UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
_________________________
FORM 10-Q
xQUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended March 31,September 30, 2018
or
¨TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from            to            
Commission File Number: 001-35568 (Healthcare Trust of America, Inc.)
Commission File Number: 333-190916 (Healthcare Trust of America Holdings, LP)
_________________________ 
HEALTHCARE TRUST OF AMERICA, INC.
HEALTHCARE TRUST OF AMERICA HOLDINGS, LP
(Exact name of registrant as specified in its charter)
Maryland (Healthcare Trust of America, Inc.) 20-4738467
Delaware (Healthcare Trust of America Holdings, LP) 20-4738347
(State or other jurisdiction of
incorporation or organization)
 
(I.R.S. Employer
Identification No.)
16435 N. Scottsdale Road, Suite 320
Scottsdale, Arizona 85254
(Address of principal executive offices)
(480) 998-3478
(Registrant’s telephone number, including area code)
N/A
(Former name, former address and former fiscal year, if changed since last report)
http://www.htareit.com
(Internet address)
Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Sections 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    
Healthcare Trust of America, Inc.
x Yes
¨ No
 
Healthcare Trust of America Holdings, LP
x Yes
¨ No
 
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Website, if any, every Interactive Data File required to be submitted and posted 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 and post such files).    
Healthcare Trust of America, Inc.
x Yes
¨ No
 
Healthcare Trust of America Holdings, LP
x 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.
Healthcare Trust of America, Inc.
Large-accelerated filer x
Accelerated filer ¨
Non-accelerated filer ¨
Smaller reporting company ¨
Emerging growth company ¨
   (Do not check if a smaller reporting company)  
Healthcare Trust of America Holdings, LP
Large-accelerated filer ¨
Accelerated filer ¨
Non-accelerated filer x
Smaller reporting company ¨
Emerging growth company ¨
   (Do not check if a smaller reporting 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.
Healthcare Trust of America, Inc.¨  
Healthcare Trust of America Holdings, LP¨  
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    
Healthcare Trust of America, Inc.
¨ Yes
x No
 
Healthcare Trust of America Holdings, LP
¨ Yes
x No
 
As of April 25,October 22, 2018, there were 205,184,578206,940,894 shares of Class A common stock of Healthcare Trust of America, Inc. outstanding.
 

Explanatory Note
This quarterly report combines the Quarterly Reports on Form 10-Q (“Quarterly Report”) for the quarter ended March 31,September 30, 2018, of Healthcare Trust of America, Inc. (“HTA”), a Maryland corporation, and Healthcare Trust of America Holdings, LP (“HTALP”), a Delaware limited partnership. Unless otherwise indicated or unless the context requires otherwise, all references in this Quarterly Report to “we,” “us,” “our,” “the Company” or “our Company” refer to HTA and HTALP, collectively, and all references to “common stock” shall refer to the Class A common stock of HTA.
HTA operates as a real estate investment trust (“REIT”) and is the general partner of HTALP. As of March 31,September 30, 2018, HTA owned a 98.1% partnership interest in HTALP, and other limited partners, including some of HTA’s directors, executive officers and their affiliates, owned the remaining partnership interest (including the long-term incentive plan (“LTIP” Units)) in HTALP. As the sole general partner of HTALP, HTA has the full, exclusive and complete responsibility for HTALP’s day-to-day management and control, including its compliance with the Securities and Exchange Commission (“SEC”) filing requirements.
We believe it is important to understand the few differences between HTA and HTALP in the context of how we operate as an integrated consolidated company. HTA operates as an umbrella partnership REIT structure in which HTALP and its subsidiaries hold substantially all of the assets. HTA’s only material asset is its ownership of partnership interests of HTALP. As a result, HTA does not conduct business itself, other than acting as the sole general partner of HTALP, issuing public equity from time to time and guaranteeing certain debts of HTALP. HTALP conducts the operations of the business and issues publicly-traded debt, but has no publicly-traded equity. Except for net proceeds from public equity issuances by HTA, which are generally contributed to HTALP in exchange for partnership units of HTALP, HTALP generates the capital required for the business through its operations and by direct or indirect incurrence of indebtedness or through the issuance of its partnership units (“OP Units”).
Noncontrolling interests, stockholders’ equity and partners’ capital are the primary areas of difference between the condensed consolidated financial statements of HTA and HTALP. Limited partnership units in HTALP are accounted for as partners’ capital in HTALP’s condensed consolidated balance sheets and as a noncontrolling interest reflected within equity in HTA’s condensed consolidated balance sheets. The differences between HTA’s stockholders’ equity and HTALP’s partners’ capital are due to the differences in the equity issued by HTA and HTALP, respectively.
We believe combining the Quarterly Reports of HTA and HTALP, including the notes to the condensed consolidated financial statements, into this single Quarterly Report results in the following benefits:
enhances stockholders’ understanding of HTA and HTALP by enabling stockholders to view the business as a whole in the same manner that management views and operates the business;
eliminates duplicative disclosure and provides a more streamlined and readable presentation since a substantial portion of the disclosure in this Quarterly Report applies to both HTA and HTALP; and
creates time and cost efficiencies through the preparation of a single combined Quarterly Report instead of two separate Quarterly Reports.
In order to highlight the material differences between HTA and HTALP, this Quarterly Report includes sections that separately present and discuss areas that are materially different between HTA and HTALP, including:
the condensed consolidated financial statements;
certain accompanying notes to the condensed consolidated financial statements, including Note 7 - Debt, Note 1011 - Stockholders’ Equity and Partners’ Capital, Note 1213 - Per Share Data of HTA, and Note 1314 - Per Unit Data of HTALP;
As defined by the National Association of Real Estate Investment Trusts (“NAREIT”), the Funds From Operations (“FFO”) and Normalized FFO in Part 1, Item 2 of this Quarterly Report;
the Controls and Procedures in Part 1, Item 4 of this Quarterly Report; and
the Certifications of the Chief Executive Officer and the Chief Financial Officer included as Exhibits 31 and 32 to this Quarterly Report.
In the sections of this Quarterly Report that combine disclosure for HTA and HTALP, this Quarterly Report refers to actions or holdings as being actions or holdings of the Company. Although HTALP (directly or indirectly through one of its subsidiaries) is generally the entity that enters into contracts, holds assets and issues or incurs debt, management believes this presentation is appropriate for the reasons set forth above and because the business of the Company is a single integrated enterprise operated through HTALP.

2



HEALTHCARE TRUST OF AMERICA, INC. AND
HEALTHCARE TRUST OF AMERICA HOLDINGS, LP
TABLE OF CONTENTS
 
  Page
Healthcare Trust of America, Inc. 
 
 
 
 
 
Healthcare Trust of America Holdings, LP 
 
 
 
 
 
Notes for Healthcare Trust of America, Inc. and Healthcare Trust of America Holdings, LP 
 
   
   
 






3


Table of Contents

PART I - FINANCIAL INFORMATION
Item 1. Financial Statements (Unaudited)
HEALTHCARE TRUST OF AMERICA, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(In thousands, except for share and per share data)
(Unaudited)
 March 31, 2018 December 31, 2017 September 30, 2018 December 31, 2017
ASSETS        
Real estate investments:        
Land $486,403
 $485,319
 $483,541
 $485,319
Building and improvements 5,851,437
 5,830,824
 5,743,439
 5,830,824
Lease intangibles 638,103
 639,199
 604,215
 639,199
Construction in progress 24,559
 14,223
 27,273
 14,223
 7,000,502
 6,969,565
 6,858,468
 6,969,565
Accumulated depreciation and amortization (1,087,262) (1,021,691) (1,151,490) (1,021,691)
Real estate investments, net 5,913,240
 5,947,874
 5,706,978
 5,947,874
Investment in unconsolidated joint venture 69,147
 68,577
 67,592
 68,577
Cash and cash equivalents 56,243
 100,356
 225,518
 100,356
Restricted cash 12,695
 18,204
 14,639
 18,204
Receivables and other assets, net 203,686
 207,857
 213,482
 207,857
Other intangibles, net 104,824
 106,714
 100,475
 106,714
Total assets $6,359,835
 $6,449,582
 $6,328,684
 $6,449,582
LIABILITIES AND EQUITY        
Liabilities:        
Debt $2,780,291
 $2,781,031
 $2,609,659
 $2,781,031
Accounts payable and accrued liabilities 134,574
 167,852
 160,246
 167,852
Derivative financial instruments - interest rate swaps 742
 1,089
 
 1,089
Security deposits, prepaid rent and other liabilities 59,530
 61,222
 55,753
 61,222
Intangible liabilities, net 66,665
 68,203
 62,887
 68,203
Total liabilities 3,041,802
 3,079,397
 2,888,545
 3,079,397
Commitments and contingencies 
 
 
 
Redeemable noncontrolling interests 6,770
 6,737
 6,610
 6,737
Equity:        
Preferred stock, $0.01 par value; 200,000,000 shares authorized; none issued and outstanding 
 
 
 
Class A common stock, $0.01 par value; 1,000,000,000 shares authorized; 205,179,776 and 204,892,118 shares issued and outstanding as of March 31, 2018 and December 31, 2017, respectively 2,052
 2,049
Class A common stock, $0.01 par value; 1,000,000,000 shares authorized; 207,231,171 and 204,892,118 shares issued and outstanding as of September 30, 2018 and December 31, 2017, respectively 2,072
 2,049
Additional paid-in capital 4,511,736
 4,508,528
 4,574,913
 4,508,528
Accumulated other comprehensive loss 1,157
 274
Accumulated other comprehensive income 648
 274
Cumulative dividends in excess of earnings (1,284,826) (1,232,069) (1,224,006) (1,232,069)
Total stockholders’ equity 3,230,119
 3,278,782
 3,353,627
 3,278,782
Noncontrolling interests 81,144
 84,666
 79,902
 84,666
Total equity 3,311,263
 3,363,448
 3,433,529
 3,363,448
Total liabilities and equity $6,359,835
 $6,449,582
 $6,328,684
 $6,449,582
        
The accompanying notes are an integral part of these condensed consolidated financial statements.

4


Table of Contents

HEALTHCARE TRUST OF AMERICA, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands, except for per share data)
(Unaudited)
Three Months Ended March 31,Three Months Ended September 30, Nine Months Ended September 30,
2018 20172018 2017 2018 2017
Revenues:          
Rental income$175,567
 $123,993
$175,038
 $175,431
 $523,826
 $438,949
Interest and other operating income94
 354
97
 563
 302
 1,271
Total revenues175,661
 124,347
175,135
 175,994
 524,128

440,220
Expenses:          
Rental56,022
 39,020
55,789
 56,331
 165,364
 138,874
General and administrative8,786
 8,423
8,770
 8,283
 26,281
 25,178
Transaction191
 284
346
 261
 933
 5,618
Depreciation and amortization70,392
 47,056
70,568
 70,491
 210,064
 172,900
Impairment4,606
 
4,281
 
 8,887
 5,093
Total expenses139,997
 94,783
139,754
 135,366
 411,529
 347,663
Income before other income (expense)35,664
 29,564
35,381
 40,628
 112,599
 92,557
Interest expense:   
Interest income (expense):       
Interest related to derivative financial instruments(58) (324)169
 (264) 297
 (827)
Gain on change in fair value of derivative financial instruments, net
 839

 
 
 884
Total interest related to derivative financial instruments, including net change in fair value of derivative financial instruments(58) 515
169
 (264) 297
 57
Interest related to debt(26,195) (16,058)(25,003) (25,924) (77,689) (59,688)
Gain on sale of real estate, net
 3
166,372
 
 166,372
 3
Loss on extinguishment of debt, net
 (32)(1,092) (774) (1,092) (11,192)
Income from unconsolidated joint venture570
 
432
 318
 1,405
 381
Other income35
 8
Other income (expense)89
 (27) 129
 (13)
Net income$10,016
 $14,000
$176,348
 $13,957
 $202,021
 $22,105
Net income attributable to noncontrolling interests (1)
(214) (455)(3,362) (194) (3,887) (715)
Net income attributable to common stockholders$9,802
 $13,545
$172,986
 $13,763
 $198,134
 $21,390
Earnings per common share - basic:          
Net income attributable to common stockholders$0.05
 $0.10
$0.83
 $0.07
 $0.96
 $0.12
Earnings per common share - diluted:          
Net income attributable to common stockholders$0.05
 $0.09
$0.82
 $0.07
 $0.94
 $0.12
Weighted average common shares outstanding:          
Basic205,069
 141,780
207,513
 200,674
 205,950
 173,189
Diluted209,177
 146,117
211,444
 204,795
 209,968
 177,410
Dividends declared per common share$0.305
 $0.300
$0.310
 $0.305
 $0.920
 $0.905
          
(1) Includes amounts attributable to redeemable noncontrolling interests.(1) Includes amounts attributable to redeemable noncontrolling interests.(1) Includes amounts attributable to redeemable noncontrolling interests.    
The accompanying notes are an integral part of these condensed consolidated financial statements.

5


Table of Contents

HEALTHCARE TRUST OF AMERICA, INC.
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
(In thousands)
(Unaudited)
Three Months Ended March 31,Three Months Ended September 30, Nine Months Ended September 30,
2018 20172018 2017 2018 2017
          
Net income$10,016
 $14,000
$176,348
 $13,957
 $202,021
 $22,105
          
Other comprehensive gain (loss)   
Change in unrealized gains (losses) on cash flow hedges900
 (88)
Total other comprehensive gain (loss)900
 (88)
Other comprehensive (loss) income       
Change in unrealized (losses) gains on cash flow hedges(732) 205
 382
 (631)
Total other comprehensive (loss) income(732) 205
 382
 (631)
          
Total comprehensive income10,916
 13,912
175,616
 14,162
 202,403
 21,474
Comprehensive income attributable to noncontrolling interests(198) (422)(3,331) (170) (3,830) (619)
Total comprehensive income attributable to common stockholders$10,718
 $13,490
$172,285
 $13,992
 $198,573
 $20,855
The accompanying notes are an integral part of these condensed consolidated financial statements.


6


Table of Contents

HEALTHCARE TRUST OF AMERICA, INC.
CONDENSED CONSOLIDATED STATEMENTS OF EQUITY
(In thousands)
(Unaudited)
Class A Common Stock Additional Paid-In Capital Accumulated Other Comprehensive Gain (Loss) Cumulative Dividends in Excess of Earnings Total Stockholders’ Equity Noncontrolling Interests Total EquityClass A Common Stock Additional Paid-In Capital Accumulated Other Comprehensive Income (Loss) Cumulative Dividends in Excess of Earnings Total Stockholders’ Equity Noncontrolling Interests Total Equity
Shares AmountShares Amount
Balance as of December 31, 2016141,719
 $1,417
 $2,754,818
 $
 $(1,068,961) $1,687,274
 $93,143
 $1,780,417
141,719
 $1,417
 $2,754,818
 $
 $(1,068,961) $1,687,274
 $93,143
 $1,780,417
Issuance of operating partnership units in connection with an acquisition
 
 
 
 
 
 610
 610
Share-based award transactions, net213
 2
 2,528
 
 
 2,530
 
 2,530
Repurchase and cancellation of common stock(107) (1) (3,117) 
 
 (3,118) 
 (3,118)
Dividends declared
 
 
 
 (43,145) (43,145) (1,321) (44,466)
Net income
 
 
 
 13,545
 13,545
 425
 13,970
Other comprehensive loss
 
 
 (85) 
 (85) (3) (88)
Balance as of March 31, 2017141,825
 $1,418
 $2,754,229
 $(85) $(1,098,561) $1,657,001
 $92,854
 $1,749,855
               
Balance as of December 31, 2017204,892
 $2,049
 $4,508,528
 $274
 $(1,232,069) $3,278,782
 $84,666
 $3,363,448
Issuance of common stock in HTA58,623
 586
 1,623,636
 
 
 1,624,222
 
 1,624,222
Issuance of operating partnership units in HTALP in connection with an acquisition
 
 
 
 
 
 610
 610
Share-based award transactions, net289
 3
 3,504
 
 
 3,507
 
 3,507
234
 3
 5,490
 
 
 5,493
 
 5,493
Repurchase and cancellation of common stock(92) (1) (2,708) 
 
 (2,709) 
 (2,709)(116) (1) (3,412) 
 
 (3,413) 
 (3,413)
Redemption of noncontrolling interest and other91
 1
 2,412
 
 
 2,413
 (2,413) 
227
 2
 5,692
 
 
 5,694
 (5,694) 
Dividends declared
 
 
 
 (62,559) (62,559) (1,307) (63,866)
 
 
 
 (164,480) (164,480) (3,936) (168,416)
Net income
 
 
 
 9,802
 9,802
 181
 9,983

 
 
 
 21,390
 21,390
 635
 22,025
Other comprehensive gain
 
 
 883
 
 883
 17
 900
Balance as of March 31, 2018205,180
 $2,052
 $4,511,736
 $1,157
 $(1,284,826) $3,230,119
 $81,144
 $3,311,263
Other comprehensive loss
 
 
 (615) 
 (615) (16) (631)
Balance as of September 30, 2017200,687
 $2,007
 $4,386,224
 $(615) $(1,212,051) $3,175,565
 $84,742
 $3,260,307
               
Balance as of December 31, 2017204,892
 $2,049
 $4,508,528
 $274
 $(1,232,069) $3,278,782
 $84,666
 $3,363,448
Issuance of common stock in HTA2,550
 25
 72,789
 
 
 72,814
 
 72,814
Share-based award transactions, net323
 3
 7,827
 
 
 7,830
 411
 8,241
Repurchase and cancellation of common stock(729) (7) (19,424) 
 
 (19,431) 
 (19,431)
Redemption of noncontrolling interest and other195
 2
 5,193
 
 
 5,195
 (5,195) 
Dividends declared
 
 
 
 (190,071) (190,071) (3,810) (193,881)
Net income
 
 
 
 198,134
 198,134
 3,822
 201,956
Other comprehensive income
 
 
 374
 
 374
 8
 382
Balance as of September 30, 2018207,231
 $2,072
 $4,574,913
 $648
 $(1,224,006) $3,353,627
 $79,902
 $3,433,529
The accompanying notes are an integral part of these condensed consolidated financial statements.

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Table of Contents

HEALTHCARE TRUST OF AMERICA, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)
(Unaudited)
Three Months Ended March 31,Nine Months Ended September 30,
2018 20172018 2017
Cash flows from operating activities:      
Net income$10,016
 $14,000
$202,021
 $22,105
Adjustments to reconcile net income to net cash provided by operating activities:      
Depreciation, amortization and other68,303
 46,213
203,550
 169,057
Share-based compensation expense3,507
 2,530
7,830
 5,493
Bad debt expense3
 103
Impairment4,606
 
8,887
 5,093
Income from unconsolidated joint venture(570) 
(1,405) (381)
Distributions from unconsolidated joint venture1,680
 
Gain on sale of real estate, net
 (3)(166,372) (3)
Loss on extinguishment of debt, net
 32
1,092
 11,192
Change in fair value of derivative financial instruments
 (839)
 (884)
Changes in operating assets and liabilities:      
Receivables and other assets, net9,274
 (7,771)(7,820) (19,854)
Accounts payable and accrued liabilities(30,780) (7,934)(5,932) 29,566
Prepaid rent and other liabilities(3,479) 682
(2,780) 7,158
Net cash provided by operating activities60,880
 47,013
240,751
 228,542
Cash flows from investing activities:      
Investments in real estate(11,887) (34,706)(17,389) (2,357,570)
Investment in unconsolidated joint venture
 (68,839)
Development of real estate(13,235) 
(29,593) (19,163)
Proceeds from the sale of real estate
 4,746
302,440
 4,746
Capital expenditures(17,417) (12,894)(61,136) (42,990)
Collection of real estate notes receivable172
 
524
 
Net cash used in investing activities(42,367) (42,854)
Net cash provided by (used in) investing activities194,846
 (2,483,816)
Cash flows from financing activities:      
Borrowings on unsecured revolving credit facility
 92,000
145,000
 515,000
Payments on unsecured revolving credit facility
 (10,000)(145,000) (528,000)
Proceeds from unsecured senior notes
 900,000
Payments on secured mortgage loans(1,598) (40,155)(173,212) (75,444)
Deferred financing costs(782) (16,902)
Debt extinguishment costs(1,909) (10,391)
Security deposits52
 14
499
 1,932
Proceeds from issuance of common stock72,814
 1,624,222
Issuance of operating partnership units411
 
Repurchase and cancellation of common stock(2,709) (3,118)(19,431) (3,413)
Dividends paid(62,546) (42,536)(188,414) (145,877)
Distributions paid to noncontrolling interest of limited partners(1,334) (1,332)(3,976) (4,019)
Net cash used in financing activities(68,135) (5,127)
Net cash (used in) provided by financing activities(314,000) 2,257,108
Net change in cash, cash equivalents and restricted cash(49,622) (968)121,597
 1,834
Cash, cash equivalents and restricted cash - beginning of period118,560
 25,045
118,560
 25,045
Cash, cash equivalents and restricted cash - end of period$68,938
 $24,077
$240,157
 $26,879
The accompanying notes are an integral part of these condensed consolidated financial statements.

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Table of Contents

HEALTHCARE TRUST OF AMERICA HOLDINGS, LP
CONDENSED CONSOLIDATED BALANCE SHEETS
(In thousands, except unit data)
(Unaudited)
 March 31, 2018 December 31, 2017 September 30, 2018 December 31, 2017
ASSETS        
Real estate investments:        
Land $486,403
 $485,319
 $483,541
 $485,319
Building and improvements 5,851,437
 5,830,824
 5,743,439
 5,830,824
Lease intangibles 638,103
 639,199
 604,215
 639,199
Construction in progress 24,559
 14,223
 27,273
 14,223
 7,000,502
 6,969,565
 6,858,468
 6,969,565
Accumulated depreciation and amortization (1,087,262) (1,021,691) (1,151,490) (1,021,691)
Real estate investments, net 5,913,240
 5,947,874
 5,706,978
 5,947,874
Investment in unconsolidated joint venture 69,147
 68,577
 67,592
 68,577
Cash and cash equivalents 56,243
 100,356
 225,518
 100,356
Restricted cash 12,695
 18,204
 14,639
 18,204
Receivables and other assets, net 203,686
 207,857
 213,482
 207,857
Other intangibles, net 104,824
 106,714
 100,475
 106,714
Total assets $6,359,835
 $6,449,582
 $6,328,684
 $6,449,582
LIABILITIES AND PARTNERS’ CAPITAL        
Liabilities:        
Debt $2,780,291
 $2,781,031
 $2,609,659
 $2,781,031
Accounts payable and accrued liabilities 134,574
 167,852
 160,246
 167,852
Derivative financial instruments - interest rate swaps 742
 1,089
 
 1,089
Security deposits, prepaid rent and other liabilities 59,530
 61,222
 55,753
 61,222
Intangible liabilities, net 66,665
 68,203
 62,887
 68,203
Total liabilities 3,041,802
 3,079,397
 2,888,545
 3,079,397
Commitments and contingencies 

 

 

 

Redeemable noncontrolling interests 6,770
 6,737
 6,610
 6,737
Partners’ Capital:        
Limited partners’ capital, 4,032,835 and 4,124,148 units issued and outstanding as of March 31, 2018 and December 31, 2017, respectively
 80,874
 84,396
General partners’ capital, 205,179,776 and 204,892,118 units issued and outstanding as of March 31, 2018 and December 31, 2017, respectively 3,230,389
 3,279,052
Limited partners’ capital, 3,929,083 and 4,124,148 units issued and outstanding as of September 30, 2018 and December 31, 2017, respectively 79,632
 84,396
General partners’ capital, 207,231,171 and 204,892,118 units issued and outstanding as of September 30, 2018 and December 31, 2017, respectively 3,353,897
 3,279,052
Total partners’ capital 3,311,263
 3,363,448
 3,433,529
 3,363,448
Total liabilities and partners’ capital $6,359,835
 $6,449,582
 $6,328,684
 $6,449,582
The accompanying notes are an integral part of these condensed consolidated financial statements.


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HEALTHCARE TRUST OF AMERICA HOLDINGS, LP
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands, except per unit data)
(Unaudited)
Three Months Ended March 31,Three Months Ended September 30, Nine Months Ended September 30,
2018 20172018 2017 2018 2017
Revenues:          
Rental income$175,567
 $123,993
$175,038
 $175,431
 $523,826
 $438,949
Interest and other operating income94
 354
97
 563
 302
 1,271
Total revenues175,661
 124,347
175,135
 175,994
 524,128
 440,220
Expenses:          
Rental56,022
 39,020
55,789
 56,331
 165,364
 138,874
General and administrative8,786
 8,423
8,770
 8,283
 26,281
 25,178
Transaction191
 284
346
 261
 933
 5,618
Depreciation and amortization70,392
 47,056
70,568
 70,491
 210,064
 172,900
Impairment4,606
 
4,281
 
 8,887
 5,093
Total expenses139,997
 94,783
139,754
 135,366
 411,529
 347,663
Income before other income (expense)35,664
 29,564
35,381
 40,628
 112,599
 92,557
Interest expense:   
Interest income (expense):       
Interest related to derivative financial instruments(58) (324)169
 (264) 297
 (827)
Gain on change in fair value of derivative financial instruments, net
 839

 
 
 884
Total interest related to derivative financial instruments, including net change in fair value of derivative financial instruments(58) 515
169
 (264) 297
 57
Interest related to debt(26,195) (16,058)(25,003) (25,924) (77,689) (59,688)
Gain on sale of real estate, net
 3
166,372
 
 166,372
 3
Loss on extinguishment of debt, net
 (32)(1,092) (774) (1,092) (11,192)
Income from unconsolidated joint venture570
 
432
 318
 1,405
 381
Other income35
 8
Other income (expense)89
 (27) 129
 (13)
Net income$10,016
 $14,000
$176,348
 $13,957
 $202,021
 $22,105
Net income attributable to noncontrolling interests(33) (30)(18) (28) (65) (80)
Net income attributable to common unitholders$9,983
 $13,970
$176,330
 $13,929
 $201,956
 $22,025
Earnings per common unit - basic:          
Net income attributable to common unitholders$0.05
 $0.10
$0.83
 $0.07
 $0.96
 $0.12
Earnings per common unit - diluted:          
Net income attributable to common unitholders$0.05
 $0.10
$0.83
 $0.07
 $0.96
 $0.12
Weighted average common units outstanding:           
Basic209,177
 146,117
211,444
 204,795
 209,968
 177,410
Diluted209,177
 146,117
211,444
 204,795
 209,968
 177,410
Dividends declared per common unit$0.305
 $0.300
$0.310
 $0.305
 $0.920
 $0.905
The accompanying notes are an integral part of these condensed consolidated financial statements.

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HEALTHCARE TRUST OF AMERICA HOLDINGS, LP
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
(In thousands)
(Unaudited)
Three Months Ended March 31,Three Months Ended September 30, Nine Months Ended September 30,
2018 20172018 2017 2018 2017
          
Net income$10,016
 $14,000
$176,348
 $13,957
 $202,021
 $22,105
          
Other comprehensive gain (loss)   
Change in unrealized gains (losses) on cash flow hedges900
 (88)
Total other comprehensive gain (loss)900
 (88)
Other comprehensive (loss) income       
Change in unrealized (losses) gains on cash flow hedges(732) 205
 382
 (631)
Total other comprehensive (loss) income(732) 205
 382
 (631)
          
Total comprehensive income10,916
 13,912
175,616
 14,162
 202,403
 21,474
Comprehensive income attributable to noncontrolling interests(33) (30)(18) (28) (65) (80)
Total comprehensive income attributable to common unitholders$10,883
 $13,882
$175,598
 $14,134
 $202,338
 $21,394
The accompanying notes are an integral part of these condensed consolidated financial statements.


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HEALTHCARE TRUST OF AMERICA HOLDINGS, LP
CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN PARTNERS CAPITAL
(In thousands)
(Unaudited)
General Partners’ Capital Limited Partners’ Capital Total Partners’ CapitalGeneral Partners’ Capital Limited Partners’ Capital Total Partners’ Capital
Units Amount Units Amount Units Amount Units Amount 
Balance as of December 31, 2016141,719
 $1,687,544
 4,323
 $92,873
 $1,780,417
141,719
 $1,687,544
 4,323
 $92,873
 $1,780,417
Issuance of general partner units58,623
 1,624,222
 
 
 1,624,222
Issuance of limited partner units in connection with an acquisition
 
 21
 610
 610

 
 21
 610
 610
Share-based award transactions, net213
 2,530
 
 
 2,530
Redemption and cancellation of general partner units(107) (3,118) 
 
 (3,118)
Distributions declared
 (43,145) 
 (1,321) (44,466)
Net income
 13,545
 
 425
 13,970
Other comprehensive loss
 (85) 
 (3) (88)
Balance as of March 31, 2017141,825
 $1,657,271
 4,344
 $92,584
 $1,749,855
         
Balance as of December 31, 2017204,892
 $3,279,052
 4,124
 $84,396
 $3,363,448
Share-based award transactions, net289
 3,507
 
 
 3,507
234
 5,493
 
 
 5,493
Redemption and cancellation of general partner units(92) (2,709) 
 
 (2,709)(116) (3,413) 
 
 (3,413)
Redemption of limited partner units and other91
 2,413
 (91) (2,413) 
227
 5,694
 (227) (5,694) 
Distributions declared
 (62,559) 
 (1,307) (63,866)
 (164,480) 
 (3,936) (168,416)
Net income
 9,802
 
 181
 9,983

 21,390
 
 635
 22,025
Other comprehensive gain
 883
 
 17
 900
Balance as of March 31, 2018205,180
 $3,230,389
 4,033
 $80,874
 $3,311,263
Other comprehensive loss
 (615) 
 (16) (631)
Balance as of September 30, 2017200,687
 $3,175,835
 4,117
 $84,472
 $3,260,307
         
Balance as of December 31, 2017204,892
 $3,279,052
 4,124
 $84,396
 $3,363,448
Issuance of general partner units2,550
 72,814
 
 
 72,814
Share-based award transactions, net323
 7,830
 
 411
 8,241
Redemption and cancellation of general partner units(729) (19,431) 
 
 (19,431)
Redemption of limited partner units and other195
 5,195
 (195) (5,195) 
Distributions declared
 (190,071) 
 (3,810) (193,881)
Net income
 198,134
 
 3,822
 201,956
Other comprehensive income
 374
 
 8
 382
Balance as of September 30, 2018207,231
 $3,353,897
 3,929
 $79,632
 $3,433,529
The accompanying notes are an integral part of these condensed consolidated financial statements.


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HEALTHCARE TRUST OF AMERICA HOLDINGS, LP
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)
(Unaudited)
Three Months Ended March 31,Nine Months Ended September 30,
2018 20172018 2017
Cash flows from operating activities:      
Net income$10,016
 $14,000
$202,021
 $22,105
Adjustments to reconcile net income to net cash provided by operating activities:      
Depreciation, amortization and other68,303
 46,213
203,550
 169,057
Share-based compensation expense3,507
 2,530
7,830
 5,493
Bad debt expense3
 103
Impairment4,606
 
8,887
 5,093
Income from unconsolidated joint venture(570) 
(1,405) (381)
Distributions from unconsolidated joint venture1,680
 
Gain on sale of real estate, net
 (3)(166,372) (3)
Loss on extinguishment of debt, net
 32
1,092
 11,192
Change in fair value of derivative financial instruments
 (839)
 (884)
Changes in operating assets and liabilities:      
Receivables and other assets, net9,274
 (7,771)(7,820) (19,854)
Accounts payable and accrued liabilities(30,780) (7,934)(5,932) 29,566
Prepaid rent and other liabilities(3,479) 682
(2,780) 7,158
Net cash provided by operating activities60,880
 47,013
240,751
 228,542
Cash flows from investing activities:      
Investments in real estate(11,887) (34,706)(17,389) (2,357,570)
Investment in unconsolidated joint venture
 (68,839)
Development of real estate(13,235) 
(29,593) (19,163)
Proceeds from the sale of real estate
 4,746
302,440
 4,746
Capital expenditures(17,417) (12,894)(61,136) (42,990)
Collection of real estate notes receivable172
 
524
 
Net cash used in investing activities(42,367) (42,854)
Net cash provided by (used in) investing activities194,846
 (2,483,816)
Cash flows from financing activities:      
Borrowings on unsecured revolving credit facility
 92,000
145,000
 515,000
Payments on unsecured revolving credit facility
 (10,000)(145,000) (528,000)
Proceeds from unsecured senior notes
 900,000
Payments on secured mortgage loans(1,598) (40,155)(173,212) (75,444)
Deferred financing costs(782) (16,902)
Debt extinguishment costs(1,909) (10,391)
Security deposits52
 14
499
 1,932
Proceeds from issuance of general partner units72,814
 1,624,222
Issuance of limited partner units411
 
Repurchase and cancellation of general partner units(2,709) (3,118)(19,431) (3,413)
Distributions paid to general partner(62,546) (42,536)(188,414) (145,877)
Distributions paid to limited partners and redeemable noncontrolling interests(1,334) (1,332)(3,976) (4,019)
Net cash used in financing activities(68,135) (5,127)
Net cash (used in) provided by financing activities(314,000) 2,257,108
Net change in cash, cash equivalents and restricted cash(49,622) (968)121,597
 1,834
Cash, cash equivalents and restricted cash - beginning of period118,560
 25,045
118,560
 25,045
Cash, cash equivalents and restricted cash - end of period$68,938
 $24,077
$240,157
 $26,879
The accompanying notes are an integral part of these condensed consolidated financial statements.

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HEALTHCARE TRUST OF AMERICA, INC. AND HEALTHCARE TRUST OF AMERICA HOLDINGS, LP
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Unless otherwise indicated or unless the context requires otherwise the use of the words “we,” “us” or “our” refers to Healthcare Trust of America, Inc. and Healthcare Trust of America Holdings, LP, collectively.
1. Organization and Description of Business
HTA, a Maryland corporation, and HTALP, a Delaware limited partnership, were incorporated or formed, as applicable, on April 20, 2006. HTA operates as a REIT and is the general partner of HTALP, which is the operating partnership, in an umbrella partnership, or “UPREIT” structure. HTA has qualified and intends to continue to be taxed as a REIT for federal income tax purposes under the applicable sections of the Internal Revenue Code.
We own real estate primarily consisting of medical office buildings (“MOBs”) located on or adjacent to hospital campuses or in off-campus, community core outpatient locations across 3332 states within the United States, and we lease space to tenants primarily consisting of health systems, research and academic institutions, and various sized physician practices.  We generate substantially all of our revenues from rents and rental-related activities, such as property and facilities management and other incidental revenues related to the operation of real estate. 
Our primary objective is to maximize stockholder value with growth through strategic investments that provide an attractive risk-adjusted return for our stockholders by consistently increasing our cash flow. In pursuing this objective, we: (i) seek internal growth through proactive asset management, leasing, building services and property management oversight; (ii) target accretive acquisitions and developments of MOBs in markets with attractive demographics that complement our existing portfolio; and (iii) actively manage our balance sheet to maintain flexibility with conservative leverage. Additionally, from time to time we consider, on an opportunistic basis, significant portfolio acquisitions that we believe fit our core business and we expect to enhance our existing portfolio.
2. Summary of Significant Accounting Policies
The summary of significant accounting policies presented below is designed to assist in understanding our condensed consolidated financial statements. Such condensed consolidated financial statements and the accompanying notes are the representations of our management, who are responsible for their integrity and objectivity. These accounting policies conform to generally accepted accounting principles in the U.S. (“GAAP”) in all material respects and have been consistently applied in preparing our accompanying condensed consolidated financial statements.
Basis of Presentation
Our accompanying condensed consolidated financial statements include our accounts and those of our subsidiaries and any consolidated variable interest entities (“VIEs”). All inter-company balances and transactions have been eliminated in the accompanying condensed consolidated financial statements.
Interim Unaudited Financial Data
Our accompanying condensed consolidated financial statements have been prepared by us in accordance with GAAP in conjunction with the rules and regulations of the SEC. Certain information and footnote disclosures required for annual financial statements have been condensed or excluded pursuant to SEC rules and regulations. Accordingly, our accompanying condensed consolidated financial statements do not include all information and footnotes required by GAAP for complete financial statements. Our accompanying condensed consolidated financial statements reflect all adjustments, which are, in our opinion, of a normal recurring nature and necessary for a fair presentation of our financial position, results of operations and cash flows for the interim periods. Interim results of operations are not necessarily indicative of the results to be expected for the full year; such results may be less favorable for the full year. Our accompanying condensed consolidated financial statements should be read in conjunction with our audited consolidated financial statements and the notes thereto included in our 2017 Annual Report on Form 10-K.

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HEALTHCARE TRUST OF AMERICA, INC. AND HEALTHCARE TRUST OF AMERICA HOLDINGS, LP NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

Principles of Consolidation
The condensed consolidated financial statements include the accounts of our subsidiaries and consolidated joint venture arrangements. The portions of the HTALP operating partnership not owned by us are presented as non-controllingnoncontrolling interests in our consolidated balance sheets and statements of operations, consolidated statements of comprehensive income or loss, consolidated statements of equity, and consolidated statements of changes in partners’ capital. The portions of other joint venture arrangements not owned by us are presented as redeemable non-controllingnoncontrolling interests on the accompanying condensed consolidated balance sheets. In addition, as described in Note 1 - Organization and Description of Business, certain third parties have been issued OP Units in HTALP. Holders of OP Units are considered to be noncontrolling interest holders in HTALP and their ownership interests are reflected as equity on the accompanying condensed consolidated balance sheets. Further, a portion of the earnings and losses of HTALP are allocated to noncontrolling interest holders based on their respective ownership percentages. Upon conversion of OP Units to common stock, any difference between the fair value of the common stock issued and the carrying value of the OP Units converted to common stock is recorded as a component of equity. As of March 31,September 30, 2018 and December 31, 2017, there were approximately 4.03.9 million and 4.1 million, respectively, of OP Units issued and outstanding.
VIEs are entities where investors lack sufficient equity at risk for the entity to finance its activities without additional subordinated financial support or where equity investors, as a group, lack one of the following: (i) the power to direct the activities that most significantly impact the entity’s economic performance; (ii) the obligation to absorb the expected losses of the entity; and (iii) the right to receive the expected returns of the entity. We consolidate our investment in VIEs when we determine that we are the primary beneficiary. A primary beneficiary is one that has both: (i) the power to direct the activities of the VIE that most significantly impacts the entity’s economic performance; and (ii) the obligation to absorb losses or the right to receive benefits of the VIE that could be significant to the entity. The HTALP operating partnership and our other joint venture arrangements are VIEs because the limited partners in those partnerships, although entitled to vote on certain matters, do not possess kick-out rights or substantive participating rights. Additionally, we determined that we are the primary beneficiary of our VIEs. Accordingly, we consolidate our interests in the HTALP operating partnership and in our other joint venture arrangements. However, because we hold what is deemed a majority voting interest in the HTALP operating partnership and our other joint venture arrangements, it qualifies for the exemption from providing certain disclosure requirements associated with investments in VIEs. We will evaluate on an ongoing basis the need to consolidate entities based on the standards set forth in GAAP as described above.
Reclassification
In November 2016, the Financial Accounting Standards Board (the “FASB”) issued Accounting Standards Update (“ASU”) 2016-18 Statement of Cash Flows: Restricted Cash. ASU 2016-18 requires that a statement of cash flows explain the change during the period in cash, cash equivalents and restricted cash orand restricted cash equivalents. Therefore, restricted cash orand restricted cash equivalents should be included with cash and cash equivalents when reconciling the beginning of period and end of period amounts shown on the accompanying condensed consolidated statements of cash flows. We adopted ASU 2016-18 in the fourth quarter of 2017, as set forth in our 2017 Annual Report on Form 10-K as of January1,January 1, 2017, and as a result of the adoption, the guidance requires retrospective adoption for all periods presented. The following table represents the previously reported balances and the reclassified balances for the impacted items for the threenine months ended March 31,September 30, 2017 in the accompanying condensed consolidated statements of cash flows (in thousands):
Three Months Ended March 31, 2017Nine Months Ended September 30, 2017
As Previously Reported As ReclassifiedAs Previously Reported As Reclassified
Cash flows from investing activities:      
Other assets (1)
$5,771
 $
$(3,655) $
Net cash used in investing activities(37,083) (42,854)(2,487,471) (2,483,816)
      
Net change in cash, cash equivalents and restricted cash (2)
$4,803
 $(968)$(1,821) $1,834
Cash, cash equivalents and restricted cash - beginning of period (2)
11,231
 25,045
11,231
 25,045
Cash, cash equivalents and restricted cash - end of period (2)
$16,034
 $24,077
$9,410
 $26,879
      
(1) Prior to adoption of ASU 2016-18, the line item description was “Restricted cash, escrow deposits and other assets”.(2) With the adoption of ASU 2016-18, the line item description now includes restricted cash.

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HEALTHCARE TRUST OF AMERICA, INC. AND HEALTHCARE TRUST OF AMERICA HOLDINGS, LP NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

Cash, Cash Equivalents and Restricted Cash
Cash and cash equivalents consist of all highly liquid investments with a maturity of three months or less when purchased. Restricted cash is comprised of (i) reserve accounts for property taxes, insurance, capital improvements and tenant improvements as well asimprovements; (ii) collateral accounts for debt and interest rate swapsswaps; and (iii) deposits for future investments.
With our adoption of ASU 2016-18 in the fourth quarter of 2017, as set forth in our 2017 Annual Report on Form 10-K as of January 1, 2017, the following table provides a reconciliation of cash, cash equivalents and restricted cash reported within the accompanying condensed consolidated balance sheets to the combined amounts shown on the accompanying condensed consolidated statements of cash flows as of September 30, 2018 and 2017, respectively (in thousands):
March 31,September 30,
2018 20172018 2017
Cash and cash equivalents$56,243
 $16,034
$225,518
 $9,410
Restricted cash12,695
 8,043
14,639
 17,469
Total cash, cash equivalents and restricted cash$68,938
 $24,077
$240,157
 $26,879
Revenue Recognition
Minimum annual rental revenue is recognized on a straight-line basis over the term of the related lease (including rent holidays). Differences between rental income recognized and amounts contractually due under the lease agreements are recorded as straight-line rent receivables. Tenant reimbursement revenue, which is comprised of additional amounts recoverable from tenants for real estate taxes, common area maintenance and other certain operating expenses and certain other recoverable expenses, isare recognized as revenue on a gross basis in the period in which the related recoverable expenses are incurred.  Tenant reimbursements are recordedWe accrue revenue corresponding to these expenses on a grossquarterly basis asto adjust recorded amounts to our best estimate of the final annual amounts to be billed. Subsequent to year-end, on a calendar year basis, we are generallyperform reconciliations on a lease-by-lease basis and bill or credit each tenant for any differences between the primary obligor with respect to purchasing goodsestimated expenses we billed and services from third-party suppliers, have discretion in selecting the supplier, and have credit risk.actual expenses that were incurred. We recognize lease termination fees when there is a signed termination letter agreement, all of the conditions of the agreement have been met, and the tenant is no longer occupying the property. Rental income is reported net of amortization of inducements.
Effective January 1, 2018, with the adoption of Topic 606 and corresponding amendments, the revenue recognition process will be based on a five-step model to account for revenue arising from contracts with customers and supersedes most of the existing revenue recognition guidance. Topic 606 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. We have identified all of our revenue streams and we have concluded that rental income from leasing arrangements represents a substantial portion of our revenue and, therefore, is specifically excluded from Topic 606 and will be governed and evaluated with the anticipated adoption of Topic 842. The other revenue stream identified as impacting Topic 606 is concentrated in the recognition of real estate sales and this component doesthe adoption of Topic 606 did not have a material impact on our financial statements. For more detailed information on Topic 606 see “Recently Issued or Adopted Accounting Pronouncements” below.
Investments in Real Estate
Depreciation expense of buildings and improvements for the three months ended March 31,September 30, 2018 and 2017 was $50.7$50.2 million and $32.7$49.8 million, respectively. Depreciation expense of buildings and improvements for the nine months ended September 30, 2018 and 2017 was $151.5 million and $121.5 million, respectively.

Redeemable Noncontrolling Interests
We account for redeemable equity securities in accordance with ASU 2009-04 Liabilities (Topic 480): Accounting for Redeemable Equity Instruments, which requires that equity securities redeemable at the option of the holder be classified outside permanent stockholders’ equity. We classify redeemable equity securities as redeemable noncontrolling interests in the accompanying condensed consolidated balances sheets. We measure the redemption value and record an adjustment to the carrying value of the equity securities as a component of redeemable noncontrolling interest. As of September 30, 2018 and December 31, 2017, we had redeemable noncontrolling interests of $6.6 million and $6.7 million, respectively. Refer to Note 10 - Redeemable Noncontrolling Interests in the accompanying notes to the condensed consolidated financial statements for more detail relating to our redeemable noncontrolling interests.


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HEALTHCARE TRUST OF AMERICA, INC. AND HEALTHCARE TRUST OF AMERICA HOLDINGS, LP NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

Unconsolidated Joint Ventures
We account for our investments in unconsolidated joint ventures using the equity method of accounting because we have the ability to exercise significant influence, but not control, over the financial and operational policy decisions of the investments. Using the equity method of accounting, the initial investment is recognized at cost and subsequently adjusted for our share of the net income or loss and any distributions from the joint venture. As of March 31,September 30, 2018, we had a 50% interest in one such investment with a carrying value and maximum exposure to risk of $69.1$67.6 million, which is recorded in investment in unconsolidated joint venture in the accompanying condensed consolidated balance sheets. We record our share of net income (loss) in income (loss) from unconsolidated joint venture in the accompanying condensed consolidated statements of operations. For the three and nine months ended March 31,September 30, 2018, we recognized income of $0.6 million. Our unconsolidated joint venture was acquired during the second quarter of 2017$0.4 million and as such, there was no income (loss) or distributions for$1.4 million, respectively. For the three and nine months ended March 31, 2017.

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HEALTHCARE TRUST OF AMERICA, INC. AND HEALTHCARE TRUST OF AMERICA HOLDINGS, LP NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

$0.3 million and $0.4 million, respectively.
Recently Issued or Adopted Accounting Pronouncements
The following table provides a brief description of recently adopted accounting pronouncements:
Accounting Pronouncement Description Effective Date Effect on financial statements
Topic 606; collectively, ASU 2014-09, 2015-14, ASU 2016-08, ASU 2016-10, ASU 2016-11, ASU 2016-12, ASU 2016-20, ASU 2017-05, ASU 2017-10, ASU 2017-13 and ASU 2017-14
Revenue from Contracts with Customers
(Issued May 2014, August 2015, March 2016, April 2016, May 2016, December 2016, February 2017, May 2017, September 2017 and November 2017)
 
In May 2014, the FASB issued Topic 606. The objective of Topic 606 is to establish a comprehensive new five-step model requiring a company to recognize revenue to depict the transfer of goods or services to customers in amounts that reflect the consideration (i.e., payment) to which the company expects to be entitled in exchange for those goods or services. Expanded quantitative and qualitative disclosures regarding revenue recognition will be required for contracts that are subject to Topic 606. Topic 606 does not apply to revenue from lease contracts until the adoption of the new leases standard in ASU 2016-02, in January 2019.

ASU 2017-05 applies to all nonfinancial assets (including real estate) for which the counterparty is not a customer and requires an entity to derecognize a nonfinancial asset in a partial sale transaction when it ceases to have a controlling financial interest in the asset and has transferred control of the asset. Once an entity transfers control of the nonfinancial asset, the entity is required to measure any nonconrollingnoncontrolling interest it receives or retains at fair value. Under the current guidance, a partial sale is recognized and carryover basis is used for the retained interest resulting in only partial gain recognition by the entity, however, the new guidance eliminates the use of carryover basis and generally requires the full gain to be recognized.

In adopting Topic 606, companies may use either a full retrospective or a modified retrospective approach.

 
Topic 606 is effective for fiscal years beginning after December 15, 2017 along with the right of early adoption as of the original effective date.

 
We adopted Topic 606 effective January 1, 2018 to all open contracts using the modified retrospective approach.
As part of the adoption, we identified all revenue streams and concluded that revenues from leasing arrangements represented substantially all of our revenue and is generally excluded from the scope of Topic 606. Rather, rental revenue, including any executory type costs, will be governed and evaluated with the adoption of Topic 842 as described below. In addition, under Topic 606, revenue recognition for real estate sales will be substantially based on a principles-based approach to determine whether there has been transfer of control versus continuing involvement under the current guidance. There have not been, nor do we anticipate, any reclassifications or material impacts on our consolidated financial statements as a result of this adoption.

ASU 2017-09
Compensation - Stock Compensation (Topic 718): Clarifying the Scope of Modification (Issued May 2017)
 ASU 2017-09 amends the scope of modification accounting for share-based payment arrangements and provides guidance on the types of changes to the terms and conditions of share-based payment awards to which an entity would be required to apply modification accounting under ASC 718. ASU 2017-09 is effective for fiscal years beginning after December 15, 2017 with early adoption permitted. 
We adopted ASU 2017-09 as of January 1, 2018. There have not been, nor do we anticipate, any reclassifications or material impacts on our consolidated financial statements as a result of this adoption.

ASU 2017-12
Derivatives and Hedging (Topic 815): Targeted Improvements to Accounting for Hedging Activities (Issued August 2017)
 ASU 2017-12 expands and refines hedge accounting for both financial (e.g., interest rate) and non-financial risk components, aligns the recognition and presentation of the effects of hedging instruments and hedge items in the financial statements, and includes certain targeted improvements to ease the application of current guidance related to the assessment of hedge effectiveness. ASU 2017-12 is effective for fiscal years beginning after December 15, 2018 with early adoption permitted. 
We adopted ASU 2017-12 as of January 1, 2018. Using the modified retrospective approach, the cumulative effect of the ineffectiveness for the year ended December 31, 2017 was immaterial; therefore, no adjustment was made to beginning retained earnings.  Additionally, as a result of the adoption, we no longer disclose the ineffective portion of the change in fair value of our derivative financial instruments. The entire change in the fair value of the hedging instruments included in the assessment of hedge effectiveness will now be recorded in other comprehensive income and subsequently reclassified to interest expense in the period the hedging instrument affects earnings.



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The following table provides a brief description of recently issued accounting pronouncements:
Accounting Pronouncement Description Effective Date Effect on financial statements
Topic 842; collectively ASU 2016-02, 2018-01 and 2018-012018-11 Leases (Issued February 2016, January 2018 and JanuaryJuly 2018)
 
In February 2016, Thethe FASB issued Topic 842. Topic 842 will supersede the existing guidance for lease accounting and states that companies will be required to recognize lease assets and lease liabilities on the balance sheet and disclose key information about leasing arrangements. Topic 842 requires qualitative and quantitative disclosures to supplement the amounts recorded in the financial statements so that users can understand the nature of the entity’s leasing activities, including significant judgments and changes in judgments.

ASU 2018-01 provides an optional transition practical expedient to not evaluate under Topic 842 existing or expired land easements that were not previously accounted for as leases under the current lease guidance in Topic 840.  An entity that elects this practical expedient should evaluate new or modified land easements under Topic 842 beginning at the date the entity adopts Topic 842; otherwise, an entity should evaluate all existing or expired land easements in connection with the adoption of the new lease requirements in Topic 842 to assess whether they meet the definition of a lease. 

Within Topic 842, lessor accounting remained fairly unchanged. In adopting Topic 842, companies will be required to either use a modified retrospective approach for leases that exist or are entered into after the beginning of the earliest comparative period in the financial statements or with the adoption of ASU 2018-11, an optional transition method by recognizingwhereby an entity initially applies the new lease standard at the adoption date and recognizes a cumulative effect adjustment to the opening balance of retained earnings in the period of adoption.
 Topic 842 is effective for the fiscal years beginning after December 15, 2018 with early adoption permitted.
 
We will adopt the provisions of Topic 842 no later thanas of January 1, 2019. As part of our adoption, we have started our evaluation process to determine the amount of the impact to our consolidated results from operations, consolidated statements of financial position and related disclosures.
We anticipate that we will elect (a) the practical expedient offered that allows an entity to not reassess upon adoption (i) whether an expired or existing contract contains a lease arrangement;arrangement, (ii) lease classification related to expired or existing lease arrangements;arrangements, or (iii) whether costs incurred on expired or existing leases qualify as initial direct costs;costs, and (b) as part of ASU 2018-11, the practical expedient to not separate certain non-lease components, such as common area maintenance from lease revenue if (i) the timing and pattern of revenue recognition are the same for the non-lease component;component, and (ii) the related lease component and the combined single lease component would be classified as an operating lease.
Further, we anticipate as a result
As part of the adoption, all leases for which we are the lessee, including ground leases and certain other corporate leases, will be recorded onin our consolidated financial statements as either financing leases or operating leases with a relatedcorresponding right of use assetassets and lease liability. Weliability obligations. Management has commenced the reevaluation of all leases where we are assessing the related cash flowslessee to determine (a) the total future lease payments, including an assessment of such leasesthe availability and the appropriate discount rates that correspondlikelihood of our exercising extension options available to us under the terms of the respective leases, (b) an appropriate incremental borrowing rate in light of the extended term of our ground leases, and (c) an abstract of all applicable lease provisions that may cause the treatment of these leases. Withleases to be classified differently under ASC 842 than what they are currently being classified as under current accounting guidance. We anticipate that our assessment will be concluded by December 31, 2018 and that we will have evaluated all leases sufficiently to provide a range of potential impact to our financial statements.

Further, with respect to initial direct costs, we are currently assessing the projected impact to the change in guidance will have on our accounting of such costs, however,including the impact of potential changes to our use of internal and external leasing and leasing-related personnel, potential changes in compensation structures to such individuals, and other considerations of related costs that could have an impact to our financial statements. For the nine months ended September 30, 2018, we have capitalized approximately $1.3approximately $3.7 million of internal initial direct costs during the three months ended March 31, 2018 (as defined by the current lease standard, ASC 840 - Leases)Leases). Utilizing a traditional third party leasing commission structure of 3% of gross lease value, total leasing commissions would have totaled over $9 million during the nine months ended September 30, 2018.

Upon the adoption of Topic 842, these internal initial direct costs would have beenwill either in part or in their entirety be classified as selling oradditional general and administrative costsexpenses on our consolidated resultsstatements of operations.operations, depending on the finalization of our assessment of the impact of such adoption. We estimate the range of these expenses to be approximately $6 million to $8 million and effecting Earnings Per Share by approximately $0.03 to $0.04 per share on an annualized basis. In addition, operating expenses and income for real estate taxes and insurance will likely increase by offsetting amounts. This however will not have a material impact on our consolidated financial statements.

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Accounting PronouncementDescriptionEffective DateEffect on financial statements
ASU 2016-13
Financial Instruments Credit Losses: Measurement of Credit Losses on Financial Instruments
(Issued June 2016)
 ASU 2016-13 is intended to improve financial reporting by requiring more timely 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 investment, held-to-maturity debt securities, trade and other receivables, net investment in leases and other such commitments. ASU 2016-13 requires that financial statement assets measured at an amortized cost be presented at the net amount expected to be collected through an allowance for credit losses that is deducted from the amortized cost basis.
 ASU 2016-13 is effective for fiscal years beginning after December 15, 2019 with early adoption permitted.
 We do not anticipate early adoption or there to be a material impact however, we are evaluatingto our consolidated financial statements based on our ongoing evaluation.
ASU 2018-07
Compensation - Stock Compensation (Topic 718): Improvements to Nonemployee Share-Based Payment Accounting
(Issued June 2018)
ASU 2018-07 expands the scope of Topic 718 and the amendments specify that Topic 718 applies to all share-based payment transactions in which a grantor acquires goods or services to be used or consumed in a grantor’s own operations by issuing share-based payment awards. The amendments also clarify that Topic 718 does not apply to share-based payments used to effectively provide (i) financing to the issuer or (ii) awards granted in conjunction with selling goods or services to customers as part of a contract accounted for under Topic 606.ASU 2018-07 is effective for fiscal years beginning after December 15, 2018 with early adoption permitted, but not earlier than an entity’s adoption date of Topic 606.
We will adopt ASU 2018-07 as of January 1, 2019. We do not expect there to be a material impact to our consolidated financial statements and related notes.
ASU 2018-13
Fair Value Measurement (Topic 820): Changes to the Disclosure Requirements for Fair Value Measurement
(Issued August 2018)
ASU 2018-13 modifies the disclosure requirements on fair value measurements in Topic 820 as follows: (A) Disclosure removals: (i) the amount of adopting and reasons for transfers between Level 1 and Level 2; (ii) the policy for timing of transfers between levels; and (iii) the valuation process for Level 3 fair value measurements. (B) Disclosure modifications: (i) no requirement to disclose the timing of liquidation unless the investee has communicated the timing to the reporting entity or announced the timing publicly; and (ii) for Level 3 fair value measurements, a narrative description of measurement uncertainty at the reporting date, not the sensitivity to future changes. (C) Disclosure additions: (i) for recurring Level 3 measurements, disclose the changes in unrealized gains and losses for the period included in OCI and the statement of comprehensive income; and (ii) for Level 3 fair value measurements in the table of significant input, disclose the range and weighted average of the significant unobservable inputs and the way it is calculated.ASU 2016-13 on2018-13 is effective for fiscal years beginning after December 15, 2019 with early adoption permitted.
We will adopt ASU 2018-07 as of January 1, 2020. We will consider all level inputs in our ongoing evaluation but do not anticipate there to be a material impact to our consolidated financial statements.

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3. Investments in Real Estate
For the threenine months ended March 31,September 30, 2018, our investments had an aggregate purchase price of $12.3$17.8 million. As part of these investments, we incurred $65,000approximately $0.1 million of capitalized costs. The allocations for these investments, in which we own a controlling financial interest, are set forth below in the aggregate for the threenine months ended March 31,September 30, 2018 and 2017, respectively (in thousands):
Three Months Ended March 31,Nine Months Ended September 30,
2018 20172018 2017
Land$1,084
 $4,934
$1,895
 $93,064
Building and improvements10,280
 29,762
14,458
 2,336,544
In place leases662
 3,185
1,237
 187,890
Below market leases(139) (65)(201) (27,817)
Above market leases
 11,718
Below market leasehold interests
 54,252
Above market leasehold interests
 (8,978)
Net assets acquired11,887
 37,816
17,389
 2,646,673
Other, net447
 1,230
Other, net (1)
447
 60,781
Aggregate purchase price$12,334
 $39,046
$17,836
 $2,707,454
   
(1) For the nine months ended September 30, 2017, other, net, consisted primarily of capital expenditures and tenant improvements received as credits at the time of acquisition.(1) For the nine months ended September 30, 2017, other, net, consisted primarily of capital expenditures and tenant improvements received as credits at the time of acquisition.
The acquired intangible assets and liabilities referenced above had weighted average lives of the following terms for the threenine months ended March 31,September 30, 2018 and 2017, respectively (in years):
Three Months Ended March 31,Nine Months Ended September 30,
2018 20172018 2017
Acquired intangible assets8.4 11.35.8 20.6
Acquired intangible liabilities8.4 10.26.5 19.9
4. Dispositions and Impairment
Dispositions
During the nine months ended September 30, 2018, we completed the disposition of 17 MOBs totaling approximately 965,000 square feet of gross leasable area (“GLA”) located in Greenville, South Carolina (the “Greenville Disposition”) for an aggregate gross sales price of $294.3 million in two transactions, including the sale of a single MOB which we classified as held for sale as of June 30, 2018. Additionally, we completed the disposition of two MOBs located in Derry, New Hampshire and North Adams, Massachusetts for an aggregate gross sales price of $11.6 million, totaling approximately 120,000 square feet of GLA. During the nine months ended September 30, 2017, we completed the disposition of an MOB located in Texas for a gross sales price of $5.0 million totaling approximately 48,000 square feet of GLA.
Impairment
During the three and nine months ended March 31,September 30, 2018, we recorded an impairment chargecharges of $4.6$4.3 million and $8.9 million, respectively, on twosix MOBs located in Tennessee, Texas and South Carolina with an aggregate value of $13.0 million.Carolina. During the threenine months ended March 31,September 30, 2017, nowe recorded impairment charges were recorded.of $5.1 million related to one MOB located in Massachusetts.

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5. Intangible Assets and Liabilities
Intangible assets and liabilities consisted of the following as of March 31,September 30, 2018 and December 31, 2017, respectively (in thousands, except weighted average remaining amortization terms):
March 31, 2018 December 31, 2017September 30, 2018 December 31, 2017
Balance 
Weighted Average Remaining
Amortization in Years
 Balance 
Weighted Average Remaining
Amortization in Years
Balance 
Weighted Average Remaining
Amortization in Years
 Balance 
Weighted Average Remaining
Amortization in Years
Assets:        
In place leases$473,514
 9.7 $474,252
 9.8$451,990
 9.8 $474,252
 9.8
Tenant relationships164,589
 10.3 164,947
 10.2152,225
 9.4 164,947
 10.2
Above market leases39,919
 6.2 40,082
 6.337,537
 6.1 40,082
 6.3
Below market leasehold interests92,362
 60.2 92,362
 63.491,759
 64.5 92,362
 63.4
770,384
 771,643
 733,511
 771,643
 
Accumulated amortization(330,274) (312,655) (343,251) (312,655) 
Total$440,110
 19.6 $458,988
 19.5$390,260
 21.6 $458,988
 19.5
        
Liabilities:        
Below market leases$61,952
 14.1 $61,820
 14.7$61,525
 14.6 $61,820
 14.7
Above market leasehold interests20,610
 49.9 20,610
 50.120,610
 49.5 20,610
 50.1
82,562
 82,430
 82,135
 82,430
 
Accumulated amortization(15,897) (14,227) (19,248) (14,227) 
Total$66,665
 24.4 $68,203
 25.0$62,887
 25.1 $68,203
 25.0
The following is a summary of the net intangible amortization for the three and nine months ended September 30, 2018 and 2017, respectively (in thousands):
 Three Months Ended September 30, Nine Months Ended September 30,
 2018 2017 2018 2017
Amortization recorded against rental income related to above and (below) market leases$(352) $(108) $(660) $(371)
Rental expense related to above and (below) market leasehold interests287
 322
 850
 617
Amortization expense related to in place leases and tenant relationships18,475
 18,757
 52,800
 45,944
6. Receivables and Other Assets
Receivables and other assets consisted of the following as of September 30, 2018 and December 31, 2017, respectively (in thousands):
 September 30, 2018 December 31, 2017
Tenant receivables, net$13,062
 $20,269
Other receivables, net15,067
 9,305
Deferred financing costs, net6,480
 7,759
Deferred leasing costs, net28,783
 25,494
Straight-line rent receivables, net89,531
 85,143
Prepaid expenses, deposits, equipment and other, net58,971
 58,358
Derivative financial instruments - interest rate swaps1,588
 1,529
Total$213,482
 $207,857

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The following is a summary of the net intangible amortization for the three months ended March 31, 2018 and 2017, respectively (in thousands):
 Three Months Ended March 31,
 2018 2017
Amortization recorded against rental income related to above and (below) market leases$(62) $(223)
Rental expense related to above and (below) market leasehold interests277
 129
Amortization expense related to in place leases and tenant relationships17,648
 12,730
6. Receivables and Other Assets
Receivables and other assets consisted of the following as of March 31, 2018 and December 31, 2017, respectively (in thousands):
 March 31, 2018 December 31, 2017
Tenant receivables, net$12,471
 $20,269
Other receivables, net8,548
 9,305
Deferred financing costs, net7,328
 7,759
Deferred leasing costs, net26,383
 25,494
Straight-line rent receivables, net89,674
 85,143
Prepaid expenses, deposits, equipment and other, net57,291
 58,358
Derivative financial instruments - interest rate swaps1,991
 1,529
Total$203,686
 $207,857
The following is a summary of the amortization of deferred leasing costs and financing costs for the three and nine months ended March 31,September 30, 2018, and 2017, respectively (in thousands):
Three Months Ended March 31,Three Months Ended September 30, Nine Months Ended September 30,
2018 20172018 2017 2018 2017
Amortization expense related to deferred leasing costs$1,506
 $1,262
$1,357
 $1,445
 $4,166
 $4,179
Interest expense related to deferred financing costs431
 331
431
 398
 1,293
 1,061
7. Debt
Debt consisted of the following as of March 31,September 30, 2018 and December 31, 2017, respectively (in thousands):
 March 31, 2018 December 31, 2017
Unsecured revolving credit facility$
 $
Unsecured term loans500,000
 500,000
Unsecured senior notes1,850,000
 1,850,000
Fixed rate mortgages loans413,180
 414,524
Variable rate mortgages loans37,664
 37,918
 2,800,844
 2,802,442
Deferred financing costs, net(15,145) (15,850)
Discount, net(5,408) (5,561)
Total$2,780,291
 $2,781,031

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 September 30, 2018 December 31, 2017
Unsecured revolving credit facility$
 $
Unsecured term loans500,000
 500,000
Unsecured senior notes1,850,000
 1,850,000
Fixed rate mortgages279,230
 414,524
Variable rate mortgages
 37,918
 2,629,230
 2,802,442
Deferred financing costs, net(14,448) (15,850)
Discount, net(5,123) (5,561)
Total$2,609,659
 $2,781,031
Unsecured Credit Agreement
Unsecured Revolving Credit Facility due 2022
In 2017, HTALP entered into an amended and restated $1.3 billion unsecured credit agreement (the “Unsecured Credit Agreement”) which increased the amount available under the unsecured revolving credit facility to $1.0 billion and extended the maturities of the unsecured revolving credit facility to June 30, 2022 and for the $300.0 million unsecured term loan referenced below until February 1, 2023. The maximum principal amount of the Unsecured Credit Agreement may be increased by up to $750.0 million, subject to certain conditions, for a total principal amount of $2.05 billion.
Borrowings under the unsecured revolving credit facility accrue interest at a rate equal to adjusted LIBOR, plus a margin ranging from 0.83% to 1.55% per annum based on our credit rating. We also pay a facility fee ranging from 0.13% to 0.30% per annum on the aggregate commitments under the unsecured revolving credit facility. As of March 31,September 30, 2018, the margin associated with our borrowings was 1.00% per annum and the facility fee was 0.20% per annum.
Unsecured Term Loan due 2023
In 2017, we entered into an amended and restated Unsecured Credit Agreement as noted above. As part of this agreement, we obtained a $300.0 million unsecured term loan that was guaranteed by us with a maturity date of February 1, 2023. Borrowings under this unsecured term loan accrue interest equal to adjusted LIBOR, plus a margin ranging from 0.90% to 1.75% per annum based on our credit rating. The margin associated with our borrowings as of March 31,September 30, 2018 was 1.10% per annum. Including the impact of the interest rate swaps associated with our unsecured term loan, the interest rate was 2.98%3.46% per annum, based on our current credit rating. As of March 31,September 30, 2018, HTALP had $300.0 million under this unsecured term loan outstanding.
$200.0 Million Unsecured Term Loan due 20232024
As of March 31,On August 1, 2018, HTALP hadentered into a modification of our $200.0 million unsecured term loan outstanding, which matures on September 26,previously due in 2023. The modification decreased pricing at our current credit rating by 65 basis points. Borrowings under the unsecured term loan accrue interest at a rate equal to LIBOR, plus a margin ranging from 1.50%0.75% to 2.45%1.65% per annum based on our credit rating. The margin associated with our borrowings as of March 31,September 30, 2018 was 1.65%1.00% per annum. HTALP had interest rate swaps on a portion of the balance, which resulted in place thata fixed the interest rate at 3.22%2.70% per annum, based on our current credit rating.annum. The maturity date was also extended by five months to January 2024. The other material terms of the unsecured term loan prior to the modification remained substantially unchanged. As of September 30, 2018, HTALP had $200.0 million under this unsecured term loan outstanding.

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$300.0 Million Unsecured Senior Notes due 2021
As of March 31,September 30, 2018,, HTALP had $300.0 million of unsecured senior notes outstanding that are guaranteed by us. These unsecured senior notes are registered under the Securities Act of 1933, as amended (the “Securities Act”), bear interest at 3.38% per annum and are payable semi-annually. Additionally, these unsecured senior notes were offered at 99.21% of the principal amount thereof, with an effective yield to maturity of 3.50% per annum. As of March 31,September 30, 2018, HTALP had $300.0 million of these unsecured senior notes outstanding that mature on July 15, 2021.
$400.0 Million Unsecured Senior Notes due 2022
In 2017, in connection with the $500.0 million unsecured senior notes due 2027 referenced below, HTALP issued $400.0 million of unsecured senior notes that are guaranteed by us. These unsecured senior notes are registered under the Securities Act, bear interest at 2.95% per annum and are payable semi-annually. Additionally, these unsecured senior notes were offered at 99.94% of the principal amount thereof, with an effective yield to maturity of 2.96% per annum. As of March 31,September 30, 2018, HTALP had $400.0 million of these unsecured senior notes outstanding that mature on July 1, 2022.
$300.0 Million Unsecured Senior Notes due 2023
As of March 31,September 30, 2018, HTALP had $300.0 million of unsecured senior notes outstanding that are guaranteed by us. These unsecured senior notes are registered under the Securities Act, bear interest at 3.70% per annum and are payable semi-annually. Additionally, these unsecured senior notes were offered at 99.19% of the principal amount thereof, with an effective yield to maturity of 3.80% per annum. As of March 31,September 30, 2018, HTALP had $300.0 million of these unsecured senior notes outstanding that mature on April 15, 2023.

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$350.0 Million Unsecured Senior Notes due 2026
As of March 31,September 30, 2018, HTALP had $350.0 million of unsecured senior notes outstanding that are guaranteed by us. These unsecured senior notes are registered under the Securities Act, bear interest at 3.50% per annum and are payable semi-annually. Additionally, these unsecured senior notes were offered at 99.72% of the principal amount thereof, with an effective yield to maturity of 3.53% per annum. As of March 31,September 30, 2018, HTALP had $350.0 million of these unsecured senior notes outstanding that mature on August 1, 2026.
$500.0 Million Unsecured Senior Notes due 2027
In 2017, in connection with the $400.0 million unsecured senior notes due 2022 referenced above, HTALP issued $500.0 million of unsecured senior notes that are guaranteed by us. These unsecured senior notes are registered under the Securities Act, bear interest at 3.75% per annum and are payable semi-annually. Additionally, these unsecured senior notes were offered at 99.49% of the principal amount thereof, with an effective yield to maturity of 3.81% per annum. As of March 31,September 30, 2018, HTALP had $500.0 million of these unsecured senior notes outstanding that mature on July 1, 2027.
Fixed and Variable Rate Mortgages
In 2017, we were required by the seller under the Duke acquisition to execute a promissory note (the “Promissory Note”), as the borrower, for a part of the purchase price, a senior secured first lien loan, subject to customary non-recourse carve-outs, a promissory note (the “Promissory Note”) in the amount of $286.0 million. The Promissory Note bears interest at 4.0% per annum and is payable in three equal payments maturing on January 10, 2020 and is guaranteed by us. In June 2018, the first principal installment of $96.0 million was paid and as of September 30, 2018, the outstanding balance was $190.0 million.
In August 2018, we prepaid approximately $72.6 million of our fixed and variable rate mortgages, including the settlement of three cash flow hedges, utilizing net proceeds from the Greenville Disposition to do so, resulting in a loss on extinguishment of debt of $1.1 million, primarily due to prepayment fees we incurred. See Note 4 - Impairment and Dispositions for more detail on the Greenville Disposition. As of March 31,September 30, 2018, HTALP and its subsidiaries had only fixed and variable rate mortgage loansmortgages with interest rates ranging from 2.85% to 6.39%5.50% per annum and a weighted average interest rate of 4.30% per annum. Including the impact of the interest rate swap associated with our variable rate mortgages, the weighted average interest rate was 4.39%4.32% per annum.
Future Debt Maturities
The following table summarizes the debt maturities and scheduled principal repaymentsSubsequent to September 30, 2018, we prepaid approximately $67.2 million of our indebtedness as of March 31, 2018 (in thousands):
Year Amount
2018 $100,915
2019 107,676
2020 146,678
2021 305,772
2022 463,063
Thereafter 1,676,740
Total $2,800,844
Deferred Financing Costs
As of March 31, 2018, the future amortization of our deferred financing costs is as follows (in thousands):
Year Amount
2018 $2,117
2019 2,826
2020 2,804
2021 2,610
2022 1,987
Thereafter 2,801
Total $15,145
fixed rate mortgages. We did not incur any prepayment fees related to this transaction.

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Future Debt Maturities
The following table summarizes the debt maturities and scheduled principal repayments of our indebtedness as of September 30, 2018 (in thousands):
Year Amount
2018 $1,086
2019 99,453
2020 99,641
2021 304,840
2022 462,089
Thereafter 1,662,121
Total $2,629,230
Deferred Financing Costs
As of September 30, 2018, the future amortization of our deferred financing costs is as follows (in thousands):
Year Amount
2018 $764
2019 2,956
2020 2,894
2021 2,721
2022 2,098
Thereafter 3,015
Total $14,448
Debt Covenants
We are required by the terms of our applicable loan agreements to meet various affirmative and negative covenants that we believe are customary for these types of facilities, such as limitations on the incurrence of debt by us and our subsidiaries that own unencumbered assets, limitations on the nature of HTALP’s business, and limitations on distributions by HTALP and its subsidiaries that own unencumbered assets. Our loan agreements also impose various financial covenants on us, such as a maximum ratio of total indebtedness to total asset value, a minimum ratio of EBITDA to fixed charges, a minimum tangible net worth covenant, a maximum ratio of unsecured indebtedness to unencumbered asset value, rent coverage ratios and a minimum ratio of unencumbered NOINet Operating Income (“NOI”) to unsecured interest expense. As of March 31,September 30, 2018, we believe that we were in compliance with all such financial covenants and reporting requirements. In addition, certain of our loan agreements include events of default provisions that we believe are customary for these types of facilities, including restricting us from making dividend distributions to our stockholders in the event we are in default thereunder, except to the extent necessary for us to maintain our REIT status.
8. Derivative Financial Instruments and Hedging Activities
Risk Management Objective of Using Derivative Financial Instruments
We may use derivative financial instruments, including interest rate swaps, caps, options, floors and other interest rate derivative contracts, to hedge all or a portion of the interest rate risk associated with our borrowings. The principal objective of such arrangements is to minimize the risks and/or costs associated with our operating and financial structure as well as to hedge specific anticipated transactions. We do not intend to utilize derivatives for speculative or other purposes other than interest rate risk management. The use of derivative financial instruments carries certain risks, including the risk that the counterparties to these contractual arrangements are not able to perform under the agreements. To mitigate this risk, we only enter into derivative financial instruments with counterparties with high credit ratings and with major financial institutions with which we and our affiliates may also have other financial relationships. We do not anticipate that any of the counterparties will fail to meet their obligations. We record counterparty credit risk valuation adjustments on interest rate swap derivative assets in order to properly reflect the credit quality of the counterparty. In addition, our fair value of interest rate swap derivative liabilities is adjusted to reflect the impact of our credit quality.

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Cash Flow Hedges of Interest Rate Risk
Our objectives in using interest rate derivatives are to add stability to interest expense and to manage our exposure to interest rate movements. To accomplish this objective, we primarily use interest rate swaps and treasury locks as part of our interest rate risk management strategy. Interest rate swaps designated as cash flow hedges involve the receipt of variable rate amounts from a counterparty in exchange for us making fixed rate payments over the life of the agreements without exchange of the underlying notional amount. A treasury lock is a synthetic forward sale of a U.S. treasury note, which is settled in cash based upon the difference between an agreed upon treasury rate and the prevailing treasury rate at settlement. Such treasury locks are entered into to effectively fix the treasury component of an upcoming debt issuance.
As a result of our adoption of ASU 2017-12 as of January 1, 2018, the entire change in the fair value of derivatives designated and qualify as cash flow hedges are recorded in accumulated other comprehensive income (loss) in the accompanying condensed consolidated balance sheets and are subsequently reclassified into earnings in the period in which the hedged forecasted transaction affects earnings. During the threenine months ended March 31,September 30, 2018, such derivatives were used to hedge the variable cash flows associated with variable rate debt. Additionally, as a result of the foregoing adoption of ASU 2017-12, we will no longer disclose the ineffective portion of the change in fair value of our derivatives.derivatives financial instruments designated as hedges.
Amounts reported in accumulated other comprehensive income (loss) in the accompanying condensed consolidated balance sheets related to derivatives will be reclassified to interest expense as interest payments are made on our variable rate debt. During the next twelve months, we estimate that an additional $0.9$1.2 million will be reclassified from other comprehensive income (loss) in the accompanying condensed consolidated balance sheets as an increase to interest related to derivative financial instruments in the accompanying condensed consolidated statements of operations.
In August 2018, we settled three of our five cash flow hedges utilizing net proceeds from the Greenville Disposition to do so. See Note 4 - Impairment and Dispositions in the accompanying notes to the condensed consolidated financial statements for more detail on the Greenville Disposition. As of March 31,September 30, 2018, we had the following outstanding interest rate derivatives that were designated as cash flow hedges of interest rate risk (in thousands, except number of instruments):
Interest Rate Swaps March 31, 2018
Cash Flow Hedges September 30, 2018
Number of instruments 5
 2
Notional amount $189,095
 $155,000
The table below presents the fair value of our derivative financial instruments designated as a hedge as well as our classification in the accompanying condensed consolidated balance sheets as of September 30, 2018 and December 31, 2017, respectively (in thousands).
  Asset Derivatives Liability Derivatives
     Fair Value at:   Fair Value at:
Derivatives Designated as Hedging Instruments: 
Balance Sheet
Location
 September 30, 2018 December 31, 2017 
Balance Sheet
Location
 September 30, 2018 December 31, 2017
Interest rate swaps Receivables and other assets $1,588
 $1,529
 Derivative financial instruments $
 $1,089

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The table below presents the fair value of our derivative financial instruments designated as a hedge as well as our classification in the accompanying condensed consolidated balance sheets as of March 31, 2018 and December 31, 2017, respectively (in thousands).
  Asset Derivatives Liability Derivatives
  
   Fair Value at:   Fair Value at:
Derivatives Designated as Hedging Instruments: 
Balance Sheet
Location
 March 31, 2018 December 31, 2017 
Balance Sheet
Location
 March 31, 2018 December 31, 2017
Interest rate swaps Receivables and other assets $1,991
 $1,529
 Derivative financial instruments $742
 $1,089
The table below presents the gain or loss recognized on our derivative financial instruments designated as hedges as well as our classification in the accompanying condensed consolidated statements of operations for the three and nine months ended March 31,September 30, 2018 and 2017, respectively (in thousands). As a result of the foregoing adoption of ASU 2017-12, as of January 1, 2018, we no longer disclose the ineffective portion of the change in fair value of our derivative financial instruments designated as hedges.
  Gain (Loss) Recognized in OCI on Derivative   
Gain (Loss) Reclassified from Accumulated OCI into Income (1)
  Three Months Ended September 30,   Three Months Ended September 30,
Derivatives Cash Flow Hedging Relationships: 2018 2017 Statement of Operations Location 2018 2017
Interest rate swaps $96
 $9
 Interest related to derivative financial instruments $223
 $(196)
 Gain (Loss) Recognized in OCI on Derivative 
Gain (Loss) Reclassified from Accumulated OCI into Income

 Gain (Loss) Recognized in OCI on Derivative 
Gain (Loss) Reclassified from Accumulated OCI into Income (1)
 Three Months Ended March 31, Three Months Ended March 31, Nine Months Ended September 30, Nine Months Ended September 30,
Derivatives Cash Flow Hedging Relationships: 2018 2017 Statement of Operations Location 2018 2017 2018 2017 Statement of Operations Location 2018 2017
Interest rate swaps $970
 $(164) Interest related to derivative financial instruments $70
 $(76) $1,437
 $(1,196) Interest related to derivative financial instruments $450
 $(565)
        
(1) For the three and nine months ended September 30, 2018, due to the settlement of three cash flow hedges that was a result of the prepayment of its associated debt, a forecasted amount of gain reclassified from accumulated OCI to income in the amount of approximately $0.6 million will not occur. This reclassification was reported in loss on extinguishment of debt on the accompanying condensed consolidated statements of operations.(1) For the three and nine months ended September 30, 2018, due to the settlement of three cash flow hedges that was a result of the prepayment of its associated debt, a forecasted amount of gain reclassified from accumulated OCI to income in the amount of approximately $0.6 million will not occur. This reclassification was reported in loss on extinguishment of debt on the accompanying condensed consolidated statements of operations.
Non-Designated Hedges
Derivatives not designated as hedges are not speculative and are used to manage our exposure to interest rate movements and other identified risks, but do not meet the strict hedge accounting requirements of ASC 815 - Derivatives and Hedging. Changes in the fair value of derivatives not designated in hedging relationships are recorded directly in earnings. Changes in the fair value of derivatives not designated in hedging relationships are recorded directly to gain or loss on change in fair value of derivative financial instruments in the accompanying condensed consolidated statements of operations. For the threenine months ended March 31,September 30, 2017, we recorded a gain on change in fair value of derivative financial instruments of $0.8$0.9 million. There were no non-designated hedges as of March 31,during the three months ended September 30, 2017 and the three and nine months ended September 30, 2018.
Tabular Disclosure of Offsetting Derivatives
The table below sets forth the net effects of offsetting and net presentation of our derivatives as of March 31,September 30, 2018 and December 31, 2017, respectively (in thousands). The net amounts of derivative assets or liabilities can be reconciled to the tabular disclosure of fair value. The tabular disclosure of fair value provides the location that derivative assets or liabilities are presented in the consolidated balance sheets.
 Offsetting of Derivative Assets Offsetting of Derivative Assets
 Gross Amounts of Recognized Assets Gross Amounts in the Consolidated Balance Sheets Net Amounts of Assets Presented in the Consolidated Balance Sheets Financial Instruments Cash Collateral Received Net Amount Gross Amounts of Recognized Assets Gross Amounts in the Consolidated Balance Sheets Net Amounts of Assets Presented in the Consolidated Balance Sheets Financial Instruments Cash Collateral Received Net Amount
March 31, 2018 $1,991
 $
 $1,991
 $
 $
 $1,991
September 30, 2018 $1,588
 $
 $1,588
 $
 $
 $1,588
December 31, 2017 1,529
 
 1,529
 
 
 1,529
 1,529
 
 1,529
 
 
 1,529
 Offsetting of Derivative Liabilities Offsetting of Derivative Liabilities
 Gross Amounts of Recognized Liabilities Gross Amounts in the Consolidated Balance Sheets Net Amounts of Liabilities Presented in the Consolidated Balance Sheets Financial Instruments Cash Collateral Received Net Amount Gross Amounts of Recognized Liabilities Gross Amounts in the Consolidated Balance Sheets Net Amounts of Liabilities Presented in the Consolidated Balance Sheets Financial Instruments Cash Collateral Received Net Amount
March 31, 2018 $742
 $
 $742
 $
 $
 $742
September 30, 2018 $
 $
 $
 $
 $
 $
December 31, 2017 1,089
 
 1,089
 
 
 1,089
 1,089
 
 1,089
 
 
 1,089

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Credit Risk Related Contingent Features
We have agreements with each of our derivative counterparties that contain a provision that if we default on any of our indebtedness, including a default where repayment of the indebtedness has not been accelerated by the lender, then we could also be declared in default on our derivative obligations.
We also have agreements with each of our derivative counterparties that incorporate provisions from our indebtedness with a lender affiliate of the derivative counterparty requiring it to maintain certain minimum financial covenant ratios on our indebtedness. Failure to comply with the covenant provisions would result in us being in default on any derivative instrument obligations covered by these agreements.
As of March 31,September 30, 2018, due to the settlement of three of our cash flow hedges, there is no fair value of derivatives in a net liability position, including accrued interest, but excluding any adjustment for nonperformance risk related to these agreements, was $0.7 million.position. As of March 31,September 30, 2018, we have not posted any collateral related to these agreements and we were not in breach of any of the provisions of these agreements. As such, there is no termination value as of September 30, 2018. If we had breached any of the provisions of these agreements, we could have been required to settle our obligations under these agreements at an aggregate termination value of $0.7 million at March 31, 2018.agreements.
9. Commitments and Contingencies
Litigation
We engage in litigation from time to time with various parties as a routine part of our business, including tenant defaults. However, we are not presently subject to any material litigation nor, to our knowledge, is any material litigation threatened against us, which if determined unfavorably to us, would have a material effect on our condensed consolidated financial position, results of operations or cash flows. 
Environmental Matters
We follow the policy of monitoring our properties for the presence of hazardous or toxic substances. While there can be no assurance that a material environmental liability does not exist at our properties, we are not currently aware of any environmental liability with respect to our properties that would have a material effect on our condensed consolidated financial position, results of operations or cash flows. Further, we are not aware of any material environmental liability or any unasserted claim or assessment with respect to an environmental liability at our properties that we believe would require additional disclosure or the recording of a loss contingency.
Other
Our other commitments and contingencies include the usual obligations of real estate owners and operators in the normal course of business. In our opinion, these matters are not expected to have a material effect on our condensed consolidated financial position, results of operations or cash flows.
10. Redeemable Noncontrolling Interests
Redeemable noncontrolling interests in the accompanying condensed consolidated balance sheets represent the noncontrolling interest in one joint venture in which we own the majority interest. As of September 30, 2018, approximately 14.3% of the earnings of the joint venture are allocated to redeemable noncontrolling interests. The following is summary of the activity of our redeemable noncontrolling interests as of September 30, 2018 and December 31, 2017, respectively (in thousands):
 September 30, 2018 December 31, 2017
Beginning balance$6,737
 $4,653
Net income attributable to noncontrolling interests65
 123
Distributions(192) (53)
Fair value adjustment
 2,014
Ending balance$6,610
 $6,737

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11. Stockholders’ Equity and Partners’ Capital
HTALP’s operating partnership agreement provides that it will distribute cash flow from operations and net sale proceeds to its partners in accordance with their overall ownership interests at such times and in such amounts as the general partner determines. Dividend distributions are made such that a holder of one OP Unit in HTALP will receive distributions from HTALP in an amount equal to the dividend distributions paid to the holder of one share of our common stock. In addition, for each share of common stock issued or redeemed by us, HTALP issues or redeems a corresponding number of OP Units.
During 2017,Common Stock Offerings
In June 2018, we enteredsettled a forward sale arrangement pursuant to a forward equity agreement withthat we entered into in October 2017, which included the sale of approximately 2.6 million shares of our common stock for net proceeds of $75.0approximately $73.8 million, excluding anticipatedadjusted for costs to borrow. In February 2018, the maturity date was extendedborrow equating to October 2018, subjecta net price to adjustments as provided in the forward equity agreement.us of $28.94 per share of common stock. Refer to Note 1213 - Per Share Data of HTA in the accompanying notes to thesethe condensed consolidated financial statements for a more detailed discussion related to our forward equity agreement.
Stock Repurchase Plan
In August 2018, our Board of Directors approved a stock repurchase plan authorizing us to purchase up to $300.0 million of our common stock from time to time prior to the expiration thereof on June 7, 2020. During the nine months ended September 30, 2018, we repurchased 628,002 shares of our common stock, at an average price of $26.25 per share, for an aggregate amount of approximately $16.5 million, pursuant to this stock repurchase plan. As of September 30, 2018, the remaining amount of common stock available for repurchase under the stock repurchase plan was approximately $283.5 million. Subsequent to September 30, 2018, we repurchased 289,519 shares of our common stock at an average price of $25.69 per share, for an aggregate amount of approximately $7.4 million under this stock repurchase plan.
Common Stock Dividends
See our accompanying condensed consolidated statements of operations for the dividends declared during the three and nine months ended March 31,September 30, 2018 and 2017. On April 27,October 25, 2018, our Board of Directors announced a quarterly dividend of $0.305$0.310 per share/unitshare of common stock and per OP unit to be paid on July 10, 2018January 9, 2019 to stockholders of record of our common stock and holders of our OP unitholdersUnits on July 5, 2018.

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January 2, 2019.
Incentive Plan
TheOur Incentive Plan permits the grant of incentive awards to our employees, officers, non-employee directors and consultants as selected by our Board of Directors. The Plan authorizes us to grant awards in any of the following forms: options; stock appreciation rights; restricted stock; restricted or deferred stock units; performance awards; dividend equivalents; other stock-based awards, including units in HTALP; and cash-based awards. Subject to adjustment as provided in the Plan, the aggregate number of awards reserved and available for issuance under the Plan is 5,000,000 shares. As of March 31,September 30, 2018, there were 1,405,1371,370,792 awards available for grant under the Plan.
Restricted Common Stock
For the three and nine months ended March 31,September 30, 2018, we recognized compensation expense of $2.1 million and $7.8 million, respectively. For the three and nine months ended September 30, 2017, we recognized compensation expense of $3.5$1.7 million and $2.5$5.5 million, respectively. CompensationSubstantially all compensation expense was recorded in general and administrative expenses in the accompanying condensed consolidated statements of operations.
As of March 31,September 30, 2018,, we had $11.7$8.8 million of unrecognized compensation expense, net of estimated forfeitures, which we will recognize over a remaining weighted average period of 1.81.5 years.
The following is a summary of our restricted common stock activity as of March 31,September 30, 2018 and 2017, respectively:
March 31, 2018 March 31, 2017September 30, 2018 September 30, 2017
Restricted Common Stock 
Weighted
Average Grant
Date Fair Value
 Restricted Common Stock 
Weighted
Average Grant
Date Fair Value
Restricted Common Stock 
Weighted
Average Grant
Date Fair Value
 Restricted Common Stock 
Weighted
Average Grant
Date Fair Value
Beginning balance589,606
 $29.38
 640,870
 $27.36
589,606
 $29.38
 640,870
 $27.36
Granted307,534
 29.05
 215,333
 29.31
360,700
 28.70
 292,109
 29.75
Vested(205,270) 29.13
 (229,621) 24.88
(255,946) 28.68
 (278,821) 25.31
Forfeited(20,061) 29.66
 (2,524) 29.96
(38,882) 28.97
 (58,384) 28.86
Ending balance671,809
 $29.29
 624,058
 $28.94
655,478
 $29.30
 595,774
 $29.39

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12. Fair Value of Financial Instruments
Financial Instruments Reported at Fair Value - Recurring
The table below presents our assets and liabilities measured at fair value on a recurring basis as of March 31,September 30, 2018, aggregated by the applicable level in the fair value hierarchy (in thousands):
 Level 1 Level 2 Level 3 Total Level 1 Level 2 Level 3 Total
Assets:                
Derivative financial instruments $
 $1,991
 $
 $1,991
 $
 $1,588
 $
 $1,588
Liabilities:                
Derivative financial instruments $
 $742
 $
 $742
 $
 $
 $
 $
The table below presents our assets and liabilities measured at fair value on a recurring basis as of December 31, 2017, aggregated by the applicable level in the fair value hierarchy (in thousands):
  Level 1 Level 2 Level 3 Total
Assets:        
Derivative financial instruments $

$1,529

$
 $1,529
Liabilities:        
Derivative financial instruments $
 $1,089
 $
 $1,089

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Financial Instruments Reported at Fair Value - Non-Recurring
The table below presents our assets measured at fair value on a non-recurring basis as of March 31,September 30, 2018, aggregated by the applicable level in the fair value hierarchy (in thousands):
 Level 1 Level 2 Level 3 Total Level 1 Level 2 Level 3 Total
Assets:                
MOB (1)
 $
 $12,985
 $
 $12,985
 $
 $10,110
 $
 $10,110
                
(1) During the three months ended March 31, 2018, we recognized $4.6 million of impairment charges to the carrying value of two MOBs. The estimated fair value as of March 31, 2018 for these MOBs was based upon a pending sales agreement.
(1) During the nine months ended September 30, 2018, we recognized $8.9 million of impairment charges to the carrying value of six MOBs, one of which had been sold as of September 30, 2018 and one subsequent to September 30, 2018. The estimated fair value as of September 30, 2018 for the remaining four MOBs was based on the purchase price set forth in executed letters of intent for the purchase thereof and a pending, executed sales agreement.(1) During the nine months ended September 30, 2018, we recognized $8.9 million of impairment charges to the carrying value of six MOBs, one of which had been sold as of September 30, 2018 and one subsequent to September 30, 2018. The estimated fair value as of September 30, 2018 for the remaining four MOBs was based on the purchase price set forth in executed letters of intent for the purchase thereof and a pending, executed sales agreement.
The table below presents our assets measured at fair value on a non-recurring basis as of December 31, 2017, aggregated by the applicable level in the fair value hierarchy (in thousands):
 Level 1 Level 2 Level 3 Total Level 1 Level 2 Level 3 Total
Assets:                
MOB (1)
 $
 $10,271
 $
 $10,271
 $
 $10,271
 $
 $10,271
                
(1) During the year ended December 31, 2017, we recognized $13.9 million of impairment charges to the carrying value of two MOBs and a portfolio of MOBs. The estimated fair value as of December 31, 2017 for these MOBs was based upon a pending sales agreement and real estate market comparables.
(1) During the year ended December 31, 2017, we recognized $13.9 million of impairment charges to the carrying value of two MOBs and a portfolio of MOBs. The estimated fair value as of December 31, 2017 for these MOBs was based upon a pending, executed sales agreement and real estate market comparables.(1) During the year ended December 31, 2017, we recognized $13.9 million of impairment charges to the carrying value of two MOBs and a portfolio of MOBs. The estimated fair value as of December 31, 2017 for these MOBs was based upon a pending, executed sales agreement and real estate market comparables.
There have been no transfers of assets or liabilities between levels. We will record any such transfers at the end of the reporting period in which a change of event occurs that results in a transfer. Although we have determined that the majority of the inputs used to value our interest rate swap derivatives fall within Level 2 of the fair value hierarchy, the credit valuation adjustments associated with these instruments utilize Level 3 inputs, such as estimates of current credit spreads to evaluate the likelihood of default by us and our counterparties. However, we have assessed the significance of the impact of the credit valuation adjustments on the overall valuation of our interest rate swap derivative positions and have determined that the credit valuation adjustments are not significant to their overall valuation. As a result, we have determined that our interest rate swap derivative valuations in their entirety are classified in Level 2 of the fair value hierarchy. 

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Financial Instruments Disclosed at Fair Value
We consider the carrying values of cash and cash equivalents, tenant and other receivables, restricted cash and accounts payable, and accrued liabilities, to approximate fair value for these financial instruments because of the short period of time between origination of the instruments and their expected realization. All of these financial instruments are consideredmeasured using Level 2.
The fair value of debt is estimated using borrowing rates available to us with similar terms and maturities, which is considered a Level 2 input. As of March 31,September 30, 2018, the fair value of the debt was $2,765.8$2,550.0 million compared to the carrying value of $2,780.3$2,609.7 million. As of December 31, 2017, the fair value of the debt was $2,826.3 million compared to the carrying value of $2,781.0 million.

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12.13. Per Share Data of HTA
In October 2017, we entered a forward sale arrangement pursuant to a forward equity agreement to sell approximately 2.6 million shares of our common stock through our ATM at a price of $29.40 per share,at-the-market program (the “ATM”). In June 2018, we settled our forward sale arrangement for proceeds of approximately $75.0$73.8 million, excluding anticipatedadjusted for costs to borrow. In February 2018, the maturity date was extendedborrow equating to October 2018, subjecta net price to adjustments as provided in the forward equity agreement.us of $28.94 per share of common stock. To account for the forward equity agreement, we considered the accounting guidance governing financial instruments and derivatives and concluded that our forward equity agreement 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 our shares. We also evaluated whether the agreement met the derivatives and hedging guidance scope exception to be accounted for as an equity instrument and concluded that the agreement can be classified as an equity contract based on the following assessment: (i) none of the agreements’agreement did not exercise contingencies were based on observable markets or indices besides those related to the market for our own stock price and operations; and (ii) none of the settlement provisions precluded the agreement from being indexed to our own common stock.
In addition, we considered the potential dilution resulting from the forward equity agreement on our earnings per common share calculations. We used the treasury method to determine the dilution resulting from the forward equity agreement during the period of time prior to settlement. The number of weighted-average shares outstanding - diluted used in the computation of earnings per common share for the threenine months ended March 31,September 30, 2018, included the effect from the assumed issuance of 2.6 million shares of our common stock pursuant to the settlement of the forward equity agreement at the contractual price, less the assumed repurchase of our common sharesstock at the average market price using the proceeds of approximately $75.0$73.8 million, excluding anticipatedadjusted for costs to borrow. For the threenine months ended March 31,September 30, 2018, approximately 266,000330,000 weighted-average incremental shares of our common stock were excluded from the computation of our weighted-average shares-diluted, as their impact was anti-dilutive.
We include unvested share-based payment awards that contain non-forfeitable rights to dividends or dividend equivalents as “participating securities” pursuant to the two-class method. The resulting classes are our common stock and restricted stock. Our forward equity agreement is not considered a participating security and, therefore, is not included in the computation of earnings per share using the two-class method. For the three and nine months ended March 31,September 30, 2018 and 2017, all of our earnings were distributed and the calculated earnings per share amount would be the same for all classes.

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The following is the reconciliation of the numerator and denominator used in basic and diluted earnings per share of HTA for the three and nine months ended March 31,September 30, 2018 and 2017, respectively (in thousands, except per share data):
Three Months Ended March 31,Three Months Ended September 30, Nine Months Ended September 30,
2018 20172018 2017 2018 2017
Numerator:          
Net income$10,016
 $14,000
$176,348
 $13,957
 $202,021
 $22,105
Net income attributable to noncontrolling interests(214) (455)(3,362) (194) (3,887) (715)
Net income attributable to common stockholders$9,802
 $13,545
$172,986
 $13,763
 $198,134
 $21,390
Denominator:          
Weighted average shares outstanding - basic205,069
 141,780
207,513
 200,674
 205,950
 173,189
Dilutive shares - partnership units convertible into common stock4,108
 4,337
3,931
 4,121
 4,018
 4,221
Adjusted weighted average shares outstanding - diluted209,177
 146,117
211,444
 204,795
 209,968
 177,410
Earnings per common share - basic          
Net income attributable to common stockholders$0.05
 $0.10
$0.83
 $0.07
 $0.96
 $0.12
Earnings per common share - diluted          
Net income attributable to common stockholders$0.05
 $0.09
$0.82
 $0.07
 $0.94
 $0.12
14. Per Unit Data of HTALP
In October 2017, we entered a forward sale arrangement pursuant to a forward equity agreement to sell approximately 2.6 million shares of our common stock through our ATM. Refer to Note 13 - Per Share Data of HTA in the accompanying notes to the condensed consolidated financial statements for a more detailed discussion related to our forward equity agreement settled in June 2018.
The following is the reconciliation of the numerator and denominator used in basic and diluted earnings per unit of HTALP for the three and nine months ended September 30, 2018, and 2017, respectively (in thousands, except per unit data):
 Three Months Ended September 30, Nine Months Ended September 30,
 2018 2017 2018 2017
Numerator:       
Net income$176,348
 $13,957
 $202,021
 $22,105
Net income attributable to noncontrolling interests(18) (28) (65) (80)
Net income attributable to common unitholders$176,330
 $13,929
 $201,956
 $22,025
Denominator: 
       
Weighted average units outstanding - basic211,444
 204,795
 209,968
 177,410
Dilutive units - partnership units convertible into common units
 
 
 
Adjusted weighted average units outstanding - diluted211,444
 204,795
 209,968
 177,410
Earnings per common unit - basic:       
Net income attributable to common unitholders$0.83
 $0.07
 $0.96
 $0.12
Earnings per common unit - diluted:       
Net income attributable to common unitholders$0.83
 $0.07
 $0.96
 $0.12

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HEALTHCARE TRUST OF AMERICA, INC. AND HEALTHCARE TRUST OF AMERICA HOLDINGS, LP NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

13. Per Unit Data of HTALP
In October 2017, we entered a forward sale arrangement pursuant to a forward equity agreement to sell 2.6 million shares of common stock through our ATM. Refer to Note 12 - Per Share Data of HTA to these condensed consolidated financial statements for a more detailed discussion related to our forward equity agreement executed in October 2017.
The following is the reconciliation of the numerator and denominator used in basic and diluted earnings per unit of HTALP for the three months ended March 31, 2018, and 2017, respectively (in thousands, except per unit data):
 Three Months Ended March 31,
 2018 2017
Numerator:   
Net income$10,016
 $14,000
Net income attributable to noncontrolling interests(33) (30)
Net income attributable to common unitholders$9,983
 $13,970
Denominator: 
   
Weighted average units outstanding - basic209,177
 146,117
Dilutive units - partnership units convertible into common units
 
Adjusted weighted average units outstanding - diluted209,177
 146,117
Earnings per common unit - basic:   
Net income attributable to common unitholders$0.05
 $0.10
Earnings per common unit - diluted:   
Net income attributable to common unitholders$0.05
 $0.10
14.15. Supplemental Cash Flow Information
The following is the supplemental cash flow information for the threenine months ended March 31,September 30, 2018 and 2017, respectively (in thousands):
Three Months Ended March 31,Nine Months Ended September 30,
2018 20172018 2017
Supplemental Disclosure of Cash Flow Information:      
Interest paid$37,518
 $19,186
$87,303
 $51,066
Income taxes paid656
 60
1,656
 997
      
Supplemental Disclosure of Noncash Investing and Financing Activities:      
Accrued capital expenditures$760
 $5,696
$243
 $4,185
Debt assumed and entered into in connection with an acquisition
 286,000
Dividend distributions declared, but not paid63,828
 44,489
65,544
 62,494
Issuance of operating partnership units in connection with acquisitions
 610
Issuance of operating partnership units in HTALP in connection with an acquisition
 610
Note receivable retired in connection with an acquisition
 2,494

 2,494
Redemption of noncontrolling interest2,413
 
5,195
 5,694

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
The use of the words “we,” “us” or “our” refers to HTA and HTALP, collectively.
The following discussion should be read in conjunction with our condensed consolidated financial statements and notes appearing elsewhere in this Quarterly Report, as well as with the audited consolidated financial statements, accompanying notes and Management’s Discussion and Analysis of Financial Condition and Results of Operations included in our 2017 Annual Report on Form 10-K. Such condensed consolidated financial statements and information have been prepared to reflect HTA’s and HTALP’s financial position as of March 31,September 30, 2018 and December 31, 2017, together with results of operations and cash flows for three and nine months ended March 31,September 30, 2018 and 2017.
The information set forth below is intended to provide readers with an understanding of our financial condition, changes in financial condition and results of operations.
Forward-Looking Statements;
Executive Summary;
Company Highlights;
Critical Accounting Policies;
Recently Issued or Adopted Accounting Pronouncements;
Factors Which May Influence Results of Operations;
Results of Operations;
Non-GAAP Financial Measures;
Liquidity and Capital Resources;
Commitments and Contingencies;
Debt Service Requirements;
Off-Balance Sheet Arrangements; and
Inflation.
Forward-Looking Statements
Certain statements contained in this Quarterly Report constitute forward-looking statements within the meaning of the safe harbor from civil liability provided for such statements by the Private Securities Litigation Reform Act of 1995 (set forth in Section 27A of the Securities Act and Section 21E of the Securities Exchange Act of 1934, as amended (“Exchange Act”)). Such statements include, in particular, statements about our plans, strategies, prospects and estimates regarding future MOB market performance. Additionally, such statements are subject to certain risks and uncertainties, as well as known and unknown risks, which could cause actual results to differ materially and in adverse ways from those projected or anticipated. Therefore, such statements are not intended to be a guarantee of our performance in future periods. Forward-looking statements are generally identifiable by the use of such terms as “expect,” “project,” “may,” “should,” “could,” “would,” “intend,” “plan,” “anticipate,” “estimate,” “believe,” “continue,” “opinion,” “predict,” “potential,” “pro forma” or the negative of such terms and other comparable terminology. Readers are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date this Quarterly Report is filed with the SEC. We cannot guarantee the accuracy of any such forward-looking statements contained in this Quarterly Report, and we do not intend to publicly update or revise any forward-looking statements, whether as a result of new information, future events, or otherwise, except as required by law.
Any such forward-looking statements reflect our current views about future events, are subject to unknown risks, uncertainties, and other factors, and are based on a number of assumptions involving judgments with respect to, among other things, future economic, competitive and market conditions, all of which are difficult or impossible to predict accurately. To the extent that our assumptions differ from actual results, our ability to meet such forward-looking statements, including our ability to generate positive cash flow from operations, provide dividends to stockholders and maintain the value of our real estate properties, may be significantly hindered. Factors that might impair our ability to meet such forward-looking statements include, without limitation, those discussed in Part I, Item 1A - Risk Factors in our 2017 Annual Report on Form 10-K, which is incorporated herein.



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Forward-looking statements express expectations of future events. All forward-looking statements are inherently uncertain as they are based on various expectations and assumptions concerning future events and they are subject to numerous known and unknown risks and uncertainties that could cause actual events or results to differ materially from those projected. Due to these inherent uncertainties, our stockholders are urged not to place undue reliance on forward-looking statements. Forward-looking statements speak only as of the date made. In addition, we undertake no obligation to update or revise forward-looking statements to reflect changed assumptions, the occurrence of unanticipated events or changes to projections over time, except as required by law.
These risks and uncertainties should be considered in evaluating forward-looking statements and undue reliance should not be placed on such statements. Additional information concerning us and our business, including additional factors that could materially affect our financial results, is included herein and in our other filings with the SEC.
Executive Summary
HTA isWe are the largest publicly-traded REIT focused on MOBs in the U.S. as measured by the GLA of itsour MOBs. HTA conductsWe conduct substantially all of itsour operations through HTALP. We invest in MOBs that we believe will serve the future of healthcare delivery and MOBs that are primarily located on health system campuses, near university medical centers, or in core community outpatient locations. We also focus on our key markets that have certain demographic and macro-economic trends and where we can utilize our institutional full-service property management, leasing and development services platform to generate strong tenant and health system relationships and operating cost efficiencies. Our primary objective is to maximize stockholder value with disciplined growth through strategic investments that provide an attractive risk-adjusted return for our stockholders by consistently increasing our cash flow. In pursuing this objective, we: (i) seek internal growth through proactive asset management, leasing, building services and property management oversight; (ii) target accretive acquisitions and developments of MOBs in markets with attractive demographics that complement our existing portfolio; and (iii) actively manage our balance sheet to maintain flexibility with conservative leverage.  Additionally, from time to time we consider, on an opportunistic basis, significant portfolio acquisitions that we believe fit our core business and could enhance our existing portfolio.
Since 2006, we have invested $7.0$6.8 billion to create a portfolio of MOBs, development projects and other healthcare assets consisting of approximately 24.123.2 million square feet of GLA throughout the U.S. Approximately 70%68% of our portfolio was located on the campuses of, or adjacent to, nationally and regionally recognized healthcare systems. Our portfolio is diversified geographically across 3332 states, with no state having more than 19%20% of our total GLA as of March 31,September 30, 2018. We are concentrated in 20 to 25 key markets that are experiencing higher economic and demographic trends than other markets, on average, that we expect will drive demand for MOBs. As of March 31,September 30, 2018, we had approximately 1 million square feet of GLA in eachnine of our top ten markets and approximately 93% of our portfolio, based on GLA, is located in the top 75 MSAs, with Dallas, Houston, Boston, Tampa and Atlanta being our largest markets by investment.
Company Highlights
Portfolio Operating Performance
For the three months ended March 31,September 30, 2018, our total revenue increased 41.3%decreased (0.5)%, or $51.3$(0.9) million, to $175.7$175.1 million, compared to the three months ended March 31,September 30, 2017. For the nine months ended September 30, 2018, total revenue increased 19.1%, or $83.9 million, to $524.1 million, compared to the nine months ended September 30, 2017.
For the three months ended March 31,September 30, 2018, net income was $176.3 million, compared to $14.0 million, for the three months ended September 30, 2017. For the nine months ended September 30, 2018, net income was $202.0 million, compared to $22.1 million, for the nine months ended September 30, 2017.
For the three months ended September 30, 2018, net income attributable to common stockholders was $0.05$0.82 per diluted share, or $9.8$173.0 million, compared to $0.09$0.07 per diluted share, or $13.5$13.8 million, for the three months ended March 31,September 30, 2017. This decrease is primarily relatedFor the nine months ended September 30, 2018, net income attributable to common stockholders was $0.94 per diluted share, or $198.1 million, compared to $0.12 per diluted share, or $21.4 million, for the increase in depreciation and amortization of $23.3 million as a result of the increase in the size of our investment portfolio.nine months ended September 30, 2017.
For the three months ended March 31,September 30, 2018, HTA’s FFO, as defined by NAREIT, was $84.6$81.4 million, or $0.40$0.38 per diluted share, compared to $0.41 per diluted share, or $60.2$84.2 million, for the three months ended March 31,September 30, 2017. For the nine months ended September 30, 2018, HTA’s FFO was $250.4 million, or $1.19 per diluted share, compared to $1.12 per diluted share, or $198.7 million, for the nine months ended September 30, 2017.

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For the three months ended September 30, 2018, HTALP’s FFO was $84.7 million, or $0.40 per diluted OP Unit, compared to $0.41 per diluted OP Unit, or $84.4 million, for the three months ended September 30, 2017. For the nine months ended September 30, 2018, HTALP’s FFO was $254.2 million, or $1.21 per diluted OP Unit, compared to $1.12 per diluted OP Unit, or $199.3 million, for the nine months ended September 30, 2017.
For the three months ended March 31, 2018, HTALP’s FFO was $84.8 million, or $0.41 per diluted OP Unit, compared to $0.42 per diluted OP unit, or $60.7 million for the three months ended March 31, 2017.
For the three months ended March 31,September 30, 2018, HTA’s and HTALP’s Normalized FFO remained stable atwas $0.41 per diluted share and OP Unit, or $85.0$86.1 million, compared to the three months ended March 31,September 30, 2017. For the nine months ended September 30, 2018, HTA’s and HTALP’s Normalized FFO was $1.22 per diluted share and OP Unit, or $256.2 million, compared to the nine months ended September 30, 2017.
For additional information on FFO and Normalized FFO, see “FFO and Normalized FFO” below, which includes a reconciliation to net income attributable to common stockholders/unitholders and an explanation of why we present this non-GAAP financial measure.
For the three months ended March 31,September 30, 2018, our NOI increased 40.2%decreased (0.3)%, or $34.3$(0.3) million, to $119.6$119.3 million, compared to the three months ended March 31,September 30, 2017.

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For the nine months ended September 30, 2018, NOI increased 19.1%, or $57.4 million, to $358.8 million, compared to the nine months ended September 30, 2017.
For the three months ended March 31,September 30, 2018, our Same-PropertySame-property Cash NOI increased 2.3%2.5%, or $1.8$2.7 million, to $81.0$108.8 million, compared to the three months ended March 31,September 30, 2017. For the nine months ended September 30, 2018, Same-Property Cash NOI increased 2.4%, or $5.6 million, to $233.2 million, compared to the nine months ended September 30, 2017. Excluding the MOBs located on our Forest Park campuses,Dallas campus, Same-Property Cash NOI growth would have been 3.2%.was 2.7% for the nine months ended September 30, 2018.
For additional information on NOI and Same-Property Cash NOI, see “NOI, Cash NOI and Same-Property Cash NOI” below, which includes a reconciliation from net income and an explanation of why we present these non-GAAP financial measures.
Key Market Focused Strategy and Investments
We believe we have been one of the most active investors in the medical office sector over the last decade. This has enabled us to create a high quality portfolio focused on MOBs serving the future of healthcare with scale and significance in 20 to 25 key markets.
Our investmentsinvestment strategy includes alignment with key healthcare systems, hospitals, and leading academic medical universities. The Company isWe are the largest owner of on-campus or adjacent MOBs in the country, with approximately 16.816 million square feet of GLA, or 70%68%, of our portfolio located in these locations. The remaining 30% are32% of our portfolio is located in core community outpatient locations where healthcare is increasingly being delivered.
Over the last several years, our investments have been focused in our 20 to 25 key markets which we believe will outperform the broader U.S. from an economic and demographic perspective. As of March 31,September 30, 2018, approximately 93% of our portfolio’s GLA is located in the top 75 MSAs. Our key markets represent top MSAs with strong growth metrics in jobs, household income and population, as well as low unemployment and mature healthcare infrastructures. Many of our key markets are also supported by strong university systems.
Our key market focus has enabled us to establish scale and effectively utilize our internal property management and leasing platform to deliver consistent same store growth and additional yield on investments, and also cost effective service to tenants. As of March 31,September 30, 2018, we had approximately 1 million square feet of GLA in eachnine of our top ten markets and approximately 500,000 square feet in each of our top 1615 markets. We expect to establish this scale across 20 to 25 key markets as our portfolio expands.
During the three months ended March 31,September 30, 2018, HTA completed the disposition of 19 MOBs, primarily located in Greenville, South Carolina for an aggregate gross sales price of $305.9 million totaling approximately 1.1 million square feet of GLA, generating gains of approximately $166.4 million.
During the nine months ended September 30, 2018, we announced a new development in our key gateway market of Miami, Florida and commenced two redevelopments, including an agreement to build a new on-campus MOB in Raleigh, North Carolina. These projects will have total expected construction costs of approximately $70.6 million and are approximately 78% pre-leased to major health systems.
During the nine months ended September 30, 2018, we invested $8.4$13.9 million to acquire an MOBthree MOBs of approximately 24,00060,000 square feet of GLA in the key market of Raleigh, North Carolina, that was 100% leased as of the acquisition date to Duke Health System.Carolina. In addition, we invested $3.9 million to consolidate our ownership interests in several other MOBs.

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Internal Growth through Proactive In-House Property Management and Leasing
We believe we have the largest full-service operating platform in the medical office space that consists of our in-house property management and leasing which allows us to better manage and service our existing portfolio. In each of these markets, we have established a strong in-house property management and leasing platform that has allowed us to develop valuable relationships with health systems, physician practices, universities, and regional development firms that have led to investment and leasing opportunities. Our full-service operational platforms have also enabled us to focus on generating cost efficiencies as we gain scale across individual markets and regions.
As of March 31,September 30, 2018, our in-house property management and leasing platform operated approximately 22.621.7 million square feet of GLA, or 94%93%, of our total portfolio.
As of March 31,September 30, 2018, our leased rate (includes(which includes leases which have been executed, but which have not yet commenced) was 91.8%92.1% by GLA and our occupancy rate was 90.7%90.9% by GLA.
We entered into new and renewal leases on approximately 663,000532,000 and 2.2 million square feet of GLA, or 2.7%2.3% and 9.5%, respectively, of our portfolio forduring the three and nine months ended March 31,September 30, 2018.
Tenant retention for the Same-Property portfolio was 81%82% and 83%, which included approximately 609,000381,000 and 1.7 million square feet of GLA of expiring leases, for the quarter and year-to-date, respectively, which we believe is indicative of our commitment to maintaining buildings in desirable locations and fostering strong tenant relationships. Tenant retention is defined as the sum of the total leased GLA of tenants that renewed a lease during the period over the total GLA of leases that renewed or expired during the period.
Financial Strategy and Balance Sheet Flexibility
As of March 31,September 30, 2018, we had total leverage, measured by net debt (total debt less cash and cash equivalents)equivalents to total capitalization, of 33.0%29.7%. Total liquidity was $1.1$1.2 billion, including cash and cash equivalents of $56.2$225.5 million a $75.0 million forward commitment, excluding anticipated costs to borrow, and $994.5 million available on our unsecured revolving credit facility (includes(which includes the impact of $5.5 million of outstanding letters of credit) as of March 31,September 30, 2018.
As of September 30, 2018, the weighted average remaining term of our debt portfolio was 5.2 years.
In August 2018, we prepaid approximately $72.6 million of our fixed and variable rate mortgages, including the settlement of three cash flow hedges, utilizing net proceeds from the Greenville Disposition to do so. Additionally, in August 2018, HTALP entered into a modification of our $200.0 million unsecured term loan previously due in 2023. The modification decreased pricing at our current credit rating by 65 basis points. The maturity date was also extended by five months to January 2024. The other material terms of the unsecured term loan prior to the modification remained substantially unchanged.
In August 2018, our Board of Directors approved a stock repurchase plan authorizing us to purchase up to $300 million of our common stock from time to time prior to the expiration thereof on June 7, 2020. During the nine months ended September 30, 2018, we repurchased 628,002 shares of our common stock, at an average price of $26.25 per share, for an aggregate amount of approximately $16.5 million, pursuant to this stock repurchase plan.
In June 2018, we settled a forward sale arrangement pursuant to a forward equity agreement that was entered into in October 2017, which included approximately 2.6 million shares of our common stock for net proceeds of approximately $73.8 million, adjusted for costs to borrow equating to a net price to us of $28.94 per share of common stock.
On April 27,October 25, 2018, our Board of Directors announced a quarterly dividend of $0.305$0.310 per share/unitshare of common stock.

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stock and per OP Unit.
Critical Accounting Policies
The complete list of our critical accounting policies was disclosed in our 2017 Annual Report on Form 10-K. There have been no material changes to our critical accounting policies as disclosed herein. For further information on significant accounting policies that impact us, see Note 2 - Summary of Significant Accounting Policies to ourin the accompanying condensed consolidated financial statements.
Recently Issued or Adopted Accounting Pronouncements
See Note 2 - Summary of Significant Accounting Policies to ourin the accompanying condensed consolidated financial statements for a discussion of recently issued or adopted accounting pronouncements.

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Factors Which May Influence Results of Operations
We are not aware of any material trends or uncertainties, other than national economic conditions affecting real estate generally and the risk factors previously listed in Part I, Item 1A - Risk Factors, in our 2017 Annual Report on Form 10-K that may reasonably be expected to have a material impact, favorable or unfavorable, on revenues or income from the investment, management and operation of our properties.
Rental Income
The amount of rental income generated by our properties depends principally on our ability to maintain the occupancy rates of currently leased space and to lease currently available space and space that will become available from unscheduled lease terminations at the then applicable rental rates. Negative trends in one or more of these factors could adversely affect our rental income in future periods.
Investment Activity                                            
During the threenine months ended March 31,September 30, 2018, we had investments with an aggregate purchase price of $12.3$17.8 million and no dispositions. Duringdispositions with an aggregate gross sales price of $305.9 million. Including the threeDuke acquisition, during the nine months ended March 31,September 30, 2017, we had investments with an aggregate gross purchase price of$39.0 millionof $2.7 billion, which included a 50% ownership in an unconsolidated joint venture and a disposition with a gross sales price of $5.0 million.


















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Results of Operations
Comparison of the Three and Nine Months Ended March 31,September 30, 2018 and 2017
As of March 31,September 30, 2018 and 2017, we owned and operated approximately 24.123.2 million and 17.824.2 million square feet of GLA, respectively, with a leased rate of 91.8% (includes92.1% and 91.7%, respectively (which includes leases which have been executed, but which have not yet commenced), and an occupancy rate of 90.7%90.9%, and 91.0%90.6%, respectively. All explanations are applicable to both HTA and HTALP unless otherwise noted.
Comparison of the three months ended March 31,September 30, 2018 and 2017, respectively, is set forth below:
Three Months Ended March 31,Three Months Ended September 30,
2018 2017 Change % Change2018 2017 Change % Change
Revenues:              
Rental income$175,567
 $123,993
 $51,574
 41.6 %$175,038
 $175,431
 $(393) (0.2)%
Interest and other operating income94
 354
 (260) (73.4)97
 563
 (466) (82.8)
Total revenues175,661
 124,347
 51,314
 41.3
175,135
 175,994
 (859) (0.5)
Expenses:              
Rental56,022
 39,020
 17,002
 43.6
55,789
 56,331
 (542) (1.0)
General and administrative8,786
 8,423
 363
 4.3
8,770
 8,283
 487
 5.9
Transaction191
 284
 (93) (32.7)346
 261
 85
 32.6
Depreciation and amortization70,392
 47,056
 23,336
 49.6
70,568
 70,491
 77
 0.1
Impairment4,606
 
 4,606
 NM
4,281
 
 4,281
 NM
Total expenses139,997
 94,783
 45,214
 47.7
139,754
 135,366
 4,388
 3.2
Income before other income (expense)35,664
 29,564
 6,100
 20.6
35,381
 40,628
 (5,247) (12.9)
Interest expense:       
Interest income (expense):       
Interest related to derivative financial instruments(58) (324) 266
 82.1
169
 (264) 433
 NM
Gain on change in fair value of derivative financial instruments, net
 839
 (839) NM
Total interest related to derivative financial instruments, including net change in fair value of derivative financial instruments(58) 515
 (573) NM
Interest related to debt(26,195) (16,058) (10,137) (63.1)(25,003) (25,924) 921
 3.6
Gain on sale of real estate, net
 3
 (3) NM
166,372
 
 166,372
 NM
Loss on extinguishment of debt, net
 (32) 32
 NM
(1,092) (774) (318) (41.1)
Income from unconsolidated joint venture570
 
 570
 NM
432
 318
 114
 35.8
Other income35
 8
 27
 NM
Other income (expense)89
 (27) 116
 NM
Net income$10,016
 $14,000
 $(3,984) (28.5)%$176,348
 $13,957
 $162,391
 NM
              
NOI$119,639
 $85,327
 $34,312
 40.2 %$119,346
 $119,663
 $(317) (0.3)%
Same-Property Cash NOI$81,003
 $79,172
 $1,831
 2.3 %$108,823
 $106,160
 $2,663
 2.5 %

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Comparison of the nine months ended September 30, 2018 and 2017, respectively, is set forth below:
 Nine Months Ended September 30,
 2018 2017 Change % Change
Revenues:       
Rental income$523,826
 $438,949
 $84,877
 19.3 %
Interest and other operating income302
 1,271
 (969) (76.2)
Total revenues524,128
 440,220
 83,908
 19.1
Expenses:       
Rental165,364
 138,874
 26,490
 19.1
General and administrative26,281
 25,178
 1,103
 4.4
Transaction933
 5,618
 (4,685) (83.4)
Depreciation and amortization210,064
 172,900
 37,164
 21.5
Impairment8,887
 5,093
 3,794
 74.5
Total expenses411,529
 347,663
 63,866
 18.4
Income before other income (expense)112,599
 92,557
 20,042
 21.7
Interest income (expense):       
Interest related to derivative financial instruments297
 (827) 1,124
 NM
Gain on change in fair value of derivative financial instruments, net
 884
 (884) NM
Total interest related to derivative financial instruments, including net change in fair value of derivative financial instruments297
 57
 240
 NM
Interest related to debt(77,689) (59,688) (18,001) (30.2)
Gain on sale of real estate, net166,372
 3
 166,369
 NM
Loss on extinguishment of debt, net(1,092) (11,192) 10,100
 90.2
Income from unconsolidated joint venture1,405
 381
 1,024
 NM
Other income (expense)129
 (13) 142
 NM
Net income$202,021
 $22,105
 $179,916
 NM
        
NOI$358,764
 $301,346
 $57,418
 19.1 %
Same-Property Cash NOI$233,152
 $227,595
 $5,557
 2.4 %
Rental Income
Rental income consisted of the following forFor the three and nine months ended March 31,September 30, 2018 and 2017, respectively, rental income was comprised of the following (in thousands):
Three Months Ended March 31,Three Months Ended September 30,
2018 2017 Change % Change2018 2017 Change % Change
Contractual rental income$168,534
 $119,897
 $48,637
 40.6%$168,169
 $169,099
 $(930) (0.5)%
Straight-line rent and amortization of above and (below) market leases4,589
 2,472
 2,117
 85.6
4,252
 4,269
 (17) (0.4)
Other rental revenue2,444
 1,624
 820
 50.5
2,617
 2,063
 554
 26.9
Total rental income$175,567
 $123,993
 $51,574
 41.6%$175,038
 $175,431
 $(393) (0.2)%
 Nine Months Ended September 30,
 2018 2017 Change % Change
Contractual rental income$502,984
 $423,696
 $79,288
 18.7%
Straight-line rent and amortization of above and (below) market leases12,727
 9,475
 3,252
 34.3
Other rental revenue8,115
 5,778
 2,337
 40.4
Total rental income$523,826
 $438,949
 $84,877
 19.3%
Contractual rental income, which includes expense reimbursements, decreased $(0.9) million and increased $48.6$79.3 million for the three and nine months ended March 31,September 30, 2018, respectively, compared to the three and nine months ended March 31,September 30, 2017. ThisThe decrease and increase waswere primarily due to $50.0$3.5 million and $88.1 million of additional contractual rental income from our 2017 and 2018 acquisitions, (including properties owned during both periods) and contractual rent increases for the three and nine months ended September 30, 2018, respectively, partially offset by a decrease in contractual rent as a result of buildings we sold during 2017.2017 and 2018.

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Average starting and expiring base rents for new and renewal leases consisted of the following for the three and nine months ended March 31,September 30, 2018 and 2017, respectively (in square feet andthousands, except in average base rents per square foot of GLA):
Three Months Ended March 31,Three Months Ended September 30, Nine Months Ended September 30,
2018 20172018 2017 2018 2017
New and renewal leases:
          
Average starting base rents$23.33
 $22.63
$22.10
 $22.34
 $23.07
 $22.46
Average expiring base rents22.81
 23.07
21.32
 21.94
 22.59
 22.47
          
Square feet of GLA663,000
 776,000
532
 745
 2,204
 2,040
Lease rates can vary across markets, and lease rates that are considered above or below current market rent may change over time. Leases that expired in 2018 had rents that we believed were at market rates. In general, leasing concessions vary depending on lease type and term.
Tenant improvements, leasing commissions and tenant concessions for new and renewal leases consisted of the following for the three and nine months ended March 31,September 30, 2018 and 2017, respectively (in per square foot of GLA):
Three Months Ended March 31,Three Months Ended September 30, Nine Months Ended September 30,
2018 20172018 2017 2018 2017
New leases:          
Tenant improvements$24.72
 $18.04
$17.93
 $17.18
 $22.91
 $18.18
Leasing commissions1.50
 2.29
2.26
 1.92
 1.95
 2.01
Tenant concessions1.72
 3.04
0.02
 1.93
 1.85
 2.68
Renewal leases:          
Tenant improvements$4.81
 $7.16
$6.51
 $8.58
 $7.73
 $7.50
Leasing commissions1.04
 1.24
0.68
 1.02
 1.30
 1.09
Tenant concessions1.84
 1.70
0.02
 0.80
 0.76
 1.45
The average term for new and renewal leases executed consisted of the following for the three and nine months ended March 31,September 30, 2018 and 2017, respectively (in years):
Three Months Ended March 31,Three Months Ended September 30, Nine Months Ended September 30,
2018 20172018 2017 2018 2017
New leases6.4 5.57.6 6.2 7.3 5.8
Renewal leases4.5 4.94.2 5.5 5.2 5.0
Rental Expenses
For the three months ended March 31,September 30, 2018 and 2017, rental expenses attributable to our properties were $56.0$55.8 million and $39.0$56.3 million, respectively. For the nine months ended September 30, 2018 and 2017, rental expenses attributable to our properties were $165.4 million and $138.9 million, respectively. The decrease and increase in rental expenses for the three months ended March 31, 2018 compared to 2017, waswere primarily due to $19.0$0.5 million and $34.0 million of additional rental expenses associated with our 2017 and 2018 acquisitions for the three and nine months ended September 30, 2018, respectively, partially offset by improved operating efficiencies and a decrease in rental expensesexpense as a result of the buildings we sold during 2017.2017 and 2018.
General and Administrative Expenses
For the three months ended March 31,September 30, 2018 and 2017, general and administrative expenses were $8.8 million and $8.4$8.3 million, respectively. This increase inFor the nine months ended September 30, 2018 and 2017, general and administrative expenses waswere $26.3 million and $25.2 million, respectively. These increases were primarily due to an increase in non-cash compensation expense and an overall increase in head count due to the continued growth of the company. General and administrative expenses include such costs as salaries, corporate overhead and professional fees, among other items.
Transaction Expenses
For the three months ended September 30, 2018 and 2017, transaction expenses were $0.3 million. For the nine months ended September 30, 2018 and 2017, transaction expenses were $0.9 million and $5.6 million, respectively. Transaction expenses increased in 2017 due to $4.6 million of non-incremental costs related to the Duke acquisition.

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Depreciation and Amortization Expense
For the three months ended March 31,September 30, 2018 and 2017, depreciation and amortization expense was $70.4$70.6 million and $47.1$70.5 million, respectively. This increase inFor the nine months ended September 30, 2018 and 2017, depreciation and amortization expense was primarily due to the increase in the size of$210.1 million and $172.9 million, respectively. These increases were associated with our portfolio.2017 and 2018 acquisitions, partially offset by buildings we sold during 2017 and 2018.
Impairment
During the three and nine months ended March 31,September 30, 2018, we recorded impairment charges of $4.6$4.3 million and $8.9 million, respectively, which related to twosix MOBs located in Tennessee, Texas and South Carolina with an aggregate value of $13.0 million.Carolina. During the threenine months ended March 31,September 30, 2017, nowe recorded impairment charges were recorded.

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$5.1 million that related to an MOB in our portfolio located in Massachusetts.
Interest Expense and Net Change in Fair Value of Derivative Financial Instruments
Interest expense, excluding the impact of the net change in fair value of derivative financial instruments, decreased by $1.4 million and increased by $9.9$16.9 million, during the three and nine months ended March 31,September 30, 2018, respectively, compared to the three and nine months ended September 30, 2017. ThisThe decrease in interest expense during the quarter was primarily due to early payoffs of fixed and variable rate mortgages, including the settlement of three cash flow hedges in connection with the Greenville Disposition. For the nine months ended September 30, 2018, the increase was primarily the result of higher average debt outstanding, during the three months ended March 31, 2018, as a result of the use of debt to partially fund our investments over the last 12 months with debt and a change in the composition of our debt, driven by an increase in long-term senior unsecured notes, including the $400.0 million and $500.0 million 5-year and 10-year senior unsecured notes issued in June 2017 at a coupon rate of 2.95% per annum and 3.75% per annum, respectively.
To achieve our objectives, we borrow at both fixed and variable rates. From time to time, we also enter into derivative financial instruments, such as interest rate swaps, in order to mitigate our interest rate risk on a related financial instrument. We do not enter into derivative or interest rate transactions for speculative purposes. Derivatives not designated as hedges are not speculative and are used to manage our exposure to interest rate movements.
NOIGain on Sale of Real Estate
For the three and Same-Property Cash NOInine months ended September 30, 2018, we realized a net gain on sale of real estate of $166.4 million. For the nine months ended September 30, 2017, we realized a net gain on sale of real estate of $3,000. These increases were primarily the result of the Greenville Disposition. See Note 4 - Impairment and Dispositions for more detail on the Greenville Disposition.
NOIGain or Loss on Extinguishment of Debt
For the three and nine months ended September 30, 2018, we realized a net loss on extinguishment of debt of $1.1 million primarily due to prepayment fees we incurred in connection with the early payoffs of fixed and variable rate mortgages, including the settlement of three cash flow hedges in connection with the Greenville Disposition. For the three and nine months ended September 30, 2017, we realized a net loss on extinguishment of debt of $0.8 million and $11.2 million, respectively, due to fees we incurred in connection with the execution and our termination of a bridge loan facility we entered into as part of the Duke acquisition.
Net Income or Loss
Net income increased $34.3$162.4 million to $119.6$176.3 million for the three months ended March 31,September 30, 2018, compared to the three months ended March 31,September 30, 2017. ThisNet income increased $179.9 million to $202.0 million for the nine months ended September 30, 2018, compared to the nine months ended September 30, 2017. These increases were primarily the result of continued growth in our operations and improved operating efficiencies.
NOI and Same-Property Cash NOI
NOI decreased $(0.3) million to $119.3 million for the three months ended September 30, 2018, compared to the three months ended September 30, 2017. NOI increased $57.4 million to $358.8 million for the nine months ended September 30, 2018, compared to the nine months ended September 30, 2017. The decrease and increase waswere primarily due to $34.0$2.8 million and $58.7 million of additional NOI from our 2017 and 2018 acquisitions which wasfor the three and nine months ended September 30, 2018, respectively, partially offset by a decrease in NOI as a result of the buildings we sold during 2017 and 2018 and a reduction in straight-line rent from properties we owned more than a year.
Same-Property Cash NOI increased $1.8$2.7 million to $81.0$108.8 million for the three months ended March 31,September 30, 2018 compared to the three months ended March 31,September 30, 2017. This increase wasSame-Property Cash NOI increased $5.6 million to $233.2 million for the nine months ended September 30, 2018, compared to the nine months ended September 30, 2017. These increases were primarily the result of rent escalations, an increase in average occupancy, and improved operating efficiencies.

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Non-GAAP Financial Measures
FFO and Normalized FFO
We compute FFO in accordance with the current standards established by the National Association of Real Estate Investment Trusts (“NAREIT”).NAREIT. NAREIT defines FFO as net income or loss attributable to common stockholders/unitholders (computed in accordance with GAAP), excluding gains or losses from sales of real estate property and impairment write-downs of depreciable assets, plus depreciation and amortization related to investments in real estate, and after adjustments for unconsolidated partnerships and joint ventures. We present this non-GAAP financial measure because we consider it an important supplemental measure of our operating performance and believe it is frequently used by securities analysts, investors and other interested parties in the evaluation of REITs. Historical cost accounting assumes that the value of real estate assets diminishes ratably over time. Since real estate values have historically risen or fallen based on market conditions, many industry investors have considered the presentation of operating results for real estate companies that use historical cost accounting to be insufficient by themselves. Because FFO excludes depreciation and amortization unique to real estate, among other items, it provides a perspective not immediately apparent from net income or loss attributable to common stockholders/unitholders.
We also compute Normalized FFO, which excludes from FFO: (i) transaction expenses; (ii) gain or loss on change in fair value of derivative financial instruments; (iii) gain or loss on extinguishment of debt; (iv) noncontrolling income or loss from OP Units included in diluted shares (only applicable to the Company); and (v) other normalizing items, which include items that are unusual and infrequent in nature. We present this non-GAAP financial measure because it allows for the comparison of our operating performance to other REITs and between periods on a consistent basis. Our methodology for calculating Normalized FFO may be different from the methods utilized by other REITs and, accordingly, may not be comparable to other REITs. Normalized FFO should not be considered as an alternative to net income or loss attributable to common stockholders/unitholders (computed in accordance with GAAP) as an indicator of our financial performance, nor is it indicative of cash available to fund cash needs. Normalized FFO should be reviewed in connection with other GAAP measurements.
The amounts included in the calculation of FFO and Normalized FFO are generally the same for HTALP and HTA, except for net income or loss attributable to common stockholders/unitholders, noncontrolling income or loss from OP Units included in diluted shares (only applicable to the Company) and the weighted average shares of our common stock or HTALP OP Units outstanding.

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The following is the reconciliation of HTA’s FFO and Normalized FFO to net income attributable to common stockholders for the three and nine months ended March 31,September 30, 2018 and 2017, respectively (in thousands, except per share data):
Three Months Ended March 31,Three Months Ended September 30, Nine Months Ended September 30,
2018 20172018 2017 2018 2017
Net income attributable to common stockholders$9,802
 $13,545
$172,986
 $13,763
 $198,134
 $21,390
Depreciation and amortization expense related to investments in real estate69,856
 46,689
70,004
 70,021
 208,445
 171,678
Gain on sale of real estate, net
 (3)(166,372) 
 (166,372) (3)
Impairment4,606
 
4,281
 
 8,887
 5,093
Proportionate share of joint venture depreciation and amortization351
 
463
 464
 1,277
 506
FFO attributable to common stockholders$84,615
 $60,231
$81,362
 $84,248
 $250,371
 $198,664
Transaction expenses191
 284
346
 261
 789
 975
Gain on change in fair value of derivative financial instruments, net
 (839)
 
 
 (884)
Loss on extinguishment of debt, net
 32
1,092
 774
 1,092
 11,192
Noncontrolling income from partnership units included in diluted shares181
 425
3,344
 166
 3,822
 635
Other normalizing items, net (1)

 
 144
 4,643
Normalized FFO attributable to common stockholders$84,987
 $60,133
$86,144
 $85,449
 $256,218
 $215,225
          
Net income attributable to common stockholders per diluted share$0.05
 $0.09
$0.82
 $0.07
 $0.94
 $0.12
FFO adjustments per diluted share, net0.35
 0.32
(0.44) 0.34
 0.25
 1.00
FFO attributable to common stockholders per diluted share$0.40
 $0.41
$0.38
 $0.41
 $1.19
 $1.12
Normalized FFO adjustments per diluted share, net0.01
 0.00
0.03
 0.01
 0.03
 0.09
Normalized FFO attributable to common stockholders per diluted share$0.41
 $0.41
$0.41
 $0.42
 $1.22
 $1.21
          
Weighted average diluted common shares outstanding209,177
 146,117
211,444
 204,795
 209,968
 177,410
       
(1) For the nine months ended September 30, 2017, other normalizing items included $4.6 million of non-incremental costs related to the Duke acquisition that were included in transaction expenses on our condensed consolidated statements of operations.(1) For the nine months ended September 30, 2017, other normalizing items included $4.6 million of non-incremental costs related to the Duke acquisition that were included in transaction expenses on our condensed consolidated statements of operations.


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The following is the reconciliation of HTALP’s FFO and Normalized FFO to net income attributable to common unitholders for the three and nine months ended March 31,September 30, 2018 and 2017, respectively (in thousands, except per unit data):
 Three Months Ended March 31,
 2018 2017
Net income attributable to common unitholders$9,983
 $13,970
Depreciation and amortization expense related to investments in real estate69,856
 46,689
Gain on sale of real estate, net
 (3)
Impairment4,606
 
Proportionate share of joint venture depreciation and amortization351
 
FFO attributable to common unitholders$84,796
 $60,656
Transaction expenses191
 284
Gain on change in fair value of derivative financial instruments, net
 (839)
Loss on extinguishment of debt, net
 32
Normalized FFO attributable to common unitholders$84,987
 $60,133
    
Net income attributable to common unitholders per diluted unit$0.05
 $0.10
FFO adjustments per diluted unit, net0.36
 0.32
FFO attributable to common unitholders per diluted unit$0.41
 $0.42
Normalized FFO adjustments per diluted unit, net0.00
 (0.01)
Normalized FFO attributable to common unitholders per diluted unit$0.41
 $0.41
    
Weighted average diluted common units outstanding209,177
 146,117

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 Three Months Ended September 30, Nine Months Ended September 30,
 2018 2017 2018 2017
Net income attributable to common unitholders$176,330
 $13,929
 $201,956
 $22,025
Depreciation and amortization expense related to investments in real estate70,004
 70,021
 208,445
 171,678
Gain on sale of real estate, net(166,372) 
 (166,372) (3)
Impairment4,281
 
 8,887
 5,093
Proportionate share of joint venture depreciation and amortization463
 464
 1,277
 506
FFO attributable to common unitholders$84,706
 $84,414
 $254,193
 $199,299
Transaction expenses346
 261
 789
 975
Gain on change in fair value of derivative financial instruments, net
 
 
 (884)
Loss on extinguishment of debt, net1,092
 774
 1,092
 11,192
Other normalizing items, net (1)

 
 144
 4,643
Normalized FFO attributable to common unitholders$86,144
 $85,449
 $256,218
 $215,225
        
Net income attributable to common unitholders per diluted unit$0.83
 $0.07
 $0.96
 $0.12
FFO adjustments per diluted unit, net(0.43) 0.34
 0.25
 1.00
FFO attributable to common unitholders per diluted unit$0.40
 $0.41
 $1.21
 $1.12
Normalized FFO adjustments per diluted unit, net0.01
 0.01
 0.01
 0.09
Normalized FFO attributable to common unitholders per diluted unit$0.41
 $0.42
 $1.22
 $1.21
        
Weighted average diluted common units outstanding211,444
 204,795
 209,968
 177,410
        
(1) For the nine months ended September 30, 2017, other normalizing items included $4.6 million of non-incremental costs related to the Duke acquisition that were included in transaction expenses on our condensed consolidated statements of operations.
NOI, Cash NOI and Same-Property Cash NOI
NOI is a non-GAAP financial measure that is defined as net income or loss (computed in accordance with GAAP) before: (i) general and administrative expenses; (ii) transaction expenses; (iii) depreciation and amortization expense; (iv) impairment; (v) interest expense and net change in fair value of derivative financial instruments; (vi) gain or loss on sales of real estate; (vii) gain or loss on extinguishment of debt; (viii) income or loss from unconsolidated joint venture; and (ix) other income or expense. We believe that NOI provides an accurate measure of the operating performance of our operating assets because NOI excludes certain items that are not associated with the management of our properties. Additionally, we believe that NOI is a widely accepted measure of comparative operating performance of REITs. However, our use of the term NOI may not be comparable to that of other REITs as they may have different methodologies for computing this amount. NOI should not be considered as an alternative to net income or loss (computed in accordance with GAAP) as an indicator of our financial performance. NOI should be reviewed in connection with other GAAP measurements.
Cash NOI is a non-GAAP financial measure which excludes from NOI: (i) straight-line rent adjustments; and (ii) amortization of below and above market leases/leasehold interests.interests; (iii) notes receivable interest income; and (iv) other GAAP adjustments. Contractual base rent, contractual rent increases, contractual rent concessions and changes in occupancy or lease rates upon commencement and expiration of leases are a primary driver of our revenue performance. We believe that Cash NOI, which removes the impact of straight-line rent adjustments, provides another measurement of the operating performance of our operating assets. Additionally, we believe that Cash NOI is a widely accepted measure of comparative operating performance of REITs. However, our use of the term Cash NOI may not be comparable to that of other REITs as they may have different methodologies for computing this amount. Cash NOI should not be considered as an alternative to net income or loss (computed in accordance with GAAP) as an indicator of our financial performance. Cash NOI should be reviewed in connection with other GAAP measurements.

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To facilitate the comparison of Cash NOI between periods, we calculate comparable amounts for a subset of our owned and operational properties referred to as “Same-Property”. Same-Property Cash NOI excludes (i) properties which have not been owned and operated by us during the entire span of all periods presented excludingand disposed properties, (ii) our share of unconsolidated joint ventures, (iii) development, redevelopment and land parcels, (iv) properties intended for disposition in the near term developmentwhich have (a) been approved by the Board of Directors, (b) is actively marketed for sale, and land parcels, our share of unconsolidated joint ventures, notes receivable interest income(c) an offer has been received at prices we would transact and the sales process is ongoing, and (v) certain non-routine items. Same-Property Cash NOI should not be considered as an alternative to net income or loss (computed in accordance with GAAP) as an indicator of our financial performance. Same-Property Cash NOI should be reviewed in connection with other GAAP measurements.
The following is the reconciliation of HTA’s and HTALP’s NOI, Cash NOI and Same-Property Cash NOI to net income for the three and nine months ended March 31,September 30, 2018 and 2017, respectively (in thousands):
 Three Months Ended March 31,
 2018 2017
Net income$10,016
 $14,000
General and administrative expenses8,786
 8,423
Transaction expenses191
 284
Depreciation and amortization expense70,392
 47,056
Impairment4,606
 
Interest expense and net change in fair value of derivative financial instruments26,253
 15,543
Gain on sale of real estate, net
 (3)
Loss on extinguishment of debt, net
 32
Income from unconsolidated joint venture(570) 
Other income(35) (8)
NOI$119,639
 $85,327
Straight-line rent adjustments, net(3,166) (1,209)
Amortization of (below) and above market leases/leasehold interests, net215
 (94)
Cash NOI$116,688
 $84,024
Notes receivable interest income(36) (292)
Non Same-Property Cash NOI(35,649) (4,560)
Same-Property Cash NOI (1)
$81,003
 $79,172
    
(1) Same-Property includes 342 buildings for the three months ended March 31, 2018 and 2017.

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 Three Months Ended September 30, Nine Months Ended September 30,
 2018 2017 2018 2017
Net income$176,348
 $13,957
 $202,021
 $22,105
General and administrative expenses8,770
 8,283
 26,281
 25,178
Transaction expenses (1)
346
 261
 933
 5,618
Depreciation and amortization expense70,568
 70,491
 210,064
 172,900
Impairment4,281
 
 8,887
 5,093
Interest expense and net change in fair value of derivative financial instruments24,834
 26,188
 77,392
 59,631
Gain on sale of real estate, net(166,372) 
 (166,372) (3)
Loss on extinguishment of debt, net1,092
 774
 1,092
 11,192
Income from unconsolidated joint venture(432) (318) (1,405) (381)
Other (income) expense(89) 27
 (129) 13
NOI$119,346
 $119,663
 $358,764
 $301,346
Straight-line rent adjustments, net(2,746) (3,009) (8,289) (5,834)
Amortization of (below) and above market leases/leasehold interests, net(65) 214
 190
 246
Notes receivable interest income and other GAAP adjustments(33) (588) (218) (1,163)
Cash NOI$116,502
 $116,280
 $350,447
 $294,595
Acquisitions not owned/operated for all periods presented and disposed properties Cash NOI(6,065) (7,337) (112,557) (59,865)
Redevelopment Cash NOI(607) (1,540) (1,923) (4,072)
Intended for sale Cash NOI(1,007) (1,243) (2,815) (3,063)
Same-Property Cash NOI (2)
$108,823
 $106,160
 $233,152
 $227,595
        
(1) For the nine months ended September 30, 2017, transaction costs included $4.6 million of non-incremental costs related to the Duke acquisition.
(2) Same-Property includes 403 and 317 buildings for the three and nine months ended September 30, 2018 and 2017, respectively.
Liquidity and Capital Resources
Our primary sources of cash include: (i) cash flow from operations; (ii) borrowings under our unsecured revolving credit facility; (iii) net proceeds from the issuances of debt and equity securities; and (iv) proceeds from our dispositions. During the next 12 months our primary uses of cash are expected to include: (a) the funding of acquisitions of MOBs, development properties and other facilities that serve the healthcare industry; (b) capital expenditures; (c) the payment of operating expenses; (d) debt service payments, including principal payments; and (e) the payment of dividends to our stockholders. We anticipate cash flow from operations, restricted cash and reserve accounts and our unsecured revolving credit facility, if needed, will be sufficient to fund our operating expenses, capital expenditures and dividends to stockholders. Investments and maturing indebtedness may require funds from the issuance of debt and/or equity securities or proceeds from sales of real estate.
As of March 31,September 30, 2018, we had liquidity of $1.1$1.2 billion, including $994.5 million available under our unsecured revolving credit facility (which includes the impact of $5.5 million of outstanding letters of credit), $56.2 and $225.5 million of cash and cash equivalents and a $75.0 million forward commitment, excluding anticipated costs to borrow.equivalents.
In addition, we had unencumbered assets with a gross book value of $6.3$6.4 billion. The unencumbered properties may be used as collateral to secure additional financings in future periods or refinance our current debt as it becomes due. Our ability to raise funds from future debt and equity issuances is dependent on our investment grade credit ratings, general economic and market conditions and our operating performance.
When we acquire a property, we prepare a capital plan that contemplates the estimated capital needs of that investment. In addition to operating expenses, capital needs may also include costs of refurbishment, tenant improvements or other major capital expenditures. The capital plan for each investment will be adjusted through ongoing, regular reviews of our portfolio or as necessary to respond to unanticipated additional capital needs. As of March 31,September 30, 2018, we estimate that our expenditures for capital improvements for the remainder of 2018 will range from $35.0$20.0 million to $40.0$25.0 million depending on leasing activity. As of March 31,September 30, 2018, we had $3.5$4.1 million of restricted cash and reserve accounts for such capital expenditures.expenditures, in addition to the availability under our unsecured revolving credit facility and on hand cash and cash equivalents. We cannot provide assurance, however, that we will not exceed these estimated expenditure levels.
If we experience lower occupancy levels, reduced rental rates, reduced revenues as a result of asset sales, or increased capital expenditures and leasing costs compared to historical levels due to competitive market conditions for new and renewal leases, the effect would be a reduction of net cash provided by operating activities. If such a reduction of net cash provided by operating activities is realized, we may have a cash flow deficit in subsequent periods. Our estimate of net cash available is based on various assumptions which are difficult to predict, including the levels of our leasing activity and related leasing costs. Any changes in these assumptions could impact our financial results and our ability to fund working capital and unanticipated cash needs.
Cash Flows
The following is a summary of our cash flows for the threenine months ended March 31,September 30, 2018 and 2017, respectively (in thousands):
Three Months Ended March 31,ChangeNine Months Ended September 30,
2018 2017 2018 2017 Change
Cash, cash equivalents and restricted cash - beginning of period (1)
$118,560
 $25,045
 $93,515
$118,560
 $25,045
 $93,515
Net cash provided by operating activities60,880
 47,013
 13,867
240,751
 228,542
 12,209
Net cash used in investing activities (1)
(42,367) (42,854) 487
Net cash provided by financing activities(68,135) (5,127) (63,008)
Net cash provided by (used in) investing activities (1)
194,846
 (2,483,816) 2,678,662
Net cash (used in) provided by financing activities(314,000) 2,257,108
 (2,571,108)
Cash, cash equivalents and restricted cash - end of period (1)
$68,938
 $24,077
 $44,861
$240,157
 $26,879
 $213,278
          
(1) The amounts for 2017 differ from amounts previously reported in our Quarterly Report for the three months ended March 31, 2017, as a result of the retrospective presentation of the early adoption of ASU 2016-18 in our 2017 Annual Report on Form 10-K as of January 1, 2017. Additionally, the presentation of beginning of period and end of period cash now includes restricted cash as a result of the adoption of ASU 2016-18.
(1) The amounts for 2017 differ from amounts previously reported in our Quarterly Report for the nine months ended September 30, 2017, as a result of the retrospective presentation of the early adoption of ASU 2016-18 in our 2017 Annual Report on Form 10-K as of January 1, 2017. Additionally, the presentation of beginning of period and end of period cash now includes restricted cash as a result of the adoption of ASU 2016-18.(1) The amounts for 2017 differ from amounts previously reported in our Quarterly Report for the nine months ended September 30, 2017, as a result of the retrospective presentation of the early adoption of ASU 2016-18 in our 2017 Annual Report on Form 10-K as of January 1, 2017. Additionally, the presentation of beginning of period and end of period cash now includes restricted cash as a result of the adoption of ASU 2016-18.
Net cash provided by operating activities increased in 2018 primarily due to the impact of our 2017 and 2018 acquisitions, contractual rent increases and improved operating efficiencies, partially offset by our 2017 and 2018 dispositions. We anticipate cash flows from operating activities to increase as a result of the above items and continued leasing activity in our existing portfolio.

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For the threenine months ended March 31,September 30, 2018, net cash used inprovided by investing activities primarily related to proceeds from the sale of real estate of $302.4 million, which was partially offset by capital expenditures of $17.4$61.1 million, development of real estate of $13.2$29.6 million, and investments in real estate of $11.9$17.4 million. For the threenine months ended March 31,September 30, 2017, net cash used in investing activities primarily related to investmentsthe investment in real estate of $34.7$2.4 billion, investment in unconsolidated joint venture of $68.8 million, and capital expenditures of $12.9$43.0 million, which was partially offset by proceeds from the sale of real estate of $4.7 million.
For the threenine months ended March 31,September 30, 2018, net cash provided byused in financing activities primarily related to dividends paid to holders of our common stock of $62.5$188.4 million and payments on our secured mortgage loans of $173.2 million, which was partially offset by net proceeds of shares of common stock issued of $72.8 million. For the threenine months ended March 31,September 30, 2017, net cash used inprovided by financing activities primarily related to the net borrowingsproceeds of shares of common stock issued of $1.6 billion and net proceeds on our unsecured revolving credit facilitythe issuance of $82.0senior notes of $900.0 million, which was partially offset by dividends paid to holders of our common stock of $42.5$145.9 million, and payments on our secured mortgage loans of $40.2$75.4 million.
Dividends
The amount of dividends we pay to our stockholders is determined by our Board of Directors, in their sole discretion, and is dependent on a number of factors, including funds available, our financial condition, capital expenditure requirements and annual dividend distribution requirements needed to maintain our status as a REIT under the Internal Revenue Code of 1986, as amended. We have paid monthly or quarterly dividends since February 2007, and if our investments produce sufficient cash flow, we expect to continue to pay dividends to our stockholders. Because our cash available for dividend distributions in any year may be less than 90% of our taxable income for the year, we may obtain the necessary funds through borrowings, issuing new securities or selling assets to pay out enough of our taxable income to satisfy our dividend distribution requirement. Our organizational documents do not establish a limit on dividends that may constitute a return of capital for federal income tax purposes. The dividend we pay to our stockholders is equal to the distributions received from HTALP in accordance with the terms of HTALP’s partnership agreement. It is our intention to continue to pay dividends. However, our Board of Directors may reduce our dividend rate and we cannot guarantee the timing and amount of dividends that we may pay in the future, if any.
For the threenine months ended March 31,September 30, 2018, we paid cash dividends of $62.5$188.4 million on our own common stock. In AprilOctober 2018, we paid cash dividends on our own common stock of $62.6$64.2 million for the quarter ended March 31,September 30, 2018. On April 27,October 25, 2018, our Board of Directors announced a quarterly dividend of $0.305$0.310 per share/unitshare of common stock and per OP Unit to be paid on July 10, 2018January 9, 2019 to stockholders of record of our common stock and holders of our OP unitholdersUnits on July 5, 2018.January 2, 2019.
Financing
We have historically maintained a low leveraged balance sheet and intend to continue to maintain this structure in the long term. However, our total leverage may fluctuate on a short-term basis as we execute our business strategy. As of March 31,September 30, 2018, our leverage ratio, measured by net debt (total debt less cash and cash equivalents)equivalents to total capitalization, was 33.0%29.7%.
As of March 31,September 30, 2018, we had debt outstanding of $2.8$2.6 billion and the weighted average interest rate therein was 3.54%3.49% per annum, inclusive of the impact of our interest rate swaps. The following is a summary of our unsecured and secured debt. See Note 7 - Debt to ourin the accompanying condensed consolidated financial statements for a further discussion of our debt.
Unsecured Revolving Credit Facility
In 2017, HTALP entered into an amended and restated $1.3 billion Unsecured Credit Agreement which increased the amount available under the unsecured revolving credit facility to $1.0 billion. As of March 31,September 30, 2018, $994.5 million was available on our $1.0 billion unsecured revolving credit facility. Our unsecured revolving credit facility matures in June 2022.
Unsecured Term Loans
As of March 31,September 30, 2018, we had $500.0 million of unsecured term loans outstanding, comprised of $300.0 million under our Unsecured Credit Agreement maturing in 2023, and $200.0 million under our unsecured term loan maturing in 2023.2024.
Unsecured Senior Notes
As of March 31,September 30, 2018, we had $1.85 billion of unsecured senior notes outstanding, comprised of $300.0 million maturing in 2021, $400.0 million maturing in 2022, $300.0 million maturing in 2023, $350.0 million maturing in 2026, and $500.0 million maturing in 2027.
Mortgage LoansFixed and Variable Rate Mortgages
During the threenine months ended March 31,September 30, 2018,, we made payments on our mortgage loansfixed and variable rate mortgages of $1.6$173.2 million loans and have $100.9$1.1 million of principal payments due during the remainder of 2018.

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Commitments and Contingencies
There have been no material changes from the commitments and contingencies previously disclosed in our 2017 Annual Report on Form 10-K.
Debt Service Requirements
We are required by the terms of our applicable loan agreements to meet certain financial covenants, such as minimum net worth and liquidity, and reporting requirements, among others. As of March 31,September 30, 2018, we believe that we were in compliance with all such covenants and we are not aware of any covenants that it is reasonably likely that we would not be able to meet in accordance with our loan agreements.
Off-Balance Sheet Arrangements
As of and during the threenine months ended March 31,September 30, 2018, we had no material off-balance sheet arrangements that have had or are reasonably likely to have a current or future effect on our financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources.
Inflation
We are exposed to inflation risk as income from future long-term leases is the primary source of our cash flows from operations. There are provisions in the majority of our tenant leases that protect us from the impact of normal inflation. These provisions include rent escalations, reimbursement billings for operating expense pass-through charges and real estate tax and insurance reimbursements on a per square foot allowance. However, due to the long-term nature of our leases, among other factors, the leases may not reset frequently enough to cover inflation.
Item 3. Quantitative and Qualitative Disclosures About Market Risk
There have been no material changes from the quantitative and qualitative disclosures about market risk previously disclosed in our 2017 Annual Report on Form 10-K.
Item 4. Controls and Procedures
Healthcare Trust of America, Inc.
HTA’s management is responsible for establishing and maintaining disclosure controls and procedures that are designed to ensure that information required to be disclosed in its reports under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC rules and forms, and that such information is accumulated and communicated to management, including HTA’s Chief Executive Officer (as the principal executive officer) and Chief Financial Officer (as the principal financial officer and principal accounting officer), to allow timely decisions regarding required disclosures.
As of March 31,September 30, 2018, an evaluation was conducted by HTA under the supervision and with the participation of its management, including HTA’s Chief Executive Officer and Chief Financial Officer, of the effectiveness of its disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act). Based on this evaluation, HTA’s Chief Executive Officer and Chief Financial Officer each concluded that HTA’s disclosure controls and procedures were effective as of March 31,September 30, 2018.
There were no changes in our internal control over financial reporting that occurred during the quarter ended March 31,September 30, 2018 that have materially affected, or are reasonably believed to be likely to materially affect, our internal control over financial reporting.
April 30,October 26, 2018


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Healthcare Trust of America Holdings, LP
HTALP’s management is responsible for establishing and maintaining disclosure controls and procedures that are designed to ensure that information required to be disclosed in its reports under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC rules and forms, and that such information is accumulated and communicated to management, including HTA’s Chief Executive Officer (as the principal executive officer) and Chief Financial Officer (as the principal financial officer and principal accounting officer), to allow timely decisions regarding required disclosures.
As of March 31,September 30, 2018, an evaluation was conducted by HTALP under the supervision and with the participation of its management, including HTA’s Chief Executive Officer and Chief Financial Officer, of the effectiveness of its disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act). Based on this evaluation, HTA’s Chief Executive Officer and Chief Financial Officer, on behalf of HTA in its capacity as general partner of HTALP, each concluded that HTALP’s disclosure controls and procedures were effective as of March 31,September 30, 2018.
There were no changes in HTALP’s internal control over financial reporting that occurred during the quarter ended March 31,September 30, 2018 that have materially affected, or are reasonably believed to be likely to materially affect, HTALP’s internal control over financial reporting.
April 30,October 26, 2018



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PART II - OTHER INFORMATION
Item 1. Legal Proceedings
We are subject to claims and litigation arising in the ordinary course of business. We do not believe any liability from any reasonably foreseeable disposition of such claims and litigation, individually or in the aggregate, would have a material adverse effect on our accompanying condensed consolidated financial statements.
Item 1A. Risk Factors
There have been no material changes from the risk factors previously disclosed in our 2017 Annual Report on Form 10-K.
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
Purchases of Equity Securities by the Issuer and Affiliated Purchasers
During the three months ended March 31,September 30, 2018, we repurchased shares of our common stock as follows:
Period 
Total Number of
Shares Purchased (1) (2)
 
Average Price
Paid per Share (1) (2)
 
Total Number of
Shares Purchased
as Part of
Publicly Announced
Plan or Program
 Maximum Approximate Dollar Value of Shares that May Yet be Purchased Under the Plans or Programs 
Total Number of
Shares Purchased (1) (2)
 
Average Price
Paid per Share (1) (2)
 
Total Number of
Shares Purchased
as Part of
Publicly Announced
Plan or Program
 Maximum Approximate Dollar Value of Shares that May Yet be Purchased Under the Plans or Programs
January 1, 2018 to January 31, 2018 80,129
 $29.93
 
 
February 1, 2018 to February 28, 2018 
 
 
 
March 1, 2018 to March 31, 2018 11,897
 26.04
 
 
July 1, 2018 to July 31, 2018 4,983
 $26.75
 
 
August 1, 2018 to August 31, 2018 9
 28.60
 
 
September 1, 2018 to September 30, 2018 295,000
 26.24
 
 (3)
                
(1) Purchases mainly represent shares withheld to satisfy withholding obligations on the vesting of restricted shares. The price paid per share was the then closing price of our common stock on the NYSE.(2) For each share of common stock redeemed by HTA, HTALP redeems a corresponding number of OP Units in the HTALP operating partnership. Therefore, the OP Units in the HTALP operating partnership repurchased by HTALP are the same as the shares of common stock repurchased by HTA as shown above.
(3) In August 2018, our Board of Directors approved a stock repurchase plan with a share repurchase authorization of up to $300.0 million of our common stock. During the three months ended September 2018, we repurchased 295,000 shares of our common stock, at an average price of $26.24 per share, for an aggregate amount of approximately $7.7 million.(3) In August 2018, our Board of Directors approved a stock repurchase plan with a share repurchase authorization of up to $300.0 million of our common stock. During the three months ended September 2018, we repurchased 295,000 shares of our common stock, at an average price of $26.24 per share, for an aggregate amount of approximately $7.7 million.
Item 6. Exhibits
The exhibits listed on the Exhibit Index (following the signatures section of this Quarterly Report) are included, and incorporated by reference, in this Quarterly Report.


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SIGNATURES
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 Trust of America, Inc.
    
By:/s/ Scott D. Peters Chief Executive Officer, President and Chairman
  Scott D. Peters (Principal Executive Officer)
Date:April 30,October 26, 2018  
    
By:/s/ Robert A. Milligan Chief Financial Officer
  Robert A. Milligan (Principal Financial Officer and Principal Accounting Officer)
Date:April 30,October 26, 2018  
    


 Healthcare Trust of America Holdings, LP
    
By:Healthcare Trust of America, Inc.,  
 its General Partner  
    
By:/s/ Scott D. Peters Chief Executive Officer, President and Chairman
  Scott D. Peters (Principal Executive Officer)
Date:April 30,October 26, 2018  
    
By:/s/ Robert A. Milligan Chief Financial Officer
  Robert A. Milligan (Principal Financial Officer and Principal Accounting Officer)
Date:April 30,October 26, 2018  


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EXHIBIT INDEX
Pursuant to Item 601(a)(2) of Regulation S-K, this Exhibit Index immediately precedes the exhibits.
The following exhibits are included, or incorporated by reference, in this Quarterly Report for the quarter ended March 31,September 30, 2018 (and are numbered in accordance with Item 601 of Regulation S-K).
31.1*
31.2*
31.3*
31.4*
32.1**
32.2**
32.3**
32.4**
101.INS*XBRL Instance Document.
101.SCH*XBRL Taxonomy Extension Schema Document.
101.CAL*XBRL Taxonomy Extension Calculation Linkbase Document.
101.DEF*XBRL Taxonomy Extension Definition Linkbase Document.
101.LAB*XBRL Taxonomy Extension Label Linkbase Document.
101.PRE*XBRL Taxonomy Extension Presentation Linkbase Document.
  
*Filed herewith.
**Furnished herewith.


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