UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
FORM 10-Q
 
(Mark One)   
  QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
x EXCHANGE ACT OF 1934 FOR THE QUARTERLY PERIOD ENDED
SEPTEMBER 30, 2018MARCH 31, 2019
OR
¨ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE TRANSITION PERIOD FROM                        TO
Commission file number: 1-10989
 
Ventas, Inc.
(Exact Name of Registrant as Specified in Its Charter)
 
Delaware
(State or Other Jurisdiction of Incorporation or Organization)
 
61-1055020
(I.R.S. Employer Identification No.)
353 N. Clark Street, Suite 3300
Chicago, Illinois
(Address of Principal Executive Offices)
60654
(Zip Code)
(877) 483-6827
(Registrant’s Telephone Number, Including Area Code)
Not Applicable
(Former Name, Former Address and Former Fiscal Year, if Changed Since Last Report)
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes x    No ¨
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes x    No ¨
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer”filer,” “smaller reporting company,” and “smaller reporting“emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer x
 
Accelerated filer ¨
 
Non-accelerated filer  ¨

 
Smaller reporting company ¨
 
Emerging growth company  ¨
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ¨
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ¨    No x

Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date.
Class of Common Stock: Outstanding at OctoberApril 23, 2018:2019:
Common Stock, $0.25 par value 356,467,761358,388,956



VENTAS, INC.
FORM 10-Q
INDEX

     
    Page
  
  
  Consolidated Balance Sheets as of September 30, 2018March 31, 2019 and December 31, 20172018 
  Consolidated Statements of Income for the Three and Nine Months Ended September 30,March 31, 2019 and 2018 and 2017 
  Consolidated Statements of Comprehensive Income for the Three and Nine Months Ended September 30,March 31, 2019 and 2018 and 2017 
  Consolidated Statements of Equity for the NineThree Months Ended September 30,March 31, 2019 and 2018 and the Year Ended December 31, 2017 
  Consolidated Statements of Cash Flows for the NineThree Months Ended September 30,March 31, 2019 and 2018 and 2017 
   
  
  
  
  
  
  
Item 5. Other Information 
  




PART I—FINANCIAL INFORMATION

ITEM 1.    CONSOLIDATED FINANCIAL STATEMENTS

VENTAS, INC.
CONSOLIDATED BALANCE SHEETS
(Unaudited)
As of September 30, 2018 As of December 31, 2017As of March 31, 2019 As of December 31, 2018
(In thousands, except per share amounts)(In thousands, except per share amounts)
Assets      
Real estate investments: 
  
 
  
Land and improvements$2,115,870
 $2,151,386
$2,116,086
 $2,114,406
Buildings and improvements22,188,578
 22,216,942
22,609,780
 22,437,243
Construction in progress395,072
 344,151
335,773
 422,334
Acquired lease intangibles1,506,269
 1,548,074
1,279,490
 1,502,955
Operating lease assets359,025
 
26,205,789
 26,260,553
26,700,154
 26,476,938
Accumulated depreciation and amortization(6,185,155) (5,638,099)(6,570,557) (6,383,281)
Net real estate property20,020,634
 20,622,454
20,129,597
 20,093,657
Secured loans receivable and investments, net527,851
 1,346,359
496,344
 495,869
Investments in unconsolidated real estate entities48,478
 123,639
48,162
 48,378
Net real estate investments20,596,963
 22,092,452
20,674,103
 20,637,904
Cash and cash equivalents86,107
 81,355
82,514
 72,277
Escrow deposits and restricted cash62,440
 106,898
57,717
 59,187
Goodwill1,045,877
 1,034,644
1,050,876
 1,050,548
Assets held for sale24,180
 65,413
5,978
 5,454
Other assets782,386
 573,779
796,909
 759,185
Total assets$22,597,953
 $23,954,541
$22,668,097
 $22,584,555
Liabilities and equity      
Liabilities:    
  
Senior notes payable and other debt$10,478,455
 $11,276,062
$10,690,176
 $10,733,699
Accrued interest76,883
 93,958
81,766
 99,667
Operating lease liabilities214,046
 
Accounts payable and other liabilities1,134,898
 1,183,489
1,063,707
 1,086,030
Liabilities related to assets held for sale14,790
 60,265
947
 205
Deferred income taxes236,616
 250,092
205,056
 205,219
Total liabilities11,941,642
 12,863,866
12,255,698
 12,124,820
Redeemable OP Unitholder and noncontrolling interests143,242
 158,490
Redeemable OP unitholder and noncontrolling interests206,386
 188,141
Commitments and contingencies

 


 

Equity:      
Ventas stockholders’ equity:      
Preferred stock, $1.00 par value; 10,000 shares authorized, unissued
 

 
Common stock, $0.25 par value; 600,000 shares authorized, 356,468 and 356,187 shares issued at September 30, 2018 and December 31, 2017, respectively89,100
 89,029
Common stock, $0.25 par value; 600,000 shares authorized, 358,387 and 356,572 shares issued at March 31, 2019 and December 31, 2018, respectively89,579
 89,125
Capital in excess of par value13,081,324
 13,053,057
13,160,550
 13,076,528
Accumulated other comprehensive loss(7,947) (35,120)(12,065) (19,582)
Retained earnings (deficit)(2,709,293) (2,240,698)(3,088,401) (2,930,214)
Treasury stock, 6 and 1 shares at September 30, 2018 and December 31, 2017, respectively(345) (42)
Total Ventas stockholders’ equity10,452,839
 10,866,226
10,149,663
 10,215,857
Noncontrolling interests60,230
 65,959
56,350
 55,737
Total equity10,513,069
 10,932,185
10,206,013
 10,271,594
Total liabilities and equity$22,597,953
 $23,954,541
$22,668,097
 $22,584,555
See accompanying notes.

VENTAS, INC.
CONSOLIDATED STATEMENTS OF INCOME
(Unaudited)
For the Three Months Ended September 30, For the Nine Months Ended September 30,For the Three Months Ended March 31,
2018 2017 2018 20172019 2018
(In thousands, except per share amounts)(In thousands, except per share amounts)
Revenues          
Rental income:          
Triple-net leased$190,117
 $212,370
 $548,628
 $634,955
$200,068
 $190,641
Office193,911
 189,506
 580,471
 561,641
201,428
 194,168
384,028
 401,876
 1,129,099
 1,196,596
401,496
 384,809
Resident fees and services518,560
 461,700
 1,552,302
 1,386,131
521,447
 514,753
Office building and other services revenue3,288
 3,196
 10,905
 9,781
2,518
 3,328
Income from loans and investments18,108
 32,985
 105,706
 85,499
17,126
 31,181
Interest and other income12,554
 171
 24,535
 854
287
 9,634
Total revenues936,538
 899,928
 2,822,547
 2,678,861
942,874
 943,705
Expenses          
Interest107,581
 113,869
 331,973
 336,245
110,619
 111,363
Depreciation and amortization218,579
 213,407
 675,363
 655,298
235,920
 233,150
Property-level operating expenses:          
Senior living366,721
 315,598
 1,080,053
 936,296
360,986
 352,220
Office61,668
 60,609
 182,662
 174,728
62,085
 60,693
Triple-net leased7,433
 
428,389
 376,207
 1,262,715
 1,111,024
430,504
 412,913
Office building services costs431
 418
 1,080
 1,708
633
 115
General, administrative and professional fees39,677
 33,317
 113,507
 100,560
40,760
 37,174
Loss on extinguishment of debt, net39,527
 511
 50,411
 856
405
 10,977
Merger-related expenses and deal costs4,458
 804
 26,288
 8,903
2,180
 17,336
Other1,244
 13,030
 7,891
 16,066
23
 3,120
Total expenses839,886
 751,563
 2,469,228
 2,230,660
821,044
 826,148
Income before unconsolidated entities, income taxes, discontinued operations, real estate dispositions and noncontrolling interests96,652
 148,365
 353,319
 448,201
(Loss) income from unconsolidated entities(716) 750
 (47,826) 3,794
Income before unconsolidated entities, real estate dispositions, income taxes, discontinued operations and noncontrolling interests121,830
 117,557
Loss from unconsolidated entities(946) (40,739)
Gain on real estate dispositions5,447
 48
Income tax benefit7,327
 7,815
 11,303
 13,119
1,257
 3,242
Income from continuing operations103,263
 156,930
 316,796
 465,114
127,588
 80,108
Discontinued operations
 (19) (10) (95)
 (10)
Gain on real estate dispositions18
 458,280
 35,893
 502,288
Net income103,281
 615,191
 352,679
 967,307
127,588
 80,098
Net income attributable to noncontrolling interests1,309
 1,233
 5,485
 3,391
1,803
 1,395
Net income attributable to common stockholders$101,972
 $613,958
 $347,194
 $963,916
$125,785
 $78,703
Earnings per common share          
Basic:          
Income from continuing operations$0.29
 $0.44
 $0.89
 $1.31
$0.36
 $0.22
Net income attributable to common stockholders0.29
 1.72
 0.97
 2.71
0.35
 0.22
Diluted:          
Income from continuing operations$0.29
 $0.44
 $0.88
 $1.30
$0.35
 $0.22
Net income attributable to common stockholders0.28
 1.71
 0.97
 2.69
0.35
 0.22
Weighted average shares used in computing earnings per common share:       
Basic356,318
 355,929
 356,224
 355,110
Diluted359,355
 359,333
 359,068
 358,365
Dividends declared per common share$0.79
 $0.775
 $2.37
 $2.325
See accompanying notes.

VENTAS, INC.
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
(Unaudited)
For the Three Months Ended September 30, For the Nine Months Ended September 30,For the Three Months Ended March 31,
2018 2017 2018 20172019 2018
(In thousands)(In thousands)
Net income$103,281
 $615,191
 $352,679
 $967,307
$127,588
 $80,098
Other comprehensive income:          
Foreign currency translation(5,018) 5,239
 (8,061) 17,607
3,827
 12,203
Unrealized gain (loss) on marketable debt securities5,131
 (48) 17,816
 (233)9,291
 (172)
Other2,801
 (936) 17,418
 (620)
Derivative instruments(5,438) 8,615
Total other comprehensive income2,914
 4,255
 27,173
 16,754
7,680
 20,646
Comprehensive income106,195
 619,446
 379,852
 984,061
135,268
 100,744
Comprehensive income attributable to noncontrolling interests1,309
 1,233
 5,485
 3,391
1,803
 1,395
Comprehensive income attributable to common stockholders$104,886
 $618,213
 $374,367
 $980,670
$133,465
 $99,349
   
See accompanying notes.

VENTAS, INC.
CONSOLIDATED STATEMENTS OF EQUITY
For the NineThree Months Ended September 30,March 31, 2019 and 2018 and the Year Ended December 31, 2017
(Unaudited)
September 30, 2018
Common
Stock Par
Value
 
Capital in
Excess of
Par Value
 
Accumulated
Other
Comprehensive
Loss
 
Retained
Earnings
(Deficit)
 
Treasury
Stock
 
Total Ventas
Stockholders’
Equity
 
Noncontrolling
Interests
 Total Equity
2018(In thousands, except per share amounts)  
Balance at January 1, 2017$88,514
 $12,917,002
 $(57,534) $(2,487,695) $(47) $10,460,240
 $68,513
 $10,528,753
Net income
 
 
 1,356,470
 
 1,356,470
 4,642
 1,361,112
Other comprehensive income
 
 22,414
 
 
 22,414
 
 22,414
Impact of CCP Spin-Off
 107
 
 
 
 107
 
 107
Net change in noncontrolling interests
 (1,427) 
 
 
 (1,427) (13,292) (14,719)
Dividends to common stockholders—$3.115 per share
 
 
 (1,109,473) 
 (1,109,473) 
 (1,109,473)
Issuance of common stock276
 72,618
 
 
 553
 73,447
 
 73,447
Issuance of common stock for stock plans87
 21,723
 
 
 796
 22,606
 
 22,606
Change in redeemable noncontrolling interests
 (850) 
 
 
 (850) 6,096
 5,246
Adjust redeemable OP Unitholder Interests to current fair value
 253
 
 
 
 253
 
 253
Redemption of OP and Class C Units84
 19,845
 
 
 3,207
 23,136
 
 23,136
Grant of restricted stock, net of forfeitures68
 23,786
 
 
 (4,551) 19,303
 
 19,303
Balance at December 31, 201789,029
 13,053,057
 (35,120) (2,240,698) (42) 10,866,226
 65,959
 10,932,185
Net income
 
 
 347,194
 
 347,194
 5,485
 352,679
Other comprehensive income
 
 27,173
 
 
 27,173
 
 27,173
Net change in noncontrolling interests
 (1,426) 
 
 
 (1,426) (11,214) (12,640)
Dividends to common stockholders—$2.37 per share
 
 
 (846,432) 
 (846,432) 
 (846,432)
Issuance of common stock for stock plans and other26
 6,179
 
 
 1,238
 7,443
 
 7,443
Adjust redeemable OP Unitholder Interests to current fair value
 8,878
 
 
 
 8,878
 
 8,878
Redemption of OP Units
 (830) 
 
 234
 (596) 
 (596)
Grant of restricted stock, net of forfeitures45
 15,466
 
 
 (1,775) 13,736
 
 13,736
Cumulative effect change in accounting principles
 
 
 30,643
 
 30,643
 
 30,643
Balance at September 30, 2018$89,100
 $13,081,324
 $(7,947) $(2,709,293) $(345) $10,452,839
 $60,230
 $10,513,069
2019
Common
Stock Par
Value
 
Capital in
Excess of
Par Value
 
Accumulated
Other
Comprehensive
Loss
 
Retained
Earnings
(Deficit)
 
Treasury
Stock
 
Total Ventas
Stockholders’
Equity
 
Noncontrolling
Interests
 Total Equity
2019(In thousands, except per share amounts)  
Balance at January 1, 2018$89,029
 $13,053,057
 $(35,120) $(2,240,698) $(42) $10,866,226
 $65,959
 $10,932,185
Net income
 
 
 78,703
 
 78,703
 1,395
 80,098
Other comprehensive income
 
 20,646
 
 
 20,646
 
 20,646
Net change in noncontrolling interests
 770
 
 
 
 770
 (4,125) (3,355)
Dividends to common stockholders—$0.79 per share
 
 
 (282,088) 
 (282,088) 
 (282,088)
Issuance of common stock for stock plans1
 1,160
 
 
 
 1,161
 ���
 1,161
Adjust redeemable OP unitholder interests to current fair value
 23,537
 
 
 
 23,537
 
 23,537
Redemption of OP Units
 (361) 
 
 234
 (127) 
 (127)
Grant of restricted stock, net of forfeitures32
 2,057
 
 
 (745) 1,344
 
 1,344
Cumulative effect change in accounting principles
 
 
 30,643
 
 30,643
 
 30,643
Balance at March 31, 2018$89,062
 $13,080,220
 $(14,474) $(2,413,440) $(553) $10,740,815
 $63,229
 $10,804,044
                
Balance at January 1, 2019$89,125

$13,076,528

$(19,582)
$(2,930,214)
$

$10,215,857

$55,737

$10,271,594
Net income
 
 
 125,785
 
 125,785
 1,803
 127,588
Other comprehensive income
 
 7,680
 
 
 7,680
 
 7,680
Net change in noncontrolling interests
 (1,690) 
 
 
 (1,690) (1,190) (2,880)
Dividends to common stockholders—$0.7925 per share
 
 
 (284,772) 
 (284,772) 
 (284,772)
Issuance of common stock390
 98,048
 
 
 
 98,438
 
 98,438
Issuance of common stock for stock plans9
 9,819
 
 
 4,090
 13,918
 
 13,918
Adjust redeemable OP unitholder interests to current fair value
 (19,068) 
 
 
 (19,068) 
 (19,068)
Grant of restricted stock, net of forfeitures55
 (3,087) 
 
 (4,090) (7,122) 
 (7,122)
Cumulative effect change in accounting principles
 
 (163) 800
 
 637
 
 637
Balance at March 31, 2019$89,579
 $13,160,550
 $(12,065) $(3,088,401) $
 $10,149,663
 $56,350
 $10,206,013
See accompanying notes.



VENTAS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)
For the Nine Months Ended September 30,For the Three Months Ended March 31,
2018 20172019 2018
(In thousands)(In thousands)
Cash flows from operating activities:      
Net income$352,679
 $967,307
$127,588
 $80,098
Adjustments to reconcile net income to net cash provided by operating activities:      
Depreciation and amortization675,363
 655,298
235,920
 233,150
Amortization of deferred revenue and lease intangibles, net(26,001) (16,283)(2,846) (3,865)
Other non-cash amortization13,527
 11,186
6,131
 3,777
Stock-based compensation20,761
 19,923
8,405
 7,124
Straight-lining of rental income, net19,983
 (17,384)
Straight-lining of rental income(8,489) (3,622)
Loss on extinguishment of debt, net50,411
 856
405
 10,977
Gain on real estate dispositions(35,893) (502,288)(5,447) (48)
Gain on real estate loan investments(13,202) (124)
Loss on real estate loan investments
 9
Income tax benefit(13,464) (15,619)(1,715) (3,675)
Loss (income) from unconsolidated entities47,826
 (767)
Gain on re-measurement of equity interest upon acquisition, net
 (3,027)
Loss from unconsolidated entities946
 40,739
Distributions from unconsolidated entities2,734
 3,909
1,200
 1,389
Other390
 7,439
2,283
 (90)
Changes in operating assets and liabilities:      
Increase in other assets(34,879) (21,612)
(Decrease) increase in accrued interest(17,508) 12,688
Decrease in accounts payable and other liabilities(25,105) (19,277)
(Increase) decrease in other assets(13,704) 5,263
Decrease in accrued interest(18,047) (16,524)
Increase (decrease) in accounts payable and other liabilities3,490
 (46,683)
Net cash provided by operating activities1,017,622
 1,082,225
336,120
 308,019
Cash flows from investing activities:      
Net investment in real estate property(35,800) (346,491)(13,097) (11,450)
Investment in loans receivable(212,089) (734,033)(4,257) (4,381)
Proceeds from real estate disposals331,243
 614,753
17,551
 175,370
Proceeds from loans receivable866,313
 84,361
1,275
 143,094
Development project expenditures(230,348) (210,423)(49,652) (73,889)
Capital expenditures(73,025) (83,387)(21,955) (20,617)
Distributions from unconsolidated entities57,430
 5,816
Investment in unconsolidated entities(45,106) (42,399)(687) (39,101)
Insurance proceeds for property damage claims6,327
 1,393
2,998
 1,527
Net cash provided by (used in) investing activities664,945
 (710,410)
Net cash (used in) provided by investing activities(67,824) 170,553
Cash flows from financing activities:      
Net change in borrowings under revolving credit facilities41,292
 384,738
(700,775) 273,843
Net change in borrowings under commercial paper program194,498
 
Proceeds from debt2,412,420
 1,058,437
706,591
 738,519
Repayment of debt(3,294,104) (1,225,525)(262,570) (1,217,118)
Purchase of noncontrolling interests(2,429) (15,809)
Payment of deferred financing costs(16,583) (26,426)(6,837) (6,318)
Issuance of common stock, net
 73,596
98,378
 
Cash distribution to common stockholders(845,248) (827,285)(282,874) (281,635)
Cash distribution to redeemable OP Unitholders(5,594) (5,677)
Cash issued for redemption of OP and Class C Units(1,370) 
Cash distribution to redeemable OP unitholders(2,216) (1,858)
Cash issued for redemption of OP Units
 (655)
Contributions from noncontrolling interests500
 4,402
1,223
 
Distributions to noncontrolling interests(9,968) (9,248)(2,623) (3,339)
Other(736) 10,543
(2,558) (4,687)
Net cash used in financing activities(1,721,820) (578,254)(259,763) (503,248)
Net decrease in cash, cash equivalents and restricted cash(39,253) (206,439)
Net increase (decrease) in cash, cash equivalents and restricted cash8,533
 (24,676)
Effect of foreign currency translation(453) 670
234
 5
Cash, cash equivalents and restricted cash at beginning of period188,253
 367,354
131,464
 188,253
Cash, cash equivalents and restricted cash at end of period$148,547
 $161,585
$140,231
 $163,582
See accompanying notes.


VENTAS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS (Continued)
(Unaudited)
For the Nine Months Ended September 30,For the Three Months Ended March 31,
2018 20172019 2018
(In thousands)(In thousands)
Supplemental schedule of non-cash activities:      
Assets acquired and liabilities assumed from acquisitions and other:      
Real estate investments$29,106
 $206,771
$
 $28,910
Utilization of funds held for an Internal Revenue Code Section 1031 exchange
 (84,995)
Other assets4,112
 (5,546)
 4,112
Debt
 64,629
Other liabilities16,134
 64,090

 15,938
Deferred income tax liability
 (16,116)
Noncontrolling interests
 3,627
Equity issued for redemption of OP and Class C Units266
 22,694
Equity issued for redemption of OP Units
 266
See accompanying notes.

VENTAS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Unaudited)



NOTE 1—DESCRIPTION OF BUSINESS

Ventas, Inc. (together with its subsidiaries, unless otherwise indicated or except where the context otherwise requires, “we,” “us” or “our”), an S&P 500 company, is a real estate investment trust (“REIT”) with a highly diversified portfolio of seniors housing, life scienceresearch and innovation, and healthcare properties located throughout the United States, Canada and the United Kingdom. As of September 30, 2018,March 31, 2019, we owned approximately 1,200 properties (including properties owned through investments in unconsolidated entities and properties classified as held for sale), consisting of seniors housing communities, medical office buildings (“MOBs”), life scienceresearch and innovation centers, inpatient rehabilitation facilities (“IRFs”) and long-term acute care facilities (“LTACs”), and health systems and skilled nursing facilities (“SNFs”), and wesystems. We had 1617 properties under development, including fivefour properties that are owned by unconsolidated real estate entities. Our company was originally founded in 1983 and is headquartered in Chicago, Illinois.

We primarily invest in seniors housing, life scienceresearch and innovation, and healthcare properties through acquisitions and lease our properties to unaffiliated tenants or operate them through independent third-party managers. As of September 30, 2018,March 31, 2019, we leased a total of 468438 properties (excluding properties within our office operations reportable business segment) to various healthcare operating companies under “triple-net” or “absolute-net” leases that obligate the tenants to pay all property-related expenses, including maintenance, utilities, repairs, taxes, insurance and capital expenditures.

As of September 30, 2018,March 31, 2019, pursuant to long-term management agreements, we engaged independent operators, such as Atria Senior Living, Inc. (“Atria”) and, Sunrise Senior Living, LLC (together with its subsidiaries, “Sunrise”) and Eclipse Senior Living (“ESL”), to manage 360363 seniors housing communities for us.
 
Our three largest tenants, Brookdale Senior Living Inc. (together with its subsidiaries, “Brookdale Senior Living”), Ardent Health Partners, LLC (together with its subsidiaries, “Ardent”) and Kindred Healthcare, LLC (formerly Kindred Healthcare, Inc., together with its subsidiaries, “Kindred”) leased from us 135129 properties (excluding one propertytwo properties managed by Brookdale Senior Living pursuant to a long-term management agreement), 11 properties and 32 properties, respectively, as of September 30, 2018.March 31, 2019.

Through our Lillibridge Healthcare Services, Inc. subsidiary and our ownership interest in PMB Real Estate Services LLC, we also provide MOB management, leasing, marketing, facility development and advisory services to highly rated hospitals and health systems throughout the United States. In addition, from time to time, we make secured and non-mortgage loans and other investments relating to seniors housing and healthcare operators or properties.

NOTE 2—ACCOUNTING POLICIES

The accompanying Consolidated Financial Statements have been prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) for interim financial information set forth in the Accounting Standards Codification (“ASC”), as published by the Financial Accounting Standards Board (“FASB”), and with the Securities and Exchange Commission (“SEC”) instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by GAAP for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary for a fair statement of results for the interim period have been included. Operating results for the three and nine months ended September 30, 2018March 31, 2019 are not necessarily indicative of the results that may be expected for the year ending December 31, 2018.2019. The accompanying Consolidated Financial Statements and related notes should be read in conjunction with the audited Consolidated Financial Statements and notes thereto included in our Annual Report on Form 10-K for the year ended December 31, 2017,2018, filed with the SEC on February 9, 2018.8, 2019. Certain prior period amounts have been reclassified to conform to the current period presentation.

Principles of Consolidation

The accompanying Consolidated Financial Statements include our accounts and the accounts of our wholly owned subsidiaries and the joint venture entities over which we exercise control. All intercompany transactions and balances have been eliminated in consolidation, and our net earnings are reduced by the portion of net earnings attributable to noncontrolling interests.

GAAP requires us to identify entities for which control is achieved through means other than voting rights and to determine which business enterprise is the primary beneficiary of variable interest entities (“VIEs”). A VIE is broadly defined as an entity with one or more of the following characteristics: (a) the total equity investment at risk is insufficient to finance the
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


entity’s activities without additional subordinated financial support; (b) as a group, the holders of the equity investment at risk lack (i) the ability to make decisions about the entity’s activities through voting or similar rights, (ii) the obligation to absorb the expected losses of the entity, or (iii) the right to receive the expected residual returns of the entity; and (c) the equity investors have voting rights that are not proportional to their economic interests, and substantially all of the entity’s activities either involve, or are conducted on behalf of, an investor that has disproportionately few voting rights. We consolidate our investment in a VIE when we determine that we are its primary beneficiary. We may change our original assessment of a VIE upon subsequent events such as the modification of contractual arrangements that affects the characteristics or adequacy of the entity’s equity investments at risk and the disposition of all or a portion of an interest held by the primary beneficiary.

We identify the primary beneficiary of a VIE as the enterprise that has both: (i) the power to direct the activities of the VIE that most significantly impact the entity’s economic performance; and (ii) the obligation to absorb losses or the right to receive benefits of the VIE that could be significant to the entity. We perform this analysis on an ongoing basis.

As it relates to investments in joint ventures, GAAP may preclude consolidation by the sole general partner in certain circumstances based on the type of rights held by the limited partner or partners. We assess limited partners’ rights and their impact on our consolidation conclusions, and we reassess if there is a change to the terms or in the exercisability of the rights of the limited partners, the sole general partner increases or decreases its ownership of limited partnership (“LP”) interests or there is an increase or decrease in the number of outstanding LP interests. We also apply this guidance to managing member interests in limited liability companies (“LLCs”).

We consolidate several VIEs that share the following common characteristics:

the VIE is in the legal form of an LP or LLC;
the VIE was designed to own and manage its underlying real estate investments;
we are the general partner or managing member of the VIE;
we own a majority of the voting interests in the VIE;
a minority of voting interests in the VIE are owned by external third parties, unrelated to us;
the minority owners do not have substantive kick-out or participating rights in the VIE; and
we are the primary beneficiary of the VIE.

We have separately identified certain special purpose entities that were established to allow investments in life scienceresearch and innovation projects by tax credit investors (“TCIs”). We have determined that these special purpose entities are VIEs, we are a holder of variable interests and that we are the primary beneficiary of the VIEs, and therefore we consolidate these special purpose entities. Our primary beneficiary determination is based upon several factors, including but not limited to the rights we have in directing the activities which most significantly impact the VIEs’ economic performance as well as certain guarantees which protect the TCIs from losses should a tax credit recapture event occur.

In general, the assets of consolidated VIEs are available only for the settlement of the obligations of the respective entities. Unless otherwise required by the LP or LLC agreement, any mortgage loans of the consolidated VIEs are non-recourse to us. The table below summarizes the total assets and liabilities of our consolidated VIEs as reported on our Consolidated Balance Sheets.
 September 30, 2018 December 31, 2017 March 31, 2019 December 31, 2018
 Total Assets Total Liabilities Total Assets Total Liabilities Total Assets Total Liabilities Total Assets Total Liabilities
 (In thousands) (In thousands)
NHP/PMB L.P. $589,436
 $198,163
 $605,150
 $199,958
 $681,617
 $251,640
 $673,467
 $238,147
Other identified VIEs 1,840,520
 303,440
 1,983,183
 348,124
 2,121,897
 440,507
 2,075,499
 402,478
Tax credit VIEs 801,694
 304,234
 988,598
 221,908
 803,087
 316,818
 797,077
 298,154


Investments in Unconsolidated Entities

We report investments in unconsolidated entities over whose operating and financial policies we have the ability to exercise significant influence under the equity method of accounting. Under this method of accounting, our share of the investee’s earnings or losses is included in our Consolidated Statements of Income.

We base the initial carrying value of investments in unconsolidated entities on the fair value of the assets at the time we acquired the joint venture interest. We estimate fair values for our equity method investments based on discounted cash
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


flow models that include all estimated cash inflows and outflows over a specified holding period and, where applicable, any estimated debt premiums or discounts. The capitalization rates, discount rates and credit spreads we use in these models are based upon assumptions that we believe to be within a reasonable range of current market rates for the respective investments.

We generally amortize any difference between our cost basis and the basis reflected at the joint venture level, if any, over the lives of the related assets and liabilities and include that amortization in our share of income or loss from unconsolidated entities. For earnings of equity method investments with pro rata distribution allocations, net income or loss is allocated between the partners in the joint venture based on their respective stated ownership percentages. In other instances, net income or loss is allocated between the partners in the joint venture based on the hypothetical liquidation at book value method (the “HLBV method”). Under the HLBV method, net income or loss is allocated between the partners based on the difference between each partner’s claim on the net assets of the joint venture at the end and beginning of the period, after taking into account contributions and distributions. Each partner’s share of the net assets of the joint venture is calculated as the amount that the partner would receive if the joint venture were to liquidate all of its assets at net book value and distribute the resulting cash to creditors and partners in accordance with their respective priorities. Under the HLBV method, in any given period, we could record more or less income than the joint venture has generated, than actual cash distributions we receive or than the amount we may receive in the event of an actual liquidation.

Redeemable OP Unitholder and Noncontrolling Interests

We own a majority interest in NHP/PMB L.P. (“NHP/PMB”), a limited partnership formed in 2008 to acquire properties from entities affiliated with Pacific Medical Buildings LLC.LLC (“PMB”). Given our wholly owned subsidiary is the general partner and the primary beneficiary of NHP/PMB, we consolidate it as a VIE. As of September 30, 2018,March 31, 2019, third party investors owned 2.73.3 million Class A limited partnership units in NHP/PMB (“OP Units”), which represented 27%31% of the total units then outstanding, and we owned 7.27.3 million Class B limited partnership units in NHP/PMB, representing the remaining 73%69%. At any time following the first anniversary of the date of their issuance, the OP Units may be redeemed at the election of the holder for cash or, at our option, 0.9051 shares of our common stock per OP Unit, subject to further adjustment in certain circumstances. We are party by assumption to a registration rights agreement with the holders of the OP Units that requires us, subject to the terms and conditions and certain exceptions set forth therein, to file and maintain a registration statement relating to the issuance of shares of our common stock upon redemption of OP Units.

Prior to January 2017, we owned a majority interest in Ventas Realty Capital Healthcare Trust Operating Partnership, L.P. (“Ventas Realty OP”) and we consolidated this entity because our wholly owned subsidiary is the general partner and was the primary beneficiary of this VIE. In January 2017, third party investors redeemed the remaining limited partnership units (“Class C Units”) outstanding. After giving effect to such redemptions, Ventas Realty OP is our wholly owned subsidiary.

As redemption rights are outside of our control, the redeemable OP Units and Class C Units (together, the “OP Unitholder Interests”) are classified outside of permanent equity on our Consolidated Balance Sheets. We reflect the redeemable OP Unitholder InterestsUnits at the greater of cost or fairredemption value. As of September 30, 2018March 31, 2019 and December 31, 2017,2018, the fair value of the redeemable OP Unitholder InterestsUnits was $131.0$191.3 million and $146.3$174.6 million, respectively. We recognize changes in fair value through capital in excess of par value, net of cash distributions paid and purchases by us of any OP Unitholder Interests.Units. Our diluted earnings per share includes the effect of any potential shares outstanding from redemption of the OP Unitholder Interests.Units.

Certain noncontrolling interests of other consolidated joint ventures were also classified as redeemable at September 30, 2018March 31, 2019 and December 31, 2017.2018. Accordingly, we record the carrying amount of these noncontrolling interests at the greater of their initial carrying amount (increased or decreased for the noncontrolling interests’ share of net income or loss and distributions) or the redemption value. Our joint venture partners have certain redemption rights with respect to their noncontrolling interests in these joint ventures that are outside of our control, and the redeemable noncontrolling interests are classified outside of permanent equity on our Consolidated Balance Sheets. We recognize changes in the carrying value of redeemable noncontrolling interests through capital in excess of par value.

Noncontrolling Interests

Excluding the redeemable noncontrolling interests described above, we present the portion of any equity that we do not own in entities that we control (and thus consolidate) as noncontrolling interests and classify those interests as a component of consolidated equity, separate from total Ventas stockholders’ equity, on our Consolidated Balance Sheets. For consolidated joint ventures with pro rata distribution allocations, net income or loss is allocated between the joint venture partners based on their respective stated ownership percentages. In other cases, net income or loss is allocated between the joint venture partners based on the HLBV method. We account for purchases or sales of equity interests that do not result in a change of control as
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


equity transactions, through capital in excess of par value. In addition, we include net income attributable to the noncontrolling interests in net income in our Consolidated Statements of Income.

Accounting for Historic and New Markets Tax Credits

For certain of our life scienceresearch and innovation centers, we are party to contractual arrangements with TCIs that were established to enable the TCIs to receive benefits of historic tax credits (“HTCs”) and/or new markets tax credits (“NMTCs”). As of September 30, 2018,March 31, 2019, we owned nine properties that had syndicated HTCs or NMTCs, or both, to TCIs.

In general, capital contributions are made by TCIs invest cash into special purpose entities that invest in entities that own the subject property and generate the tax credits. The TCIs receive substantially all of the tax credits and hold only a noncontrollingnominal interest in the economic risk and benefits of the special purpose entities.

HTCs are delivered to the TCIs upon substantial completion of the project. NMTCs are allowed for up to 39% of a qualified investment and are delivered to the TCIs after the investment has been funded and spent on a qualified business. HTCs are subject to 20% recapture per year beginning one year after the completion of the historic rehabilitation of the subject property. NMTCs are subject to 100% recapture until the end of the seventh year following the qualifying investment. We have provided the TCIs with certain guarantees which protect the TCIs from losses should a tax credit recapture event occur. The contractual arrangements with the TCIs include a put/call provision whereby we may be obligated or entitled to repurchase the ownership interest of the TCIs in the special purpose entities at the end of the tax credit recapture period. We anticipate that either the TCIs will exercise their put rights or we will exercise our call rights prior to the applicable tax credit recapture periods.

The portion of the TCI’s capital contributioninvestment that is attributed to the put is recorded at fair value at inception in accounts payable and other liabilities on our Consolidated Balance Sheets, and is accreted to the expected put price as interest expense in our Consolidated Statements of Income over the recapture period. The remaining balance of the TCI’s capital contributioninvestment is initially recorded in accounts payable and other liabilities on our Consolidated Balance Sheets and will be relieved upon delivery of the tax credit to the TCI, as a reduction in the carrying value of the subject property, net of allocated expenses. Direct and incremental costs incurred in structuring the transaction are deferred and will be recognized as an increase in the cost basis of the subject property upon the recognition of the related tax credit as discussed above.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


Impairment of Long-Lived and Intangible Assets

We periodically evaluate our long-lived assets, primarily consisting of investments in real estate, for impairment indicators. If indicators of impairment are present, we evaluate the carrying value of the related real estate investments in relation to the future undiscounted cash flows of the underlying operations. In performing this evaluation, we consider market conditions and our current intentions with respect to holding or disposing of the asset. We adjust the net book value of leased properties and other long-lived assets to fair value if the sum of the expected future undiscounted cash flows, including sales proceeds, is less than book value. We recognize an impairment loss at the time we make any such determination.

If impairment indicators arise with respect to intangible assets with finite useful lives, we evaluate impairment by comparing the carrying amount of the asset to the estimated future undiscounted net cash flows expected to be generated by the asset. If estimated future undiscounted net cash flows are less than the carrying amount of the asset, then we estimate the fair value of the asset and compare the estimated fair value to the intangible asset’s carrying value. We recognize any shortfall from carrying value as an impairment loss in the current period.

We evaluate our investments in unconsolidated entities for impairment at least annually, and whenever events or changes in circumstances indicate that the carrying value of our investment may exceed its fair value. If we determine that a decline in the fair value of our investment in an unconsolidated entity is other-than-temporary, and if such reduced fair value is below the carrying value, we record an impairment.

We test goodwill for impairment at least annually, and more frequently if indicators arise. We first assess qualitative factors, such as current macroeconomic conditions, state of the equity and capital markets and our overall financial and operating performance, to determine the likelihood that the fair value of a reporting unit is less than its carrying amount. If we determine it is more likely than not that the fair value of a reporting unit is less than its carrying amount, we proceed with the two-step approach to evaluating impairment. First, we estimate the fair value of the reporting unit and compare it to the reporting unit’s carrying value. If the carrying value exceeds fair value, we proceed with the second step, which requires us to assign the fair value of the reporting unit to all of the assets and liabilities of the reporting unit as if it had been acquired in a business combination at the date of the impairment test. The excess fair value of the reporting unit over the amounts assigned
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


to the assets and liabilities is the implied value of goodwill and is used to determine the amount of impairment. We recognize an impairment loss to the extent the carrying value of goodwill exceeds the implied value in the current period.

Estimates of fair value used in our evaluation of goodwill (if necessary based on our qualitative assessment), investments in real estate, investments in unconsolidated entities and intangible assets are based upon discounted future cash flow projections or other acceptable valuation techniques that are based, in turn, upon all available evidence including level three inputs, such as revenue and expense growth rates, estimates of future cash flows, capitalization rates, discount rates, general economic conditions and trends, or other available market data. Our ability to accurately predict future operating results and cash flows and to estimate and determine fair values impacts the timing and recognition of impairments. While we believe our assumptions are reasonable, changes in these assumptions may have a material impact on our financial results.

Assets Held for Sale and Discontinued Operations

We sell properties from time to time for various reasons, including favorable market conditions or the exercise of purchase options by tenants. We classify certain long-lived assets as held for sale once the criteria, as defined by GAAP, have been met. Long-lived assets to be disposed of are reported at the lower of their carrying amount or fair value minus cost to sell and are no longer depreciated.

If at any time we determine that the criteria for classifying assets as held for sale are no longer met we reclassify assets within net real estate investments on our Consolidated Balance Sheets for all periods presented. The carrying amount of these assets is adjusted (in the period in which a change in classification is determined) to reflect any depreciation expense that would have been recognized had the asset been continuously classified as net real estate investments.

We report discontinued operations when the following criteria are met: (1) a component of an entity or group of components has been disposed of or classified as held for sale and represents a strategic shift that has or will have a major effect on an entity’s operations and financial results; or (2) an acquired business is classified as held for sale on the acquisition date. The results of operations for assets meeting the definition of discontinued operations are reflected in our Consolidated Statements of Income as discontinued operations for all periods presented. We allocate estimated interest expense to discontinued operations based on property values and our weighted average interest rate or the property’s actual mortgage interest.

Gain on Sale of Assets    

On January 1, 2018, we adopted the provisions of ASC 610-20, Gains and Losses from the Derecognition of Nonfinancial Assets (“ASC 610-20”). In accordance with ASC 610-20, we recognize any gains when we transfer control of a property and when it is probable that we will collect substantially all of the related consideration. We adopted ASC 610-20 using the modified retrospective method and recognized a cumulative effect adjustment to retained earnings of $31.2 million relating to deferred gains on sales of real estate assets in 2015.

Fair Values of Financial Instruments

Fair value is a market-based measurement, not an entity-specific measurement, and we determine fair value based on the assumptions that we expect market participants would use in pricing the asset or liability. As a basis for considering market participant assumptions in fair value measurements, GAAP establishes a fair value hierarchy that distinguishes between market participant assumptions based on market data obtained from sources independent of the reporting entity (observable inputs that are classified within levels one and two of the hierarchy) and the reporting entity’s own assumptions about market participant assumptions (unobservable inputs classified within level three of the hierarchy).

Level one inputs utilize unadjusted quoted prices for identical assets or liabilities in active markets that we have the ability to access. Level two inputs are inputs other than quoted prices included in level one that are directly or indirectly observable for the asset or liability. Level two inputs may include quoted prices for similar assets and liabilities in active markets and other inputs for the asset or liability that are observable at commonly quoted intervals, such as interest rates, foreign exchange rates and yield curves. Level three inputs are unobservable inputs for the asset or liability, which typically are based on our own assumptions, because there is little, if any, related market activity. If the determination of the fair value measurement is based on inputs from different levels of the hierarchy, the level within which the entire fair value measurement falls is the lowest level input that is significant to the fair value measurement in its entirety. If the volume and level of market activity for an asset or liability has decreased significantly relative to the normal market activity for such asset or liability (or similar assets or liabilities), then transactions or quoted prices may not accurately reflect fair value. In addition, if there is evidence that a transaction for an asset or liability is not orderly, little, if any, weight is placed on that transaction price as an
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


indicator of fair value. Our assessment of the significance of a particular input to the fair value measurement in its entirety requires judgment and considers factors specific to the asset or liability.

We use the following methods and assumptions in estimating the fair value of our financial instruments.

Cash and cash equivalents - The carrying amount of unrestricted cash and cash equivalents reported on our Consolidated Balance Sheets approximates fair value due to the short maturity of these instruments.

Escrow deposits and restricted cash - The carrying amount of escrow deposits and restricted cash reported on our Consolidated Balance Sheets approximates fair value due to the short maturity of these instruments.

Loans receivable - We estimate the fair value of loans receivable using level two and level three inputs. We discount future cash flows using current interest rates at which similar loans with the same terms and length to maturity would be made to borrowers with similar credit ratings.

Marketable debt securities - We estimate the fair value of corporate bonds, if any, using level two inputs. We observe quoted prices for similar assets or liabilities in active markets that we have the ability to access. We estimate the fair value of certain government-sponsored pooled loan investments using level three inputs. We consider credit spreads, underlying asset performance and credit quality, and default rates.

Derivative instruments - With the assistance of a third party, we estimate the fair value of derivative instruments, including interest rate caps, interest rate swaps, and foreign currency forward contracts, using level two inputs.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


Interest rate caps - We observe forward yield curves and other relevant information;information.

Interest rate swaps - We observe alternative financing rates derived from market-based financing rates, forward yield curves and discount rates; andrates.

Foreign currency forward contracts - We estimate the future values of the two currency tranches using forward exchange rates that are based on traded forward points and calculate a present value of the net amount using a discount factor based on observable traded interest rates.

Senior notes payable and other debt - We estimate the fair value of senior notes payable and other debt using level two inputs. We discount the future cash flows using current interest rates at which we could obtain similar borrowings. For mortgage debt, we may estimate fair value using level three inputs, similar to those used in determining fair value of loans receivable (above).

Redeemable OP Unitholder Interestsunitholder interests - We estimate the fair value of our redeemable OP Unitholder Interestsunitholder interests using level one inputs. We base fair value on the closing price of our common stock, as OP Units (and previously Class C Units) may be redeemed at the election of the holder for cash or, at our option, shares of our common stock, subject to adjustment in certain circumstances.

Revenue Recognition

Adoption of ASC 606

On January 1, 2018, we adopted ASC 606, Revenue from Contracts with Customers (“ASC 606”), which outlines a comprehensive model for entities to use in accounting for revenue arising from contracts with customers. ASC 606 states that “an entity recognizes revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services.” We account for revenues from management contracts (within office building and other services revenue in our Consolidated Statements of Income) and certain point-of-sale transactions (within resident fees and services in our Consolidated Statements of Income) in accordance with ASC 606. The pattern and timing of recognition of income is consistent with the prior accounting model. All other revenues, primarily rental income from leasing activities, is accounted for in accordance with other applicable GAAP. We adopted ASC 606 using the modified retrospective method.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


Triple-Net Leased Properties and Office Operations

Certain of our triple-net leases and most of our MOB and life scienceresearch and innovation center (collectively, “office operations”) leases provide for periodic and determinable increases in base rent. We recognize base rental revenues under these leases on a straight-line basis over the applicable lease term when collectability of substantially all rents is reasonably assured.probable. Recognizing rental income on a straight-line basis generally results in recognized revenues during the first half of a lease term exceeding the cash amounts contractually due from our tenants, creating a straight-line rent receivable that is included in other assets on our Consolidated Balance Sheets.At September 30, 2018March 31, 2019 and December 31, 2017,2018, this cumulative excess totaled $244.4$258.1 million and $250.0 million (net of allowances of $44.4 million) and $267.8$44.6 million, (net of allowances of $117.8 million)recorded under prior accounting guidance), respectively (excluding properties classified as held for sale).

Certain of our leases provide for periodic increases in base rent only if certain revenue parameters or other substantive contingencies are met. We recognize the increased rental revenue under these leases as the related parameters or contingencies are met, rather than on a straight-line basis over the applicable lease term.

We assess the probability of collecting substantially all rents under our leases based on several factors, including, among other things, payment history, the financial strength of the tenant and any guarantors, the historical operations and operating trends of the property, the historical payment pattern of the tenant, the type of property, the value of the underlying collateral, if any, expected future performance of the property and current economic conditions. If our evaluation of these factors indicates it is probable that we will be unable to collect substantially all rents, we recognize a charge to rental income for the amount we deemed uncollectible. If we change our conclusions regarding the probability of collecting rent payments required by a lease, we may recognize adjustments to rental income in the period we make such change in our conclusions.

Senior Living Operations

WeOur resident agreements are accounted for as leases and we recognize resident fees and services, other than move-in fees, monthly as services are provided. We recognize move-in fees on a straight-line basis over the average resident stay.

Other

We recognize interest income from loans and investments, including discounts and premiums, using the effective interest method when collectability is reasonably assured. We apply the effective interest method on a loan-by-loan basis and recognize discounts and premiums as yield adjustments over the related loan term. We recognize interest income on an impaired loan to the extent our estimate of the fair value of the collateral is sufficient to support the balance of the loan, other receivables and all related accrued interest. When the balance of the loan, other receivables and all related accrued interest is equal to or less than our estimate of the fair value of the collateral, we recognize interest income on a cash basis. We provide a
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


reserve against an impaired loan to the extent our total investment in the loan exceeds our estimate of the fair value of the loan collateral.

Allowances

We assess the collectability of our rent receivables, including straight-line rent receivables. We base our assessment of the collectability of rent receivables (other than straight-line rent receivables) on several factors, including, among other things, payment history, the financial strength of the tenant and any guarantors, the value of the underlying collateral, if any, and current economic conditions. If our evaluation of these factors indicates it is probable that we will be unable to recover the full value of the receivable, we provide a reserve against the portion of the receivable that we estimate may not be recovered. We base our assessment of the collectability of straight-line rent receivables on several factors, including, among other things, the financial strength of the tenant and any guarantors, the historical operations and operating trends of the property, the historical payment pattern of the tenant and the type of property. If our evaluation of these factors indicates it is probable that we will be unable to receive the rent payments due in the future, we provide a reserve against the recognized straight-line rent receivable asset for the portion, up to its full value, that we estimate may not be recovered. If we change our assumptions or estimates regarding the collectability of future rent payments required by a lease, we may adjust our reserve to increase or reduce the rental revenue recognized in the period we make such change in our assumptions or estimates.

Recently Issued or Adopted Accounting Standards

In February 2016, the FASB establishedWe adopted ASC Topic 842, Leases (“ASC 842”) by issuing ASU 2016-02, Leases (“ASU 2016-02”),on January 1, 2019, which introduces a lessee model that brings most leases on the balance sheet and, among other changes, eliminates the requirement in current GAAP for an entity to use bright-line tests in determining lease classification. ASC 842 has subsequently been amended by other issued ASUs to clarify and improve the standard as well as to provide certain practical expedients.

ASC 842 allows for several practical expedients which permit the following: no reassessment of lease classification or initial direct costs; use of the standard’s effective date as the date of initial application; and no separation of non-lease components from the related lease components and, instead, to account for those components as a single lease component if certain criteria are met. We expect to electelected these practical expedients and adopt ASC 842 on January 1, 2019 using the effective date as our date
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


of initial application. Therefore, financial information and disclosures under ASC 842 willare not be provided for periods prior to January 1, 2019.
 
Upon adoption, we will recognizerecognized both right of use assets and lease liabilities for leases in which we lease land, real property or other equipment. We willnow also begin reportingreport revenues and expenses within our triple-net leased properties reportable business segment for real estate taxes and insurance that are theescrowed and obligations of the tenants in accordance with their respective leases with us. This reporting will have no impact on our net income. Resident leases within our senior living operations reportable business segment are accounted for asand office leases but also contain service elements. We expect to electelected the practical expedient to account for our resident and office leases as a single lease component. Also, upon adoption, we will begin expensingnow expense certain leasing costs, other than leasing commissions, as they are incurred, which may reduce our net income. Currentincurred. Prior to the adoption of ASC 842, GAAP providesprovided for the deferral and amortization of such costs over the applicable lease term. We will continueare continuing to amortize any unamortized deferred lease costs as of December 31, 2018 over their respective lease terms. We are currently evaluating the initial balance sheet impact and developing processes and internal controls to account for all leases under ASC 842.

OnAs of January 1, 2018,2019, we adopted ASU 2016-15, Classificationrecognized operating lease assets of Certain Cash Receipts and Cash Payments (“ASU 2016-15”), which provides clarification regarding how certain cash receipts and cash payments are presented and classified in the statement of cash flows and ASU 2016-18, Restricted Cash (“ASU 2016-18”), which requires an entity to show the changes in total cash, cash equivalents, restricted cash and restricted cash equivalents in the statement of cash flows. We adopted these ASUs by applying a retrospective transition method which required a restatement of$361.7 million on our Consolidated StatementBalance Sheets which includes the present value of Cash Flowsminimum lease payments as well as certain existing above and/or below market lease intangible values associated with such leases. Also upon adoption, we recognized operating lease liabilities of $216.9 million on our Consolidated Balance Sheets. The present value of minimum lease payments was calculated on each lease using a discount rate that approximates our incremental borrowing rate primarily adjusted for all periods presented.the length of the individual lease terms. As of the January 1, 2019 adoption date, we utilized discount rates ranging from 6.15% to 7.60% for our ground leases.

On January 1, 2018, we adopted ASU 2016-16, Intra-Entity Transfers of Assets Other Than Inventory (“ASU 2016-16”), which requires a company to recognize the tax consequences of an intra-entity transfer of an asset, other than inventory, when the transfer occurs. We adopted ASU 2016-16 by applying a modified retrospective method which resulted inrecognized a cumulative effect adjustment to retained earnings of $0.6 million.million primarily relating to certain costs associated with unexecuted leases that were deferred as of December 31, 2018.

NOTE 3—CONCENTRATION OF CREDIT RISK

As of September 30, 2018,March 31, 2019, Atria, Sunrise, Brookdale Senior Living, Ardent, ESL and Kindred managed or operated approximately 22.4%22.3%, 11.2%11.0%, 7.7%8.4%, 5.2%5.1%, 3.9% and 1.1%, respectively, of our consolidated real estate investments based on gross book value (excluding properties classified as held for sale as of September 30, 2018)March 31, 2019). Because Atria, Sunrise and SunriseESL manage our properties in exchange for the receipt of a management fee from us, we are not directly exposed to the credit risk of our managers in the same manner or to the same extent as our triple-net tenants.

Based on gross book value, approximately 22.3%39.7% and 39.4%21.8% of our consolidated real estate investments were seniors housing communities included in the senior living operations and triple-net leased properties and senior living operations reportable business segments, respectively (excluding properties classified as held for sale as of September 30, 2018)March 31, 2019). MOBs, life scienceresearch and innovation centers, IRFs and LTACs, health systems, SNFsskilled nursing facilities (“SNFs”) and secured loans receivable and investments collectively comprised the remaining 38.3%38.5%. Our consolidated properties were located in 45 states, the District of Columbia, seven Canadian provinces and the United Kingdom as of September 30, 2018,March 31, 2019, with properties in one state (California) accounting for more than 10% of our total continuing revenues and net operating income (“NOI,” which is defined as total revenues, excluding interest and other income, less property-level operating expenses and office building services costs) for the three months then ended.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


Triple-Net Leased Properties

The following table reflects the concentration risk related to our triple-net leased properties for the periods presented:
For the Three Months Ended September 30,For the Three Months Ended March 31,
2018 20172019 2018
Revenues(1):
      
Brookdale Senior Living4.8% 4.9%4.8% 4.6%
Ardent3.1
 3.1
3.1
 3.0
Kindred(2)
3.5
 4.7
Kindred3.4
 3.4
NOI:      
Brookdale Senior Living8.9% 8.4%8.8% 8.1%
Ardent5.8
 5.3
5.7
 5.4
Kindred(2)
6.6
 8.1
Kindred6.2
 6.1

(1) 
Total revenues include office building and other services revenue, income from loans and investments and interest and other income.
(2)
Includes 36 SNFs that were sold during 2017.

Each of our leases with Brookdale Senior Living, Ardent and Kindred is a triple-net lease that obligates the tenant to pay all property-related expenses, including maintenance, utilities, repairs, taxes, insurance and capital expenditures, and to comply with the terms of the mortgage financing documents, if any, affecting the properties. In addition, each of our Brookdale Senior Living, Ardent and Kindred leases has a corporate guaranty.

The properties we lease to Brookdale Senior Living, Ardent and Kindred accounted for a significant portion of our triple-net leased properties segment revenues and NOI for the three months ended September 30, 2018March 31, 2019 and 2017.2018. If any of Brookdale Senior Living, Ardent or Kindred becomes unable or unwilling to satisfy its obligations to us or to renew its leases with us upon expiration of the terms thereof, our financial condition and results of operations could decline, and our ability to service our indebtedness and to make distributions to our stockholders could be impaired. We cannot assure you that Brookdale Senior Living, Ardent and Kindred will have sufficient assets, income and access to financing to enable them to satisfy their respective obligations to us, and any failure, inability or unwillingness by Brookdale Senior Living, Ardent or Kindred to do so could have a material adverse effect on our business, financial condition, results of operations and liquidity, our ability to service our indebtedness and other obligations and our ability to make distributions to our stockholders, as required for us to continue to qualify as a REIT (a “Material Adverse Effect”). We also cannot assure you that Brookdale Senior Living, Ardent and Kindred will elect to renew their respective leases with us upon expiration of the leases or that we will be able to reposition any non-renewed properties on a timely basis or on the same or better economic terms, if at all.

In July 2018, Kindred closed transactions (the “Go Private Transactions”) pursuantOur 9.8% ownership interest in Ardent entitles us to which (a) Kindred would be acquired by a consortiumcertain rights and minority protections, as well as the right to appoint one of TPG Capital (“TPG”), Welsh, Carson, Anderson & Stowe (“WCAS”) and Humana, Inc. and (b) immediately following11 members on the acquisition, (i) Kindred’s home health, hospice and community care businesses would be separated from Kindred and operated as a standalone company owned by Humana, Inc., TPG and WCAS, and (ii) Kindred would be operated as a separate healthcare company owned by TPG and WCAS. In connection with the closingArdent Board of the transactions, we received a payment from Kindred of $12.3 million, which was recognized in interest and other income in our Consolidated Statements of Income during the third quarter of 2018.

In April 2018, we entered into various agreements with Brookdale Senior Living that provide for, among other things: (a) a consolidation of substantially all of our multiple lease agreements with Brookdale Senior Living into one master lease; (b) extension of the term for substantially all of our Brookdale Senior Living leased properties until December 31, 2025, with Brookdale Senior Living retaining two successive 10 year renewal options; and (c) the guarantee of all the Brookdale Senior Living obligations to us by Brookdale Senior Living Inc., including covenant protections for us. In connection with these agreements, we recognized a net non-cash expense of $21.3 million for the acceleration of straight-line rent receivables, net unamortized market lease intangibles and deferred revenues, which is included in triple-net leased rental income in our Consolidated Statements of Income. We also received a fee of $2.5 million that is being amortized over the new lease term.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)

Directors.

Senior Living Operations

As of September 30, 2018,March 31, 2019, Atria, Sunrise and Sunrise,ESL, collectively, provided comprehensive property management and accounting services with respect to 265337 of our 360358 consolidated seniors housing communities, for which we pay annual management fees pursuant to long-term management agreements.

We rely on our managers’ personnel, expertise, technical resources and information systems, proprietary information, good faith and judgment to manage our senior living operations efficiently and effectively. We also rely on our managers to set appropriate resident fees and otherwise operate our seniors housing communities in compliance with the terms of our management agreements and all applicable laws and regulations. Although we have various rights as the property owner under our management agreements, including various rights to terminate and exercise remedies under the agreements as provided therein, Atria’s, Sunrise’s or Sunrise’sESL’s failure, inability or unwillingness to satisfy its respective obligations under those agreements, to efficiently and effectively manage our properties or to provide timely and accurate accounting information with respect thereto could have a Material Adverse Effect on us. In addition, significant changes in Atria’s, Sunrise’s or Sunrise’sESL’s senior management or equity ownership or any adverse developments in their businesses or financial condition could have a Material Adverse Effect on us.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


Our 34% ownership interest in Atria entitles us to certaincustomary rights and minority protections, as well asincluding the right to appoint two of six members onto the Atria Board of Directors.

In January 2018, we transitioned the management of 76 private pay seniors housing communities to Eclipse Senior Living (“ESL”). These assets, substantially all of which were previously leased by Elmcroft Senior Living (“Elmcroft”) under triple-net leases, are now operated by ESL under a management contract with us and are included in the senior living operations reportable business segment. Upon termination of our lease with Elmcroft, we derecognized our accumulated straight-line receivable balance and offsetting reserve of $75.2 million. For the nine months ended September 30, 2018, we recognized $20.9 million of transaction costs relating to this transaction, net of property-level net assets assumed for no consideration, included in merger-related expenses and deal costs in our Consolidated Statements of Income.

We also acquired aOur 34% ownership interest in ESL withentitles us to customary rights and minority protections, including the right to appoint two of six members to the ESL Board of Directors. ESL management owns the 66% controlling interest.

Brookdale Senior Living, Kindred, Atria, Sunrise, Ardent and ArdentESL Information

Brookdale Senior Living is subject to the reporting requirements of the SEC and is required to file with the SEC annual reports containing audited financial information and quarterly reports containing unaudited financial information. Kindred is not currently subject to the reporting requirements of the SEC, but was subject to such reporting requirements prior to the closing of the Go Private Transactionstransactions in July 2018.2018 pursuant to which Kindred was acquired by a consortium of TPG Capital, Welsh, Carson, Anderson & Stowe and Humana, Inc. The information related to Brookdale Senior Living and Kindred contained or referred to in this Quarterly Report on Form 10-Q has been derived from SEC filings made by Brookdale Senior Living or Kindred, as the case may be, or other publicly available information, or was provided to us by Brookdale Senior Living or Kindred, and we have not verified this information through an independent investigation or otherwise. We have no reason to believe that this information is inaccurate in any material respect, but we cannot assure you of its accuracy. We are providing this data for informational purposes only, and you are encouraged to obtain Brookdale Senior Living’s and Kindred’s publicly available filings, which can be found at the SEC’s website at www.sec.gov.

Kindred, Atria, Sunrise, Ardent and KindredESL are not currently subject to the reporting requirements of the SEC. The information related to Kindred, Atria, Sunrise, Ardent and KindredESL contained or referred to in this Quarterly Report on Form 10-Q has been derived from publicly available information or was provided to us by Kindred, Atria, Sunrise, Ardent or Kindred,ESL, as the case may be, and we have not verified this information through an independent investigation or otherwise. We have no reason to believe that this information is inaccurate in any material respect, but we cannot assure you of its accuracy.

NOTE 4—DISPOSITIONS

20182019 Activity

During the ninethree months ended September 30, 2018,March 31, 2019, we sold seven seniors housing communities included in our senior living operations reportable business segment, fiveone triple-net leased properties, nineproperty and three MOBs and two vacant land parcels for aggregate consideration of $326.1$17.6 million, and we recognized a gain on the sale of these assets of $35.9$5.4 million.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


Real Estate Impairment

We recognized impairments of $10.7$10.2 million and $20.2$7.0 million, respectively, for the ninethree months ended September 30,March 31, 2019 and 2018, and 2017, which are recorded in depreciation and amortization in our Consolidated Statements of Income, and relate primarily to our triple-net leased properties and office operations reportable business segment.segments. Our recorded impairments were primarily the result of a change in our intent to hold the impaired assets. In most cases, we recognize an impairment in the periods in which our change in intent is made.

Assets Held for Sale

The table below summarizes our real estate assets classified as held for sale, as of September 30, 2018 and December 31, 2017, including the amounts reported on our Consolidated Balance Sheets.
 September 30, 2018 December 31, 2017 As of March 31, 2019 As of December 31, 2018
 Number of Properties Held for Sale Assets Held for Sale 
Liabilities Related to Assets
Held for Sale
 Number of Properties Held for Sale Assets Held for Sale 
Liabilities Related to Assets
Held for Sale
 Number of Properties Held for Sale Assets Held for Sale 
Liabilities Related to Assets
Held for Sale
 Number of Properties Held for Sale Assets Held for Sale 
Liabilities Related to Assets
Held for Sale
 (Dollars in thousands) (Dollars in thousands)
Office Operations 1
 $24,877
 $14,429
 3
 $65,413
 $60,265
Triple-Net Leased Properties 1
 $3,293
 $235
 1
 $5,482
 $40
Office Operations (1)
 2
 2,518
 704
 
 160
 152
Senior Living Operations (1)
 
 (697) 361
 
 
 
 
 167
 8
 
 (188) 13
Total 1
 $24,180
 $14,790
 3
 $65,413
 $60,265
 3
 $5,978
 $947
 1
 $5,454
 $205


(1) Balances relate to anticipated post-closing settlements of working capital.

In March 2018, five MOBs no longer met the criteria as being classified as held for sale. As a result, we adjusted the carrying amount of these assets by recognizing depreciation expense of $5.7 million and classified these assets within net real estate investments on our Consolidated Balance Sheets for all periods presented.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


NOTE 5—LOANS RECEIVABLE AND INVESTMENTS

As of September 30, 2018March 31, 2019 and December 31, 2017,2018, we had $786.4$769.5 million and $1.4 billion,$756.5 million, respectively, of net loans receivable and investments relating to seniors housing and healthcare operators or properties. The following is a summary of our loans receivable and investments, net, as of September 30, 2018 and December 31, 2017, including amortized cost, fair value and unrealized gains or losses on available-for-sale investments:    
Carrying Amount Amortized Cost Fair Value Unrealized GainCarrying Amount Amortized Cost Fair Value Unrealized Gain
(In thousands)(In thousands)
As of September 30, 2018:       
As of March 31, 2019:       
Secured/mortgage loans and other, net$466,614
 $466,614
 $452,646
 $
$439,462
 $439,462
 $424,664
 $
Government-sponsored pooled loan investments, net (1)
61,237
 53,292
 61,237
 7,945
56,882
 50,199
 56,882
 6,683
Total investments reported as Secured loans receivable and investments, net527,851
 519,906
 513,883
 7,945
Total investments reported as secured loans receivable and investments, net496,344
 489,661
 481,546
 6,683
Non-mortgage loans receivable, net50,478
 50,478
 49,915
 
57,226
 57,226
 57,373
 
Senior unsecured notes (2)
208,090
 197,417
 208,090
 10,673
215,884
 197,530
 215,884
 18,354
Total loans receivable and investments, net$786,419
 $767,801
 $771,888
 $18,618
$769,454
 $744,417
 $754,803
 $25,037
              
As of December 31, 2017:       
As of December 31, 2018:       
Secured/mortgage loans and other, net$1,291,694
 $1,291,694
 $1,286,322
 $
$439,491
 $439,491
 $425,290
 $
Government-sponsored pooled loan investments, net (1)
54,665
 53,863
 54,665
 802
56,378
 49,601
 56,378
 6,777
Total investments reported as Secured loans receivable and investments, net1,346,359
 1,345,557
 1,340,987
 802
Total investments reported as secured loans receivable and investments, net495,869
 489,092
 481,668
 6,777
Non-mortgage loans receivable, net59,857
 59,857
 58,849
 
54,164
 54,164
 54,081
 
Senior unsecured notes (2)
206,442
 197,473
 206,442
 8,969
Total loans receivable and investments, net$1,406,216
 $1,405,414
 $1,399,836
 $802
$756,475
 $740,729
 $742,191
 $15,746


(1) Investments in government-sponsored pool loans have contractual maturity dates in 2023.
(2) Investments in senior unsecured notes have contractual maturity dates in 2026.

2018 Activity

During the nine months ended September 30, 2018, we received $846.7 million for the full repayment of the principal balances of ten loans receivable with a weighted average interest rate of 9.1% that were due to mature between 2018 and 2033.

Included in the repayments above is $713 million that we received in June 2018 for the full repayment of the principal balance of a $700 million term loan and $13 million then outstanding on a revolving line of credit we made to a subsidiary of Ardent. We also received a $14.0 million cash pre-payment fee and accelerated recognition of the unamortized portion ($13.2 million) of a previously received cash “upfront” fee for the loans, resulting in income of $27.2 million, which is recorded in income from loans and investments in our Consolidated Statements of Income.

In June 2018, we also made a $200 million investment in senior unsecured notes issued by a subsidiary of Ardent at a price of 98.6% of par value. The notes have an effective interest rate of 10.0% and mature in 2026. These investments are classified as available for sale and are reflected on our Consolidated Balance Sheets at fair value.

There was no impact on our 9.8% equity investment in Ardent as a result of these transactions.

NOTE 6—INVESTMENTS IN UNCONSOLIDATED ENTITIES

We report investments in unconsolidated entities over whose operating and financial policies we have the ability to exercise significant influence under the equity method of accounting. We are not required to consolidate these entities because our joint venture partners have significant participating rights, nor are these entities considered VIEs, as they are controlled by equity holders with sufficient capital. At September 30, 2018,March 31, 2019, we had a 25% interest in a joint venture that has a 90% or more ownership interests in joint ventures that owned 31six properties, excluding properties under development. We account for our interests in real estate joint ventures, as well as our 34% interest in Atria, 34% interest in ESL and 9.8% interest in Ardent, which are included within other assets on our Consolidated Balance Sheets, under the equity method of accounting.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


With the exception of our interests in Atria, ESL and Ardent, we provide various services to each unconsolidated entityentities in exchange for fees and reimbursements. Total management fees earned in connection with these entities were $1.1$0.7 million and $1.6$1.7 million for the three months ended September 30,March 31, 2019 and 2018, and 2017, respectively, and $5.1 million and $4.6 million for the nine months ended September 30, 2018 and 2017, respectively, which is included in office building and other services revenue in our Consolidated Statements of Income.

In March 2018, we recognized an impairment charge of $35.7 million relating to one of our equity investments in an unconsolidated real estate joint venture consisting principally of SNFs, which is recorded in (loss) incomeloss from unconsolidated entities in our Consolidated Statements of Income. In July 2018, we soldWe completed the sale of our 25% interest to our joint venture partner and received $57.5 million at closing and recognized a gain of $0.9 million, which is recorded in (loss) income from unconsolidated entities in our Consolidated Statements of Income. In addition, our portion of debt related to investments in unconsolidated entities decreased by $23.3 million. Given that we are no longer the managing member of the real estate joint venture, we will not receive monthly management fees, which have historically been approximately $4.6 million annually.July 2018.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


NOTE 7—INTANGIBLES

The following is a summary of our intangibles as of September 30, 2018 and December 31, 2017:intangibles:
September 30, 2018 December 31, 2017As of March 31, 2019 As of December 31, 2018
Balance 
Remaining
Weighted Average
Amortization
Period in Years
 Balance 
Remaining
Weighted Average
Amortization
Period in Years
Balance 
Remaining
Weighted Average
Amortization
Period in Years
 Balance 
Remaining
Weighted Average
Amortization
Period in Years
(Dollars in thousands)(Dollars in thousands)
Intangible assets:              
Above market lease intangibles$183,212
 6.8 $185,012
 7.0$181,259
 6.6 $181,393
 6.7
In-place and other lease intangibles1,323,057
 24.6 1,363,062
 24.01,098,231
 11.9 1,321,562
 24.7
Goodwill1,045,877
 N/A 1,034,644
 N/A1,050,876
 N/A 1,050,548
 N/A
Other intangibles35,847
 12.1 35,890
 14.135,793
 11.6 35,759
 11.8
Accumulated amortization(904,011) N/A (864,576) N/A(910,861) N/A (921,107) N/A
Net intangible assets$1,683,982
 22.6 $1,754,032
 22.1$1,455,298
 11.2 $1,668,155
 22.9
Intangible liabilities:            
Below market lease intangibles$357,191
 14.5 $359,118
 13.7$356,757
 14.6 $356,771
 14.4
Other lease intangibles32,324
 43.3 40,141
 40.813,498
 N/A 31,418
 46.5
Accumulated amortization(188,537) N/A (160,985) N/A(196,405) N/A (191,909) N/A
Purchase option intangibles3,568
 N/A 3,568
 N/A3,568
 N/A 3,568
 N/A
Net intangible liabilities$204,546
 16.6 $241,842
 15.6$177,418
 14.6 $199,848
 17.2
N/A—Not Applicable.

Above market lease intangibles and in-place and other lease intangibles are included in acquired lease intangibles within real estate investments on our Consolidated Balance Sheets. Other intangibles (including non-compete agreements, trade names and trademarks) are included in other assets on our Consolidated Balance Sheets. Below market lease intangibles, other lease intangibles and purchase option intangibles are included in accounts payable and other liabilities on our Consolidated Balance Sheets.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)The change in other lease intangible assets and liabilities is due to the presentation of ground lease intangibles within operating lease assets on our Consolidated Balance Sheets beginning January 1, 2019. See “NOTE 2—ACCOUNTING POLICIES.”


NOTE 8—OTHER ASSETS

The following is a summary of our other assets as of September 30, 2018 and December 31, 2017:assets:
September 30,
2018
 December 31,
2017
As of March 31, 2019 As of December 31, 2018
(In thousands)(In thousands)
Straight-line rent receivables, net$244,360
 $267,764
Straight-line rent receivables$258,136
 $250,023
Non-mortgage loans receivable, net50,478
 59,857
57,226
 54,164
Senior unsecured notes208,090
 
215,884
 206,442
Other intangibles, net5,804
 6,496
5,513
 5,623
Investment in unconsolidated operating entities62,295
 49,738
55,490
 56,820
Other211,359
 189,924
204,660
 186,113
Total other assets$782,386
 $573,779
$796,909
 $759,185


NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


NOTE 9—SENIOR NOTES PAYABLE AND OTHER DEBT

The following is a summary of our senior notes payable and other debt as of September 30, 2018 and December 31, 2017:debt:
September 30, 2018 December 31, 2017As of March 31, 2019 As of December 31, 2018
(In thousands)(In thousands)
Unsecured revolving credit facility (1)
$514,353
 $535,832
$52,135
 $765,919
Commercial paper notes195,000
 
Secured revolving construction credit facility due 202263,806
 2,868
104,629
 90,488
2.00% Senior Notes due 2018
 700,000
4.00% Senior Notes due 2019
 600,000
3.00% Senior Notes, Series A due 2019 (2)
309,981
 318,041
299,760
 293,319
2.70% Senior Notes due 2020500,000
 500,000
500,000
 500,000
Unsecured term loan due 2020
 900,000
4.75% Senior Notes due 2021
 700,000
4.25% Senior Notes due 2022600,000
 600,000
600,000
 600,000
3.25% Senior Notes due 2022500,000
 500,000
500,000
 500,000
3.30% Senior Notes, Series C due 2022 (2)
193,738
 198,776
187,350
 183,325
Unsecured term loan due 2023300,000
 
300,000
 300,000
3.125% Senior Notes due 2023400,000
 400,000
400,000
 400,000
3.10% Senior Notes due 2023400,000
 400,000
400,000
 400,000
2.55% Senior Notes, Series D due 2023 (2)
213,112
 218,653
206,085
 201,657
Unsecured term loan due 2024600,000
 
600,000
 600,000
3.50% Senior Notes due 2024400,000
 
3.75% Senior Notes due 2024400,000
 400,000
400,000
 400,000
4.125% Senior Notes, Series B due 2024 (2)
193,738
 198,776
187,350
 183,324
3.50% Senior Notes due 2025600,000
 600,000
600,000
 600,000
4.125% Senior Notes due 2026500,000
 500,000
500,000
 500,000
3.25% Senior Notes due 2026450,000
 450,000
450,000
 450,000
3.85% Senior Notes due 2027400,000
 400,000
400,000
 400,000
4.00% Senior Notes due 2028650,000
 
650,000
 650,000
4.40% Senior Notes due 2029750,000
 
750,000
 750,000
6.90% Senior Notes due 203752,400
 52,400
52,400
 52,400
6.59% Senior Notes due 203822,823
 22,973
22,823
 22,823
5.45% Senior Notes due 2043258,750
 258,750

 258,750
5.70% Senior Notes due 2043300,000
 300,000
300,000
 300,000
4.375% Senior Notes due 2045300,000
 300,000
300,000
 300,000
4.875% Senior Notes due 2049300,000
 
Mortgage loans and other1,111,299
 1,308,564
1,131,646
 1,127,697
Total10,584,000
 11,365,633
10,789,178
 10,829,702
Deferred financing costs, net(77,091) (73,093)(83,117) (69,615)
Unamortized fair value adjustment(2,207) 12,139
9,584
 (1,163)
Unamortized discounts(26,247) (28,617)(25,469) (25,225)
Senior notes payable and other debt$10,478,455
 $11,276,062
$10,690,176
 $10,733,699

(1) 
As of September 30, 2018March 31, 2019 and December 31, 2017,2018, respectively, $21.3$24.0 million and $28.7$23.1 million of aggregate borrowings were denominated in Canadian dollars. Aggregate borrowings of $28.5$28.2 million and $31.1$27.8 million were denominated in British pounds as of September 30, 2018March 31, 2019 and December 31, 2017,2018, respectively.
(2) 
These borrowings are in the form of Canadian dollars.Dollar debt obligations converted to US Dollars.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


As of September 30, 2018,March 31, 2019, our indebtedness had the following maturities:
Principal Amount
Due at Maturity
 
Unsecured
Revolving Credit
Facility (1)
 
Scheduled Periodic
Amortization
 Total Maturities
Principal Amount
Due at Maturity
 
Unsecured
Revolving Credit
Facility and Commercial Paper Notes (1)
 
Scheduled Periodic
Amortization
 Total Maturities
(In thousands)(In thousands)
2018$
 $
 $5,154
 $5,154
2019538,766
 
 15,114
 553,880
$397,176
 $195,000
 $12,080
 $604,256
2020583,866
 
 14,491
 598,357
596,590
 
 15,322
 611,912
202162,406
 514,353
 13,365
 590,124
67,316
 52,135
 14,232
 133,683
20221,475,293
 
 11,841
 1,487,134
1,510,316
 
 12,743
 1,523,059
20231,546,722
 
 9,104
 1,555,826
Thereafter (2)
7,262,876
 
 86,475
 7,349,351
6,280,279
 
 80,163
 6,360,442
Total maturities$9,923,207
 $514,353
 $146,440
 $10,584,000
$10,398,399
 $247,135
 $143,644
 $10,789,178

(1) 
At September 30, 2018,March 31, 2019, we had $86.1$82.5 million of unrestricted cash and cash equivalents, for $428.2$164.6 million of net borrowings outstanding under our unsecured revolving credit facility.facility and commercial paper program.
(2) 
Includes $52.4 million aggregate principal amount of our 6.90% senior notes due 2037 that is subject to repurchase, at the option of the holders, on October 1, 2027, and $22.8 million aggregate principal amount of 6.59% senior notes due 2038 that is subject to repurchase, at the option of the holders, on July 7 in each of 2023 and 2028.

Credit Facilities and Unsecured Term Loans

Our unsecured credit facility is comprised of a $3.0 billion unsecured revolving credit facility, priced at LIBORLondon Inter-bank Offered Rate (“LIBOR”) plus 0.875% as of September 30, 2018.March 31, 2019. The unsecured revolving credit facility matures in 2021, but may be extended at our option subject to the satisfaction of certain conditions for two additional periods of six months each. The unsecured revolving credit facility also includes an accordion feature that permits us to increase our aggregate borrowing capacity thereunder to up to $3.75 billion.

As of September 30, 2018, we had $514.4March 31, 2019, $52.1 million of borrowingswas outstanding $22.7under the unsecured revolving credit facility with an additional
$23.1 million ofrestricted to support outstanding letters of credit, outstanding and $2.5resulting in $2.9 billion of unused borrowing capacityin available liquidity under ourthe unsecured revolving credit facility.

In July 2018,As of March 31, 2019, we entered intohad a new $900.0 million unsecured term loan facility priced at LIBOR plus 0.90%. The new term loan facility is, comprised of a $300.0 million term loan that matures in 2023 and a $600.0 million term loan that matures in 2024.  The new term loan facility also includes an accordion feature that permits us to increase our aggregate borrowings thereunder to up to $1.5 billion.        This unsecured term loan facility replaced and repaid in full our $900.0 million unsecured term loan due 2020 priced at LIBOR plus 0.975%.        

As of September 30, 2018,March 31, 2019, we also had a $400.0 million secured revolving construction credit facility with $63.8$104.6 million of borrowings outstanding and $336.2$295.4 million of unused borrowing capacity. The secured revolving construction credit facility matures in 2022 and is primarily used to finance life sciencethe development of research and innovation centercenters and other construction projects.

Senior Notes

In January 2019, we redeemed $258.8 million aggregate principal amount then outstanding of our 5.45% senior notes due 2043 at a public offering price at par, plus accrued and unpaid interest to the redemption date. Notice of the redemption was given in November 2018 and, as a result, we recognized a non-cash charge to loss on extinguishment of debt of $7.1 million during the year ended December 31, 2018 and $0.4 million during the three months ended March 31, 2019.

In February 2018,2019, our wholly-owned subsidiary, Ventas Realty, Limited Partnership (“Ventas Realty”), issued and sold $650.0$400.0 million aggregate principal amount of 4.00%3.50% senior notes due 20282024 at a public offering price equal to 99.23%99.88% of par, for total proceeds of $645.0$399.5 million before the underwriting discount and expenses, and $300.0 million aggregate principal amount of 4.875% senior notes due 2049 at a public offering price equal to 99.77% of par, for total proceeds of $299.3 million before the underwriting discount and expenses.

In February 2018, we redeemed $502.1 million aggregate principal amount then outstanding of our 4.00% senior notes due April 2019 at a public offering price of 101.83% of par, plus accrued and unpaid interest to the redemption date, and recognized a loss on extinguishment of debt of $11.0 million. The redemption was funded using cash on hand and borrowings under our unsecured revolving credit facility. In April 2018, we repaid the remaining balance then outstanding of our 4.00% senior notes due April 2019 of $97.9 million and recognized a loss on extinguishment of debt of $1.8 million.

In February 2018, we repaid in full, at par, $700.0 million aggregate principal amount then outstanding of our 2.00% senior notes due February 2018 upon maturity.    

In August 2018, Ventas Realty issued and sold $750.0 million aggregate principal amount of 4.40% senior notes due 2029 at a public offering price equal to 99.95% of par, for total proceeds of $749.7 million before the underwriting discount and expenses.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


In August 2018, we redeemed $549.5 million aggregate principal amount then outstanding of our 4.75% senior notes due 2021 at a public offering price of 104.56% of par, plus accrued and unpaid interest to the redemption date, and recognized a loss on extinguishment of debt of $28.3 million. The redemption was funded using proceeds from our August 2018 senior note issuance, cash on hand and borrowings under our unsecured revolving credit facility. In September 2018, we repaid the remaining balance then outstanding of our 4.75% senior notes due 2021 of $150.5 million and recognized a loss on extinguishment of debt of $7.6 million.

Mortgages

During the nine months ended September 30, 2018 and 2017, we repaid in full mortgage loans outstanding in the aggregate principal amounts of $324.6 million and $307.5 million, respectively.

Derivatives and Hedging

During the nine months ended September 30, 2018, we entered into $300 million notional value forward starting swaps that reduced our exposure to fluctuations in interest rates prior to our August 2018 issuance of 4.40% senior notes due 2029, which resulted in a $4.4 million gain that is being recognized over the life of the notes using the effective interest method.Commercial Paper Program

In August 2018, we entered into interest rate swaps totaling a notional amount of $200 million with a maturity of January 31, 2023 that effectively converts LIBOR-based floating rate debt to fixed rate debt.

In March 2017, we entered into interest rate swaps totaling a notional amount of $400 million with a maturity of January 15, 2023, effectively converting fixed rate debt to three month LIBOR-based floating rate debt. As a result, we will pay a floating rate equal to three month LIBOR plus a weighted average swap spread of 0.98%. In August 2018, $200 million notional amount of these swaps were terminated, which resulted in a $6.6 million loss that is being recognized over2019, Ventas Realty established an unsecured commercial paper program. Under the lifeterms of the program, we may issue from time to time unsecured commercial paper notes usingup to a maximum aggregate amount outstanding at any time of $1 billion. The notes are sold under customary terms in the effective interest method.

During JuneUnited States commercial paper note market and December 2017,are ranked pari passu with all of Ventas Realty’s other unsecured senior indebtedness. The notes are fully and unconditionally guaranteed by Ventas, Inc. As of March 31, 2019, we entered into a totalhad $195.0 million of $200 million notional value forward starting swaps that reduced our exposure to fluctuations in interest rates prior to the February 2018 issuance of 4.00% senior notes due 2028.  On the issuance date, we realized a gain of $10.0 million from these swaps that is being recognized over the life of the senior notes using an effective interest method.borrowings outstanding.

NOTE 10—FAIR VALUES OF FINANCIAL INSTRUMENTS

As of September 30, 2018 and December 31, 2017, theThe carrying amounts and fair values of our financial instruments were as follows:
September 30, 2018 December 31, 2017As of March 31, 2019 As of December 31, 2018
Carrying
Amount
 Fair Value 
Carrying
Amount
 Fair Value
Carrying
Amount
 Fair Value 
Carrying
Amount
 Fair Value
(In thousands)(In thousands)
Assets:              
Cash and cash equivalents$86,107
 $86,107
 $81,355
 $81,355
$82,514
 $82,514
 $72,277
 $72,277
Secured mortgage loans and other, net466,614
 452,646
 1,291,694
 1,286,322
439,462
 424,664
 439,491
 425,290
Non-mortgage loans receivable, net50,478
 49,915
 59,857
 58,849
57,226
 57,373
 54,164
 54,081
Senior unsecured notes208,090
 208,090
 
 
215,884
 215,884
 206,442
 206,442
Government-sponsored pooled loan investments61,237
 61,237
 54,665
 54,665
56,882
 56,882
 56,378
 56,378
Derivative instruments10,072
 10,072
 7,248
 7,248
3,680
 3,680
 6,012
 6,012
Liabilities:              
Senior notes payable and other debt, gross10,584,000
 10,434,164
 11,365,633
 11,600,750
10,789,178
 10,897,452
 10,829,702
 10,617,074
Derivative instruments9,119
 9,119
 5,435
 5,435
7,258
 7,258
 4,561
 4,561
Redeemable OP Unitholder Interests130,999
 130,999
 146,252
 146,252
Redeemable OP Units191,285
 191,285
 174,552
 174,552


For a discussion of the assumptions considered, refer to “NOTE 2—ACCOUNTING POLICIES.” The use of different market assumptions and estimation methodologies may have a material effect on the reported estimated fair value
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


amounts. Accordingly, the estimates presented above are not necessarily indicative of the amounts we would realize in a current market exchange.

NOTE 11—LITIGATION

Proceedings against Tenants, Operators and Managers

From time to time, Atria, Sunrise, Brookdale Senior Living, Ardent, Kindred, ESL and our other tenants, operators and managers are parties to certain legal actions, regulatory investigations and claims arising in the conduct of their business and operations. Even though we generally are not party to these proceedings, the unfavorable resolution of any such actions, investigations or claims could, individually or in the aggregate, materially adversely affect such tenants’, operators’ or managers’ liquidity, financial condition or results of operations and their ability to satisfy their respective obligations to us, which, in turn, could have a Material Adverse Effect on us.

Proceedings Indemnified and Defended by Third Parties

From time to time, we are party to certain legal actions, regulatory investigations and claims for which third parties are contractually obligated to indemnify, defend and hold us harmless. The tenants of our triple-net leased properties and, in some cases, their affiliates are required by the terms of their leases and other agreements with us to indemnify, defend and hold us harmless against certain actions, investigations and claims arising in the course of their business and related to the operations of our triple-net leased properties. In addition, third parties from whom we acquired certain of our assets and, in some cases, their affiliates are required by the terms of the related conveyance documents to indemnify, defend and hold us harmless against certain actions, investigations and claims related to the acquired assets and arising prior to our ownership or related to excluded assets and liabilities. In some cases, a portion of the purchase price consideration is held in escrow for a specified period of time as collateral for these indemnification obligations. We are presently being defended by certain tenants and other obligated third parties in these types of matters. We cannot assure you that our tenants, their affiliates or other obligated third parties will
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


continue to defend us in these matters, that our tenants, their affiliates or other obligated third parties will have sufficient assets, income and access to financing to enable them to satisfy their defense and indemnification obligations to us or that any purchase price consideration held in escrow will be sufficient to satisfy claims for which we are entitled to indemnification. The unfavorable resolution of any such actions, investigations or claims could, individually or in the aggregate, materially adversely affect our tenants’ or other obligated third parties’ liquidity, financial condition or results of operations and their ability to satisfy their respective obligations to us, which, in turn, could have a Material Adverse Effect on us.

Proceedings Arising in Connection with Senior Living and Office Operations; Other Litigation

From time to time, we are party to various legal actions, regulatory investigations and claims (some of which may not be insured and some of which may allege large damage amounts) arising in connection with our senior living and office operations or otherwise in the course of our business. In limited circumstances, the manager of the applicable seniors housing community, MOB or life scienceresearch and innovation center may be contractually obligated to indemnify, defend and hold us harmless against such actions, investigations and claims. It is the opinion of management, except as otherwise set forth in this note, that the disposition of any such actions, investigations and claims that are currently pending will not, individually or in the aggregate, have a Material Adverse Effect on us. However, regardless of their merits, we may be forced to expend significant financial resources to defend and resolve these matters. We are unable to predict the ultimate outcome of these actions, investigations and claims, and if management’s assessment of our liability with respect thereto is incorrect, such actions, investigations and claims could have a Material Adverse Effect on us.

NOTE 12—INCOME TAXES

We have elected to be taxed as a REIT under the applicable provisions of the Internal Revenue Code of 1986, as amended, for every year beginning with the year ended December 31, 1999. We have also elected for certain of our subsidiaries to be treated as taxable REIT subsidiaries (“TRS” or “TRS entities”), which are subject to federal, state and foreign income taxes. All entities other than the TRS entities are collectively referred to as the “REIT” within this note. Certain REIT entities are subject to foreign income tax.

Although the TRS entities and certain other foreign entities have paid minimal cash federal, state and foreign income taxes for the ninethree months ended September 30, 2018,March 31, 2019, their income tax liabilities may increase in future periods as we exhaust net operating loss (“NOL”) carryforwards and as our senior living and other operations grow. Such increases could be significant.


Our consolidated provisions for income taxes for the three months ended September 30,March 31, 2019 and 2018 and 2017 were benefits of $7.3$1.3 million and $7.8$3.2 million, respectively. Our consolidated provisions forThe income taxestax benefits for the ninethree months ended September 30,March 31, 2019 and 2018 and 2017 were benefits of $11.3 million and $13.1 million, respectively.each due primarily to operating losses at our TRS entities.

Realization of a deferred tax benefit related to NOLs depends, in part, upon generating sufficient taxable income in future periods.within the relevant carryforward period. The REIT andNOL carryforwards will begin to expire within the current year while TRS NOL carryforwards will begin to expire in 2024.2026.

Each TRS is a tax paying component for purposes of classifying deferred tax assets and liabilities. Net deferred tax liabilities with respect to our TRS entities totaled $236.6$205.1 million and $250.1$205.2 million as of September 30, 2018March 31, 2019 and December 31, 2017,2018, respectively, and related primarily to differences between the financial reporting and tax bases of fixed and intangible assets, net of loss carryforwards.

On December 22, 2017, the Tax Cuts and Jobs Act of 2017 (“2017 Tax Act”) was signed into law making significant changes to the Internal Revenue Code.  As of December 31, 2017, we made a reasonable estimate that the new interest expense limitation rules may disallow the deferred interest carried forward under the rules prior to the 2017 Tax Act. Consequently, we recorded a provisional adjustment of $23.3 million for the entire deferred tax asset related to the existing deferred interest carryforward. This amount continues to be a provisional adjustment as of September 30, 2018. We will recognize any changes to provisional amounts as we continue to analyze the existing statute or as additional guidance becomes available. We expect to complete our analysis of the provisional amounts by the end of 2018.

Generally, we are subject to audit under the statute of limitations by the Internal Revenue Service for the year ended December 31, 2015 and subsequent years and are subject to audit by state taxing authorities for the year ended December 31, 2014 and subsequent years. We are subject to audit generally under the statutes of limitation by the Canada Revenue Agency and provincial authorities with respect to the Canadian entities for the year ended December 31, 2014 and subsequent years. We are subject to audit in the United Kingdom generally for periods ended in and subsequent to 2016.2017.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


NOTE 13—STOCKHOLDERS' EQUITY
Capital Stock
We may sell our common stock fromFrom time to time, under an “at-the-market” equity offering program (“ATM program”).  In August 2018, we replaced our expired ATM program with an identical program, under which we may sell up to an aggregate of $1.0 billion of our common stock.stock under an “at-the-market” equity offering program (“ATM program”).  For the ninethree months ended September 30, 2018,March 31, 2019, we sold no1.6 million shares of our common stock under anour ATM program.  Therefore, asprogram for gross proceeds of September 30, 2018, $1.0 billion$64.15 per share, resulting in aggregate net proceeds of $98.5 million, after sales agent commissions.  As of March 31, 2019, $900.0 million of our common stock remained available for sale under our ATM program.
Accumulated Other Comprehensive Loss
The following is a summary of our accumulated other comprehensive loss as of September 30, 2018 and December 31, 2017:loss:
September 30, 2018 December 31, 2017As of March 31, 2019 As of December 31, 2018
(In thousands)(In thousands)
Foreign currency translation$(53,641) $(45,580)$(51,189) $(55,016)
Accumulated unrealized gain on marketable debt securities18,618
 802
25,037
 15,746
Other27,076
 9,658
Derivative instruments14,087
 19,688
Total accumulated other comprehensive loss$(7,947) $(35,120)$(12,065) $(19,582)



NOTE 14—EARNINGS PER SHARE

The following table shows the amounts used in computing our basic and diluted earnings per share:
For the Three Months Ended September 30, For the Nine Months Ended September 30,For the Three Months Ended March 31,
2018 2017 2018 20172019 2018
(In thousands, except per share amounts)(In thousands, except per share amounts)
Numerator for basic and diluted earnings per share:          
Income from continuing operations$103,263
 $156,930
 $316,796
 $465,114
$127,588
 $80,108
Discontinued operations
 (19) (10) (95)
 (10)
Gain on real estate dispositions18
 458,280
 35,893
 502,288
Net income103,281
 615,191
 352,679
 967,307
127,588
 80,098
Net income attributable to noncontrolling interests1,309
 1,233
 5,485
 3,391
1,803
 1,395
Net income attributable to common stockholders $101,972
 $613,958
 $347,194
 $963,916
$125,785
 $78,703
Denominator:          
Denominator for basic earnings per share—weighted average shares356,318
 355,929
 356,224
 355,110
356,853
 356,112
Effect of dilutive securities:          
Stock options227
 624
 152
 528
328
 125
Restricted stock awards396
 318
 271
 236
440
 188
OP Unitholder Interests2,414
 2,462
 2,421
 2,491
OP unitholder interests2,998
 2,428
Denominator for diluted earnings per share—adjusted weighted average shares359,355
 359,333
 359,068
 358,365
360,619
 358,853
Basic earnings per share:          
Income from continuing operations$0.29
 $0.44
 $0.89
 $1.31
$0.36
 $0.22
Net income attributable to common stockholders 0.29
 1.72
 0.97
 2.71
0.35
 0.22
Diluted earnings per share:          
Income from continuing operations$0.29
 $0.44
 $0.88
 $1.30
$0.35
 $0.22
Net income attributable to common stockholders 0.28
 1.71
 0.97
 2.69
0.35
 0.22
   
Dividends declared per common share$0.7925
 $0.79


NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


NOTE 15—SEGMENT INFORMATION

As of September 30, 2018,March 31, 2019, we operated through three reportable business segments: triple-net leased properties, senior living operations and office operations. In our triple-net leased properties segment, we invest in and own seniors housing and healthcare properties throughout the United States and the United Kingdom and lease those properties to healthcare operating companies under “triple-net” or “absolute-net” leases that obligate the tenants to pay all property-related expenses. In our senior living operations segment, we invest in seniors housing communities throughout the United States and Canada and engage independent operators, such as Atria, Sunrise and Sunrise,ESL, to manage those communities. In our office operations segment, we primarily acquire, own, develop, lease and manage MOBs and life scienceresearch and innovation centers throughout the United States. Information provided for “all other” includes income from loans and investments and other miscellaneous income and various corporate-level expenses not directly attributable to any of our three reportable business segments. Assets included in “all other” consist primarily of corporate assets, including cash, restricted cash, loans receivable and investments, and miscellaneous accounts receivable.

Our chief operating decision makers evaluate performance of the combined properties in each reportable business segment and determine how to allocate resources to those segments, in significant part, based on segment NOI and related measures. We define segment NOI as total revenues, less interest and other income, property-level operating expenses and office building services costs. We consider segment NOI useful because it allows investors, analysts and our management to measure unlevered property-level operating results and to compare our operating results to the operating results of other real estate companies between periods on a consistent basis. In order to facilitate a clear understanding of our historical consolidated operating results, segment NOI should be examined in conjunction with net income from continuing operationsattributable to common stockholders as presented in our Consolidated Financial Statements and other financial data included elsewhere in this Quarterly Report on Form 10-Q.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


Interest expense, depreciation and amortization, general, administrative and professional fees, income tax expense and other non-property specific revenues and expenses are not allocated to individual reportable business segments for purposes of assessing segment performance. There are no intersegment sales or transfers.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


Summary information by reportable business segment is as follows:
For the Three Months Ended September 30, 2018For the Three Months Ended March 31,2019
Triple-Net
Leased
Properties
 Senior
Living
Operations
 Office
Operations
 All
Other
 TotalTriple-Net
Leased
Properties
 Senior
Living
Operations
 Office
Operations
 All
Other
 Total
(In thousands)(In thousands)
Revenues:                  
Rental income$190,117
 $
 $193,911
 $
 $384,028
$200,068
 $
 $201,428
 $
 $401,496
Resident fees and services
 518,560
 
 
 518,560

 521,447
 
 
 521,447
Office building and other services revenue202
 
 2,175
 911
 3,288

 
 1,775
 743
 2,518
Income from loans and investments
 
 
 18,108
 18,108

 
 
 17,126
 17,126
Interest and other income
 
 
 12,554
 12,554

 
 
 287
 287
Total revenues$190,319
 $518,560
 $196,086
 $31,573
 $936,538
$200,068
 $521,447
 $203,203
 $18,156
 $942,874
                  
Total revenues$190,319
 $518,560
 $196,086
 $31,573
 $936,538
$200,068
 $521,447
 $203,203
 $18,156
 $942,874
Less:                  
Interest and other income
 
 
 12,554
 12,554

 
 
 287
 287
Property-level operating expenses
 366,721
 61,668
 
 428,389
7,433
 360,986
 62,085
 
 430,504
Office building services costs
 
 431
 
 431

 
 633
 
 633
Segment NOI190,319
 151,839
 133,987
 19,019
 495,164
192,635
 160,461
 140,485
 17,869
 511,450
Income (loss) from unconsolidated entities1,320
 (1,314) 56
 (778) (716)508
 (934) 229
 (749) (946)
Segment profit$191,639
 $150,525
 $134,043
 $18,241
 494,448
$193,143
 $159,527
 $140,714
 $17,120
 510,504
Interest and other income 
  
  
  
 12,554
 
  
  
  
 287
Interest expense 
  
  
  
 (107,581) 
  
  
  
 (110,619)
Depreciation and amortization 
  
  
  
 (218,579) 
  
  
  
 (235,920)
General, administrative and professional fees 
  
  
  
 (39,677) 
  
  
  
 (40,760)
Loss on extinguishment of debt, net        (39,527)        (405)
Merger-related expenses and deal costs 
  
  
  
 (4,458) 
  
  
  
 (2,180)
Other 
  
  
  
 (1,244) 
  
  
  
 (23)
Gain on real estate dispositions        5,447
Income tax benefit 
  
  
  
 7,327
 
  
  
  
 1,257
Income from continuing operations 
  
  
  
 $103,263
 
  
  
  
 127,588
Discontinued operations        
Net income        127,588
Net income attributable to noncontrolling interests        1,803
Net income attributable to common stockholders        $125,785


NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


 For the Three Months Ended September 30, 2017
 
Triple-Net
Leased
Properties
 
Senior
Living
Operations
 
Office
Operations
 
All
Other
 Total
 (In thousands)
Revenues:         
Rental income$212,370
 $
 $189,506
 $
 $401,876
Resident fees and services
 461,700
 
 
 461,700
Office building and other services revenue1,125
 
 1,568
 503
 3,196
Income from loans and investments
 
 
 32,985
 32,985
Interest and other income
 
 
 171
 171
Total revenues$213,495
 $461,700
 $191,074
 $33,659
 $899,928
          
Total revenues$213,495
 $461,700
 $191,074
 $33,659
 $899,928
Less:         
Interest and other income
 
 
 171
 171
Property-level operating expenses
 315,598
 60,609
 
 376,207
Office building services costs
 
 418
 
 418
Segment NOI213,495
 146,102
 130,047
 33,488
 523,132
Income (loss) from unconsolidated entities1,122
 300
 (348) (324) 750
Segment profit$214,617
 $146,402
 $129,699
 $33,164
 523,882
Interest and other income 
  
  
  
 171
Interest expense 
  
  
  
 (113,869)
Depreciation and amortization 
  
  
  
 (213,407)
General, administrative and professional fees 
  
  
  
 (33,317)
Loss on extinguishment of debt, net        (511)
Merger-related expenses and deal costs 
  
  
  
 (804)
Other 
  
  
  
 (13,030)
Income tax benefit 
  
  
  
 7,815
Income from continuing operations 
  
  
  
 $156,930

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


 For the Nine Months Ended September 30, 2018
 Triple-Net
Leased
Properties
 Senior
Living
Operations
 Office
Operations
 All
Other
 Total
 (In thousands)
Revenues:         
Rental income$548,628
 $
 $580,471
 $
 $1,129,099
Resident fees and services
 1,552,302
 
 
 1,552,302
Office building and other services revenue2,522
 
 5,785
 2,598
 10,905
Income from loans and investments
 
 
 105,706
 105,706
Interest and other income
 
 
 24,535
 24,535
Total revenues$551,150
 $1,552,302
 $586,256
 $132,839
 $2,822,547
          
Total revenues$551,150
 $1,552,302
 $586,256
 $132,839
 $2,822,547
Less:         
Interest and other income
 
 
 24,535
 24,535
Property-level operating expenses
 1,080,053
 182,662
 
 1,262,715
Office building services costs
 
 1,080
 
 1,080
Segment NOI551,150
 472,249
 402,514
 108,304
 1,534,217
(Loss) income from unconsolidated entities(42,029) (3,668) 321
 (2,450) (47,826)
Segment profit$509,121
 $468,581
 $402,835
 $105,854
 1,486,391
Interest and other income 
  
  
  
 24,535
Interest expense 
  
  
  
 (331,973)
Depreciation and amortization 
  
  
  
 (675,363)
General, administrative and professional fees 
  
  
  
 (113,507)
Loss on extinguishment of debt, net        (50,411)
Merger-related expenses and deal costs 
  
  
  
 (26,288)
Other 
  
  
  
 (7,891)
Income tax benefit 
  
  
  
 11,303
Income from continuing operations 
  
  
  
 $316,796

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


 For the Nine Months Ended September 30, 2017
 
Triple-Net
Leased
Properties
 
Senior
Living
Operations
 
Office
Operations
 
All
Other
 Total
 (In thousands)
Revenues:         
Rental income$634,955
 $
 $561,641
 $
 $1,196,596
Resident fees and services
 1,386,131
 
 
 1,386,131
Office building and other services revenue3,455
 
 5,347
 979
 9,781
Income from loans and investments
 
 
 85,499
 85,499
Interest and other income
 
 
 854
 854
Total revenues$638,410
 $1,386,131
 $566,988
 $87,332
 $2,678,861
          
Total revenues$638,410
 $1,386,131
 $566,988
 $87,332
 $2,678,861
Less:         
Interest and other income
 
 
 854
 854
Property-level operating expenses
 936,296
 174,728
 
 1,111,024
Office building services costs
 
 1,708
 
 1,708
Segment NOI638,410
 449,835
 390,552
 86,478
 1,565,275
Income (loss) from unconsolidated entities4,768
 (157) 284
 (1,101) 3,794
Segment profit$643,178
 $449,678
 $390,836
 $85,377
 1,569,069
Interest and other income 
  
  
  
 854
Interest expense 
  
  
  
 (336,245)
Depreciation and amortization 
  
  
  
 (655,298)
General, administrative and professional fees 
  
  
  
 (100,560)
Loss on extinguishment of debt, net        (856)
Merger-related expenses and deal costs 
  
  
  
 (8,903)
Other 
  
  
  
 (16,066)
Income tax benefit 
  
  
  
 13,119
Income from continuing operations 
  
  
  
 $465,114

 For the Three Months Ended March 31, 2018
 
Triple-Net
Leased
Properties
 
Senior
Living
Operations
 
Office
Operations
 
All
Other
 Total
 (In thousands)
Revenues:         
Rental income$190,641
 $
 $194,168
 $
 $384,809
Resident fees and services
 514,753
 
 
 514,753
Office building and other services revenue1,142
 
 1,634
 552
 3,328
Income from loans and investments
 
 
 31,181
 31,181
Interest and other income
 
 
 9,634
 9,634
Total revenues$191,783
 $514,753
 $195,802
 $41,367
 $943,705
          
Total revenues$191,783
 $514,753
 $195,802
 $41,367
 $943,705
Less:         
Interest and other income
 
 
 9,634
 9,634
Property-level operating expenses
 352,220
 60,693
 
 412,913
Office building services costs
 
 115
 
 115
Segment NOI191,783
 162,533
 134,994
 31,733
 521,043
Loss from unconsolidated entities(38,654) (641) (620) (824) (40,739)
Segment profit$153,129
 $161,892
 $134,374
 $30,909
 480,304
Interest and other income 
  
  
  
 9,634
Interest expense 
  
  
  
 (111,363)
Depreciation and amortization 
  
  
  
 (233,150)
General, administrative and professional fees 
  
  
  
 (37,174)
Loss on extinguishment of debt, net        (10,977)
Merger-related expenses and deal costs 
  
  
  
 (17,336)
Other 
  
  
  
 (3,120)
Gain on real estate dispositions        48
Income tax benefit 
  
  
  
 3,242
Income from continuing operations 
  
  
  
 80,108
Discontinued operations        (10)
Net income        80,098
Net income attributable to noncontrolling interests        1,395
Net income attributable to common stockholders        $78,703

Capital expenditures, including investments in real estate property and development project expenditures, by reportable business segment are as follows:
For the Three Months Ended September 30, For the Nine Months Ended September 30,For the Three Months Ended March 31,
2018 2017 2018 20172019 2018
(In thousands)(In thousands)
Capital expenditures:          
Triple-net leased properties$10,773
 $9,954
 $31,781
 $151,906
$8,591
 $5,668
Senior living operations36,138
 45,152
 90,892
 96,533
26,959
 30,577
Office operations82,294
 62,108
 216,500
 307,494
49,154
 69,711
Total capital expenditures$129,205
 $117,214
 $339,173
 $555,933
$84,704
 $105,956

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


Our portfolio of properties and mortgage loan and other investments are located in the United States, Canada and the United Kingdom. Revenues are attributed to an individual country based on the location of each property. Geographic information regarding our operations is as follows:
For the Three Months Ended September 30, For the Nine Months Ended September 30,For the Three Months Ended March 31,
2018 2017 2018 20172019 2018
(In thousands)(In thousands)
Revenues:          
United States$881,477
 $844,370
 $2,656,487
 $2,521,813
$888,281
 $887,745
Canada48,080
 48,639
 144,366
 137,647
47,597
 48,536
United Kingdom6,981
 6,919
 21,694
 19,401
6,996
 7,424
Total revenues$936,538
 $899,928
 $2,822,547
 $2,678,861
$942,874
 $943,705
As of September 30, 2018 As of December 31, 2017As of March 31, 2019 As of December 31, 2018
(In thousands)(In thousands)
Net real estate property:      
United States$18,721,154
 $19,253,724
$18,879,373
 $18,861,163
Canada1,021,728
 1,070,903
978,703
 963,588
United Kingdom277,752
 297,827
271,521
 268,906
Total net real estate property$20,020,634
 $20,622,454
$20,129,597
 $20,093,657


NOTE 16—CONDENSED CONSOLIDATING INFORMATION
Ventas, Inc. has fully and unconditionally guaranteed the obligation to pay principal and interest with respect to the outstanding senior notes issued by our 100% owned subsidiary, Ventas Realty, including the senior notes that were jointly issued with Ventas Capital Corporation. Ventas Capital Corporation is a direct 100% owned subsidiary of Ventas Realty that has no assets or operations, but was formed in 2002 solely to facilitate offerings of senior notes by a limited partnership. None of our other subsidiaries (such subsidiaries, excluding Ventas Realty and Ventas Capital Corporation, the “Ventas Subsidiaries”) is obligated with respect to Ventas Realty’s outstanding senior notes. Certain of Ventas Realty’s outstanding senior notes reflected in our condensed consolidating information were issued jointly with Ventas Capital Corporation.
Ventas, Inc. has also fully and unconditionally guaranteed the obligation to pay principal and interest with respect to the outstanding senior notes issued by our 100% owned subsidiary, Ventas Canada Finance Limited.Limited (“Ventas Canada”). None of our other subsidiaries is obligated with respect to Ventas Canada Finance Limited’s outstanding senior notes, all of which were issued on a private placement basis in Canada.
In connection with the acquisition of Nationwide Health Properties, Inc. (“NHP”), our 100% owned subsidiary, Nationwide Health Properties, LLC (“NHP LLC”), as successor to NHP, assumed the obligation to pay principal and interest with respect to the outstanding senior notes issued by NHP. Neither we nor any of our subsidiaries (other than NHP LLC) is obligated with respect to any of NHP LLC’s outstanding senior notes.
Under certain circumstances, contractual and legal restrictions, including those contained in the instruments governing our subsidiaries’ outstanding mortgage indebtedness, may restrict our ability to obtain cash from our subsidiaries for the purpose of meeting our debt service obligations, including our payment guarantees with respect to Ventas Realty’s and Ventas Canada Finance Limited’sCanada’s senior notes.
The following pages summarize our condensed consolidating information as of September 30, 2018March 31, 2019 and December 31, 20172018 and for the three and nine months ended September 30, 2018March 31, 2019 and 2017.2018.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)



CONDENSED CONSOLIDATING BALANCE SHEET
As of September 30, 2018As of March 31, 2019
Ventas, Inc. 
Ventas
Realty
 
Ventas
Subsidiaries
 
Consolidated
Elimination
 ConsolidatedVentas, Inc. 
Ventas
Realty
 
Ventas
Subsidiaries
 
Consolidated
Elimination
 Consolidated
(In thousands)(In thousands)
Assets                  
Net real estate investments$3,634
 $112,869
 $20,480,460
 $
 $20,596,963
$3,561
 $111,849
 $20,558,693
 $
 $20,674,103
Cash and cash equivalents8,291
 
 77,816
 
 86,107
12,990
 
 69,524
 
 82,514
Escrow deposits and restricted cash5,198
 128
 57,114
 
 62,440
2,947
 128
 54,642
 
 57,717
Investment in and advances to affiliates15,421,147
 2,726,198
 
 (18,147,345) 
15,633,653
 2,726,198
 
 (18,359,851) 
Goodwill
 
 1,045,877
 
 1,045,877

 
 1,050,876
 
 1,050,876
Assets held for sale
 
 24,180
 
 24,180

 
 5,978
 
 5,978
Other assets57,960
 6,669
 717,757
 
 782,386
73,163
 4,395
 719,351
 
 796,909
Total assets$15,496,230
 $2,845,864
 $22,403,204
 $(18,147,345) $22,597,953
$15,726,314
 $2,842,570
 $22,459,064
 $(18,359,851) $22,668,097
Liabilities and equity                  
Liabilities:                  
Senior notes payable and other debt$
 $8,330,288
 $2,148,167
 $
 $10,478,455
$
 $8,552,905
 $2,137,271
 $
 $10,690,176
Intercompany loans8,066,423
 (5,390,219) (2,676,204) 
 
8,752,449
 (5,490,449) (3,262,000) 
 
Accrued interest(8,976) 66,613
 19,246
 
 76,883
(11,670) 71,560
 21,876
 
 81,766
Operating lease liabilities12,541
 521
 200,984
 
 214,046
Accounts payable and other liabilities355,472
 24,843
 754,583
 
 1,134,898
311,104
 18,763
 733,840
 
 1,063,707
Liabilities related to assets held for sale
 
 14,790
 
 14,790

 
 947
 
 947
Deferred income taxes586
 
 236,030
 
 236,616
608
 
 204,448
 
 205,056
Total liabilities8,413,505
 3,031,525
 496,612
 
 11,941,642
9,065,032
 3,153,300
 37,366
 
 12,255,698
Redeemable OP Unitholder and noncontrolling interests12,399
 
 130,843
 
 143,242
Redeemable OP unitholder and noncontrolling interests15,257
 
 191,129
 
 206,386
Total equity7,070,326
 (185,661) 21,775,749
 (18,147,345) 10,513,069
6,646,025
 (310,730) 22,230,569
 (18,359,851) 10,206,013
Total liabilities and equity$15,496,230
 $2,845,864
 $22,403,204
 $(18,147,345) $22,597,953
$15,726,314
 $2,842,570
 $22,459,064
 $(18,359,851) $22,668,097


NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)



CONDENSED CONSOLIDATING BALANCE SHEET
As of December 31, 2017As of December 31, 2018
Ventas, Inc. 
Ventas
Realty
 
Ventas
Subsidiaries
 
Consolidated
Elimination
 ConsolidatedVentas, Inc. 
Ventas
Realty
 
Ventas
Subsidiaries
 
Consolidated
Elimination
 Consolidated
(In thousands)(In thousands)
Assets                  
Net real estate investments$1,844
 $119,508
 $21,971,100
 $
 $22,092,452
$3,598
 $112,691
 $20,521,615
 $
 $20,637,904
Cash and cash equivalents7,129
 
 74,226
 
 81,355
6,470
 
 65,807
 
 72,277
Escrow deposits and restricted cash39,816
 128
 66,954
 
 106,898
4,211
 128
 54,848
 
 59,187
Investment in and advances to affiliates14,790,537
 2,916,060
 
 (17,706,597) 
15,656,592
 2,726,198
 
 (18,382,790) 
Goodwill
 
 1,034,644
 
 1,034,644

 
 1,050,548
 
 1,050,548
Assets held for sale
 
 65,413
 
 65,413

 
 5,454
 
 5,454
Other assets55,934
 9,458
 508,387
 
 573,779
45,989
 4,443
 708,753
 
 759,185
Total assets$14,895,260
 $3,045,154
 $23,720,724
 $(17,706,597) $23,954,541
$15,716,860
 $2,843,460
 $22,407,025
 $(18,382,790) $22,584,555
Liabilities and equity                  
Liabilities:                  
Senior notes payable and other debt$
 $8,895,641
 $2,380,421
 $
 $11,276,062
$
 $8,620,867
 $2,112,832
 $
 $10,733,699
Intercompany loans7,838,898
 (7,127,547) (711,351) 
 
8,580,896
 (5,629,764) (2,951,132) 
 
Accrued interest(6,410) 77,691
 22,677
 
 93,958
(9,953) 85,717
 23,903
 
 99,667
Accounts payable and other liabilities377,536
 24,635
 781,318
 
 1,183,489
319,753
 19,178
 747,099
 
 1,086,030
Liabilities related to assets held for sale
 
 60,265
 
 60,265

 
 205
 
 205
Deferred income taxes608
 
 249,484
 
 250,092
608
 
 204,611
 
 205,219
Total liabilities8,210,632
 1,870,420
 2,782,814
 
 12,863,866
8,891,304
 3,095,998
 137,518
 
 12,124,820
Redeemable OP Unitholder and noncontrolling interests12,237
 
 146,253
 
 158,490
Redeemable OP unitholder and noncontrolling interests13,746
 
 174,395
 
 188,141
Total equity6,672,391
 1,174,734
 20,791,657
 (17,706,597) 10,932,185
6,811,810
 (252,538) 22,095,112
 (18,382,790) 10,271,594
Total liabilities and equity$14,895,260
 $3,045,154
 $23,720,724
 $(17,706,597) $23,954,541
$15,716,860
 $2,843,460
 $22,407,025
 $(18,382,790) $22,584,555




NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)



CONDENSED CONSOLIDATING STATEMENT OF INCOME
For the Three Months Ended September 30, 2018For the Three Months Ended March 31,2019
Ventas, Inc. 
Ventas
Realty
 
Ventas
Subsidiaries
 
Consolidated
Elimination
 ConsolidatedVentas, Inc. 
Ventas
Realty
 
Ventas
Subsidiaries
 
Consolidated
Elimination
 Consolidated
(In thousands)(In thousands)
Revenues                  
Rental income$275
 $35,189
 $348,564
 $
 $384,028
$266
 $35,459
 $365,771
 $
 $401,496
Resident fees and services
 
 518,560
 
 518,560

 
 521,447
 
 521,447
Office building and other services revenue
 
 3,288
 
 3,288

 
 2,518
 
 2,518
Income from loans and investments387
 
 17,721
 
 18,108
423
 
 16,703
 
 17,126
Equity earnings in affiliates74,048
 
 (874) (73,174) 
97,834
 
 (560) (97,274) 
Interest and other income12,335
 8
 211
 
 12,554
12
 29
 246
 
 287
Total revenues87,045
 35,197
 887,470
 (73,174) 936,538
98,535
 35,488
 906,125
 (97,274) 942,874
Expenses                  
Interest(19,307) 80,255
 46,633
 
 107,581
(20,672) 83,094
 48,197
 
 110,619
Depreciation and amortization1,365
 1,411
 215,803
 
 218,579
1,351
 1,388
 233,181
 
 235,920
Property-level operating expenses
 77
 428,312
 
 428,389

 162
 430,342
 
 430,504
Office building services costs
 
 431
 
 431

 
 633
 
 633
General, administrative and professional fees2,744
 4,477
 32,456
 
 39,677
(8,667) 6,468
 42,959
 
 40,760
Loss on extinguishment of debt, net202
 36,219
 3,106
 
 39,527

 405
 
 
 405
Merger-related expenses and deal costs2,980
 
 1,478
 
 4,458
886
 
 1,294
 
 2,180
Other28
 25
 1,191
 
 1,244
(257) 1
 279
 
 23
Total expenses(11,988) 122,464
 729,410
 
 839,886
(27,359) 91,518
 756,885
 
 821,044
Income (loss) before unconsolidated entities, income taxes, discontinued operations, real estate dispositions and noncontrolling interests99,033
 (87,267) 158,060
 (73,174) 96,652
Income (loss) before unconsolidated entities, real estate dispositions, income taxes, discontinued operations and noncontrolling interests125,894
 (56,030) 149,240
 (97,274) 121,830
Loss from unconsolidated entities
 
 (716) 
 (716)
 
 (946) 
 (946)
Income tax benefit2,944
 
 4,383
 
 7,327
Gain on real estate dispositions
 
 5,447
 
 5,447
Income tax (expense) benefit(109) 
 1,366
 
 1,257
Income (loss) from continuing operations101,977
 (87,267) 161,727
 (73,174) 103,263
125,785
 (56,030) 155,107
 (97,274) 127,588
(Loss) gain on real estate dispositions(5) 
 23
 
 18
Discontinued operations
 
 
 
 
Net income (loss)101,972
 (87,267) 161,750
 (73,174) 103,281
125,785
 (56,030) 155,107
 (97,274) 127,588
Net income attributable to noncontrolling interests
 
 1,309
 
 1,309

 
 1,803
 
 1,803
Net income (loss) attributable to common stockholders$101,972
 $(87,267) $160,441
 $(73,174) $101,972
$125,785
 $(56,030) $153,304
 $(97,274) $125,785







NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)



CONDENSED CONSOLIDATING STATEMENT OF INCOME
 For the Three Months Ended March 31, 2018
 Ventas, Inc. 
Ventas
Realty
 
Ventas
Subsidiaries
 
Consolidated
Elimination
 Consolidated
 (In thousands)
Revenues         
Rental income$601
 $34,386
 $349,822
 $
 $384,809
Resident fees and services
 
 514,753
 
 514,753
Office building and other services revenue
 
 3,328
 
 3,328
Income from loans and investments491
 
 30,690
 
 31,181
Equity earnings in affiliates60,297
 
 (646) (59,651) 
Interest and other income9,323
 
 311
 
 9,634
Total revenues70,712
 34,386
 898,258
 (59,651) 943,705
Expenses         
Interest(28,694) 82,312
 57,745
 
 111,363
Depreciation and amortization1,344
 1,444
 230,362
 
 233,150
Property-level operating expenses
 72
 412,841
 
 412,913
Office building services costs
 
 115
 
 115
General, administrative and professional fees557
 4,050
 32,567
 
 37,174
Loss on extinguishment of debt, net168
 10,809
 
 
 10,977
Merger-related expenses and deal costs16,246
 
 1,090
 
 17,336
Other2,169
 
 951
 
 3,120
Total expenses(8,210) 98,687
 735,671
 
 826,148
Income (loss) before unconsolidated entities, real estate dispositions, income taxes, discontinued operations and noncontrolling interests78,922
 (64,301) 162,587
 (59,651) 117,557
Loss from unconsolidated entities
 
 (40,739) 
 (40,739)
Gain on real estate dispositions
 
 48
 
 48
Income tax (expense) benefit(209) 
 3,451
 
 3,242
Income (loss) from continuing operations78,713
 (64,301) 125,347
 (59,651) 80,108
Discontinued operations(10) 
 
 
 (10)
Net income (loss)78,703
 (64,301) 125,347
 (59,651) 80,098
Net income attributable to noncontrolling interests
 
 1,395
 
 1,395
Net income (loss) attributable to common stockholders$78,703
 $(64,301) $123,952
 $(59,651) $78,703
 For the Three Months Ended September 30, 2017
 Ventas, Inc. 
Ventas
Realty
 
Ventas
Subsidiaries
 
Consolidated
Elimination
 Consolidated
 (In thousands)
Revenues         
Rental income$601
 $45,447
 $355,828
 $
 $401,876
Resident fees and services
 
 461,700
 
 461,700
Office building and other services revenue
 
 3,196
 
 3,196
Income from loans and investments309
 
 32,676
 
 32,985
Equity earnings in affiliates594,857
 
 4,151
 (599,008) 
Interest and other income3
 
 168
 
 171
Total revenues595,770
 45,447
 857,719
 (599,008) 899,928
Expenses         
Interest(16,836) 82,007
 48,698
 
 113,869
Depreciation and amortization1,314
 1,455
 210,638
 
 213,407
Property-level operating expenses
 69
 376,138
 
 376,207
Office building services costs
 
 418
 
 418
General, administrative and professional fees100
 4,240
 28,977
 
 33,317
Loss on extinguishment of debt, net
 504
 7
 
 511
Merger-related expenses and deal costs360
 
 444
 
 804
Other1,626
 
 11,404
 
 13,030
Total expenses(13,436) 88,275
 676,724
 
 751,563
Income (loss) before unconsolidated entities, income taxes, discontinued operations, real estate dispositions and noncontrolling interests609,206
 (42,828) 180,995
 (599,008) 148,365
Income from unconsolidated entities
 
 750
 
 750
Income tax benefit4,771
 
 3,044
 
 7,815
Income (loss) from continuing operations613,977
 (42,828) 184,789
 (599,008) 156,930
Discontinued operations(19) 
 
 
 (19)
Gain on real estate dispositions
 457,952
 328
 
 458,280
Net income613,958
 415,124
 185,117
 (599,008) 615,191
Net income attributable to noncontrolling interests
 
 1,233
 
 1,233
Net income attributable to common stockholders$613,958
 $415,124
 $183,884
 $(599,008) $613,958

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)



CONDENSED CONSOLIDATING STATEMENTSTATEMENTS OF COMPREHENSIVE INCOME
 For the Nine Months Ended September 30, 2018
 Ventas, Inc. 
Ventas
Realty
 
Ventas
Subsidiaries
 
Consolidated
Elimination
 Consolidated
 (In thousands)
Revenues         
Rental income$1,132
 $103,874
 $1,024,093
 $
 $1,129,099
Resident fees and services
 
 1,552,302
 
 1,552,302
Office building and other services revenue
 
 10,905
 
 10,905
Income from loans and investments1,150
 
 104,556
 
 105,706
Equity earnings in affiliates278,103
 
 (2,078) (276,025) 
Interest and other income23,726
 8
 801
 
 24,535
Total revenues304,111
 103,882
 2,690,579
 (276,025) 2,822,547
Expenses         
Interest(76,297) 245,210
 163,060
 
 331,973
Depreciation and amortization4,081
 4,277
 667,005
 
 675,363
Property-level operating expenses
 231
 1,262,484
 
 1,262,715
Office building services costs
 
 1,080
 
 1,080
General, administrative and professional fees2,892
 13,142
 97,473
 
 113,507
Loss on extinguishment of debt, net356
 48,815
 1,240
 
 50,411
Merger-related expenses and deal costs23,390
 
 2,898
 
 26,288
Other4,524
 25
 3,342
 
 7,891
Total expenses(41,054) 311,700
 2,198,582
 
 2,469,228
Income (loss) before unconsolidated entities, income taxes, discontinued operations, real estate dispositions and noncontrolling interests345,165
 (207,818) 491,997
 (276,025) 353,319
Loss from unconsolidated entities
 
 (47,826) 
 (47,826)
Income tax benefit2,606
 
 8,697
 
 11,303
Income (loss) from continuing operations347,771
 (207,818) 452,868
 (276,025) 316,796
Discontinued operations(10) 
 
 
 (10)
(Loss) gain on real estate dispositions(567) 
 36,460
 
 35,893
Net income (loss)347,194
 (207,818) 489,328
 (276,025) 352,679
Net income attributable to noncontrolling interests
 
 5,485
 
 5,485
Net income (loss) attributable to common stockholders$347,194
 $(207,818) $483,843
 $(276,025) $347,194
 For the Three Months Ended March 31,2019
 Ventas, Inc. 
Ventas
Realty
 
Ventas
Subsidiaries
 
Consolidated
Elimination
 Consolidated
 (In thousands)
Net income (loss)$125,785
 $(56,030) $155,107
 $(97,274) $127,588
Other comprehensive income (loss):        

Foreign currency translation6,559
 
 (2,732) 
 3,827
Unrealized gain on marketable debt securities
 
 9,291
 
 9,291
Derivative instruments
 (4,049) (1,389) 
 (5,438)
Total other comprehensive income (loss)6,559
 (4,049) 5,170
 
 7,680
Comprehensive income (loss)132,344
 (60,079) 160,277
 (97,274) 135,268
Comprehensive income attributable to noncontrolling interests
 
 1,803
 
 1,803
Comprehensive income (loss) attributable to common stockholders$132,344
 $(60,079) $158,474
 $(97,274) $133,465

 For the Three Months Ended March 31, 2018
 Ventas, Inc. 
Ventas
Realty
 
Ventas
Subsidiaries
 
Consolidated
Elimination
 Consolidated
 (In thousands)
Net income (loss)$78,703
 $(64,301) $125,347
 $(59,651) $80,098
Other comprehensive income:         
Foreign currency translation12,381
 
 (178) 
 12,203
Unrealized loss on marketable debt securities
 
 (172) 
 (172)
Derivative instruments
 8,021
 594
 
 8,615
Total other comprehensive income12,381
 8,021
 244
 
 20,646
Comprehensive income (loss)91,084
 (56,280) 125,591
 (59,651) 100,744
Comprehensive income attributable to noncontrolling interests
 
 1,395
 
 1,395
Comprehensive income (loss) attributable to common stockholders$91,084
 $(56,280) $124,196
 $(59,651) $99,349










NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)



CONDENSED CONSOLIDATING STATEMENT OF INCOMECASH FLOWS
 For the Nine Months Ended September 30, 2017
 Ventas, Inc. 
Ventas
Realty
 
Ventas
Subsidiaries
 
Consolidated
Elimination
 Consolidated
 (In thousands)
Revenues         
Rental income$1,782
 $141,717
 $1,053,097
 $
 $1,196,596
Resident fees and services
 
 1,386,131
 
 1,386,131
Office building and other services revenue
 
 9,781
 
 9,781
Income from loans and investments908
 
 84,591
 
 85,499
Equity earnings in affiliates909,605
 
 3,553
 (913,158) 
Interest and other income374
 
 480
 
 854
Total revenues912,669
 141,717
 2,537,633
 (913,158) 2,678,861
Expenses         
Interest(61,204) 238,312
 159,137
 
 336,245
Depreciation and amortization4,140
 6,062
 645,096
 
 655,298
Property-level operating expenses
 235
 1,110,789
 
 1,111,024
Office building services costs
 
 1,708
 
 1,708
General, administrative and professional fees412
 13,570
 86,578
 
 100,560
Loss (gain) on extinguishment of debt, net
 942
 (86) 
 856
Merger-related expenses and deal costs8,007
 
 896
 
 8,903
Other1,743
 
 14,323
 
 16,066
Total expenses(46,902) 259,121
 2,018,441
 
 2,230,660
Income (loss) before unconsolidated entities, income taxes, discontinued operations, real estate dispositions and noncontrolling interests959,571
 (117,404) 519,192
 (913,158) 448,201
Income from unconsolidated entities
 
 3,794
 
 3,794
Income tax benefit4,440
 
 8,679
 
 13,119
Income (loss) from continuing operations964,011
 (117,404) 531,665
 (913,158) 465,114
Discontinued operations(95) 
 
 
 (95)
Gain on real estate dispositions
 472,732
 29,556
 
 502,288
Net income963,916
 355,328
 561,221
 (913,158) 967,307
Net income attributable to noncontrolling interests
 
 3,391
 
 3,391
Net income attributable to common stockholders$963,916
 $355,328
 $557,830
 $(913,158) $963,916
 For the Three Months Ended March 31, 2019
 Ventas, Inc. 
Ventas
Realty
 
Ventas
Subsidiaries
 
Consolidated
Elimination
 Consolidated
 (In thousands)
Net cash provided by (used in) operating activities$10,545
 $(68,079) $393,654
 $
 $336,120
          
Cash flows from investing activities:         
Net investment in real estate property(13,097) 
 
 
 (13,097)
Investment in loans receivable(2,335) 
 (1,922) 
 (4,257)
Proceeds from real estate disposals17,551
 
 
 
 17,551
Proceeds from loans receivable11
 
 1,264
 
 1,275
Development project expenditures
 
 (49,652) 
 (49,652)
Capital expenditures
 
 (21,955) 
 (21,955)
Investment in unconsolidated entities
 
 (687) 
 (687)
Insurance proceeds for property damage claims


 


 2,998
 
 2,998
Net cash provided by (used in) investing activities2,130



(69,954)

 (67,824)
          
Cash flows from financing activities:         
Net change in borrowings under revolving credit facilities
 (700,858) 83
 
 (700,775)
Net change in borrowings under commercial paper program
 194,498
 
 
 194,498
Proceeds from debt
 698,822
 7,769
 
 706,591
Repayment of debt
 (258,750) (3,820) 
 (262,570)
Net change in intercompany debt172,998
 141,204
 (314,202) 
 
Payment of deferred financing costs
 (6,837) 
 
 (6,837)
Issuance of common stock, net98,378
 
 
 
 98,378
Cash distribution to common stockholders(282,874) 
 
 
 (282,874)
Cash distribution to redeemable OP unitholders
 
 (2,216) 
 (2,216)
Contributions from noncontrolling interests
 
 1,223
 
 1,223
Distributions to noncontrolling interests
 
 (2,623) 
 (2,623)
Other(2,552) 
 (6) 
 (2,558)
Net cash (used in) provided by financing activities(14,050) 68,079
 (313,792) 
 (259,763)
Net (decrease) increase in cash, cash equivalents and restricted cash(1,375)


9,908



8,533
Effect of foreign currency translation6,631
 
 (6,397) 
 234
Cash, cash equivalents and restricted cash at beginning of period10,681
 128
 120,655
 
 131,464
Cash, cash equivalents and restricted cash at end of period$15,937
 $128
 $124,166
 $
 $140,231

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


CONDENSED CONSOLIDATING STATEMENTS OF COMPREHENSIVE INCOME
 For the Three Months Ended September 30, 2018
 Ventas, Inc. 
Ventas
Realty
 
Ventas
Subsidiaries
 
Consolidated
Elimination
 Consolidated
 (In thousands)
Net income (loss)$101,972
 $(87,267) $161,750
 $(73,174) $103,281
Other comprehensive income:        

Foreign currency translation
 
 (5,018) 
 (5,018)
Unrealized gain on marketable debt securities
 
 5,131
 
 5,131
Other
 
 2,801
 
 2,801
Total other comprehensive income
 
 2,914
 
 2,914
Comprehensive income (loss)101,972
 (87,267) 164,664
 (73,174) 106,195
Comprehensive income attributable to noncontrolling interests
 
 1,309
 
 1,309
Comprehensive income (loss) attributable to common stockholders$101,972
 $(87,267) $163,355
 $(73,174) $104,886
 For the Three Months Ended September 30, 2017
 Ventas, Inc. 
Ventas
Realty
 
Ventas
Subsidiaries
 
Consolidated
Elimination
 Consolidated
 (In thousands)
Net income$613,958
 $415,124
 $185,117
 $(599,008) $615,191
Other comprehensive income:         
Foreign currency translation
 
 5,239
 
 5,239
Unrealized loss on marketable debt securities
 
 (48) 
 (48)
Other
 
 (936) 
 (936)
Total other comprehensive income
 
 4,255
 
 4,255
Comprehensive income613,958
 415,124
 189,372
 (599,008) 619,446
Comprehensive income attributable to noncontrolling interests
 
 1,233
 
 1,233
Comprehensive income attributable to common stockholders$613,958
 $415,124
 $188,139
 $(599,008) $618,213

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


CONDENSED CONSOLIDATING STATEMENTS OF COMPREHENSIVE INCOME
 For the Nine Months Ended September 30, 2018
 Ventas, Inc. 
Ventas
Realty
 
Ventas
Subsidiaries
 
Consolidated
Elimination
 Consolidated
 (In thousands)
Net income (loss)$347,194
 $(207,818) $489,328
 $(276,025) $352,679
Other comprehensive income:         
Foreign currency translation
 
 (8,061) 
 (8,061)
Unrealized gain on marketable debt securities
 
 17,816
 
 17,816
Other
 
 17,418
 
 17,418
Total other comprehensive income
 
 27,173
 
 27,173
Comprehensive income (loss)347,194
 (207,818) 516,501
 (276,025) 379,852
Comprehensive income attributable to noncontrolling interests
 
 5,485
 
 5,485
Comprehensive income (loss) attributable to common stockholders$347,194
 $(207,818) $511,016
 $(276,025) $374,367

 For the Nine Months Ended September 30, 2017
 Ventas, Inc. 
Ventas
Realty
 
Ventas
Subsidiaries
 
Consolidated
Elimination
 Consolidated
 (In thousands)
Net income$963,916
 $355,328
 $561,221
 $(913,158) $967,307
Other comprehensive income:         
Foreign currency translation
 
 17,607
 
 17,607
Unrealized loss on marketable debt securities
 
 (233) 
 (233)
Other
 
 (620) 
 (620)
Total other comprehensive income
 
 16,754
 
 16,754
Comprehensive income963,916
 355,328
 577,975
 (913,158) 984,061
Comprehensive income attributable to noncontrolling interests
 
 3,391
 
 3,391
Comprehensive income attributable to common stockholders$963,916
 $355,328
 $574,584
 $(913,158) $980,670









NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS
 For the Nine Months Ended September 30, 2018
 Ventas, Inc. 
Ventas
Realty
 
Ventas
Subsidiaries
 
Consolidated
Elimination
 Consolidated
 (In thousands)
Net cash provided by (used in) operating activities$30,077
 $(163,311) $1,150,856
 $
 $1,017,622
          
Cash flows from investing activities:         
Net investment in real estate property(35,800) 
 
 
 (35,800)
Investment in loans receivable(3,036) 
 (209,053) 
 (212,089)
Proceeds from real estate disposals331,243
 
 
 
 331,243
Proceeds from loans receivable1,473
 
 864,840
 
 866,313
Development project expenditures
 
 (230,348) 
 (230,348)
Capital expenditures
 
 (73,025) 
 (73,025)
Distributions from unconsolidated entities
 
 57,430
 
 57,430
Investment in unconsolidated entities
 
 (45,106) 
 (45,106)
Insurance proceeds for property damage claims
 
 6,327
 
 6,327
Net cash provided by investing activities293,880



371,065


 664,945
          
Cash flows from financing activities:         
Net change in borrowings under revolving credit facilities
 49,438
 (8,146) 
 41,292
Proceeds from debt
 2,309,141
 103,279
 
 2,412,420
Repayment of debt
 (2,949,456) (344,648) 
 (3,294,104)
Purchase of noncontrolling interests(2,429) 
 
 
 (2,429)
Net change in intercompany debt976,533
 769,781
 (1,746,314) 
 
Payment of deferred financing costs
 (15,593) (990) 
 (16,583)
Cash distribution (to) from affiliates(473,343) 
 473,343
 
 
Cash distribution to common stockholders(845,248) 
 
 
 (845,248)
Cash distribution to redeemable OP Unitholders
 
 (5,594) 
 (5,594)
Cash issued for redemption of OP and Class C Units
 
 (1,370) 
 (1,370)
Contributions from noncontrolling interests
 
 500
 
 500
Distributions to noncontrolling interests
 
 (9,968) 
 (9,968)
Other(736) 
 
 
 (736)
Net cash (used in) provided by financing activities(345,223) 163,311
 (1,539,908) 
 (1,721,820)
Net decrease in cash, cash equivalents and restricted cash(21,266)


(17,987)


(39,253)
Effect of foreign currency translation(12,190) 
 11,737
 
 (453)
Cash, cash equivalents and restricted cash at beginning of period46,945
 128
 141,180
 
 188,253
Cash, cash equivalents and restricted cash at end of period$13,489
 $128
 $134,930
 $
 $148,547

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)


CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS
For the Nine Months Ended September 30, 2017For the Three Months Ended March 31, 2018
Ventas, Inc. 
Ventas
Realty
 
Ventas
Subsidiaries
 
Consolidated
Elimination
 ConsolidatedVentas, Inc. 
Ventas
Realty
 
Ventas
Subsidiaries
 
Consolidated
Elimination
 Consolidated
(In thousands)(In thousands)
Net cash provided by (used in) operating activities$60,382
 $(87,781) $1,109,624
 $
 $1,082,225
Net cash (used in) provided by operating activities$(19,936) $(58,562) $386,517
 $
 $308,019
                  
Cash flows from investing activities:

 

 

 

  

 

 

 

  
Net investment in real estate property(317,785) 
 (28,706) 
 (346,491)(11,450) 
 
 
 (11,450)
Investment in loans receivable(2,727) 
 (731,306) 
 (734,033)
Investment in loans receivable and other(2,740) 
 (1,641) 
 (4,381)
Proceeds from real estate disposals616,637
 
 (1,884) 
 614,753
175,370
 
 
 
 175,370
Proceeds from loans receivable36
 
 84,325
 
 84,361
1,441
 
 141,653
 
 143,094
Development project expenditures
 
 (210,423) 
 (210,423)
 
 (73,889) 
 (73,889)
Capital expenditures
 (604) (82,783) 
 (83,387)
 
 (20,617) 
 (20,617)
Distributions from unconsolidated entities
 
 5,816
 
 5,816
Investment in unconsolidated entities
 
 (42,399) 
 (42,399)
 
 (39,101) 
 (39,101)
Insurance proceeds for property damage claims
 
 1,393
 
 1,393

 
 1,527
 
 1,527
Net cash provided by (used in) investing activities296,161

(604)
(1,005,967)

 (710,410)
Net cash provided by investing activities162,621



7,932


 170,553
                  
Cash flows from financing activities:                  
Net change in borrowings under revolving credit facility
 467,000
 (82,262) 
 384,738

 266,764
 7,079
 
 273,843
Proceeds from debt
 793,904
 264,533
 
 1,058,437

 655,044
 83,475
 
 738,519
Repayment of debt
 (778,606) (446,919) 
 (1,225,525)(168) (1,211,643) (5,307) 
 (1,217,118)
Purchase of noncontrolling interests(15,809) 
 
 
 (15,809)
Net change in intercompany debt743,966
 (748,587) 4,621
 
 
103,372
 354,018
 (457,390) 
 
Payment of deferred financing costs
 (20,450) (5,976) 
 (26,426)
 (5,621) (697) 
 (6,318)
Issuance of common stock, net73,596
 
 
 
 73,596
Cash distribution (to) from affiliates(562,534) 373,748
 188,786
 
 
Cash distribution to common stockholders(827,285) 
 
 
 (827,285)(281,635) 
 
 
 (281,635)
Cash distribution to redeemable OP Unitholders
 
 (5,677) 
 (5,677)
Contributions from noncontrolling interest
 
 4,402
 
 4,402
Cash distribution to redeemable OP unitholders
 
 (1,858) 
 (1,858)
Cash issued for redemption of OP Units
 
 (655) 
 (655)
Distributions to noncontrolling interests
 
 (9,248) 
 (9,248)
 
 (3,339) 
 (3,339)
Other10,543
 
 
 
 10,543
(4,687) 
 
 
 (4,687)
Net cash (used in) provided by financing activities(577,523) 87,009
 (87,740) 
 (578,254)(183,118) 58,562
 (378,692) 
 (503,248)
Net (decrease) increase in cash, cash equivalents and restricted cash(220,980) (1,376) 15,917
 
 (206,439)(40,433) 
 15,757
 
 (24,676)
Effect of foreign currency translation25,481
 
 (24,811) 
 670
12,381
 
 (12,376) 
 5
Cash, cash equivalents and restricted cash at beginning of period207,789
 1,504
 158,061
 
 367,354
46,945
 128
 141,180
 
 188,253
Cash, cash equivalents and restricted cash at end of period$12,290
 $128
 $149,167
 $
 $161,585
$18,893
 $128
 $144,561
 $
 $163,582



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

Unless otherwise indicated or except where the context otherwise requires, the terms “we,” “us” and “our” and other similar terms in Item 2 of this Quarterly Report on Form 10-Q refer to Ventas, Inc. and its consolidated subsidiaries.

Cautionary Statements

Forward-Looking Statements

This Quarterly Report on Form 10-Q includes forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended (the “Securities Act”), and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). All statements regarding our or our tenants’, operators’, borrowers’ or managers’ expected future financial condition, results of operations, cash flows, funds from operations, dividends and dividend plans, financing opportunities and plans, capital markets transactions, business strategy, budgets, projected costs, operating metrics, capital expenditures, competitive positions, acquisitions, investment opportunities, dispositions, merger integration, growth opportunities, expected lease income, continued qualification as a real estate investment trust (“REIT”), plans and objectives of management for future operations, and statements that include words such as “anticipate,” “if,” “believe,” “plan,” “estimate,” “expect,” “intend,” “may,” “could,” “should,” “will,” and other similar expressions are forward-looking statements. These forward-looking statements are inherently uncertain, and actual results may differ from our expectations. We do not undertake a duty to update these forward-looking statements, which speak only as of the date on which they are made.

Our actual future results and trends may differ materially from expectations depending on a variety of factors discussed in our filings with the Securities and Exchange Commission (the “SEC”(“SEC”). These factors include without limitation:

The ability and willingness of our tenants, operators, borrowers, managers and other third parties to satisfy their obligations under their respective contractual arrangements with us, including, in some cases, their obligations to indemnify, defend and hold us harmless from and against various claims, litigation and liabilities;

The ability of our tenants, operators, borrowers and managers to maintain the financial strength and liquidity necessary to satisfy their respective obligations and liabilities to third parties, including without limitation obligations under their existing credit facilities and other indebtedness;

Our success in implementing our business strategy and our ability to identify, underwrite, finance, consummate and integrate diversifying acquisitions and investments;

Macroeconomic conditions such as a disruption of or lack of access to the capital markets, changes in the debt rating on U.S. government securities, default or delay in payment by the United States of its obligations, and changes in the federal or state budgets resulting in the reduction or nonpayment of Medicare or Medicaid reimbursement rates;

The nature and extent of future competition, including new construction in the markets in which our seniors housing communities and office buildings are located;

The extent and effect of future or pending healthcare reform and regulation, including cost containment measures and changes in reimbursement policies, procedures and rates;

Increases in our borrowing costs as a result of changes in interest rates and other factors;factors, including the potential phasing out of London Inter-bank Offered Rate (“LIBOR”) after 2021;

The ability of our tenants, operators and managers, as applicable, to comply with laws, rules and regulations in the operation of our properties, to deliver high-quality services, to attract and retain qualified personnel and to attract residents and patients;

Changes in general economic conditions or economic conditions in the markets in which we may, from time to time, compete, and the effect of those changes on our revenues, earnings and funding sources;

Our ability to pay down, refinance, restructure or extend our indebtedness as it becomes due;


Our ability and willingness to maintain our qualification as a REIT in light of economic, market, legal, tax and other considerations;


Final determination of our taxable net income for the year ended December 31, 2018 and for the year ending December 31, 2018;2019;

The ability and willingness of our tenants to renew their leases with us upon expiration of the leases, our ability to reposition our properties on the same or better terms in the event of nonrenewal or in the event we exercise our right to replace an existing tenant, and obligations, including indemnification obligations, we may incur in connection with the replacement of an existing tenant;

Risks associated with our senior living operating portfolio, such as factors that can cause volatility in our operating income and earnings generated by those properties, including without limitation national and regional economic conditions, development of new competing properties, costs of food, materials, energy, labor and services, employee benefit costs, insurance costs and professional and general liability claims, and the timely delivery of accurate property-level financial results for those properties;

Changes in exchange rates for any foreign currency in which we may, from time to time, conduct business;

Year-over-year changes in the Consumer Price Index or the U.K. Retail Price Index and the effect of those changes on the rent escalators contained in our leases and on our earnings;

Our ability and the ability of our tenants, operators, borrowers and managers to obtain and maintain adequate property, liability and other insurance from reputable, financially stable providers;

The impact of damage to our properties from catastrophic weather and other natural events and the physical effects of climate change; 

The impact of increased operating costs and uninsured professional liability claims on our liquidity, financial condition and results of operations or that of our tenants, operators, borrowers and managers and our ability and the ability of our tenants, operators, borrowers and managers to accurately estimate the magnitude of those claims;

Risks associated with our office building portfolio and operations, including our ability to successfully design, develop and manage office buildings and to retain key personnel;

The ability of the hospitals on or near whose campuses our medical office buildings (“MOBs”) are located and their affiliated health systems to remain competitive and financially viable and to attract physicians and physician groups;

Risks associated with our investments in joint ventures and unconsolidated entities, including our lack of sole decision-making authority and our reliance on our joint venture partners’ financial condition;

Our ability to obtain the financial results expected from our development and redevelopment projects, including projects undertaken through our joint ventures;

The impact of market or issuer events on the liquidity or value of our investments in marketable securities;

Consolidation in the seniors housing and healthcare industries resulting in a change of control of, or a competitor’s investment in, one or more of our tenants, operators, borrowers or managers or significant changes in the senior management of our tenants, operators, borrowers or managers;

The impact of litigation or any financial, accounting, legal or regulatory issues that may affect us or our tenants, operators, borrowers or managers; and

Changes in accounting principles, or their application or interpretation, and our ability to make estimates and the assumptions underlying the estimates, which could have an effect on our earnings.

Many of these factors are beyond our control and the control of our management.
   

Brookdale Senior Living, Kindred, Atria, Sunrise, Ardent and ArdentESL Information

Brookdale Senior Living Inc. (together with its subsidiaries, “Brookdale Senior Living”) is subject to the reporting requirements of the SEC and is required to file with the SEC annual reports containing audited financial information and quarterly reports containing unaudited financial information. Kindred Healthcare, LLC (formerly Kindred Healthcare, Inc., together with its subsidiaries, “Kindred”) is not currently subject to the reporting requirements of the SEC, but was subject to such reporting requirements prior to the closing of its acquisitiontransactions in July 2018 pursuant to which Kindred was acquired by a consortium of TPG Capital, (“TPG”), Welsh, Carson, Anderson & Stowe (“WCAS”) and Humana, Inc. in July 2018. The information related to Brookdale Senior Living and

Kindred contained or referred to in this Quarterly Report on Form 10-Q has been derived from SEC filings made by Brookdale Senior Living or Kindred, as the case may be, or other publicly available information, or was provided to us by Brookdale Senior Living or Kindred, and we have not verified this information through an independent investigation or otherwise. We have no reason to believe that this information is inaccurate in any material respect, but we cannot assure you of its accuracy. We are providing this data for informational purposes only, and you are encouraged to obtain Brookdale Senior Living’s and Kindred’s publicly available filings, which can be found on the SEC’s website at www.sec.gov.

Kindred, Atria Senior Living, Inc. (“Atria”), Sunrise Senior Living, LLC (together with its subsidiaries, “Sunrise”), Ardent Health Partners, LLC (together with its subsidiaries, “Ardent”) and KindredEclipse Senior Living (“ESL”) are not currently subject to the reporting requirements of the SEC. The information related to Kindred, Atria, Sunrise, Ardent and KindredESL contained or referred to in this Quarterly Report on Form 10-Q has been derived from publicly available information or was provided to us by Kindred, Atria, Sunrise, Ardent or Kindred,ESL, as the case may be, and we have not verified this information through an independent investigation or otherwise. We have no reason to believe that this information is inaccurate in any material respect, but we cannot assure you of its accuracy.

Company Overview

We are a REIT with a highly diversified portfolio of seniors housing, life scienceresearch and innovation, and healthcare properties located throughout the United States, Canada and the United Kingdom. As of September 30, 2018,March 31, 2019, we owned approximately 1,200 properties (including properties owned through investments in unconsolidated entities and properties classified as held for sale), consisting of seniors housing communities, MOBs, life scienceresearch and innovation centers, inpatient rehabilitation facilities (“IRFs”) and long-term acute care facilities (“LTACs”), and health systems and skilled nursing facilities (“SNFs”), and wesystems. We had 1617 properties under development, including fivefour properties that are owned by unconsolidated real estate entities. We are an S&P 500 company headquartered in Chicago, Illinois.

We primarily invest in seniors housing, life scienceresearch and innovation, and healthcare properties through acquisitions and lease our properties to unaffiliated tenants or operate them through independent third-party managers. As of September 30, 2018,March 31, 2019, we leased a total of 468438 properties (excluding properties within our office operations reportable business segment) to various healthcare operating companies under “triple-net” or “absolute-net” leases that obligate the tenants to pay all property-related expenses, including maintenance, utilities, repairs, taxes, insurance and capital expenditures.

As of September 30, 2018,March 31, 2019, pursuant to long-term management agreements, we engaged independent operators, such as Atria, Sunrise and Sunrise,ESL, to manage 360363 seniors housing communities for us.

Our three largest tenants, Brookdale Senior Living, Ardent and Kindred leased from us 135129 properties (excluding one propertytwo properties managed by Brookdale Senior Living pursuant to a long-term management agreement), 11 properties and 32 properties, respectively, as of September 30, 2018.March 31, 2019.

Through our Lillibridge Healthcare Services, Inc. subsidiary and our ownership interest in PMB Real Estate Services LLC, we also provide MOB management, leasing, marketing, facility development and advisory services to highly rated hospitals and health systems throughout the United States. In addition, from time to time, we make secured and non-mortgage loans and other investments relating to seniors housing and healthcare operators or properties.

We aim to enhance shareholder value by delivering consistent, superior total returns through a strategy of: (1) generating reliable and growing cash flows; (2) maintaining a balanced, diversified portfolio of high-quality assets; and (3) preserving our financial strength, flexibility and liquidity.

Our ability to access capital in a timely and cost effective manner is critical to the success of our business strategy because it affects our ability to satisfy existing obligations, including the repayment of maturing indebtedness, and to make future investments. Factors such as general market conditions, interest rates, credit ratings on our securities, expectations of our potential future earnings and cash distributions, and the trading price of our common stock that are beyond our control and

fluctuate over time all impact our access to and cost of external capital. For that reason, we generally attempt to match the long-term duration of our investments in real property with long-term financing through the issuance of shares of our common stock or the incurrence of long-term fixed rate debt.


Operating2019 Highlights and Key Performance Trends

2018 Highlights and Other Recent Developments

Investments and Dispositions

During the ninethree months ended September 30, 2018, we received $846.7 million for the full repayment of the principal balances of ten loans receivable with a weighted average interest rate of 9.1% that were due to mature between 2018 and 2033.

Included in the repayments above is $713 million that we received in June 2018 for the full repayment of the principal balance of a $700 million term loan and $13 million then outstanding on a revolving line of credit we made to a subsidiary of Ardent. We also received a $14.0 million cash pre-payment fee and accelerated recognition of the unamortized portion ($13.2 million) of a previously received cash “upfront” fee for the loans, resulting in income of $27.2 million, which is recorded in income from loans and investments in our Consolidated Statements of Income.

In June 2018, we made a $200 million investment in senior unsecured notes issued by a subsidiary of Ardent at a price of 98.6% of par value. The notes have an effective interest rate of 10.0% and mature in 2026.

During the nine months ended September 30, 2018,March 31, 2019, we sold seven seniors housing communities included in our senior living operations reportable business segment, five triple-net leasedfour properties nine MOBs and two vacant land parcels for aggregate consideration of $326.1$17.6 million, and we recognized a gain on the sale of these assets of $35.9$5.4 million.
    
Liquidity Capital and Dividends

During the nine months ended September 30, 2018, we paid the fourth quarterly installment of our 2017 dividend and the first and second quarterly installments of our 2018 dividend, each $0.79 per share. In September 2018, we declared the third quarterly installment of our 2018 dividend of $0.79 per share, which was paid in October 2018.Capital

In February 2018,January 2019, our wholly-owned subsidiary, Ventas Realty, Limited Partnership (“Ventas Realty”), issued and sold $650.0 million established an unsecured commercial paper program with short-term ratings A-2/P-2/F2. Under the terms of the program, we may issue from time to time unsecured commercial paper notes up to a maximum aggregate principal amount outstanding at any time of 4.00% senior notes due 2028 at a public offering price equal to 99.23% of par, for total proceeds of $645.0 million before the underwriting discount and expenses.$1 billion.

In February 2018,January 2019, we redeemed $502.1$258.8 million aggregate principal amount then outstanding of our 4.00%5.45% senior notes due April2043.

During February 2019, we issued a total of $700.0 million of senior notes with a weighted average interest rate of 4.1% and maturities in 2024 and 2049.

For the three months ended March 31, 2019, at a public offering pricewe sold 1.6 million shares of 101.83% of par, plus accrued and unpaid interest to the redemption date, and recognized a loss on extinguishment of debt of $11.0 million. The redemption was funded using cash on hand and borrowingscommon stock under our unsecured revolving credit facility. In April 2018, we repaid the remaining balance then outstanding“at-the-market” equity offering program (“ATM program”) for gross proceeds of our 4.00% senior notes due April 2019$64.15 per share, resulting in aggregate net proceeds of $97.9$98.5 million, and recognized a loss on extinguishment of debt of $1.8 million.after sales agent commissions. 

In February 2018, we repaid in full, at par, $700.0 million aggregate principal amount then outstanding of our 2.00% senior notes due February 2018 upon maturity.

In July 2018, we entered into a new $900.0 million unsecured term loan facility priced at LIBOR plus 0.90%, that replaced and repaid in full our previous $900.0 million unsecured term loan due 2020 priced at LIBOR plus 0.975%. The new term loan facility is comprised of a $300.0 million term loan that matures in 2023 and a $600.0 million term loan that matures in 2024.  The new unsecured term loan facility also includes an accordion feature that permits us to increase our aggregate borrowings thereunder to up to $1.5 billion.

In August 2018, Ventas Realty issued and sold $750.0 million aggregate principal amount of 4.400% senior notes due 2029 at a public offering price equal to 99.95% of par, for total proceeds of $749.7 million before the underwriting discount and expenses.

In August 2018, we redeemed $549.5 million aggregate principal amount then outstanding of our 4.75% senior notes due 2021 at a public offering price of 104.56% of par, plus accrued and unpaid interest to the redemption date, and recognized a loss on extinguishment of debt of $28.3 million. The redemption was funded using proceeds from our August 2018 senior note issuance, cash on hand and borrowings under our unsecured revolving credit facility. In

September 2018, we repaid the remaining balance then outstanding of our 4.75% senior notes due 2021 of $150.5 million and recognized a loss on extinguishment of debt of $7.6 million.

Portfolio

In January 2018, we transitioned the management of 76 private pay seniors housing communities to Eclipse Senior Living (“ESL”). These assets, substantially all of which were previously leased by Elmcroft Senior Living (“Elmcroft”) under triple-net leases, are now operated by ESL under a management contract with us and are included in the senior living operations reportable business segment. We acquired a 34% ownership interest in ESL with customary rights and protections, including the right to appoint two of six members to the ESL Board of Directors. ESL management owns the 66% controlling interest.

In April 2018, we entered into various agreements with Brookdale Senior Living that provide for, among other things: (a) a consolidation of substantially all of our multiple lease agreements with Brookdale Senior Living into one guaranteed master lease (the “Master Lease”); (b) extension of the term for substantially all of our Brookdale Senior Living leased properties until at least December 31, 2025; and (c) a restructuring of the annual cash rent for the Brookdale Senior Living leased properties. In connection with these agreements, we recognized a net non-cash expense of $21.3 million for the acceleration of straight-line rent receivables, net unamortized market lease intangibles and deferred revenues, which is included in triple-net leased rental income in our Consolidated Statements of Income. We also received a fee of $2.5 million that is being amortized over the new lease term. The agreements also contemplate the sale of certain properties under the Master Lease. However, we cannot provide any assurance that we will be able to successfully complete the sales on a timely basis or at all.

Concentration Risk

We use concentration ratios to identify, understand and evaluate the potential impact of economic downturns and other adverse events that may affect our asset types, geographic locations, business models, tenants, operators and managers. We evaluate concentration risk in terms of investment mix and operations mix. Investment mix measures the percentage of our investments that is concentrated in a specific asset type or that is operated or managed by a particular tenant, operator or manager. Operations mix measures the percentage of our operating results that is attributed to a particular tenant, operator or manager, geographic location or business model. The following tables reflect our concentration risk as of the dates and for the periods presented:
As of September 30, 2018 As of December 31, 2017As of March 31, 2019 As of December 31, 2018
Investment mix by asset type(1):
      
Seniors housing communities61.7% 60.3%61.5% 61.6%
MOBs20.2
 19.8
20.5
 20.4
Life science and innovation centers8.0
 7.3
Research and innovation centers8.1
 8.1
Health systems5.6
 5.3
5.6
 5.6
IRFs and LTACs1.7
 1.7
1.7
 1.7
SNFs0.8
 0.7
Skilled nursing facilities (“SNFs”)0.8
 0.8
Secured loans receivable and investments, net2.0
 4.9
1.8
 1.8
Investment mix by tenant, operator and manager(1):
      
Atria22.4% 22.3%22.3% 22.1%
Sunrise11.2
 10.8
11.0
 11.0
Brookdale Senior Living7.7
 7.5
8.4
 8.4
Ardent5.2
 4.9
5.1
 5.2
ESL3.9
 3.9
Kindred1.1
 1.1
1.1
 1.1
All other52.4
 53.4
48.2
 48.3

(1) 
Ratios are based on the gross book value of consolidated real estate investments (excluding properties classified as held for sale) as of each reporting date.



For the Three Months Ended September 30, For the Nine Months Ended September 30,For the Three Months Ended March 31,
2018 2017 2018 20172019 2018
Operations mix by tenant and operator and business model:          
Revenues(1):
          
Senior living operations55.4% 51.3% 55.0% 51.7%55.3% 54.6%
Brookdale Senior Living(2)(3)
4.8
 4.9
 4.0
 4.9
Brookdale Senior Living(2)
4.8
 4.6
Ardent3.1
 3.1
 3.0
 3.1
3.1
 3.0
Kindred(4)
3.5
 4.7
 3.4
 4.9
Kindred3.4
 3.4
All others33.2
 36.0
 34.6
 35.4
33.4
 34.4
Adjusted EBITDA(5):
       
Adjusted EBITDA:   
Senior living operations31.3% 29.1% 31.1% 29.8%32.9% 31.9%
Brookdale Senior Living(2)(3)
8.2
 7.7
 6.2
 7.7
Brookdale Senior Living(2)
7.6
 7.4
Ardent5.2
 5.1
 5.0
 5.1
5.0
 5.0
Kindred(4)
5.8
 7.9
 5.5
 8.2
Kindred5.4
 5.7
All others49.5
 50.2
 52.2
 49.2
49.1
 50.0
Net operating income(6):
       
Net operating income (“NOI”)   
Senior living operations30.7% 27.9% 30.8% 28.7%31.4% 31.2%
Brookdale Senior Living(2)(3)
8.9
 8.4
 7.1
 8.3
Brookdale Senior Living(2)
8.8
 8.1
Ardent5.8
 5.3
 5.6
 5.3
5.7
 5.4
Kindred(4)
6.6
 8.1
 6.3
 8.4
Kindred6.2
 6.1
All others48.0
 50.3
 50.2
 49.3
47.9
 49.2
Operations mix by geographic location(7):
       
Operations mix by geographic location(3):
   
California15.8% 15.2% 15.7% 15.3%16.3% 15.9%
New York8.5
 8.6
 8.3
 8.6
9.1
 8.3
Texas6.3
 5.7
 6.2
 5.8
6.3
 6.0
Pennsylvania4.5
 4.1
 4.5
 4.2
4.8
 4.5
Illinois4.3
 4.7
 4.0
 4.8
4.3
 4.4
All others60.6
 61.7
 61.3
 61.3
59.2
 60.9

(1) 
Total revenues include office building and other services revenue, revenue from loans and investments and interest and other income (excluding amounts in discontinued operations and including amounts related to assets classified as held for sale).
(2) 
Excludes onetwo seniors housing communitycommunities included in senior living operations.
(3)
Includes impact of a net non-cash expense in the second quarter of 2018 of $21.3 million.  See “NOTE 3-CONCENTRATION OF CREDIT RISK” of the Notes to Consolidated Financial Statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q.
(4)
Includes 36 SNFs that were sold during 2017.
(5)
“Adjusted EBITDA” is defined as consolidated earnings, which includes amounts in discontinued operations, before interest, taxes, depreciation and amortization (including non-cash stock-based compensation expense), excluding gains or losses on extinguishment of debt, our consolidated joint venture partners’ share of EBITDA, merger-related expenses and deal costs, expenses related to the re-audit and re-review in 2014 of our historical financial statements, net gains or losses on real estate activity, gains or losses on re-measurement of equity interest upon acquisition, changes in the fair value of financial instruments, unrealized foreign currency gains or losses, net expenses or recoveries related to natural disasters and non-cash charges related to lease terminations, and including our share of EBITDA from unconsolidated entities and adjustments for other immaterial or identified items.
(6)
Net operating income (“NOI”) is defined as total revenues, less interest and other income, property-level operating expenses and office building services costs (excluding amounts in discontinued operations).
(7) 
Ratios are based on total revenues (excluding amounts in discontinued operations and including amounts related to assets classified as held for sale) for each period presented.


See “Non-GAAP Financial Measures” included elsewhere in this Quarterly Report on Form 10-Q for additional disclosure and reconciliations of net income from continuing operations,attributable to common stockholders, as computed in accordance with GAAP, to Adjusted EBITDA and NOI, respectively.

Triple-Net Lease Expirations

If our tenants are not able or willing to renew our triple-net leases upon expiration, we may be unable to reposition the applicable properties on a timely basis or on the same or better economic terms, if at all. Although our lease expirations are staggered, the non-renewal of some or all of our triple-net leases that expire in any given year could have a material adverse effect on our business, financial condition, results of operations and liquidity, our ability to service our indebtedness and other obligations and our ability to make distributions to our stockholders, as required for us to continue to qualify as a REIT (a “Material Adverse Effect”). During the ninethree months ended September 30, 2018,March 31, 2019, we had no triple-net lease renewals or expirations without renewal that, in the aggregate, had a material impact on our financial condition or results of operations for that period.

In April 2018, we entered into various agreements with Brookdale Senior Living that provide for, among other things: (a) a consolidation of substantially all of our multiple lease agreements with Brookdale Senior Living into one Master Lease; (b) extension of the term for substantially all of our Brookdale Senior Living leased properties until December 31, 2025, with Brookdale Senior Living retaining two successive 10 year renewal options; and (c) the guarantee of all the Brookdale Senior Living obligations to us by Brookdale Senior Living Inc., including covenant protections for us. Refer to “2018 Highlights and Other Recent Developments” above for additional information regarding these agreements.

Critical Accounting Policies and Estimates

Our Consolidated Financial Statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q have been prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) for interim financial information set forth in the Accounting Standards Codification (“ASC”), as published by the Financial Accounting Standards Board (“FASB”), and with the Securities and Exchange Commission (“SEC”)SEC instructions to Form 10-Q and Article 10 of Regulation S-X. GAAP requires us to make estimates and assumptions regarding future events that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting periods. We base these estimates on our experience and assumptions we believe to be reasonable under the circumstances. However, if our judgment or interpretation of the facts and circumstances relating to various transactions or other matters had been different, we may have applied a different accounting treatment, resulting in a different presentation of our financial statements. We periodically reevaluate our estimates and assumptions, and in the event they prove to be different from actual results, we make adjustments in subsequent periods to reflect more current estimates and assumptions about matters that are inherently uncertain. Please refer to our

Our Annual Report on Form 10-K for the year ended December 31, 2017,2018, filed with the SEC on February 9, 2018, for8, 2019, contains further information regarding the critical accounting policies that affect our more significant estimates and judgments used in the preparation of our Consolidated Financial Statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q.

Principles With the exception of Consolidation

the adoption of ASC Topic 842, The accompanyingLeases (“ASC 842”), there have been no material changes to these policies in 2019. Please refer to “NOTE 2—ACCOUNTING POLICIES” of the Notes to Consolidated Financial Statements include our accounts and the accounts of our wholly owned subsidiaries and the joint venture entities over which we exercise control. All intercompany transactions and balances have been eliminated in consolidation, and our net earnings are reduced by the portion of net earnings attributable to noncontrolling interests.

GAAP requires us to identify entities for which control is achieved through means other than voting rights and to determine which business enterprise is the primary beneficiary of variable interest entities (“VIEs”). A VIE is broadly defined as an entity with one or more of the following characteristics: (a) the total equity investment at risk is insufficient to finance the entity’s activities without additional subordinated financial support; (b) as a group, the holders of the equity investment at risk lack (i) the ability to make decisions about the entity’s activities through voting or similar rights, (ii) the obligation to absorb the expected losses of the entity, or (iii) the right to receive the expected residual returns of the entity; and (c) the equity investors have voting rights that are not proportional to their economic interests, and substantially all of the entity’s activities either involve, or are conducted on behalf of, an investor that has disproportionately few voting rights. We consolidate our investment in a VIE when we determine that we are its primary beneficiary. We may change our original assessment of a VIE upon subsequent events such as the modification of contractual arrangements that affects the characteristics or adequacy of the entity’s equity investments at risk and the disposition of all or a portion of an interest held by the primary beneficiary.


We identify the primary beneficiary of a VIE as the enterprise that has both: (i) the power to direct the activities of the VIE that most significantly impact the entity’s economic performance; and (ii) the obligation to absorb losses or the right to receive benefits of the VIE that could be significant to the entity. We perform this analysis on an ongoing basis.

As it relates to investments in joint ventures, GAAP may preclude consolidation by the sole general partner in certain circumstances based on the type of rights held by the limited partner or partners. We assess limited partners’ rights and their impact on our consolidation conclusions, and we reassess if there is a change to the terms or in the exercisability of the rights of the limited partners, the sole general partner increases or decreases its ownership of limited partnership (“LP”) interests or there is an increase or decrease in the number of outstanding LP interests. We also apply this guidance to managing member interests in limited liability companies.

Accounting for Real Estate Acquisitions

On January 1, 2017, we adopted Accounting Standards Update (“ASU”) 2017-01, Clarifying the Definition of a Business (“ASU 2017-01”), which narrows the FASB’s definition of a business and provides a framework that gives entities a basis for making reasonable judgments about whether a transaction involves an asset or a business. ASU 2017-01 states that when substantially all of the fair value of the gross assets acquired is concentrated in a single identifiable asset or group of similar identifiable assets, the acquired asset is not a business. If this initial test is not met, an acquired asset cannot be considered a business unless it includes an input and a substantive process that together significantly contribute to the ability to create output. The primary differences between business combinations and asset acquisitions include recognition of goodwill at the acquisition date and expense recognition for transaction costs as incurred. We are applying ASU 2017-01 prospectively for acquisitions after January 1, 2017.

Regardless of whether an acquisition is considered a business combination or an asset acquisition, we record the cost of the businesses or assets acquired as tangible and intangible assets and liabilities based upon their estimated fair values as of the acquisition date. Intangibles primarily include the value of in-place leases and acquired lease contracts.

We estimate the fair value of buildings acquired on an as-if-vacant basis or replacement cost basis and depreciate the building value over the estimated remaining life of the building, generally not to exceed 35 years. We determine the fair value of other fixed assets, such as site improvements and furniture, fixtures and equipment, based upon the replacement cost and depreciate such value over the assets’ estimated remaining useful lives as determined at the applicable acquisition date. We determine the value of land either by considering the sales prices of similar properties in recent transactions or based on internal analyses of recently acquired and existing comparable properties within our portfolio. We generally determine the value of construction in progress based upon the replacement cost. However, for certain acquired properties that are part of a ground-up development, we determine fair value by using the same valuation approach as for all other properties and deducting the estimated cost to complete the development. During the remaining construction period, we capitalize project costs until the development has reached substantial completion. Construction in progress, including capitalized interest, is not depreciated until the development has reached substantial completion.

The fair value of acquired lease-related intangibles, if any, reflects: (i) the estimated value of any above and/or below market leases, determined by discounting the difference between the estimated market rent and in-place lease rent; and (ii) the estimated value of in-place leases related to the cost to obtain tenants, including leasing commissions, and an estimated value of the absorption period to reflect the value of the rent and recovery costs foregone during a reasonable lease-up period as if the acquired space was vacant. We amortize any acquired lease-related intangibles to revenue or amortization expense over the remaining life of the associated lease plus any assumed bargain renewal periods. If a lease is terminated prior to its stated expiration or not renewed upon expiration, we recognize all unamortized amounts of lease-related intangibles associated with that lease in operations at that time.

We estimate the fair value of purchase option intangible assets and liabilities, if any, by discounting the difference between the applicable property’s acquisition date fair value and an estimate of its future option price. We do not amortize the resulting intangible asset or liability over the term of the lease, but rather adjust the recognized value of the asset or liability upon sale.

We estimate the fair value of tenant or other customer relationships acquired, if any, by considering the nature and extent of existing relationships with the tenant or customer, growth prospects for developing new business with the tenant or customer, the tenant’s credit quality, expectations of lease renewals with the tenant, and the potential for significant, additional future leasing arrangements with the tenant, and we amortize that value over the expected life of the associated arrangements or leases, including the remaining terms of the related leases and any expected renewal periods. We estimate the fair value of

trade names and trademarks using a royalty rate methodology and amortize that value over the estimated useful life of the trade name or trademark.

In connection with an acquisition, we may assume rights and obligations under certain lease agreements pursuant to which we become the lessee of a given property. We generally assume the lease classification previously determined by the prior lessee absent a modification in the assumed lease agreement. We assess assumed operating leases, including ground leases, to determine whether the lease terms are favorable or unfavorable to us given current market conditions on the acquisition date. To the extent the lease terms are favorable or unfavorable to us relative to market conditions on the acquisition date, we recognize an intangible asset or liability at fair value and amortize that asset or liability to interest or rental expense in our Consolidated Statements of Income over the applicable lease term. We include all lease-related intangible assets and liabilities within acquired lease intangibles and accounts payable and other liabilities, respectively, on our Consolidated Balance Sheets.

We determine the fair value of loans receivable acquired by discounting the estimated future cash flows using current interest rates at which similar loans with the same terms and length to maturity would be made to borrowers with similar credit ratings. We do not establish a valuation allowance at the acquisition date because the estimated future cash flows already reflect our judgment regarding their uncertainty. We recognize the difference between the acquisition date fair value and the total expected cash flows as interest income using an effective interest method over the life of the applicable loan. Subsequent to the acquisition date, we evaluate changes regarding the uncertainty of future cash flows and the need for a valuation allowance, as appropriate.

We estimate the fair value of noncontrolling interests assumed consistent with the manner in which we value all of the underlying assets and liabilities.

We calculate the fair value of long-term assumed debt by discounting the remaining contractual cash flows on each instrument at the current market rate for those borrowings, which we approximate based on the rate at which we would expect to incur a replacement instrument on the date of acquisition, and recognize any fair value adjustments related to long-term debt as effective yield adjustments over the remaining term of the instrument.

Impairment of Long-Lived and Intangible Assets

We periodically evaluate our long-lived assets, primarily consisting of investments in real estate, for impairment indicators. If indicators of impairment are present, we evaluate the carrying value of the related real estate investments in relation to the future undiscounted cash flows of the underlying operations. In performing this evaluation, we consider market conditions and our current intentions with respect to holding or disposing of the asset. We adjust the net book value of leased properties and other long-lived assets to fair value if the sum of the expected future undiscounted cash flows, including sales proceeds, is less than book value. We recognize an impairment loss at the time we make any such determination.

If impairment indicators arise with respect to intangible assets with finite useful lives, we evaluate impairment by comparing the carrying amount of the asset to the estimated future undiscounted net cash flows expected to be generated by the asset. If estimated future undiscounted net cash flows are less than the carrying amount of the asset, then we estimate the fair value of the asset and compare the estimated fair value to the intangible asset’s carrying value. We recognize any shortfall from carrying value as an impairment loss in the current period.

We evaluate our investments in unconsolidated entities for impairment at least annually, and whenever events or changes in circumstances indicate that the carrying value of our investment may exceed its fair value. If we determine that a decline in the fair value of our investment in an unconsolidated entity is other-than-temporary, and if such reduced fair value is below the carrying value, we record an impairment.

We test goodwill for impairment at least annually, and more frequently if indicators arise. We first assess qualitative factors, such as current macroeconomic conditions, state of the equity and capital markets and our overall financial and operating performance, to determine the likelihood that the fair value of a reporting unit is less than its carrying amount. If we determine it is more likely than not that the fair value of a reporting unit is less than its carrying amount, we proceed with the two-step approach to evaluating impairment. First, we estimate the fair value of the reporting unit and compare it to the reporting unit’s carrying value. If the carrying value exceeds fair value, we proceed with the second step, which requires us to assign the fair value of the reporting unit to all of the assets and liabilities of the reporting unit as if it had been acquired in a business combination at the date of the impairment test. The excess fair value of the reporting unit over the amounts assigned to the assets and liabilities is the implied value of goodwill and is used to determine the amount of impairment. We recognize an impairment loss to the extent the carrying value of goodwill exceeds the implied value in the current period.

Estimates of fair value used in our evaluation of goodwill (if necessary based on our qualitative assessment), investments in real estate, investments in unconsolidated entities and intangible assets are based upon discounted future cash flow projections or other acceptable valuation techniques that are based, in turn, upon all available evidence including level three inputs, such as revenue and expense growth rates, estimates of future cash flows, capitalization rates, discount rates, general economic conditions and trends, or other available market data. Our ability to accurately predict future operating results and cash flows and to estimate and determine fair values impacts the timing and recognition of impairments. While we believe our assumptions are reasonable, changes in these assumptions may have a material impact on our financial results.

Revenue Recognition

Adoption of ASC 606

On January 1, 2018, we adopted ASC 606, Revenue from Contracts with Customers (“ASC 606”), which outlines a comprehensive model for entities to use in accounting for revenue arising from contracts with customers. ASC 606 states that “an entity recognizes revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services.” We account for revenues from management contracts (within office building and other services revenue in our Consolidated Statements of Income) and certain point-of-sale transactions (within resident fees and services in our Consolidated Statements of Income) in accordance with ASC 606. The pattern and timing of recognition of income is consistent with the prior accounting model. All other revenues, primarily rental income from leasing activities, is accounted for in accordance with other applicable GAAP. We adopted ASC 606 using the modified retrospective method.

Triple-Net Leased Properties and Office Operations

Certain of our triple-net leases and most of our MOB and life science and innovation center (collectively, “office operations”) leases provide for periodic and determinable increases in base rent. We recognize base rental revenues under these leases on a straight-line basis over the applicable lease term when collectability is reasonably assured. Recognizing rental income on a straight-line basis generally results in recognized revenues during the first half of a lease term exceeding the cash amounts contractually due from our tenants, creating a straight-line rent receivable that is included in other assetsPart I, Item 1 of this Quarterly Report on our Consolidated Balance Sheets.

Certain of our leases provideForm 10-Q for periodic increases in base rent only if certain revenue parameters or other substantive contingencies are met. We recognize the increased rental revenue under these leases as the related parameters or contingencies are met, rather than on a straight-line basis over the applicable lease term.

Senior Living Operations

We recognize resident fees and services, other than move-in fees, monthly as services are provided. We recognize move-in fees on a straight-line basis over the average resident stay.

Other

We recognize interest income from loans and investments,information regarding recently adopted accounting standards, including discounts and premiums, using the effective interest method when collectability is reasonably assured. We apply the effective interest method on a loan-by-loan basis and recognize discounts and premiums as yield adjustments over the related loan term. We recognize interest income on an impaired loan to the extent our estimate of the fair value of the collateral is sufficient to support the balance of the loan, other receivables and all related accrued interest. When the balance of the loan, other receivables and all related accrued interest is equal to or less than our estimate of the fair value of the collateral, we recognize interest income on a cash basis. We provide a reserve against an impaired loan to the extent our total investment in the loan exceeds our estimate of the fair value of the loan collateral.

Allowances

We assess the collectability of our rent receivables, including straight-line rent receivables. We base our assessment of the collectability of rent receivables (other than straight-line rent receivables) on several factors, including, among other things, payment history, the financial strength of the tenant and any guarantors, the value of the underlying collateral, if any, and current economic conditions. If our evaluation of these factors indicates it is probable that we will be unable to recover the full value of the receivable, we provide a reserve against the portion of the receivable that we estimate may not be recovered. We base our assessment of the collectability of straight-line rent receivables on several factors, including, among other things, the

financial strength of the tenant and any guarantors, the historical operations and operating trends of the property, the historical payment pattern of the tenant and the type of property. If our evaluation of these factors indicates it is probable that we will be unable to receive the rent payments due in the future, we provide a reserve against the recognized straight-line rent receivable asset for the portion, up to its full value, that we estimate may not be recovered. If we change our assumptions or estimates regarding the collectability of future rent payments required by a lease, we may adjust our reserve to increase or reduce the rental revenue recognized in the period we make such change in our assumptions or estimates.

Recently Issued or Adopted Accounting Standards

In February 2016, the FASB established ASC Topic 842, Leases (“ASC 842”) by issuing ASU 2016-02, Leases (“ASU 2016-02”), which introduces a lessee model that brings most leases on the balance sheet and, among other changes, eliminates the requirement in current GAAP for an entity to use bright-line tests in determining lease classification. ASC 842 has subsequently been amended by other issued ASUs to clarify and improve the standard as well as to provide certain practical expedients.

ASC 842 allows for several practical expedients which permit the following: no reassessment of lease classification or initial direct costs; use of the standard’s effective date as the date of initial application; and no separation of non-lease components from the related lease components and, instead, to account for those components as a single lease component if certain criteria are met. We expect to elect these practical expedients and adopt ASC 842 on January 1, 2019 using the effective date as our date of initial application. Therefore, financial information and disclosures under ASC 842 will not be provided for periods prior to January 1, 2019.

Upon adoption, we will recognize both right of use assets and lease liabilities for leases in which we lease land, real property or other equipment. We will also begin reporting revenues and expenses within our triple-net leased properties reportable business segment for real estate taxes and insurance that are the obligations of the tenants in accordance with their respective leases with us. This reporting will have no impact on our net income. Resident leases within our senior living operations reportable business segment are accounted for as leases but also contain service elements. We expect to elect the practical expedient to account for our resident leases as a single lease component. Also, upon adoption, we will begin expensing certain leasing costs, other than leasing commissions, as they are incurred, which may reduce our net income. Current GAAP provides for the deferral and amortization of such costs over the applicable lease term. We will continue to amortize any unamortized deferred lease costs as of December 31, 2018 over their respective lease terms. We are currently evaluating the initial balance sheet impact and developing processes and internal controls to account for all leases under ASC 842.

On January 1, 2018, we adopted ASU 2016-15, Classification of Certain Cash Receipts and Cash Payments (“ASU 2016-15”), which provides clarification regarding how certain cash receipts and cash payments are presented and classified in the statement of cash flows and ASU 2016-18, Restricted Cash (“ASU 2016-18”), which requires an entity to show the changes in total cash, cash equivalents, restricted cash and restricted cash equivalents in the statement of cash flows. We adopted these ASUs by applying a retrospective transition method which required a restatement of our Consolidated Statement of Cash Flows for all periods presented.

On January 1, 2018, we adopted the provisions of ASC 610-20, Gains and Losses from the Derecognition of Nonfinancial Assets (“ASC 610-20”). In accordance with ASC 610-20, we recognize any gains when we transfer control of a property and when it is probable that we will collect substantially all of the related consideration. We adopted ASC 610-20 using the modified retrospective method and recognized a cumulative effect adjustment to retained earnings of $31.2 million relating to deferred gains on sales of real estate assets in 2015.

On January 1, 2018, we adopted ASU 2016-16, Intra-Entity Transfers of Assets Other Than Inventory (“ASU 2016-16”), which requires a company to recognize the tax consequences of an intra-entity transfer of an asset, other than inventory, when the transfer occurs. We adopted ASU 2016-16 by applying a modified retrospective method which resulted in a cumulative effect adjustment to retained earnings of $0.6 million.

Results of Operations

As of September 30, 2018,March 31, 2019, we operated through three reportable business segments: triple-net leased properties, senior living operations and office operations. In our triple-net leased properties segment, we invest in and own seniors housing and healthcare properties throughout the United States and the United Kingdom and lease those properties to healthcare operating companies under “triple-net” or “absolute-net” leases that obligate the tenants to pay all property-related expenses. In our senior living operations segment, we invest in seniors housing communities throughout the United States and Canada and

engage independent operators, such as Atria, Sunrise and Sunrise,ESL, to manage those communities. In our office operations segment, we primarily acquire, own, develop, lease and manage MOBs and life scienceresearch and innovation centers throughout the United States. Information provided for “all other” includes income from loans and investments and other miscellaneous income and various corporate-level expenses not directly attributable to any of our three reportable business segments. Assets included in “all other” consist primarily of corporate assets, including cash, restricted cash, loans receivable and investments, and miscellaneous accounts receivable.

Our chief operating decision makers evaluate performance of the combined properties in each reportable business segment and determine how to allocate resources to those segments, in significant part, based on segment NOI and related measures. For further information regarding our reportable business segments and a discussion of our definition of segment NOI, see “NOTE 15—SEGMENT INFORMATION” of the Notes to Consolidated Financial Statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q. See “Non-GAAP Financial Measures” included elsewhere in this Quarterly Report on Form 10-Q for additional disclosure and reconciliations of net income attributable to common stockholders, as computed in accordance with GAAP, to NOI.

Three Months Ended September 30,March 31, 2019 and 2018 and 2017

The table below shows our results of operations for the three months ended September 30,March 31, 2019 and 2018 and 2017 and the effect of changes in those results from period to period on our net income attributable to common stockholders.
For the Three Months Ended September 30, 
(Decrease) Increase
to Net Income
For the Three Months Ended March 31, 
Increase (Decrease)
to Net Income
2018 2017 $ %2019 2018 $ %
(Dollars in thousands)(Dollars in thousands)
Segment NOI:              
Triple-net leased properties$190,319
 $213,495
 $(23,176) (10.9)%$192,635
 $191,783
 $852
 0.4 %
Senior living operations151,839
 146,102
 5,737
 3.9
160,461
 162,533
 (2,072) (1.3)
Office operations133,987
 130,047
 3,940
 3.0
140,485
 134,994
 5,491
 4.1
All other19,019
 33,488
 (14,469) (43.2)17,869
 31,733
 (13,864) (43.7)
Total segment NOI495,164
 523,132
 (27,968) (5.3)511,450
 521,043
 (9,593) (1.8)
Interest and other income12,554
 171
 12,383
 nm287
 9,634
 (9,347) (97.0)
Interest expense(107,581) (113,869) 6,288
 5.5
(110,619) (111,363) 744
 0.7
Depreciation and amortization(218,579) (213,407) (5,172) (2.4)(235,920) (233,150) (2,770) (1.2)
General, administrative and professional fees(39,677) (33,317) (6,360) (19.1)(40,760) (37,174) (3,586) (9.6)
Loss on extinguishment of debt, net(39,527) (511) (39,016) nm(405) (10,977) 10,572
 96.3
Merger-related expenses and deal costs(4,458) (804) (3,654) nm(2,180) (17,336) 15,156
 87.4
Other(1,244) (13,030) 11,786
 90.5
(23) (3,120) 3,097
 99.3
Income before unconsolidated entities, income taxes, discontinued operations, real estate dispositions and noncontrolling interests96,652
 148,365
 (51,713) (34.9)
(Loss) income from unconsolidated entities(716) 750
 (1,466) nm
Income before unconsolidated entities, real estate dispositions, income taxes, discontinued operations and noncontrolling interests121,830
 117,557
 4,273
 3.6
Loss from unconsolidated entities(946) (40,739) 39,793
 97.7
Gain on real estate dispositions5,447
 48
 5,399
 nm
Income tax benefit7,327
 7,815
 (488) (6.2)1,257
 3,242
 (1,985) (61.2)
Income from continuing operations103,263
 156,930
 (53,667) (34.2)127,588
 80,108
 47,480
 59.3
Discontinued operations
 (19) 19
 nm
 (10) 10
 nm
Gain on real estate dispositions18
 458,280
 (458,262) nm
Net income103,281
 615,191
 (511,910) (83.2)127,588
 80,098
 47,490
 59.3
Net income attributable to noncontrolling interests1,309
 1,233
 (76) (6.2)1,803
 1,395
 (408) (29.2)
Net income attributable to common stockholders$101,972
 $613,958
 (511,986) (83.4)$125,785
 $78,703
 47,082
 59.8
nm - not meaningful

Segment NOI—Triple-Net Leased Properties

NOI for our triple-net leased properties reportable business segment equals the rental income and other services revenue earned from our triple-net assets. We incur no direct operating expenses for this segment.


The following table summarizes results of operations in our triple-net leased properties reportable business segment, including assets sold or classified as held for sale as of September 30, 2018,March 31, 2019, but excluding assets whose operations were classified as discontinued operations.
For the Three Months Ended September 30, 
Decrease
to Segment NOI
For the Three Months Ended March 31, 
Increase (Decrease)
to Segment NOI
2018 2017 $ %2019 2018 $ %
(Dollars in thousands)(Dollars in thousands)
Segment NOI—Triple-Net Leased Properties:              
Rental income$190,117
 $212,370
 $(22,253) (10.5)%$200,068
 $190,641
 $9,427
 4.9%
Other services revenue202
 1,125
 (923) (82.0)
 1,142
 (1,142) nm
Less: Property-level operating expenses(7,433) 
 (7,433) nm
Segment NOI$190,319
 $213,495
 (23,176) (10.9)$192,635

$191,783
 852
 0.4
nm - not meaningful

The decrease in
In our triple-net leased properties rental income in the third quarter of 2018 over the same period in 2017 is attributable primarily to the sale of 36 Kindred SNF properties during 2017, the first quarter 2018 transition of 75 private pay seniors housing communities from triple-net leased properties to senior living operations and a decrease in management fees related to the July 2018 sale of our 25% interest in an unconsolidated real estate joint venture consisting principally of SNFs.

In our triple-net leased propertiesreportable business segment, our revenues generally consist of fixed rental amounts (subject to annual contractual escalations) received from our tenants in accordance with the applicable lease terms. However, occupancy

Pursuant to our adoption of ASC 842 on January 1, 2019, we now report revenues and property-level operating expenses within our triple-net leased properties reportable business segment for real estate tax and insurance expenses that are paid from escrows collected from our tenants. For further information regarding our adoption of ASC 842, see “NOTE 2—ACCOUNTING POLICIES” of the Notes to Consolidated Financial Statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q.

The increase in our triple-net leased properties segment NOI in the first quarter of 2019 over the same period in 2018 is attributable primarily to rent increases due to contractual escalations pursuant to the terms of our leases, partially offset by the transition of 75 private pay seniors housing communities from triple-net properties to senior living operations in late January 2018.

Occupancy rates may affect the profitability of our tenants’ operations. The following table sets forth average continuing occupancy rates related to the triple-net leased properties we owned at September 30, 2018March 31, 2019 for the secondfourth quarter of 2018 (which is the most recent information available to us from our tenants) and average continuing occupancy rates related to the triple-net leased properties we owned at September 30, 2017March 31, 2018 for the secondfourth quarter of 2017.
Number of Properties Owned at September 30, 2018 Average Occupancy for the Three Months Ended
June 30, 2018
 Number of Properties Owned at September 30, 2017 Average Occupancy for the Three Months Ended
June 30, 2017
Number of Properties Owned at March 31, 2019 Average Occupancy for the Three Months Ended
December 31, 2018
 Number of Properties Owned at March 31, 2018 Average Occupancy for the Three Months Ended
December 31, 2017
Seniors housing communities (1)
360 84.5% 437 85.8%351 84.9% 347 85.6%
SNFs (1)
17 84.7 17 86.017 85.2 17 84.9
IRFs and LTACs (1)
36 56.7 38 58.836 52.0 36 57.0

(1) 
Excludes properties included in discontinued operations and properties sold or classified as held for sale, non-stabilized properties, properties owned through investments in unconsolidated entities and certain properties for which we do not receive occupancy information. Also excludes properties acquired during the three months ended September 30,March 31, 2019 and 2018, and 2017, respectively, and properties that transitioned operators for which we do not have five full quarters of results subsequent to the transition.

The following table compares results of operations for our 434 same-store triple-net leased properties, unadjusted for foreign currency movements between comparison periods. With regard to our triple-net leased properties segment, “same-store” refers to properties owned, consolidated, operational and reported under a consistent business model (i.e. lease or management contract) for the full period in both comparison periods; provided, however, that we may include selected properties that otherwise meet the same-store criteria if they are included in substantially all of, but not a full, period for one or both of the comparison periods, excludingand in our judgment such inclusion provides a more meaningful presentation of our portfolio performance. Same-store excludes assets sold or classified as held for sale as of September 30, 2018March 31, 2019 and assets whose operations were classified as discontinued operations.
For the Three Months Ended September 30, Increase
to Segment NOI
For the Three Months Ended March 31, Increase (Decrease)
to Segment NOI
2018 2017 $ %2019 2018 $ %
(Dollars in thousands)(Dollars in thousands)
Same-Store Segment NOI—Triple-Net Leased Properties:              
Rental income$187,157
 $180,553
 $6,604
 3.7%$198,424
 $184,879
 $13,545
 7.3%
Less: Property-level operating expenses(7,212) 
 (7,212) nm
Segment NOI$187,157
 $180,553
 6,604
 3.7
$191,212

$184,879
 6,333
 3.4

nm - not meaningful


Segment NOI—Senior Living Operations

The following table summarizes results of operations in our senior living operations reportable business segment, including assets sold or classified as held for sale as of September 30, 2018,March 31, 2019, but excluding assets whose operations were classified as discontinued operations.
For the Three Months Ended September 30, Increase (Decrease)
to Segment NOI
For the Three Months Ended March 31, Increase (Decrease)
to Segment NOI
2018 2017 $ %2019 2018 $ %
(Dollars in thousands)(Dollars in thousands)
Segment NOI—Senior Living Operations:              
Resident fees and services$518,560
 $461,700
 $56,860
 12.3 %$521,447
 $514,753
 $6,694
 1.3 %
Less: Property-level operating expenses(366,721) (315,598) (51,123) (16.2)(360,986) (352,220) (8,766) (2.5)
Segment NOI$151,839
 $146,102
 5,737
 3.9
$160,461
 $162,533
 (2,072) (1.3)
 Number of Properties at September 30, Average Occupancy for the Three Months Ended
September 30,
 Average Monthly Revenue Per Occupied Room For the Three Months Ended September 30,
 2018 2017 2018 2017 2018 2017
Total communities356
 293
 87.1% 88.3% $5,632
 $5,761
 Number of Properties at March 31, Average Occupancy for the Three Months Ended
March 31,
 Average Monthly Revenue Per Occupied Room For the Three Months Ended March 31,
 2019 2018 2019 2018 2019 2018
Total communities358
 358
 86.2% 86.6% $5,692
 $5,720

Resident fees and services include all amounts earned from residents at our seniors housing communities, such as rental fees related to resident leases, extended health care fees and other ancillary service income. Property-level operating expenses related to our senior living operations segment include labor, food, utilities, marketing, management and other costs of operating the properties.

The increase in our resident fees and services and our senior living operations segment NOIproperty-level operating expenses in the thirdfirst quarter of 20182019 over the same period in 20172018 is attributable primarily to the first quarter 2018 transition of 75 private pay seniors housing communitiesacquisitions and transitions from our triple-net leased properties segment to senior living operations.

The following table compares results of operations for our 277353 same-store senior living operating communities, unadjusted for foreign currency movements between periods. With regard to our senior living operations segment, “same-store” refers to properties owned, consolidated, operational and reported under a consistent business model (i.e. lease or management contract) for the full period in both comparison periods; provided, however, that we may include selected properties that otherwise meet the same-store criteria if they are included in substantially all of, but not a full, period for one or both of the comparison periods, excludingand in our judgment such inclusion provides a more meaningful presentation of our portfolio performance. Same-store excludes properties that transitioned operators since the start of the prior comparison period, assets sold or classified as held for sale as of September 30, 2018March 31, 2019 and assets whose operations were classified as discontinued operations.
 For the Three Months Ended March 31, Increase (Decrease) 
to Segment NOI
 2019 2018 $ %
 (Dollars in thousands)
Same-Store Segment NOI—Senior Living Operations:       
Resident fees and services$513,241
 $503,005
 $10,236
 2.0 %
Less: Property-level operating expenses(355,204) (342,928) (12,276) (3.6)
Segment NOI$158,037
 $160,077
 (2,040) (1.3)
 For the Three Months Ended September 30, Increase (Decrease) 
to Segment NOI
 2018 2017 $ %
 (Dollars in thousands)
Same-Store Segment NOI—Senior Living Operations:       
Resident fees and services$446,686
 $444,217
 $2,469
 0.6 %
Less: Property-level operating expenses(309,023) (302,778) (6,245) (2.1)
Segment NOI$137,663
 $141,439
 (3,776) (2.7)
 Number of Properties at September 30, Average Occupancy for the Three Months Ended
September 30,
 Average Monthly Revenue Per Occupied Room For the Three Months Ended September 30,
 2018 2017 2018 2017 2018 2017
Same-store communities277
 277
 87.8% 88.5% $5,884
 $5,807
 Number of Properties at March 31, Average Occupancy for the Three Months Ended
March 31,
 Average Monthly Revenue Per Occupied Room For the Three Months Ended March 31,
 2019 2018 2019 2018 2019 2018
Same-store communities353
 353
 86.3% 86.7% $5,672
 $5,742



Segment NOI—Office Operations

The following table summarizes results of operations in our office operations reportable business segment, including assets sold or classified as held for sale as of September 30, 2018,March 31, 2019, but excluding assets whose operations were classified as discontinued operations.
For the Three Months Ended September 30, Increase (Decrease) 
to Segment NOI
For the Three Months Ended March 31, Increase (Decrease) 
to Segment NOI
2018 2017 $ %2019 2018 $ %
(Dollars in thousands)(Dollars in thousands)
Segment NOI—Office Operations:              
Rental income$193,911
 $189,506
 $4,405
 2.3 %$201,428
 $194,168
 $7,260
 3.7 %
Office building services revenue2,175
 1,568
 607
 38.7
1,775
 1,634
 141
 8.6
Total revenues196,086
 191,074
 5,012
 2.6
203,203
 195,802
 7,401
 3.8
Less:              
Property-level operating expenses(61,668) (60,609) (1,059) (1.7)(62,085) (60,693) (1,392) (2.3)
Office building services costs(431) (418) (13) (3.1)(633) (115) (518) nm
Segment NOI$133,987
 $130,047
 3,940
 3.0
$140,485
 $134,994
 5,491
 4.1
nm - not meaningful

 Number of Properties at September 30,  Occupancy at September 30, Annualized Average Rent Per Occupied Square Foot for the Three Months Ended September 30,
 2018 2017 2018 2017 2018 2017
Total office buildings385
 389
 89.8% 91.6% $33
 $32
 Number of Properties at March 31,  Occupancy at March 31, Annualized Average Rent Per Occupied Square Foot for the Three Months Ended March 31,
 2019 2018 2019 2018 2019 2018
Total office buildings385
 389
 90.1% 91.3% $33
 $32

The increase in our office operations segment NOI in the first quarter of 2019 over the same period in 2018 is attributable primarily to in-place rent escalations, property acquisitions and developments that became operational, partially offset by asset dispositions.

The following table compares results of operations for our 358357 same-store office buildings. With regard to our office operations segment, “same-store” refers to properties owned, consolidated, operational and reported under a consistent business model (i.e. lease or management contract) for the full period in both comparison periods; provided, however, that we may include selected properties that otherwise meet the same-store criteria if they are included in substantially all of, but not a full, period for one or both of the comparison periods, excludingand in our judgment such inclusion provides a more meaningful presentation of our portfolio performance. Same-store excludes assets sold or classified as held for sale as of September 30, 2018,March 31, 2019, assets whose operations were classified as discontinued operations and redevelopment assets.those properties that incur major property-level expenditures to maximize value, increase NOI, maintain a market-competitive position and/or achieve property stabilization.
For the Three Months Ended September 30, Increase (Decrease) 
to Segment NOI
For the Three Months Ended March 31, Increase (Decrease) 
to Segment NOI
2018 2017 $ %2019 2018 $ %
(Dollars in thousands)(Dollars in thousands)
Same-Store Segment NOI—Office Operations:              
Rental income$171,912
 $169,299
 $2,613
 1.5 %$183,342
 $177,838
 $5,504
 3.1 %
Less: Property-level operating expenses(53,638) (52,565) (1,073) (2.0)(55,031) (54,284) (747) (1.4)
Segment NOI$118,274
 $116,734
 1,540
 1.3
$128,311
 $123,554
 4,757
 3.9
 Number of Properties at
September 30,
 Occupancy at
September 30,
 Annualized Average Rent Per Occupied Square Foot for the Three Months Ended
September 30,
 2018 2017 2018 2017 2018 2017
Same-store office buildings358
 358
 92.3% 92.8% $32
 $31
 Number of Properties at
March 31,
 Occupancy at
March 31,
 Annualized Average Rent Per Occupied Square Foot for the Three Months Ended
March 31,
 2019 2018 2019 2018 2019 2018
Same-store office buildings357
 357
 91.8% 92.0% $33
 $32


All Other

Information provided for all other segment NOI includes income from loans and investments and other miscellaneous income not directly attributable to any of our three reportable business segments. The $14.5$14.1 million decrease in income from loans and investments for the three months ended September 30, 2018March 31, 2019 over the same period in 20172018 is primarily due to reduced interest income related to the $700.0 million term loan that we made to Ardent in March 2017, which was fully repaid in June 2018.





Interest and Other Income

The $12.4$9.3 million increasedecrease in interest and other income for the three months ended September 30, 2018March 31, 2019 over the same period in 20172018 is primarily due to a $12.3 million feepayment not previously expected that was received in connection with certain July 2018 Kindred transactions. See “NOTE 3-CONCENTRATION OF CREDIT RISK”the first quarter of the Notes to Consolidated Financial Statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q.2018.

Interest Expense

The $6.3$0.7 million decrease in total interest expense for the three months ended September 30, 2018March 31, 2019 compared to the same period in 20172018 is attributable primarily to a decrease of $13.1$4.5 million due to lower debt balances, partially offset by an increase of $6.8$2.8 million due to a higher effective interest rate, including the amortization of any fair value adjustments.adjustments, and an increase of $1.0 million from other interest expense. Our effective interest rate was 4.0%3.9% and 3.8% for the three months ended September 30,March 31, 2019 and 2018, respectively. Capitalized interest for the three months ended March 31, 2019 and 2017,2018 was $2.0 million and $1.7 million, respectively.

Depreciation and Amortization

Depreciation and amortization expense related to continuing operations increased $5.2$2.8 million during the three months ended September 30, 2018March 31, 2019 compared to the same period in 20172018 primarily due to asset acquisitions, net of dispositions.    

Loss on Extinguishment of Debt, Net

Loss on extinguishment of debt, net decreased for the three months ended September 30,March 31, 2019 over the same period in 2018 wasprimarily due primarily to the February 2018 redemption and repayment of $700the $502.1 million aggregate principal amount then outstanding of our 4.75%4.00% senior notes due 2021April 2019.

Merger-related expenses and deal costs

The $15.2 million     decrease in merger-related expenses and deal costs for the third quarterthree months ended March 31, 2019 compared to the same period in 2018 is attributable primarily to costs incurred in 2018 associated with the transition of 2018.the management of 76 private pay housing communities to ESL.    

Other

The $11.8$3.1 million decrease in other expense during the three months ended September 30, 2018March 31, 2019 compared to the same period in 20172018 is primarily due to 2017 expensesforeign currency gains and impairments related to natural disasters.asset dispositions.
    
Loss from unconsolidated entities

The loss from unconsolidated entities decreased for the three months ended March 31, 2019 compared to the same period in 2018 primarily due the $35.7 million impairment relating to the carrying costs of one of our equity method investments consisting principally of SNFs, prior to the sale in July 2018.

Gain on Real Estate Dispositions

The gain on real estate dispositions for the three months ended September 30, 2018 decreased $458.3March 31, 2019 increased $5.4 million over the same period in 20172018 due primarily to the sale of 22 triple-net leasedfour properties in August 2017.


Nine Months Ended September 30, 2018 and 2017
The table below shows our results of operations for the nine months ended September 30, 2018 and 2017 and the effect of changes in those results from period to period on our net income attributable to common stockholders.
 For the Nine Months Ended September 30, 
(Decrease) Increase
to Net Income
 2018 2017 $ %
 (Dollars in thousands)
Segment NOI:       
Triple-net leased properties$551,150
 $638,410
 $(87,260) (13.7)%
Senior living operations472,249
 449,835
 22,414
 5.0
Office operations402,514
 390,552
 11,962
 3.1
All other108,304
 86,478
 21,826
 25.2
Total segment NOI1,534,217
 1,565,275
 (31,058) (2.0)
Interest and other income24,535
 854
 23,681
 nm
Interest expense(331,973) (336,245) 4,272
 1.3
Depreciation and amortization(675,363) (655,298) (20,065) (3.1)
General, administrative and professional fees(113,507) (100,560) (12,947) (12.9)
Loss on extinguishment of debt, net(50,411) (856) (49,555) nm
Merger-related expenses and deal costs(26,288) (8,903) (17,385) nm
Other(7,891) (16,066) 8,175
 50.9
Income before unconsolidated entities, income taxes, discontinued operations, real estate dispositions and noncontrolling interests353,319
 448,201
 (94,882) (21.2)
(Loss) income from unconsolidated entities(47,826) 3,794
 (51,620) nm
Income tax benefit11,303
 13,119
 (1,816) (13.8)
Income from continuing operations316,796
 465,114
 (148,318) (31.9)
Discontinued operations(10) (95) 85
 89.5
Gain on real estate dispositions35,893
 502,288
 (466,395) (92.9)
Net income352,679
 967,307
 (614,628) (63.5)
Net income attributable to noncontrolling interests5,485
 3,391
 (2,094) (61.8)
Net income attributable to common stockholders$347,194
 $963,916
 (616,722) (64.0)
nm - not meaningful
Segment NOI—Triple-Net Leased Properties
The following table summarizes results of operations in our triple-net leased properties reportable business segment, including assets sold or classified as held for sale as of September 30, 2018, but excluding assets whose operations were classified as discontinued operations.
 For the Nine Months Ended September 30, 
Decrease
to Segment NOI
 2018 2017 $ %
 (Dollars in thousands)
Segment NOI—Triple-Net Leased Properties:       
Rental income$548,628
 $634,955
 $(86,327) (13.6)%
Other services revenue2,522
 3,455
 (933) (27.0)
Segment NOI$551,150
 $638,410
 (87,260) (13.7)
The decrease in our triple-net leased properties rental income for the nine months ended September 30, 2018 over the same period in 2017 is attributable primarily to the sale of 36 Kindred SNF properties during 2017, the first quarter 2018 transition of 75 private pay seniors housing communities from triple-net leased properties to senior living operations, the second quarter 2018 non-cash expense of $21.3 million related to the new Brookdale lease agreements and a decrease in

management fees related to the July 2018 sale of our 25% interest in an unconsolidated real estate joint venture consisting principally of SNFs.
The following table compares results of operations for our 415 same-store triple-net leased properties, unadjusted for foreign currency movements between comparison periods. With regard to our triple-net leased properties segment, “same-store” refers to properties that we owned for the full period in both comparison periods, excluding assets sold or classified as held for sale as of September 30, 2018 and assets whose operations were classified as discontinued operations.
 For the Nine Months Ended September 30, Decrease to Segment NOI
 2018 2017 $ %
 (Dollars in thousands)
Same-Store Segment NOI—Triple-Net Leased Properties:       
Rental income$516,576
 $519,220
 $(2,644) (0.5)%
Segment NOI$516,576
 $519,220
 (2,644) (0.5)
The decrease in our same-store triple-net leased properties rental income for the nine months ended September 30, 2018 over the same period in 2017 is attributable primarily to the second quarter 2018 non-cash expense of $21.3 million related to the new Brookdale lease agreements, partially offset by contractual escalations in rent pursuant to the terms of our leases and increases in base and other rent under certain of our leases.
Segment NOI—Senior Living Operations
The following table summarizes results of operations in our senior living operations reportable business segment, including assets sold or classified as held for sale as of September 30, 2018, but excluding assets whose operations were classified as discontinued operations.
 For the Nine Months Ended September 30, Increase (Decrease) to Segment NOI
 2018 2017 $ %
 (Dollars in thousands)
Segment NOI—Senior Living Operations:       
Resident fees and services$1,552,302
 $1,386,131
 $166,171
 12.0 %
Less: Property-level operating expenses(1,080,053) (936,296) (143,757) (15.4)
Segment NOI$472,249
 $449,835
 22,414
 5.0
 Number of Properties at September 30, Average Unit Occupancy For the Nine Months Ended September 30,  Average Monthly Revenue Per Occupied Room For the Nine Months Ended September 30,
 2018 2017 2018 2017 2018 2017
Total communities356
 293
 86.7% 88.2% $5,666
 $5,722
The increase in our senior living operations segment NOI during the nine months ended September 30, 2018 over the same period in 2017 is attributable primarily to the first quarter 2018 transition of 75 private pay seniors housing communities from triple-net leased properties to senior living operations.


The following table compares results of operations for our 277 same-store senior living operating communities, unadjusted for foreign currency movements between periods. With regard to our senior living operations segment, “same-store” refers to properties owned, consolidated, operational and reported under a consistent business model for the full period in both comparison periods, excluding properties that transitioned operators since the start of the prior comparison period, assets sold or classified as held for sale as of September 30, 2018 and assets whose operations were classified as discontinued operations.
 For the Nine Months Ended September 30, Increase (Decrease) 
to Segment NOI
 2018 2017 $ %
 (Dollars in thousands)
Same-Store Segment NOI—Senior Living Operations:       
Resident fees and services$1,339,331
 $1,326,672
 $12,659
 1.0 %
Less: Property-level operating expenses(911,600) (893,401) (18,199) (2.0)
Segment NOI$427,731
 $433,271
 (5,540) (1.3)
 Number of Properties at September 30, Average Unit Occupancy For the Nine Months Ended September 30,  Average Monthly Revenue Per Occupied Room For the Nine Months Ended September 30,
 2018 2017 2018 2017 2018 2017
Same-store communities277
 277
 87.3% 88.5% $5,915
 $5,780
Segment NOI—Office Operations
The following table summarizes results of operations in our office operations reportable business segment, including assets sold or classified as held for sale as of September 30, 2018, but excluding assets whose operations were classified as discontinued operations.
 For the Nine Months Ended September 30, Increase (Decrease) 
to Segment NOI
 2018 2017 $ %
 (Dollars in thousands)
Segment NOI—Office Operations:       
Rental income$580,471
 $561,641
 $18,830
 3.4 %
Office building services revenue5,785
 5,347
 438
 8.2
Total revenues586,256
 566,988
 19,268
 3.4
Less:       
Property-level operating expenses(182,662) (174,728) (7,934) (4.5)
Office building services costs(1,080) (1,708) 628
 36.8
Segment NOI$402,514
 $390,552
 11,962
 3.1
 Number of Properties at September 30, Occupancy at September 30, Annualized Average Rent Per Occupied Square Foot For the Nine Months Ended September 30,
 2018 2017 2018 2017 2018 2017
Total office buildings385
 389
 89.8% 91.7% $32
 $32

The following table compares results of operations for our 357 same-store office buildings. With regard to our office operations segment, “same-store” refers to properties owned, consolidated, operational and reported under a consistent business model for the full period in both comparison periods, excluding assets sold or classified as held for sale as of September 30, 2018, assets whose operations were classified as discontinued operations and redevelopment assets.
 For the Nine Months Ended September 30, Increase (Decrease) 
to Segment NOI
 2018 2017 $ %
 (Dollars in thousands)
Same-Store Segment NOI—Office Operations:       
Rental income$502,921
 $498,560
 $4,361
 0.9 %
Less: Property-level operating expenses(154,643) (151,492) (3,151) (2.1)
Segment NOI$348,278
 $347,068
 1,210
 0.3
 Number of Properties at
September 30,
 Occupancy
September 30,
 Annualized Average Rent Per Occupied Square Foot For the Nine Months Ended September 30,
 2018 2017 2018 2017 2018 2017
Same-store office buildings357
 357
 92.2% 92.8% $32
 $31
All Other
The $21.8 million increase in income from loans and investments for the nine months ended September 30, 2018 over the same period in 2017 is primarily due to the second quarter 2018 income from the full repayment of the $700.0 million term loan that we made to Ardent in March 2017.
Interest and Other Income
The $23.7 million increase in interest and other income for the nine months ended September 30, 2018 over the same period in 2017 is primarily due to a payment received that was not previously expected to be collected and the $12.3 million fee received in connection with certain July 2018 Kindred transactions. See “NOTE 3-CONCENTRATION OF CREDIT RISK” of the Notes to Consolidated Financial Statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q.
Interest Expense
The $4.3 million decrease in total interest expense for the nine months ended September 30, 2018 and 2017 is attributable primarily to a decrease of $21.9 million due to lower debt balances, partially offset by an increase of $17.6 million due to a higher effective interest rate, including the amortization of any fair value adjustments. Our effective interest rate was 3.9% and 3.7% for the nine months ended September 30, 2018 and 2017, respectively.
Depreciation and Amortization
Depreciation and amortization expense related to continuing operations increased during the nine months ended September 30, 2018 compared to the same period in 2017, primarily due to asset acquisitions, net of dispositions, and carrying value adjustments on five MOBs reclassified from held for sale to continuing operations during the first quarter of 2018.2019.
Loss on Extinguishment of Debt, Net
Loss on extinguishment of debt, netIncome Tax Benefits

Income tax benefits related to continuing operations for the ninethree months ended September 30,March 31, 2019 and 2018 waswere each due primarily to the redemption and repayment of the $600.0 million aggregate principal amount then outstanding ofoperating losses at our 4.00% senior notes due April 2019 in the first quarter of 2018 and the redemption and repayment of $700 million aggregate principal amount then outstanding of our 4.75% senior notes due 2021 in the third quarter of 2018.
Merger-Related Expenses and Deal Costs
The $17.4 million increase in merger-related expenses and deal costs for the nine months ended September 30, 2018 over the same period in 2017 was due primarily to costs associated with the transition of the management of 76 private pay seniors housing communities to ESL during the first quarter of 2018.

Other
The $8.2 million decrease in other expense for the nine months ended September 30, 2018 over the same period in 2017 is primarily due to 2017 expenses and impairments related to natural disasters, partially offset by increased foreign currency exchange losses.
(Loss) Income from Unconsolidated Entities
The $51.6 million decrease in income from unconsolidated entities for the nine months ended September 30, 2018 over the same period in 2017 is due to our share of Ardent’s losses on the extinguishment of debt resulting from its debt refinancing and a $35.7 million impairment relating to the carrying costs of one of our equity investments in an unconsolidated real estate joint venture consisting principally of SNF’s. In July 2018, we sold our 25% interest to our joint venture partner and received $57.5 million at closing.
Gain on Real Estate Dispositions
The $466.4 million decrease in gain on real estate dispositions to $35.9 million for the nine months ended September 30, 2018 over the same period in 2017 is due primarily to the sale of 22 triple-net leased properties in August 2017.
Net Income Attributable to Noncontrolling Interests
The increase in net income attributable to noncontrolling interests of $2.1 million for the nine months ended September 30, 2018 over the same period in 2017 is primarily due to a gain on the disposition of a property held within a joint venture.

taxable REIT subsidiaries.

Non-GAAP Financial Measures

We consider certain non-GAAP financial measures to be useful supplemental measures of our operating performance. A non-GAAP financial measure is a measure of historical or future financial performance, financial position or cash flows that excludes or includes amounts that are not so excluded from or included in the most directly comparable measure calculated and presented in accordance with GAAP. Described below are the non-GAAP financial measures used by management to evaluate our operating performance and that we consider most useful to investors, together with reconciliations of these measures to the most directly comparable GAAP measures.

The non-GAAP financial measures we present in this Quarterly Report on Form 10-Q may not be comparable to those presented by other real estate companies due to the fact that not all real estate companies use the same definitions. You should not consider these measures as alternatives to net income or income from continuing operations (both determinedattributable to common stockholders (determined in accordance with GAAP) as indicators of our financial performance or as alternatives to cash flow from operating activities (determined in accordance with GAAP) as measures of our liquidity, nor are these measures necessarily indicative of sufficient cash flow to fund all of our needs. In order to facilitate a clear understanding of our consolidated historical operating results, you should examine these measures in conjunction with net income and income from continuing operationsattributable to common stockholders as presented in our Consolidated Financial Statements and other financial data included elsewhere in this Quarterly Report on Form 10-Q.

Funds From Operations and Normalized Funds From Operations

Historical cost accounting for real estate assets implicitly assumes that the value of real estate assets diminishes predictably over time. However, since real estate values historically have risen or fallen with market conditions, many industry investors deem presentations of operating results for real estate companies that use historical cost accounting to be insufficient by themselves. For that reason, we consider Funds From Operations (“FFO”) and normalized FFO to be appropriate supplemental measures of operating performance of an equity REIT. In particular, we believe that normalized FFO is useful because it allows investors, analysts and our management to compare our operating performance to the operating performance of other real estate companies and between periods on a consistent basis without having to account for differences caused by non-recurring items and other non-operational events such as transactions and litigation. In some cases, we provide information about identified non-cash components of FFO and normalized FFO because it allows investors, analysts and our management to assess the impact of those items on our financial results.

We use the National Association of Real Estate Investment Trusts (“NAREIT”) definition of FFO. NAREIT defines FFO as net income attributable to common stockholders (computed in accordance with GAAP), excluding gains or losses from sales of real estate property, including gains or losses on re-measurement of equity method investments, and impairment write-downs of depreciable real estate, plus real estate depreciation and amortization, and after adjustments for unconsolidated partnerships and joint ventures. Adjustments for unconsolidated partnerships and joint ventures will be calculated to reflect

FFO on the same basis. We define normalized FFO as FFO excluding the following income and expense items (which may be recurring in nature): (a) merger-related costs and expenses, including amortization of intangibles, transition and integration expenses, and deal costs and expenses, including expenses and recoveries relating to acquisition lawsuits; (b) the impact of any expenses related to asset impairment and valuation allowances, 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 our debt; (c) the non-cash effect of income tax benefits or expenses, the non-cash impact of changes to our executive equity compensation plan, derivative transactions that have non-cash mark-to-market impacts on our Consolidated Statements of Income and non-cash charges related to lease terminations; (d) the financial impact of contingent consideration, severance-related costs and charitable donations made to the Ventas Charitable Foundation; (e) gains and losses for non-operational foreign currency hedge agreements and changes in the fair value of financial instruments; (f) gains and losses on non-real estate dispositions and other unusual items related to unconsolidated entities; (g) expenses related to the re-audit and re-review in 2014 of our historical financial statements and related matters; and (h) net expenses or recoveries related to natural disasters. We believe that income from continuing operations is the most comparable GAAP measure because it provides insight into our continuing operations.



The following table summarizes our FFO and normalized FFO for the three and nine months ended September 30, 2018March 31, 2019 and 2017.2018. The decrease in normalized FFO for the ninethree months ended September 30, 2018March 31, 2019 over the same period in 20172018 is principally due primarily to the dilutive impact of using the proceeds derived from 2018 loan repayments and asset dispositions partially offset by improved property performance, income related to the second quarter 2018 full repayment of the $700.0 million term loan that we made to Ardentreduce debt and invest in March 2017development and the $12.3 million fee received in connection with certain July 2018 Kindred transactions. See “NOTE 3-CONCENTRATION OF CREDIT RISK” of the Notes to Consolidated Financial Statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q.redevelopment projects.
For the Three Months Ended September 30, For the Nine Months Ended September 30,For the Three Months Ended March 31,
2018 2017 2018 20172019 2018
(In thousands)(In thousands)
Income from continuing operations$103,263
 $156,930
 $316,796
 $465,114
Discontinued operations
 (19) (10) (95)
Gain on real estate dispositions18
 458,280
 35,893
 502,288
Net income103,281
 615,191
 352,679
 967,307
Net income attributable to noncontrolling interests1,309
 1,233
 5,485
 3,391
Net income attributable to common stockholders101,972
 613,958
 347,194
 963,916
$125,785
 $78,703
Adjustments:          
Real estate depreciation and amortization217,116
 211,784
 670,703
 650,092
234,471
 231,495
Real estate depreciation related to noncontrolling interests(1,718) (1,911) (5,305) (5,723)(1,834) (1,811)
Real estate depreciation related to unconsolidated entities723
 855
 2,055
 3,500
165
 1,030
Impairment on equity method investments
 
 35,708
 
Impairment on equity method investment
 35,708
Gain on real estate dispositions related to unconsolidated entities(875) (986) (875) (1,045)(799) 
Gain on re-measurement of equity interest upon acquisition, net
 
 
 (3,027)
Gain on real estate dispositions related to noncontrolling interests
 18
 1,508
 18
354
 
Gain on real estate dispositions(18) (458,280) (35,893) (502,288)(5,447) (48)
FFO attributable to common stockholders317,200
 365,438
 1,015,095
 1,105,443
352,695
 345,077
Adjustments:          
Change in fair value of financial instruments42
 8
 (4) (122)(38) (91)
Non-cash income tax benefit(8,166) (8,515) (13,483) (15,619)(1,714) (3,675)
Loss on extinguishment of debt, net39,489
 486
 55,183
 936
405
 10,987
Gain on non-real estate dispositions related to unconsolidated entities(16) (22) (12) (34)
Loss on non-real estate dispositions related to unconsolidated entities
 4
Merger-related expenses, deal costs and re-audit costs4,985
 2,741
 31,770
 12,906
2,829
 19,245
Amortization of other intangibles121
 328
 639
 1,131
121
 328
Other items related to unconsolidated entities632
 1,207
 4,357
 1,699
1,038
 2,847
Non-cash impact of changes to equity plan448
 1,372
 3,321
 4,082
2,334
 1,581
Non-cash charges related to lease terminations
 
 21,299
 
Natural disaster expenses (recoveries), net93
 9,810
 (211) 9,810
(1,539) (383)
Normalized FFO attributable to common stockholders$354,828
 $372,853
 $1,117,954
 $1,120,232
$356,131
 $375,920



Adjusted EBITDA

We consider Adjusted EBITDA an important supplemental measure because it provides another manner in which to evaluate our operating performance and serves as another indicator of our credit strength and our ability to service our debt obligations. We define Adjusted EBITDA as consolidated earnings, which includes amounts in discontinued operations, before interest, taxes, depreciation and amortization (including non-cash stock-based compensation expense), excluding gains or losses on extinguishment of debt, our consolidated joint venture partners’ share of EBITDA, merger-related expenses and deal costs, expenses related to the re-audit and re-review in 2014 of our historical financial statements, net gains or losses on real estate activity, gains or losses on re-measurement of equity interest upon acquisition, changes in the fair value of financial instruments, unrealized foreign currency gains or losses, net expenses or recoveries related to natural disasters and non-cash charges related to lease terminations, and including our share of EBITDA from unconsolidated entities and adjustments for other immaterial or identified items. The following table sets forth a reconciliation of net income from continuing operationsattributable to common stockholders to Adjusted EBITDA for the three and nine months ended September 30, 2018 and 2017:EBITDA:
For the Three Months Ended September 30, For the Nine Months Ended September 30,For the Three Months Ended March 31,
2018 2017 2018 20172019 2018
(In thousands)(In thousands)
Income from continuing operations$103,263
 $156,930
 $316,796
 $465,114
Discontinued operations
 (19) (10) (95)
Gain on real estate dispositions18
 458,280
 35,893
 502,288
Net income103,281
 615,191
 352,679
 967,307
Net income attributable to noncontrolling interests1,309
 1,233
 5,485
 3,391
Net income attributable to common stockholders101,972
 613,958
 347,194
 963,916
$125,785
 $78,703
Adjustments:          
Interest107,581
 113,869
 331,973
 336,245
110,619
 111,363
Loss on extinguishment of debt, net39,527
 511
 50,411
 856
405
 10,977
Taxes (including tax amounts in general, administrative and professional fees)(6,379) (8,130) (8,588) (11,629)114
 (2,390)
Depreciation and amortization218,579
 213,407
 675,363
 655,298
235,920
 233,150
Non-cash stock-based compensation expense6,488
 6,527
 20,761
 19,923
8,405
 7,124
Merger-related expenses, deal costs and re-audit costs4,317
 2,092
 29,286
 11,001
2,191
 18,737
Net income attributable to noncontrolling interests, net of consolidated joint venture partners’ share of EBITDA(2,861) (3,278) (7,460) (9,788)(2,874) (3,032)
Loss (income) from unconsolidated entities, net of Ventas share of EBITDA from unconsolidated entities8,465
 6,660
 67,968
 20,797
Loss from unconsolidated entities, net of Ventas share of EBITDA from unconsolidated entities7,758
 44,939
Gain on real estate dispositions(18) (458,280) (35,893) (502,288)(5,447) (48)
Unrealized foreign currency (gains) losses(225) 210
 487
 (899)(427) 377
Change in fair value of financial instruments38
 6
 (26) (142)(53) (89)
Gain on re-measurement of equity interest upon acquisition, net
 
 
 (3,027)
Non-cash charges related to lease terminations
 
 21,299
 
Natural disaster expenses (recoveries), net93
 9,810
 (211) 9,810
(1,649) (383)
Adjusted EBITDA$477,577
 $497,362
 $1,492,564
 $1,490,073
$480,747
 $499,428



NOI

We also consider NOI an important supplemental measure because it allows investors, analysts and our management to assess our unlevered property-level operating results and to compare our operating results with those of other real estate companies and between periods on a consistent basis. We define NOI as total revenues, less interest and other income, property-level operating expenses and office building services costs. Cash receipts may differ due to straight-line recognition of certain rental income and the application of other GAAP policies. The following table sets forth a reconciliation of net income from continuing operationsattributable to NOI for the three and nine months ended September 30, 2018 and 2017:common stockholders to NOI:
For the Three Months Ended September 30, For the Nine Months Ended September 30,For the Three Months Ended March 31,
2018 2017 2018 20172019 2018
(In thousands)(In thousands)
Income from continuing operations$103,263
 $156,930
 $316,796
 $465,114
Discontinued operations
 (19) (10) (95)
Gain on real estate dispositions18
 458,280
 35,893
 502,288
Net income103,281
 615,191
 352,679
 967,307
Net income attributable to noncontrolling interests1,309
 1,233
 5,485
 3,391
Net income attributable to common stockholders101,972
 613,958
 347,194
 963,916
$125,785
 $78,703
Adjustments:          
Interest and other income(12,554) (171) (24,535) (854)(287) (9,634)
Interest107,581
 113,869
 331,973
 336,245
110,619
 111,363
Depreciation and amortization218,579
 213,407
 675,363
 655,298
235,920
 233,150
General, administrative and professional fees39,677
 33,317
 113,507
 100,560
40,760
 37,174
Loss on extinguishment of debt, net39,527
 511
 50,411
 856
405
 10,977
Merger-related expenses and deal costs4,458
 823
 26,298
 8,998
2,180

17,336
Discontinued operations
 10
Other1,244
 13,030
 7,891
 16,066
23
 3,120
Net income attributable to noncontrolling interests1,309
 1,233
 5,485
 3,391
1,803
 1,395
Loss (income) from unconsolidated entities716
 (750) 47,826
 (3,794)
Loss from unconsolidated entities946
 40,739
Income tax benefit(7,327) (7,815) (11,303) (13,119)(1,257) (3,242)
Gain on real estate dispositions(18) (458,280) (35,893) (502,288)(5,447) (48)
NOI$495,164
 $523,132
 $1,534,217
 $1,565,275
$511,450
 $521,043

Liquidity and Capital Resources

As of September 30, 2018,March 31, 2019, we had a total of $86.1$82.5 million of unrestricted cash and cash equivalents, operating cash and cash related to our senior living operations and office operations reportable business segments that is deposited and held in property-level accounts. Funds maintained in the property-level accounts are used primarily for the payment of property-level expenses, debt service payments and certain capital expenditures. As of September 30, 2018,March 31, 2019, we also had escrow deposits and restricted cash of $62.4$57.7 million, $2.5$2.9 billion of unused borrowing capacity available under our unsecured revolving credit facility and $336.2$295.4 million of unused borrowing capacity available under our secured revolving construction credit facility.

During the ninethree months ended September 30, 2018,March 31, 2019, our principal sources of liquidity were cash flows from operations, proceeds from the issuance of debt and equity securities, borrowings under our unsecured revolving credit facility,commercial paper program, proceeds from asset sales and cash on hand.

For the next 12 months, our principal liquidity needs are to: (i) fund operating expenses; (ii) meet our debt service requirements; (iii) repay maturing mortgage and other debt;debt, including $299.8 million of senior notes; (iv) fund capital expenditures; (v) fund acquisitions, investments and commitments, including development and redevelopment activities; and (vi) make distributions to our stockholders and unitholders, as required for us to continue to qualify as a REIT. We expect that these liquidity needs generally will be satisfied by a combination of the following: cash flows from operations, cash on hand, debt assumptions and financings (including secured financings), issuances of debt and equity securities, dispositions of assets (in whole or in part through joint venture arrangements with third parties) and borrowings under our revolving credit facilities.facilities and commercial paper program. However, an inability to access liquidity through multiple capital sources concurrently could have a Material Adverse Effect on us.



Credit Facilities and Unsecured Term Loans

Our unsecured credit facility is comprised of a $3.0 billion unsecured revolving credit facility, priced at LIBOR plus 0.875% as of September 30, 2018.March 31, 2019. The unsecured revolving credit facility matures in 2021, but may be extended at our option subject to the satisfaction of certain conditions for two additional periods of six months each. The unsecured revolving credit facility also includes an accordion feature that permits us to increase our aggregate borrowing capacity thereunder to up to $3.75 billion.

As of September 30, 2018, we had $514.4March 31, 2019, $52.1 million of borrowingswas outstanding $22.7under the unsecured revolving credit facility with an additional
$23.1 million ofrestricted to support outstanding letters of credit, outstanding and $2.5resulting in $2.9 billion of unused borrowing capacityin available liquidity under ourthe unsecured revolving credit facility.

In July 2018,As of March 31, 2019, we entered intohad a new $900.0 million unsecured term loan facility priced at LIBOR plus 0.90%. The new term loan facility is, comprised of a $300.0 million term loan that matures in 2023 and a $600.0 million term loan that matures in 2024.  The new term loan facility also includes an accordion feature that permits us to increase our aggregate borrowings thereunder to up to $1.5 billion.    This unsecured term loan facility replaced and repaid in full our $900.0 million unsecured term loan due 2020 priced at LIBOR plus 0.975%.    
    
As of September 30, 2018,March 31, 2019, we also had a $400.0 million secured revolving construction credit facility with $63.8$104.6 million of borrowings outstanding and $336.2$295.4 million of unused borrowing capacity. The secured revolving construction credit facility matures in 2022 and is primarily used to finance life sciencethe development of research and innovation centercenters and other construction projects.

Senior Notes

In January 2019, we redeemed $258.8 million aggregate principal amount then outstanding of our 5.45% senior notes due 2043 at a public offering price at par, plus accrued and unpaid interest to the redemption date. Notice of the redemption was given in November 2018 and, as a result, we recognized a non-cash charge to loss on extinguishment of debt of $7.1 million during the year ended December 31, 2018 and $0.4 million during the three months ended March 31, 2019.

In February 2018,2019, Ventas Realty issued and sold $650.0$400.0 million aggregate principal amount of 4.00%3.50% senior notes due 20282024 at a public offering price equal to 99.23%99.88% of par, for total proceeds of $645.0$399.5 million before the underwriting discount and expenses, and $300.0 million aggregate principal amount of 4.875% senior notes due 2049 at a public offering price equal to 99.77% of par, for total proceeds of $299.3 million before the underwriting discount and expenses.

In February 2018, we redeemed $502.1 million aggregate principal amount then outstanding of our 4.00% senior notes due April 2019 at a public offering price of 101.83% of par, plus accrued and unpaid interest to the redemption date, and recognized a loss on extinguishment of debt of $11.0 million. The redemption was funded using cash on hand and borrowings under our unsecured revolving credit facility. In April 2018, we repaid the remaining balance then outstanding of our 4.00% senior notes due April 2019 of $97.9 million and recognized a loss on extinguishment of debt of $1.8 million.Commercial Paper Program

In February 2018,January 2019, Ventas Realty established an unsecured commercial paper program with short-term ratings
A-2/P-2/F2. Under the terms of the program, we repaidmay issue from time to time unsecured commercial paper notes up to a maximum aggregate amount outstanding at any time of $1 billion. The notes are sold under customary terms in full, at par, $700.0the United States commercial paper note market and are ranked pari passu with all of Ventas Realty’s other unsecured senior indebtedness. The notes are fully and unconditionally guaranteed by Ventas, Inc. As of March 31, 2019, we had $195.0 million of borrowings outstanding.

Equity Offerings

From time to time, we may sell up to an aggregate principal amount then outstandingof $1.0 billion of our 2.00% senior notes due 2018 upon maturity.common stock under our ATM program.  For the three months ended March 31, 2019, we sold 1.6 million shares of common stock under our ATM program for gross proceeds of $64.15 per share, resulting in aggregate net proceeds of $98.5 million, after sales agent commissions.

In August 2018, Ventas Realty issued and sold $750.0 million aggregate principal amount of 4.40% senior notes due 2029 at a public offering price equal to 99.95% of par, for total proceeds of $749.7 million before the underwriting discount and expenses.

In August 2018, we redeemed $549.5 million aggregate principal amount then outstanding of our 4.75% senior notes due 2021 at a public offering price of 104.56% of par, plus accrued and unpaid interest to the redemption date, and recognized a loss on extinguishment of debt of $28.3 million. The redemption was funded using proceeds from our August 2018 senior note issuance, cash on hand and borrowings under our unsecured revolving credit facility. In September 2018, we repaid the remaining balance then outstanding of our 4.75% senior notes due 2021 of $150.5 million and recognized a loss on extinguishment of debt of $7.6 million.

Mortgages

During the nine months ended September 30, 2018 and 2017, we repaid in full mortgage loans outstanding in the aggregate principal amounts of $324.6 million and $307.5 million, respectively.


Cash Flows    
    
The following table sets forth our sources and uses of cash flows for the nine months ended September 30, 2018 and 2017:flows:
For the Nine Months Ended September 30, (Decrease) Increase to CashFor the Three Months Ended March 31, (Decrease) Increase to Cash
2018 2017 $ %2019 2018 $ %
(Dollars in thousands)(Dollars in thousands)
Cash, cash equivalents and restricted cash at beginning of period$188,253
 $367,354
 $(179,101) (48.8)%$131,464
 $188,253
 $(56,789) (30.2)%
Net cash provided by operating activities1,017,622
 1,082,225
 (64,603) (6.0)336,120
 308,019
 28,101
 9.1
Net cash provided by (used in) investing activities664,945
 (710,410) 1,375,355
 nm
Net cash (used in) provided by investing activities(67,824) 170,553
 (238,377) nm
Net cash used in financing activities(1,721,820) (578,254) (1,143,566) nm
(259,763) (503,248) 243,485
 48.4
Effect of foreign currency translation(453) 670
 (1,123) nm
234
 5
 229
 nm
Cash, cash equivalents and restricted cash at end of period$148,547
 $161,585
 (13,038) (8.1)$140,231
 $163,582
 (23,351) (14.3)
nm - not meaningful

Cash Flows from Operating Activities
    
Cash flows from operating activities decreased $64.6increased $28.1 million during the ninethree months ended September 30, 2018March 31, 2019 over the same period in 20172018 due primarily to 2017 asset dispositionslower merger-related expenses and 2018 transactiondeal costs related to operator transitions, partially offset by the second quarter 2018 income related to the full repayment of the $700.0 million term loan that we made to Ardent in March 2017 and a $12.3 million fee received in the third quarter of 2018 in connection with certain July 2018 Kindred transactions. See “NOTE 3-CONCENTRATION OF CREDIT RISK” of the Notes to Consolidated Financial Statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q.2019.

Cash Flows from Investing Activities    

Cash used inflows from investing activities decreased $1.4 billion$238.4 million during the ninethree months ended September 30, 2018March 31, 2019 over the same period in 20172018 primarily due to decreased investment in real estate propertydispositions and loans receivable during 2018 and the second quarter 2018 full repayment of the $700.0 million term loan that we made to Ardentproceeds in March 2017, partially offset by decreased proceeds from real estate disposals principally due to the 2017 sale of 36 SNFs owned by us and operated by Kindred.2019.

Cash Flows from Financing Activities
    
Cash flows used in financing activities increased $1.1 billiondecreased $243.5 million during the ninethree months ended September 30, 2018March 31, 2019 over the same period in 20172018 primarily due to higher debt repayments during 2018.2018 using proceeds from asset sales and loans receivable repayments, and the issuance of common stock in 2019.

Capital Expenditures

The terms of our triple-net leases generally obligate our tenants to pay all capital expenditures necessary to maintain and improve our triple-net leased properties. However, from time to time, we may fund the capital expenditures for our triple-net leased properties through loans or advances to the tenants, which may increase the amount of rent payable with respect to the properties in certain cases. We may also fund capital expenditures for which we may become responsible upon expiration of our triple-net leases or in the event that our tenants are unable or unwilling to meet their obligations under those leases. We also expect to fund capital expenditures related to our senior living operations and office operations reportable business segments with the cash flows from the properties or through additional borrowings. We expect that these liquidity needs generally will be satisfied by a combination of the following: cash flows from operations, cash on hand, debt assumptions and financings (including secured financings), issuances of debt and equity securities, dispositions of assets (in whole or in part through joint venture arrangements with third parties) and borrowings under our revolving credit facilities.

To the extent that unanticipated capital expenditure needs arise or significant borrowings are required, our liquidity may be affected adversely. Our ability to borrow additional funds may be restricted in certain circumstances by the terms of the instruments governing our outstanding indebtedness.


We are party to certain agreements that obligate us to develop seniors housing or healthcare properties funded through capital that we and, in certain circumstances, our joint venture partners provide. As of September 30, 2018,March 31, 2019, we had 1617 properties under development pursuant to these agreements, including fivefour properties that are owned by unconsolidated real estate entities. In addition, from time to time, we engage in redevelopment projects with respect to our existing seniors housing communities to maximize the value, increase NOI, maintain a market-competitive position, achieve property stabilization or change the primary use of the property.


ITEM 3.    QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

The following discussion of our exposure to various market risks contains forward-looking statements that involve risks and uncertainties. These projected results have been prepared utilizing certain assumptions considered reasonable in light of information currently available to us. Nevertheless, because of the inherent unpredictability of interest rates and other factors, actual results could differ materially from those projected in such forward-looking information.

We are exposed to market risk related to changes in interest rates with respect to borrowings under our unsecured revolving credit facility and our unsecured term loan,loans, certain of our mortgage loans that are floating rate obligations, mortgage loans receivable that bear interest at floating rates and marketable debt securities. These market risks result primarily from changes in LIBOR rates or prime rates. To manage these risks, we continuously monitor our level of floating rate debt with respect to total debt and other factors, including our assessment of current and future economic conditions.

As of September 30, 2018March 31, 2019 and December 31, 2017,2018, the fair value of our secured and non-mortgage loans receivable, based on our estimates of currently prevailing rates for comparable loans, was $502.6$482.0 million and $1.3 billion,$479.4 million, respectively.

The fair value of our fixed and variable rate debt is based on current interest rates at which we could obtain similar borrowings. For fixed rate debt, interest rate fluctuations generally affect the fair value, but not our earnings or cash flows. Therefore, interest rate risk does not have a significant impact on our fixed rate debt obligations until their maturity or earlier prepayment and refinancing. If interest rates have risen at the time we seek to refinance our fixed rate debt, whether at maturity or otherwise, our future earnings and cash flows could be adversely affected by additional borrowing costs. Conversely, lower interest rates at the time of refinancing may reduce our overall borrowing costs.

To highlight the sensitivity of our fixed rate debt to changes in interest rates, the following summary shows the effects of a hypothetical instantaneous change of 100 basis points in interest rates as of September 30, 2018 and December 31, 2017.rates:
As of September 30, 2018 As of December 31, 2017As of March 31, 2019 As of December 31, 2018
(In thousands)(In thousands)
Gross book value$8,976,089
 $9,428,886
$9,500,717
 $9,043,734
Fair value(1)
8,822,321
 9,640,893
9,668,315
 8,926,280
Fair value reflecting change in interest rates(1):
      
-100 basis points9,345,845
 10,148,313
10,217,297
 9,574,799
+100 basis points8,350,437
 9,184,409
9,147,169
 8,568,149

(1)
The change in fair value of our fixed rate debt from December 31, 20172018 to September 30, 2018March 31, 2019 was due primarily to 20182019 senior note and mortgage repayments,issuances, partially offset by 20182019 senior note issuances.repayments.


The table below sets forth certain information with respect to our debt, excluding premiums and discounts.
As of September 30, 2018 As of December 31, 2017 As of September 30, 2017As of March 31, 2019 As of December 31, 2018 As of March 31, 2018
(Dollars in thousands)(Dollars in thousands)
Balance:          
Fixed rate:          
Senior notes$7,794,542
 $8,218,369
 $8,226,610
$8,405,769
 $7,945,598
 $7,643,503
Unsecured term loans400,000
 200,000
 200,000
400,000
 400,000
 200,000
Mortgage loans and other (1)
781,547
 1,010,517
 1,158,576
694,948
 698,136
 1,076,315
Variable rate:          
Senior notes200,000
 400,000
 400,000

 
 400,000
Unsecured revolving credit facility514,353
 535,832
 538,911
52,135
 765,919
 794,368
Unsecured term loans500,000
 700,000
 700,000
500,000
 500,000
 700,000
Commercial paper notes195,000
 
 
Secured revolving construction credit facility63,806
 2,868
 
104,629
 90,488
 18,632
Mortgage loans and other (1)
329,752
 298,047
 287,521
436,697
 429,561
 310,417
Total$10,584,000
 $11,365,633
 $11,511,618
$10,789,178
 $10,829,702
 $11,143,235
Percentage of total debt:          
Fixed rate:          
Senior notes73.6% 72.3% 71.4%78.0% 73.4% 68.5%
Unsecured term loans3.8
 1.8
 1.7
3.7
 3.7
 1.8
Mortgage loans and other (1)
7.4
 8.9
 10.1
6.4
 6.4
 9.7
Variable rate:          
Senior notes1.9
 3.5
 3.5

 
 3.6
Unsecured revolving credit facility4.9
 4.7
 4.7
0.5
 7.1
 7.1
Unsecured term loans4.7
 6.2
 6.1
4.6
 4.6
 6.3
Commercial paper notes1.8
 
 
Secured revolving construction credit facility0.6
 0.0
 
1.0
 0.8
 0.2
Mortgage loans and other (1)
3.1
 2.6
 2.5
4.0
 4.0
 2.8
Total100.0% 100.0% 100.0%100.0% 100.0% 100.0%
Weighted average interest rate at end of period:          
Fixed rate:          
Senior notes3.8% 3.7% 3.7%3.8% 3.8% 3.9%
Unsecured term loans2.9
 2.1
 2.1
2.8
 2.8
 2.1
Mortgage loans and other (1)
4.7
 5.2
 5.4
4.4
 4.4
 5.1
Variable rate:          
Senior notes3.3
 2.3
 2.3

 
 2.7
Unsecured revolving credit facility2.9
 2.3
 2.0
2.2
 3.2
 2.6
Unsecured term loans3.0
 2.3
 2.2
3.3
 3.3
 2.6
Commercial paper notes2.8
 
 
Secured revolving construction credit facility3.9
 3.1
 
4.2
 4.1
 3.4
Mortgage loans and other (1)
3.1
 2.9
 2.2
3.4
 3.4
 2.8
Total3.7
 3.6
 3.6
3.7
 3.7
 3.7

(1) 
Excludes mortgage debt of $13.7 million and $57.4 million related to real estate assets classified as held for sale as of September 30,March 31, 2018, and December 31, 2017, respectively, which was included in liabilities related to assets held for sale on our Consolidated Balance Sheets.
    
The variable rate debt in the table above reflects, in part, the effect of $349.6$148.8 million notional amount of interest rate swaps with maturities ranging from March 2022 to January 2023,May 2022, in each case that effectively convert fixed rate debt to variable

rate debt. In addition, the fixed rate debt in the table above reflects, in part, the effect of $506.4$515.5 million notional

amount of interest rate swaps with maturities ranging from April 2019 to September 2027, in each case that effectively convert variable rate debt to fixed rate debt.
During the nine months ended September 30, 2018, we entered into $300 million notional value forward starting swaps that reduced our exposure to fluctuations in interest rates prior to our August 2018 issuance of 4.40% senior notes due 2029, which resulted in a $4.4 million gain that is being recognized over the life of the notes using the effective interest method.

In August 2018, we entered into interest rate swaps totaling a notional amount of $200 million with a maturity of January 31, 2023 that effectively converts LIBOR-based floating rate debt to fixed rate debt.

In March 2017, we entered into interest rate swaps totaling a notional amount of $400 million with a maturity of January 15, 2023, effectively converting fixed rate debt to three month LIBOR-based floating rate debt. As a result, we will pay a floating rate equal to three month LIBOR plus a weighted average swap spread of 0.98%. In August 2018, $200 million notional amount of these swaps were terminated, which resulted in a $6.6 million loss that is being recognized over the life of the notes using the effective interest method.

During June and December 2017, we entered into a total of $200 million notional value forward starting swaps that reduced our exposure to fluctuations in interest rates prior to the February 2018 issuance of 4.00% senior notes due 2028.  On the issuance date, we realized a gain of $10.0 million from these swaps that is being recognized over the life of the senior notes using an effective interest method.

The decrease in our outstanding variable rate debt at September 30, 2018March 31, 2019 compared to December 31, 20172018 is primarily attributable to August 2018 interest rate swap activity.unsecured revolving credit facility repayments, partially offset by borrowings under our commercial paper program.

Assuming a 100 basis point increase in the weighted average interest rate related to our variable rate debt and assuming no change in our variable rate debt outstanding as of September 30, 2018,March 31, 2019, interest expense for 20182019 would increase by approximately $14.8$11.0 million, or $0.04$0.03 per diluted common share.

As of September 30, 2018March 31, 2019 and December 31, 2017,2018, our joint venture partners’ aggregate share of total debt was $102.5$101.3 million and $76.7$100.9 million, respectively, with respect to certain properties we owned through consolidated joint ventures. Total debt does not include our portion of debt related to investments in unconsolidated entities, which was $39.2$42.5 million and $90.3$40.8 million as of September 30, 2018March 31, 2019 and December 31, 2017,2018, respectively.
    
As a result of our Canadian and United Kingdom operations, we are subject to fluctuations in certain foreign currency exchange rates that may, from time to time, affect our financial condition and operating performance. Based solely on our results for the ninethree months ended September 30, 2018March 31, 2019 (including the impact of existing hedging arrangements), if the value of the U.S. dollar relative to the British pound and Canadian dollar were to increase or decrease by one standard deviation compared to the average exchange rate during the year, our normalized FFO per share for the three and nine monthsfirst quarter of 20182019 would decrease or increase, as applicable, by less than $0.01 per share or 1%. We will continue to mitigate these risks through a layered approach to hedging looking out for the next year and continual assessment of our foreign operational capital structure. Nevertheless, we cannot assure you that any such fluctuations will not have an effect on our earnings.

ITEM 4.    CONTROLS AND PROCEDURES

Evaluation of Disclosure Controls and Procedures

As required by Rules 13a-15(b) and 15d-15(b) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), our management, with the participation of our Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of our disclosure controls and procedures as of September 30, 2018.March 31, 2019. Based on that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act) were effective as of September 30, 2018,March 31, 2019, at the reasonable assurance level.


Internal Control Over Financial Reporting

During the thirdfirst quarter of 2018,2019, there were no changes in our internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

PART II—OTHER INFORMATION

ITEM 1.    LEGAL PROCEEDINGS

The information contained in NOTE 11. ''LITIGATION''‘NOTE 11—LITIGATION” of the Notes to Consolidated Financial Statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q is incorporated by reference into this Item 1. Except as set forth therein, there have been no new material legal proceedings and no material developments in the legal proceedings reported in our Annual Report on Form 10-K for the year ended December 31, 2017.2018.

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

Issuer Purchases of Equity Securities

We do not have a publicly announced repurchase plan or program in effect. The table below summarizes other repurchases of our common stock made during the quarter ended September 30, 2018.March 31, 2019.
 
Number of Shares
Repurchased (1)
 
Average Price
Per Share
July 1 through July 3123
 $58.80
August 1 through August 312,033
 58.73
September 1 through September 308,102
 55.35
 
Number of Shares
Repurchased (1)
 
Average Price
Per Share
January 1 through January 3190,798
 $61.21
February 1 through February 28
 
March 1 through March 3125,159
 62.16

(1) 
Repurchases represent shares withheld to pay taxes on the vesting of restricted stock granted to employees under our 2006 Incentive Plan or 2012 Incentive Plan or restricted stock units granted to employees under the Nationwide Health Properties, Inc. (“NHP”) 2005 Performance Incentive Plan and assumed by us in connection with our acquisition of NHP. The value of the shares withheld is the closing price of our common stock on the date the vesting or exercise occurred (or, if not a trading day, the immediately preceding trading day) or the fair market value of our common stock at the time of exercise, as the case may be.

ITEM 5.    OTHER INFORMATION

Effective as of October 28, 2018, J.P. Morgan Securities LLC will no longer act as a Sales Agent pursuant to the ATM Equity OfferingSM Sales Agreement, dated July 31, 2018, among the Company, Merrill Lynch, Pierce, Fenner & Smith Incorporated, Citigroup Global Markets Inc., Credit Agricole Securities (USA) Inc., J.P. Morgan Securities LLC, Morgan Stanley & Co. LLC, MUFG Securities Americas Inc., RBC Capital Markets, LLC, UBS Securities LLC and Wells Fargo Securities, LLC.Not applicable.



ITEM 6.    EXHIBITS

The exhibits required by Item 601 of Regulation S-K which are filed with this report are listed below.
     
Exhibit
Number
 Description of Document Location of Document
     
Credit and Guaranty Agreement dated as of July 26, 2018 among Ventas Realty, Limited Partnership, as Borrower, Ventas, Inc., as Guarantor, the Lenders identified therein and Bank of America, N.A., as Administrative Agent. Filed herewith.
Statement Regarding Computation of Ratios of Earnings to Fixed Charges.Filed herewith.
 Certification of Debra A. Cafaro, Chairman and Chief Executive Officer, pursuant to Rule 13a-14(a) under the Securities Exchange Act of 1934, as amended. Filed herewith.
 Certification of Robert F. Probst, Executive Vice President and Chief Financial Officer, pursuant to Rule 13a-14(a) under the Securities Exchange Act of 1934, as amended. Filed herewith.
 Certification of Debra A. Cafaro, Chairman and Chief Executive Officer, pursuant to Rule 13a-14(b) under the Securities Exchange Act of 1934, as amended, and 18 U.S.C. § 1350. Filed herewith.
 Certification of Robert F. Probst, Executive Vice President and Chief Financial Officer, pursuant to Rule 13a-14(b) under the Securities Exchange Act of 1934, as amended, and 18 U.S.C. § 1350. Filed herewith.
101.INS XBRL Instance Document - the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document. Filed herewith.
101.SCH Inline XBRL Taxonomy Extension Schema Document Filed herewith.
101.CAL Inline XBRL Taxonomy Extension Calculation Linkbase Document Filed herewith.
101.LAB Inline XBRL Taxonomy Extension Label Linkbase Document Filed herewith.
101.PRE Inline XBRL Taxonomy Extension Presentation Linkbase Document Filed herewith.
101.DEF Inline XBRL Taxonomy Extension Definition Linkbase Document Filed herewith.


SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized.
Date: OctoberApril 26, 20182019
 VENTAS, INC.
   
 By:/s/ DEBRA A. CAFARO
  Debra A. Cafaro
Chairman and
Chief Executive Officer
   
 By:/s/ ROBERT F. PROBST
  Robert F. Probst
Executive Vice President and
Chief Financial Officer

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