provides for a one-year extension option at our discretion, subject to customary conditions. The Term Loans mature on November 19, 2025 and November 19, 2026. During the fourth quarter of 2022, we entered into the First Amendment to the Third Amended and Restated Credit Agreement (the “Amended Credit Agreement”) to replace London Interbank Offered Rate (“LIBOR”) with the Secured Overnight Financing Rate (“SOFR”), plus a credit spread adjustment of 10 basis points, (“Adjusted SOFR”) as the reference rate for purpose of calculating interest under the Amended Credit Agreement. Other material terms of the Credit Agreement remain unchanged. Based on our leverage at December 31, 2022, the Revolving Line of Credit provides for interest annually at Adjusted SOFR plus 115 points and a facility fee of 20 basis point and the Term Loans provide for interest annually at Adjusted SOFR plus 135 points.
Interest Rate Swap Agreement. In connection with entering into the Term Loans as discussed above, we entered into two receive variable/pay fixed interest rate swap agreements (“Interest Rate Swaps”) with maturities of November 19, 2025 and November 19, 2026, respectively, that will effectively lock-in the forecasted interest payments on the Term Loan borrowings over the four and five year terms of the loans. The Interest Rate Swaps are considered cash flow hedges and are recorded on our Consolidated Balance Sheets at fair value, with changes in the fair value of these instruments recognized in Accumulated other comprehensive income (loss) on our Consolidated Balance Sheets. In connection with entering into the Amended Credit Agreement discussed above, we entered into amendments to our Interest Rate Swaps to account for SOFR as the updated reference rate in the Amended Credit Agreement. During 2022 and 2021, we recorded a $8.9 million increase and $0.2 million decrease, respectively, in fair value of Interest Rate Swaps.
Senior Unsecured Notes. We have senior unsecured notes held by institutional investors with interest rates
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ranging from 3.66% to 5.03%. The senior unsecured notes mature between 2024 and 2033. During 2022, we sold $75.0 million aggregate principal amount of 3.66% senior unsecured notes. The notes have an average 10-year life, scheduled principal payments and mature in May 2033.
The debt obligations by component as of December 31, 2022 are as follows (dollar amounts in thousands):
| | | | | | | | | |
|---|---|---|---|---|---|---|---|---|
| | | Applicable | | | | | Available | |
| | | Interest | | Outstanding | | for | ||
| Debt Obligations | | Rate (1) | | Balance | | Borrowing | ||
| Revolving line of credit (2) | | 5.38% | | $ | 130,000 | | $ | 270,000 |
| Term loans, net of debt issue costs | | 2.69% | | | 99,511 | | | — |
| Senior unsecured notes, net of debt issue costs (3) | | 4.25% | | | 538,343 | | | — |
| Total | | 4.24% | | $ | 767,854 | | $ | 270,000 |
| Column 1 | Column 2 |
|---|---|
| (1) | Represents weighted average of interest rate as of December 31, 2022. |
| Column 1 | Column 2 |
|---|---|
| (2) | Subsequent to December 31, 2022, we borrowed $162,700 under our Revolving Line of Credit. Accordingly, we have $292,700 outstanding and $107,300 available for borrowing under our Revolving Line of Credit. |
| Column 1 | Column 2 |
|---|---|
| (3) | Subsequent to December 31, 2022, we paid $7,000 under our senior unsecured notes. Accordingly, we have $531,343 outstanding, net of debt issue costs, under our senior unsecured notes. |
Our debt borrowings and repayments during the year ended December 31, 2022, are as follows (in thousands):
| | | | | | | | |
|---|---|---|---|---|---|---|---|
| Debt Obligations | | | Borrowings | | | Repayments | |
| Revolving line of credit (1) | | $ | 194,000 | | $ | (174,900) | |
| Senior unsecured notes (2) | | | 75,000 | | | (48,160) | |
| Total | | $ | 269,000 | | $ | (223,060) | |
| Column 1 | Column 2 |
|---|---|
| (1) | Subsequent to December 31, 2022, we borrowed $162,700 under our Revolving Line of Credit. Accordingly, we have $292,700 outstanding and $107,300 available for borrowing under our Revolving Line of Credit. |
| Column 1 | Column 2 |
|---|---|
| (2) | Subsequent to December 31, 2022, we paid $7,000 under our senior unsecured notes. Accordingly, we have $531,343 outstanding, net of debt issue costs, under our senior unsecured notes. |
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Equity
Non-controlling Interests. We have entered into partnerships to develop and/or own real estate. Given that our limited members do not have substantive kick-out rights, liquidation rights, or participation rights, we have concluded that the partnerships are VIEs. Since 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 at cost. As of December 31, 2022, we have the following consolidated VIEs (in thousands):
| | | | | | | | | | | | | | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| | | | | | | | | | Gross | | | | |
| Investment | | | | Property | | | | | Consolidated | | | Non-Controlling | |
| Year (1) | | Purpose | | Type | | State | | | Assets | | | Interests | |
| 2022 | | Owned real estate | (2) | SNF | | FL | | $ | 76,767 | | $ | 14,325 | |
| 2018 | | Owned real estate | | ILF | | OR | | | 14,650 | | | 2,906 | |
| 2018 | | Owned real estate and development | | ALF/MC | | OR | | | 18,452 | | | 1,164 | |
| 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 | | | | | | | | $ | 143,556 | | $ | 21,941 | |
| Column 1 | Column 2 |
|---|---|
| (1) | Subsequent to December 31, 2022, we entered into a $121,321 JV with an affiliate of an existing operator and contributed $117,900 into the JV that purchased 11 ALF and MC from an affiliate of our JV partner. The JV leased the communities back to an affiliate of the seller under a 10-year master lease, with two five-year renewal options. The contractual initial cash yield of 7.25% increases to 7.5% in year three then escalates thereafter based on CPI subject to a floor of 2.0% and a ceiling of 4.0%. Additionally, the JV provided the seller-lessee with a purchase option to buy up to 50% of the properties at the beginning of the third lease year and the remaining properties at the beginning of the fourth lease year through the end of the sixth lease year, with an exit IRR of 9.0%. In accordance with GAAP, the communities acquired by the JV are required to be presented as a Financing receivable on our Consolidated Balance Sheets. See Note 2. Summary of Significant Accounting Policies and Note 5. Real Estate Investments for more information. |
| Column 1 | Column 2 |
|---|---|
| (2) | During 2022, we entered into a joint venture and contributed $61,661 into the JV that purchased three SNFs located in Florida for $75,825. Our JV partner contributed the remaining $14,325 of equity. The JV leased the centers back to an affiliate of the seller under a 10-year master lease, with two five-year renewal options and provided the seller-lessee with a purchase option, exercisable at the beginning of the fourth year through the end of the fifth year. In accordance with GAAP, the centers acquired by the JV are required to be presented as a Financing receivable on our Consolidated Balance Sheets. See Note 2. Summary of Significant Accounting Policies and Note 5. Real Estate Investments for more information. |
At December 31, 2022, we had 41,262,191 shares of common stock outstanding, equity on our balance sheet totaled $850.3 million and our equity securities had a market value of $1.5 billion. During the year ended December 31, 2022, we declared and paid $91.5 million of cash dividends.
Common Stock. We have separate equity distribution agreements (collectively, “Equity Distribution Agreements”) to offer and sell, from time to time, up to $200.0 million in aggregate offering price of our common shares. The Equity Distribution Agreements provide for sales of common shares to be made by means of ordinary brokers’ transactions, which may include block trades, or transactions that are deemed to be “at the market” offerings. During the year ended December 31, 2022, we sold 1,792,400 shares of common stock for $68.2 million in net proceeds under our Equity Distribution Agreements. In conjunction with the sale of common stock, we incurred $0.5 million costs associated with this agreement which have been recorded in additional paid in capital as a reduction of proceeds received. At December 31, 2022, we had $130.6 million available under our equity distribution agreement.
During 2022, we acquired 39,463 shares of common stock held by employees who tendered owned shares to satisfy tax withholding obligations. Subsequent to December 31, 2022, we declared a monthly cash dividend of $0.19 per share on our common stock for the months of January, February and March 2023, payable on January 31, February 28 and March 31, 2023, respectively, to stockholders of record on January 23, February 17, and March 23, 2023, respectively.
Stock Based Compensation Plans. During 2021, we adopted, and our shareholders approved the 2021 Equity Participation Plan (the “2021 Plan”) which replaces the 2015 Equity Participation Plan (the “2015 Plan”). Under the 2021 Plan, 1,900,000 shares of common stock have been authorized and reserved for awards, less one share for every one share that was subject to an award granted under the 2015 Plan after December 31, 2020 and prior to adoption. In addition, any shares that are not issued under outstanding awards under the 2015 Plan because the shares were forfeited
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or cancelled after December 31, 2020 will be added to and again be available for awards under the 2021 Plan. Under the 2021 Plan, the shares were authorized and reserved for awards to officers, employees, non-employee directors and consultants. The terms of the awards granted under the 2021 Plan and the 2015 Plan are set by our compensation committee at its discretion.
Restricted Stock and Performance-based Stock Units. During 2022, we granted 221,542 shares of restricted common stock and performance-based stock units under the 2021 Plan as follows:
| | | | | | | | | |
|---|---|---|---|---|---|---|---|---|
| No. of | | Price per | | | | | | |
| Shares | | Share | | Award Type | | Vesting Period | | |
| 122,865 | | $ | 33.94 | | Restricted stock | | ratably over 3 years | |
| 86,332 | | $ | 33.94 | | Performance-based stock units | | TSR targets (1) | |
| 12,345 | | $ | 38.48 | | Restricted stock | | May 25,2023 | |
| 221,542 | | | | | | | | |
| Column 1 | Column 2 |
|---|---|
| (1) | Vesting is based on achieving certain total shareholder return (“TSR”) targets in 4 years with acceleration opportunity in 3 years. |
At December 31, 2022, 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 (dollar amounts in thousands):
| | | | |
|---|---|---|---|
| | | Remaining | |
| | | Compensation | |
| Vesting Date | | Expense | |
| 2023 | | $ | 5,603 |
| 2024 | | | 2,853 |
| 2025 | | | 309 |
| Total | | $ | 8,765 |
Stock Options. We did not issue any stock options during the year ended December 31, 2022. At December 31, 2022, we have 10,000 stock options outstanding and exercisable.
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Material Cash Requirements
We monitor our contractual obligations and commitments detailed above to ensure funds are available to meet obligations when due. The following table represents our long-term contractual obligations (scheduled principal payments and amounts due at maturity) as of December 31, 2022, excluding the effects of interest and debt issue costs (in thousands):
| | | | | | | | | | | | | | | | | | | | | | | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| | | Total | | 2023 | | 2024 | | 2025 | | 2026 | | 2027 | | Thereafter | ||||||||
| Revolving line of credit | | $ | 130,000 | (1) | $ | — | | $ | — | | $ | 130,000 | (1) | $ | | | $ | — | | $ | — | |
| Term loans | | | 100,000 | | | — | | | — | | | 50,000 | | | 50,000 | | | — | | | — | |
| Senior unsecured notes | | 539,820 | (2) | 49,160 | (2) | 49,160 | | 49,500 | | 51,500 | | | 54,500 | | 286,000 | | ||||||
| | | $ | 769,820 | | $ | 49,160 | | $ | 49,160 | | $ | 229,500 | | $ | 101,500 | | $ | 54,500 | | $ | 286,000 | |
| Column 1 | Column 2 |
|---|---|
| (1) | Subsequent to December 31, 2022, we had a net borrowing of $162,700 under our unsecured revolving line of credit. Accordingly, we have $292,700 outstanding and $107,300 available for borrowing under our unsecured revolving line of credit. |
| Column 1 | Column 2 |
|---|---|
| (2) | Subsequent to December 31, 2022, we paid $7,000 under our senior unsecured notes, accordingly we have $531,343 outstanding, net of debt issue costs, under our senior unsecured notes. |
The following table represents our projected interest expense, excluding capitalized interest, amortization of debt issue costs and bank fees, as of December 31, 2022 (in thousands):
| | | | | | | | | | | | | | | | | | | | | | | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| | Total | 2023 | 2024 | 2025 | 2026 | 2027 | Thereafter | |||||||||||||||
| Revolving line of credit | | $ | 22,475 | | $ | 7,898 | | $ | 7,919 | | $ | 6,658 | | $ | — | | $ | — | | $ | — | |
| Term loans | | | 9,265 | | | 2,727 | | | 2,734 | | | 2,570 | | | 1,234 | | | — | | | — | |
| Senior unsecured notes | | 114,749 | | 21,748 | | 19,492 | | 17,281 | | 15,218 | | 13,154 | | 27,856 | | |||||||
| | | $ | 146,489 | | $ | 32,373 | | $ | 30,145 | | $ | 26,509 | | $ | 16,452 | | $ | 13,154 | | $ | 27,856 | |
Also, see Item 8. FINANCIAL STATEMENTS— Note 11. Commitments and Contingencies for additional information regarding our contractual commitments.