EX-99.3 4 ex99312312019.htm EXHIBIT 99.3
Exhibit 99.3
Discussion and
Reconciliation of Non-
GAAP Financial Measures
December 31, 2019
(Unaudited)

Definitions

Adjusted Fixed Charge Coverage Adjusted EBITDAre divided by Fixed Charges. Adjusted Fixed Charge Coverage is a supplemental measure of liquidity and our ability to meet interest payments on our outstanding debt and pay dividends to our preferred stockholders, if applicable. Our various debt agreements contain covenants that require us to maintain ratios similar to Adjusted Fixed Charge Coverage and credit rating agencies utilize similar ratios in evaluating and determining the credit rating on certain of our debt instruments. Adjusted Fixed Charge Coverage is subject to the same limitations and qualifications as Adjusted EBITDAre and Fixed Charges.
Cash Operating Expenses Cash Operating Expenses represent property level operating expenses (which exclude transition costs) after eliminating the effects of straight-line rents, lease termination fees, actuarial reserves for insurance claims that have been incurred but not reported, and the impact of deferred community fee expense.
Cash Real Estate Revenues Cash Real Estate Revenues represent rental and related revenues, resident fees and services, and income from DFLs after eliminating the effects of straight-line rents, DFL non-cash interest, amortization of market lease intangibles, lease termination fees, and the impact of deferred community fee income.
Consolidated Debt The carrying amount of bank line of credit, commercial paper, term loans, senior unsecured notes, mortgage debt, and other debt, as reported in our consolidated financial statements.
Consolidated Gross Assets The carrying amount of total assets, excluding investments in and advances to our unconsolidated JVs, after adding back accumulated depreciation and amortization, as reported in our consolidated financial statements. Consolidated Gross Assets is a supplemental measure of our financial position, which, when used in conjunction with debt-related measures, enables both management and investors to analyze our leverage and to compare our leverage to that of other companies.
Consolidated Secured Debt Mortgage and other debt secured by real estate, as reported in our consolidated financial statements.
Debt Investments Loans secured by a direct interest in real estate and mezzanine loans.
Direct Financing Lease ("DFL") Lease for which future minimum lease payments are recorded as a receivable and the difference between the future minimum lease payments and the estimated residual values less the cost of the properties is recorded as unearned income. Unearned income is deferred and amortized to income over the lease terms to provide a constant yield.
EBITDAre and Adjusted EBITDAre EBITDAre, or EBITDA for Real Estate, is a supplemental performance measure defined by the National Association of Real Estate Investment Trusts (“NAREIT”) and intended for real estate companies. It represents earnings before interest expense, income taxes, depreciation and amortization, gains or losses from sales of depreciable property (including gains or losses on change in control), and impairment charges (recoveries) related to depreciable property. Adjusted EBITDAre is defined as EBITDAre excluding impairments (recoveries) related to non-depreciable assets, transaction-related items, prepayment costs (benefits) associated with early retirement or payment of debt, severance and related charges, litigation costs (recoveries), casualty-related charges (recoveries), stock compensation expense, and foreign currency remeasurement losses (gains), and is adjusted to include our share of CCRC non-refundable entrance fees received. EBITDAre and Adjusted EBITDAre include our pro rata share of our unconsolidated JVs presented on the same basis. We consider EBITDAre and Adjusted EBITDAre important supplemental measures to net income (loss) because they provide an additional manner in which to evaluate our operating performance and serve as additional indicators of our ability service our debt obligations. Net income (loss) is the most directly comparable U.S. generally accepted accounting principles (“GAAP”) measure to EBITDAre and Adjusted EBITDAre.
Enterprise Debt Consolidated Debt plus our pro rata share of total debt from our unconsolidated JVs. Enterprise Debt is a supplemental measure of our financial position, which enables both management and investors to analyze our leverage and to compare our leverage to that of other companies. Our pro rata share information is calculated by applying our actual ownership percentage for the period and excludes debt funded by us to our JVs. Our pro rata share of total debt from our unconsolidated JVs is not intended to reflect our actual liability or ability to access assets should there be a default under any or all such loans or a liquidation of the JVs.
Enterprise Gross Assets Consolidated Gross Assets plus our pro rata share of total gross assets from our unconsolidated JVs, after adding back accumulated depreciation and amortization. Enterprise Gross Assets is a supplemental measure of our financial position, which, when used in conjunction with debt-related measures, enables both management and investors to analyze our leverage and to compare our leverage to that of other companies.
Enterprise Secured Debt Consolidated Secured Debt plus our pro rata share of mortgage debt from our unconsolidated JVs. Enterprise Secured Debt is a supplemental measure of our financial position, which enables both management and investors to analyze our leverage and to compare our leverage to that of other companies. Our pro rata share of Enterprise Secured Debt from our unconsolidated JVs is not intended to reflect our actual liability or ability to access assets should there be a default under any or all such loans or a liquidation of the JVs.

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Definitions

Entrance Fee Certain of our communities have residency agreements which require the resident to pay an upfront entrance fee prior to taking occupancy at the community. For net income, NOI and NAREIT FFO, the non-refundable portion of the entrance fee is recorded as deferred entrance fee revenue and amortized over the estimated stay of the resident based on an actuarial valuation. For Cash NOI and FAD, the non-refundable entrance fees ("NREFs") are recognized upon receipt, net of a reserve for statutory refunds due to early terminations. The refundable portion of a resident’s entrance fee is generally refundable within a certain number of months or days following contract termination or upon the sale of the unit. All refundable amounts due to residents at any time in the future are classified as liabilities.
Financial Leverage Enterprise Debt divided by Enterprise Gross Assets. Financial Leverage is a supplemental measure of our financial position, which enables both management and investors to analyze our leverage and to compare our leverage to that of other companies. Our pro rata share information is calculated by applying our actual ownership percentage for the period and excludes debt funded by us to our JVs. Our pro rata share of total debt from our unconsolidated JVs is not intended to reflect our actual liability or ability to access assets should there be a default under any or all such loans or a liquidation of the JVs.
Fixed Charges Total interest expense plus capitalized interest plus preferred stock dividends (if applicable). Fixed Charges also includes our pro rata share of the interest expense plus capitalized interest plus preferred stock dividends (if applicable) of our unconsolidated JVs. Fixed Charges is a supplemental measure of our interest payments on outstanding debt and dividends to preferred stockholders for purposes of presenting Fixed Charge Coverage and Adjusted Fixed Charge Coverage. Fixed Charges is subject to limitations and qualifications, as, among other things, it does not include all contractual obligations.
Funds Available for Distribution (“FAD”) FAD is defined as FFO as Adjusted after excluding the impact of the following: (i) amortization of deferred compensation expense, (ii) amortization of deferred financing costs, net, (iii) straight-line rents, (iv) deferred income taxes, (v) amortization of acquired market lease intangibles, net, (vi) non-cash interest related to DFLs and lease incentive amortization (reduction of straight-line rents), (vii) actuarial reserves for insurance claims that have been incurred but not reported, and (viii) deferred revenues, excluding amounts amortized into rental income that are associated with tenant funded improvements owned/recognized by us and up-front cash payments made by tenants to reduce their contractual rents. Also, FAD: (i) is computed after deducting recurring capital expenditures, including second generation leasing costs and second generation tenant and capital improvements and (ii) includes lease restructure payments and adjustments to compute our share of FAD from our unconsolidated joint ventures and those related to CCRC non-refundable entrance fees. Certain prior period amounts in the “Non-GAAP Financial Measures Reconciliation” below for FAD have been reclassified to conform to the current period presentation. More specifically, recurring capital expenditures, including second generation leasing costs and second generation tenant and capital improvements ("FAD capital expenditures") excludes our share from unconsolidated joint ventures (reported in “other FAD adjustments”). Adjustments for joint ventures are calculated to reflect our pro-rata share of both our consolidated and unconsolidated joint ventures. We reflect our share of FAD for unconsolidated joint ventures by applying our actual ownership percentage for the period to the applicable reconciling items on an entity by entity basis. We reflect our share for consolidated joint ventures in which we do not own 100% of the equity by adjusting our FAD to remove the third party ownership share of the applicable reconciling items based on actual ownership percentage for the applicable periods (reported in “other FAD adjustments”). See FFO for further disclosure regarding our use of pro-rata share information and its limitations. Other REITs or real estate companies may use different methodologies for calculating FAD, and accordingly, our FAD may not be comparable to those reported by other REITs. Although our FAD computation may not be comparable to that of other REITs, management believes FAD provides a meaningful supplemental measure of our performance and is frequently used by analysts, investors, and other interested parties in the evaluation of our performance as a REIT. We believe FAD is an alternative run-rate earnings measure that improves the understanding of our operating results among investors and makes comparisons with: (i) expected results, (ii) results of previous periods, and (iii) results among REITs more meaningful. FAD does not represent cash generated from operating activities determined in accordance with GAAP and is not necessarily indicative of cash available to fund cash needs as it excludes the following items which generally flow through our cash flows from operating activities: (i) adjustments for changes in working capital or the actual timing of the payment of income or expense items that are accrued in the period, (ii) transaction-related costs, (iii) litigation settlement expenses, (iv) severance-related expenses, and (v) actual cash receipts from interest income recognized on loans receivable (in contrast to our FAD adjustment to exclude non-cash interest and depreciation related to our investments in direct financing leases). Furthermore, FAD is adjusted for recurring capital expenditures, which are generally not considered when determining cash flows from operations or liquidity. FAD is a non-GAAP supplemental financial measure and should not be considered as an alternative to net income (loss) determined in accordance with GAAP.
Funds From Operations (“FFO”) FFO encompasses NAREIT FFO and FFO as Adjusted, each of which is described in detail below. We believe FFO applicable to common shares, diluted FFO applicable to common shares, and diluted FFO per common share are important supplemental non-GAAP measures of operating performance for a REIT. Because the historical cost accounting convention used for real estate assets utilizes straight-line depreciation (except on land), such accounting presentation implies that the value of real estate assets diminishes predictably over time. Since real estate values instead have historically risen and fallen with market conditions, presentations of operating results for a REIT that use historical cost accounting for depreciation could be less informative. The term FFO was designed by the REIT industry to address this issue.
NAREIT FFO. FFO, as defined by the National Association of Real Estate Investment Trusts (“NAREIT”), is net income (loss) applicable to common shares (computed in accordance with GAAP), excluding gains or losses from sales of depreciable property, including any current and deferred taxes directly associated with sales of depreciable property, impairments of, or related to, depreciable real estate, plus real estate and other real estate-related depreciation and amortization, and adjustments to compute

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Definitions

our share of NAREIT FFO and FFO as Adjusted (see below) from joint ventures. Adjustments for joint ventures are calculated to reflect our pro-rata share of both our consolidated and unconsolidated joint ventures. We reflect our share of NAREIT FFO for unconsolidated joint ventures by applying our actual ownership percentage for the period to the applicable reconciling items on an entity by entity basis. For consolidated joint ventures in which we do not own 100%, we reflect our share of the equity by adjusting our NAREIT FFO to remove the third party ownership share of the applicable reconciling items based on actual ownership percentage for the applicable periods. Our pro-rata share information is prepared on a basis consistent with the comparable consolidated amounts, is intended to reflect our proportionate economic interest in the operating results of properties in our portfolio and is calculated by applying our actual ownership percentage for the period. We do not control the unconsolidated joint ventures, and the pro-rata presentations of reconciling items included in NAREIT FFO do not represent our legal claim to such items. The joint venture members or partners are entitled to profit or loss allocations and distributions of cash flows according to the joint venture agreements, which provide for such allocations generally according to their invested capital.
The presentation of pro-rata information has limitations, which include, but are not limited to, the following: (i) the amounts shown on the individual line items were derived by applying our overall economic ownership interest percentage determined when applying the equity method of accounting and do not necessarily represent our legal claim to the assets and liabilities, or the revenues and expenses and (ii) other companies in our industry may calculate their pro-rata interest differently, limiting the usefulness as a comparative measure. Because of these limitations, the pro-rata financial information should not be considered independently or as a substitute for our financial statements as reported under GAAP. We compensate for these limitations by relying primarily on our GAAP financial statements, using the pro-rata financial information as a supplement.
NAREIT FFO does not represent cash generated from operating activities in accordance with GAAP, is not necessarily indicative of cash available to fund cash needs and should not be considered an alternative to net income (loss). We compute NAREIT FFO in accordance with the current NAREIT definition; however, other REITs may report NAREIT FFO differently or have a different interpretation of the current NAREIT definition from ours.
FFO as Adjusted. In addition, we present NAREIT FFO on an adjusted basis before the impact of non-comparable items including, but not limited to, transaction-related items, impairments (recoveries) of non-depreciable assets, losses (gains) from the sale of non-depreciable assets, severance and related charges, prepayment costs (benefits) associated with early retirement or payment of debt, litigation costs (recoveries), casualty-related charges (recoveries), foreign currency remeasurement losses (gains), and changes in tax legislation (“FFO as Adjusted”). Transaction-related items include transaction expenses and gains/charges incurred as a result of mergers and acquisitions and lease amendment or termination activities. Prepayment costs (benefits) associated with early retirement of debt include the write-off of unamortized deferred financing fees, or additional costs, expenses, discounts, make-whole payments, penalties or premiums incurred as a result of early retirement or payment of debt. Management believes that FFO as Adjusted provides a meaningful supplemental measurement of our FFO run-rate and is frequently used by analysts, investors, and other interested parties in the evaluation of our performance as a REIT. At the same time that NAREIT created and defined its FFO measure for the REIT industry, it also recognized that “management of each of its member companies has the responsibility and authority to publish financial information that it regards as useful to the financial community.” We believe stockholders, potential investors, and financial analysts who review our operating performance are best served by an FFO run-rate earnings measure that includes certain other adjustments to net income (loss), in addition to adjustments made to arrive at the NAREIT defined measure of FFO. FFO as Adjusted is used by management in analyzing our business and the performance of our properties and we believe it is important that stockholders, potential investors, and financial analysts understand this measure used by management. We use FFO as Adjusted to: (i) evaluate our performance in comparison with expected results and results of previous periods, relative to resource allocation decisions, (ii) evaluate the performance of our management, (iii) budget and forecast future results to assist in the allocation of resources, (iv) assess our performance as compared with similar real estate companies and the industry in general, and (v) evaluate how a specific potential investment will impact our future results. Other REITs or real estate companies may use different methodologies for calculating an adjusted FFO measure, and accordingly, our FFO as Adjusted may not be comparable to those reported by other REITs.
Investment and Portfolio Investment Represents: (i) the carrying amount of real estate assets and intangibles, after adding back accumulated depreciation and amortization and (ii) the carrying amount of DFLs and Debt Investments. Portfolio Investment also includes our pro rata share of the real estate assets and intangibles held in our unconsolidated JVs, presented on the same basis as Investment, less the value attributable to refundable Entrance Fee liabilities. Investment and Portfolio Investment exclude land held for development.
Net Debt Enterprise Debt less the carrying amount of cash and cash equivalents as reported in our consolidated financial statements and our pro rata share of cash and cash equivalents from our unconsolidated JVs. Consolidated Debt is the most directly comparable GAAP measure to Net Debt. Net Debt is a supplemental measure of our financial position, which enables both management and investors to analyze our leverage and to compare our leverage to that of other companies.
Net Debt to Adjusted EBITDAre Net Debt divided by Adjusted EBITDAre is a supplemental measure of our ability to decrease our debt. Because we may not be able to use our cash to reduce our debt on a dollar-for-dollar basis, this measure may have material limitations.

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Definitions

Net Operating Income from Continuing Operations (“NOI”) and Cash NOI NOI and Adjusted NOI are non-U.S. generally accepted accounting principles (“GAAP”) supplemental financial measures used to evaluate the operating performance of real estate. NOI is defined as real estate revenues (inclusive of rental and related revenues, resident fees and services, and income from direct financing leases), less property level operating expenses (which exclude transition costs); NOI excludes all other financial statement amounts included in net income (loss). Management believes NOI provides relevant and useful information because it reflects only income and operating expense items that are incurred at the property level and presents them on an unlevered basis. Adjusted NOI is calculated as NOI after eliminating the effects of straight-line rents, DFL non-cash interest, amortization of market lease intangibles, termination fees, actuarial reserves for insurance claims that have been incurred but not reported, and the impact of deferred community fee income and expense. Adjusted NOI is oftentimes referred to as “Cash NOI.” NOI and Adjusted NOI exclude our share of income (loss) generated by unconsolidated joint ventures, which is recognized in equity income (loss) from unconsolidated joint ventures in the consolidated statements of operations. We use NOI and Adjusted NOI to make decisions about resource allocations, to assess and compare property level performance, and to evaluate our same property portfolio (“SPP”), as described below. We believe that net income (loss) is the most directly comparable GAAP measure to NOI and Adjusted NOI. NOI and Adjusted NOI should not be viewed as alternative measures of operating performance to net income (loss) as defined by GAAP since they do not reflect various excluded items. Further, our definitions of NOI and Adjusted NOI may not be comparable to the definitions used by other REITs or real estate companies, as they may use different methodologies for calculating NOI and Adjusted NOI.
Operating expenses generally relate to leased medical office and life science properties and SHOP facilities. We generally recover all or a portion of our leased medical office and life science property expenses through tenant recoveries. We present expenses as operating or general and administrative based on the underlying nature of the expense.
Portfolio Income Cash NOI plus interest income plus our pro rata share of Cash NOI from our unconsolidated JVs.
Real Estate Revenues Real Estate Revenues include rental related revenues, tenant recoveries, resident fees and services and income from DFLs.
Revenue Per Occupied Room ("REVPOR") SHOP The 3-month average Cash Real Estate Revenues per occupied unit for the most recent period available. REVPOR SHOP excludes newly completed assets under lease-up, assets sold, acquired or transitioned to a new operating structure (such as triple-net to SHOP) during the relevant period, assets in redevelopment, assets that are held for sale, and assets that experienced a casualty event that significantly impacted operations. REVPOR SHOP is a non-GAAP supplemental financial measure used to evaluate the revenue-generating capacity and profit potential of our SHOP assets independent of fluctuating occupancy rates. It is also used in comparison against industry and competitor statistics, if known, to evaluate the quality of our SHOP assets.
RIDEA A structure whereby a taxable REIT subsidiary is permitted to rent a healthcare facility from its parent REIT and hire an independent contractor to operate the facility.
Same Property Portfolio SPP NOI and Adjusted (Cash) NOI information allows us to evaluate the performance of our property portfolio under a consistent population by eliminating changes in the composition of our consolidated portfolio of properties. SPP NOI excludes certain non-property specific operating expenses that are allocated to each operating segment on a consolidated basis.
Properties are included in SPP once they are stabilized for the full period in both comparison periods. Newly acquired operating assets are generally considered stabilized at the earlier of lease-up (typically when the tenant(s) control(s) the physical use of at least 80% of the space) or 12 months from the acquisition date. Newly completed developments and redevelopments are considered stabilized at the earlier of lease-up or 24 months from the date the property is placed in service. Properties that experience a change in reporting structure, such as a transition from a triple-net lease to a RIDEA reporting structure, are considered stabilized after 12 months in operations under a consistent reporting structure. A property is removed from SPP when it is classified as held for sale, sold, placed into redevelopment, experiences a casualty event that significantly impacts operations or a change in reporting structure has been agreed to (such as triple-net to SHOP).
Secured Debt Ratio Enterprise Secured Debt divided by Enterprise Gross Assets. Secured Debt Ratio is a supplemental measure of our financial position, which enables both management and investors to analyze our leverage and to compare our leverage to that of other companies. Our pro rata share information is calculated by applying our actual ownership percentage for the period and excludes debt funded by us to our JVs. Our pro rata share of Total Secured Debt from our unconsolidated JVs is not intended to reflect our actual liability or ability to access assets should there be a default under any or all such loans or a liquidation of the JVs.
Segments Our portfolio is comprised of investments in the following healthcare segments: (i) senior housing triple-net, (ii) senior housing operating portfolio (“SHOP”), (iii) life science (iv) medical office, and (v) other non-reportable segments (“Other”).
Share of Unconsolidated Joint Ventures ("JVs") Our pro rata share information is prepared on a basis consistent with the comparable consolidated amounts by applying our actual ownership percentage for the period and is intended to reflect our proportionate economic interest in the financial position and operating results of properties in our portfolio.

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Reconciliations
In thousands, except for per share data

Funds From Operations

| Three Months Ended December 31, |  | Year Ended December 31,
| 2019 |  | 2018 |  | 2019 |  | 2018
Net income (loss) applicable to common shares | $ | 43,200 |  |  | $ | 829,325 |  |  | $ | 43,987 |  |  | $ | 1,058,424 |
Real estate related depreciation and amortization | 190,798 |  |  | 130,759 |  |  | 659,989 |  |  | 549,499 |
Healthpeak's share of real estate related depreciation and amortization from unconsolidated joint ventures | 15,151 |  |  | 15,237 |  |  | 60,303 |  |  | 63,967 |
Noncontrolling interests' share of real estate related depreciation and amortization | (5,128 | ) |  | (3,828 | ) |  | (20,054 | ) |  | (11,795 | )
Other real estate-related depreciation and amortization | 1,357 |  |  | 2,071 |  |  | 6,155 |  |  | 6,977 |
Loss (gain) on sales of real estate, net | (4,193 | ) |  | (763,774 | ) |  | (22,900 | ) |  | (925,985 | )
Healthpeak's share of loss (gain) on sales of real estate, net, from unconsolidated joint ventures | (2,118 | ) |  | — |  |  | (2,118 | ) |  | — |
Noncontrolling interests' share of gain (loss) on sales of real estate, net | 129 |  |  | — |  |  | 335 |  |  | — |
Loss (gain) upon change of control, net(1) | (155,225 | ) |  | (50,171 | ) |  | (166,707 | ) |  | (9,154 | )
Taxes associated with real estate dispositions | — |  |  | 2,765 |  |  | — |  |  | 3,913 |
Impairments (recoveries) of depreciable real estate, net(2) | 110,284 |  |  | 32,803 |  |  | 221,317 |  |  | 44,343 |
NAREIT FFO applicable to common shares | 194,255 |  |  | 195,187 |  |  | 780,307 |  |  | 780,189 |
Distributions on dilutive convertible units and other | 1,637 |  |  | — |  |  | 6,592 |  |  | — |
Diluted NAREIT FFO applicable to common shares | $ | 195,892 |  |  | $ | 195,187 |  |  | $ | 786,899 |  |  | $ | 780,189 |
Weighted average shares outstanding - diluted NAREIT FFO | 506,017 |  |  | 473,289 |  |  | 494,335 |  |  | 470,719 |
Impact of adjustments to NAREIT FFO: |  |  |  |  |  |  |  |  |
Transaction-related items | $ | 1,688 |  |  | $ | 2,416 |  |  | $ | 15,347 |  |  | $ | 11,029 |
Other impairments (recoveries) and losses (gains), net(3) | — |  |  | 3,277 |  |  | 10,147 |  |  | 7,619 |
Severance and related charges(4) | — |  |  | 595 |  |  | 5,063 |  |  | 13,906 |
Loss on debt extinguishments(5) | 22,213 |  |  | 263 |  |  | 58,364 |  |  | 44,162 |
Litigation costs (recoveries) | 29 |  |  | 323 |  |  | (520 | ) |  | 363 |
Casualty-related charges (recoveries), net(6) | 530 |  |  | — |  |  | (4,106 | ) |  | — |
Foreign currency remeasurement losses (gains) | 100 |  |  | 72 |  |  | (250 | ) |  | (35 | )
Total adjustments | 24,560 |  |  | 6,946 |  |  | 84,045 |  |  | 77,044 |
FFO as Adjusted applicable to common shares | 218,815 |  |  | 202,133 |  |  | 864,352 |  |  | 857,233 |
Distributions on dilutive convertible units and other | 1,585 |  |  | (18 | ) |  | 6,396 |  |  | (198 | )
Diluted FFO as Adjusted applicable to common shares | $ | 220,400 |  |  | $ | 202,115 |  |  | $ | 870,748 |  |  | $ | 857,035 |
Weighted average shares outstanding - diluted FFO as Adjusted | 506,017 |  |  | 473,289 |  |  | 494,335 |  |  | 470,719 |
Diluted earnings per common share | $ | 0.09 |  |  | $ | 1.73 |  |  | $ | 0.09 |  |  | $ | 2.24 |
Depreciation and amortization | 0.40 |  |  | 0.31 |  |  | 1.43 |  |  | 1.30 |
Loss (gain) on sales of real estate, net | (0.01 | ) |  | (1.61 | ) |  | (0.04 | ) |  | (1.96 | )
Loss (gain) upon change of control, net(1) | (0.31 | ) |  | (0.10 | ) |  | (0.34 | ) |  | (0.02 | )
Taxes associated with real estate dispositions | — |  |  | 0.01 |  |  | — |  |  | 0.01 |
Impairments (recoveries) of depreciable real estate, net(2) | 0.22 |  |  | 0.07 |  |  | 0.45 |  |  | 0.09 |
Diluted NAREIT FFO per common share | $ | 0.39 |  |  | $ | 0.41 |  |  | $ | 1.59 |  |  | $ | 1.66 |
Transaction-related items | — |  |  | 0.01 |  |  | 0.03 |  |  | 0.02 |
Other impairments (recoveries) and losses (gains), net(3) | — |  |  | 0.01 |  |  | 0.02 |  |  | 0.02 |
Severance and related charges(4) | — |  |  | — |  |  | 0.01 |  |  | 0.03 |
Loss on debt extinguishments(5) | 0.05 |  |  | — |  |  | 0.12 |  |  | 0.09 |
Casualty-related charges (recoveries), net(6) | — |  |  | — |  |  | (0.01 | ) |  | — |
Diluted FFO as Adjusted per common share | $ | 0.44 |  |  | $ | 0.43 |  |  | $ | 1.76 |  |  | $ | 1.82 |

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Reconciliations
In thousands

Funds Available for Distribution

| Three Months Ended December 31, |  | Year Ended December 31,
| 2019 |  | 2018 |  | 2019 |  | 2018
FFO as Adjusted applicable to common shares | $ | 218,815 |  |  | $ | 202,133 |  |  | $ | 864,352 |  |  | $ | 857,233 |
Amortization of deferred compensation(7) | 3,177 |  |  | 3,465 |  |  | 14,790 |  |  | 14,714 |
Amortization of deferred financing costs | 2,689 |  |  | 2,851 |  |  | 10,863 |  |  | 12,612 |
Straight-line rents | (6,259 | ) |  | (2,251 | ) |  | (28,451 | ) |  | (23,138 | )
FAD capital expenditures | (46,004 | ) |  | (35,956 | ) |  | (108,844 | ) |  | (106,193 | )
Lease restructure payments | 284 |  |  | 294 |  |  | 1,153 |  |  | 1,195 |
CCRC entrance fees(8) | 4,785 |  |  | 4,677 |  |  | 18,856 |  |  | 17,880 |
Deferred income taxes | (4,909 | ) |  | (5,993 | ) |  | (18,972 | ) |  | (18,744 | )
Other FAD adjustments(9) | (3,574 | ) |  | (1,219 | ) |  | (7,927 | ) |  | (9,162 | )
FAD applicable to common shares | 169,004 |  |  | 168,001 |  |  | 745,820 |  |  | 746,397 |
Distributions on dilutive convertible units and other | 1,637 |  |  | — |  |  | 6,591 |  |  | — |
Diluted FAD applicable to common shares | $ | 170,641 |  |  | $ | 168,001 |  |  | $ | 752,411 |  |  | $ | 746,397 |
Weighted average shares outstanding - diluted FAD | 506,017 |  |  | 473,289 |  |  | 494,335 |  |  | 470,719 |

______________________________________

(1) | For the three months ended December 31, 2019, primarily relates to the gain related to the deconsolidation of 19 previously consolidated senior housing assets that were contributed into a new unconsolidated joint venture (Sovereign Wealth Fund Senior Housing JV). For the year ended December 31, 2019, also includes the gain related to the acquisition of the outstanding equity interests in a previously unconsolidated senior housing joint venture (Vintage Park). For the three months ended December 31, 2018, represents the gain related to the acquisition of our partner's interests in four previously unconsolidated life science assets. For the year ended December 31, 2018, also includes the loss on consolidation of seven U.K. care homes.

(2) | For the year ended December 31, 2019, includes a $6 million impairment charge related to depreciable real estate held by the CCRC JV, which we recognized in equity income (loss) from unconsolidated joint ventures in the consolidated statement of operations.

(3) | For the year ended December 31, 2019, represents the impairment of 13 senior housing triple-net facilities under direct financing leases recognized as a result of entering into sales agreements. For the year ended December 31, 2018, represents the impairment of an undeveloped life science land parcel classified as held for sale, partially offset by an impairment recovery upon the sale of a mezzanine loan investment in March 2018.

(4) | For the year ended December 31, 2018, primarily relates to the departure of our former Executive Chairman and corporate restructuring activities.

(5) | For all periods presented, represents the premium associated with the prepayment of senior unsecured notes.

(6) | For the three months ended December 31, 2019, represents evacuation costs related to hurricanes. The year ended December 31, 2019 also includes incremental insurance proceeds related to hurricanes in 2017.

(7) | Excludes amounts related to the acceleration of deferred compensation for restricted stock units that vested upon the departure of certain former employees, which have already been excluded from FFO as Adjusted in severance and related charges.

(8) | Represents our 49% share of our CCRC JV's non-refundable entrance fees collected in excess of amortization.

(9) | Primarily includes our share of FAD capital expenditures from unconsolidated joint ventures, partially offset by noncontrolling interests' share of FAD capital expenditures from consolidated joint ventures.

| 7

Reconciliations
In thousands

Share of Unconsolidated Joint Venture NAREIT FFO, and FAD

|  | Three Months Ended December 31, 2019
|  | Total |  | CCRC JV |  | Other SHOP JVs |  | Senior Housing JV |  | U.K. JV |  | Medical Office |  | Remaining
Equity income (loss) from unconsolidated joint ventures |  | $ | 1,387 |  |  | $ | (2,456 | ) |  | $ | (462 | ) |  | $ | 930 |  |  | $ | 871 |  |  | $ | 215 |  |  | $ | 2,289 |
Real estate related depreciation and amortization |  | 15,151 |  |  | 12,073 |  |  | 947 |  |  | 150 |  |  | 1,733 |  |  | 200 |  |  | 48 |
Loss (gain) on sales of real estate, net |  | (2,118 | ) |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | (2,118 | )
NAREIT FFO |  | $ | 14,420 |  |  | $ | 9,617 |  |  | $ | 485 |  |  | $ | 1,080 |  |  | $ | 2,604 |  |  | $ | 415 |  |  | $ | 219 |
FAD adjustments |  | 485 |  |  | 939 |  |  | (116 | ) |  | (34 | ) |  | (288 | ) |  | (25 | ) |  | 9 |
FAD |  | $ | 14,905 |  |  | $ | 10,556 |  |  | $ | 369 |  |  | $ | 1,046 |  |  | $ | 2,316 |  |  | $ | 390 |  |  | $ | 228 |

| 8

Reconciliations
In thousands, except for per share data

Projected Future Operations(1)

| Full Year 2020
| Low |  | High
Diluted earnings per common share | $ | 0.70 |  |  | $ | 0.76 |
Real estate related depreciation and amortization | 1.40 |  |  | 1.40 |
Real estate related depreciation and amortization on unconsolidated joint ventures | 0.20 |  |  | 0.20 |
Real estate related depreciation and amortization on noncontrolling interests and other | (0.03 | ) |  | (0.03 | )
Loss (gain) on sales of real estate, net | (0.40 | ) |  | (0.40 | )
Loss (gain) upon consolidation of real estate, net | (0.24 | ) |  | (0.24 | )
Taxes associated with real estate disposition | 0.01 |  |  | 0.01 |
Diluted NAREIT FFO per common share | $ | 1.64 |  |  | $ | 1.70 |
Transaction-related items | 0.21 |  |  | 0.21 |
Other impairments (recoveries), net | (0.08 | ) |  | (0.08 | )
Diluted FFO as Adjusted per common share | $ | 1.77 |  |  | $ | 1.83 |

______________________________________

(1) | The foregoing projections reflect management’s view of current and future market conditions as of February 11, 2020 including assumptions with respect to rental rates, occupancy levels, development items, and the earnings impact of the events referenced in our earnings press release for the quarter ended December 31, 2019 that was issued on February 11, 2020. However, these projections do not reflect the impact of unannounced future transactions, except as described herein, other impairments or recoveries, the future bankruptcy or insolvency of our operators, lessees, borrowers or other obligors, the effect of any future restructuring of our contractual relationships with such entities, gains or losses on marketable securities, ineffectiveness related to our cash flow hedges, or larger than expected litigation settlements and expenses related to existing or future litigation matters. Our actual results may differ materially from the projections set forth above. The aforementioned ranges represent management’s best estimates based upon the underlying assumptions as of February 11, 2020. Except as otherwise required by law, management assumes no, and hereby disclaims any, obligation to update any of the foregoing projections as a result of new information or new or future developments.

Share of Unconsolidated Joint Venture NAREIT FFO and Cash NOI

|  | Full Year 2020
|  | Low |  | High
Equity income (loss) from unconsolidated joint ventures |  | $ | (72,000 | ) |  | $ | (68,000 | )
Real estate related depreciation and amortization |  | 103,000 |  |  | 107,000 |
NAREIT FFO |  | $ | 31,000 |  |  | $ | 39,000 |
Adjustments to NAREIT FFO(1) |  | 3,500 |  |  | 3,500 |
Total NOI |  | $ | 34,500 |  |  | $ | 42,500 |
Non-cash adjustments to NOI |  | (500 | ) |  | (500 | )
Total Cash NOI |  | $ | 34,000 |  |  | $ | 42,000 |

______________________________________

(1) | Includes interest and general and administrative expenses.

| 9

Reconciliations
In millions

Projected SPP Cash NOI(1)(2)

For the projected full year 2020 (low)

| Senior Housing(3) |  | Life Science |  | Medical Office |  | Other |  | Total
Cash NOI(4) | $ | 399 |  |  | $ | 389 |  |  | $ | 344 |  |  | $ | 44 |  |  | $ | 1,177 |
Interest income | — |  |  | — |  |  | — |  |  | 15 |  |  | 15 |
Cash NOI plus interest income | 399 |  |  | 389 |  |  | 344 |  |  | 59 |  |  | 1,191 |
Interest income | — |  |  | — |  |  | — |  |  | (15 | ) |  | (15 | )
Non-cash adjustments to cash NOI(5) | 2 |  |  | 27 |  |  | 7 |  |  | (2 | ) |  | 33 |
NOI | 400 |  |  | 416 |  |  | 351 |  |  | 42 |  |  | 1,210 |
Non-SPP NOI | (242 | ) |  | (155 | ) |  | (43 | ) |  | (1 | ) |  | (441 | )
SPP NOI | 158 |  |  | 261 |  |  | 309 |  |  | 41 |  |  | 769 |
Non-cash adjustments to SPP NOI(5) | (2 | ) |  | (7 | ) |  | (7 | ) |  | 2 |  |  | (13 | )
SPP cash NOI | $ | 156 |  |  | $ | 254 |  |  | $ | 302 |  |  | $ | 43 |  |  | 755 |
Addback adjustments(6) |  |  |  |  |  |  |  |  | 455 |
Other income and expenses(7) |  |  |  |  |  |  |  |  | 357 |
Costs and expenses(8) |  |  |  |  |  |  |  |  | (1,182 | )
Other impairments (recoveries), net |  |  |  |  |  |  |  |  | — |
Net income (loss) |  |  |  |  |  |  |  |  | $ | 385 |

For the projected full year 2020 (high)

| Senior Housing(3) |  | Life Science |  | Medical Office |  | Other |  | Total
Cash NOI(4) | $ | 411 |  |  | $ | 392 |  |  | $ | 348 |  |  | $ | 45 |  |  | $ | 1,195 |
Interest income | — |  |  | — |  |  | — |  |  | 15 |  |  | 15 |
Cash NOI plus interest income | 411 |  |  | 392 |  |  | 348 |  |  | 59 |  |  | 1,210 |
Interest income | — |  |  | — |  |  | — |  |  | (15 | ) |  | (15 | )
Non-cash adjustments to cash NOI(5) | 1 |  |  | 27 |  |  | 7 |  |  | (2 | ) |  | 33 |
NOI | 412 |  |  | 419 |  |  | 355 |  |  | 42 |  |  | 1,228 |
Non-SPP NOI | (251 | ) |  | (156 | ) |  | (43 | ) |  | (1 | ) |  | (452 | )
SPP NOI | 161 |  |  | 263 |  |  | 312 |  |  | 41 |  |  | 776 |
Non-cash adjustments to SPP NOI(5) | (2 | ) |  | (7 | ) |  | (7 | ) |  | 2 |  |  | (13 | )
SPP cash NOI | $ | 159 |  |  | $ | 256 |  |  | $ | 305 |  |  | $ | 43 |  |  | 763 |
Addback adjustments(6) |  |  |  |  |  |  |  |  | 465 |
Other income and expenses(7) |  |  |  |  |  |  |  |  | 362 |
Costs and expenses(8) |  |  |  |  |  |  |  |  | (1,177 | )
Other impairments (recoveries), net |  |  |  |  |  |  |  |  | — |
Net income (loss) |  |  |  |  |  |  |  |  | $ | 412 |

| 10

Reconciliations
In millions

For the year ended December 31, 2019

| Senior Housing(3) |  | Life Science |  | Medical Office |  | Other |  | Total
Cash NOI(4) | $ | 423 |  |  | $ | 311 |  |  | $ | 342 |  |  | $ | 53 |  |  | $ | 1,129 |
Interest income |  |  |  |  |  |  |  |  |  | 10 |  |  | 10 |
Cash NOI plus interest income | 423 |  |  | 311 |  |  | 342 |  |  | 63 |  |  | 1,139 |
Interest income |  |  |  |  |  |  |  |  |  | (10 | ) |  | (10 | )
Non-cash adjustments to cash NOI(5) | (23 | ) |  | 22 |  |  | 6 |  |  | (1 | ) |  | 4 |
NOI | 400 |  |  | 333 |  |  | 348 |  |  | 51 |  |  | 1,133 |
Non-SPP NOI | (241 | ) |  | (83 | ) |  | (44 | ) |  | (11 | ) |  | (379 | )
SPP NOI | 159 |  |  | 250 |  |  | 304 |  |  | 41 |  |  | 754 |
Non-cash adjustments to SPP NOI(5) | (2 | ) |  | (6 | ) |  | (7 | ) |  | 1 |  |  | (13 | )
SPP cash NOI | $ | 157 |  |  | $ | 244 |  |  | $ | 297 |  |  | $ | 42 |  |  | 741 |
Addback adjustments(6) |  |  |  |  |  |  |  |  | 392 |
Other income and expenses(7) |  |  |  |  |  |  |  |  | 199 |
Costs and expenses(8) |  |  |  |  |  |  |  |  | (1,046 | )
Other impairments (recoveries), net |  |  |  |  |  |  |  |  | (226 | )
Net income (loss) |  |  |  |  |  |  |  |  | $ | 60 |

Projected SPP Cash NOI change for the full year 2020

| Senior Housing(3) |  | Life Science |  | Medical Office |  | Other |  | Total
Low | (1.00%) |  | 4.00% |  | 1.75% |  | 1.75% |  | 2.00%
High | 1.00% |  | 5.00% |  | 2.75% |  | 2.50% |  | 3.00%

______________

(1) | The foregoing projections reflect management’s view of current and future market conditions as of February 11, 2020 including assumptions with respect to rental rates, occupancy levels, development items, and the earnings impact of the events referenced in our earnings press release for the quarter ended December 31, 2019 that was issued on February 11, 2020. However, these projections do not reflect the impact of unannounced future transactions, except as described herein, other impairments or recoveries, the future bankruptcy or insolvency of our operators, lessees, borrowers or other obligors, the effect of any future restructuring of our contractual relationships with such entities, gains or losses on marketable securities, ineffectiveness related to our cash flow hedges, or larger than expected litigation settlements and expenses related to existing or future litigation matters. Our actual results may differ materially from the projections set forth above. The aforementioned ranges represent management’s best estimates based upon the underlying assumptions as of February 11, 2020. Except as otherwise required by law, management assumes no, and hereby disclaims any, obligation to update any of the foregoing projections as a result of new information or new or future developments.

(2) | Does not foot due to rounding and adjustments made to SPP high and low ranges reported by segment.

(3) | Includes senior housing triple-net and SHOP.

(4) | Represents rental and related revenues, tenant recoveries, resident fees and services, and income from DFLs, less property level operating expenses, including our share of our joint ventures.

(5) | Represents straight-line rents, DFL non-cash interest, amortization of market lease intangibles, net, the deferral of community fees, net of amortization, management contract termination expense, actuarial reserves for insurance claims that have been incurred but not reported, and lease termination fees.

(6) | Represents non-SPP NOI and non-cash adjustments to SPP NOI.

(7) | Represents interest income, gain (loss) on sales of real estate, net, other income (expense), net, income taxes benefit (expense), and equity income (loss) from unconsolidated joint ventures, excluding NOI.

(8) | Represents interest expense, depreciation and amortization, general and administrative, transaction costs, and loss on debt extinguishments.

| 11

Reconciliations
In thousands

Enterprise Gross Assets and Portfolio Investment

| December 31, 2019
| Senior Housing Triple-net |  | SHOP |  | Life Science |  | Medical Office |  | Other |  | Corporate Non-segment |  | Total
Consolidated total assets | $ | 1,081,486 |  |  | $ | 2,841,730 |  |  | $ | 5,117,051 |  |  | $ | 3,615,493 |  |  | $ | 1,248,701 |  |  | $ | 128,430 |  |  | $ | 14,032,891 |
Investments in and advances to unconsolidated JVs | — |  |  | — |  |  | — |  |  | — |  |  | (825,515 | ) |  | — |  |  | (825,515 | )
Accumulated depreciation and amortization | 438,593 |  |  | 632,206 |  |  | 822,393 |  |  | 1,329,661 |  |  | 96,544 |  |  | — |  |  | 3,319,397 |
Consolidated Gross Assets | $ | 1,520,079 |  |  | $ | 3,473,936 |  |  | $ | 5,939,444 |  |  | $ | 4,945,154 |  |  | $ | 519,730 |  |  | $ | 128,430 |  |  | $ | 16,526,773 |
Share of unconsolidated JV gross assets | — |  |  | — |  |  | — |  |  | — |  |  | 1,617,062 |  |  | — |  |  | 1,617,062 |
Enterprise Gross Assets | $ | 1,520,079 |  |  | $ | 3,473,936 |  |  | $ | 5,939,444 |  |  | $ | 4,945,154 |  |  | $ | 2,136,792 |  |  | $ | 128,430 |  |  | $ | 18,143,835 |
Land held for development | — |  |  | — |  |  | (96,882 | ) |  | (9,458 | ) |  | — |  |  | — |  |  | (106,340 | )
Fully depreciated real estate and intangibles | 54,646 |  |  | 94,619 |  |  | 339,814 |  |  | 439,634 |  |  | 9,181 |  |  | — |  |  | 937,894 |
Non-real estate related assets(1) | (118,947 | ) |  | (202,861 | ) |  | (230,086 | ) |  | (298,525 | ) |  | (277,556 | ) |  | (128,430 | ) |  | (1,256,405 | )
Real estate intangible liabilities | (18,709 | ) |  | (8,599 | ) |  | (96,494 | ) |  | (89,952 | ) |  | (4,871 | ) |  | — |  |  | (218,625 | )
Portfolio Investment | $ | 1,437,069 |  |  | $ | 3,357,095 |  |  | $ | 5,855,796 |  |  | $ | 4,986,853 |  |  | $ | 1,863,546 |  |  | $ | — |  |  | $ | 17,500,359 |
Investment by Type: |  |  |  |  |  |  |  |  |  |  |  |  |
Wholly-owned | $ | 1,437,069 |  |  | $ | 3,357,095 |  |  | $ | 5,855,796 |  |  | $ | 4,986,853 |  |  | $ | 504,794 |  |  | $ | — |  |  | $ | 16,141,607 |
Share of unconsolidated JVs | — |  |  | — |  |  | — |  |  | — |  |  | 1,358,752 |  |  | — |  |  | 1,358,752 |
Portfolio Investment | $ | 1,437,069 |  |  | $ | 3,357,095 |  |  | $ | 5,855,796 |  |  | $ | 4,986,853 |  |  | $ | 1,863,546 |  |  | $ | — |  |  | $ | 17,500,359 |

______________________________________

(1) | Includes straight-line rent payables and receivables, net of reserves; lease commissions - 2nd generation, net of amortization; cash and restricted cash; our share of the value attributable to refundable Entrance Fee liabilities for the CCRC JV; operating lease right-of-use assets; and other assets.

| 12

Reconciliations
In thousands

Real Estate Revenue

| Three Months Ended
| December 31, 2018 |  | March 31, 2019 |  | June 30, 2019 |  | September 30, 2019 |  | December 31, 2019
Senior housing triple-net | $ | 63,602 |  |  | $ | 58,892 |  |  | $ | 49,866 |  |  | $ | 48,018 |  |  | $ | 42,665 |
SHOP | 127,909 |  |  | 126,181 |  |  | 177,001 |  |  | 212,275 |  |  | 209,714 |
Life science | 96,371 |  |  | 94,473 |  |  | 107,596 |  |  | 118,561 |  |  | 120,155 |
Medical office(1) | 140,015 |  |  | 142,195 |  |  | 141,927 |  |  | 143,639 |  |  | 143,769 |
Other(1) | 12,664 |  |  | 12,700 |  |  | 12,763 |  |  | 12,737 |  |  | 12,412 |
Real Estate Revenue | $ | 440,561 |  |  | $ | 434,441 |  |  | $ | 489,153 |  |  | $ | 535,230 |  |  | $ | 528,715 |
Senior housing triple-net | 2,436 |  |  | 435 |  |  | 4,793 |  |  | (1,551 | ) |  | (2,201 | )
SHOP | 41 |  |  | 968 |  |  | 1,128 |  |  | 957 |  |  | 258 |
Life science | (2,178 | ) |  | (2,491 | ) |  | (7,627 | ) |  | (7,080 | ) |  | (4,975 | )
Medical office(1) | (2,506 | ) |  | (2,710 | ) |  | (2,143 | ) |  | (2,509 | ) |  | (2,267 | )
Other(1) | 194 |  |  | 194 |  |  | 219 |  |  | 469 |  |  | 461 |
Non-cash adjustments to Real Estate Revenues | $ | (2,013 | ) |  | $ | (3,604 | ) |  | $ | (3,630 | ) |  | $ | (9,714 | ) |  | $ | (8,724 | )
Senior housing triple-net | 66,038 |  |  | 59,328 |  |  | 54,659 |  |  | 46,467 |  |  | 40,464 |
SHOP | 127,950 |  |  | 127,149 |  |  | 178,129 |  |  | 213,232 |  |  | 209,972 |
Life science | 94,193 |  |  | 91,982 |  |  | 99,969 |  |  | 111,481 |  |  | 115,180 |
Medical office(1) | 137,509 |  |  | 139,485 |  |  | 139,784 |  |  | 141,130 |  |  | 141,502 |
Other(1) | 12,858 |  |  | 12,895 |  |  | 12,982 |  |  | 13,206 |  |  | 12,873 |
Cash Real Estate Revenues | $ | 438,548 |  |  | $ | 430,839 |  |  | $ | 485,523 |  |  | $ | 525,516 |  |  | $ | 519,991 |
Senior housing triple-net | (44,042 | ) |  | (37,331 | ) |  | (32,369 | ) |  | (24,165 | ) |  | (18,023 | )
SHOP | (87,800 | ) |  | (85,719 | ) |  | (136,605 | ) |  | (171,454 | ) |  | (168,715 | )
Life science | (16,455 | ) |  | (14,277 | ) |  | (20,255 | ) |  | (29,650 | ) |  | (33,038 | )
Medical office(1) | (10,529 | ) |  | (10,133 | ) |  | (10,040 | ) |  | (9,683 | ) |  | (9,732 | )
Other(1) | (484 | ) |  | (463 | ) |  | (479 | ) |  | (477 | ) |  | (92 | )
Non-SPP Cash Real Estate Revenues | $ | (159,310 | ) |  | $ | (147,923 | ) |  | $ | (199,748 | ) |  | $ | (235,429 | ) |  | $ | (229,600 | )
Senior housing triple-net | 21,996 |  |  | 21,997 |  |  | 22,290 |  |  | 22,302 |  |  | 22,441 |
SHOP | 40,150 |  |  | 41,430 |  |  | 41,524 |  |  | 41,778 |  |  | 41,257 |
Life science | 77,738 |  |  | 77,705 |  |  | 79,714 |  |  | 81,831 |  |  | 82,142 |
Medical office(1) | 126,980 |  |  | 129,352 |  |  | 129,744 |  |  | 131,447 |  |  | 131,770 |
Other(1) | 12,374 |  |  | 12,432 |  |  | 12,503 |  |  | 12,729 |  |  | 12,781 |
Cash Real Estate Revenues - SPP | $ | 279,238 |  |  | $ | 282,916 |  |  | $ | 285,775 |  |  | $ | 290,087 |  |  | $ | 290,391 |

_______________________________________

(1) | During the quarter ended March 31, 2019, two facilities were reclassified from the other non-reportable segments to the medical office segment. Accordingly, all prior period segment information has been recast to conform to the current period presentation.

| 13

Reconciliations
In thousands

Operating Expenses

| Three Months Ended
| December 31, 2018 |  | March 31, 2019 |  | June 30, 2019 |  | September 30, 2019 |  | December 31, 2019
Senior housing triple-net | $ | 941 |  |  | $ | 993 |  |  | $ | 866 |  |  | $ | 865 |  |  | $ | 1,842 |
SHOP | 104,617 |  |  | 96,948 |  |  | 137,460 |  |  | 166,201 |  |  | 165,104 |
Life science | 23,534 |  |  | 21,992 |  |  | 25,480 |  |  | 29,520 |  |  | 30,480 |
Medical office(1) | 48,219 |  |  | 48,987 |  |  | 50,176 |  |  | 51,472 |  |  | 50,903 |
Other(1) | 102 |  |  | 7 |  |  | 11 |  |  | 11 |  |  | 53 |
Operating expenses | $ | 177,413 |  |  | $ | 168,927 |  |  | $ | 213,993 |  |  | $ | 248,069 |  |  | $ | 248,382 |
Senior housing triple-net | (14 | ) |  | (129 | ) |  | (14 | ) |  | (14 | ) |  | (1,093 | )
SHOP | (3,189 | ) |  | (184 | ) |  | 287 |  |  | 218 |  |  | 119 |
Life science | (13 | ) |  | (13 | ) |  | (13 | ) |  | (13 | ) |  | (13 | )
Medical office(1) | (945 | ) |  | (939 | ) |  | (940 | ) |  | (941 | ) |  | (932 | )
Other(1) | — |  |  | 1 |  |  | — |  |  | — |  |  | 1 |
Non-cash adjustments to operating expenses | $ | (4,161 | ) |  | $ | (1,264 | ) |  | $ | (680 | ) |  | $ | (750 | ) |  | $ | (1,918 | )
Senior housing triple-net | 927 |  |  | 864 |  |  | 852 |  |  | 851 |  |  | 749 |
SHOP | 101,428 |  |  | 96,764 |  |  | 137,747 |  |  | 166,419 |  |  | 165,223 |
Life science | 23,521 |  |  | 21,979 |  |  | 25,467 |  |  | 29,507 |  |  | 30,467 |
Medical office(1) | 47,274 |  |  | 48,048 |  |  | 49,236 |  |  | 50,531 |  |  | 49,971 |
Other(1) | 102 |  |  | 8 |  |  | 11 |  |  | 11 |  |  | 54 |
Cash Operating Expenses | $ | 173,252 |  |  | $ | 167,663 |  |  | $ | 213,313 |  |  | $ | 247,319 |  |  | $ | 246,464 |
Senior housing triple-net | (892 | ) |  | (834 | ) |  | (822 | ) |  | (820 | ) |  | (725 | )
SHOP | (71,273 | ) |  | (66,516 | ) |  | (107,202 | ) |  | (135,608 | ) |  | (134,556 | )
Life science | (4,763 | ) |  | (4,453 | ) |  | (6,252 | ) |  | (9,648 | ) |  | (10,436 | )
Medical office(1) | (4,456 | ) |  | (4,518 | ) |  | (4,841 | ) |  | (4,783 | ) |  | (4,669 | )
Other(1) | (93 | ) |  | (3 | ) |  | (6 | ) |  | (6 | ) |  | 26 |
Non-SPP operating expenses | $ | (81,477 | ) |  | $ | (76,324 | ) |  | $ | (119,123 | ) |  | $ | (150,865 | ) |  | $ | (150,360 | )
Senior housing triple-net | 35 |  |  | 30 |  |  | 30 |  |  | 31 |  |  | 24 |
SHOP | 30,155 |  |  | 30,248 |  |  | 30,545 |  |  | 30,811 |  |  | 30,667 |
Life science | 18,758 |  |  | 17,526 |  |  | 19,215 |  |  | 19,859 |  |  | 20,031 |
Medical office(1) | 42,818 |  |  | 43,530 |  |  | 44,395 |  |  | 45,748 |  |  | 45,302 |
Other(1) | 9 |  |  | 5 |  |  | 5 |  |  | 5 |  |  | 80 |
Cash Operating Expenses - SPP | $ | 91,775 |  |  | $ | 91,339 |  |  | $ | 94,190 |  |  | $ | 96,454 |  |  | $ | 96,104 |

_______________________________________

(1) | During the quarter ended March 31, 2019, two facilities were reclassified from the other non-reportable segments to the medical office segment. Accordingly, all prior period segment information has been recast to conform to the current period presentation.

| 14

Reconciliations
In thousands

Total Real Estate Revenue |  | Total Operating Expenses

Year Ended December 31, 2019 |  | Year Ended December 31, 2019
Senior housing triple-net | $ | 199,441 |  |  | Senior housing triple-net | $ | 4,565 |
SHOP | 725,171 |  |  | SHOP | 565,713 |
Life science | 440,784 |  |  | Life science | 107,472 |
Medical office | 571,530 |  |  | Medical office | 201,538 |
Other | 50,613 |  |  | Other | 82 |
Real Estate Revenue | $ | 1,987,539 |  |  | Operating expenses | $ | 879,370 |
Senior housing triple-net | 1,476 |  |  | Senior housing triple-net | (1,249 | )
SHOP | 3,311 |  |  | SHOP | 439 |
Life science | (22,172 | ) |  | Life science | (52 | )
Medical office | (9,628 | ) |  | Medical office | (3,751 | )
Other | 1,342 |  |  | Other | — |
Non-cash adjustments to Real Estate Revenues | $ | (25,671 | ) |  | Non-cash adjustments to operating expenses | $ | (4,613 | )
Senior housing triple-net | 200,917 |  |  | Senior housing triple-net | 3,316 |
SHOP | 728,482 |  |  | SHOP | 566,152 |
Life science | 418,612 |  |  | Life science | 107,420 |
Medical office | 561,902 |  |  | Medical office | 197,787 |
Other | 51,955 |  |  | Other | 82 |
Cash Real Estate Revenues | $ | 1,961,868 |  |  | Cash Operating Expenses | $ | 874,757 |
Senior housing triple-net | (111,887 | ) |  | Senior housing triple-net | (3,202 | )
SHOP | (608,486 | ) |  | SHOP | (478,515 | )
Life science | (127,212 | ) |  | Life science | (38,050 | )
Medical office | (90,582 | ) |  | Medical office | (37,308 | )
Other | (1,509 | ) |  | Other | 13 |
Non-SPP Cash Real Estate Revenues(1) | $ | (939,676 | ) |  | Non-SPP operating expenses(2) | $ | (557,062 | )
Senior housing triple-net | 89,030 |  |  | Senior housing triple-net | 114 |
SHOP | 119,996 |  |  | SHOP | 87,637 |
Life science | 291,400 |  |  | Life science | 69,370 |
Medical office | 471,320 |  |  | Medical office | 160,479 |
Other | 50,446 |  |  | Other | 95 |
Cash Real Estate Revenues - SPP(1) | $ | 1,022,192 |  |  | Cash Operating Expenses - SPP(2) | $ | 317,695 |

___________________________________

(1) | The property count used for Non-SPP Cash Real Estate Revenues and Cash Real Estate Revenues - SPP differed for the three and twelve months ended December 31, 2019.

(2) | The property count used for Non-SPP operating expense and Cash Operating Expenses - SPP differed for the three and twelve months ended December 31, 2019.

| 15

Reconciliations
In thousands

Total Real Estate Revenue |  | Total Operating Expenses

Year Ended December 31, 2018 |  | Year Ended December 31, 2018
Senior housing triple-net | $ | 276,091 |  |  | Senior housing triple-net | $ | 3,618 |
SHOP | 547,976 |  |  | SHOP | 414,312 |
Life science | 395,064 |  |  | Life science | 91,742 |
Medical office(1) | 547,375 |  |  | Medical office(1) | 195,100 |
Other(1) | 69,777 |  |  | Other(1) | 266 |
Real Estate Revenue | $ | 1,836,283 |  |  | Operating expenses | $ | 705,038 |
Senior housing triple-net | 2,120 |  |  | Senior housing triple-net | (7 | )
SHOP | (3,193 | ) |  | SHOP | (6,068 | )
Life science | (9,652 | ) |  | Life science | (63 | )
Medical office(1) | (10,077 | ) |  | Medical office(1) | (3,387 | )
Other(1) | (627 | ) |  | Other(1) | — |
Non-cash adjustments to Real Estate Revenues | $ | (21,429 | ) |  | Non-cash adjustments to operating expenses | $ | (9,525 | )
Senior housing triple-net | 278,211 |  |  | Senior housing triple-net | 3,611 |
SHOP | 544,783 |  |  | SHOP | 408,244 |
Life science | 385,412 |  |  | Life science | 91,679 |
Medical office(1) | 537,298 |  |  | Medical office(1) | 191,713 |
Other(1) | 69,150 |  |  | Other(1) | 266 |
Cash Real Estate Revenues | $ | 1,814,854 |  |  | Cash Operating Expenses | $ | 695,513 |
Senior housing triple-net | (191,287 | ) |  | Senior housing triple-net | (3,486 | )
SHOP | (427,973 | ) |  | SHOP | (324,121 | )
Life science | (111,314 | ) |  | Life science | (26,725 | )
Medical office(1) | (78,227 | ) |  | Medical office(1) | (34,383 | )
Other(1) | (20,069 | ) |  | Other(1) | (242 | )
Non-SPP Cash Real Estate Revenues(2) | $ | (828,870 | ) |  | Non-SPP operating expenses(3) | $ | (388,957 | )
Senior housing triple-net | 86,924 |  |  | Senior housing triple-net | 125 |
SHOP | 116,810 |  |  | SHOP | 84,123 |
Life science | 274,098 |  |  | Life science | 64,954 |
Medical office(1) | 459,071 |  |  | Medical office(1) | 157,330 |
Other(1) | 49,081 |  |  | Other(1) | 24 |
Cash Real Estate Revenues - SPP(2) | $ | 985,984 |  |  | Cash Operating Expenses - SPP(3) | $ | 306,556 |

___________________________________

(1) | During the year ended December 31, 2019, two facilities were reclassified from the other non-reportable segments to the medical office segment. Accordingly, all prior year segment information has been recast to conform to the current year presentation.

(2) | The property count used for Non-SPP Cash Real Estate Revenues and Cash Real Estate Revenues - SPP differed for the three and twelve months ended December 31, 2018.

(3) | The property count used for Non-SPP operating expense and Cash Operating Expenses - SPP differed for the three and twelve months ended December 31, 2018.

| 16

Reconciliations
In thousands

EBITDAre and Adjusted EBITDAre

| Three Months Ended December 31, 2019 |  | Twelve Months Ended December 31, 2019
Net income (loss) | $ | 47,359 |  |  | $ | 60,061 |
Interest expense | 58,120 |  |  | 225,619 |
Income tax expense (benefit) | (5,679 | ) |  | (17,262 | )
Depreciation and amortization | 190,798 |  |  | 659,989 |
Other depreciation and amortization | 2,166 |  |  | 9,158 |
Loss (gain) on sales of real estate | (4,193 | ) |  | (22,900 | )
Loss (gain) upon change of control | (155,225 | ) |  | (168,023 | )
Impairments (recoveries) of depreciable real estate | 110,284 |  |  | 215,790 |
Share of unconsolidated JV: |  |  |
Interest expense | 3,289 |  |  | 14,825 |
Income tax expense (benefit) | 183 |  |  | 674 |
Depreciation and amortization | 15,151 |  |  | 60,303 |
Impairments (recoveries) of depreciable real estate | — |  |  | 5,527 |
Gain on sale of real estate from unconsolidated JVs | (2,118 | ) |  | (2,118 | )
Other JV adjustments | (400 | ) |  | (2,010 | )
EBITDAre | $ | 259,735 |  |  | $ | 1,039,633 |
Transaction-related items | 1,688 |  |  | 15,347 |
Other impairments (recoveries) and losses (gains) | — |  |  | 10,147 |
Severance and related charges | — |  |  | 5,063 |
Loss on debt extinguishments | 22,213 |  |  | 58,364 |
Litigation costs (recoveries) | 29 |  |  | (520 | )
Casualty-related charges (recoveries) | 700 |  |  | (3,706 | )
Amortization of deferred compensation | 3,177 |  |  | 14,790 |
Foreign currency remeasurement losses (gains) | 100 |  |  | (250 | )
CCRC entrance fees(1) | 4,785 |  |  | 18,856 |
Adjusted EBITDAre | $ | 292,427 |  |  | $ | 1,157,724 |

Adjusted Fixed Charge Coverage

| Three Months Ended December 31, 2019 |  | Twelve Months Ended December 31, 2019
Interest expense | $ | 58,120 |  |  | $ | 225,619 |
Capitalized interest | 7,630 |  |  | 30,109 |
Share of unconsolidated JV interest expense and capitalized interest | 3,555 |  |  | 15,686 |
Fixed Charges | $ | 69,305 |  |  | $ | 271,414 |
Adjusted Fixed Charge Coverage | 4.2x |  |  | 4.3x |

______________________________________

(1) | Represents our 49% share of our CCRC JV's non-refundable entrance fees collected in excess of amortization.

| 17

Reconciliations
In thousands

Enterprise Debt and Net Debt

| December 31, 2019
Bank line of credit and commercial paper(1) | $ | 93,000 |
Term loan | 248,942 |
Senior unsecured notes | 5,647,993 |
Mortgage debt(2) | 309,196 |
Other debt | 84,771 |
Consolidated Debt | $ | 6,383,902 |
Share of unconsolidated JV mortgage debt | 184,218 |
Share of unconsolidated JV other debt | 164,543 |
Enterprise Debt | $ | 6,732,663 |
Cash and cash equivalents | (144,232 | )
Share of unconsolidated JV cash and cash equivalents | (31,520 | )
Net Debt | $ | 6,556,911 |

Financial Leverage

| December 31, 2019
Enterprise Debt | $ | 6,732,663 |
Enterprise Gross Assets | 18,143,835 |
Financial Leverage | 37.1% |

Secured Debt Ratio

| December 31, 2019
Mortgage debt | $ | 309,196 |
Share of unconsolidated JV mortgage debt | 184,218 |
Enterprise Secured Debt | $ | 493,414 |
Enterprise Gross Assets | 18,143,835 |
Secured Debt Ratio | 2.7% |

Net Debt to Adjusted EBITDAre

| Three Months Ended December 31, 2019 | Twelve Months Ended December 31, 2019
Net Debt | $ | 6,556,911 |  |  | $ | 6,556,911 |
Adjusted EBITDAre | 1,169,708 |  | (3) | 1,157,724 |
Net Debt to Adjusted EBITDAre | 5.6x |  |  | 5.7x |

______________________________________

(1) | Includes $93 million of commercial paper at December 31, 2019.

(2) | Includes mortgage debt of $32.3 million on assets held for sale that matures in 2026, 2028 and 2044.

(3) | Represents the current quarter Adjusted EBIDTAre multiplied by a factor of four.

| 18

Reconciliations
In thousands

Segment Cash NOI, Portfolio Income, and SPP

Total Consolidated

| Three Months Ended
| December 31, 2018 |  | March 31, 2019 |  | June 30, 2019 |  | September 30, 2019 |  | December 31, 2019
Net income (loss) | $ | 834,383 |  |  | $ | 64,990 |  |  | $ | (9,980 | ) |  | $ | (42,308 | ) |  | $ | 47,359 |
Interest income | (1,358 | ) |  | (1,713 | ) |  | (2,414 | ) |  | (2,741 | ) |  | (2,976 | )
Interest expense | 54,717 |  |  | 49,327 |  |  | 56,942 |  |  | 61,230 |  |  | 58,120 |
Depreciation and amortization | 130,759 |  |  | 131,951 |  |  | 165,296 |  |  | 171,944 |  |  | 190,798 |
General and administrative | 21,510 |  |  | 21,355 |  |  | 27,120 |  |  | 22,970 |  |  | 21,521 |
Transaction costs | 1,684 |  |  | 4,518 |  |  | 1,337 |  |  | 1,319 |  |  | 1,569 |
Loss (gain) on sales of real estate, net | (763,774 | ) |  | (8,044 | ) |  | (11,448 | ) |  | 784 |  |  | (4,193 | )
Impairments (recoveries), net | 36,080 |  |  | 8,858 |  |  | 68,538 |  |  | 38,257 |  |  | 110,284 |
Other expense (income), net | (50,333 | ) |  | (3,133 | ) |  | (21,008 | ) |  | (693 | ) |  | (157,296 | )
Loss on debt extinguishments | 263 |  |  | — |  |  | 1,135 |  |  | 35,017 |  |  | 22,213 |
Income tax expense (benefit) | (2,935 | ) |  | (3,458 | ) |  | (1,864 | ) |  | (6,261 | ) |  | (5,679 | )
Equity loss (income) from unconsolidated JVs | 2,152 |  |  | 863 |  |  | 1,506 |  |  | 7,643 |  |  | (1,387 | )
NOI | $ | 263,148 |  |  | $ | 265,514 |  |  | $ | 275,160 |  |  | $ | 287,161 |  |  | $ | 280,333 |
Adjustment to NOI | 2,148 |  |  | (2,338 | ) |  | (2,950 | ) |  | (8,963 | ) |  | (6,805 | )
Cash NOI | $ | 265,296 |  |  | $ | 263,176 |  |  | $ | 272,210 |  |  | $ | 278,198 |  |  | $ | 273,528 |
Interest income | 1,358 |  |  | 1,713 |  |  | 2,414 |  |  | 2,741 |  |  | 2,976 |
Share of unconsolidated JVs | 21,466 |  |  | 21,400 |  |  | 22,233 |  |  | 21,569 |  |  | 20,765 |
Portfolio Income | $ | 288,120 |  |  | $ | 286,289 |  |  | $ | 296,857 |  |  | $ | 302,508 |  |  | $ | 297,269 |
Interest income | (1,358 | ) |  | (1,713 | ) |  | (2,414 | ) |  | (2,741 | ) |  | (2,976 | )
Share of unconsolidated JVs | (21,466 | ) |  | (21,400 | ) |  | (22,233 | ) |  | (21,569 | ) |  | (20,765 | )
Adjustment to NOI | (2,148 | ) |  | 2,338 |  |  | 2,950 |  |  | 8,963 |  |  | 6,805 |
Non-SPP NOI | (74,992 | ) |  | (72,080 | ) |  | (81,581 | ) |  | (90,012 | ) |  | (84,387 | )
SPP NOI | $ | 188,156 |  |  | $ | 193,434 |  |  | $ | 193,579 |  |  | $ | 197,149 |  |  | $ | 195,946 |
Non-cash adjustment to SPP NOI | (693 | ) |  | (1,857 | ) |  | (1,994 | ) |  | (3,516 | ) |  | (1,659 | )
SPP cash NOI | $ | 187,463 |  |  | $ | 191,577 |  |  | $ | 191,585 |  |  | $ | 193,633 |  |  | $ | 194,287 |

| 19

Reconciliations
In thousands

Senior Housing Triple-Net

| Three Months Ended
| December 31, 2018 |  | March 31, 2019 |  | June 30, 2019 |  | September 30, 2019 |  | December 31, 2019
Net income (loss) | $ | 67,827 |  |  | $ | 44,184 |  |  | $ | 17,616 |  |  | $ | 26,839 |  |  | $ | 9,570 |
Interest expense | 598 |  |  | 589 |  |  | 206 |  |  | 106 |  |  | 102 |
Depreciation and amortization | 17,564 |  |  | 16,683 |  |  | 15,693 |  |  | 12,778 |  |  | 10,207 |
Impairments (recoveries), net | — |  |  | — |  |  | 15,485 |  |  | 7,430 |  |  | 20,944 |
Loss (gain) on sales of real estate, net | (23,328 | ) |  | (3,557 | ) |  | — |  |  | — |  |  | — |
NOI | $ | 62,661 |  |  | $ | 57,899 |  |  | $ | 49,000 |  |  | $ | 47,153 |  |  | $ | 40,823 |
Adjustment to NOI | 2,450 |  |  | 564 |  |  | 4,807 |  |  | (1,537 | ) |  | (1,108 | )
Cash NOI | $ | 65,111 |  |  | $ | 58,463 |  |  | $ | 53,807 |  |  | $ | 45,616 |  |  | $ | 39,715 |
Interest income | — |  |  | — |  |  | — |  |  | — |  |  | — |
Share of unconsolidated JVs | — |  |  | — |  |  | — |  |  | — |  |  | — |
Portfolio Income | $ | 65,111 |  |  | $ | 58,463 |  |  | $ | 53,807 |  |  | $ | 45,616 |  |  | $ | 39,715 |
Interest income | — |  |  | — |  |  | — |  |  | — |  |  | — |
Share of unconsolidated JVs | — |  |  | — |  |  | — |  |  | — |  |  | — |
Adjustment to NOI | (2,450 | ) |  | (564 | ) |  | (4,807 | ) |  | 1,537 |  |  | 1,108 |
Non-SPP NOI | (41,169 | ) |  | (36,599 | ) |  | (27,212 | ) |  | (23,689 | ) |  | (17,333 | )
SPP NOI | $ | 21,492 |  |  | $ | 21,300 |  |  | $ | 21,788 |  |  | $ | 23,464 |  |  | $ | 23,490 |
Non-cash adjustment to SPP NOI | 469 |  |  | 667 |  |  | 472 |  |  | (1,193 | ) |  | (1,073 | )
SPP cash NOI | $ | 21,961 |  |  | $ | 21,967 |  |  | $ | 22,260 |  |  | $ | 22,271 |  |  | $ | 22,417 |

SHOP

| Three Months Ended
| December 31, 2018 |  | March 31, 2019 |  | June 30, 2019 |  | September 30, 2019 |  | December 31, 2019
Net income (loss) | $ | (19,145 | ) |  | $ | 8,971 |  |  | $ | (62,299 | ) |  | $ | (40,170 | ) |  | $ | 46,354 |
Interest expense | 659 |  |  | 663 |  |  | 1,326 |  |  | 2,637 |  |  | 2,893 |
Depreciation and amortization | 23,609 |  |  | 24,086 |  |  | 52,242 |  |  | 58,152 |  |  | 80,106 |
Impairments (recoveries), net | 32,802 |  |  | — |  |  | 52,963 |  |  | 24,721 |  |  | 86,684 |
Loss (gain) on sales of real estate, net | (14,633 | ) |  | (4,487 | ) |  | (4,691 | ) |  | 734 |  |  | (10,541 | )
Other expense (income), net | — |  |  | — |  |  | — |  |  | — |  |  | (160,886 | )
NOI | $ | 23,292 |  |  | $ | 29,233 |  |  | $ | 39,541 |  |  | $ | 46,074 |  |  | $ | 44,610 |
Adjustment to NOI | 3,230 |  |  | 1,152 |  |  | 841 |  |  | 740 |  |  | 139 |
Cash NOI | $ | 26,522 |  |  | $ | 30,385 |  |  | $ | 40,382 |  |  | $ | 46,814 |  |  | $ | 44,749 |
Interest income | — |  |  | — |  |  | — |  |  | — |  |  | — |
Share of unconsolidated JVs | — |  |  | — |  |  | — |  |  | — |  |  | — |
Portfolio Income | $ | 26,522 |  |  | $ | 30,385 |  |  | $ | 40,382 |  |  | $ | 46,814 |  |  | $ | 44,749 |
Interest income | — |  |  | — |  |  | — |  |  | — |  |  | — |
Share of unconsolidated JVs | — |  |  | — |  |  | — |  |  | — |  |  | — |
Adjustment to NOI | (3,230 | ) |  | (1,152 | ) |  | (841 | ) |  | (740 | ) |  | (139 | )
Non-SPP NOI | (14,887 | ) |  | (18,291 | ) |  | (28,720 | ) |  | (35,172 | ) |  | (34,014 | )
SPP NOI | $ | 8,405 |  |  | $ | 10,942 |  |  | $ | 10,821 |  |  | $ | 10,902 |  |  | $ | 10,596 |
Non-cash adjustment to SPP NOI | 1,590 |  |  | 240 |  |  | 158 |  |  | 65 |  |  | (6 | )
SPP cash NOI | $ | 9,995 |  |  | $ | 11,182 |  |  | $ | 10,979 |  |  | $ | 10,967 |  |  | $ | 10,590 |

| 20

Reconciliations
In thousands

Life Science

| Three Months Ended
| December 31, 2018 |  | March 31, 2019 |  | June 30, 2019 |  | September 30, 2019 |  | December 31, 2019
Net income (loss) | $ | 763,666 |  |  | $ | 36,162 |  |  | $ | 44,431 |  |  | $ | 43,858 |  |  | $ | 43,975 |
Interest expense | 76 |  |  | 73 |  |  | 70 |  |  | 68 |  |  | 66 |
Depreciation and amortization | 34,699 |  |  | 36,246 |  |  | 41,431 |  |  | 45,028 |  |  | 45,634 |
Impairments (recoveries), net | — |  |  | — |  |  | — |  |  | — |  |  | — |
Loss (gain) on sales of real estate, net | (725,604 | ) |  | — |  |  | (3,816 | ) |  | 87 |  |  | — |
NOI | $ | 72,837 |  |  | $ | 72,481 |  |  | $ | 82,116 |  |  | $ | 89,041 |  |  | $ | 89,675 |
Adjustment to NOI | (2,165 | ) |  | (2,478 | ) |  | (7,614 | ) |  | (7,067 | ) |  | (4,961 | )
Cash NOI | $ | 70,672 |  |  | $ | 70,003 |  |  | $ | 74,502 |  |  | $ | 81,974 |  |  | $ | 84,714 |
Interest income | — |  |  | — |  |  | — |  |  | — |  |  | — |
Share of unconsolidated JVs | — |  |  | — |  |  | — |  |  | — |  |  | — |
Portfolio Income | $ | 70,672 |  |  | $ | 70,003 |  |  | $ | 74,502 |  |  | $ | 81,974 |  |  | $ | 84,714 |
Interest income | — |  |  | — |  |  | — |  |  | — |  |  | — |
Share of unconsolidated JVs | — |  |  | — |  |  | — |  |  | — |  |  | — |
Adjustment to NOI | 2,165 |  |  | 2,478 |  |  | 7,614 |  |  | 7,067 |  |  | 4,961 |
Non-SPP NOI | (12,496 | ) |  | (11,146 | ) |  | (19,969 | ) |  | (25,698 | ) |  | (27,746 | )
SPP NOI | $ | 60,341 |  |  | $ | 61,335 |  |  | $ | 62,147 |  |  | $ | 63,343 |  |  | $ | 61,929 |
Non-cash adjustment to SPP NOI | (1,361 | ) |  | (1,156 | ) |  | (1,648 | ) |  | (1,371 | ) |  | 182 |
SPP cash NOI | $ | 58,980 |  |  | $ | 60,179 |  |  | $ | 60,499 |  |  | $ | 61,972 |  |  | $ | 62,111 |

Medical Office(1)

| Three Months Ended
| December 31, 2018 |  | March 31, 2019 |  | June 30, 2019 |  | September 30, 2019 |  | December 31, 2019
Net income (loss) | $ | 39,042 |  |  | $ | 31,138 |  |  | $ | 40,397 |  |  | $ | 32,171 |  |  | $ | 37,045 |
Interest expense | 118 |  |  | 111 |  |  | 109 |  |  | 108 |  |  | 105 |
Depreciation and amortization | 53,163 |  |  | 53,101 |  |  | 54,096 |  |  | 54,152 |  |  | 53,323 |
Impairments (recoveries), net | — |  |  | 8,858 |  |  | 90 |  |  | 5,729 |  |  | 2,656 |
Loss (gain) on sales of real estate, net | (527 | ) |  | — |  |  | (2,941 | ) |  | 7 |  |  | (263 | )
NOI | $ | 91,796 |  |  | $ | 93,208 |  |  | $ | 91,751 |  |  | $ | 92,167 |  |  | $ | 92,866 |
Adjustment to NOI | (1,561 | ) |  | (1,771 | ) |  | (1,203 | ) |  | (1,568 | ) |  | (1,335 | )
Cash NOI | $ | 90,235 |  |  | $ | 91,437 |  |  | $ | 90,548 |  |  | $ | 90,599 |  |  | $ | 91,531 |
Interest income | — |  |  | — |  |  | — |  |  | — |  |  | — |
Share of unconsolidated JVs | — |  |  | — |  |  | — |  |  | — |  |  | — |
Portfolio Income | $ | 90,235 |  |  | $ | 91,437 |  |  | $ | 90,548 |  |  | $ | 90,599 |  |  | $ | 91,531 |
Interest income | — |  |  | — |  |  | — |  |  | — |  |  | — |
Share of unconsolidated JVs | — |  |  | — |  |  | — |  |  | — |  |  | — |
Adjustment to NOI | 1,561 |  |  | 1,771 |  |  | 1,203 |  |  | 1,568 |  |  | 1,335 |
Non-SPP NOI | (6,048 | ) |  | (5,584 | ) |  | (5,209 | ) |  | (4,982 | ) |  | (5,174 | )
SPP NOI | $ | 85,748 |  |  | $ | 87,624 |  |  | $ | 86,542 |  |  | $ | 87,185 |  |  | $ | 87,692 |
Non-cash adjustment to SPP NOI | (1,586 | ) |  | (1,802 | ) |  | (1,193 | ) |  | (1,486 | ) |  | (1,224 | )
SPP cash NOI | $ | 84,162 |  |  | $ | 85,822 |  |  | $ | 85,349 |  |  | $ | 85,699 |  |  | $ | 86,468 |

| 21

Reconciliations
In thousands

Other(1)

| Three Months Ended
| December 31, 2018 |  | March 31, 2019 |  | June 30, 2019 |  | September 30, 2019 |  | December 31, 2019
Net income (loss) | $ | 56,619 |  |  | $ | 11,708 |  |  | $ | 24,643 |  |  | $ | 6,637 |  |  | $ | 2,918 |
Interest income | (1,358 | ) |  | (1,713 | ) |  | (2,414 | ) |  | (2,741 | ) |  | (2,976 | )
Interest expense | — |  |  | — |  |  | — |  |  | — |  |  | — |
Depreciation and amortization | 1,724 |  |  | 1,835 |  |  | 1,834 |  |  | 1,834 |  |  | 1,528 |
Impairments (recoveries), net | 3,278 |  |  | — |  |  | — |  |  | 377 |  |  | — |
Loss (gain) on sales of real estate, net | 318 |  |  | — |  |  | — |  |  | (44 | ) |  | 6,611 |
Other expense (income), net | (50,171 | ) |  | — |  |  | (12,817 | ) |  | (980 | ) |  | 5,665 |
Equity loss (income) from unconsolidated JVs | 2,152 |  |  | 863 |  |  | 1,506 |  |  | 7,643 |  |  | (1,387 | )
NOI | $ | 12,562 |  |  | $ | 12,693 |  |  | $ | 12,752 |  |  | $ | 12,726 |  |  | $ | 12,359 |
Adjustment to NOI | 194 |  |  | 195 |  |  | 219 |  |  | 469 |  |  | 460 |
Cash NOI | $ | 12,756 |  |  | $ | 12,888 |  |  | $ | 12,971 |  |  | $ | 13,195 |  |  | $ | 12,819 |
Interest income | 1,358 |  |  | 1,713 |  |  | 2,414 |  |  | 2,741 |  |  | 2,976 |
Share of unconsolidated JVs | 21,466 |  |  | 21,400 |  |  | 22,233 |  |  | 21,569 |  |  | 20,765 |
Portfolio Income | $ | 35,580 |  |  | $ | 36,001 |  |  | $ | 37,618 |  |  | $ | 37,505 |  |  | $ | 36,560 |
Interest income | (1,358 | ) |  | (1,713 | ) |  | (2,414 | ) |  | (2,741 | ) |  | (2,976 | )
Share of unconsolidated JVs | (21,466 | ) |  | (21,400 | ) |  | (22,233 | ) |  | (21,569 | ) |  | (20,765 | )
Adjustment to NOI | (194 | ) |  | (195 | ) |  | (219 | ) |  | (469 | ) |  | (460 | )
Non-SPP NOI | (392 | ) |  | (460 | ) |  | (471 | ) |  | (471 | ) |  | (120 | )
SPP NOI | $ | 12,170 |  |  | $ | 12,233 |  |  | $ | 12,281 |  |  | $ | 12,255 |  |  | $ | 12,239 |
Non-cash adjustment to SPP NOI | 195 |  |  | 194 |  |  | 217 |  |  | 469 |  |  | 462 |
SPP cash NOI | $ | 12,365 |  |  | $ | 12,427 |  |  | $ | 12,498 |  |  | $ | 12,724 |  |  | $ | 12,701 |

Corporate Non-Segment

| Three Months Ended
| December 31, 2018 |  | March 31, 2019 |  | June 30, 2019 |  | September 30, 2019 |  | December 31, 2019
Net income (loss) | $ | (73,626 | ) |  | $ | (67,173 | ) |  | $ | (74,768 | ) |  | $ | (111,643 | ) |  | $ | (92,503 | )
Interest expense | 53,266 |  |  | 47,891 |  |  | 55,231 |  |  | 58,311 |  |  | 54,954 |
General and administrative | 21,510 |  |  | 21,355 |  |  | 27,120 |  |  | 22,970 |  |  | 21,521 |
Transaction costs | 1,684 |  |  | 4,518 |  |  | 1,337 |  |  | 1,319 |  |  | 1,569 |
Other expense (income), net | (162 | ) |  | (3,133 | ) |  | (8,191 | ) |  | 287 |  |  | (2,075 | )
Loss on debt extinguishments | 263 |  |  | — |  |  | 1,135 |  |  | 35,017 |  |  | 22,213 |
Income tax expense (benefit) | (2,935 | ) |  | (3,458 | ) |  | (1,864 | ) |  | (6,261 | ) |  | (5,679 | )
NOI | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | — |

_______________________________________

(1) | During the quarter ended March 31, 2019, two facilities were reclassified from the other non-reportable segments to the medical office segment. Accordingly, all prior period segment information has been recast to conform to the current period presentation.

| 22

Reconciliations
In thousands

Segment Cash NOI Same Property Performance

For the year ended December 31, 2019

|  | Senior Housing Triple-Net |  | SHOP |  | Life Science |  | Medical Office(1) |  | Other(1) |  | Corporate Non-segment |  | Total
Net income (loss) |  | $ | 98,210 |  |  | $ | (46,750 | ) |  | $ | 168,347 |  |  | $ | 140,696 |  |  | $ | 45,649 |  |  | $ | (346,091 | ) |  | $ | 60,061 |
Interest income |  | — |  |  | — |  |  | — |  |  | — |  |  | (9,844 | ) |  | — |  |  | (9,844 | )
Interest expense |  | 1,003 |  |  | 7,519 |  |  | 277 |  |  | 434 |  |  | — |  |  | 216,386 |  |  | 225,619 |
Depreciation and amortization |  | 55,361 |  |  | 214,590 |  |  | 168,339 |  |  | 214,669 |  |  | 7,030 |  |  | — |  |  | 659,989 |
General and administrative |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | 92,966 |  |  | 92,966 |
Transaction costs |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | 8,743 |  |  | 8,743 |
Loss (gain) on sales of real estate, net |  | (3,557 | ) |  | (19,384 | ) |  | (3,651 | ) |  | (3,139 | ) |  | 6,831 |  |  | — |  |  | (22,900 | )
Impairments (recoveries), net |  | 43,859 |  |  | 164,369 |  |  | — |  |  | 17,332 |  |  | 377 |  |  | — |  |  | 225,937 |
Other expense (income), net |  | — |  |  | (160,886 | ) |  | — |  |  | — |  |  | (8,137 | ) |  | (13,106 | ) |  | (182,129 | )
Loss on debt extinguishments |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | 58,364 |  |  | 58,364 |
Income tax expense (benefit) |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | (17,262 | ) |  | (17,262 | )
Equity loss (income) from unconsolidated JVs |  | — |  |  | — |  |  | — |  |  | — |  |  | 8,625 |  |  | — |  |  | 8,625 |
NOI |  | $ | 194,876 |  |  | $ | 159,458 |  |  | $ | 333,312 |  |  | $ | 369,992 |  |  | $ | 50,531 |  |  | $ | — |  |  | $ | 1,108,169 |
Adjustment to NOI |  | 2,725 |  |  | 2,872 |  |  | (22,120 | ) |  | (5,877 | ) |  | 1,342 |  |  | — |  |  | (21,058 | )
Cash NOI |  | $ | 197,601 |  |  | $ | 162,330 |  |  | $ | 311,192 |  |  | $ | 364,115 |  |  | $ | 51,873 |  |  | $ | — |  |  | $ | 1,087,111 |
Interest income |  | — |  |  | — |  |  | — |  |  | — |  |  | 9,844 |  |  | — |  |  | 9,844 |
Share of unconsolidated JVs |  | — |  |  | — |  |  | — |  |  | — |  |  | 85,967 |  |  | — |  |  | 85,967 |
Portfolio Income |  | $ | 197,601 |  |  | $ | 162,330 |  |  | $ | 311,192 |  |  | $ | 364,115 |  |  | $ | 147,684 |  |  | $ | — |  |  | $ | 1,182,922 |
Interest income |  | — |  |  | — |  |  | — |  |  | — |  |  | (9,844 | ) |  | — |  |  | (9,844 | )
Share of unconsolidated JVs |  | — |  |  | — |  |  | — |  |  | — |  |  | (85,967 | ) |  | — |  |  | (85,967 | )
Adjustment to NOI |  | (2,725 | ) |  | (2,872 | ) |  | 22,120 |  |  | 5,877 |  |  | (1,342 | ) |  | — |  |  | 21,058 |
Non-SPP NOI |  | (104,834 | ) |  | (127,221 | ) |  | (109,334 | ) |  | (54,708 | ) |  | (1,523 | ) |  | — |  |  | (397,620 | )
SPP NOI |  | $ | 90,042 |  |  | $ | 32,237 |  |  | $ | 223,978 |  |  | $ | 315,284 |  |  | $ | 49,008 |  |  | $ | — |  |  | $ | 710,549 |
Non-cash adjustment to SPP NOI |  | (1,126 | ) |  | 122 |  |  | (1,948 | ) |  | (4,443 | ) |  | 1,343 |  |  | — |  |  | (6,052 | )
SPP cash NOI |  | $ | 88,916 |  |  | $ | 32,359 |  |  | $ | 222,030 |  |  | $ | 310,841 |  |  | $ | 50,351 |  |  | $ | — |  |  | $ | 704,497 |

| 23

Reconciliations
In thousands

For the year ended December 31, 2018

|  | Senior Housing Triple-Net |  | SHOP |  | Life Science |  | Medical Office(1) |  | Other(1) |  | Corporate Non-segment |  | Total
Net income (loss) |  | $ | 191,105 |  |  | $ | 76,168 |  |  | $ | 961,071 |  |  | $ | 155,799 |  |  | $ | 78,357 |  |  | $ | (389,026 | ) |  | $ | 1,073,474 |
Interest income |  | — |  |  | — |  |  | — |  |  | — |  |  | (10,406 | ) |  | — |  |  | (10,406 | )
Interest expense |  | 2,404 |  |  | 2,725 |  |  | 316 |  |  | 474 |  |  | 1,469 |  |  | 258,955 |  |  | 266,343 |
Depreciation and amortization |  | 79,605 |  |  | 104,405 |  |  | 140,480 |  |  | 200,430 |  |  | 24,579 |  |  | — |  |  | 549,499 |
General and administrative |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | 96,702 |  |  | 96,702 |
Transaction costs |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | 10,772 |  |  | 10,772 |
Loss (gain) on sales of real estate, net |  | (641 | ) |  | (93,977 | ) |  | (806,184 | ) |  | (4,428 | ) |  | (20,755 | ) |  | — |  |  | (925,985 | )
Impairments (recoveries), net |  | — |  |  | 44,343 |  |  | 7,639 |  |  | — |  |  | 3,278 |  |  | — |  |  | 55,260 |
Other expense (income), net |  | — |  |  | — |  |  | — |  |  | — |  |  | (9,605 | ) |  | (3,711 | ) |  | (13,316 | )
Loss on debt extinguishments |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | 44,162 |  |  | 44,162 |
Income tax expense (benefit) |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | (17,854 | ) |  | (17,854 | )
Equity loss (income) from unconsolidated JVs |  | — |  |  | — |  |  | — |  |  | — |  |  | 2,594 |  |  | — |  |  | 2,594 |
NOI |  | $ | 272,473 |  |  | $ | 133,664 |  |  | $ | 303,322 |  |  | $ | 352,275 |  |  | $ | 69,511 |  |  | $ | — |  |  | $ | 1,131,245 |
Adjustment to NOI |  | 2,127 |  |  | 2,875 |  |  | (9,589 | ) |  | (6,690 | ) |  | (627 | ) |  | — |  |  | (11,904 | )
Cash NOI |  | $ | 274,600 |  |  | $ | 136,539 |  |  | $ | 293,733 |  |  | $ | 345,585 |  |  | $ | 68,884 |  |  | $ | — |  |  | $ | 1,119,341 |
Interest income |  | — |  |  | — |  |  | — |  |  | — |  |  | 10,406 |  |  | — |  |  | 10,406 |
Share of unconsolidated JVs |  | — |  |  | — |  |  | — |  |  | — |  |  | 64,906 |  |  | — |  |  | 64,906 |
Portfolio Income |  | $ | 274,600 |  |  | $ | 136,539 |  |  | $ | 293,733 |  |  | $ | 345,585 |  |  | $ | 144,196 |  |  | $ | — |  |  | $ | 1,194,653 |
Interest income |  | — |  |  | — |  |  | — |  |  | — |  |  | (10,406 | ) |  | — |  |  | (10,406 | )
Share of unconsolidated JVs |  | — |  |  | — |  |  | — |  |  | — |  |  | (64,906 | ) |  | — |  |  | (64,906 | )
Adjustment to NOI |  | (2,127 | ) |  | (2,875 | ) |  | 9,589 |  |  | 6,690 |  |  | 627 |  |  | — |  |  | 11,904 |
Non-SPP NOI |  | (186,855 | ) |  | (102,813 | ) |  | (91,343 | ) |  | (44,854 | ) |  | (21,127 | ) |  | — |  |  | (446,992 | )
SPP NOI |  | $ | 85,618 |  |  | $ | 30,851 |  |  | $ | 211,979 |  |  | $ | 307,421 |  |  | $ | 48,384 |  |  | $ | — |  |  | $ | 684,253 |
Non-cash adjustment to SPP NOI |  | 1,180 |  |  | 1,835 |  |  | (2,835 | ) |  | (5,681 | ) |  | 673 |  |  | — |  |  | (4,828 | )
SPP cash NOI |  | $ | 86,798 |  |  | $ | 32,686 |  |  | $ | 209,144 |  |  | $ | 301,740 |  |  | $ | 49,057 |  |  | $ | — |  |  | $ | 679,425 |

___________________________________

(1) | During the year ended December 31, 2019, two facilities were reclassified from the other non-reportable segments to the medical office segment. Accordingly, all prior year segment information has been recast to conform to the current year presentation.

| 24

Reconciliations
In thousands

Pro forma Portfolio Income(1)

|  | Three Months Ended December 31, 2019
|  | Senior Housing Triple-net |  | SHOP |  | Life Science |  | Medical Office |  | Other |  | Total
Portfolio Income(2) |  | $ | 39,715 |  |  | $ | 44,749 |  |  | $ | 84,714 |  |  | $ | 91,531 |  |  | $ | 36,560 |  |  | $ | 297,269 |
Pro forma Adjustments: |  |  |  |  |  |  |  |  |  |  |  |
Senior housing asset sales and transitions(3) |  | (19,195 | ) |  | (2,461 | ) |  | — |  |  | — |  |  | 14,283 |  |  | (7,374 | )
Other pro forma adjustments(4) |  | — |  |  | — |  |  | 2,030 |  |  | (697 | ) |  | 622 |  |  | 1,955 |
Pro forma Portfolio Income |  | $ | 20,519 |  |  | $ | 42,288 |  |  | $ | 86,743 |  |  | $ | 90,834 |  |  | $ | 51,465 |  |  | $ | 291,850 |

______________________________________

(1) | Does not foot due to rounding and adjustments made to the Supplemental Report.

(2) | See pages 19 to 22 of this document for a reconciliation of Portfolio Income to net income.

(3) | Includes pro forma adjustments to reflect asset sales and asset transitions from senior housing triple-net to SHOP in connection with the Master Transactions and Cooperation Agreement with Brookdale Senior Living Inc., the Senior Housing Joint Venture, and certain other previously announced sales and transitions.

(4) | Pro forma to reflect the sale of our U.K. holdings and certain previously announced sales. Pro forma Portfolio Income is further adjusted to reflect acquisitions, dispositions, and other operator transitions as if they occurred on the first day of the quarter.

| 25

Reconciliations
In thousands, except per month data

REVPOR SHOP(1)

|  | Three Months Ended
|  | December 31, 2018 |  | March 31, 2019 |  | June 30, 2019 |  | September 30, 2019 |  | December 31, 2019
REVPOR SHOP |  |  |  |  |  |  |  |  |  |
Real Estate Revenues |  | $ | 127,909 |  |  | $ | 126,181 |  |  | $ | 177,001 |  |  | $ | 212,275 |  |  | $ | 209,714 |
Adjustments to real estate revenues |  | 41 |  |  | 968 |  |  | 1,128 |  |  | 957 |  |  | 258 |
Cash Real Estate Revenues |  | $ | 127,950 |  |  | $ | 127,149 |  |  | $ | 178,129 |  |  | $ | 213,232 |  |  | $ | 209,972 |
Other adjustments to REVPOR SHOP(2) |  | (28,998 | ) |  | (21,714 | ) |  | (31,002 | ) |  | (28,094 | ) |  | (76,517 | )
REVPOR SHOP revenues |  | $ | 98,952 |  |  | $ | 105,436 |  |  | $ | 147,127 |  |  | $ | 185,138 |  |  | $ | 133,455 |
Average occupied units/month |  | 7,745 |  |  | 7,664 |  |  | 9,955 |  |  | 11,579 |  |  | 7,304 |
REVPOR SHOP per month(3) |  | $ | 4,259 |  |  | $ | 4,586 |  |  | $ | 4,927 |  |  | $ | 5,330 |  |  | $ | 6,091 |
SPP REVPOR SHOP |  |  |  |  |  |  |  |  |  |
REVPOR SHOP revenues |  | $ | 98,952 |  |  | $ | 105,436 |  |  | $ | 147,127 |  |  | $ | 185,138 |  |  | $ | 133,455 |
Change in reporting structure(4) |  | — |  |  | (7,935 | ) |  | (37,036 | ) |  | (65,453 | ) |  | (65,578 | )
Other non-SPP cash real estate revenues |  | (58,801 | ) |  | (56,070 | ) |  | (68,567 | ) |  | (77,907 | ) |  | (26,619 | )
SPP REVPOR SHOP revenues |  | $ | 40,150 |  |  | $ | 41,430 |  |  | $ | 41,524 |  |  | $ | 41,778 |  |  | $ | 41,257 |
SPP average occupied units/month |  | 2,889 |  |  | 2,882 |  |  | 2,902 |  |  | 2,947 |  |  | 2,942 |
SPP REVPOR SHOP per month(3) |  | $ | 4,633 |  |  | $ | 4,792 |  |  | $ | 4,769 |  |  | $ | 4,725 |  |  | $ | 4,675 |

______________________________________

(1) | Does not foot due to rounding and adjustments made to the Supplemental Report.

(2) | Includes revenue for newly completed facilities under lease-up, facilities sold or held for sale, facilities acquired or transitioned to new operators during the relevant period, and assets in redevelopment.

(3) | Represents the current quarter REVPOR divided by a factor of three.

(4) | Represents revenues for assets that transitioned from senior housing triple-net to SHOP during the year-over-year comparison period.

| 26