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 EXCHANGE ACT OF 1934
For the quarterly period ended: JuneSeptember 30, 2020

OR
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period             to

For the transition period             to

Commission File Number: 001-11852
001-11852

HEALTHCARE REALTY TRUST INCORPORATED
(Exact name of Registrant as specified in its charter) 
Maryland62-1507028
(State or other jurisdiction of

Incorporation or organization)
(I.R.S. Employer

Identification No.)
3310 West End Avenue, Suite 700
Nashville,, Tennessee37203
(Address of principal executive offices)
(615) (615) 269-8175
(Registrant's telephone number, including area code)

Securities Registered Pursuant to Section 12(b) of the Act:
Title of Each ClassTrading SymbolName of Each Exchange on Which Registered
Common stock, $0.01 par value per shareHRNew York Stock Exchange

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 registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes  ☒    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  ☒    No  ☐
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.:
Large accelerated filer         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  ☒
As of July 31,October 30, 2020, the Registrant had 136,048,233136,054,024 shares of Common Stock outstanding.






HEALTHCARE REALTY TRUST INCORPORATED
FORM 10-Q
JuneSeptember 30, 2020



Table of Contents






PART I - FINANCIAL INFORMATION
Item 1. Financial Statements
Healthcare Realty Trust Incorporated
Condensed Consolidated Balance Sheets
Amounts in thousands, except per share data

ASSETS ASSETS
Unaudited
JUNE 30, 2020

DECEMBER 31, 2019
Unaudited
SEPTEMBER 30, 2020
DECEMBER 31, 2019
Real estate properties Real estate properties
Land$312,139
$289,751
Land$330,840 $289,751 
Buildings, improvements and lease intangibles3,937,657
3,986,326
Buildings, improvements and lease intangibles4,014,740 3,986,326 
Personal property10,849
10,538
Personal property10,962 10,538 
Construction in progress
48,731
Construction in progress48,731 
Land held for development24,647
24,647
Land held for development24,647 24,647 
Total real estate properties4,285,292
4,359,993
Total real estate properties4,381,189 4,359,993 
Less accumulated depreciation and amortization(1,169,298)(1,121,102)Less accumulated depreciation and amortization(1,198,444)(1,121,102)
Total real estate properties, net3,115,994
3,238,891
Total real estate properties, net3,182,745 3,238,891 
Cash and cash equivalents43,680
657
Cash and cash equivalents121,992 657 
Restricted cashRestricted cash60,644 
Assets held for sale, net
37
Assets held for sale, net20,051 37 
Operating lease right-of-use assets124,398
126,177
Operating lease right-of-use assets123,807 126,177 
Financing lease right-of-use assets19,884
12,667
Financing lease right-of-use assets19,776 12,667 
Net investment in sales-type leases244,381

Other assets, net183,616
185,426
Other assets, net182,436 185,426 
Total assets$3,731,953
$3,563,855
Total assets$3,711,451 $3,563,855 
 
LIABILITIES AND STOCKHOLDERS' EQUITY LIABILITIES AND STOCKHOLDERS' EQUITY
Liabilities Liabilities
Notes and bonds payable$1,554,936
$1,414,069
Notes and bonds payable$1,554,395 $1,414,069 
Accounts payable and accrued liabilities65,485
78,517
Accounts payable and accrued liabilities79,528 78,517 
Liabilities of properties held for sale
145
Liabilities of assets held for saleLiabilities of assets held for sale548 145 
Operating lease liabilities91,259
91,574
Operating lease liabilities91,466 91,574 
Financing lease liabilities18,595
18,037
Financing lease liabilities18,697 18,037 
Other liabilities72,317
61,504
Other liabilities66,442 61,504 
Total liabilities1,802,592
1,663,846
Total liabilities1,811,076 1,663,846 
Commitments and contingencies




Commitments and contingencies
Stockholders' equity Stockholders' equity
Preferred stock, $.01 par value per share; 50,000 shares authorized; none issued and outstanding

Common stock, $.01 par value per share; 300,000 shares authorized; 136,048 and 134,706 shares issued and outstanding at June 30, 2020 and December 31, 2019, respectively1,360
1,347
Preferred stock, $.01 par value per share; 50,000 shares authorized; NaN issued and outstandingPreferred stock, $.01 par value per share; 50,000 shares authorized; NaN issued and outstanding
Common stock, $.01 par value per share; 300,000 shares authorized; 136,054 and 134,706 shares issued and outstanding at September 30, 2020 and December 31, 2019, respectivelyCommon stock, $.01 par value per share; 300,000 shares authorized; 136,054 and 134,706 shares issued and outstanding at September 30, 2020 and December 31, 2019, respectively1,361 1,347 
Additional paid-in capital3,529,559
3,485,003
Additional paid-in capital3,532,130 3,485,003 
Accumulated other comprehensive loss(20,294)(6,175)Accumulated other comprehensive loss(19,267)(6,175)
Cumulative net income attributable to common stockholders1,207,132
1,127,304
Cumulative net income attributable to common stockholders1,215,362 1,127,304 
Cumulative dividends(2,788,396)(2,707,470)Cumulative dividends(2,829,211)(2,707,470)
Total stockholders' equity1,929,361
1,900,009
Total stockholders' equity1,900,375 1,900,009 
Total liabilities and stockholders' equity$3,731,953
$3,563,855
Total liabilities and stockholders' equity$3,711,451 $3,563,855 
The accompanying notes, together with the Notes to the Consolidated Financial Statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019, are an integral part of these financial statements.



1






Healthcare Realty Trust Incorporated
Condensed Consolidated Statements of Income
For the Three and SixNine Months Ended JuneSeptember 30, 2020 and 2019
Amounts in thousands, except per share data
Unaudited

THREE MONTHS ENDED
June 30,
SIX MONTHS ENDED
June 30,
THREE MONTHS ENDED
September 30,
NINE MONTHS ENDED
September 30,
2020
2019
2020
2019
2020201920202019
Revenues Revenues
Rental income$122,358
$114,351
$245,001
$225,046
Rental income$123,384 $117,740 $368,385 $342,787 
Other operating1,332
1,966
3,496
3,928
Other operating1,868 2,059 5,364 5,987 
123,690
116,317
248,497
228,974
125,252 119,799 373,749 348,774 
Expenses Expenses
Property operating46,580
44,286
96,134
87,012
Property operating50,171 46,777 146,305 133,790 
General and administrative7,434
7,845
16,199
16,355
General and administrative7,299 10,802 23,498 27,157 
Acquisition and pursuit costs431
422
1,181
726
Acquisition and pursuit costs440 501 1,621 1,227 
Depreciation and amortization47,691
43,926
95,188
86,588
Depreciation and amortization47,143 45,137 142,331 131,725 
102,136
96,479
208,702
190,681
105,053 103,217 313,755 293,899 
Other Income (Expense) Other Income (Expense)
Gain on sales of real estate assets68,267
4,849
68,218
4,865
Gain on sales of real estate assets2,177 200 70,395 5,065 
Interest expense(14,442)(13,850)(28,402)(27,438)Interest expense(14,154)(14,181)(42,556)(41,619)
Impairment of real estate assets
(5,610)
(5,610)Impairment of real estate assets— — — (5,610)
Interest and other income (expense), net134
(743)217
(735)Interest and other income (expense), net— 225 (736)
(11,969)(13,981)28,064 (42,900)
53,959
(15,354)40,033
(28,918)
Net Income$75,513
$4,484
$79,828
$9,375
Net Income$8,230 $2,601 $88,058 $11,975 
 
Basic earnings per common share$0.56
$0.03
$0.59
$0.07
Basic earnings per common share$0.06 $0.02 $0.65 $0.08 
Diluted earnings per common share$0.56
$0.03
$0.59
$0.07
Diluted earnings per common share$0.06 $0.02 $0.65 $0.08 
 
Weighted average common shares
outstanding - basic
133,634
127,449
133,335
125,799
Weighted average common shares
outstanding - basic
134,309 128,090 133,662 126,571 
Weighted average common shares
outstanding - diluted
133,696
127,525
133,420
125,889
Weighted average common shares
outstanding - diluted
134,357 128,169 133,736 126,657 
Dividends declared, per common share,
during the period
$0.30
$0.30
$0.60
$0.60
Dividends declared, per common share,
during the period
$0.30 $0.30 $0.90 $0.90 
The accompanying notes, together with the Notes to the Consolidated Financial Statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019, are an integral part of these financial statements.



2




Healthcare Realty Trust Incorporated
Condensed Consolidated Statements of Comprehensive Income (Loss)
For the Three and SixNine Months Ended JuneSeptember 30, 2020 and 2019
Amounts in thousands
Unaudited

THREE MONTHS ENDED
September 30,
NINE MONTHS ENDED
September 30,
2020201920202019
Net income$8,230 $2,601 $88,058 $11,975 
Other comprehensive income (loss)
Interest rate swaps
Reclassification adjustments for losses included in net income (interest expense)1,101 60 2,367 74 
Losses arising during the period on interest rate swaps(74)(2,341)(11,192)(7,642)
Losses on settlement of treasury rate locks arising during the period(4,267)
1,027 (2,281)(13,092)(7,568)
Comprehensive income$9,257 $320 $74,966 $4,407 
 
THREE MONTHS ENDED
 June 30,
SIX MONTHS ENDED
June 30,
 2020
2019
2020
2019
Net income$75,513
$4,484
$79,828
$9,375
Other comprehensive income (loss)    
Interest rate swaps    
Reclassification adjustments for losses included in net income (interest expense)938
(1)1,267
15
Losses arising during the period on interest rate swaps(1,455)(4,577)(11,119)(5,301)
Losses on settlement of treasury rate locks arising during the period

(4,267)
 (517)(4,578)(14,119)(5,286)
Comprehensive income (loss)$74,996
$(94)$65,709
$4,089
The accompanying notes, together with the Notes to the Consolidated Financial Statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019, are an integral part of these financial statements.



3




Healthcare Realty Trust Incorporated
Condensed Consolidated Statements of Equity
For the Three Months Ended JuneSeptember 30, 2020 and 2019
Amounts in thousands, except per share data
Unaudited

Common
Stock
Additional
Paid-In
Capital
Accumulated
Other
Comprehensive
Income (Loss)
Cumulative
Net Income
Cumulative
Dividends
Total
Stockholders’
Equity
Balance at June 30, 2020Balance at June 30, 2020$1,360 $3,529,559 $(20,294)$1,207,132 $(2,788,396)$1,929,361 
Issuance of common stock, net of
issuance costs
Issuance of common stock, net of
issuance costs
126 — — — 127 
Common
Stock

Additional
Paid-In
Capital

Accumulated
Other
Comprehensive
Income (Loss)

Cumulative
Net Income

Cumulative
Dividends

Total
Stockholders’
Equity

Balance at March 31, 2020$1,349
$3,494,123
$(19,777)$1,131,619
$(2,747,886)$1,859,428
Share-based compensationShare-based compensation— 2,445 — — — 2,445 
Net incomeNet income— — — 8,230 — 8,230 
Reclassification adjustments for losses included in net income (interest expense)

Reclassification adjustments for losses included in net income (interest expense)

— — 1,101 — — 1,101 
Losses arising during the period on
interest rate swaps and treasury rate locks
Losses arising during the period on
interest rate swaps and treasury rate locks
— — (74)— — (74)
Dividends to common stockholders
($0.30 per share)
Dividends to common stockholders
($0.30 per share)
— — — — (40,815)(40,815)
Balance at September 30, 2020Balance at September 30, 2020$1,361 $3,532,130 $(19,267)$1,215,362 $(2,829,211)$1,900,375 
Common
Stock
Additional
Paid-In
Capital
Accumulated
Other
Comprehensive
Income (Loss)
Cumulative
Net Income
Cumulative
Dividends
Total
Stockholders’
Equity
Balance at June 30, 2019Balance at June 30, 2019$1,292 $3,305,344 $(6,189)$1,097,493 $(2,628,497)$1,769,443 
Issuance of common stock, net of
issuance costs
11
33,031



33,042
Issuance of common stock, net of issuance costs22 71,792 — — — 71,814 
Common stock redemptionsCommon stock redemptions— (2,695)— — — (2,695)
Share-based compensation
2,405



2,405
Share-based compensation— 5,131 — — — 5,131 
Net income


75,513

75,513
Net income— — — 2,601 — 2,601 
Reclassification adjustments for losses included in net income (interest expense)



938


938
Reclassification adjustments for losses included in net income (interest expense)

— — 60 — — 60 
Losses arising during the period on
interest rate swaps



(1,455)

(1,455)
Losses arising during the period on interest rate swaps

— — (2,341)— — (2,341)
Dividends to common stockholders
($0.30 per share)




(40,510)(40,510)Dividends to common stockholders ($0.30 per share)— — — — (38,852)(38,852)
Balance at June 30, 2020$1,360
$3,529,559
$(20,294)$1,207,132
$(2,788,396)$1,929,361
 
Common
Stock

Additional
Paid-In
Capital

Accumulated
Other
Comprehensive
Income (Loss)

Cumulative
Net Income

Cumulative
Dividends

Total
Stockholders’
Equity

Balance at March 31, 2019$1,292
$3,302,814
$(1,611)$1,093,010
$(2,589,726)$1,805,779
Issuance of common stock, net of issuance costs
159



159
Share-based compensation
2,371



2,371
Net income


4,484

4,484
Reclassification adjustments for losses included in net income (interest expense)



(1)

(1)
Losses arising during the period on interest rate swaps



(4,577)

(4,577)
Dividends to common stockholders ($0.30 per share)



(38,771)(38,771)
Balance at June 30, 2019$1,292
$3,305,344
$(6,189)$1,097,494
$(2,628,497)$1,769,444
Balance at September 30, 2019Balance at September 30, 2019$1,314 $3,379,572 $(8,470)$1,100,094 $(2,667,349)$1,805,161 
The accompanying notes, together with the Notes to the Consolidated Financial Statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019, are an integral part of these financial statements.









4



Healthcare Realty Trust Incorporated
Condensed Consolidated Statements of Equity
For the SixNine Months Ended JuneSeptember 30, 2020 and 2019
Amounts in thousands, except per share data
Unaudited

Common
Stock

Additional
Paid-In
Capital

Accumulated
Other
Comprehensive
Income (Loss)

Cumulative
Net Income

Cumulative
Dividends

Total
Stockholders’
Equity

Common
Stock
Additional
Paid-In
Capital
Accumulated
Other
Comprehensive
Income (Loss)
Cumulative
Net Income
Cumulative
Dividends
Total
Stockholders’
Equity
Balance at December 31, 2019$1,347
$3,485,003
$(6,175)$1,127,304
$(2,707,470)$1,900,009
Balance at December 31, 2019$1,347 $3,485,003 $(6,175)$1,127,304 $(2,707,470)$1,900,009 
Issuance of common stock, net of
issuance costs
12
40,351



40,363
Issuance of common stock, net of
issuance costs
13 40,477 — — — 40,490 
Common stock redemptions
(798)


(798)Common stock redemptions— (798)— — — (798)
Share-based compensation1
5,003



5,004
Share-based compensation7,448 — — — 7,449 
Net income


79,828

79,828
Net income— — — 88,058 — 88,058 
Reclassification adjustments for losses included in net income (interest expense)



1,267


1,267
Reclassification adjustments for losses included in net income (interest expense)

— — 2,367 — — 2,367 
Losses arising during the period on
interest rate swaps



(15,386)

(15,386)
Losses arising during the period on
interest rate swaps

— — (15,459)— — (15,459)
Dividends to common stockholders
($0.60 per share)




(80,926)(80,926)
Balance at June 30, 2020$1,360
$3,529,559
$(20,294)$1,207,132
$(2,788,396)$1,929,361
Dividends to common stockholders
($0.90 per share)
Dividends to common stockholders
($0.90 per share)
— — — — (121,741)(121,741)
Balance at September 30, 2020Balance at September 30, 2020$1,361 $3,532,130 $(19,267)$1,215,362 $(2,829,211)$1,900,375 
 
Common
Stock

Additional
Paid-In
Capital

Accumulated
Other
Comprehensive
Income (Loss)

Cumulative
Net Income

Cumulative
Dividends

Total
Stockholders’
Equity

Common
Stock
Additional
Paid-In
Capital
Accumulated
Other
Comprehensive
Income (Loss)
Cumulative
Net Income
Cumulative
Dividends
Total
Stockholders’
Equity
Balance at December 31, 2018$1,253
$3,180,284
$(902)$1,088,119
$(2,552,112)$1,716,642
Balance at December 31, 2018$1,253 $3,180,284 $(902)$1,088,119 $(2,552,112)$1,716,642 
Issuance of common stock, net of issuance costs38
120,620



120,658
Issuance of common stock, net of issuance costs61 192,414 — — — 192,475 
Common stock redemptions
(570)


(570)Common stock redemptions(1)(3,266)— — — (3,267)
Share-based compensation1
5,010



5,011
Share-based compensation10,140 — — — 10,141 
Net income


9,375

9,375
Net income— — — 11,975 — 11,975 
Reclassification adjustments for losses included in net income (interest expense)



14


14
Reclassification adjustments for losses included in net income (interest expense)

— — 74 — — 74 
Losses arising during the period on interest rate swaps



(5,301)

(5,301)
Losses arising during the period on interest rate swaps

— — (7,642)— — (7,642)
Dividends to common stockholders ($0.60 per share)



(76,385)(76,385)
Balance at June 30, 2019$1,292
$3,305,344
$(6,189)$1,097,494
$(2,628,497)$1,769,444
Dividends to common stockholders ($0.90 per share)Dividends to common stockholders ($0.90 per share)— — — — (115,237)(115,237)
Balance at September 30, 2019Balance at September 30, 2019$1,314 $3,379,572 $(8,470)$1,100,094 $(2,667,349)$1,805,161 
The accompanying notes, together with the Notes to the Consolidated Financial Statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019, are an integral part of these financial statements.




5




Healthcare Realty Trust Incorporated
Condensed Consolidated Statements of Cash Flows
For the SixNine Months Ended JuneSeptember 30, 2020 and 2019
Amounts in thousands
Unaudited

OPERATING ACTIVITIES OPERATING ACTIVITIES
SIX MONTHS ENDED
 June 30,
NINE MONTHS ENDED
September 30,
2020
2019
20202019
Net income$79,828
$9,375
Net income$88,058 $11,975 
Adjustments to reconcile net income to net cash provided by operating activities: Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization95,188
86,588
Depreciation and amortization142,331 131,725 
Other amortization2,510
1,547
Other amortization3,409 2,279 
Share-based compensation5,004
5,011
Share-based compensation7,449 10,141 
Amortization of straight-line rent receivable (lessor)(1,807)(1,063)Amortization of straight-line rent receivable (lessor)(2,722)(1,833)
Amortization of straight-line rent on operating leases (lessee)749
776
Amortization of straight-line rent on operating leases (lessee)1,122 1,159 
Gain on sales of real estate assets(68,218)(4,865)Gain on sales of real estate assets(70,395)(5,065)
Impairment of real estate assets
5,610
Impairment of real estate assets— 5,610 
Loss from unconsolidated joint ventures127
3
Loss from unconsolidated joint ventures194 16 
Distributions from unconsolidated joint ventures184
277
Distributions from unconsolidated joint ventures193 277 
Proceeds from disposition of sales-type lease propertiesProceeds from disposition of sales-type lease properties244,454 
Changes in operating assets and liabilities: Changes in operating assets and liabilities:
Other assets, including right-of-use-assets(1,272)(2,015)Other assets, including right-of-use-assets(965)(6,740)
Accounts payable and accrued liabilities(5,902)(8,621)Accounts payable and accrued liabilities5,098 3,220 
Other liabilities(1,152)(1,943)Other liabilities(6,662)5,709 
Net cash provided by operating activities105,239
90,680
Net cash provided by operating activities411,564 158,473 
 
INVESTING ACTIVITIES INVESTING ACTIVITIES
Acquisitions of real estate(87,417)(193,295)Acquisitions of real estate(199,162)(271,575)
Development of real estate(2,678)(13,006)Development of real estate(2,941)(19,152)
Additional long-lived assets(44,316)(30,892)Additional long-lived assets(62,707)(45,902)
Proceeds from sales of real estate assets
12,118
Proceeds from sales of real estate assets4,905 14,151 
Net cash used in investing activities(134,411)(225,075)Net cash used in investing activities(259,905)(322,478)
 
FINANCING ACTIVITIES FINANCING ACTIVITIES
Net (repayments) borrowings on unsecured credit facility(293,000)58,000
Net (repayments) borrowings on unsecured credit facility(293,000)60,000 
Borrowings on term loan150,000
50,000
Borrowings on term loan150,000 50,000 
Borrowings of notes and bonds payable298,995

Borrowings of notes and bonds payable298,995 — 
Repayments of notes and bonds payable(31,698)(11,483)Repayments of notes and bonds payable(32,704)(12,663)
Dividends paid(80,926)(76,386)Dividends paid(121,741)(115,237)
Net proceeds from issuance of common stock40,169
120,668
Net proceeds from issuance of common stock40,296 192,514 
Common stock redemptions(892)(2,442)Common stock redemptions(892)(2,343)
Settlement of treasury rate locks(4,267)
Settlement of treasury rate locks(4,267)— 
Debt issuance and assumption costs(3,018)(4,584)Debt issuance and assumption costs(3,057)(4,589)
Payments made on finance leases(3,168)(142)Payments made on finance leases(3,310)(249)
Net cash provided by financing activities72,195
133,631
Net cash provided by financing activities30,320 167,433 
 
Increase (decrease) in cash and cash equivalents43,023
(764)
Increase in cash, cash equivalents and restricted cashIncrease in cash, cash equivalents and restricted cash181,979 3,428 
Cash and cash equivalents at beginning of period657
8,381
Cash and cash equivalents at beginning of period657 8,381 
Cash and cash equivalents at end of period43,680
$7,617
Cash, cash equivalents and restricted cash at end of periodCash, cash equivalents and restricted cash at end of period$182,636 $11,809 
 
Supplemental Cash Flow Information Supplemental Cash Flow Information
Interest paid$26,101
$26,512
Interest paid$39,165 $37,946 
Invoices accrued for construction, tenant improvements and other capitalized costs$10,013
$10,853
Invoices accrued for construction, tenant improvements and other capitalized costs$12,709 $10,702 
Mortgage notes payable assumed upon acquisition (adjusted to fair value)$19,269
$
Mortgage notes payable assumed upon acquisition (adjusted to fair value)$19,269 $— 
Capitalized interest$706
$651
Capitalized interest$913 $999 
The accompanying notes, together with the Notes to the Consolidated Financial Statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019, are an integral part of these financial statements.



6




NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS


Note 1. Summary of Significant Accounting Policies
Business Overview
Healthcare Realty Trust Incorporated (the "Company") is a real estate investment trust ("REIT") that owns, leases, manages, acquires, finances, develops and redevelops income-producing real estate properties associated primarily with the delivery of outpatient healthcare services throughout the United States. As of JuneSeptember 30, 2020, the Company had gross investments of approximately $4.2$4.3 billion in 210211 real estate properties located in 24 states totaling approximately 15.5 million square feet. The Company provided leasing and property management services to approximately 12.011.9 million square feet nationwide. Square footage and property count disclosures in these Notes to the Company's Condensed Consolidated Financial Statements are unaudited.

Basis of Presentation
The Condensed Consolidated Financial Statements have been prepared in accordance with accounting principles generally accepted in the United States ("GAAP") for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. They do not include all of the information and footnotes required by GAAP for complete financial statements. However, except as disclosed herein, management believes there has been no material change in the information disclosed in the Notes to the Consolidated Financial Statements included in the Annual Report on Form 10-K for the year ended December 31, 2019. All material intercompany transactions and balances have been eliminated in consolidation.
This interim financial information should be read in conjunction with the Company’s Annual Report on Form 10-K for the year ended December 31, 2019. Management believes that all adjustments of a normal, recurring nature considered necessary for a fair presentation have been included. In addition, the interim financial information does not necessarily represent or indicate what the operating results will be for the year ending December 31, 2020 for many reasons including, but not limited to, acquisitions, dispositions, capital financing transactions, changes in interest rates and the effects of other trends, risks and uncertainties, such as the impact of the COVID-19 pandemic.

Use of Estimates in the Condensed Consolidated Financial Statements
Preparation of the Condensed Consolidated Financial Statements in accordance with GAAP requires management to make estimates and assumptions that affect amounts reported in the Condensed Consolidated Financial Statements and accompanying notes. Actual results may differ from those estimates.
The Company considered the impact of COVID-19 on these assumptions and estimates used and determined that there were no material adverse impacts on the Company's results of operations and financial position at JuneSeptember 30, 2020. There can be no assurance that COVID-19 will not have a future material adverse impact on the financial results and business operations of the Company.

COVID-19 Update
Since being reported in December 2019, COVID-19 has spread globally, including to every state in the United States. On March 11, 2020, the World Health Organization declared COVID-19 a pandemic, and on March 13, 2020, the United States declared a national emergency with respect to COVID-19.
In response to the COVID-19 pandemic, all of the states and cities in which the Company owns properties, manages properties, and/or has development or redevelopment projects instituted quarantines, restrictions on travel, “shelter in place” rules, restrictions on types of businesses that may continue to operate, and/or restrictions on the types of construction projects that may continue. As a result, a number of the Company's tenants temporarily closed their offices or clinical space or operated on a reduced basis in response to government requirements or recommendations. Many of these restrictions have been lifted, but could be reimposed. In response to these disruptions, the Company provided some of its tenants with deferred rent arrangements. Such arrangements were made primarily in the second quarter of 2020, and less than $0.1 million of deferred rent arrangements originated in the third quarter. Through July 31,November 2, 2020, the Company has collected 97%more than 99% of second and third quarter 2020 aggregate tenant billings andbillings. The Company has agreed tocollected 96% of total scheduled deferral payments due in the third quarter of 2020. In addition, the Company has remaining various forms of rent deferrals outstanding representing


7



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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.

approximately 2%$1.2 million, or less than 1% of second and third quarter 2020 aggregate tenant billings. The tenant deferral agreements generally require the deferred amounts to be repaid inby the third and fourth quartersquarter of 2020.
For accounting purposes, in accordance with ASC 842: Leases, normally a company would be required to assess a lease modification to determine if the modification should be treated as a separate lease and if not, modification



7



NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.


accounting would be applied which would require a company to reassess the classification of the lease. However, in light of the COVID-19 pandemic in which many leases are being modified, the Financial Accounting Standards Board (the "FASB") and U.S. Securities and Exchange Commission (the "SEC") have provided relief that will allow companies to make a policy election as to whether they treat COVID-19 related lease amendments as a provision included in the pre-concession arrangement, and therefore, not a lease modification, or to treat the lease amendment as a modification. The Company has elected to use this relief where applicable and therefore will have no change in the current classification of its leases in connection with many of the leases impacted by negotiations with its tenants. In order to be considered COVID-19 related, cash flows must be substantially the same or less than those prior to the concession. If the cash flows are substantially the same or less, there are two methods to potentially account for such rent deferrals under the relief. The first would be as if no changes to the lease contract were made. Under that accounting, a lessor would increase its lease receivable and a lessee would increase its accounts payable as receivables/payments accrue. In its income statement, a lessor would continue to recognize revenue during the deferral period. The second method would be to treat the deferred payments as variable lease payments (i.e., revenue recognized when cash received). The Company has elected the first method described above, which results in the revenue being recognized on an accrual basis.
If tenants are unable to timely repay deferred rent, or repay at all, request additional rent deferrals or abatements, decide not to renew leases, or renew leases at lower cash leasing spreads, the impact on the Company’s results of operations and financial condition could be material. In the second quarter of 2020, the Company recognized approximately $0.7 million general reserve against the deferred rent balance. Following positive collection trends in the third quarter of 2020, the Company released approximately $0.3 million of the general reserve. As of September 30, 2020, the Company had a remaining general reserve of $0.4 million against an approximate $2.9$1.7 million deferred rent balance as of July 17, 2020.balance.
Given the daily evolution of the COVID-19 pandemic and the global responsesresponse to curb its spread, the Company is not able to estimate the effects of the COVID-19 pandemic on its results of operations, financial condition, or liquidity for the fiscal year 2020. The Company continues to evaluate the impact of various forms of governmental assistance that may be or become available to the Company or its tenants.
Revenue from Contracts with Customers (Topic 606)
The Company recognizes certain revenue under the core principle of Topic 606. This requires an entity to recognize 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. Lease revenue is not within the scope of Topic 606. To achieve the core principle, the Company applies the five step model specified in the guidance.
Revenue that is accounted for under Topic 606 is segregated on the Company’s Condensed Consolidated Statements of Income in the Other operating line item. This line item includes parking income, rental lease guaranty income, management fee income and other miscellaneous income. Below is a detail of the amounts by category:
 
THREE MONTHS ENDED
June 30,
SIX MONTHS ENDED
June 30,
in thousands2020
2019
2020
2019
Type of Revenue    
Parking income$1,227
$1,870
$3,278
$3,603
Rental lease guaranty


128
Management fee income69
64
147
133
Miscellaneous36
32
71
64
 $1,332
$1,966
$3,496
$3,928

THREE MONTHS ENDED
September 30,
NINE MONTHS ENDED
September 30,
in thousands2020201920202019
Type of Revenue
Parking income$1,764 $1,935 $5,042 $5,538 
Rental lease guaranty128 
Management fee income62 69 209 201 
Miscellaneous42 55 113 120 
$1,868 $2,059 $5,364 $5,987 
The Company’s major types of revenue that are accounted for under Topic 606 that are listed above are all accounted for as the performance obligation is satisfied. The performance obligations that are identified for each of these items are satisfied over time, and the Company recognizes revenue monthly based on this principle.


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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.

Cash, Cash Equivalents and Restricted Cash
Cash and cash equivalents includes short-term investments with original maturities of three months or less when purchased. Restricted cash includes cash held in escrow from the sale of a property in Oklahoma. These proceeds have been or will be disbursed as the Company acquires real estate investments in like-kind exchanges under Section 1031 of the Internal Revenue Code of 1986, as amended (the “Internal Revenue Code”). The following table provides a reconciliation of cash, cash equivalents and restricted cash reported within the Company's Condensed Consolidated Balance Sheets to the combined amounts shown on the Company's Condensed Consolidated Statements of Cash Flows:
In thousands
September 30, 2020
December 31, 2019
Cash and cash equivalents$121,992 $657 
Restricted cash60,644 
Total cash, cash equivalents and restricted cash$182,636 $657 

New Accounting Pronouncements
Accounting Standards Update No. 2016-13
In June 2016, the FASB issued ASU 2016-13, "Measurement of Credit Losses on Financial Instruments." This update is intended to improve financial reporting by requiring timelier recognition of credit losses on loans and other financial instruments that are not accounted for at fair value through net income, including loans held for



8



NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.


investment, held-to-maturity debt securities, trade and other receivables, net investment in leases and other such commitments. This update requires that financial statement assets measured at an amortized cost and certain other financial instruments be presented at the net amount expected to be collected, through an allowance for credit losses that is deducted from the amortized cost basis. This standard is effective for annual and interim periods beginning after December 15, 2019 with early adoption permitted. Operating lease receivables, representing the majority of the Company's receivables, are not within the scope of the new standard. The Company adopted this standard as of January 1, 2020. There was not a material impact to the Condensed Consolidated Financial Statements resulting from the adoption of this standard.

Accounting Standards Update No. 2017-04
In January 2017, the FASB issued ASU 2017-04, "Simplifying the Test for Goodwill Impairment." This update eliminates Step 2 of the goodwill impairment test. As such, an entity will perform its annual, or interim, goodwill impairment test by comparing the fair value of a reporting unit with its carrying amount. An entity should recognize a goodwill impairment charge for the amount by which the reporting unit's carrying amount exceeds its fair value. This standard is effective for the Company for annual and interim periods beginning after December 15, 2019. The Company adopted this standard as of January 1, 2020. There was not a material impact to the Condensed Consolidated Financial Statements resulting from the adoption of this standard.

Accounting Standards Update No. 2020-04
On March 12, 2020, the FASB issued ASU 2020-04, Reference Rate Reform (Topic 848). ASU 2020-04 contains practical expedients for reference rate reform related activities that impact debt, leases, derivatives and other contracts. The guidance in ASU 2020-04 is optional and may be elected over time as reference rate reform activities occur. The Company has elected to apply the hedge accounting expedients related to probability and the assessments of effectiveness for future LIBOR-indexed cash flows to assume that the index upon which future hedged transactions will be based matches the index on the corresponding derivatives. Application of these expedients preserves the presentation of derivatives consistent with past presentation. The Company continues to evaluate the impact of the guidance and may apply other elections as applicable as additional changes in the market occur.





9




NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.


Note 2. Real Estate Investments
2020 Acquisitions
The following table details the Company's acquisitions for the sixnine months ended JuneSeptember 30, 2020:
Dollars in millions
TYPE 1
DATE ACQUIREDPURCHASE PRICEMORTGAGE NOTES PAYABLE
CASH
CONSIDERATION
2
REAL
ESTATE
OTHER 3
SQUARE FOOTAGE
Los Angeles, CAMOB1/3/20$42.0 $(19.3)$22.8 $42.4 $(0.3)86,986
Atlanta, GAMOB2/13/2012.0 11.8 12.1 (0.3)64,624 
Raleigh, NCMOB2/25/206.3 6.5 6.5 15,964 
Colorado Springs, COMOB3/9/208.2 8.3 8.6 (0.3)34,210 
Denver, CO 4
MOB3/13/2033.5 33.2 34.0 (0.8)136,994 
San Diego, CAMOB7/1/2016.7 16.7 16.9 (0.2)46,083 
Los Angeles, CAMOB7/17/2035.0 37.7 37.7 49,785 
Seattle, WAMOB7/23/2011.0 10.9 11.3 (0.4)21,309 
Atlanta, GAMOB7/31/2020.5 21.6 21.3 0.3 48,145 
Houston, TXMOB9/24/2011.0 10.9 11.0 (0.1)40,235 
Los Angeles, CAMOB9/28/2014.0 14.0 13.9 0.1 24,252 
Total real estate acquisitions$210.2 $(19.3)$194.4 $215.7 $(2.0)568,587 
Land acquisition 5
1.6 1.7 1.7 
Land acquisition 6
1.0 1.1 1.1 
$212.8 $(19.3)$197.2 $218.5 $(2.0)568,587 
Dollars in millions
TYPE 1
DATE ACQUIREDPURCHASE PRICE
MORTGAGE NOTES PAYABLE
CASH
CONSIDERATION
2

REAL
ESTATE

OTHER 3

SQUARE FOOTAGE
Los Angeles, CAMOB1/3/20$42.0
$(19.3)$22.8
$42.4
$(0.3)86,986
Atlanta, GAMOB2/13/2012.0

11.8
12.1
(0.3)64,624
Raleigh, NCMOB2/25/206.3

6.5
6.5

15,964
Colorado Springs, COMOB3/9/208.2

8.3
8.6
(0.3)34,210
Denver, CO 4
MOB3/13/2033.5

33.2
34.0
(0.8)136,994
Total real estate acquisitions $102.0
$(19.3)$82.6
$103.6
$(1.7)338,778
Land acquisition 5
  1.6

1.7
1.7


   $103.6
$(19.3)$84.3
$105.3
$(1.7)338,778
1MOB = medical office building.
1MOB = medical office building.
2Cash consideration excludes prorations of revenue and expense due to/from seller at the time of the acquisition.
3Includes other assets acquired, liabilities assumed, and intangibles recognized at acquisition.
4
2Cash consideration excludes prorations of revenue and expense due to/from seller at the time of the acquisition.
3Includes other assets acquired, liabilities assumed, and intangibles recognized at acquisition.
4Includes 3 properties.
5The Company acquired land parcels under 4 existing buildings (previously ground leased).
6The Company acquired a land parcel under an existing building (previously ground leased). The building and land were sold on September 30, 2020.

3 properties.
5
The Company acquired land parcels under 4 existing buildings (previously ground leased from the hospital system).

Subsequent AcquisitionsAcquisition
Subsequent toOn October 7, 2020 the endCompany acquired a 36,720 square foot medical office building in Colorado Springs, CO for a purchase price of $8.9 million.
2020 Real Estate Asset Dispositions
The following table details the Company's dispositions for the nine months ended September 30, 2020:
Dollars in millions
TYPE 1
Date
Disposed
Sale
Price
Closing AdjustmentsNet ProceedsNet Real Estate Investment
Other (including receivables)2
Gain/(Impairment)Square Footage (Unaudited)
Springfield, MO 3
SF7/30/20$138.0 $$138.0 $92.4 $3.9 $41.7 186,000
Oklahoma City, OK 3
MOB7/30/20106.5 106.5 76.8 3.1 26.6 200,000 
Miami, FLMOB9/30/205.0 (0.2)4.8 2.6 0.1 2.1 26,000 
Total dispositions$249.5 $(0.2)$249.3 $171.8 $7.1 $70.4 412,000 

1.MOB = medical office building; SF = surgical facility
2.Includes straight-line rent receivables, leasing commissions and lease inducements.
3.In the second quarter of 2020, the Company acquired the following properties:
Dollars in millionsTYPEDATE ACQUIREDPURCHASE PRICE
SQUARE FOOTAGE
San Diego, CAMOB7/1/20$16.7
46,083
Los Angeles, CAMOB7/17/2035.0
49,785
Seattle, WAMOB7/23/2011.0
21,309
Atlanta, GAMOB7/31/2020.5
48,145
Total real estate acquisitions $83.2
165,322

Subsequent Dispositions
In May 2020, the Company and Mercy Health negotiated the sale ofentered into agreements to sell 2 single-tenant net leased properties, a medical office buildingresulting in Oklahoma and an orthopedic specialty hospital in Missouri, for $244.5 million. The sale was structured through amendments to the leases to allow for the early exercise of existing purchase options. The amendments resulted in the application ofa lease modification accounting under ASC Topic 842, which resulted in leaseand classification changeschange from operating to sales-type. During the second quarter, the Company derecognized the real estate assets on the Condensed Consolidated Balance Sheets and recognized the net investment in sales-type leases, resulting in a gain of $68.3 million. See Note 3 to the Condensed Consolidated Financial Statements for additional disclosures of the sales-type leases. The Company disposed of these properties on July 30, 2020.

Assets Held for Sale
AsIn September 2020, the Company reclassified 4 medical office buildings and a land parcel to assets held for sale upon acceptance of Junean offer from a third party to purchase the properties under a single sales agreement. The contractual sales price of $23.0 million is greater than the current net investment of approximately $18.1 million. As


10



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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.

of September 30, 2020 and December 31, 2019, the Company had 4 and 0 properties, respectively, classified as assets held for sale.
The table below reflects the assets and liabilities of the properties classified as held for sale.sale as of September 30, 2020 and December 31, 2019:
(Dollars in thousands)September 30, 2020December 31, 2019
Balance Sheet data:
Land$1,664 $
Building, improvements and lease intangibles26,871 
Personal property39 
28,574 
Accumulated depreciation(10,443)
Real estate assets held for sale, net18,131 
Other assets, net1,920 37 
Assets held for sale, net$20,051 $37 
Accounts payable and accrued liabilities$437 $37 
Other liabilities111 108 
Liabilities of assets held for sale$548 $145 

Note 3. Leases
Lessor Accounting
The Company’s properties generally are leased pursuant to non-cancelable, fixed-term operating leases with expiration dates through 2035. Some leases provide for fixed rent renewal terms in addition to market rent renewal terms. Some leases provide the lessee, during the term of the lease, with an option or right of first refusal to purchase the leased property. The Company’s single-tenant net leases generally require the lessee to pay minimum rent and all taxes (including property tax), insurance, maintenance and other operating costs associated with the leased property.



10



NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.


The Company's leases typically have escalators that are either based on a stated percentage or an index such as CPI (consumer price index). In addition, most of the Company's leases include nonlease components, such as reimbursement of operating expenses as additional rent, or include the reimbursement of expected operating expenses as part of the lease payment. The Company adopted an accounting policy to combine lease and nonlease components. Rent escalators based on indices and reimbursements of operating expenses that are not included in the lease rate are considered variable lease payments. Variable payments are recognized in the period earned. Lease income for the Company's operating leases recognized for the three and sixnine months ended JuneSeptember 30, 2020 was $122.4$123.4 million and $245.0$368.4 million, respectively.
In May 2020, the Company and Mercy Health negotiated the sale of 2 single-tenant net leased properties, a medical office building in Oklahoma and an orthopedic specialty hospital in Missouri, for $244.5 million. The sale was structured through amendments to the leases to allow for the early exercise of existing purchase options. The amendments resulted in the application of lease modification accounting under ASC Topic 842, which resulted in lease classification changes from operating to sales-type. During the second quarter, the Company derecognized the real estate assets on the Condensed Consolidated Balance Sheets and recognized the net investment in sales-type leases, resulting in a gain of $68.3 million. The Company disposed of these properties on July 30, 2020.


11



Table of Contents
NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.

Tabular Disclosure of the Components of Sales-Type Leases
The table below presents the components of sale-type leases for the theethree and sixnine months ended JuneSeptember 30, 2020:
SALES-TYPE LEASES
In thousandsthree months ended
September 30, 2020
nine months ended September 30, 2020
Profit recognized at commencement date$$68,267 Gain on sales of real estate assets
Interest income1,454 3,007 Rental income
 SALES-TYPE LEASES 
In thousands
three months ended
June 30, 2020

six months ended June 30, 2020
Profit recognized at commencement date$68,267
$68,267
Gain on sales of real estate assets
Interest income1,553
1,553
Rental income

Future lease payments under the non-cancelable operating and sales-type leases, excluding any reimbursements, as of JuneSeptember 30, 2020 were as follows:
In thousandsOperating
2020$93,722 
2021352,341 
2022307,166 
2023261,187 
2024200,578 
2025 and thereafter555,264 
$1,770,258 
In thousandsOperating
Sales-type 1

2020$181,180
$249,042
2021332,072

2022290,524

2023242,546

2024185,184

2025 and thereafter476,791

 $1,708,297
$249,042

1See Footnote 2 to the Condensed Consolidated Financial Statements for additional information.

Lessee Accounting
As of JuneSeptember 30, 2020, the Company was obligated, as the lessee, under operating lease agreements consisting primarily of the Company’s ground leases. As of JuneSeptember 30, 2020, the Company had 104103 properties totaling 8.7 million square feet that were held under ground leases. Some of the ground leases' renewal terms are based on fixed rent renewal terms and others have market rent renewal terms. These ground leases typically have initial terms of 40 to 99 years with expiration dates through 2119. Any rental increases related to the Company’s ground leases are generally either stated or based on the CPI. The Company had 42 prepaid ground leases as of JuneSeptember 30, 2020. The amortization of the prepaid rent, included in the operating lease right-of-use asset, represented approximately $0.2 million of the Company’s rental expense for the three months ended JuneSeptember 30, 2020 and 2019, respectively and $0.3$0.5 million and $0.4 million for the sixnine months ended JuneSeptember 30, 2020 and 2019, respectively.
The Company’s future lease payments (primarily for its 61 non-prepaid ground leases) as of September 30, 2020 were as follows:
In thousandsOPERATINGFINANCING
2020$1,008 $143 
20214,844 930 
20224,875 783 
20234,913 793 
20244,969 815 
2025 and thereafter307,665 88,808 
Total undiscounted lease payments328,274 92,272 
Discount(236,808)(73,575)
Lease liabilities$91,466 $18,697 



1112



NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.


The Company’s future lease payments (primarily for its 62 non-prepaid ground leases) as of June 30, 2020 were as follows:
In thousandsOPERATING
FINANCING
2020$2,012
$286
20214,844
930
20224,875
783
20234,913
793
20244,969
815
2025 and thereafter307,665
88,808
Total undiscounted lease payments329,278
92,415
Discount(238,019)(73,820)
Lease liabilities$91,259
$18,595


The following table provides details of the Company's total lease expense for the three and sixnine months ended JuneSeptember 30, 2020 and 2019:
THREE MONTHS ENDED
September 30,
NINE MONTHS ENDED
September 30,
In thousands2020201920202019
Operating lease cost
Operating lease expense$1,180 $1,169 $3,534 $3,448 
Variable lease expense1,066 845 2,664 2,380 
Finance lease cost
Amortization of right-of-use assets88 51 236 101 
Interest on lease liabilities245 196 722 392 
Total lease expense$2,579 $2,261 $7,156 $6,321 
Other information
Operating cash flows outflows related to operating leases$1,440 $1,313 $5,412 $5,461 
Financing cash flows outflows related to financing leases$143 $107 $3,310 $249 
Right-of-use assets obtained in exchange for new finance lease liabilities$$$7,212 $14,294 
Weighted-average remaining lease term (excluding renewal options) - operating leases48.949.7
Weighted-average remaining lease term (excluding renewal options) -finance leases64.770.1
Weighted-average discount rate - operating leases5.7 %5.7 %
Weighted-average discount rate - finance leases5.4 %5.5 %
 THREE MONTHS ENDED
June 30,
SIX MONTHS ENDED
June 30,
In thousands2020
2019
2020
2019
Operating lease cost    
Operating lease expense$1,175
$1,163
$2,349
$2,279
Variable lease expense804
795
1,604
1,535
     
Finance lease cost    
Amortization of right-of-use assets78
51
148
51
Interest on lease liabilities240
196
477
196
Total lease expense$2,297
$2,205
$4,578
$4,061
     
Other information    
Operating cash flows outflows related to operating leases$1,416
$1,402
$3,972
$4,173
Financing cash flows outflows related to financing leases$2,847
$142
$3,168
$142
Right-of-use assets obtained in exchange for new finance lease liabilities$7,212
$
$7,212
$14,294
     
Weighted-average remaining lease term (excluding renewal options) - operating leases49.1
49.9
  
Weighted-average remaining lease term (excluding renewal options) -finance leases65.0
70.3
  
Weighted-average discount rate - operating leases5.7%5.5%  
Weighted-average discount rate - finance leases5.4%5.9%  




13

12




NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.


Note 4. Notes and Bonds Payable
The table below details the Company’s notes and bonds payable. 
 MATURITY DATESBALANCE AS OFEFFECTIVE INTEREST RATE
as of 9/30/2020
Dollars in thousands9/30/202012/31/2019
$700 million Unsecured Credit Facility5/23$$293,000 N/A
$200 million Unsecured Term Loan Facility, net of issuance costs 1
5/24199,180 199,013 1.99 %
$150 million Unsecured Term Loan due 2026 2
6/26149,455 3.14 %
Senior Notes due 2023, net of discount and issuance costs4/23248,863 248,540 3.95 %
Senior Notes due 2025, net of discount and issuance costs 3
5/25248,711 248,522 4.08 %
Senior Notes due 2028, net of discount and issuance costs1/28296,003 295,651 3.84 %
Senior Notes due 2030, net of discount and issuance costs 4
3/30296,384 2.71 %
Mortgage notes payable, net of discounts and issuance costs and including premiums1/21-4/27115,799 129,343 4.38 %
$1,554,395 $1,414,069 
 MATURITY DATESBALANCE AS OF
EFFECTIVE INTEREST RATE
as of 6/30/2020

Dollars in thousands6/30/2020
12/31/2019
$700 million Unsecured Credit Facility5/23$
$293,000
N/A
$200 million Unsecured Term Loan Facility, net of issuance costs 1
5/24199,124
199,013
2.00%
$150 million Unsecured Term Loan due 2026 2
6/26149,431

3.15%
Senior Notes due 2023, net of discount and issuance costs4/23248,756
248,540
3.95%
Senior Notes due 2025, net of discount and issuance costs 3
5/25248,647
248,522
4.08%
Senior Notes due 2028, net of discount and issuance costs1/28295,885
295,651
3.84%
Senior Notes due 2030, net of discount and issuance costs 4
3/30296,299

2.71%
Mortgage notes payable, net of discounts and issuance costs and including premiums1/21-4/27116,794
129,343
4.38%
  $1,554,936
$1,414,069
 
1The effective interest rate includes the impact of interest rate swaps on $75.0 million at a weighted average rate of 2.37% (plus the applicable margin rate, currently 100 basis points).
2The effective interest rate includes the impact of interest rate swaps on $100.0 million at a weighted average rate of 2.23% (plus the applicable margin rate, currently 160 basis points).
3The effective interest rate includes the impact of the $1.7 million settlement of a forward-starting interest rate swap that is included in Accumulated other comprehensive loss on the Company's Condensed Consolidated Balance Sheets.
4The effective interest rate includes the impact of the $4.3 million settlement of forward interest rate hedges that is included in Accumulated other comprehensive loss on the Company's Condensed Consolidated Balance Sheets.

1
The effective interest rate includes the impact of interest rate swaps on $75.0 million at a weighted average rate of 2.37% (plus the applicable margin rate, currently 100 basis points).
2
The effective interest rate includes the impact of interest rate swaps on $100.0 million at a weighted average rate of 2.23% (plus the applicable margin rate, currently 160 basis points).
3
The effective interest rate includes the impact of the $1.7 million settlement of a forward-starting interest rate swap that is included in Accumulated other comprehensive loss on the Company's Condensed Consolidated Balance Sheets.
4
The effective interest rate includes the impact of the $4.3 million settlement of forward interest rate hedges that is included in Accumulated other comprehensive loss on the Company's Condensed Consolidated Balance Sheets.

Changes in Debt Structure
On February 3, 2020, the Company repaid in full a mortgage note payable bearing interest at a rate of 6.10% per annum with an outstanding principal of $5.9 million. The mortgage note encumbered a 68,860 square foot property in Oklahoma.
On March 4, 2020, the Company issued $300.0 million of unsecured senior notes due 2030 (the "Senior Notes due 2030") in a registered public offering. The Senior Notes due 2030 bear interest at 2.40%, payable semi-annually on March 15 and September 15, beginning September 15, 2020, and are due on March 15, 2030, unless redeemed earlier by the Company. The notes were issued at a discount of approximately $1.0 million and the Company incurred approximately $2.8 million in debt issuance costs. Concurrent with this transaction, the Company settled 2 treasury rate locks for $4.3 million. Inclusive of the discount, debt issuance costs and settlement of the treasury rate locks, the effective interest rate was 2.71%. The Senior Notes due 2030 have various financial covenants that are required to be met on a quarterly and annual basis.
On May 4, 2020, the Company repaid in full a mortgage note payable bearing interest at a rate of 5.74% per annum with an outstanding principal of $0.3 million. The mortgage note encumbered an 83,318 square foot property in Iowa.
On May 29, 2020, the Company borrowed $150.0 million frompursuant to its unsecured term loan due 2026.
On June 2, 2020, the Company repaid in full a mortgage note payable bearing interest at a rate of 6.44% per annum with an outstanding principal of $12.6 million. The mortgage note encumbered a 67,510 square foot property in Washington.
On June 25, 2020, the Company repaid in full 3 bondsmortgage notes bearing interest at rates of 5.63%, 6.63% and 6.88% per annum with outstanding principal of $0.5 million, $2.8 million, and $7.0 million, respectively. The bondsmortgage notes encumbered a 60,476 square foot property in Minnesota.

Subsequent Changes in Debt Structure
On October 1, 2020, the Company repaid in full a mortgage note payable bearing interest at a rate of 5.47% per annum with an outstanding principal of $4.2 million. The mortgage note encumbered a 40,171 square foot property in Georgia.


1314




NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.


On October 2, 2020, the Company issued $300.0 million of unsecured senior notes due 2031 (the "Senior Notes due 2031") in a registered public offering. The Senior Notes due 2031 bear interest at 2.05%, payable semi-annually on March 15 and September 15, beginning March 15, 2021, and are due on March 15, 2031, unless redeemed earlier by the Company. The notes were issued at a discount of approximately $2.4 million and the Company incurred approximately $2.8 million in debt issuance costs. Inclusive of the discount and debt issuance costs, the effective interest rate was 2.24%. The Senior Notes due 2031 have various financial covenants that are required to be met on a quarterly and annual basis.
On October 19, 2020, the Company redeemed its unsecured senior notes due 2023 (the "Senior Notes due 2023"). The aggregate redemption price of $270.5 million consisted of outstanding principal of $250.0 million, accrued interest of $0.1 million, and a "make-whole" amount of approximately $20.4 million for the early extinguishment of debt. The unaccreted discount and unamortized costs on these notes of $1.1 million was written off upon redemption. In October 2020, the Company recognized a loss on early extinguishment of debt of approximately $21.5 million related to this redemption.
Note 5. Derivative Financial Instruments
Risk Management Objective of Using Derivatives
The Company is exposed to certain risks arising from both its business operations and economic conditions. The Company principally manages its exposures to a wide variety of business and operational risks through management of its core business activities. The Company manages economic risks, including interest rate, liquidity, and credit risk, primarily by managing the amount, sources, and duration of its assets and liabilities and the use of derivative financial instruments. Specifically, the Company enters into derivative financial instruments to manage exposures that arise from business activities that result in the receipt or payment of future known and uncertain cash amounts, the value of which are determined by interest rates. The Company’s derivative financial instruments are used to manage differences in the amount, timing, and duration of the Company’s known or expected cash receipts and its known or expected cash payments principally related to the Company’s borrowings.

Cash Flow Hedges of Interest Rate Risk
The Company’s objectives in using interest rate derivatives are to add stability to interest expense and to manage its exposure to interest rate movements. To accomplish this objective, the Company primarily uses interest rate swaps as part of its interest rate risk management strategy. Interest rate swaps designated as cash flow hedges involve the receipt of variable amounts from a counterparty in exchange for the Company making fixed-rate payments over the life of the agreements without exchange of the underlying notional amount. Such derivatives were used to hedge the variable cash flows associated with existing variable-rate debt.
For derivatives designated and that qualify as cash flow hedges of interest rate risk, the gain or loss on the derivative is recorded in Accumulated Other Comprehensive Income (Loss) ("AOCI") and subsequently reclassified into interest expense in the same period(s) during which the hedged transaction affects earnings. Amounts reported in AOCI related to derivatives will be reclassified to interest expense as interest payments are made on the Company’s variable-rate debt.
On February 24 and 25, 2020, the Company entered into 2 treasury rate locks totaling $75.0 million and $40.0 million, respectively. The treasury rate locks were settled for an aggregate amount of $4.3 million on March 4, 2020 concurrent with the Company's issuance of its Senior Notes due 2030. The settlement will be amortized over the 10-year term of the notes.
As of JuneSeptember 30, 2020, the Company had 8 outstanding interest rate derivatives that were designated as cash flow hedges of interest rate risk:
DERIVATIVE INSTRUMENTNUMBER OF INSTRUMENTSNOTIONAL AMOUNT
in millions
Interest rate swaps$175.0



15



Table of Contents
NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.

Tabular Disclosure of Fair Values of Derivative Instruments on the Balance Sheet
The table below presents the fair value of the Company's derivative financial instruments, as well as their classification on the Condensed Consolidated Balance Sheet as of JuneSeptember 30, 2020.
BALANCE AT SEPTEMBER 30, 2020
In thousandsBALANCE SHEET LOCATIONFAIR VALUE
Derivatives designated as hedging instruments
Interest rate swapsOther liabilities$14,460 
Total derivatives designated as hedging instruments$14,460 
 BALANCE AT JUNE 30, 2020
In thousandsBALANCE SHEET LOCATIONFAIR VALUE
Derivatives designated as hedging instruments  
Interest rate swapsOther liabilities$15,339
Total derivatives designated as hedging instruments $15,339





14



NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.


Tabular Disclosure of the Effect of Cash Flow Hedge Accounting on Accumulated Other Comprehensive Income (Loss)
The table below presents the effect of cash flow hedge accounting on AOCI during the three and sixnine months ended JuneSeptember 30, 2020 and 2019 related to the Company's outstanding interest rate swaps.
LOSS RECOGNIZED IN
AOCI ON DERIVATIVE
three months ended June 30,
 
(GAIN) LOSS RECLASSIFIED FROM
AOCI INTO INCOME
three months ended June 30,
LOSS RECOGNIZED IN
AOCI ON DERIVATIVE
three months ended September 30,
(GAIN) LOSS RECLASSIFIED FROM
AOCI INTO INCOME
three months ended September 30,
In thousands2020
2019
2020
2019
In thousands2020201920202019
Interest rate swaps$1,455
$4,577
Interest expense$789
$(43)Interest rate swaps$74 $2,341 Interest expense$952 $18 
Settled treasury hedges

Interest expense107

Settled treasury hedgesInterest expense107 
Settled interest rate swaps

Interest expense42
42
Settled interest rate swapsInterest expense42 42 
$1,455
$4,577
Total interest expense$938
$(1) $74 $2,341 Total interest expense$1,101 $60 
LOSS RECOGNIZED IN
AOCI ON DERIVATIVE
six months ended June 30,
 
(GAIN) LOSS RECLASSIFIED FROM
AOCI INTO INCOME
six months ended June 30,
LOSS RECOGNIZED IN
AOCI ON DERIVATIVE
nine months ended September 30,
(GAIN) LOSS RECLASSIFIED FROM
AOCI INTO INCOME
nine months ended September 30,
In thousands2020
2019
2020
2019
In thousands2020201920202019
Interest rate swaps$11,119
$5,301
Interest expense$1,061
$(69)Interest rate swaps$11,192 $7,642 Interest expense$2,012 $(52)
Settled treasury hedges4,267

Interest expense122

Settled treasury hedges4,267 Interest expense229 
Settled interest rate swaps

Interest expense84
84
Settled interest rate swapsInterest expense126 126 
$15,386
$5,301
Total interest expense$1,267
$15
$15,459 $7,642 Total interest expense$2,367 $74 
The Company estimates that $4.4 million will be reclassified from AOCI to interest expense over the next 12 months.
Credit-risk-related Contingent Features
The Company's agreements with each of its derivative counterparties contain a cross-default provision under which the Company could be declared in default of its derivative obligations if repayment of the underlying indebtedness is accelerated by the lender due to the Company's default on the indebtedness.
As of JuneSeptember 30, 2020, the fair value of derivatives in a net liability position including accrued interest but excluding any adjustment for nonperformance risk related to these agreements was $16.0$15.1 million. As of JuneSeptember 30, 2020, the Company has not posted any collateral related to these agreements and was not in breach of any agreement.
Note 6. Commitments and Contingencies
Legal Proceedings
The Company is, from time to time, involved in litigation arising in the ordinary course of business. The Company is not aware of any pending or threatened litigation that, if resolved against the Company, would have a material adverse effect on the Company’s consolidated financial position, results of operations or cash flows.

Redevelopment Activity
The Company initiated the redevelopment of a 110,883 square foot medical office building in Memphis, Tennessee ("Memphis Redevelopment") in December 2019. As of JuneSeptember 30, 2020, the Company funded approximately $2.3$5.7 million in project costs, excluding the purchase price of $8.7 million for the land and building. The building will continue to operate with in-place leases during construction. The core and shell portion of the Memphis Redevelopment is expected to be completed in the first quarter of 2021, with construction of tenant spaces to be completed throughout the remainder of 2021.


16



Development Activity
TheIn the first quarter of 2020, the Company completed the developmentconstruction of the core and shell of a 151,031 square foot medical office building in Seattle, Washington. As of JuneSeptember 30, 2020, the Company had funded approximately $58.8$59.1 million towards the development and additional tenant improvements. The Company expects to fund an additional amount of approximately $5.3$5.0 million for additional tenant improvements associated with this project. The first tenant took occupancycommenced rent payment in the first quarter of 2020.



15



NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.


Note 7. Stockholders' Equity
Common Stock    
The following table provides a reconciliation of the beginning and ending shares of common stock outstanding for the sixnine months ended JuneSeptember 30, 2020 and the year ended December 31, 2019:
SEPTEMBER 30, 2020DECEMBER 31, 2019
Balance, beginning of period134,706,154 125,279,455 
Issuance of common stock1,292,324 9,251,440 
Nonvested share-based awards, net of withheld shares55,462 175,259 
Balance, end of period136,053,940 134,706,154 
 JUNE 30, 2020
DECEMBER 31, 2019
Balance, beginning of period134,706,154
125,279,455
Issuance of common stock1,286,743
9,251,440
Nonvested share-based awards, net of withheld shares55,274
175,259
Balance, end of period136,048,171
134,706,154


At-The-Market Equity Offering Program
On February 14, 2020, the Company entered into sales agreements with 6 investment banks to allow sales under its at-the-market equity offering program of up to an aggregate of $500.0 million of common stock. The Company sold 1,268,237 shares under the Company's at-the market equity offering program during the sixnine months ended JuneSeptember 30, 2020. The sales generated $39.9 million in net proceeds at prices to the public ranging from $30.50 to $36.15 per share (weighted average of $31.86 per share). The sales occurred during the following time periods:
During the first quarter of 2020, the Company sold 196,250 shares generating approximately $7.0 million in net proceeds at prices to the public ranging from $33.00 to $36.15 per share (weighted average of $36.09 per share).
During the second quarter of 2020, the Company sold 1,071,987 shares generating approximately $32.9 million in net proceeds at prices to the public ranging from $30.50 to $31.29 per share (weighted average of $31.08 per share).
During the first quarter of 2020, the Company sold 196,250 shares under the Company's at-the-market equity offering program generating approximately $7.0 million in net proceeds at prices to the public ranging from $33.00 to $36.15 per share (weighted average of $36.09 per share).
During the second quarter of 2020, the Company sold 1,071,987 shares under the Company's at-the-market equity offering program generating approximately $32.9 million in net proceeds at prices to the public ranging from $30.50 to $31.29 per share (weighted average of $31.08 per share).
In addition, the Company has entered into two3 forward equity agreements:agreements totaling 3.6 million shares at a weighted average price of $31.30 per share:
In the second quarter of 2020, the Company entered into a forward equity agreement for a total of 1,579,371 shares at an aggregate price of $31.66 per share, subject to adjustments as provided in the forward equity agreements. This agreement matures in June 2021.
In July 2020, the Company entered into an additional forward equity agreement for a total of 764,472 shares at an aggregate price of $31.84 per share, subject to adjustments as provided in the forward equity agreements. This agreement matures in July 2021.
IncludingIn the second quarter of 2020, the Company entered into a forward equity agreement for a total of 1,579,371 shares at a weighted average price of $31.66 per share, subject to adjustments as provided in the forward equity agreements. This agreement matures in June 2021.
In the third quarter of 2020, the Company entered into a forward equity agreement for a total of 764,472 shares at a weighted average price of $31.84 per share, subject to adjustments as provided in the forward equity agreements. This agreement matures in July 2021.
In the fourth quarter of 2020, the Company entered into a forward equity agreement for a total of 1,235,129 shares at a weighted average price of $30.52 per share, subject to adjustments as provided in the forward equity agreements. This agreement matures in October 2021.
After taking into account the forward equity contracts discussed above, the Company has approximately $385.3$347.6 million remaining available to be sold under the current sales agreements at the date of this filing.
Common Stock Dividends
During the sixnine months ended JuneSeptember 30, 2020, the Company declared and paid common stock dividends totaling $0.60$0.90 per share. On August 4,November 3, 2020, the Company declared a quarterly common stock dividend in the amount of $0.30 per share payable on August 31,December 1, 2020 to stockholders of record on August 17,November 16, 2020.


17



Table of Contents
NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.

Earnings Per Common Share
The Company uses the two-class method of computing net earnings per common shares. The Company's nonvested share-based awards are considered participating securities pursuant to the two-class method.
In JuneDuring the nine months ended September 30, 2020, the Company entered into a forward sale agreement pursuant to a forward equity arrangementagreements to sell approximately 1.62.3 million shares of common stock through the Company's at-the-market equity offering program.
The Company considered the accounting guidance governing financial instruments and derivatives to account for this agreementthese agreements and concluded that it was not a liability as it did not embody obligations to repurchase our shares of common stock nor did it embody obligations to issue a variable number of shares for which the monetary value was predominately fixed, varying with something other than the fair value of the shares, or varying inversely in relation to the shares. In addition, the Company evaluated whether the agreementagreements met the derivative and hedging guidance



16



NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.


scope exception to be accounted for as an equity instrument and concluded that the agreementagreements can be classified as equity.
The Company used the treasury method to determine the dilution from the forward equity agreementagreements during the period of time prior to settlement. The number of weighted-average shares outstanding used in the computation of earnings per common share for the three and sixnine months ended JuneSeptember 30, 2020 included the effect from the assumed issuance of 1.62.3 million shares of common stock pursuant to the settlement of the forward equity agreements at the contractual price, less the assumed repurchase of the common stock at the average market price using the proceeds of approximately $50.0$72.7 million, adjusted for costs to borrow. For the three and nine months ended JuneSeptember 30, 2020, 11,331137,757 and 51,133 weighted-average incremental shares of common stock were excluded from the computation of weighted-average common shares outstanding - diluted, as the impact was anti-dilutive.
The following table sets forth the computation of basic and diluted earnings per common share for the three and sixnine months ended JuneSeptember 30, 2020 and 2019.
THREE MONTHS ENDED SEPTEMBER 30,NINE MONTHS ENDED SEPTEMBER 30,
Dollars in thousands, except per share data2020201920202019
Weighted average common shares outstanding
Weighted average common shares outstanding136,048,781 129,865,985 135,393,798 128,348,638 
Non-vested shares(1,739,364)(1,775,911)(1,731,658)(1,777,743)
Weighted average common shares outstanding - basic134,309,417 128,090,074 133,662,140 126,570,895 
Weighted average common shares outstanding - basic134,309,417 128,090,074 133,662,140 126,570,895 
Dilutive effect of forward equity shares
Dilutive effect of employee stock purchase plan47,810 78,610 74,029 85,690 
Weighted average common shares outstanding - diluted134,357,227 128,168,684 133,736,169 126,656,585 
Net Income$8,230 $2,601 $88,058 $11,975 
Dividends paid on nonvested share-based awards(522)(534)(1,561)(1,603)
Net income applicable to common stockholders$7,708 $2,067 $86,497 $10,372 
Basic earnings per common share - net income$0.06 $0.02 $0.65 $0.08 
Diluted earnings per common share - net income$0.06 $0.02 $0.65 $0.08 
 THREE MONTHS ENDED JUNE 30,SIX MONTHS ENDED JUNE 30,
Dollars in thousands, except per share data2020
2019
2020
2019
Weighted average common shares outstanding    
Weighted average common shares outstanding135,367,081
129,228,102
135,062,708
127,577,389
Non-vested shares(1,733,435)(1,778,648)(1,727,762)(1,778,674)
Weighted average common shares outstanding - basic133,633,646
127,449,454
133,334,946
125,798,715
     
Weighted average common shares outstanding - basic133,633,646
127,449,454
133,334,946
125,798,715
Dilutive effect of forward equity shares

2,149

Dilutive effect of employee stock purchase plan62,266
75,153
83,217
90,640
Weighted average common shares outstanding - diluted133,695,912
127,524,607
133,420,312
125,889,355
     
Net Income$75,513
$4,484
$79,828
$9,375
Dividends paid on nonvested share-based awards(521)(534)(1,039)(1,070)
Net income applicable to common stockholders$74,992
$3,950
$78,789
$8,305
     
Basic earnings per common share - net income$0.56
$0.03
$0.59
$0.07
Diluted earnings per common share - net income$0.56
$0.03
$0.59
$0.07



18



Table of Contents
NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.

Incentive Plans
A summary of the activity under the Company's share-based incentive plans for the three and sixnine months ended JuneSeptember 30, 2020 and 2019 is included in the table below.
THREE MONTHS ENDED SEPTEMBER 30,NINE MONTHS ENDED SEPTEMBER 30,
 2020201920202019
Share-based awards, beginning of period1,739,258 1,778,134 1,754,066 1,769,863 
Granted188 79,025 89,767 
Vested 1
(204,548)(93,645)(286,044)
Share-based awards, end of period1,739,446 1,573,586 1,739,446 1,573,586 
 THREE MONTHS ENDED JUNE 30,SIX MONTHS ENDED JUNE 30,
 2020
2019
2020
2019
Share-based awards, beginning of period1,724,761
1,784,127
1,754,066
1,769,863
Granted39,493
24,996
78,837
89,767
Vested(24,996)(30,989)(93,645)(81,496)
Share-based awards, end of period1,739,258
1,778,134
1,739,258
1,778,134

1
The Company's former Executive Chairman, David R. Emery, died on September 30, 2019 resulting in the accelerated vesting of 204,548 outstanding nonvested share-based awards.
During the sixnine months ended JuneSeptember 30, 2020 and 2019, the Company withheld 23,563 and 19,546100,036 shares of common stock, respectively, from participants to pay estimated withholding taxes related to shares that vested.



17



NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.


In addition to the share-based incentive plans, the Company maintains the 2000 Employee Stock Purchase Plan (the "Purchase Plan"). A summary of the activity under the Purchase Plan for the three and sixnine months ended JuneSeptember 30, 2020 and 2019 is included in the table below.
 THREE MONTHS ENDED JUNE 30,SIX MONTHS ENDED JUNE 30,
 2020
2019
2020
2019
Outstanding and exercisable, beginning of period370,696
390,776
332,659
328,533
Granted

212,716
235,572
Exercised(2,463)(4,386)(14,367)(19,016)
Forfeited(6,514)(23,172)(29,495)(39,797)
Expired

(139,794)(142,074)
Outstanding and exercisable, end of period361,719
363,218
361,719
363,218

THREE MONTHS ENDED SEPTEMBER 30,NINE MONTHS ENDED SEPTEMBER 30,
 2020201920202019
Outstanding and exercisable, beginning of period361,719 363,218 332,659 328,533 
Granted212,716 235,572 
Exercised(3,504)(9,927)(17,871)(28,943)
Forfeited(6,659)(11,762)(36,154)(51,559)
Expired(139,794)(142,074)
Outstanding and exercisable, end of period351,556 341,529 351,556 341,529 
Note 8. Fair Value of Financial Instruments
The following methods and assumptions were used to estimate the fair value of each class of financial instrument for which it is practical to estimate that value.
Cash and cash equivalents - The carrying amount approximates fair value due to the short term maturity of these investments.
Borrowings under the Unsecured Credit Facility and the Term Loans Due 2024 and 2026 - The carrying amount approximates fair value because the borrowings are based on variable market interest rates.
Senior Notes and Mortgage Notes payable - The fair value of notes and bonds payable is estimated using cash flow analyses, based on the Company’s current interest rates for similar types of borrowing arrangements.
- The carrying amount approximates fair value due to the short term maturity of these investments.
Borrowings under the Unsecured Credit Facility and the Term Loan Due 2024 - The carrying amount approximates fair value because the borrowings are based on variable market interest rates.
Senior Notes and Mortgage Notes payable - The fair value of notes and bonds payable is estimated using cash flow analyses, based on the Company’s current interest rates for similar types of borrowing arrangements.
Interest rate swap agreements - Interest rate swap agreements are recorded in other liabilities on the Company's Consolidated Balance Sheets at fair value. Fair value is estimated by utilizing pricing models that consider forward yield curves and discount rates.
The table below details the fair values and carrying values for notes and bonds payable at JuneSeptember 30, 2020 and December 31, 2019.
 September 30, 2020December 31, 2019
Dollars in millionsCARRYING VALUEFAIR VALUECARRYING VALUEFAIR VALUE
Notes and bonds payable 1
$1,554.4 $1,621.7 $1,414.1 $1,425.8 
 JUNE 30, 2020DECEMBER 31, 2019
Dollars in millionsCARRYING VALUE
FAIR VALUE
CARRYING VALUE
FAIR VALUE
Notes and bonds payable 1
$1,554.9
$1,622.8
$1,414.1
$1,425.8
1Level 2 – model-derived valuations in which significant inputs and significant value drivers are observable in active markets.

1Level 2 – model-derived valuations in which significant inputs and significant value drivers are observable in active markets.


19

18






Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Disclosure Regarding Forward-Looking Statements
This report and other materials the Company has filed or may file with the Securities and Exchange Commission, as well as information included in oral statements or other written statements made, or to be made, by management of the Company, contain, or will contain, disclosures that are “forward-looking statements.” Forward-looking statements include all statements that do not relate solely to historical or current facts and can be identified by the use of words such as “may,” “will,” “expect,” “believe,” “anticipate,” “target,” “intend,” “plan,” “estimate,” “project,” “continue,” “should,” “could," "budget" and other comparable terms. These forward-looking statements are based on the current plans and expectations of management and are subject to a number of risks and uncertainties, including  the duration and scope of the COVID-19 pandemic; the impact of the COVID-19 pandemic on occupancy rates for the Company's properties, actions governments take in response to the COVID-19 pandemic, including the introduction of public health measures and other regulations affecting the Company’s properties and the operations of the Company and its tenants; the effects of health and safety measures adopted by the Company and its tenants related to the COVID-19 pandemic; the impact of the COVID-19 pandemic on the operations, business and financial condition of the Company and its tenants; general economic uncertainty in key markets as a result of the COVID-19 pandemic and a worsening of global economic conditions or low levels of economic growth; the status of capital markets, including availability and cost of capital; and the risks described in this report and the Company’s Annual Report on Form 10-K for the year ended December 31, 2019, that could significantly affect the Company’s current plans and expectations and future financial condition and results.
The Company undertakes no obligation to publicly update or revise any forward-looking statements, whether as a result of new information, future events or otherwise. Stockholders and investors are cautioned not to unduly rely on such forward-looking statements when evaluating the information presented in the Company’s filings and reports, including, without limitation, estimates and projections regarding the performance of development projects the Company is pursuing.
For a detailed discussion of the Company’s risk factors, please refer to the Company’s filings with the Securities and Exchange Commission, including this report, and its Annual Report on Form 10-K for the year ended December 31, 2019.2019, and the Company's Quarterly Reports on Form 10-Q for the quarters ended March 31, 2020 and June 30, 2020.

COVID-19 Update
Since being reported in December 2019, COVID-19 has spread globally, including to every state in the United States. On March 11, 2020, the World Health Organization declared COVID-19 a pandemic, and on March 13, 2020, the United States declared a national emergency with respect to COVID-19.
In response to the COVID-19 pandemic, all of the states and cities in which the Company owns properties, manages properties, and/or has development or redevelopment projects instituted quarantines, restrictions on travel, “shelter in place” rules, restrictions on types of businesses that may continue to operate, and/or restrictions on the types of construction projects that may continue. As a result, a number of the Company's tenants temporarily closed their offices or clinical space or operated on a reduced basis in response to government requirements or recommendations. Many of these restrictions have been lifted, but could be reimposed. In response to these disruptions, the Company provided some of its tenants with deferred rent arrangements. Through July 31,November 2, 2020, the Company has collected 97%more than 99% of second and third quarter 2020 aggregate tenant billings andbillings. The Company has agreed tocollected 96% of total scheduled deferral payments in the third quarter of 2020. In addition, the Company has remaining various forms of rent deferrals outstanding representing approximately 2%$1.2 million, or less than 1% of second and third quarter 2020 aggregate tenant billings. The tenant deferral agreements generally require the deferred amounts to be repaid inby the third and fourth quartersquarter of 2020.
Management believes that many of its tenants who have experienced disruption to their businesses as a result of the COVID-19 pandemic have obtained or will qualify for various forms of government financial assistance including pursuant to the Coronavirus Aid, Relief, and Economic Security Act or the “CARES Act", which was signed into law on March 27, 2020. Accordingly, the Company promotes awareness of the availability of these initiatives to its tenants.
If tenants are unable to timely repay, or repay at all, deferred rent, if they request additional rent deferrals or abatements, decide not to renew leases, or renew leases at lower cash leasing spreads (See “Expiring Leases” below), the impact on the Company’s results of operations and financial condition could be material. In the second quarter of 2020, the Company recognized an approximately $0.7 million general reserve against the deferred rent balance. Following positive collection trends in the third quarter of 2020, the Company released approximately $0.3 million of the general reserve. As of September 30, 2020, the Company had a remaining general reserve of $0.4 million against an approximate $2.9$1.7 million deferred rent balance as of July 17, 2020.

balance.


1920




At JuneSeptember 30, 2020, the Company had available $743.7$882.6 million in liquidity (See “Sources and Uses of Cash” and “Financing Activities” below) and no significant debt maturities prior to 2023. In addition, the Company has entered into forward equity agreements that have expected proceeds of up to approximately $74.3$112.0 million, before the costs of borrowing, that can be settled at the Company's election anytime through JulyOctober 2021. The COVID-19 pandemic has affected the availability and cost of capital and may continue to do so for some time. Management believes that the Company currently has adequate liquidity to operate its business without significant disruption. However, if the pandemic continues to have an impact on the availability and cost of capital, the Company’s business could be materially affected.
Liquidity and Capital Resources
Sources and Uses of Cash
The Company’s primary sources of cash include rent receipts from its real estate portfolio based on contractual arrangements with its tenants, borrowings under the Company's Unsecured Credit Facility and Term Loan, proceeds from the sales of real estate properties and proceeds from public or private debt or equity offerings. As of JuneSeptember 30, 2020, the Company had $700.0 million available to be drawn on its Unsecured Credit Facility and $43.7$182.6 million in cash and restricted cash. In addition, the Company has entered into forward equity agreements that have expected proceeds of up to approximately $74.3$112.0 million, before the costs of borrowing, that can be settled at the Company's election anytime through JuneOctober 2021.
The Company expects to continue to meet its liquidity needs, including funding additional investments, paying dividends, and funding debt service, through cash flows from operations and the cash flow sources described above. The Company had unencumbered real estate assets with a gross book value of approximately $3.9$4.1 billion at JuneSeptember 30, 2020, of which a portion could serve as collateral for secured mortgage financing. The Company believes that its liquidity and sources of capital are adequate to satisfy its cash requirements. The Company cannot, however, be certain that these sources of funds will be available at a time and upon terms acceptable to the Company in sufficient amounts to meet its liquidity needs.

Investing Activities
Cash flows used in investing activities for the sixnine months ended JuneSeptember 30, 2020 were approximately $134.4$259.9 million. Below is a summary of significant investing activities.
2020 Acquisitions
The following table details the Company's acquisitions for the sixnine months ended JuneSeptember 30, 2020:
Dollars in millionsHEALTH SYSTEM AFFILIATIONDATE ACQUIREDPURCHASE PRICESQUARE FOOTAGECAP
RATE
MILES TO CAMPUS
Los Angeles, CAMemorialCare Health1/3/20$42.0 86,9865.3 %0.14
Atlanta, GAWellstar Health System2/13/2012.0 64,624 5.6 %0.10 
Raleigh, NCWakeMed Health2/25/206.3 15,964 6.7 %0.04 
Colorado Springs, CONone3/9/208.2 34,210 6.5 %1.60 
Denver, CO 1
UCHealth3/13/2033.5 136,994 6.1 %0.24 
San Diego, CAPalomar Health7/1/2016.7 46,083 5.9 %0.04 
Los Angeles, CACedars-Sinai/Huntington7/17/2035.0 49,785 5.4 %0.11 
Seattle, WAMultiCare Health System7/23/2011.0 21,309 5.6 %0.06 
Atlanta, GAWellstar Health System7/31/2020.5 48,145 6.2 %0.13 
Houston, TXMemorial Hermann Health9/24/2011.0 40,235 5.6 %0.03 
Los Angeles, CAProvidence St. Joseph Health9/28/2014.0 24,252 5.6 %0.03 
Total real estate acquisitions$210.2 568,587 5.7 %
Land acquisition 2
1.6 — 
Land acquisition 3
1.0 — 
$212.8 568,587 
Dollars in millionsHEALTH SYSTEM AFFILIATIONDATE ACQUIREDPURCHASE PRICE
SQUARE FOOTAGE
CAP
RATE

MILES TO CAMPUS
Los Angeles, CAMemorialCare Health1/3/20$42.0
86,986
5.3%0.14
Atlanta, GAWellstar Health System2/13/2012.0
64,624
5.6%0.10
Raleigh, NCWakeMed Health2/25/206.3
15,964
6.7%0.04
Colorado Springs, CONone3/9/208.2
34,210
6.5%1.60
Denver, CO 1
UCHealth3/13/2033.5
136,994
6.1%0.24
Total real estate acquisitions  $102.0
338,778
5.8% 
Land acquisition 2
  1.6

  
   $103.6
338,778
  
1Includes three properties.
1Includes three properties.
2The Company acquired land parcels under four existing buildings (previously ground leased with the hospital system).

2The Company acquired land parcels under four existing buildings (previously ground leased with the hospital system).
3The Company acquired a land parcel under an existing building (previously ground leased). The building and land were disposed September 30, 2020.


2021




Subsequent AcquisitionsAcquisition
Subsequent to the end of the second quarter ofOn October 7, 2020 the Company acquired the following properties:
Dollars in millionsTYPEDATE ACQUIREDPURCHASE PRICE
SQUARE FOOTAGE
San Diego, CAMOB7/1/20$16.7
46,083
Los Angeles, CAMOB7/17/2035.0
49,785
Seattle, WAMOB7/23/2011.0
21,309
Atlanta, GAMOB7/31/2020.5
48,145
Total real estate acquisitions $83.2
165,322

Subsequent Dispositions
In May 2020, the Company entered into agreements to sell a 36,720 square foot medical office building in Oklahoma and an orthopedic specialty hospital in Missouri to MercyColorado Springs, CO for $244.5a purchase price of $8.9 million. See Notes 2 and 3 to the Condensed Consolidated Financial Statements for additional disclosures of the sales-type leases.
2020Dispositions
The Company disposed of three properties during the nine months ended September 30, 2020 for a total sales price of $249.5 million, including cash proceeds of $249.3 million and $0.2 million of closing costs and related adjustments. The following table details these properties on Julydispositions for the nine months ended September 30, 2020.2020:
Dollars in millionsDate DisposedSales PriceSquare Footage3Q 2020 NOIDisposition Cap RateProperty Type
Springfield, MO7/30/20$138.0 186,000$0.8 7.5 %SF
Oklahoma City, OK7/30/20106.5 200,000 0.6 7.5 %MOB
Miami, FL9/30/205.0 26,000 — 3.9 %MOB
Total dispositions$249.5 412,000 $1.4 7.4 %
1MOB = Medical office building; SF = Surgical facility

Capital Funding
During the sixnine months ended JuneSeptember 30, 2020, the Company funded the following:
$12.617.3 million toward development and redevelopment of properties;
$7.714.2 million toward first generation tenant improvements and planned capital expenditures for acquisitions;
$12.017.4 million toward second generation tenant improvements; and
$8.212.8 million toward capital expenditures.

Financing Activities
Cash flows provided by financing activities for the sixnine months ended JuneSeptember 30, 2020 were approximately $72.2$30.3 million. Inflows from equity related to the Company's common stock issuances and net borrowings totaled $489.2$160.5 million, net of issuance costs incurred. Aggregate cash outflows totaled approximately $417.0$130.2 million primarily associated with dividends paid to common stockholders and repayments on the Credit Facility.stockholders. See Notes 4 and 7 to the Condensed Consolidated Financial Statements for more information about capital markets and financing activities.

Common Stock Issuances
On February 14, 2020, the Company entered into sales agreements with six investment banks to allow sales under its at-the-market equity offering program of up to an aggregate of $500.0 million of common stock. The Company sold 1,268,237 shares under the Company's at-the market equity offering program during the sixnine months ended JuneSeptember 30, 2020. The sales generated $39.9 million in net proceeds at prices to the public ranging from $30.50 to $36.15 per share (weighted average of $31.86 per share). The sales occurred during the following time periods:
During the first quarter of 2020, the Company sold 196,250 shares generating approximately $7.0 million in net proceeds at prices to the public ranging from $33.00 to $36.15 per share (weighted average of $36.09 per share).
During the second quarter of 2020, the Company sold 1,071,987 shares generating approximately $32.9 million in net proceeds at prices to the public ranging from $30.50 to $31.29 per share (weighted average of $31.08 per share).
During the first quarter of 2020, the Company sold 196,250 shares under the Company's at-the-market equity offering program generating approximately $7.0 million in net proceeds at prices to the public ranging from $33.00 to $36.15 per share (weighted average of $36.09 per share).
During the second quarter of 2020, the Company sold 1,071,987 shares under the Company's at-the-market equity offering program generating approximately $32.9 million in net proceeds at prices to the public ranging from $30.50 to $31.29 per share (weighted average of $31.08 per share).
In addition, the Company has entered into twothree forward equity agreements:
In the second quarter of 2020, the Company entered into a forward equity agreement for a totalagreements totaling 3.6 million shares at a weighted average price of $31.30 per share:1,579,371 shares at an aggregate price of $31.66 per share, subject to adjustments as provided in the forward equity agreements. This agreement matures in June 2021.



2122



In the second quarter of 2020, the Company entered into a forward equity agreement for a total of 1,579,371 shares at a weighted average price of $31.66 per share, subject to adjustments as provided in the forward equity agreements. This agreement matures in June 2021.
In July 2020, the Company entered into an additional forward equity agreement for a total of 764,472 shares at an aggregate price of $31.84 per share, subject to adjustments as provided in the forward equity agreements. This agreement matures in July 2021.
IncludingIn the third quarter of 2020, the Company entered into a forward equity agreement for a total of 764,472 shares at a weighted average price of $31.84 per share, subject to adjustments as provided in the forward equity agreements. This agreement matures in July 2021.
In the fourth quarter of 2020, the Company entered into a forward equity agreement for a total of 1,235,129 shares at a weighted average price of $30.52 per share, subject to adjustments as provided in the forward equity agreements. This agreement matures in October 2021.
After taking into account the forward equity contracts discussed above, the Company has approximately $385.3$347.6 million remaining available to be sold under the current sales agreements at the date of this filing.

Debt Activity
On February 3, 2020, the Company repaid in full a mortgage note payable bearing interest at a rate of 6.10% per annum with an outstanding principal of $5.9 million. The mortgage note encumbered a 68,860 square foot property in Oklahoma.
On March 4, 2020, the Company issued $300.0 million of the Senior Notes due 2030 in a registered public offering. The Senior Notes due 2030 bear interest at 2.40%, payable semi-annually on March 15 and September 15, beginning September 15, 2020, and are due on March 15, 2030, unless redeemed earlier by the Company. The notes were issued at a discount of approximately $1.0 million and the Company incurred approximately $2.8 million in debt issuance costs. Concurrent with this transaction, the Company settled two treasury rate locks for $4.3 million. Inclusive of the discount, debt issuance costs and settlement of the treasury rate locks, the effective interest rate was 2.71%. The Senior Notes due 2030 have various financial covenants that are required to be met on a quarterly and annual basis.
On May 4, 2020, the Company repaid in full a mortgage note payable bearing interest at a rate of 5.74% per annum with an outstanding principal of $0.3 million. The mortgage note encumbered a 83,318 square foot property in Iowa.
On May 29, 2020, the Company borrowed $150.0 million from its unsecured term loan due 2026.
On June 2, 2020, the Company repaid in full a mortgage note payable bearing interest at a rate of 6.44% per annum with an outstanding principal of $12.6 million. The mortgage note encumbered a 67,510 square foot property in Washington.
On June 25, 2020, the Company repaid in full three bondsmortgage notes bearing interest at rates of 5.63%, 6.63% and 6.88% per annum with outstanding principal of $0.5 million, $2.8 million, and $7.0 million, respectively. The bondsmortgage notes encumbered a 60,476 square foot property in Minnesota.
The Company has outstanding interest rate derivatives totaling $175.0 million to hedge one-month LIBOR. The following details the amount and rate of each swap (dollars in thousands):
EFFECTIVE DATEAMOUNTWEIGHTED
AVERAGE RATE
EXPIRATION DATE
December 18, 2017$25,000 2.18 %December 16, 2022
February 1, 201850,000 2.46 %December 16, 2022
May 1, 201950,000 2.33 %May 1, 2026
June 3, 201950,000 2.13 %May 1, 2026
$175,000 2.29 %
Subsequent Debt Activity
On October 1, 2020, the Company repaid in full a mortgage note payable bearing interest at a rate of 5.47% per annum with an outstanding principal of $4.2 million. The mortgage note encumbered a 40,171 square foot property in Georgia.


23


EFFECTIVE DATEAMOUNT
WEIGHTED
AVERAGE RATE

EXPIRATION DATE
December 18, 2017$25,000
2.18%December 16, 2022
February 1, 201850,000
2.46%December 16, 2022
May 1, 201950,000
2.33%May 1, 2026
June 3, 201950,000
2.13%May 1, 2026
 $175,000
2.29% 
On October 2, 2020, the Company issued $300.0 million of Senior Notes due 2031 in a registered public offering. The Senior Notes due 2031 bear interest at 2.05%, payable semi-annually on March 15 and September 15, beginning March 15, 2021, and are due on March 15, 2031, unless redeemed earlier by the Company. The notes were issued at a discount of approximately $2.4 million and the Company incurred approximately $2.8 million in debt issuance costs. Inclusive of the discount and debt issuance costs, the effective interest rate was 2.24%. The Senior Notes due 2031 have various financial covenants that are required to be met on a quarterly and annual basis.

On October 19, 2020, the Company redeemed its Senior Notes due 2023. The aggregate redemption price of $270.5 million consisted of outstanding principal of $250.0 million, accrued interest of $0.1 million, and a "make-whole" amount of approximately $20.4 million for the early extinguishment of debt. The unaccreted discount and unamortized costs on these notes of $1.1 million was written off upon redemption. In October 2020, the Company recognized a loss on early extinguishment of debt of approximately $21.5 million related to this redemption.
Operating Activities
Cash flows provided by operating activities increased from $90.7$158.5 million for the sixnine months ended JuneSeptember 30, 2019 to $105.2$411.6 million for the sixnine months ended JuneSeptember 30, 2020. Items impacting cash flows from operations include, but are not limited to, cash generated from property operations, interest payments and the timing related to the payment of invoices and other expenses. Also included in operating cash flows was approximately $244.4 million of proceeds from the dispositions of sale-type lease properties.
The Company may, from time to time, sell properties and redeploy cash from property sales into new investments. To the extent revenues related to the properties being sold exceed income from these new investments, the Company's results of operations and cash flows could be adversely affected.



22






Off-Balance Sheet Arrangements
The Company has no off-balance sheet arrangements that are reasonably likely to have a current or future material effect on the Company’s financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources.

New Accounting Pronouncements
See Note 1 to the Company's Condensed Consolidated Financial Statements accompanying this report for information on new accounting standards.
Trends and Matters Impacting Operating Results
Management monitors factors and trends important to the Company and the REIT industry to gauge the potential impact on the operations of the Company. In addition to the matters discussed in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019, below are some of the factors and trends that management believes may impact future operations of the Company.
COVID-19 Pandemic
For information on the ways that the COVID-19 pandemic is impacting the Company and its tenants, see "COVID-19 Update" above.
Expiring Leases
The Company expects that approximately 15% to 20% of the leases in its multi-tenanted portfolio will expire each year in the ordinary course of business. There are 407211 leases totaling 1.60.8 million square feet in the Company's multi-tenant portfolio that will expire during the remainder of 2020. Approximately 82%85% of the leases expiring in 2020 are in buildings located on or adjacent to hospital campuses, are distributed throughout the portfolio, and are not concentrated with any one tenant, health system or market area. The Company typically expects to retain 75% to 90% of multi-tenant property tenants upon expiration, and the retention ratio for the first sixnine months of the year has been within this range.
IncludedPreviously included in the 2020 lease expirations iswas a 111,000 square foot fitness center leased by Baylor Scott & White Health. The fitness center is located in a 217,000 square foot on-campus medical office building. A new operator, is expected to executeCowboys Fit, executed an approximately 14-year lease for a reconfigured 52,000 square foot fitness center. 


24


Baylor willhas executed a temporary lease at a reduced rental rate to continue to lease and operate the existing fitness center until the construction of the new center is complete.  Once the Baylor lease expires, the remaining 59,000 square feet is expected to be redeveloped into clinical space. In addition, the Company plans a redevelopment ofto upgrade the building including upgrading common areas, bathrooms, and the exterior of the building.
AlsoPreviously included in the 2020 lease expirations iswas the July 31 expiration of a 62,000 square foot office lease. A telecommunication company occupiesoccupied three floors of a 145,000 square foot office building and is expectedvacated upon expiration of the lease. The Company recognized revenue of approximately $0.1 million related to vacate.this lease in the third quarter of 2020. The Company intends to reposition the property, converting the vacated space from full floor to multi-tenant configurations. The Company has begun marketing the space and anticipates that releasing efforts will include subdividing the space for multiple users. The Company recognized revenue of approximately $0.4 million related to this lease in the second quarter of 2020.has executed a 10,000 square foot lease.
The Company had onean 83,000 square foot, single-tenant net leased, on-campus medical office building with a lease term that expired in the second quarter of 2020. The Company has been in discussions about a long-term lease renewal, but given the COVID-19 pandemic, executed a 6-month extension through December 31, 2020 to allow more time to finalize a long-term lease agreement.

Operating Expenses
The Company has historically experienced increases in property taxes throughout its portfolio as a result of increasing assessments and tax rates levied across the country. The Company continues its efforts to appeal property tax increases and manage the impact of the increases. In addition, the Company has historically incurred variability in portfolio utilities expense based on seasonality, with the first and third quarters usually reflecting greater amounts. The effects of these operating expense increases are mitigated in leases that have provisions for operating expense reimbursement. As of JuneSeptember 30, 2020, leases for 89% of the Company's multi-tenant leased square footage



23





allow for some recovery of operating expenses, with 31% having modified gross lease structures and 58% having net lease structures.
Purchase Options
Information about the Company's unexercised purchase options and the amount and basis for determination of the purchase price is detailed in the table below (dollars in thousands):
NUMBER OF PROPERTIESGROSS REAL ESTATE INVESTMENT AS OF SEPTEMBER 30, 2020
YEAR EXERCISABLEMOBINPATIENT
FAIR MARKET
VALUE METHOD 1
NON FAIR MARKET
VALUE METHOD 2
TOTAL
Current 3
$96,865 $— $96,865 
2021— — 14,984 14,984 
2022— — — — — 
2023— — — — — 
2024— — — — — 
2025— 48,165 19,459 67,624 
2026— — — — — 
2027— — — — — 
2028— 43,961 — 43,961 
2029— 26,494 — 26,494 
2030 and thereafter
— 101,118 — 101,118 
Total14 $316,603 $34,443 $351,046 
1The purchase option price includes a fair market value component that is determined by an appraisal process.
2Includes properties with stated purchase prices or prices based on fixed capitalization rates.
3These purchase options have been exercisable for an average of 12.1 years.


25


 NUMBER OF PROPERTIESGROSS REAL ESTATE INVESTMENT AS OF JUNE 30, 2020
YEAR EXERCISABLEMOB
INPATIENT
FAIR MARKET
VALUE METHOD 1

NON FAIR MARKET
VALUE METHOD 2

TOTAL
Current 3
3
1
$96,613
$
$96,613
20211


14,984
14,984
2022




2023




2024




20254

48,165
19,459
67,624
2026




2027




20281

43,957

43,957
20291

26,494

26,494
2030 and thereafter
4

100,718

100,718
Total14
1
$315,947
$34,443
$350,390

1The purchase option price includes a fair market value component that is determined by an appraisal process.
2Includes properties with stated purchase prices or prices based on fixed capitalization rates.
3These purchase options have been exercisable for an average of 11.9 years.

Non-GAAP Financial Measures and Key Performance Indicators
Management considers certain non-GAAP financial measures and key performance indicators to be useful supplemental measures of the Company's operating performance. A non-GAAP financial measure is generally defined as one that purports to measure financial performance, financial position or cash flows, but excludes or includes amounts that would not be so adjusted in the most comparable measure determined in accordance with GAAP. Set forth below are descriptions of the non-GAAP financial measures management considers relevant to the Company's business and useful to investors, as well as reconciliations of these measures to the most directly comparable GAAP financial measures.
The non-GAAP financial measures and key performance indicators presented herein are not necessarily identical to those presented by other real estate companies due to the fact that not all real estate companies use the same definitions. These measures should not be considered as alternatives to net income, as indicators of the Company's financial performance, or as alternatives to cash flow from operating activities as measures of the Company's liquidity, nor are these measures necessarily indicative of sufficient cash flow to fund all of the Company's needs. Management believes that in order to facilitate a clear understanding of the Company's historical consolidated operating results, these measures should be examined in conjunction with net income and cash flows from operations as presented in the Condensed Consolidated Financial Statements and other financial data included elsewhere in this Quarterly Report on Form 10-Q.

Funds from Operations ("FFO"), Normalized FFO and Funds Available for Distribution ("FAD")
FFO and FFO per share are operating performance measures adopted by the National Association of Real Estate Investment Trusts (“NAREIT”). NAREIT defines FFO as the most commonly accepted and reported measure of a REIT’s operating performance equal to “net income (computed in accordance with GAAP), excluding gains (or losses) from sales of property, plus depreciation and amortization, impairment, and after adjustments for unconsolidated partnerships and joint ventures.”



24





In addition to FFO, the Company presents Normalized FFO and FAD. Normalized FFO is presented by adding to FFO acquisition-related costs, acceleration of debt issuance costs, debt extinguishment costs and other Company-defined normalizing items to evaluate operating performance. FAD is presented by adding to Normalized FFO non-real estate depreciation and amortization, deferred financing fees amortization, stock-based compensation expense and provision for bad debts, net; and subtracting maintenance capital expenditures, including second generation tenant improvements and leasing commissions paid and straight-line rent income, net of expense. The Company's definition of these terms may not be comparable to that of other real estate companies as they may have different methodologies for computing these amounts. Normalized FFO and FAD should not be considered as an alternative to net income as an indicator of the Company's financial performance or to cash flow from operating activities as an indicator of the Company's liquidity. Normalized FFO and FAD should be reviewed in connection with GAAP financial measures.
Management believes FFO, Normalized FFO, FFO per share, Normalized FFO per share and FAD ("Non-GAAP Measures") provide an understanding of the operating performance of the Company’s properties without giving effect to certain significant non-cash items, primarily depreciation and amortization expense. Historical cost accounting for real estate assets in accordance with GAAP assumes that the value of real estate assets diminishes predictably over time. However, real estate values instead have historically risen or fallen with market conditions. The Company believes that by excluding the effect of depreciation, amortization, impairments and gains or losses from sales of real estate, all of which are based on historical costs and which may be of limited relevance in evaluating current performance, Non-GAAP Measures can facilitate comparisons of operating performance between periods. The Company reports Non-GAAP Measures because these measures are observed by management to also be the predominant measures used by the REIT industry and by industry analysts to evaluate REITs. For these reasons, management deems it appropriate to disclose and discuss these Non-GAAP Measures. However, none of these measures represent cash generated from operating activities determined in accordance with GAAP and are not necessarily indicative of cash available to fund cash needs. Further, these measures should not be considered as an alternative to net income as an indicator of the Company’s operating performance or as an alternative to cash flow from operating activities as a measure of liquidity. The table below reconciles net income to FFO, Normalized FFO and FAD for the three and sixnine months ended JuneSeptember 30, 2020 and 2019.



26
25



THREE MONTHS ENDED SEPTEMBER 30,NINE MONTHS ENDED SEPTEMBER 30,
Amounts in thousands, except per share data2020201920202019
Net income$8,230 $2,601 $88,058 $11,975 
(Gain) on sales of real estate assets(2,177)(200)(70,395)(5,065)
Impairment of real estate assets— — — 5,610 
Real estate depreciation and amortization48,295 45,926 145,564 133,993 
FFO attributable to common stockholders$54,348 $48,327 $163,227 $146,513 
Acquisition and pursuit costs 1
440 501 1,621 1,227 
Lease intangible amortization(35)694 143 
Accelerated Stock Awards— 2,854 — 2,854 
Debt financing costs— — — 760 
Normalized FFO attributable to common stockholders$54,753 $51,687 $165,542 $151,497 
Non-real estate depreciation and amortization785 838 2,430 2,430 
Non-cash interest expense amortization 2
934 727 2,715 2,136 
Provision for bad debt, net(144)(32)718 43 
Straight-line rent, net(535)(379)(1,577)(650)
Stock-based compensation 3
2,445 2,375 7,449 7,386 
Normalized FFO adjusted for non-cash items$58,238 $55,216 $177,277 $162,842 
2nd generation TI(5,323)(6,114)(17,368)(16,564)
Leasing commissions paid(1,999)(2,697)(7,081)(6,359)
Capital additions(4,580)(3,543)(12,827)(11,998)
FAD$46,336 $42,862 $140,001 $127,921 
FFO per common share - diluted$0.40 $0.37 $1.21 $1.15 
Normalized FFO per common share - diluted$0.41 $0.40 $1.23 $1.19 
FFO weighted average common shares outstanding - diluted 4
135,159 129,015 134,537 127,424 
1Acquisition and pursuit costs include third party and travel costs related to the pursuit of acquisitions and developments.
 THREE MONTHS ENDED JUNE 30,SIX MONTHS ENDED JUNE 30,
Amounts in thousands, except per share data2020
2019
2020
2019
Net income$75,513
$4,484
$79,828
$9,375
(Gain) on sales of real estate assets(68,267)(4,849)(68,218)(4,865)
Impairment of real estate assets
5,610

5,610
Real estate depreciation and amortization48,657
44,682
97,269
88,066
FFO attributable to common stockholders$55,903
$49,927
$108,879
$98,186
Acquisition and pursuit costs 1
431
422
1,181
726
Lease intangible amortization(16)54
729
138
Debt financing costs
760

760
Normalized FFO attributable to common stockholders$56,318
$51,163
$110,789
$99,810
Non-real estate depreciation and amortization822
829
1,645
1,592
Non-cash interest expense amortization 2
1,035
707
1,781
1,409
Provision for bad debt, net945
150
862
75
Straight-line rent, net(382)(1)(1,042)(271)
Stock-based compensation2,405
2,372
5,003
5,011
Normalized FFO adjusted for non-cash items$61,143
$55,220
$119,038
$107,626
2nd generation TI(6,005)(6,124)(12,045)(10,450)
Leasing commissions paid(2,258)(2,315)(5,082)(3,662)
Capital additions(4,777)(4,993)(8,247)(8,455)
FAD$48,103
$41,788
$93,664
$85,059
FFO per common share - diluted$0.42
$0.39
$0.81
$0.78
Normalized FFO per common share - diluted$0.42
$0.40
$0.83
$0.79
FFO weighted average common shares outstanding - diluted 3
134,464
128,279
134,221
126,615
2Includes the amortization of deferred financing costs, discounts and premiums.
1Acquisition and pursuit costs include third party and travel costs related to the pursuit of acquisitions and developments.
2Includes the amortization of deferred financing costs, discounts and premiums.
3The Company utilizes the treasury stock method which includes the dilutive effect of nonvested share-based awards outstanding of 767,760 and 800,255, respectively for the three and six months ended June 30, 2020.
3The Company's former Executive Chairman, David R. Emery, died on September 30, 2019 resulting in a $2.9 million charge for the acceleration of his outstanding nonvested share-based awards and associated taxes.
4The Company utilizes the treasury stock method which includes the dilutive effect of nonvested share-based awards outstanding of 801,382 and 800,370, respectively for the three and nine months ended September 30, 2020.

Cash NOI and Same Store Cash NOI
Cash NOI and Same Store Cash NOI are key performance indicators. Management considers these to be supplemental measures that allow investors, analysts and Company management to measure unlevered property-level operating results. The Company defines Cash NOI as rental income and property lease guaranty income less property operating expenses. Cash NOI excludes non-cash items such as above and below market lease intangibles, straight-line rent, lease inducements, tenant improvement amortization and leasing commission amortization. The Company also excludes cash lease termination fees. Cash NOI is historical and not necessarily indicative of future results.
Same Store Cash NOI compares Cash NOI for stabilized properties. Stabilized properties are properties that have been included in operations for the duration of the year-over-year comparison period presented and include redevelopment projects. Accordingly, stabilized properties exclude properties that were recently acquired or disposed of, properties classified as held for sale, reposition properties and newly developed properties. The Company utilizes the reposition classification for properties experiencing a shift in strategic direction. Such a shift can occur for a variety of reasons, including a substantial change in the use of the asset, a change in strategy or closure of a neighboring hospital, or significant property damage. Such properties may require enhanced management, leasing, capital needs or a disposition strategy that differs from the rest of the portfolio. To identify properties exhibiting these reposition characteristics, the Company applies the following Company-defined criteria:
Properties having less than 60% occupancy that is expected to last at least two quarters;
Properties that experience a loss of occupancy over 30% in a single quarter; or


27


Properties with negative net operating income that is expected to last at least two quarters.



26



Any recently acquired property will be included in the same store pool once the Company has owned the property for eight full quarters. Newly developed properties will be included in the same store pool eight full quarters after substantial completion. Any additional square footage created by redevelopment projects at a same store property is included in the same store pool immediately upon completion. Any property included in the reposition property group will be included in the same store analysis once occupancy has increased to 60% or greater with positive net operating income and has remained at that level for eight full quarters.
During the third quarter of 2020, the Company's reposition pool increased by one property to a total of 11 properties. Two properties were reclassified from reposition to held for sale, two properties were reclassified into reposition pursuant to the Company-defined criteria outlined above and one property that is undergoing a shift in strategic direction as a significant portion of the building is being repurposed from fitness space to clinical space was reclassified from same store to reposition . This 217,000 square foot on-campus medical office building included a 111,000 square foot fitness center previously leased by Baylor Scott & White Health. A new operator, Cowboys Fit, executed an approximately 14-year lease for a reconfigured 52,000 square foot fitness center.  Baylor has executed a temporary lease for the remaining 59,000 square feet at a reduced rental rate to continue to operate the existing fitness center until the construction of the new center is complete.  Once the Baylor lease expires, the remaining 59,000 square feet is expected to be redeveloped into clinical space. In addition, the Company plans to upgrade the common areas, bathrooms, and the exterior of the building.
The following table reflects the Company's same store cash NOI for the three months ended JuneSeptember 30, 2020 and 2019.
NUMBER OF PROPERTIES
GROSS INVESTMENT
at June 30, 2020

SAME STORE CASH NOI for the three months ended June 30,NUMBER OF PROPERTIESGROSS INVESTMENT
at September 30, 2020
SAME STORE CASH NOI for the three months ended September 30,
Dollars in thousands2020
2019
Dollars in thousands20202019
Multi-tenant properties161
$3,314,437
$58,998
$58,258
Multi-tenant properties156 $3,237,143 $57,663 $56,317 
Single-tenant net lease properties12
256,795
5,799
5,887
Single-tenant net lease properties12 257,229 6,033 5,870 
Total173
$3,571,232
$64,797
$64,145
Total168 $3,494,372 $63,696 $62,187 
The following tables reconcile net income to same store NOI and the same store property metrics to the total owned real estate portfolio for the three months ended JuneSeptember 30, 2020 and 2019:

Reconciliation of Same Store Cash NOI
THREE MONTHS ENDED SEPTEMBER 30,
Dollars in thousands20202019
Net income$8,230 $2,601 
Other income (expense)11,969 13,981 
General and administrative expense7,299 10,802 
Depreciation and amortization expense47,143 45,137 
Other expenses 1
2,737 2,462 
Straight-line rent revenue(915)(770)
Other revenue 2
(3,062)(1,726)
Cash NOI73,401 72,487 
Cash NOI not included in same store(9,705)(10,300)
Same store cash NOI63,696 62,187 
Reposition NOI1,358 1,660 
Same store and reposition cash NOI$65,054 $63,847 
1Includes acquisition and pursuit costs, bad debt, above and below market ground lease intangible amortization, leasing commission amortization and ground lease straight-line rent expense.
2Includes management fee income, interest, above and below market lease intangible amortization, lease inducement amortization, lease terminations and tenant improvement overage amortization.



28


 THREE MONTHS ENDED JUNE 30,
Dollars in thousands2020
2019
Net income$75,513
$4,484
Other income (expense)(53,959)15,354
General and administrative expense7,434
7,845
Depreciation and amortization expense47,691
43,926
Other expenses 1
2,185
1,965
Straight-line rent revenue(390)(8)
Other revenue 2
(3,213)(1,447)
Cash NOI75,261
72,119
Cash NOI not included in same store(10,464)(7,974)
Same store cash NOI64,797
64,145
Reposition NOI374
550
Same store and reposition cash NOI$65,171
$64,695

1Includes acquisition and pursuit costs, bad debt, above and below market ground lease intangible amortization, leasing commission amortization and ground lease straight-line rent expense.
2Includes management fee income, interest, above and below market lease intangible amortization, lease inducement amortization, lease terminations and tenant improvement overage amortization.

Reconciliation of Same Store Properties
AS OF SEPTEMBER 30, 2020
PROPERTY COUNTGROSS INVESTMENTSQUARE
FEET
OCCUPANCY
Same store properties168 $3,494,372 12,795,403 88.4 %
Acquisitions31 647,974 1,667,990 91.4 %
Development completions51,889 151,031 60.5 %
Reposition11 142,381 859,004 62.1 %
Total owned real estate properties211 $4,336,616 15,473,428 87.0 %
 AS OF JUNE 30, 2020
 PROPERTY COUNT
GROSS INVESTMENT
SQUARE
FEET

OCCUPANCY
Same store properties173
$3,571,232
13,330,771
88.4%
Acquisitions26
535,170
1,455,265
89.2%
Development completions1
51,677
151,031
60.5%
Reposition10
85,991
523,159
46.9%
Total owned real estate properties210
$4,244,070
15,460,226
86.8%
Results of Operations
Three Months Ended JuneSeptember 30, 2020 Compared to Three Months Ended JuneSeptember 30, 2019
The Company’s results of operations for the three months ended June 30, 2020 compared to the same period in 2019 were impacted by acquisitions, developments, dispositions, gains on sale, and capital markets transactions.



27



Revenues
Total revenues increased $7.4 million, or 6.3%, to approximately $123.7 million for the three months ended June 30, 2020 compared to $116.3 million in the prior year period. This increase is comprised of the following:
 THREE MONTHS ENDED JUNE 30,CHANGE
Dollars in thousands2020
2019
$
%
Property operating$111,076
$102,818
$8,258
8.0 %
Single-tenant net lease10,518
11,138
(620)(5.6)%
Straight-line rent764
395
369
93.4 %
Rental income122,358
114,351
8,007
7.0 %
Other operating1,332
1,966
(634)(32.2)%
Total revenues$123,690
$116,317
$7,373
6.3 %
Property operating revenue increased $8.3 million, or 8.0%, from the prior year period primarily as a result of the following activity:
Acquisitions in 2019 and 2020 and a development in 2020 contributed $8.4 million.
Leasing activity, including contractual rent increases, contributed $0.5 million.
Dispositions in 2019 resulted in a decrease of $0.6 million.
Single-tenant net lease revenue decreased $0.6 million, or 5.6%, from the prior year period primarily as a result of the following activity:
Dispositions in 2019 resulted in a decrease of $0.8 million.
Leasing activity contributed $0.2 million.
Straight-line rent revenue increased $0.4 million or 93.4% from the prior year primarily as a result of the following activity:
Acquisitions in 2019 and 2020 and a development in 2020 contributed $0.4 million.
Leasing, including contractual rent increases, contributed $0.1 million.
Dispositions in 2019 resulted in a decrease of $0.1 million.
Other operating income decreased $0.6 million or 32.2% from the prior year primarily due to a reduction in variable parking revenue.

Expenses
Property operating expenses increased $2.3 million, or 5.2%, for the three months ended June 30, 2020 compared to the prior year period primarily as a result of the following activity:
Acquisitions in 2019 and 2020 and a development in 2020 resulted in an increase of $3.6 million.
Increases in portfolio operating expenses as follows:
Portfolio property tax expense of $0.2 million;
Compensation related expenses of $0.2 million; and
Portfolio insurance expense of $0.2 million.
Maintenance and repair expense decreased $0.6 million.
Utilities expense decreased $0.6 million.
Administrative and legal fees decreased approximately $0.1 million.
Dispositions in 2019 resulted in a decrease of $0.6 million.
General and administrative expenses decreased approximately $0.4 million, or 5.2%, for the three months ended June 30, 2020 compared to the prior year period primarily due as a result of the following activity:



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Decrease in compensation expense of approximately $0.2 million.
Decrease in travel expense of $0.2 million.
Depreciation and amortization expense increased $3.8 million, or 8.6%, for the three months ended June 30, 2020 compared to the prior year period primarily as a result of the following activity:
Acquisitions in 2019 and 2020 and a development in 2020 resulted in an increase of $4.9 million.
Various building and tenant improvement expenditures resulted in an increase of $2.6 million.
Dispositions in 2019 resulted in a decrease of $0.7 million.
Assets that became fully depreciated resulted in a decrease of $3.0 million.

Other income (Expense)
Other income (expense) increased $69.3 million from the prior year mainly due to the following activity:
Gains on sale of real estate properties
Gains on sale of real estate properties totaling approximately $68.3 million and $4.8 million are associated with the two and four real estate properties during 2020 and 2019, respectively. The gain that was recognized in 2020 relates to the agreements to sell two properties which resulted in lease modifications requiring the Company to recognize the gain prior to sale. See Notes 2 and 3 to the Condensed Consolidated Financial Statements for additional disclosures of the sales-type leases.
Interest expense
Interest expense increased $0.6 million, or 4.3%, for the three months ended June 30, 2020 compared to the prior year period. The components of interest expense are as follows:
 THREE MONTHS ENDED JUNE 30,CHANGE
Dollars in thousands2020
2019
$
%
Contractual interest$13,453
$13,292
$161
1.2 %
Net discount/premium accretion204
51
153
300.0 %
Deferred financing costs amortization682
613
69
11.3 %
Interest rate swap amortization42
42

 %
Treasury hedge amortization107

107
 %
Interest cost capitalization(286)(344)58
(16.9)%
Right-of-use assets financing amortization240
196
44
22.4 %
Total interest expense$14,442
$13,850
$592
4.3 %
Contractual interest expense increased $0.2 million, or 1.2%, primarily due to the following activity:
The Senior Notes due 2030 accounted for an increase of $1.8 million.
The Term Loan due 2024 and the initial funding of the Term Loan due 2026, net of swaps, accounted for an increase of approximately $0.4 million.
The Unsecured Credit Facility principal and rate decreases accounted for a decrease of approximately $2.0 million.

Impairment of real estate assets
Impairment of real estate assets totaling approximately $5.6 million is associated with the sales of two real estate properties during 2019.

Interest and other income (expense)
In 2019, the Company expensed approximately $0.8 million of debt issuance costs as a result of the Term Loan modification.





29



Six Months Ended June 30, 2020 Compared to Six Months Ended June 30, 2019
The Company’s results of operations for the six months ended JuneSeptember 30, 2020 compared to the same period in 2019 were impacted by acquisitions, developments, dispositions, gains on sale, and capital markets transactions.
Revenues
Total revenues increased $19.5$5.5 million, or 8.5%4.6%, to approximately $248.5$125.3 million for the sixthree months ended JuneSeptember 30, 2020 compared to $229.0$119.8 million in the prior year period. This increase is comprised of the following:
SIX MONTHS ENDED JUNE 30,CHANGETHREE MONTHS ENDED SEPTEMBER 30,CHANGE
Dollars in thousands2020
2019
$
%
Dollars in thousands20202019$%
Property operating$222,223
$201,799
$20,424
10.1 %Property operating$114,921 $105,805 $9,116 8.6 %
Single-tenant net lease20,971
22,184
(1,213)(5.5)%Single-tenant net lease7,548 11,165 (3,617)(32.4)%
Straight-line rent1,807
1,063
744
70.0 %Straight-line rent915 770 145 18.8 %
Rental income245,001
225,046
19,955
8.9 %Rental income123,384 117,740 5,644 4.8 %
Other operating3,496
3,928
(432)(11.0)%Other operating1,868 2,059 (191)(9.3)%
Total revenues$248,497
$228,974
$19,523
8.5 %Total revenues$125,252 $119,799 $5,453 4.6 %
Property operating revenue increased $20.4$9.1 million, or 10.1%8.6%, from the prior year period primarily as a result of the following activity:
Acquisitions in 2019 and 2020 and acontributed $7.4 million.
A development completed in 2020 contributed $17.9$0.8 million.
Leasing activity, including contractual rent increases, contributed $4.1$1.4 million.
Dispositions in 2019 and 2020 resulted in a decrease of $1.6$0.5 million.
Single-tenant net lease revenue decreased $1.2$3.6 million, or 5.5%32.4%, from the prior year period primarily as a result of the following activity:
Dispositions in 2019 and 2020 resulted in a decrease of $1.5$3.8 million.
An acquisition in 2020 contributed $0.1 million.
Leasing activity including contractual increases, contributed $0.3$0.1 million.


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Straight-line rent revenue increased $0.7$0.1 million or 70.0%18.8% from the prior year period primarily due to acquisitionsas a result of the following activity:
Acquisitions in 2019 and 2020 and acontributed $0.4 million.
A development completed in 2020 totaling $0.9 million, partially offset by leasing activity andcontributed $0.1 million.
Leasing, including contractual rent increases, totaling $0.2resulted in a decrease of $0.3 million.
Dispositions in 2019 and 2020 resulted in a decrease of $0.1 million.
Other operating income decreased $0.4$0.2 million or 11.0%9.3% from the prior year period primarily due to a reduction in variable parking revenue.

Expenses
Property operating expenses increased $9.1$3.4 million, or 10.5%7.3%, for the sixthree months ended JuneSeptember 30, 2020 compared to the prior year period primarily as a result of the following activity:
Acquisitions in 2019 and 2020 and aresulted in an increase of $3.1 million.
A development completed in 2020 resulted in an increase of $7.8$0.2 million.
Increases in portfolio operating expenses as follows:
Portfolio property tax expense of $1.4$0.6 million;
Compensation relatedJanitorial expenses of $0.3$0.2 million; and
Portfolio insurance expense of $0.4 million;
Portfolio security expense of $0.3 million; and
Portfolio janitorial expense of $0.1 million.
Maintenance and repair expense decreased $0.3 million.
Utilities expense decreased $0.1 million.
Dispositions in 2019 and 2020 resulted in a decrease of $0.7$0.4 million.
Administrative and legal fees increased approximately $0.2 million.
Maintenance and repair expense resulted in a decrease of $0.2 million.
Increase in intangible amortization expense totaling $0.7 million.



30





Dispositions in 2019 resulted in a decrease of $1.2 million.
General and administrative expenses decreased approximately $0.2$3.5 million, or 1.0%32.4%, for the sixthree months ended June 30, 2020 compared to the prior year period primarily due to travel expense.
Depreciation and amortization expense increased $8.6 million, or 9.9%, for the six months ended JuneSeptember 30, 2020 compared to the prior year period primarily as a result of the following activity:
The Company's former Executive Chairman, David R. Emery, died on September 30, 2019 resulting in a $2.9 million charge for the three months ended September 30, 2019 because of the acceleration of his outstanding nonvested share-based awards and associated taxes.
Decrease in performance-based awards of approximately $0.2 million.
Decrease in travel expense of $0.4 million.
Depreciation and amortization expense increased $2.0 million, or 4.4%, for the three months ended September 30, 2020 compared to the prior year period primarily as a result of the following activity:
Acquisitions in 2019 and 2020 and a development in 2020 resulted in an increase of $11.0$4.2 million.
Various building and tenant improvement expenditures resulted in an increase of $5.3$2.8 million.
Dispositions in 2019 and 2020 resulted in a decrease of $2.2$1.6 million.
Assets that became fully depreciated resulted in a decrease of $5.5$3.4 million.

Other income (expense)
Other income (expense) increased $69.0 million from the prior year mainly due to the following activity:(Expense)
Gains on sale of real estate properties
GainsIn the third quarter of 2020, the Company recognized a gain of approximately $2.2 million on the sale of real estate properties totaling approximately $68.2 million and $4.9 million are associated withone property.
In the two and four real estate properties during 2020 andthird quarter of 2019, respectively. The gain that was recognized in 2020 relates to the agreements to sell two properties which resulted in lease modifications requiring the Company to recognizerecognized gains of approximately $0.2 million on the gain prior to sale. See Notes 2 and 3 to the Condensed Consolidated Financial Statements for additional disclosuressale of the sales-type leases.two properties.
Interest expense


30


Interest expense increased $1.0 million, or 3.5%,did not change significantly for the sixthree months ended JuneSeptember 30, 2020 compared to the prior year period. The components of interest expense are as follows:
SIX MONTHS ENDED JUNE 30,CHANGETHREE MONTHS ENDED SEPTEMBER 30,CHANGE
Dollars in thousands2020
2019
$
%
Dollars in thousands20202019$%
Contractual interest$26,850
$26,485
$365
1.4%Contractual interest$13,182 $13,605 $(423)(3.1)%
Net discount/premium accretion256
102
154
151.0%Net discount/premium accretion102 72 30 41.7 %
Deferred financing costs amortization1,319
1,222
97
7.9%Deferred financing costs amortization683 613 70 11.4 %
Interest rate swap amortization84
84

%Interest rate swap amortization42 42 — — %
Treasury hedge amortization122

122
%Treasury hedge amortization107 — 107 — %
Interest cost capitalization(706)(651)(55)8.4%Interest cost capitalization(207)(347)140 (40.3)%
Right-of-use assets financing amortization477
196
281
143.4%Right-of-use assets financing amortization245 196 49 25.0 %
Total interest expense$28,402
$27,438
$964
3.5%Total interest expense$14,154 $14,181 $(27)(0.2)%
Contractual interest expense increaseddecreased $0.4 million, or 1.4%3.1%, primarily due to the following activity:
The Senior Notes due 2030 accounted for an increase of approximately $2.1$1.8 million.
The Term Loan due 2024 and the initial funding of the Term Loan due 2026, net of swaps, accounted for an increase of approximately $0.8$0.4 million.
The Unsecured Credit Facility principal and rate decreases accounted for a decrease of approximately $2.3 million.
Mortgage note assumptions and repayments accounted for a net decrease of $0.3 million.

Nine Months Ended September 30, 2020 Compared to Nine Months Ended September 30, 2019
The Company’s results of operations for the nine months ended September 30, 2020 compared to the same period in 2019 were impacted by acquisitions, developments, dispositions, gains on sale, and capital markets transactions.
Revenues
Total revenues increased $25.0 million, or 7.2%, to approximately $373.7 million for the nine months ended September 30, 2020 compared to $348.8 million in the prior year period. This increase is comprised of the following:
NINE MONTHS ENDED SEPTEMBER 30,CHANGE
Dollars in thousands20202019$%
Property operating$337,144 $307,606 $29,538 9.6 %
Single-tenant net lease28,519 33,348 (4,829)(14.5)%
Straight-line rent2,722 1,833 889 48.5 %
Rental income368,385 342,787 25,598 7.5 %
Other operating5,364 5,987 (623)(10.4)%
Total revenues$373,749 $348,774 $24,975 7.2 %
Property operating revenue increased $29.5 million, or 9.6%, from the prior year period primarily as a result of the following activity:
Acquisitions in 2019 and 2020 contributed $24.5 million.
A development completed in 2020 contributed $1.6 million.
Leasing activity, including contractual rent increases, contributed $5.6 million.
Dispositions in 2019 and 2020 resulted in a decrease of $2.2 million.
Single-tenant net lease revenue decreased $4.8 million, or 14.5%, from the prior year period primarily as a result of the following activity:
Dispositions in 2019 and 2020 resulted in a decrease of $5.2 million.
Leasing activity, including contractual increases, contributed $0.4 million.


31


Straight-line rent revenue increased $0.9 million or 48.5% from the prior year period primarily due to acquisitions in 2019 and 2020 and a development in 2020 totaling $1.2 million, partially offset by 2019 and 2020 dispositions totaling $0.3 million.
Other operating income decreased $0.6 million or 10.4% from the prior year period primarily due to a reduction in variable parking revenue.
Expenses
Property operating expenses increased $12.5 million, or 9.4%, for the nine months ended September 30, 2020 compared to the prior year period primarily as a result of the following activity:
Acquisitions in 2019 and 2020 resulted in an increase of $10.8 million.
A development completed in 2020 resulted in an increase of $0.4 million.
Increases in portfolio operating expenses as follows:
Portfolio property tax expense of $1.9 million;
Compensation related expenses of $0.3 million;
Administration and legal fees of $0.3 million;
Portfolio insurance expense of $0.5 million;
Portfolio security expense of $0.3 million; and
Portfolio janitorial expense of $0.2 million.
Utilities expense resulted in a decrease of $0.6 million.
Maintenance and repair expense resulted in a decrease of $0.6 million.
Increase in intangible amortization expense totaling $0.7 million.
Dispositions in 2019 and 2020 resulted in a decrease of $1.7 million.
General and administrative expenses decreased approximately $3.7 million, or 13.5%, for the nine months ended September 30, 2020 compared to the prior year period primarily due to travel expense.
The Company's former Executive Chairman, David R. Emery, died on September 30, 2019 resulting in a $2.9 million charge for the nine months ended September 30, 2019 because of the acceleration of his outstanding nonvested share-based awards and associated taxes.
Decrease in incentive-based awards of approximately $0.6 million.
Decrease in travel expense of $0.6 million.
Increase in compensation expense of approximately $0.4 million.
Depreciation and amortization expense increased $10.6 million, or 8.1%, for the nine months ended September 30, 2020 compared to the prior year period primarily as a result of the following activity:
Acquisitions in 2019 and 2020 and a development in 2020 resulted in an increase of $15.3 million.
Various building and tenant improvement expenditures resulted in an increase of $7.8 million.
Dispositions in 2019 and 2020 resulted in a decrease of $3.7 million.
Assets that became fully depreciated resulted in a decrease of $8.8 million.

Other income (expense)
Gains on sale of real estate properties
Gains on sale of real estate properties totaling approximately $70.4 million and $5.1 million are associated with the three and six real estate properties during 2020 and 2019, respectively.
Interest expense


32


Interest expense increased $0.9 million, or 2.3%, for the nine months ended September 30, 2020 compared to the prior year period. The components of interest expense are as follows:
NINE MONTHS ENDED SEPTEMBER 30,CHANGE
Dollars in thousands20202019$%
Contractual interest$40,031 $40,091 $(60)(0.1)%
Net discount/premium accretion358 174 184 105.7 %
Deferred financing costs amortization2,003 1,835 168 9.2 %
Interest rate swap amortization126 126 — — %
Treasury hedge amortization229 — 229 — %
Interest cost capitalization(913)(999)86 (8.6)%
Right-of-use assets financing amortization722 392 330 84.2 %
Total interest expense$42,556 $41,619 $937 2.3 %
Contractual interest expense decreased $0.1 million, or 0.1%, primarily due to the following activity:
Senior Notes due 2030 accounted for an increase of approximately $3.9 million.
The Term Loan due 2024 and the initial funding of the Term Loan due 2026, net of swaps, accounted for an increase of approximately $1.2 million.
The Unsecured Credit Facility principal and rate decrease accounted for a decrease of approximately $2.4$4.7 million.
Mortgage notesnote assumptions and repayments accounted for a net decrease of $0.1$0.5 million.

Impairment of real estate assets
Impairment of real estate assets totaling approximately $5.6 million is associated with the sales of two real estate properties during 2019.
Interest and other income (expense)
In 2019, the Company expensed approximately $0.8 million of debt issuance costs as a result of the Term Loan modification.



31






Item 3. Quantitative and Qualitative Disclosures about Market Risk
The Company is exposed to market risk in the form of changing interest rates on its debt and mortgage notes. Management uses regular monitoring of market conditions and analysis techniques to manage this risk. During the sixnine months ended JuneSeptember 30, 2020, there were no material changes in the quantitative and qualitative disclosures about market risks presented in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019.

Item 4. Controls and Procedures
Disclosure Controls and Procedures
The Company’s management, with the participation of the Company’s Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of the Company’s disclosure controls and procedures (as such term is defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”)), as of the end of the period covered by this report. Based on this evaluation, the Company’s Chief Executive Officer and Chief Financial Officer have concluded that, as of the end of such period, the Company’s disclosure controls and procedures were effective in recording, processing, summarizing and reporting, on a timely basis, information required to be disclosed by the Company in the reports it files or submits under the Exchange Act.



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Changes in Internal Control over Financial Reporting
There have not been any changes in the Company’s internal control over financial reporting (as such term is defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) during the fiscal quarter to which this report relates that have materially affected, or are reasonably likely to materially affect, the Company’s internal control over financial reporting.



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PART II - OTHER INFORMATION
Item 1. Legal Proceedings
The Company is, from time to time, involved in litigation arising in the ordinary course of business. The Company is not aware of any pending or threatened litigation that, if resolved against the Company, would have a material adverse effect on the Company’s consolidated financial position, results of operations or cash flows.

Item 1A. Risk Factors
In addition to the other information set forth in this report, an investor should carefully consider the factors discussed in Part I, “Item 1A. Risk Factors” in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019, and the Company's quarterly reportreports on the Form 10-Q for the quarterquarters ended March 31, 2020 and June 30, 2020 which could materially affect the Company’s business, financial condition or future results. The risks, as described in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019, and the Company's quarterly reportreports on the Form 10-Q for the quarterquarters ended March 31, 2020 and June 30, 2020 are not the only risks facing the Company. Additional risks and uncertainties not currently known to management or that management currently deems immaterial also may materially, adversely affect the Company’s business, financial condition, operating results or cash flows.
The ongoing COVID-19 pandemic and measures intended to prevent its spread could have a material adverse effect on the Company's business, results of operations, cash flows and financial condition.
Since being reported in December 2019, COVID-19 has spread globally, including to every state in the United States. On March 11, 2020, the World Health Organization declared COVID-19 a pandemic, and on March 13, 2020, the United States declared a national emergency with respect to COVID-19.
The COVID-19 pandemic has had, and another pandemic in the future could have, repercussions across regional and global economies and financial markets. The outbreak of COVID-19 in many countries has significantly adversely impacted global economic activity and has contributed to significant volatility and negative pressure in financial markets. The global impact of the outbreak has been rapidly evolving and many countries, including the United States, have reacted by instituting quarantines, mandating business and school closures and restricting travel.
All of the states and cities in which the Company owns properties, manages properties, and/or has development or redevelopment projects instituted quarantines, restrictions on travel, “shelter in place” rules, restrictions on types of businesses that may continue to operate, and/or restrictions on the types of construction projects that may continue. As a result, a number of the Company's tenants temporarily closed their offices or clinical space or operated on a reduced basis in response to government requirements or recommendations. Many of these restrictions were lifted during the second quarter of 2020, but could be reimposed.
Through July 31,November 2, 2020, the Company has collected 97%more than 99% of second quarter 2020 aggregate tenant billings and has agreed to various forms of rent deferrals representing approximately 2% of secondthird quarter 2020 aggregate tenant billings. The tenantCompany has collected 96% of total scheduled deferral agreements require the deferred amounts to be repaidpayments in the third and fourth quartersquarter of 2020. TheIn addition, the Company has remaining various forms of rent deferrals outstanding representing approximately $1.2 million, or less than 1% of second and third quarter 2020 aggregate tenant deferral agreements require the amounts to be repaid in the third and fourth quarters of 2020.billings.
The COVID-19 pandemic has also caused, and is likely to continue to cause, severe economic, market and other disruptions worldwide. There can be no assurance that conditions in the bank lending, capital and other financial markets will not continue to deteriorate as a result of the pandemic, or that the Company's access to capital and other sources of funding will not become constrained, which could adversely affect the availability and terms of future borrowings, renewals or refinancings. In addition, the deterioration of economic conditions as a result of the pandemic may ultimately decrease occupancy levels and average rent per square foot across the Company's portfolio as tenants reduce or defer their spending.
The extent of the COVID-19 pandemic’s effect on the Company's operational and financial performance will depend on future developments, including the duration, spread and intensity of the outbreak, all of which are uncertain and difficult to predict. Due to the speed with which the situation is developing, the Company is not able at this time to estimate the effect of these factors on its business, but the adverse impact on the business, results of operations,


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financial condition and cash flows could be material. Moreover, many risk factors set forth in our Annual Report on



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Form 10-K for the year ended December 31, 2019 should be interpreted as heightened risks as a result of the impact of the COVID-19 pandemic.
Settlement provisions contained in a forward equity agreement could result in substantial dilution to the Company's earnings per share and return on equity or result in substantial cash payment obligations.
The Company has outstanding forward equity agreements and may enter into additional forward equity agreements in the future. Forward equity agreements typically provide that the relevant forward purchaser will have the right to accelerate that particular forward equity agreement (with respect to all or any portion of the transaction under that particular forward equity agreement that the relevant forward purchaser determines is affected by such event) and require us to settle on a date specified by the relevant forward purchaser if:
the relevant forward purchaser is unable to establish, maintain or unwind its hedge position with respect to that particular forward equity agreement;
a termination event occurs as a result of us declaring a dividend or distribution on our common stock with a cash value in excess of a specified amount per calendar quarter, or with an ex-dividend date prior to the anticipated ex-dividend date for such cash dividend;
an extraordinary event (as such term is defined in that particular forward equity agreement and which includes certain mergers and tender offers and the delisting of our common stock) occurs or our board of directors votes to approve or there is a public announcement of, in either case, any action that, if consummated, would constitute such an extraordinary event; or
certain other events of default, termination events, or other specified events occur, including, among other things, any material misrepresentation made by us in connection with entering into that particular forward equity agreement, or a nationalization, a bankruptcy termination event or a change in law (as such terms are defined in that particular forward equity agreement).
A forward purchaser’s decision to exercise its right to accelerate the settlement of a particular forward equity agreement will be made irrespective of the Company's need for capital. In such cases, we could be required to issue and deliver shares of common stock under the physical settlement provisions of that particular forward equity agreement or, if we so elect and the forward purchaser so permits our election, net share settlement provisions of that particular forward equity agreement irrespective of our capital needs, which would result in dilution to our earnings per share and return on equity.
We expect that settlement of any forward equity agreement will generally occur no later than the date specified in the particular forward equity agreement, which will generally be no later than twelve months following the trade date of that forward equity agreement. However, any forward equity agreement may be settled earlier than that specified date in whole or in part at our option. We expect that each forward equity agreement will be physically settled by delivery of shares of common stock unless we elect to cash settle or net share settle a particular forward equity agreement. Upon physical settlement or, if we so elect, net share settlement of a particular forward equity agreement, delivery of shares of common stock in connection with such physical settlement or net share settlement will result in dilution to our earnings per share and return on equity. If we elect cash settlement or net share settlement with respect to all or a portion of the shares of common stock underlying a particular forward equity agreement, we expect that the relevant forward purchaser (or an affiliate thereof) will purchase a number of shares of common stock necessary to satisfy its or its affiliate’s obligation to return the shares of common stock borrowed from third parties in connection with sales of shares of common stock under that forward equity agreement, adjusted in the case of net share settlement by any shares deliverable by or to us under the forward equity agreement. In addition, the purchase of shares of common stock in connection with the relevant forward purchaser or its affiliate unwinding its hedge positions could cause the price of shares of common stock to increase over such time (or prevent a decrease over such time), thereby increasing the amount of cash we would owe to the relevant forward purchaser (or decreasing the amount of cash that the relevant forward purchaser would owe us) upon a cash settlement of the relevant forward equity agreement or, in the event of net share settlement, increasing the number of shares of common stock we would deliver to the relevant forward purchaser (or decreasing the number of shares of common stock that the relevant forward purchaser would deliver to us).



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The forward equity price that we expect to receive upon physical settlement of a particular forward equity agreement will be subject to adjustment on a daily basis based on a floating interest rate factor equal to a specified daily rate less a spread and will be decreased based on amounts related to expected dividends on shares of common stock during the term of the particular forward equity agreement. If the specified daily rate is less than the spread on any day, the interest factor will result in a daily reduction of the applicable forward equity price. If the market value of shares of common stock, determined in accordance with the terms of the relevant forward equity agreement, during the relevant valuation period under the particular forward equity agreement is above the applicable forward equity price, in the case of cash settlement, we would pay the relevant forward purchaser under that particular forward equity agreement an amount in cash equal to the difference or, in the case of net share settlement, we would deliver to the relevant forward purchaser a number of shares of common stock having a value, determined in accordance with the terms of the relevant forward equity agreement, equal to the difference. Thus, we could be responsible for a potentially substantial cash payment in the case of cash settlement of a particular forward equity agreement. If the market value of the Company’s common stock, determined in accordance with the terms of the relevant forward equity agreement, during the relevant valuation period under that particular forward equity agreement is below the applicable forward equity price, in the case of cash settlement, we would be paid the difference in cash by the relevant forward purchaser under that particular forward equity agreement or, in the case of net share settlement, we would receive from the relevant forward purchaser a number of shares of common stock having a value equal to the difference.
The U.S. federal income tax treatment of the cash that we might receive from cash settlement of a forward equity agreement is unclear and could jeopardize the Company's ability to meet the REIT qualification requirements.
In the event that we elect to settle any forward equity agreement for cash and the settlement price is below the applicable forward equity price, we would be entitled to receive a cash payment from the relevant forward purchaser. Under Section 1032 of the Internal Revenue Code of 1986, as amended (the "Code"), generally, no gains and losses are recognized by a corporation in dealing in its own shares, including pursuant to a "securities futures contract" (as defined in the Code, by reference to the Securities Exchange Act of 1934, as amended). Although we believe that any amount received by us in exchange for our stock would qualify for the exemption under Section 1032 of the Code, because it is not entirely clear whether a forward equity agreement qualifies as a "securities futures contract," the U.S. federal income tax treatment of any cash settlement payment we receive is uncertain. In the event that we recognize a significant gain from the cash settlement of a forward equity agreement, we might be unable to satisfy the gross income requirements applicable to REITs under the Code. In that case, we may be able to rely upon the relief provisions under the Code in order to avoid the loss of our REIT status. Even if the relief provisions apply, we will be subject to a 100% tax on the greater of (i) the excess of 75% of our gross income (excluding gross income from prohibited transactions) over the amount of such income attributable to sources that qualify under the 75% test or (ii) the excess of 95% of our gross income (excluding gross income from prohibited transactions) over the amount of such gross income attributable to sources that qualify under the 95% test, multiplied in either case by a fraction intended to reflect our profitability. In the event that these relief provisions were not available, we could lose our REIT status under the Code.
In case of our bankruptcy or insolvency, any forward equity agreements will automatically terminate, and we would not receive the expected proceeds from any forward sale of shares of the Company’s common stock.
If we file for or consent to a proceeding seeking a judgment in bankruptcy or insolvency or any other relief under any bankruptcy or insolvency law or other similar law affecting creditors’ rights, or we or a regulatory authority with jurisdiction over us presents a petition for our winding-up or liquidation, and we consent to such a petition, any forward equity agreements that are then in effect will automatically terminate. If any such forward equity agreement so terminates under these circumstances, we would not be obligated to deliver to the relevant forward purchaser any shares of common stock not previously delivered, and the relevant forward purchaser would be discharged from its obligation to pay the applicable forward equity price per share in respect of any shares of common stock not previously settled under the applicable forward equity agreement. Therefore, to the extent that there are any shares of common stock with respect to which any forward equity agreement has not been settled at the time of the commencement of any such bankruptcy or insolvency proceedings, we would not receive the relevant forward equity price per share in respect of those shares of common stock.




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Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
Authorized Repurchases of Equity Securities by the Issuer
On May 5, 2020, the Company’s Board of Directors authorized the repurchase of up to $50 million of outstanding shares of the Company’s common stock either in the open market or through privately negotiated transactions, subject to market conditions, regulatory constraints, and other customary conditions. The Company is not obligated under this authorization to repurchase any specific number of shares. This authorization supersedes all previous stock repurchase authorizations. As of the date of this report, the Company has not repurchased any shares of its common stock under this authorization.



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Item 6. Exhibits
EXHIBITDESCRIPTION
Exhibit 4.1
Specimen Stock Certificate 2
Exhibit 4.9
Exhibit 4.10
Exhibit 4.11
Exhibit 4.12
Exhibit 101.INSThe instance document does not appear in the interactive data file because its XBRL tags are embedded within the Inline XBRL document.
Exhibit 101.SCHXBRL Taxonomy Extension Schema Document (furnished electronically herewith)
Exhibit 101.CALXBRL Taxonomy Extension Calculation Linkbase Document (furnished electronically herewith)
Exhibit 101.LABXBRL Taxonomy Extension Labels Linkbase Document (furnished electronically herewith)
Exhibit 101.DEFXBRL Taxonomy Extension Definition Linkbase Document (furnished electronically herewith)
Exhibit 101.PREXBRL Taxonomy Extension Presentation Linkbase Document (furnished electronically herewith)
1Filed as an exhibit to the Company's Annual Report on Form 10-K for the year ended December 31, 2018 filed February 13, 2019 and hereby incorporated by reference.

1Filed as an exhibit to the Company's Annual Report on Form 10-K for the year ended December 31, 2018 filed February 13, 2019 and hereby incorporated by reference.
2Filed as an exhibit to the Company’s Registration Statement on Form S-11 (Registration No. 33-60506) filed April 2, 1993 and hereby incorporated by reference.
3Filed as an exhibit to the Company's Current Report on Form 8-K filed May 17, 2001 and hereby incorporated by reference.
4Filed as an exhibit to the Company's Current Report on Form 8-K filed March 26, 2013 and hereby incorporated by reference.
5Filed as an exhibit to the Company's Current Report on Form 8-K filed April 24, 2015 and hereby incorporated by reference.
6Filed as an exhibit to the Company’s Current Report on Form 8-K filed December 11, 2017 and hereby incorporated by reference.
7Filed as an exhibit to the Company's Current Report on Form 8-K filed March 18, 2020 and hereby incorporated by reference.
8Filed as an exhibit to the Company's Current Report on Form 8-K filed October 2, 2020 and hereby incorporated by reference.


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2Filed as an exhibit to the Company’s Registration Statement on Form S-11 (Registration No. 33-60506) filed April 2, 1993 and hereby incorporated by reference.
3Filed as an exhibit to the Company's Current Report on Form 8-K filed May 17, 2001 and hereby incorporated by reference.
4Filed as an exhibit to the Company's Current Report on Form 8-K filed March 26, 2013 and hereby incorporated by reference.
5Filed as an exhibit to the Company's Current Report on Form 8-K filed April 24, 2015 and hereby incorporated by reference.
6Filed as an exhibit to the Company’s Current Report on Form 8-K filed December 11, 2017 and hereby incorporated by reference.
7Filed as an exhibit to the Company's Current Report on Form 8-K filed March 18, 2020 and hereby incorporated by reference.
8Filed as an exhibit to the Company's Annual Report on Form 10-K filed February 12, 2020 and hereby incorporated by reference.



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SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
HEALTHCARE REALTY TRUST INCORPORATED
HEALTHCARE REALTY TRUST INCORPORATED
By:
By:/s/ J. CHRISTOPHER DOUGLAS
J. Christopher Douglas
Executive Vice President and Chief Financial Officer
August 5,November 4, 2020



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