EX-99.1 2 tm2428687d1_ex99-1.htm EXHIBIT 99.1
Exhibit 99.1

| Investor Presentation Five Star Senior Living Tiffany Court Walnut Creek 1866 San Miguel Drive Walnut Creek, CA Five Star Senior Living The Horizon Club 1208 South Military Trail Deerfield Beach, FL November 2024

| 2 2 This presentation contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 and other securities laws that are subject to risks and uncertainties. These statements may include words such as “believe”, “expect”, “anticipate”, “intend”, “plan”, “estimate”, “will”, “may” and negatives or derivatives of these or similar expressions. These forward-looking statements include, among others, statements about: DHC’s 2024 guidance; its senior housing operating portfolio (“SHOP”) operator strategic initiatives, including transitions and related expected net operating income (“NOI”) upside, potential dispositions, expected SHOP margin growth and occupancy improvement, implementation of standard operating procedures and revenue management and expense control; capital recycling plans, including expected proceeds from dispositions and the timing thereof; its strategy to strengthen its balance sheet, including its plans to address upcoming debt maturities and potential new debt; the performance of its SHOP, Medical Office and Life Science Portfolio and Triple Net Leased Senior Living and Wellness Centers segments; demand for medical office and life science properties and senior living communities; expected favorable senior living industry trends and positive pharmaceutical and medical research industry fundamentals; and DHC’s potential exercise of its option to extend the maturity date of its zero coupon senior secured notes. Forward-looking statements reflect DHC's current expectations, are based on judgments and assumptions, are inherently uncertain and are subject to risks, uncertainties and other factors, which could cause DHC's actual results, performance or achievements to differ materially from expected future results, performance or achievements expressed or implied in those forward-looking statements. Some of the risks, uncertainties and other factors that may cause DHC's actual results, performance or achievements to differ materially from those expressed or implied by forward-looking statements include, but are not limited to, the following: the impact of unfavorable market and commercial real estate industry conditions due to possible reduced demand for healthcare related space and senior living communities, high interest rates, wage and commodity price inflation, limited labor availability, increased insurance costs, supply chain disruptions, volatility in the public equity and debt markets, pandemics, geopolitical instability and tensions, economic downturns or a possible recession or changes in real estate utilization, among other things, on DHC and its managers and other operators and tenants; DHC's senior living operators' abilities to successfully and profitably operate the communities they manage for DHC; the continuing impact of changing market practices, including those that arose or intensified during the COVID-19 pandemic, or delayed returns to prior market practices on DHC and its managers and other operators and tenants, such as reduced demand for leased medical office, life science and other space of DHC and residencies at senior living communities, increased operating costs and labor availability constraints; the financial strength of DHC's managers and other operators and tenants; whether the aging U.S. population and increasing life spans of seniors will increase the demand for senior living communities and other medical and healthcare related properties and healthcare services; whether DHC’s tenants will renew or extend their leases or whether DHC will obtain replacement tenants on terms as favorable to DHC as its prior leases; the likelihood that DHC's tenants and residents will pay rent or be negatively impacted by continuing unfavorable market and commercial real estate industry conditions; DHC’s managers’ abilities to increase or maintain rates charged to residents of DHC’s senior living communities and manage operating costs for those communities; DHC's ability to increase or maintain occupancy at its properties on terms desirable to DHC; DHC's ability to increase rents when its leases expire or renew; costs DHC incurs and concessions it grants to lease its properties; risk and uncertainties regarding the costs and timing of development, redevelopment and repositioning activities, including as a result of prolonged high inflation, cost overruns, supply chain challenges, labor shortages, construction delays or inability to obtain necessary permits or volatility in the commercial real estate markets; DHC's ability to manage its capital expenditures and other operating costs effectively and to maintain and enhance its properties and their appeal to tenants and residents; DHC's ability to effectively raise and balance its use of debt and equity capital; DHC’s ability to comply with the financial covenants under its debt agreements; DHC's ability to make required payments on its debt; DHC's ability to maintain sufficient liquidity and otherwise manage leverage; DHC's credit ratings; DHC’s ability to sell properties at prices or returns it targets; DHC's ability to sell additional equity interests in, or contribute additional properties to, its existing joint ventures, or enter into additional real estate joint ventures or to attract co-venturers and benefit from DHC's existing joint ventures or any real estate joint ventures it may enter into; DHC's ability to acquire, develop, redevelop or reposition properties that realize its targeted returns; DHC’s ability to pay distributions to its shareholders and to maintain or increase the amount of such distributions; the ability of RMR to successfully manage DHC; competition in the real estate industry, particularly in those markets in which DHC’s properties are located; government regulations affecting Medicare and Medicaid reimbursement rates and operational requirements; compliance with, and changes to, federal, state and local laws and regulations, accounting rules, tax laws and similar matters; exposure to litigation and regulatory and government proceedings due to the nature of the senior living and other health and wellness related service businesses; actual and potential conflicts of interest with DHC's related parties, including DHC’s Managing Trustees, RMR, ABP Trust, AlerisLife and others affiliated with them; limitations imposed by and DHC’s ability to satisfy complex rules to maintain DHC’s qualification for taxation as a REIT for U.S. federal income tax purposes; acts of terrorism, outbreaks of pandemics or other public health safety events or conditions, war or other hostilities, global climate change or other manmade or natural disasters beyond DHC’s control; and other matters. These risks, uncertainties and other factors are not exhaustive and should be read in conjunction with other cautionary statements that are included in DHC's periodic filings. The information contained in DHC's filings with the SEC, including under the caption “Risk Factors” in its periodic reports, or incorporated therein, identifies important factors that could cause differences from the forward-looking statements in this presentation. DHC's filings with the SEC are available on the SEC's website at www.sec.gov. You should not place undue reliance upon DHC's forward-looking statements. Except as required by law, DHC does not intend to update or change any forward-looking statements as a result of new information, future events or otherwise. Warning Concerning Forward Looking Statements

| 3 3 Table of Contents Page COMPANY HIGHLIGHTS AND OUTLOOK 4 SHOP INITIATIVES 7 CAPITAL RECYCLING 10 CAPITAL AND LIQUIDITY OUTLOOK 11 SHOP OVERVIEW 12 MEDICAL OFFICE & LIFE SCIENCE PORTFOLIO OVERVIEW 15 TRIPLE NET LEASED SENIOR LIVING & WELLNESS CENTERS SEGMENT OVERVIEW 18 APPENDIX 20

| 4 4 Company Highlights Five Star Senior Living Heritage Place at Boerne 120 Crosspoint Drive Boerne, TX

| 5 5 DHC Today - National Healthcare REIT 368 Healthcare Related Properties 8.2M sf Medical Office Life Science Space More than 27,000 Senior Living Units $7.2B Investment Portfolio 27 Triple Net Senior Living Communities and 10 Wellness Centers DHC is supported by a favorable industry backdrop. Long term, positive healthcare sector tailwinds providing a favorable outlook for improved industry fundamentals. An institutional quality portfolio diversified across the healthcare spectrum supporting long term stable growth. Diversified tenant base with approximately 500 tenants in attractive medical office and life science markets. An aging U.S. population coupled with constrained supply provides an opportunity to capitalize on demographic trends. Attractive portfolio with a strong lease coverage profile of 2.04x, embedded NOI growth and a weighted average lease term by annualized income of 10.3 years.

| 6 6 Third Quarter Results and Outlook +170 bps year over year SHOP margin improvement1 +100 bps SHOP occupancy increased year over year to 79.4%1 87.8% Medical Office and Life Science same store occupancy Third Quarter 2024 Financial Results1 1. Comparisons reflect change from Q3 2023. Category 2024 Revised Guidance SHOP NOI $102 - $107 million SHOP Occupancy (End of Year) 79.4% - 80.0% SHOP CapEx MOB/LS and Other CapEx $130 - $140 million $50 million Guidance Update Commentary • Approximately $6.2 million of expense impact from hurricane damage and a fire at a community, which includes $4.0 million expected in Q4. o No community fully out of service. • $6.8 million of annual insurance premium savings from July 2024 – June 2025. • Occupancy growth moderated partially due to ROI and operational initiatives underway with renovation projects and community transitions. • Material CapEx savings due to expanded disposition program across segments and timing of certain projects. • Net loss of $98.7 million, or $0.41 per share. • Normalized FFO of $4.0 million, or $0.02 per share. • Same property cash basis NOI of $65.8 million, an increase of $9.2 million, or 16.1%. • Executed 82,595 square feet of leasing activity within the Medical Office and Life Science Portfolio at weighted average rents that were 4.8% higher than prior rents for the same space. • Notably, SHOP same property cash basis NOI increased 38.4%, reflecting an increase of 6.6% in SHOP revenue attributable to a 130 bps increase in occupancy and a 5.4% increase in average monthly rate.

| 7 7 SHOP Performance Initiatives $27.4 $6.3 $2.3 $36.0 Q3 2024 SHOP NOI Transitions Dispositions Q3 2024 Adjusted SHOP NOI Category NOI ($M) Q3 2024 SHOP NOI $27.4 Pro forma for stabilized transitioned communities 1 6.3 Pro forma for reduction of NOI loss from planned SHOP dispositions 2 2.3 Adjusted SHOP NOI $36.0 Embedded NOI and margin growth through executing on strategic initiatives Strategic Initiatives Underway Operator Transitions • Continue presence in markets with strong fundamentals. • Densification and operational synergies. • ROI capital opportunities. • New operator relationships. Select Dispositions • Value maximization and non-core assets. • Principle focus on smaller communities. • Low growth markets. • Capital intensive. A drive toward margin growth through: • Implementing standard operating procedures to ensure quality in operations and to boost tours and conversions within the community. • Performance and occupancy enhancement through regular tracking of key metrics and targeted incentive programs. • Revenue management with strategic market to market rate adjustments and advancing care services in higher acuity communities. • Expense control with a focus on salaries and wages and contract labor. Execution of key initiatives positions DHC for long-term growth. 1. Pro forma adjustment reflects expected stabilized NOI of the 13-community operator transition that occurred in April and May 2024 and the planned 8-community operator transition to take place in 2025. The stabilized occupancy and stabilized NOI are for the specific communities as underwritten in the 3rd year of the transition. 2. Pro forma adjustment reflects the Q3 2024 negative NOI generated by the 35 SHOP communities being marketed for sale.

| 8 8 (4.2%) 3.8% 7.0% 5.7% 4.0% 3.3% 0.7% 2.0% 71.1% 74.4% 78.1% 79.4% 50% 55% 60% 65% 70% 75% 80% 85% -5% 0% 5% 10% 15% 2021 2022 2023 Q3 2024 Occupancy RevPOR / ExpPOR Growth RevPOR Y/Y ∆% ExpPOR Y/Y ∆% Occupancy % SHOP Margin Expansion is Expected to Continue A focus on driving revenue growth and expense management. SHOP RevPOR vs ExpPOR and Occupancy Growth Trends l 1. Reflects change from the periods Q4 2023 to Q3 2024. Occupancy is for the three months ended September 30, 2024. 2. Occupancy is for the respective year ended. 2 1

| 9 9 Operator Transitions To Drive Growth 2024 Transitioned Communities Transition Date April/May 2024 Stabilization 24 - 30 Months Communities / Units 13 / 783 Current Occupancy / NOI 1 60% / ($5.5)M Stabilized Occupancy Stabilized NOI 85% - 88% $4M - $5M Acuity Mix (units) 691 AL, 92 MC Current Rate Upside 2 10.7% Affordability in Years 3 4.1 Years • Expansion of operator relationships, providing best-in-class care. • Operating synergies through efficiencies from a clustered operating model. • Operators with expertise and a proven track record in executing turnarounds in local markets. 1,959 Units 21 Communities ~$25M NOI Upside 25-30% Targeted occupancy improvement 1. Amounts shown reflect occupancy as of the three months ended September 30, 2024 and Q3 2024 NOI annualized. 2. Upside potential between the current achieved rents at the community and the average NIC competitor rents for senior housing within a 3- or 5-mile radius, if available. 3. Calculated as the average home value owned by seniors (age 65+) within a 3-mile radius of the property, divided by the current property’s achieved rent. 4. Source: NIC 2025 Targeted Transition Communities Transition Date Q1/Q2 2025 Stabilization 24 – 30 Months Communities / Units 8 / 1,176 Current Occupancy / NOI 1 61% / ($2.1)M Stabilized Occupancy Stabilized NOI 87% - 90% $12M - $14M Acuity Mix (units) 473 IL, 520 AL, 183 MC Current Rate Upside 2 15.5% Affordability in Years 3 6.6 Years

| 1100 Capital Recycling Update Estimated proceeds of approximately $302 million from sales of collateral properties within the Medical Office and Life Science Portfolio and Triple Net Leased Senior Living Wellness Centers segments to pay down 2026 zero coupon secured notes. Sales of non-core SHOP communities to further improve densification of the portfolio, boost NOI and improve overall performance to drive margin expansion. Proceeds of unencumbered properties of $190 to $210 million targeted for Q1 and Q2 2025. 1. Dollars in thousands, except sales price per square foot. 2. Occupancy is presented as of September 30, 2024 for the Medical Office and Life Science Portfolio and the Triple Net Leased Senior Living Wellness Centers segment properties and for the three months ended September 30, 2024 for the SHOP segment properties. NOI is presented for the three months ended September 30, 2024 for all properties. MOB / Life Science SHOP NNN / Other Under Agreement or Letter of Intent 1 Number of Properties / Units 7 3 / 302 18 / 876 Estimated Gross Sales Price $197,700 $15,380 $135,000 Price Per SF or Unit $307 $50,927 $154,110 Occupancy 2 24.2% 64.7% 100.0% NOI 2 $920 $100 $2,025 Marketing (Updated) 1 Number of Properties / Units 2 32 / 2,069 1 Estimated Proceeds or Price Per Unit $8,000 - $10,000 $55,000 - $65,000 / Unit $3,000 - $4,000 Occupancy 2 89.9% 74.9% 0% NOI 2 $1,200 ($2,400) $0

| 1111 $0.5 $442.0 $941.4 $0.3 $500.3 $0.3 $0.3 $1,226.2 2024 2025 2026 2027 2028 2029 2030 2031 & After Cash Disposition Proceeds Financing Unsecured Fixed Rate Debt Secured Fixed Rate Debt Focused Strategy to Strengthen Balance Sheet Debt Maturity Schedule (As of September 30, 2024) (dollars in millions) Note: All information as of September 30, 2024 unless otherwise noted. $261 million Cash on hand $4.6 billion Unencumbered SHOP assets $1.3 billion Gross book value of real estate of collateral (excluding planned dispositions) Financing Strategy $23.8 million Collateral Q3 2024 NOI (excluding planned dispositions) June 2025 $440 Million Maturity • $60 million paydown with cash on hand in late November 2024. o Expected to result in approximately $3.2 million in interest expense savings. • $106 million of GSE loan proceeds on 8 communities expected to close in January 2025. o In active negotiations with conventional and agency lenders to issue accretive, secured fixed rate debt with select SHOP communities. • Proceeds of non-collateral properties of $190 - $210 million targeted for Q1 and Q2 2025. January 2026 $940 Million Maturity • Paydown of approximately $302 million with disposition proceeds from sale of 22 collateral properties. o Reflects a 25% premium to the allocated fair value of these collateral properties. • Ample collateral remaining that secure the bond. o 73 properties with 5.5 million sq. ft. and 653 senior living units o Q3 2024 NOI of $23.8 million o Gross book value of real estate assets of over $1.3 billion o Strong occupancy, WALT and rent coverage • Over $5 billion of unencumbered assets. • Potential for additional asset sales. • DHC has a one-time option to extend the maturity date of these senior secured notes by one year, subject to satisfaction of certain conditions and payment of an extension fee. 2026 Zero Coupon

| 1212 SHOP Segment Five Star Senior Living Heritage Place at Boerne 120 Crosspoint Drive Boerne, TX

| 1313 SHOP Overview 232 SHOP communities span across 31 states. Portfolio largely located in areas where the growth rate of 75+ population is higher than NIC designated metro population growth rate. Good mix of properties strategically located in areas where home values are outpacing the national median home value. Majority of the portfolio is in locations above the national median income. Q3 2024 SHOP Absorption Primary and Secondary NIC1 3.7% DHC Top 101 4.6% DHC Primary/Secondary 4.0% • Higher absorption levels, signaling strong supply/demand fundamentals, supporting SHOP occupancy and rate outlook. • SHOP is well positioned in favorable markets with demographics growth, strong absorption, and affordability. • SHOP RevPOR increased 5.2% Y/Y2, outpacing respective NIC markets (+4.7% Y/Y). SHOP Assets Strategically Positioned in Key Primary and Secondary Markets 1. NIC and SHOP data as of September 30, 2024. 2. RevPOR growth excludes SNFs, consistent with presentation of NIC data. Qualified Population by Net Worth Bubble sizes reflect DHC’s unit count in identified market. Bubble color reflects households within the submarkets where our communities are located, with an age of 75+ and a median net worth of $400,000. - $400,000 +

| 1414 Expect Favorable Industry Trends to Support Operational Momentum • Senior living demographic of 80+ population is projected to grow at a 4.2% CAGR over the next 10 years while inventory growth is expected to remain depressed at 1.0%.1,2 • Rent growth remains elevated with top primary / secondary markets increasing up to 10% annually. Age 80+ Population Growth1 Inventory Growth3 - 5.0 10.0 15.0 20.0 25.0 Millions 0.0% 1.0% 2.0% 3.0% 4.0% 5.0% 6.0% 7.0% Senior Housing Indepentant Lving Long term senior population growth is significantly outpacing inventory growth supporting higher occupancy levels and rent growth. 1. Source: Population estimates from the Organization for Economic Co-Operation and Development (OECD) as of March 2024. 2. Source: National Investment Center for Seniors Housing & Care (NIC) as of 2024. 3. Source: NIC Map © Data Service in primary and secondary markets as of Q3 2024. For more information on the NIC MAP © Data Service, please visit www.nic.org/NIC-map.

| 1515 Medical Office & Life Science Segment Torrey Pines 3030 Science Park San Diego, CA

| 1616 High quality Medical Office and Life Science Portfolio. • Approximately 500 individual tenants including industry-leading institutions. • Diverse tenant industry mix including healthcare systems, medical and dental offices, pharmaceutical and biotech research, health insurance and other related industries. • Geographically diversified medical office portfolio across the US. • Life science properties concentrated in leading pharmaceutical and medical research markets. • Proven ability to proactively manage leasing, routinely achieving double digit rent growth. Medical Office Concentrated in Geographically Diverse Markets2 Medical Office & Life Science Portfolio Overview San Francisco Bay Area 30% Boston 31% San Diego/Los Angeles 25% Raleigh/ Durham 3% Other Markets 11% NOI Breakdown2 Life Science Concentrated in Leading Markets2 1. By annualized rental income as of September 30, 2024. 2. By Medical Office & Life Science segment NOI as of September 30, 2024. Life Science 35% Patient Care 53% Other 12% Hospitals/ Clinics 27% Life Sciences 26% Medical/ Dentist Office 22% Other 25% Tenant Industry1 Milwaukee 21% Honolulu, 8% Minneapolis-St. Paul, 7% Albuquerque, 5% St. Louis, 5% Boston, 5% Austin, 4% San Antonio, 4% Pittsburgh, 3% Other 38%

| 1717 $461.6B $715.5B 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 Conventional Drugs Biologics & Biosmilars Positive Pharmaceutical and Medical Research Industry Fundamentals • Industry tailwinds driving continued demand. • Increasing demand for healthcare services, driven by an aging population and advancements in medical technology is bolstering the need for medical facilities. • Migration towards outpatient care further drives the demand for medical office space. • A rising chronic disease prevalence, as well as the aging population, are driving demand for pharmaceuticals. • Increasing demand for R&D coupled with rapid pace of innovation in biotechnology and pharmaceuticals is fueling demand for laboratory and research facilities. DHC’s focus on diversified medical office and life science real estate positions DHC to capitalize on these opportunities and deliver value to investors. Growing U.S. Drug Demand ($ in billions) Sources: Statista, CMS and Grandview Research. $4.1B $6.8B 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 Growing U.S. Outpatient Expenditures ($ in billions)

| 1818 Triple Net Leased Senior Living & Wellness Centers Segment The Stratford 2460 Glebe Street Carmel, IN

| 1919 Triple Net Leased Senior Living & Wellness Centers Portfolio Overview Stable performance outlook with embedded growth through a mix of contracted rental increases and percent rent. 2,062 Units 100% Occupancy 6.9 year WALT 1.79x Rent Coverage 812,000 SF 100% Occupancy 15.4 year WALT 2.50x Rent Coverage - - - 11.8% - 1.4% 86.8% 2024 2025 2026 2027 2028 2029 2030 and Thereafter NNN Lease Expiration Schedule DHC’s triple net leased senior living portfolio’s value was highlighted by the announced sale of 18 communities, reflecting a 7.3% cap rate and a more than $150,000 per unit valuation. NNN Senior Living 1 NNN Wellness Centers LifeTime Fitness 971 State Hwy 121 Allen, TX 1. DHC previously announced the sale of 18 triple net leased senior living communities to the current operator, Brookdale Senior Living Inc., on September 30, 2024.

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| 2121 1. Certifications as of December 31, 2023. Our business strategy for our Medical Office and Life Science Portfolio incorporates a focus on sustainable approaches to operating these properties in a manner that benefits our shareholders, tenants and the communities in which we are located. We seek to operate those properties in ways that improve the economic performance of their operations, while simultaneously ensuring tenant comfort and safety and managing energy and water consumption, as well as greenhouse gas emissions. Our strategy for our SHOP segment is to work with our operators to prioritize the safety and well-being of our residents, while also seeking to maximize the operating efficiencies of our senior living communities. Impact Through Action Green Building Certifications1 Dedicated Leadership 2121 23 PROPERTIES 2,233,052 SF GREEN LEASE LEADERS — GOLD PARTNER 33 PROPERTIES 3,362,012 SF 16 PROPERTIES 1,268,841 SF DHC’s Board of Trustees DHC’s Board of Trustees demonstrates a strong dedication to environmental and sustainable initiatives and embodies a rich diversity in professional experience and national background, leveraging a wide rage of expertise and perspective. Learn more about the Sustainability programs of our manager, The RMR Group, through its most recently published Sustainability Report. Female Lead Independent 71% Independent 29% Underrepresented Communities 43% Women DHC’s Commitment to Sustainability and Good Governance

| 2222 Private Clients DHC is managed by The RMR Group LLC, an alternative asset manager Nearly $41 Billion in AUM RMR Platform More than $5 Billion in Annual Revenues Over 18,000 Employees Over 2,000 Properties National Multi-Sector Investment Platform Industrial Residential Senior Living Medical Office Life Science Hotels Retail Office RMR Clients Perpetual Capital Private Real Estate Funds Private Capital 22

| National Vertically Integrated Real Estate Operating Platform is a Differentiator and Competitive Advantage RMR Shared Services Accounting Marketing Human Resources Investor Relations Property Management Development Finance Legal Information Technology Project Management Tax Portfolio Management Transactions Asset Management 2323

| 2424 Management aligned with shareholder interests RMR base management fee tied to DHC share price performance • Consists of an annual fee based on 50 bps of the lower of: (1) DHC’s historical cost of real estate, or (2) DHC’s total market capitalization. • There is no incentive for RMR to complete any transaction that could reduce DHC’s share price. RMR incentive fees are contingent on total shareholder return outperformance • Equal to 12% of value generated by DHC in excess of the benchmark index total returns (MSCI U.S. REIT/Health Care REIT Index) per share over a three year period, subject to a cap (1.5% of equity market cap). • Outperformance must be positive: it can’t be the best of the worst. • Shareholders keep 100% of benchmark returns and at least 88% of returns in excess of the benchmark. Other fees • Property management fee: consists of an annual fee based on 3.0% of rents collected at DHC’s medical office, life science and active adult properties. • Construction supervision fee based on project costs. Alignment of Interests If DHC’s total market cap exceeds historical cost of real estate, base fee is paid on assets. If DHC’s total market cap is less than historical cost of real estate, base fee fluctuates with share price. Incentive fee structure keeps RMR focused on increasing total shareholder return. Members of RMR senior management are holders of DHC shares, some subject to long term lock up agreements. DHC shareholders have visibility into publicly traded RMR. DHC benefits from RMR’s national footprint and economies of scale of a $41 billionplatform.

| RMR’s Demonstrated Commitment to Sustainability with Measurable Progress 1. Certifications as of December 31, 2023. • Zero Emissions Promise by 2050 for all RMR managed properties. – Reduce GHG emissions 50% by 2029 from 2019 baseline. – Achieve net zero emissions from operations by 2050. • Water and Waste Goals compared to 2019 baseline. – Reduce water consumption 25% by 2030. – Achieve a 50% diversion rate from landfills by 2025. • Clean Energy Transition – Goal set to Install 75MW of solar capacity across 160 properties over 5 years. 86 ENERGY STAR® Certified Properties 73 BOMA 360 Recognized Properties 87 LEED Certified Properties Impact Through Action Enabling Client Efficiency • Real-time Monitoring (RTM) program – Identifying savings opportunities using high-resolution building automation data and cross-disciplinary team collaboration. • Partnership with Clockworks Analytics® – Creating a network of RTM and notification that delivers performance, comfort and maintenance improvement. • Dedicated sustainability team – Team consists of 11 professionals, predominantly engineering professionals. Green Building Certifications1 2023 Environmental Progress Highlights 28.4% Reduction in Energy Consumption from 2019 Baseline 35.8% Reduction from GHG Emissions from 2019 Baseline 23.3% Reduction in Water Consumption from 2019 Baseline 48.5% Waste Diverted to Recycling in 2023 2525

| 2626 (dollars in thousands) Calculation and Reconciliation of NOI and Cash Basis NOI For the Three Months Ended 9/30/2024 6/30/2024 3/31/2024 12/31/2023 9/30/2023 Calculation of NOI and Cash Basis NOI: Revenues: Rental income $ 61,635 $ 62,870 $ 62,650 $ 67,199 $ 63,390 Residents fees and services 312,005 308,522 308,126 294,336 293,134 Total revenues 373,640 371,392 370,776 361,535 356,524 Property operating expenses (309,697) (304,065) (307,604) (303,411) (298,432) NOI 63,943 67,327 63,172 58,124 58,092 Non-cash straight line rent adjustments included in rental income (658) (656) (291) (238) (676) Lease value amortization included in rental income 27 29 28 22 22 Lease termination fees included in rental income — — (203) (419) (413) Non-cash amortization included in property operating expenses (199) (199) (199) (201) (199) Cash Basis NOI $ 63,113 $ 66,501 $ 62,507 $ 57,288 $ 56,826 Reconciliation of Net Loss to NOI and Cash Basis NOI: Net loss $ (98,689) $ (97,861) $ (86,259) $ (102,564) $ (65,779) Equity in net (earnings) losses of investees (527) 12,307 (1,898) 22,598 145 Income tax expense 148 170 187 66 189 Loss on modification or early extinguishment of debt — 209 — 1,393 — Interest expense 59,443 58,702 57,576 48,853 47,758 Interest and other income (2,575) (2,403) (2,237) (2,964) (3,243) Gains on equity investments, net — — — — — (Gain) loss on sale of properties (111) 13,213 5,874 28 — Impairment of assets 23,031 6,545 12,142 — 1,156 Acquisition and certain other transaction related costs 331 1,826 86 1,041 3,676 General and administrative 13,933 6,262 7,568 6,020 6,954 Depreciation and amortization 68,959 68,357 70,133 83,653 67,236 NOI 63,943 67,327 63,172 58,124 58,092 Non-cash straight line rent adjustments included in rental income (658) (656) (291) (238) (676) Lease value amortization included in rental income 27 29 28 22 22 Lease termination fees included in rental income — — (203) (419) (413) Non-cash amortization included in property operating expenses (199) (199) (199) (201) (199) Cash Basis NOI $ 63,113 $ 66,501 $ 62,507 $ 57,288 $ 56,826

| 2727 (dollars in thousands) Calculation and Reconciliation of NOI, Cash Basis NOI, Same Property NOI and Same Property Cash Basis NOI by Segment For the Three Months Ended September 30, 2024 For the Three Months Ended June 30, 2024 For the Three Months Ended September 30, 2023 Calculation of NOI and Cash Basis NOI: Medical Office and Life Science Portfolio SHOP Non-Segment Total Medical Office and Life Science Portfolio SHOP Non-Segment Total Medical Office and Life Science Portfolio SHOP Non-Segment Total Rental income / residents fees and services $ 52,901 $ 312,005 $ 8,734 $ 373,640 $ 54,555 $ 308,522 $ 8,315 $ 371,392 $ 55,058 $ 293,134 $ 8,332 $ 356,524 Property operating expenses (25,074) (284,572) (51) (309,697) (24,282) (279,538) (245) (304,065) (25,784) (272,445) (203) (298,432) NOI $ 27,827 $ 27,433 $ 8,683 $ 63,943 $ 30,273 $ 28,984 $ 8,070 $ 67,327 $ 29,274 $ 20,689 $ 8,129 $ 58,092 NOI $ 27,827 $ 27,433 $ 8,683 $ 63,943 $ 30,273 $ 28,984 $ 8,070 $ 67,327 $ 29,274 $ 20,689 $ 8,129 $ 58,092 Non-cash straight line rent adjustments included in rental income (358) — (300) (658) (241) — (415) (656) (156) — (520) (676) Lease value amortization included in rental income 27 — — 27 29 — — 29 21 — 1 22 Lease termination fees included in rental income — — — — — — — — (413) — — (413) Non-cash amortization included in property operating expenses (199) — — (199) (199) — — (199) (199) — — (199) Cash Basis NOI $ 27,297 $ 27,433 $ 8,383 $ 63,113 $ 29,862 $ 28,984 $ 7,655 $ 66,501 $ 28,527 $ 20,689 $ 7,610 $ 56,826 Reconciliation of NOI to Same Property NOI: NOI $ 27,827 $ 27,433 $ 8,683 $ 63,943 $ 30,273 $ 28,984 $ 8,070 $ 67,327 $ 29,274 $ 20,689 $ 8,129 $ 58,092 NOI of properties not included in same property results 1,654 2,981 (2,026) 2,609 799 1,397 (2,025) 171 392 1,281 (2,026) (353) Same Property NOI $ 29,481 $ 30,414 $ 6,657 $ 66,552 $ 31,072 $ 30,381 $ 6,045 $ 67,498 $ 29,666 $ 21,970 $ 6,103 $ 57,739 Reconciliation of Same Property NOI to Same Property Cash Basis NOI: Same Property NOI $ 29,481 $ 30,414 $ 6,657 $ 66,552 $ 31,072 $ 30,381 $ 6,045 $ 67,498 $ 29,666 $ 21,970 $ 6,103 $ 57,739 Non-cash straight line rent adjustments included in rental income (296) — (292) (588) (155) — (407) (562) (318) — (501) (819) Lease value amortization included in rental income 27 — — 27 29 — — 29 20 — 1 21 Lease termination fees included in rental income — — — — — — — — (108) — — (108) Non-cash amortization included in property operating expenses (177) — — (177) (170) — — (170) (170) — — (170) Same Property Cash Basis NOI $ 29,035 $ 30,414 $ 6,365 $ 65,814 $ 30,776 $ 30,381 $ 5,638 $ 66,795 $ 29,090 $ 21,970 $ 5,603 $ 56,663

| 2828 (amounts in thousands, except per share data) 1. For the three months ended March 31, 2024, represents DHC's 34% pro rata share of AlerisLife's FFO and Normalized FFO for DHC's period of ownership from February 16, 2024 to March 31, 2024. Calculation and Reconciliation of FFO and Normalized FFO For the Three Months Ended For the Nine Months Ended 9/30/2024 6/30/2024 3/31/2024 12/31/2023 9/30/2023 9/30/2024 9/30/2023 Net loss $ (98,689) $ (97,861) $ (86,259) $ (102,564) $ (65,779) $ (282,809) $ (191,008) Depreciation and amortization 68,959 68,357 70,133 83,653 67,236 207,449 200,430 (Gain) loss on sale of properties (111) 13,213 5,874 28 — 18,976 (1,233) Impairment of assets 23,031 6,545 12,142 — 1,156 41,718 18,380 Gains on equity securities, net — — — — — — (8,126) Equity in net (earnings) losses of investees (527) 12,307 (1,898) 22,598 145 9,882 (2,137) Share of FFO from unconsolidated joint ventures 2,273 2,047 2,014 1,930 1,912 6,334 5,808 Adjustments to reflect DHC's share of FFO attributable to an equity method investment (1) 1,698 9,955 582 — — 12,235 (1,586) FFO (3,366) 14,563 2,588 5,645 4,670 13,785 20,528 Business management incentive fees 6,934 (849) 849 — — 6,934 — Acquisition and certain other transaction related costs 331 1,826 86 1,041 3,676 2,243 9,812 Loss on modification or early extinguishment of debt — 209 — 1,393 — 209 1,075 Adjustments to reflect DHC's share of Normalized FFO attributable to an equity method investment (1) 127 (8,919) — — — (8,792) 1,576 Normalized FFO $ 4,026 $ 6,830 $ 3,523 $ 8,079 $ 8,346 $ 14,379 $ 32,991 Weighted average common shares outstanding (basic and diluted) 239,667 239,326 239,193 239,175 238,892 239,396 238,722 Per common share data (basic and diluted): Net loss $ (0.41) $ (0.41) $ (0.36) $ (0.43) $ (0.28) $ (1.18) $ (0.80) FFO $ (0.01) $ 0.06 $ 0.01 $ 0.02 $ 0.02 $ 0.06 $ 0.09 Normalized FFO $ 0.02 $ 0.03 $ 0.01 $ 0.03 $ 0.03 $ 0.06 $ 0.14 CAD $ (0.05) $ (0.02) $ 0.01 $ (0.19) $ (0.14) $ (0.07) $ (0.28)

| 2929 NOI, Cash Basis NOI, Same Property NOI and Same Property Cash Basis NOI The calculations of NOI, Cash Basis NOI, same property NOI and same property cash basis NOI exclude certain components of net income (loss) in order to provide results that are more closely related to our property level results of operations. We calculate NOI, Cash Basis NOI, same property NOI and same property cash basis NOI as shown in this appendix. We define NOI as income from our real estate less our property operating expenses. NOI excludes amortization of capitalized tenant improvement costs and leasing commissions that we record as depreciation and amortization. We define Cash Basis NOI as NOI excluding non-cash straight line rent adjustments, lease value amortization, lease termination fees, if any, and non-cash amortization included in property operating expenses. We calculate same property NOI and same property cash basis NOI in the same manner that we calculate the corresponding NOI and cash basis NOI amounts, except that we only include same properties in calculating same property NOI and same property cash basis NOI. We use NOI, Cash Basis NOI, same property NOI and same property cash basis NOI to evaluate individual and company wide property level performance. Other real estate companies and REITs may calculate NOI, Cash Basis NOI, same property NOI and same property cash basis NOI differently than we do. FFO and Normalized FFO We calculate FFO and Normalized FFO as shown in this appendix. FFO is calculated on the basis defined by Nareit, which is net income (loss), calculated in accordance with GAAP, excluding any gain or loss on sale of properties, equity in net earnings or losses of investees, loss on impairment of real estate assets, gains or losses on equity securities, net, if any, and including adjustments to reflect our proportionate share of FFO of our equity method investment in AlerisLife and our proportionate share of FFO from our unconsolidated joint ventures, plus real estate depreciation and amortization of consolidated properties and, as well as certain other adjustments currently not applicable to us. In calculating Normalized FFO, we adjust for the items shown in this appendix. FFO and Normalized FFO are among the factors considered by our Board of Trustees when determining the amount of distributions to our shareholders. Other factors include, but are not limited to, requirements to maintain our qualification for taxation as a REIT, limitations in the agreements governing our debt, the availability to us of debt and equity capital, our expectation of our future capital requirements and operating performance, and our expected needs for and availability of cash to pay our obligations. Other real estate companies and REITs may calculate FFO and Normalized FFO differently than we do. Non-GAAP Financial Measures We present certain "non-GAAP financial measures" within the meaning of applicable rules of the SEC, including net operating income, or NOI, Cash Basis NOI, same property NOI, same property Cash Basis NOI, funds from operations, or FFO, and normalized funds from operations, or Normalized FFO. These measures do not represent cash generated by operating activities in accordance with GAAP and should not be considered alternatives to net income (loss) as indicators of our operating performance or as measures of our liquidity. These measures should be considered in conjunction with net income (loss) as presented in our consolidated statements of income (loss). We consider these non-GAAP measures to be appropriate supplemental measures of operating performance for a REIT, along with net income (loss). We believe these measures provide useful information to investors because by excluding the effects of certain historical amounts, such as depreciation and amortization, they may facilitate a comparison of our operating performance between periods and with other REITs and, in the case of NOI, Cash Basis NOI, same property NOI and same property Cash Basis NOI, reflecting only those income and expense items that are generated and incurred at the property level may help both investors and management to understand the operations of our properties. DEFINITIONS OF CERTAIN NON-GAAP FINANCIAL MEASURES

| 3300 Certain Definitions: AL: Assisted Living senior living communities. ExpPOR: The average expenses generated per occupied room per month at Seniors Housing Operating properties. IL: Independent Living senior living communities. MC: Memory Care senior living communities. RevPOR: The average revenues generated per occupied room per month at Seniors Housing Operating properties. Stabilization: The stabilized occupancy and stabilized NOI are for the specific communities as underwritten in the 3rd year of the transition. WALT: Weighted average lease term by annualized income. CERTAIN DEFINITIONS