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 June 30, 20182019
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(Healthcare Trust of America, Inc.) 20-4738467
Delaware (Healthcare(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
16435 N. Scottsdale Road, Suite 320,Scottsdale,Arizona85254   (480)998-3478   
(Address of Principal Executive Office and Zip Code)  (Registrant’s telephone number, including area code)  
        
Scottsdale, Arizona 85254
(Address of principal executive offices)
(480) 998-3478
(Registrant’s telephone number, including area code)
www.htareit.com
(Internet address)
N/A
(Former name, former address and former fiscal year, if changed since last report)
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading symbol(s)Name of each exchange on which registered
Common stock, $0.01 par valueHTANew York Stock Exchange

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
Yes
¨ No
Healthcare Trust of America Holdings, LP
x Yes
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
Yes
¨ No
Healthcare Trust of America Holdings, LP
x Yes
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
Large accelerated filer
Accelerated filer¨
Non-accelerated filer¨
Smaller reporting company ¨
Emerging growth company ¨
(Do not check if a smaller reporting company)
Healthcare Trust of America Holdings, LPLarge accelerated filerAccelerated filer
Large-accelerated filer ¨
Accelerated filer ¨
Non-accelerated filerx
Healthcare Trust of America, Inc.Smaller reporting company¨
Emerging growth company¨
Healthcare Trust of America Holdings, LPSmaller reporting company(Do not check if a smaller reporting company)Emerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.
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 July 30, 2018,22, 2019, there were 207,529,306205,158,581 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 June 30, 2018,2019, 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 June 30, 2018,2019, 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 8 - Debt, Note 1112 - Stockholders’ Equity and Partners’ Capital, Note 1314 - Per Share Data of HTA, and Note 1415 - 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)
 June 30, 2018 December 31, 2017 June 30, 2019 December 31, 2018
ASSETS        
Real estate investments:        
Land $486,403
 $485,319
 $492,770
 $481,871
Building and improvements 5,873,927
 5,830,824
 5,886,129
 5,787,152
Lease intangibles 633,938
 639,199
 598,022
 599,864
Construction in progress 21,397
 14,223
 8,907
 4,903
 7,015,665
 6,969,565
 6,985,828
 6,873,790
Accumulated depreciation and amortization (1,146,260) (1,021,691) (1,324,281) (1,208,169)
Real estate investments, net 5,869,405
 5,947,874
 5,661,547
 5,665,621
Assets held for sale, net 6,916
 
Investment in unconsolidated joint venture 67,870
 68,577
 66,731
 67,172
Cash and cash equivalents 26,191
 100,356
 23,194
 126,221
Restricted cash 13,414
 18,204
 5,950
 7,309
Receivables and other assets, net 215,250
 207,857
 225,681
 223,415
Right-of-use assets, net 245,495
 
Other intangibles, net 103,084
 106,714
 11,877
 98,738
Total assets $6,302,130
 $6,449,582
 $6,240,475
 $6,188,476
LIABILITIES AND EQUITY        
Liabilities:        
Debt $2,683,531
 $2,781,031
 $2,567,008
 $2,541,232
Accounts payable and accrued liabilities 152,516
 167,852
 159,853
 185,073
Liabilities of assets held for sale 161
 
Derivative financial instruments - interest rate swaps 548
 1,089
Security deposits, prepaid rent and other liabilities 65,012
 61,222
 41,241
 59,567
Lease liabilities 200,842
 
Intangible liabilities, net 64,964
 68,203
 40,529
 61,146
Total liabilities 2,966,732
 3,079,397
 3,009,473
 2,847,018
Commitments and contingencies 
 
 

 

Redeemable noncontrolling interests 6,644
 6,737
 
 6,544
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; 207,493,355 and 204,892,118 shares issued and outstanding as of June 30, 2018 and December 31, 2017, respectively 2,075
 2,049
Class A common stock, $0.01 par value; 1,000,000,000 shares authorized; 205,117,620 and 205,267,349 shares issued and outstanding as of June 30, 2019 and December 31, 2018, respectively 2,051
 2,053
Additional paid-in capital 4,580,373
 4,508,528
 4,521,103
 4,525,969
Accumulated other comprehensive loss 1,367
 274
Accumulated other comprehensive (loss) income (449) 307
Cumulative dividends in excess of earnings (1,332,759) (1,232,069) (1,369,763) (1,272,305)
Total stockholders’ equity 3,251,056
 3,278,782
 3,152,942
 3,256,024
Noncontrolling interests 77,698
 84,666
 78,060
 78,890
Total equity 3,328,754
 3,363,448
 3,231,002
 3,334,914
Total liabilities and equity $6,302,130
 $6,449,582
 $6,240,475
 $6,188,476
        
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 June 30, Six Months Ended June 30,Three Months Ended June 30, Six Months Ended June 30,
2018 2017 2018 20172019 2018 2019 2018
Revenues:              
Rental income$173,221
 $139,525
 $348,788
 $263,518
$171,609
 $173,221
 $340,484
 $348,788
Interest and other operating income111
 354
 205
 708
148
 111
 239
 205
Total revenues173,332
 139,879
 348,993

264,226
171,757
 173,332
 340,723
 348,993
Expenses:              
Rental53,553
 43,523
 109,575
 82,543
52,938
 53,553
 104,406
 109,575
General and administrative8,725
 8,472
 17,511
 16,895
10,079
 8,725
 21,369
 17,511
Transaction396
 5,073
 587
 5,357
296
 396
 336
 587
Depreciation and amortization69,104
 55,353
 139,496
 102,409
68,429
 69,104
 137,910
 139,496
Interest expense24,006
 26,305
 47,976
 52,558
Impairment
 5,093
 4,606
 5,093

 
 
 4,606
Total expenses131,778
 117,514
 271,775
 212,297
155,748
 158,083
 311,997
 324,333
Income before other income (expense)41,554
 22,365
 77,218
 51,929
Interest income (expense):       
Interest related to derivative financial instruments186
 (239) 128
 (563)
Gain on change in fair value of derivative financial instruments, net
 45
 
 884
Total interest related to derivative financial instruments, including net change in fair value of derivative financial instruments186
 (194) 128
 321
Interest related to debt(26,491) (17,706) (52,686) (33,764)
Gain on sale of real estate, net
 
 
 3
Loss on extinguishment of debt, net
 (10,386) 
 (10,418)
Loss on sale of real estate, net
 
 (37) 
Income from unconsolidated joint venture403
 63
 973
 63
548
 403
 1,034
 973
Other income5
 6
 40
 14
41
 5
 576
 40
Net income (loss)$15,657
 $(5,852) $25,673
 $8,148
Net income$16,598
 $15,657
 $30,299
 $25,673
Net income attributable to noncontrolling interests (1)
(311) (66) (525) (521)(339) (311) (600) (525)
Net income (loss) attributable to common stockholders$15,346
 $(5,918) $25,148
 $7,627
Net income attributable to common stockholders$16,259
 $15,346
 $29,699
 $25,148
Earnings per common share - basic:              
Net income (loss) attributable to common stockholders$0.07
 $(0.03) $0.12
 $0.05
Net income attributable to common stockholders$0.08
 $0.07
 $0.14
 $0.12
Earnings per common share - diluted:              
Net income (loss) attributable to common stockholders$0.07
 $(0.03) $0.12
 $0.05
Net income attributable to common stockholders$0.08
 $0.07
 $0.14
 $0.12
Weighted average common shares outstanding:              
Basic205,241
 176,464
 205,155
 159,218
205,108
 205,241
 205,094
 205,155
Diluted209,259
 176,464
 209,218
 163,490
209,005
 209,259
 209,002
 209,218
Dividends declared per common share$0.305
 $0.300
 $0.610
 $0.600
              
(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 June 30, Six Months Ended June 30,
 2018 2017 2018 2017
        
Net income (loss)$15,657
 $(5,852) $25,673
 $8,148
        
Other comprehensive gain (loss)       
Change in unrealized gains (losses) on cash flow hedges214
 (748) 1,114
 (836)
Total other comprehensive gain (loss)214
 (748) 1,114
 (836)
        
Total comprehensive income (loss)15,871
 (6,600) 26,787
 7,312
Comprehensive income attributable to noncontrolling interests(301) (27) (499) (449)
Total comprehensive income (loss) attributable to common stockholders$15,570
 $(6,627) $26,288
 $6,863
 Three Months Ended June 30, Six Months Ended June 30,
 2019 2018 2019 2018
        
Net income$16,598
 $15,657
 $30,299
 $25,673
        
Other comprehensive (loss) income       
Change in unrealized (losses) gains on cash flow hedges(381) 214
 (771) 1,114
Total other comprehensive (loss) income(381) 214
 (771) 1,114
        
Total comprehensive income16,217
 15,871
 29,528
 26,787
Comprehensive income attributable to noncontrolling interests(294) (301) (519) (499)
Total comprehensive income attributable to common stockholders$15,923
 $15,570
 $29,009
 $26,288
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
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
Balance as of December 31, 2017204,892
 $2,049
 $4,508,528
 $274
 $(1,232,069) $3,278,782
 $84,666
 $3,363,448
Share-based award transactions, net198
 2
 3,837
 
 
 3,839
 
 3,839
289
 3
 3,504
 
 
 3,507
 
 3,507
Repurchase and cancellation of common stock(114) (1) (3,338) 
 
 (3,339) 
 (3,339)(92) (1) (2,708) 
 
 (2,709) 
 (2,709)
Redemption of noncontrolling interest and other221
 2
 5,530
 
 
 5,532
 (5,532) 
91
 1
 2,412
 
 
 2,413
 (2,413) 
Dividends declared
 
 
 
 (103,273) (103,273) (2,651) (105,924)
Dividends declared ($0.305 per common share)
 
 
 
 (62,559) (62,559) (1,307) (63,866)
Net income
 
 
 
 7,627
 7,627
 469
 8,096

 
 
 
 9,802
 9,802
 181
 9,983
Other comprehensive loss
 
 
 (816) 
 (816) (20) (836)
Balance as of June 30, 2017200,647
 $2,006
 $4,384,483
 $(816) $(1,164,607) $3,221,066
 $86,019
 $3,307,085
               
Balance as of December 31, 2017204,892
 $2,049
 $4,508,528
 $274
 $(1,232,069) $3,278,782
 $84,666
 $3,363,448
Other comprehensive income
 
 
 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
Issuance of common stock in HTA2,550
 25
 72,789
 
 
 72,814
 
 72,814
2,550
 25
 72,789
 
 
 72,814
 
 72,814
Share-based award transactions, net296
 3
 5,700
 
 
 5,703
 
 5,703
7
 
 2,196
 
 
 2,196
 
 2,196
Repurchase and cancellation of common stock(429) (4) (11,549) 
 
 (11,553) 
 (11,553)(337) (3) (8,841) 
 
 (8,844) 
 (8,844)
Redemption of noncontrolling interest and other184
 2
 4,905
 
 
 4,907
 (4,907) 
93
 1
 2,493
 
 
 2,494
 (2,494) 
Dividends declared
 
 
 
 (125,838) (125,838) (2,560) (128,398)
Dividends declared ($0.305 per common share)
 
 
 
 (63,279) (63,279) (1,253) (64,532)
Net income
 
 
 
 25,148
 25,148
 478
 25,626

 
 
 
 15,346
 15,346
 297
 15,643
Other comprehensive gain
 
 
 1,093
 
 1,093
 21
 1,114
Other comprehensive income
 
 
 210
 
 210
 4
 214
Balance as of June 30, 2018207,493
 $2,075
 $4,580,373
 $1,367
 $(1,332,759) $3,251,056
 $77,698
 $3,328,754
207,493
 $2,075
 $4,580,373
 $1,367
 $(1,332,759) $3,251,056
 $77,698
 $3,328,754
               
Balance as of December 31, 2018205,267
 $2,053
 $4,525,969
 $307
 $(1,272,305) $3,256,024
 $78,890
 $3,334,914
Share-based award transactions, net293
 3
 3,386
 
 
 3,389
 
 3,389
Repurchase and cancellation of common stock(478) (5) (11,921) 
 
 (11,926) 
 (11,926)
Redemption of noncontrolling interest and other18
 
 527
 
 
 527
 (527) 
Dividends declared ($0.310 per common share)
 
 
 
 (63,578) (63,578) (1,306) (64,884)
Net income
 
 
 
 13,440
 13,440
 233
 13,673
Other comprehensive loss
 
 
 (382) 
 (382) (8) (390)
Balance as of March 31, 2019205,100
 2,051
 4,517,961
 (75) (1,322,443) 3,197,494
 77,282
 3,274,776
Issuance of operating partnership units in HTALP
 
 
 
 
 
 2,603
 2,603
Share-based award transactions, net(3) 
 2,102
 
 
 2,102
 
 2,102
Repurchase and cancellation of common stock(6) 
 (169) 
 
 (169) 
 (169)
Redemption of noncontrolling interest and other27
 
 1,209
 
 
 1,209
 (785) 424
Dividends declared ($0.310 per common share)
 
 
 
 (63,579) (63,579) (1,334) (64,913)
Net income
 
 
 
 16,259
 16,259
 301
 16,560
Other comprehensive loss
 
 
 (374) 
 (374) (7) (381)
Balance as of June 30, 2019205,118
 $2,051
 $4,521,103
 $(449) $(1,369,763) $3,152,942
 $78,060
 $3,231,002
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)
Six Months Ended June 30,Six Months Ended June 30,
2018 20172019 2018
Cash flows from operating activities:      
Net income$25,673
 $8,148
$30,299
 $25,673
Adjustments to reconcile net income to net cash provided by operating activities:      
Depreciation, amortization and other135,177
 100,536
Depreciation and amortization132,931
 135,177
Share-based compensation expense5,703
 3,839
5,491
 5,703
Impairment4,606
 5,093

 4,606
Income from unconsolidated joint venture(973) (63)(1,034) (973)
Distributions from unconsolidated joint venture975
 
1,335
 975
Gain on sale of real estate, net
 (3)
Loss on extinguishment of debt, net
 10,418
Change in fair value of derivative financial instruments
 (884)
Loss on sale of real estate, net37
 
Changes in operating assets and liabilities:      
Receivables and other assets, net(2,956) (2,742)457
 (2,956)
Accounts payable and accrued liabilities(13,254) 14,272
(23,262) (13,254)
Prepaid rent and other liabilities1,157
 1,907
2,483
 1,157
Net cash provided by operating activities156,108
 140,521
148,737
 156,108
Cash flows from investing activities:      
Investments in real estate(11,887) (2,202,815)(93,855) (11,887)
Investment in unconsolidated joint venture
 (68,839)
Development of real estate(23,861) (348)(4,627) (23,861)
Proceeds from the sale of real estate
 4,746
1,193
 
Capital expenditures(34,110) (26,022)(37,763) (34,110)
Collection of real estate notes receivable347
 
365
 347
Net cash used in investing activities(69,511) (2,293,278)
Net cash used in investing activities
(134,687) (69,511)
Cash flows from financing activities:      
Borrowings on unsecured revolving credit facility85,000
 305,000
135,000
 85,000
Payments on unsecured revolving credit facility(85,000) (393,000)(15,000) (85,000)
Proceeds from unsecured senior notes
 900,000
Payments on secured mortgage loans(99,218) (74,319)(96,173) (99,218)
Deferred financing costs
 (9,400)
Debt extinguishment costs
 (10,391)
Security deposits222
 1,964

 222
Proceeds from issuance of common stock72,814
 1,624,222

 72,814
Repurchase and cancellation of common stock(11,553) (3,339)(12,095) (11,553)
Dividends paid(125,128) (85,683)(127,387) (125,128)
Distributions paid to noncontrolling interest of limited partners(2,689) (2,722)(2,781) (2,689)
Net cash (used in) provided by financing activities(165,552) 2,252,332
Net cash used in financing activities(118,436) (165,552)
Net change in cash, cash equivalents and restricted cash(78,955) 99,575
(104,386) (78,955)
Cash, cash equivalents and restricted cash - beginning of period118,560
 25,045
133,530
 118,560
Cash, cash equivalents and restricted cash - end of period$39,605
 $124,620
$29,144
 $39,605
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 BALANCE SHEETS
(In thousands, except unit data)
(Unaudited)
 June 30, 2018 December 31, 2017 June 30, 2019 December 31, 2018
ASSETS        
Real estate investments:        
Land $486,403
 $485,319
 $492,770
 $481,871
Building and improvements 5,873,927
 5,830,824
 5,886,129
 5,787,152
Lease intangibles 633,938
 639,199
 598,022
 599,864
Construction in progress 21,397
 14,223
 8,907
 4,903
 7,015,665
 6,969,565
 6,985,828
 6,873,790
Accumulated depreciation and amortization (1,146,260) (1,021,691) (1,324,281) (1,208,169)
Real estate investments, net 5,869,405
 5,947,874
 5,661,547
 5,665,621
Assets held for sale, net 6,916
 
Investment in unconsolidated joint venture 67,870
 68,577
 66,731
 67,172
Cash and cash equivalents 26,191
 100,356
 23,194
 126,221
Restricted cash 13,414
 18,204
 5,950
 7,309
Receivables and other assets, net 215,250
 207,857
 225,681
 223,415
Right-of-use assets, net 245,495
 
Other intangibles, net 103,084
 106,714
 11,877
 98,738
Total assets $6,302,130
 $6,449,582
 $6,240,475
 $6,188,476
LIABILITIES AND PARTNERS’ CAPITAL        
Liabilities:       ��
Debt $2,683,531
 $2,781,031
 $2,567,008
 $2,541,232
Accounts payable and accrued liabilities 152,516
 167,852
 159,853
 185,073
Liabilities of assets held for sale 161
 
Derivative financial instruments - interest rate swaps 548
 1,089
Security deposits, prepaid rent and other liabilities 65,012
 61,222
 41,241
 59,567
Lease liabilities 200,842
 
Intangible liabilities, net 64,964
 68,203
 40,529
 61,146
Total liabilities 2,966,732
 3,079,397
 3,009,473
 2,847,018
Commitments and contingencies 

 

 


 


Redeemable noncontrolling interests 6,644
 6,737
 
 6,544
Partners’ Capital:        
Limited partners’ capital, 3,939,816 and 4,124,148 units issued and outstanding as of June 30, 2018 and December 31, 2017, respectively
 77,428
 84,396
General partners’ capital, 207,493,355 and 204,892,118 units issued and outstanding as of June 30, 2018 and December 31, 2017, respectively 3,251,326
 3,279,052
Limited partners’ capital, 3,974,657 and 3,929,083 units issued and outstanding as of June 30, 2019 and December 31, 2018, respectively 77,790
 78,620
General partners’ capital, 205,117,620 and 205,267,349 units issued and outstanding as of June 30, 2019 and December 31, 2018, respectively 3,153,212
 3,256,294
Total partners’ capital 3,328,754
 3,363,448
 3,231,002
 3,334,914
Total liabilities and partners’ capital $6,302,130
 $6,449,582
 $6,240,475
 $6,188,476
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 June 30, Six Months Ended June 30,Three Months Ended June 30, Six Months Ended June 30,
2018 2017 2018 20172019 2018 2019 2018
Revenues:              
Rental income$173,221
 $139,525
 $348,788
 $263,518
$171,609
 $173,221
 $340,484
 $348,788
Interest and other operating income111
 354
 205
 708
148
 111
 239
 205
Total revenues173,332
 139,879
 348,993
 264,226
171,757
 173,332
 340,723
 348,993
Expenses:              
Rental53,553
 43,523
 109,575
 82,543
52,938
 53,553
 104,406
 109,575
General and administrative8,725
 8,472
 17,511
 16,895
10,079
 8,725
 21,369
 17,511
Transaction396
 5,073
 587
 5,357
296
 396
 336
 587
Depreciation and amortization69,104
 55,353
 139,496
 102,409
68,429
 69,104
 137,910
 139,496
Interest expense24,006
 26,305
 47,976
 52,558
Impairment
 5,093
 4,606
 5,093

 
 
 4,606
Total expenses131,778
 117,514
 271,775
 212,297
155,748
 158,083
 311,997
 324,333
Income before other income (expense)41,554
 22,365
 77,218
 51,929
Interest income (expense):       
Interest related to derivative financial instruments186
 (239) 128
 (563)
Gain on change in fair value of derivative financial instruments, net
 45
 
 884
Total interest related to derivative financial instruments, including net change in fair value of derivative financial instruments186
 (194) 128
 321
Interest related to debt(26,491) (17,706) (52,686) (33,764)
Gain on sale of real estate, net
 
 
 3
Loss on extinguishment of debt, net
 (10,386) 
 (10,418)
Loss on sale of real estate, net
 
 (37) 
Income from unconsolidated joint venture403
 63
 973
 63
548
 403
 1,034
 973
Other income5
 6
 40
 14
41
 5
 576
 40
Net income (loss)$15,657
 $(5,852) $25,673
 $8,148
Net income$16,598
 $15,657
 $30,299
 $25,673
Net income attributable to noncontrolling interests(14) (22) (47) (52)(38) (14) (66) (47)
Net income (loss) attributable to common unitholders$15,643
 $(5,874) $25,626
 $8,096
Net income attributable to common unitholders$16,560
 $15,643
 $30,233
 $25,626
Earnings per common unit - basic:              
Net income (loss) attributable to common unitholders$0.07
 $(0.03) $0.12
 $0.05
Net income attributable to common unitholders$0.08
 $0.07
 $0.14
 $0.12
Earnings per common unit - diluted:              
Net income (loss) attributable to common unitholders$0.07
 $(0.03) $0.12
 $0.05
Net income attributable to common unitholders$0.08
 $0.07
 $0.14
 $0.12
Weighted average common units outstanding:               
Basic209,259
 180,672
 209,218
 163,490
209,005
 209,259
 209,002
 209,218
Diluted209,259
 180,672
 209,218
 163,490
209,005
 209,259
 209,002
 209,218
Dividends declared per common unit$0.305
 $0.300
 $0.610
 $0.600
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 June 30, Six Months Ended June 30,
 2018 2017 2018 2017
        
Net income (loss)$15,657
 $(5,852) $25,673
 $8,148
        
Other comprehensive gain (loss)       
Change in unrealized gains (losses) on cash flow hedges214
 (748) 1,114
 (836)
Total other comprehensive gain (loss)214
 (748) 1,114
 (836)
        
Total comprehensive income (loss)15,871
 (6,600) 26,787
 7,312
Comprehensive income attributable to noncontrolling interests(14) (22) (47) (52)
Total comprehensive income (loss) attributable to common unitholders$15,857
 $(6,622) $26,740
 $7,260
 Three Months Ended June 30, Six Months Ended June 30,
 2019 2018 2019 2018
        
Net income$16,598
 $15,657
 $30,299
 $25,673
        
Other comprehensive (loss) income       
Change in unrealized (losses) gains on cash flow hedges(381) 214
 (771) 1,114
Total other comprehensive (loss) income(381) 214
 (771) 1,114
        
Total comprehensive income16,217
 15,871
 29,528
 26,787
Comprehensive income attributable to noncontrolling interests(38) (14) (66) (47)
Total comprehensive income attributable to common unitholders$16,179
 $15,857
 $29,462
 $26,740
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
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
Balance as of December 31, 2017204,892
 $3,279,052
 4,124
 $84,396
 $3,363,448
Share-based award transactions, net198
 3,839
 
 
 3,839
289
 3,507
 
 
 3,507
Redemption and cancellation of general partner units(114) (3,339) 
 
 (3,339)(92) (2,709) 
 
 (2,709)
Redemption of limited partner units and other221
 5,532
 (221) (5,532) 
91
 2,413
 (91) (2,413) 
Distributions declared
 (103,273) 
 (2,651) (105,924)
Distributions declared ($0.305 per common unit)
 (62,559) 
 (1,307) (63,866)
Net income
 7,627
 
 469
 8,096

 9,802
 
 181
 9,983
Other comprehensive loss
 (816) 
 (20) (836)
Balance as of June 30, 2017200,647
 $3,221,336
 4,123
 $85,749
 $3,307,085
         
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
Other comprehensive income
 883
 
 17
 900
Balance as of March 31, 2018205,180
 3,230,389
 4,033
 80,874
 3,311,263
Issuance of general partner units, net2,550
 72,814
 
 
 72,814
Share-based award transactions, net296
 5,703
 
 
 5,703
7
 2,196
 
 
 2,196
Redemption and cancellation of general partner units(429) (11,553) 
 
 (11,553)(337) (8,844) 
 
 (8,844)
Redemption of limited partner units and other184
 4,907
 (184) (4,907) 
93
 2,494
 (93) (2,494) 
Distributions declared
 (125,838) 
 (2,560) (128,398)
Distributions declared ($0.305 per common unit)
 (63,279) 
 (1,253) (64,532)
Net income
 25,148
 
 478
 25,626

 15,346
 
 297
 15,643
Other comprehensive gain
 1,093
 
 21
 1,114
Other comprehensive income
 210
 
 4
 214
Balance as of June 30, 2018207,493
 $3,251,326
 3,940
 $77,428
 $3,328,754
207,493
 $3,251,326
 3,940
 $77,428
 $3,328,754
         
Balance as of December 31, 2018205,267
 $3,256,294
 3,929
 $78,620
 $3,334,914
Share-based award transactions, net293
 3,389
 
 
 3,389
Redemption and cancellation of general partner units(478) (11,926) 
 
 (11,926)
Redemption of limited partner units and other18
 527
 (18) (527) 
Distributions declared ($0.310 per common unit)
 (63,578) 
 (1,306) (64,884)
Net income
 13,440
 
 233
 13,673
Other comprehensive loss
 (382) 
 (8) (390)
Balance as of March 31, 2019205,100
 3,197,764
 3,911
 77,012
 3,274,776
Issuance of limited partner units
 
 91
 2,603
 2,603
Share-based award transactions, net(3) 2,102
 
 
 2,102
Redemption and cancellation of general partner units(6) (169) 
 
 (169)
Redemption of limited partner units and other27
 1,209
 (27) (785) 424
Distributions declared ($0.310 per common unit)
 (63,579) 
 (1,334) (64,913)
Net income
 16,259
 
 301
 16,560
Other comprehensive loss
 (374) 
 (7) (381)
Balance as of June 30, 2019205,118
 $3,153,212
 3,975
 $77,790
 $3,231,002
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)
Six Months Ended June 30,Six Months Ended June 30,
2018 20172019 2018
Cash flows from operating activities:      
Net income$25,673
 $8,148
$30,299
 $25,673
Adjustments to reconcile net income to net cash provided by operating activities:      
Depreciation, amortization and other135,177
 100,536
Depreciation and amortization132,931
 135,177
Share-based compensation expense5,703
 3,839
5,491
 5,703
Impairment4,606
 5,093

 4,606
Income from unconsolidated joint venture(973) (63)(1,034) (973)
Distributions from unconsolidated joint venture975
 
1,335
 975
Gain on sale of real estate, net
 (3)
Loss on extinguishment of debt, net
 10,418
Change in fair value of derivative financial instruments
 (884)
Loss on sale of real estate, net37
 
Changes in operating assets and liabilities:      
Receivables and other assets, net(2,956) (2,742)457
 (2,956)
Accounts payable and accrued liabilities(13,254) 14,272
(23,262) (13,254)
Prepaid rent and other liabilities1,157
 1,907
2,483
 1,157
Net cash provided by operating activities156,108
 140,521
148,737
 156,108
Cash flows from investing activities:      
Investments in real estate(11,887) (2,202,815)(93,855) (11,887)
Investment in unconsolidated joint venture
 (68,839)
Development of real estate(23,861) (348)(4,627) (23,861)
Proceeds from the sale of real estate
 4,746
1,193
 
Capital expenditures(34,110) (26,022)(37,763) (34,110)
Collection of real estate notes receivable347
 
365
 347
Net cash used in investing activities(69,511) (2,293,278)
Net cash used in investing activities
(134,687) (69,511)
Cash flows from financing activities:      
Borrowings on unsecured revolving credit facility85,000
 305,000
135,000
 85,000
Payments on unsecured revolving credit facility(85,000) (393,000)(15,000) (85,000)
Proceeds from unsecured senior notes
 900,000
Payments on secured mortgage loans(99,218) (74,319)(96,173) (99,218)
Deferred financing costs
 (9,400)
Debt extinguishment costs
 (10,391)
Security deposits222
 1,964

 222
Proceeds from issuance of general partner units72,814
 1,624,222

 72,814
Repurchase and cancellation of general partner units(11,553) (3,339)(12,095) (11,553)
Distributions paid to general partner(125,128) (85,683)(127,387) (125,128)
Distributions paid to limited partners and redeemable noncontrolling interests(2,689) (2,722)(2,781) (2,689)
Net cash (used in) provided by financing activities(165,552) 2,252,332
Net cash used in financing activities(118,436) (165,552)
Net change in cash, cash equivalents and restricted cash(78,955) 99,575
(104,386) (78,955)
Cash, cash equivalents and restricted cash - beginning of period118,560
 25,045
133,530
 118,560
Cash, cash equivalents and restricted cash - end of period$39,605
 $124,620
$29,144
 $39,605
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, 2006.2006. 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 weStates. We lease space to tenants primarily consisting of health systems, research and academic institutions, and various sized physician practices.  We generate substantially all ofThrough our revenues from rents and rental-related activities, such as property and facilitiesfull-service operating platform we provide leasing, asset management, acquisitions, development and other incidental revenues related to the operation of real estate. services for our properties.
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.
Reclassifications
Certain prior year amounts related to the presentation of interest expense on the accompanying condensed consolidated statements of operations have been reclassified to conform to the current year presentation.
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 20172018 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 ouron the accompanying condensed consolidated balance sheets and statements of operations, condensed consolidated statements of comprehensive income, or loss,and condensed 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-controlling 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 June 30, 20182019 and December 31, 2017,2018, there were approximately 3.94.0 million and 4.13.9 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 and restricted cash equivalents. Therefore, restricted cash and 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, 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 six months ended June 30, 2017 in the accompanying condensed consolidated statements of cash flows (in thousands):
 Six Months Ended June 30, 2017
 As Previously Reported As Reclassified
Cash flows from investing activities:   
        Other assets (1)
$(19,362) $
               Net cash used in investing activities(2,312,640) (2,293,278)
    
Net change in cash, cash equivalents and restricted cash (2)
$80,213
 $99,575
Cash, cash equivalents and restricted cash - beginning of period (2)
11,231
 25,045
Cash, cash equivalents and restricted cash - end of period (2)
$91,444
 $124,620
    
(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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Assets Held for Sale
We consider properties as held for sale once management commits to a plan to sell the property and has determined that the sale is probable and expected to occur within one year. Upon designation as held for sale, we record the property at the lower of its carrying amount or fair value, less costs to sell, and cease depreciation and amortization. Assets and liabilities of properties sold or classified as held for sale are separately identified on our condensed consolidated balance sheets. See Note 4 - Assets Held for Sale for more detail on assets held for sale.
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 ofof: (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, theThe 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 (in thousands):
 June 30,
 2019 2018
Cash and cash equivalents$23,194
 $26,191
Restricted cash5,950
 13,414
Total cash, cash equivalents and restricted cash$29,144
 $39,605
 June 30,
 2018 2017
Cash and cash equivalents$26,191
 $91,444
Restricted cash13,414
 33,176
Total cash, cash equivalents and restricted cash$39,605
 $124,620

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,reimbursements, which is comprised of additional amounts recoverable from tenants for real estate taxes, common area maintenance and other certain operating expenses are recognized as revenue on a gross basis in the period in which the related recoverable expenses are incurred.  We accrue revenue corresponding to these expenses on a quarterly basis to 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 perform reconciliations on a lease-by-lease basis and bill or credit each tenant for any differences between the estimated expenses we billed and the 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
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Table of Topic 606 and corresponding amendments, theContents
HEALTHCARE TRUST OF AMERICA, INC. AND HEALTHCARE TRUST OF AMERICA HOLDINGS, LP NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

The revenue recognition process will beis based on a five-step model to account for revenue arising from contracts with customers and supersedes most of the existing revenue recognition guidance.as outlined in Topic 606 requires an entity to606. We 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 does 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 June 30, 2019 and 2018 and 2017 was $50.6$51.9 million and $39.0$50.6 million, respectively. Depreciation expense of buildings and improvements for the six months ended June 30, 2019 and 2018 was $104.0 million and 2017, was $101.3 million, and $71.7 million, respectively.

Leases

As lessor we lease space in our MOBs primarily to medical enterprises for terms ranging from three to seven years in length. The assets underlying these leases consist of buildings and associated land which are included as real estate investments on our accompanying condensed consolidated balance sheets. All of our leases for which we are the lessor are classified as operating leases under Topic 842.
16Leases, for which we are the lessee, are classified as separate components on our accompanying condensed consolidated balance sheets. Operating leases are included as right-of-use (“ROU”) assets, net, with a corresponding lease liability. A lease liability is recognized for our obligation related to the lease and an ROU asset represents our right to use the underlying asset over the lease term. Refer to Note 7 - Leases in the accompanying notes to the condensed consolidated financial statements for more detail relating to our leases.

Redeemable Noncontrolling Interests

TableWe 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 Contentsthe holder, not solely within our control, be classified outside permanent stockholders’ equity. We classify redeemable equity securities as redeemable noncontrolling interests on the accompanying condensed consolidated balances sheets. Accordingly, we record the carrying amount at the greater of the initial carrying amount (increased or decreased for the noncontrolling interest’s share of net income or loss and distributions) or the redemption value. 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 June 30, 2019, all redeemable noncontrolling interests have either converted their interest to OP Units or received cash proceeds due to the last exercisable put option that lapsed on June 30, 2019. As of December 31, 2018, we had redeemable noncontrolling interests of $6.5 million. Refer to Note 11 - Redeemable Noncontrolling Interests in the accompanying notes to the condensed consolidated financial statements for more detail relating to our redeemable noncontrolling interests.
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 June 30, 2019 and December 31, 2018, we had a 50% interest in one such investment with a carrying value and maximum exposure to risk of $67.9$66.7 million and $67.2 million, respectively, which is recorded in investment in unconsolidated joint venture inon the accompanying condensed consolidated balance sheets. We record our share of net income (loss) in income (loss) from unconsolidated joint venture inon the accompanying condensed consolidated statements of operations. For the three months ended June 30, 2019 and 2018, we recognized income of $0.5 million and $0.4 million, respectively. For the six months ended June 30, 2019 and 2018, we recognized income of $0.4 million and $1.0 million from our unconsolidated joint venture, respectively. Our unconsolidated joint venture was acquired during the second quarter of 2017 and for the three months ended June 30, 2017 we recognized income of $63,000.million.
Recently Issued or Adopted Accounting Pronouncements
The following table provides a brief description of recently adopted accounting pronouncements:
Accounting PronouncementDescriptionEffective DateEffect 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 noncontrolling 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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TheRecently Issued or Adopted Accounting Pronouncements
Recently Adopted Accounting Pronouncements
Topic 842, Leases
In February 2016, the Financial Accounting Standards Board (the “FASB”) issued Accounting Standards Update (“ASU”) 2016-02, codified as ASC 842 - Leases (Topic 842). This new standard superseded ASC Topic 840 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.
We adopted Topic 842 as of January 1, 2019 and elected to use the optional transition method, which allows us to recognize a cumulative-effect adjustment to the opening balance of retained earnings at January 1, 2019. Using the optional transition method, the cumulative effect adjustment was immaterial and as such no adjustment was made to beginning retained earnings. In addition, it was determined in our analysis that finance leases which we are the lessee were immaterial and as such were excluded from our disclosures.
In addition to electing the optional transition method above, we also elected the following table providespractical expedients offered by the FASB which will allow us:
to not reassess: (i) whether an expired or existing contract contains a brief descriptionlease arrangement, (ii) lease classification related to expired or existing lease arrangements, or (iii) whether costs incurred on expired or existing leases qualify as initial direct costs;
to not separate, as the lessor, certain non-lease components, such as common area maintenance from lease revenue if the (i) timing and pattern of recently issued accounting pronouncements:revenue recognition are the same for the non-lease component, and (ii) related lease component and the combined single lease component would be classified as an operating lease;
to exclude land easements from assessment in determining whether they meet the definition of a lease up to the time of adoption; and
to not record on our accompanying condensed consolidated balance sheets, lease liabilities and right of use (“ROU”) assets with lease terms of 12 months or less.
Lessee Impact
Leases for which we are the lessee, including ground leases and corporate leases, which are primarily for office space, have been recorded on our accompanying condensed consolidated balance sheets as either finance or operating leases with lease liability obligations and corresponding ROU assets based on the present value of the minimum rental payments remaining as of the initial adoption date of January 1, 2019.
Lessor Impact
Topic 842 modifies the treatment of initial direct costs, which historically under Topic 840 have been capitalized upon meeting criteria provided for in that applicable guidance. These initial direct costs now under ASC 842 are eligible for capitalization only if they are incremental in nature, (i.e., would only be incurred if we enter into a new lease arrangement). Under this guidance, only commissions paid and other incurred costs incremental to our leasing activity qualify as initial direct costs. These costs, which were previously capitalized, have been classified as general and administrative expenses on our accompanying condensed consolidated statements of operations. For the three and six months ended June 30, 2018, we capitalized approximately $0.9 million and $2.2 million, respectively, of initial direct costs.
Additionally, as part of Topic 842, ASU 2018-20 states that (i) a lessor must analyze sales (and other similar) tax laws on a jurisdiction-by-jurisdiction basis to determine whether those taxes are lessor costs or lessee costs and (ii) a lessor shall exclude from variable payments, lessor costs (i.e., property taxes, insurance) paid by a lessee directly to a third party. However, costs that are paid by a lessor directly to a third party and are reimbursed by a lessee are considered lessor costs that shall be accounted for by the lessor as variable payments. As a result of the adoption of Topic 842, we no longer record income or expense when the lessee pays the property taxes directly to a third party. For the three and six months ended June 30, 2018, we recognized approximately $3.4 million and $7.0 million, respectively, of tenant paid property taxes.
Except where stated above, the adoption of Topic 842 did not have a substantive impact on our results of operations and cash flows and no significant impact on any of our debt covenants.

17
Accounting PronouncementDescriptionEffective DateEffect on financial statements
Topic 842; collectively ASU 2016-02, 2018-01 and 2018-11 Leases (Issued February 2016, January 2018 and July 2018)
In February 2016, the 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 whereby 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 as of January 1, 2019. 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, (ii) lease classification related to expired or existing lease arrangements, or (iii) whether costs incurred on expired or existing leases qualify as initial direct 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, and (ii) the related lease component and the combined single lease component would be classified as an operating lease.

As part of the adoption, all leases for which we are the lessee, including ground leases and certain other corporate leases, will be recorded in our consolidated financial statements as either financing or operating leases with corresponding right of use assets and lease liability obligations. Management has commenced the reevaluation of all leases where we are the lessee to determine (a) the total future lease payments, including an assessment of the availability and likelihood 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 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 accounting of such costs, 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 six months ended June 30, 2018, we have capitalized approximately $2.2 million of internal initial direct costs (as defined by the current lease standard, ASC 840 - Leases). Upon the adoption of Topic 842, these internal initial direct costs will either in part or in their entirety be classified as selling or general and administrative costs on our consolidated results of operations, depending on the finalization of our assessment of the impact of such adoption.
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 evaluating the impact of adopting ASU 2016-13 on our consolidated financial statements.


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ASU 2018-07, Compensation - Stock Compensation; Improvements to Nonemployee Share-Based Payment Accounting
Accounting PronouncementDescriptionEffective DateEffect on financial statements
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.
In June 2018, the FASB issued ASU 2018-07, which expands the scope of Topic 718. The amendments specify that ASU 2018-07 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. ASU 2018-07 also clarifies that it 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. We adopted ASU 2018-07 on January 1, 2019 (the effective date) and did not have any reclassifications or material impacts on our consolidated financial statements as a result of this adoption.
Recently Issued Accounting Pronouncements
ASU 2016-13, Financial Instruments Credit Losses; Measurement of Credit Losses on Financial Instruments and ASU 2018-19, 2019-04 and 2019-05, Improvements to Topic 326, Financial Instruments-Credit Losses
In June 2016, the FASB issued ASU 2016-13, which 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 2018-19 also clarifies that receivables arising from operating leases are not within the scope of Subtopic 326-20. Instead, impairment of these receivables should be accounted for in accordance with Topic 842, Leases. ASU 2019-04 provides clarification on the measurement, presentation and disclosure of credit losses on financial assets. ASU 2019-05 provides an option to irrevocably elect the fair value option for certain financial assets previously measured at amortized cost basis for comparability to any new financial assets that elect the fair value option. We will adopt ASU 2016-13, ASU 2018-19, ASU 2019-04 and ASU 2019-05 collectively as of January 1, 2020 (the effective date) and do not anticipate there to be a material impact to our consolidated financial statements and related notes based on our ongoing evaluation.
ASU 2018-13, Fair Value Measurement; Changes to the Disclosure Requirements for Fair Value Measurement
In August 2018, the FASB issued ASU 2018-13, which modifies the disclosure requirements on fair value measurements in Topic 820 as follows: (a) disclosure removals: (i) the amount of 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; and (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. We will adopt ASU 2018-13 as of January 1, 2020 (the effective date) and will consider all level inputs but do not we do not anticipate there to be a material impact to our consolidated financial statements and related notes based on our ongoing evaluation.
3. Investments in Real Estate
For the six months ended June 30, 2018,2019, our investments had an aggregate purchase price of $12.3$94.1 million. As part of these investments, we incurred $65,000approximately $1.2 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 six months ended June 30, 20182019 and 2017,2018, respectively (in thousands):
 Six Months Ended June 30,
 2019 2018
Land$12,233
 $1,084
Building and improvements74,591
 10,280
In place leases7,784
 662
Below market leases(1,380) (139)
Above market leases627
 
Net real estate assets acquired93,855
 11,887
Other, net240
 447
Aggregate purchase price$94,095
 $12,334


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 Six Months Ended June 30,
 2018 2017
Land$1,084
 $73,560
Building and improvements10,280
 2,225,012
In place leases662
 172,620
Below market leases(139) (27,529)
Above market leases
 11,098
Below market leasehold interests
 53,722
Above market leasehold interests
 (16,564)
Net assets acquired11,887
 2,491,919
Other, net (1)
447
 54,196
Aggregate purchase price$12,334
 $2,546,115
    
(1) For the six months ended June 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 six months ended June 30, 20182019 and 2017,2018, respectively (in years):
 Six Months Ended June 30,
 2019 2018
Acquired intangible assets7.0 8.1
Acquired intangible liabilities7.1 8.1

 Six Months Ended June 30,
 2018 2017
Acquired intangible assets8.1 22.4
Acquired intangible liabilities8.1 21.6

4. Impairment

During the six months ended June 30, 2019, we recorded no impairment charges. During the six months ended June 30, 2018, we recorded an impairment charge of $4.6 million on two MOBs located in Texas and South Carolina.
5. Intangible Assets and Liabilities
Intangible assets and liabilities consisted of the following as of June 30, 2019 and December 31, 2018, respectively (in thousands, except weighted average remaining amortization terms):
 June 30, 2019 December 31, 2018
 Balance 
Weighted Average Remaining
Amortization in Years
 Balance 
Weighted Average Remaining
Amortization in Years
Assets:       
In place leases$449,926
 9.7 $449,424
 9.8
Tenant relationships148,096
 9.5 150,440
 9.4
Above market leases36,833
 6.2 36,862
 6.1
Below market leasehold interests (1)

 
 91,759
 64.3
 634,855
   728,485
  
Accumulated amortization(369,835)   (355,576)  
Total$265,020
 9.5 $372,909
 22.1
        
Liabilities:       
Below market leases$62,403
 14.5 $61,395
 14.6
Above market leasehold interests (1)

 
 20,610
 49.2
 62,403
   82,005
  
Accumulated amortization(21,874)   (20,859)  
Total$40,529
 14.5 $61,146
 25.3
        
(1) As a result of the adoption of Topic 842 on January 1, 2019, the presentation of below and above market leasehold interests as of June 30, 2019 does not conform to the prior year presentation.

The following is a summary of the net intangible amortization for the three and six months ended June 30, 2019 and 2018, respectively (in thousands):
 Three Months Ended June 30, Six Months Ended June 30,
 2019 2018 2019 2018
Amortization recorded against rental income related to above and (below) market leases$(529) $(246) $(1,020) $(308)
Rental expense related to above and (below) market leasehold interests (1)

 286
 
 563
Amortization expense related to in place leases and tenant relationships(14,092) 16,677
 28,757
 34,325
        
(1) As a result of the adoption of Topic 842 on January 1, 2019, the presentation of rental expense related to above and (below) market leasehold interests for the three and six months ended June 30, 2019 does not conform to the prior year presentation.



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4. Assets Held for Sale
As of June 30, 2018, we classified one of our properties as held for sale as we recommended and our Board of Directors committed to an approved plan to seek to dispose of the property. Subsequent to June 30, 2018, the held for sale property was sold for a gross sales price of $9.3 million. As of December 31, 2017, there were no properties held for sale. The following table represents the major classes of assets and liabilities, and the balance sheet classification as of June 30, 2018 (in thousands):
 June 30, 2018
Buildings and improvements$9,563
In place leases1,859
 11,422
Accumulated depreciation and amortization(5,032)
Real estate assets held for sale, net6,390
Receivables and other assets, net526
Assets held for sale, net$6,916
  
Security deposits, prepaid rent & other liabilities$161
Liabilities of assets held for sale$161
5. Impairment and Dispositions
During the six months ended June 30, 2018, we recorded impairment charges of $4.6 million on two MOBs located in Texas and South Carolina with an aggregate value of $13.0 million. During the six months ended June 30, 2017, we completed the disposition of an MOB located in Texas for a gross sales price of $5.0 million representing approximately 48,000 square feet of gross leasable area (“GLA”). In addition, during the three months ended June 30, 2017, we recorded impairment charges of $5.1 million related to one MOB located in Massachusetts.
Subsequent to June 30, 2018, we entered into an agreement to sell a portfolio of MOBs affiliated with Greenville Health System for $285.0 million. The portfolio consists of 16 MOBs totaling approximately 856,000 square feet of GLA located in Greenville, South Carolina. This transaction is subject to customary closing conditions and no closings are assured. In addition, we closed one MOB subsequent to June 30, 2018, for a gross sales price of $9.3 million which was classified as held for sale as of June 30, 2018. See Note 4 - Assets Held for Sale for more detail.

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6. Intangible Assets and Liabilities
Intangible assets and liabilities consisted of the following as of June 30, 2018 and December 31, 2017, respectively (in thousands, except weighted average remaining amortization terms):
 June 30, 2018 December 31, 2017
 Balance 
Weighted Average Remaining
Amortization in Years
 Balance 
Weighted Average Remaining
Amortization in Years
Assets:       
In place leases$471,268
 9.7 $474,252
 9.8
Tenant relationships162,670
 10.3 164,947
 10.2
Above market leases39,187
 6.2 40,082
 6.3
Below market leasehold interests92,362
 64.6 92,362
 63.4
 765,487
   771,643
  
Accumulated amortization(344,214)   (312,655)  
Total$421,273
 20.9 $458,988
 19.5
        
Liabilities:       
Below market leases$61,952
 14.5 $61,820
 14.7
Above market leasehold interests20,610
 49.7 20,610
 50.1
 82,562
   82,430
  
Accumulated amortization(17,598)   (14,227)  
Total$64,964
 24.9 $68,203
 25.0
The following is a summary of the net intangible amortization for the three and six months ended June 30, 2018 and 2017, respectively (in thousands):
 Three Months Ended June 30, Six Months Ended June 30,
 2018 2017 2018 2017
Amortization recorded against rental income related to above and (below) market leases$(246) $(40) $(308) $(263)
Rental expense related to above and (below) market leasehold interests286
 166
 563
 295
Amortization expense related to in place leases and tenant relationships16,677
 14,457
 34,325
 27,187
7. Receivables and Other Assets
Receivables and other assets consisted of the following as of June 30, 20182019 and December 31, 2017,2018, respectively (in thousands):
 June 30, 2019 December 31, 2018
Tenant receivables, net$23,921
 $14,588
Other receivables, net16,467
 16,078
Deferred financing costs, net5,187
 6,049
Deferred leasing costs, net33,816
 30,731
Straight-line rent receivables, net101,025
 92,973
Prepaid expenses, deposits, equipment and other, net45,181
 61,885
Derivative financial instruments - interest rate swaps84
 1,111
Total$225,681
 $223,415
 June 30, 2018 December 31, 2017
Tenant receivables, net$16,606
 $20,269
Other receivables, net15,159
 9,305
Deferred financing costs, net6,897
 7,759
Deferred leasing costs, net27,846
 25,494
Straight-line rent receivables, net93,176
 85,143
Prepaid expenses, deposits, equipment and other, net53,567
 58,358
Derivative financial instruments - interest rate swaps1,999
 1,529
Total$215,250
 $207,857

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The following is a summary of the amortization of deferred leasing costs and financing costs for the three and six months ended June 30, 2018,2019 and 2017,2018, respectively (in thousands):
 Three Months Ended June 30, Six Months Ended June 30,
 2019 2018 2019 2018
Amortization expense related to deferred leasing costs$1,874
 $1,303
 $4,028
 $2,809
Interest expense related to deferred financing costs431
 431
 862
 862

7. Leases
The majority of our lease expenses are derived from our ground leases and a few corporate leases, which are primarily for office space. We recognize lease expense for these leases on a straight-line basis over the lease term. Many of our leases contain renewal options that can extend the lease term from one to ten years, or in certain cases, longer durations. The exercise of lease renewal options is at our sole discretion. Certain of our ground leases have the option to purchase the land at the end of the initial term. Our leases have one of the following payment options: (i) fixed payment throughout the term; (ii) fixed payments with periodic escalations; (iii) variable lease payments based on the Consumer Price Index (“CPI”) or another similar index; and (iv) a combination of the aforementioned. Our lease agreements do not contain any material residual value guarantees or material restrictive covenants other than certain prohibitions as to the nature of business that can be conducted within the buildings which we own in order to limit activities that may be deemed competitive in nature to the ground lessor’s activities. As of June 30, 2019, we have no new ground leases or corporate leases that have not yet commenced.
As part of the adoption of Topic 842, a lease liability and a corresponding ROU asset was recorded on our accompanying condensed consolidated balance sheets effective January 1, 2019. The lease liability was calculated as the present value of the remaining lease payments using the lease term at lease commencement and an incremental borrowing rate. In determining this calculation, we made the following assumptions and judgments:
only material ground leases and corporate leases exceeding one year in duration, were included in our lease population. Office equipment and other non-essential leases were excluded from the population due to immateriality; and
a series of incremental borrowing rates were determined based on observed prices and credit spreads of our unsecured senior debt as of December 31, 2018 after applying treasury or other similar index rates as of January 1, 2019 to leases that correspond to the remaining lease terms, adjusted for the effects of collateral.
At adoption, the ROU asset was calculated as the sum of the lease liability, deferred rent of approximately ($19.0) million, and the above and below market leasehold interest balances as of December 31, 2018 of approximately $66.5 million, which were previously recorded as other intangibles and intangible liabilities on our accompanying condensed consolidated balance sheets.

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 Three Months Ended June 30, Six Months Ended June 30,
 2018 2017 2018 2017
Amortization expense related to deferred leasing costs$1,303
 $1,472
 $2,809
 $2,734
Interest expense related to deferred financing costs431
 332
 862
 663

Lessee - Lease Costs
Lease costs consisted of the following for the three and six months ended June 30, 2019 (in thousands):
  Three Months Ended Six Months Ended
  June 30, 2019 June 30, 2019
Operating lease cost $3,066
 $6,121
Variable lease cost 333
 714
Total lease cost $3,399
 $6,835

Lessee - Lease Term and Discount Rates
The following is the weighted average remaining lease term and the weighted average discount rate for our operating leases as of June 30, 2019 (weighted average remaining lease term in years):
June 30, 2019
Weighted-average remaining lease term47.9
Weighted-average discount rate5.3%

Lessee - Maturity of Lease Liabilities
The following table summarizes the future minimum lease obligations of our operating leases as of June 30, 2019 under Topic 842 (in thousands):
Year Amount
2019 $4,963
2020 10,549
2021 10,670
2022 10,842
2023 10,967
2024 10,361
Thereafter 632,016
Total undiscounted lease payments $690,368
Less: Interest (489,526)
Present value of lease liabilities $200,842

As previously disclosed in our 2018 Annual Report on Form 10-K and under the previous lease accounting standard, Topic 840, the following table summarizes the future minimum lease obligations of our operating leases as of December 31, 2018 (in thousands):
Year Amount
2019 $10,309
2020 10,408
2021 9,877
2022 10,031
2023 10,132
Thereafter 639,234
Total $689,991

Lessor - Lease Revenues and Maturity of Future Minimum Rents
For the three and six months ended June 30, 2019, we recognized $169.9 million and $338.4 million, respectively, of rental and other lease-related income related to our operating leases of which $38.2 million and $76.1 million, respectively, were variable lease payments.

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The following table summarizes the future minimum rent contractually due under operating leases, excluding tenant reimbursements of certain costs, as of June 30, 2019 under Topic 842 (in thousands):
Year Amount
2019 $247,608
2020 476,320
2021 428,342
2022 375,494
2023 327,302
2024 282,124
Thereafter 1,110,928
Total $3,248,118
As previously disclosed in our 2018 Annual Report on Form 10-K and under the previous lease accounting standard, Topic 840, the following table summarizes the future minimum rent contractually due under operating leases, excluding tenant reimbursements of certain costs, as of December 31, 2018 (in thousands):
Year Amount
2019 $497,083
2020 448,956
2021 401,871
2022 341,889
2023 294,451
Thereafter 1,244,246
Total $3,228,496

8. Debt
Debt consisted of the following as of June 30, 20182019 and December 31, 2017,2018, respectively (in thousands):
 June 30, 2019 December 31, 2018
Unsecured revolving credit facility$120,000
 $
Unsecured term loans500,000
 500,000
Unsecured senior notes1,850,000
 1,850,000
Fixed rate mortgages115,248
 211,421
 2,585,248
 2,561,421
Deferred financing costs, net(12,355) (13,741)
Discount, net(5,885) (6,448)
Total$2,567,008
 $2,541,232
 June 30, 2018 December 31, 2017
Unsecured revolving credit facility$
 $
Unsecured term loans500,000
 500,000
Unsecured senior notes1,850,000
 1,850,000
Fixed rate mortgages loans315,823
 414,524
Variable rate mortgages loans37,402
 37,918
 2,703,225
 2,802,442
Deferred financing costs, net(14,440) (15,850)
Discount, net(5,254) (5,561)
Total$2,683,531
 $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 untilto 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 June 30, 2018, the2019, HTALP had $120.0 million under this unsecured revolving credit facility outstanding and an interest rate of 3.49% per annum. The margin associated with our borrowings was 1.00% per annum and the facility fee was 0.20% per annum.

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Unsecured Term Loan due 2023
In 2017, we entered into an amended and restatedthe Unsecured Credit Agreement as noted above. As part of this agreement, we obtained a $300.0 million unsecured term loan that was guaranteed by usHTA 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 June 30, 20182019 was 1.10% per annum. Including the impact of the interest rate swaps associated with our unsecured term loan, the interest rate was 3.28%3.59% per annum, based on our current credit rating. As of June 30, 2018,2019, HTALP had $300.0 million under this unsecured term loan outstanding.
$200.0 Million Unsecured Term Loan due 20232024
As of June 30,In 2018, HTALP hadentered into a modification of our $200.0 million unsecured term loan outstanding, which matures on September 26, 2023.with a maturity date of January 15, 2024. 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 June 30, 20182019 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 3.27%2.75% per annum, based on our current credit rating.

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Subsequent to June 30, 2018,2019, HTALP entered into a modification of ourhad $200.0 million under this unsecured term loan due in 2023. The modification decreased pricing at our current credit rating by 65 basis points from LIBOR plus 165 basis points to LIBOR plus 100 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.outstanding.
$300.0 Million Unsecured Senior Notes due 2021
As of June 30, 2018,2019, HTALP had $300.0 million of unsecured senior notes outstanding that are guaranteed by us.HTA. 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 June 30, 2018,2019, 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.HTA. 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 June 30, 2018,2019, 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 June 30, 2018,2019, HTALP had $300.0 million of unsecured senior notes outstanding that are guaranteed by us.HTA. 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 June 30, 2018,2019, HTALP had $300.0 million of these unsecured senior notes outstanding that mature on April 15, 2023.
$350.0 Million Unsecured Senior Notes due 2026
As of June 30, 2018,2019, HTALP had $350.0 million of unsecured senior notes outstanding that are guaranteed by us.HTA. 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 June 30, 2018,2019, 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.HTA. 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 June 30, 2018,2019, 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, 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 installment of $96.0 million was paid and as of June 30, 2018 the outstanding balance was $190.0 million.
As of June 30, 2018,2019, HTALP and its subsidiaries had fixed and variable rate mortgage loansmortgages with interest rates ranging from 2.85% to 6.39%4.00% per annum and a weighted average interest rate of 4.40%3.92% per annum. IncludingDuring the impactsix months ended June 30, 2019, we repaid $96.2 million of the interestour fixed rate swap associated with our variablemortgages. As of June 30, 2019, we had $115.2 million of fixed rate mortgages the weighted average interest rate was 4.50% per annum.outstanding.


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Future Debt Maturities
The following table summarizes the debt maturities and scheduled principal repayments of our indebtedness as of June 30, 20182019 (in thousands):
Year Amount
2019 $1,189
2020 97,429
2021 302,504
2022 522,005
2023 612,121
Thereafter 1,050,000
Total $2,585,248
Year Amount
2018 $3,296
2019 107,676
2020 146,678
2021 305,772
2022 463,063
Thereafter 1,676,740
Total $2,703,225

Deferred Financing Costs
As of June 30, 2018,2019, the future amortization of our deferred financing costs is as follows (in thousands):
Year Amount
2019 $1,636
2020 2,890
2021 2,717
2022 2,096
2023 1,110
Thereafter 1,906
Total $12,355

Year Amount
2018 $1,411
2019 2,827
2020 2,804
2021 2,610
2022 1,987
Thereafter 2,801
Total $14,440
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 Net Operating Income (“NOI”) to unsecured interest expense. As of June 30, 2018,2019, 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.
9. 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, ourthe fair value of interest rate swap derivative liabilities isfinancial instruments designated as cash flow hedges are 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,July 17, 2019, the entire change in the fair value of derivatives designated and qualify astwo remaining cash flow hedges, are recorded in accumulated other comprehensive income 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 six months endednoted below, have matured.
As of June 30, 2018, such derivatives were used to hedge the variable cash flows associated with variable rate debt. Additionally, we will no longer disclose the ineffective portion of the change in fair value of our derivatives.
Amounts reported in accumulated other comprehensive income 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 $1.4 million will be reclassified from other comprehensive income 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.
As of June 30, 2018,2019, 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 June 30, 2018
Cash Flow Hedges June 30, 2019
Number of instruments 5
 2
Notional amount $188,757
 $155,000
The table below presents the fair value of our derivative financial instruments designated as a hedgecash flow hedges as well as ourthe classification in the accompanying condensed consolidated balance sheets as of June 30, 20182019 and December 31, 2017,2018, respectively (in thousands).
  Asset Derivatives
     Fair Value at:
Derivatives Designated as Hedging Instruments: 
Balance Sheet
Location
 June 30, 2019 December 31, 2018
Interest rate swaps Receivables and other assets $84
 $1,111

  Asset Derivatives Liability Derivatives
  
   Fair Value at:   Fair Value at:
Derivatives Designated as Hedging Instruments: 
Balance Sheet
Location
 June 30, 2018 December 31, 2017 
Balance Sheet
Location
 June 30, 2018 December 31, 2017
Interest rate swaps Receivables and other assets $1,999
 $1,529
 Derivative financial instruments $548
 $1,089

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The table below presents the gain or loss recognized on our derivative financial instruments designated as cash flow hedges as well as ourthe classification in the accompanying condensed consolidated statements of operations for the three and six months ended June 30, 20182019 and 2017,2018, respectively (in thousands). As a result of the 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
  Three Months Ended June 30,   Three Months Ended June 30,
Derivatives Cash Flow Hedging Relationships: 2019 2018 Statement of Operations Location 2019 2018
Interest rate swaps $(30) $371
 Interest expense $351
 $157

  Gain (Loss) Recognized in OCI on Derivative   Gain (Loss) Reclassified from Accumulated OCI into Income
  Six Months Ended June 30,   Six Months Ended June 30,
Derivatives Cash Flow Hedging Relationships: 2019 2018 Statement of Operations Location 2019 2018
Interest rate swaps $(51) $1,341
 Interest expense $720
 $227
  Gain (Loss) Recognized in OCI on Derivative   Gain (Loss) Reclassified from Accumulated OCI into Income
  Three Months Ended June 30,   Three Months Ended June 30,
Derivatives Cash Flow Hedging Relationships: 2018 2017 Statement of Operations Location 2018 2017
Interest rate swaps $371
 $(1,041) Interest related to derivative financial instruments $157
 $(293)
  Gain (Loss) Recognized in OCI on Derivative   Gain (Loss) Reclassified from Accumulated OCI into Income
  Six Months Ended June 30,   Six Months Ended June 30,
Derivatives Cash Flow Hedging Relationships: 2018 2017 Statement of Operations Location 2018 2017
Interest rate swaps $1,341
 $(1,205) Interest related to derivative financial instruments $227
 $(369)
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 three and six months ended June 30, 2017, we recorded a gain on change in fair value of derivative financial instruments of $45,000 and $0.9 million, respectively. There were no non-designated hedges as of June 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 June 30, 20182019 and December 31, 2017,2018, 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 accompanying condensed consolidated balance sheets.
  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
June 30, 2018 $1,999
 $
 $1,999
 $
 $
 $1,999
December 31, 2017 1,529
 
 1,529
 
 
 1,529
  Offsetting of Derivative Assets
  Gross Amounts of Recognized Assets Gross Amounts in the Balance Sheets Net Amounts of Assets Presented in the Balance Sheets Financial Instruments Cash Collateral Received Net Amount
June 30, 2019 $84
 $
 $84
 $
 $
 $84
December 31, 2018 1,111
 
 1,111
 
 
 1,111

  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
June 30, 2018 $548
 $
 $548
 $
 $
 $548
December 31, 2017 1,089
 
 1,089
 
 
 1,089


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


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 June 30, 2018, the2019, 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 $0.5 million.position. As of June 30, 2018,2019, 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 June 30, 2019. 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 $0.5 million at June 30, 2018.agreements.
10. 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 adverse 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 adverse effect on our condensed consolidated financial position, results of operations or cash flows.
11. Redeemable Noncontrolling Interests
As discussed in Note 2 - Summary of Significant Accounting Policies, redeemable noncontrolling interests on the accompanying condensed consolidated balance sheets represent the noncontrolling interest in a joint venture in which we own the majority interest. The noncontrolling interest holders in the joint venture have the option to redeem their noncontrolling interest through the exercise of put options that were issued at the initial formation of the joint venture. The last exercisable put option lapsed on June 30, 2019. The redemption price was based on the fair value of their interest at the time of option exercise. During the three months ended June 30, 2019, all redeemable noncontrolling interests have either converted their interest to OP Units or received cash proceeds.
The following is summary of the activity of our redeemable noncontrolling interests as of June 30, 2019 and December 31, 2018, respectively (in thousands):
 June 30, 2019 December 31, 2018
Beginning balance$6,544
 $6,737
Net income attributable to noncontrolling interests66
 89
Distributions(141) (282)
Fair value adjustment(425) 
Redemptions(3,441) 
Issuance of OP Units(2,603) 
Ending balance$
 $6,544


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

12. 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,HTA, HTALP issues or redeems a corresponding number of OP Units.
Common Stock Offerings
In JuneDecember 2018, we settledentered into new equity distribution agreements with various sales agents with respect to our at-the-market (“ATM”) offering program of common stock with an aggregate sales amount of up to $500.0 million. In June 2019, we entered into a forward sale arrangement pursuant to a forward equity agreement, that was entered into in October 2017, which included the sale of approximately 2.6 million shares of our common stock forwith anticipated net proceeds of approximately $73.8$52.1 million adjustedwith a maturity date of June 2020, subject to adjustments as provided in the forward equity agreement. As of June 30, 2019, $500.0 million remained available for costs to borrow equating to a net price toissuance (excluding the forward sale arrangement) by us of $28.94 per share of common stock.under the new ATM. Refer to Note 1314 - Per Share Data of HTA to these condensed consolidated financial statements for a more detailed discussion related to our forward equity agreement.agreement executed in June 2019.
Stock Repurchase Plan
OnDuring the six months ended June 8, 2018, our Board of Directors approved a stock repurchase plan authorizing us to purchase up to $100.0 million of our common stock from time to time prior to the expiration thereof on June 7, 2020. During June 2018, pursuant to this plan,30, 2019, we repurchased 333,002345,786 shares of our common stock, at an average price of $26.26$24.65 per share, for an aggregate amount of $8.7 million. Subsequentapproximately $8.5 million, pursuant to our stock repurchase plan. As of June 30, 2018,2019, the remaining amount of common stock available for repurchase under our Board of Directors terminated the foregoingstock repurchase plan and adopted a new plan with an increased share repurchase authorization of up to $300was approximately $224.3 million.

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

Common Stock Dividends
See our accompanying condensed consolidated statements of operationsequity and condensed statements of changes in partners’ capital for the dividends declared during the three and six months ended June 30, 20182019 and 2017.2018. On August 2, 2018,July 23, 2019, our Board of Directors announced an increased quarterly cash dividend of $0.310$0.315 per share of common stock and per OP unitUnit to be paid on October 5, 201810, 2019 to stockholders of record of our common stock and holders of our OP Units on October 2, 2018.3, 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. TheThis 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 June 30, 2018,2019, there were 1,397,8671,096,002 awards available for grant under the Plan.
Restricted Common Stock
For the three and six months ended June 30, 2019, we recognized compensation expense of $2.1 million and $5.5 million, respectively. For the three and six months ended June 30, 2018, we recognized compensation expense of $2.2 million and $5.7 million, respectively. For the three and six months ended June 30, 2017, we recognizedSubstantially all compensation expense of $1.3 million and $3.8 million, respectively. Compensation expense was recorded in general and administrative expenses in the accompanying condensed consolidated statements of operations.
As of June 30, 2018,2019, we had $10.1$8.6 million of unrecognized compensation expense, net of estimated forfeitures, which we will recognize over a remaining weighted average period of 1.61.5 years.
The following is a summary of our restricted common stock activity as of June 30, 20182019 and 2017,2018, respectively:
 June 30, 2019 June 30, 2018
 Restricted Common Stock 
Weighted
Average Grant
Date Fair Value
 Restricted Common Stock 
Weighted
Average Grant
Date Fair Value
Beginning balance624,349
 $29.35
 589,606
 $29.38
Granted295,422
 25.87
 323,354
 28.86
Vested(305,647) 28.49
 (219,418) 28.97
Forfeited(6,423) 28.87
 (28,611) 29.59
Ending balance607,701
 $28.10
 664,931
 $29.25


27

 June 30, 2018 June 30, 2017
 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
Granted323,354
 28.86
 244,753
 29.67
Vested(219,418) 28.97
 (248,138) 25.15
Forfeited(28,611) 29.59
 (47,344) 28.54
Ending balance664,931
 $29.25
 590,141
 $29.19

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 June 30, 2018, aggregated by the applicable level in the fair value hierarchy (in thousands):
  Level 1 Level 2 Level 3 Total
Assets:        
Derivative financial instruments $
 $1,999
 $
 $1,999
Liabilities:        
Derivative financial instruments $
 $548
 $
 $548
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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HEALTHCARE TRUST OF AMERICA, INC. AND HEALTHCARE TRUST OF AMERICA HOLDINGS, LP NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)


13. Fair Value of Financial Instruments
Financial Instruments Reported at Fair Value - Non-RecurringRecurring
The table below presents the carrying amounts and fair values of our assets measured at fair valuefinancial instruments on a non-recurringrecurring basis as of June 30, 2019 and December 31, 2018 aggregated by the applicable level in the fair value hierarchy (in thousands):
  June 30, 2019 December 31, 2018
  Carrying Amount Fair Value Carrying Amount Fair Value
Level 2 - Assets:        
Derivative financial instruments $84
 $84
 $1,111
 $1,111
Level 2 - Liabilities:        
Debt $2,567,008
 $2,623,553
 $2,541,232
 $2,508,599

  Level 1 Level 2 Level 3 Total
Assets:        
MOB (1)
 $
 $12,985
 $
 $12,985
         
(1) During the six months ended June 30, 2018, we recognized $4.6 million of impairment charges to the carrying value of two MOBs. The estimated fair value as of June 30, 2018 for these MOBs was based upon a sales agreement.
The table below presents our assets measured atcarrying amounts of cash and cash equivalents, tenant and other receivables, restricted cash, accounts payable, and accrued liabilities approximate 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
Assets:        
MOB (1)
 $
 $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.
value. 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 derivativescash flow hedges 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 derivativecash flow hedge 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 derivativecash flow hedge valuations in their entirety are classified in Level 2 of the fair value hierarchy.For further discussion of the assumptions considered, refer to Note 2 - Summary of Significant Accounting Policies.
Financial Instruments DisclosedReported at Fair Value - Non-Recurring
We consider the carrying values of cash and cash equivalents, tenant and other receivables, restricted cash and accounts payable, and accrued liabilities,also have assets that under certain conditions are subject to approximatemeasurement at 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 considered Level 2.
The fair value of debt is estimated using borrowing rates availableon a non-recurring basis. This generally includes assets subject to us with similar terms and maturities, which is considered a Level 2 input. As of June 30, 2018, the fair value of the debt was $2,643.1 million compared to the carrying value of $2,683.5 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.impairment.
13.14. Per Share Data of HTA
In October 2017,June 2019, we entered into a forward sale arrangement pursuant to a forward equity agreement to sell approximately 2.61.8 million shares of our common stock through our ATM. In June 2018, we settled our forward sale arrangementATM at a price of $28.31 per share, for anticipated net proceeds of approximately $73.8$52.1 million adjusted for costswith a maturity date of June 2020, subject to borrow equating to a net price to us of $28.94 per share of common stock.adjustments as provided in the forward equity agreement. 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’ 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.

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

In addition, we considered the potential dilution resulting from the forward equity agreement on our earnings per common share calculations. We useduse 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 three and six months ended June 30, 2018, included2019, includes the effect from the assumed issuance of 2.61.8 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 stockshares at the average market price using the anticipated proceeds of approximately $73.8$52.1 million, adjusted as provided for costsin the forward equity agreement. The impact to borrow. Forour weighted-average shares - diluted was not material as these were computed as less than a thousand weighted-average incremental shares for the three and six months ended June 30, 2018, approximately 392,000 and 346,000 weighted-average incremental shares were excluded from the computation of our weighted-average shares-diluted, as their impact was anti-dilutive.2019.
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 six months ended June 30, 20182019 and 2017,2018, all of our earnings were distributed and the calculated earnings per share amount would be the same for all classes.
For the three months ended June 30, 2017, approximately 4.2 million shares
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Table of common stock were excluded from the computation of diluted shares as their impact would have been anti-dilutive. Contents
HEALTHCARE TRUST OF AMERICA, INC. AND HEALTHCARE TRUST OF AMERICA HOLDINGS, LP NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

The following is the reconciliation of the numerator and denominator used in basic and diluted earnings per share of HTA for the three and six months ended June 30, 20182019 and 2017,2018, respectively (in thousands, except per share data):
 Three Months Ended June 30, Six Months Ended June 30,
 2019 2018 2019 2018
Numerator:       
Net income$16,598
 $15,657
 $30,299
 $25,673
Net income attributable to noncontrolling interests(339) (311) (600) (525)
Net income attributable to common stockholders$16,259
 $15,346
 $29,699
 $25,148
Denominator:       
Weighted average shares outstanding - basic205,108
 205,241
 205,094
 205,155
Dilutive shares - partnership units convertible into common stock3,897
 4,018
 3,908
 4,063
Adjusted weighted average shares outstanding - diluted209,005
 209,259
 209,002
 209,218
Earnings per common share - basic       
Net income attributable to common stockholders$0.08
 $0.07
 $0.14
 $0.12
Earnings per common share - diluted       
Net income attributable to common stockholders$0.08
 $0.07
 $0.14
 $0.12

 Three Months Ended June 30, Six Months Ended June 30,
 2018 2017 2018 2017
Numerator:       
Net income (loss)$15,657
 $(5,852) $25,673
 $8,148
Net income attributable to noncontrolling interests(311) (66) (525) (521)
Net income (loss) attributable to common stockholders$15,346
 $(5,918) $25,148
 $7,627
Denominator:       
Weighted average shares outstanding - basic205,241
 176,464
 205,155
 159,218
Dilutive shares - partnership units convertible into common stock4,018
 
 4,063
 4,272
Adjusted weighted average shares outstanding - diluted209,259
 176,464
 209,218
 163,490
Earnings per common share - basic       
Net income (loss) attributable to common stockholders$0.07
 $(0.03) $0.12
 $0.05
Earnings per common share - diluted       
Net income (loss) attributable to common stockholders$0.07
 $(0.03) $0.12
 $0.05

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

14.15. Per Unit Data of HTALP
In October 2017,June 2019, we entered into a forward sale arrangement pursuant to a forward equity agreement to sell approximately 2.61.8 million shares of our common stock through our ATM. Refer to Note 1314 - Per Share Data of HTA to these condensed consolidated financial statements for a more detailed discussion related to our forward equity agreement settledexecuted in June 2018.2019.
The following is the reconciliation of the numerator and denominator used in basic and diluted earnings per unit of HTALP for the three and six months ended June 30, 2018,2019, and 2017,2018, respectively (in thousands, except per unit data):
 Three Months Ended June 30, Six Months Ended June 30,
 2019 2018 2019 2018
Numerator:       
Net income$16,598
 $15,657
 $30,299
 $25,673
Net income attributable to noncontrolling interests(38) (14) (66) (47)
Net income attributable to common unitholders$16,560
 $15,643
 $30,233
 $25,626
Denominator: 
       
Weighted average units outstanding - basic209,005
 209,259
 209,002
 209,218
Dilutive units - partnership units convertible into common units
 
 
 
Adjusted weighted average units outstanding - diluted209,005
 209,259
 209,002
 209,218
Earnings per common unit - basic:       
Net income attributable to common unitholders$0.08
 $0.07
 $0.14
 $0.12
Earnings per common unit - diluted:       
Net income attributable to common unitholders$0.08
 $0.07
 $0.14
 $0.12


29

 Three Months Ended June 30, Six Months Ended June 30,
 2018 2017 2018 2017
Numerator:       
Net income (loss)$15,657
 $(5,852) $25,673
 $8,148
Net income attributable to noncontrolling interests(14) (22) (47) (52)
Net income (loss) attributable to common unitholders$15,643
 $(5,874) $25,626
 $8,096
Denominator: 
       
Weighted average units outstanding - basic209,259
 180,672
 209,218
 163,490
Dilutive units - partnership units convertible into common units
 
 
 
Adjusted weighted average units outstanding - diluted209,259
 180,672
 209,218
 163,490
Earnings per common unit - basic:       
Net income (loss) attributable to common unitholders$0.07
 $(0.03) $0.12
 $0.05
Earnings per common unit - diluted:       
Net income (loss) attributable to common unitholders$0.07
 $(0.03) $0.12
 $0.05

15.
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HEALTHCARE TRUST OF AMERICA, INC. AND HEALTHCARE TRUST OF AMERICA HOLDINGS, LP NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

16. Supplemental Cash Flow Information
The following is the supplemental cash flow information for the six months ended June 30, 20182019 and 2017,2018, respectively (in thousands):
 Six Months Ended June 30,
 2018 2017
Supplemental Disclosure of Cash Flow Information:   
Interest paid$52,260
 $31,175
Income taxes paid1,534
 825
    
Supplemental Disclosure of Noncash Investing and Financing Activities:   
Accrued capital expenditures$454
 $2,919
Debt assumed and entered into in connection with an acquisition
 286,000
Dividend distributions declared, but not paid64,571
 61,492
Issuance of operating partnership units in HTALP in connection with an acquisition
 610
Note receivable retired in connection with an acquisition
 2,494
Redemption of noncontrolling interest4,907
 5,532

31
 Six Months Ended June 30,
 2019 2018
Supplemental Disclosure of Cash Flow Information:   
Interest paid$46,196
 $52,260
Income taxes paid1,536
 1,534
Cash paid for operating leases6,487
 
    
Supplemental Disclosure of Noncash Investing and Financing Activities:   
Accrued capital expenditures$5,216
 $454
Dividend distributions declared, but not paid68,254
 64,571
Issuance of OP Units in HTALP2,603
 
Redemption of noncontrolling interest1,312
 4,907
Redemption of redeemable noncontrolling interest3,441
 
ROU assets obtained in exchange for lease obligations200,879
 



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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 20172018 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 June 30, 2018 and December 31, 2017, together with results of operations and cash flows for three and six months ended June 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 20172018 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 servicesoperating 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$6.9 billion to create a portfolio ofprimarily in MOBs, development projects, land and other healthcare real estate assets consisting of approximately 24.223.3 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 20% of our total GLA as of June 30, 2018.2019. 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 June 30, 2018,2019, we had approximately 1 million square feet of GLA in eachnine of our top ten20 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 June 30, 2018, our2019, total revenue increased 23.9%, or $33.5was $171.8 million, compared to $173.3 million compared tofor the three months ended June 30, 2017.2018. For the six months ended June 30, 2018, our2019, total revenue increased 32.1%, or $84.8was $340.7 million, compared to $349.0 million compared tofor the six months ended June 30, 2017.2018.
For the three months ended June 30, 2018,2019, net income or loss was $15.7$16.6 million, compared to a net loss $(5.9)$15.7 million, for the three months ended June 30, 2017.2018. For the six months ended June 30, 2018,2019, net income was $25.7$30.3 million, compared to $8.1$25.7 million, for the six months ended June 30, 2017.2018.
For the three months ended June 30, 2018,2019, net income or loss attributable to common stockholders was $0.08 per diluted share, or $16.3 million, compared to $0.07 per diluted share, or $15.3 million, compared to $(0.03) per diluted share, or $(5.9) million for the three months ended June 30, 2017.2018. For the six months ended June 30, 2018,2019, net income attributable to common stockholders was $0.14 per diluted share, or $29.7 million, compared to $0.12 per diluted share, or $25.1 million, compared to $0.05 per diluted share, or $7.6 million for the six months ended June 30, 2017.2018.
For the three months ended June 30, 2018,2019, HTA’s FFO, as defined by NAREIT, was $84.4$84.6 million, or $0.40 per diluted share, compared to $0.30$0.40 per diluted share, or $54.2$84.4 million, for the three months ended June 30, 2017.2018. For the six months ended June 30, 2018,2019 HTA’s FFO, was $169.0$167.4 million, or $0.81$0.80 per diluted share, compared to $0.70$0.81 per diluted share, or $114.4$169.0 million, for the six months ended June 30, 2017.2018. Due to the adoption of Topic 842, initial direct costs are now reported in general and administrative expenses on the accompanying condensed consolidated statements of operations. For the three and six months ended June 30, 2018, we capitalized approximately $0.9 million and $2.2 million, respectively, of initial direct costs.

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For the three months ended June 30, 2018,2019, HTALP’s FFO was $84.7$84.9 million, or $0.40$0.41 per diluted OP Unit, compared to $0.30$0.40 per diluted OP Unit,unit, or $54.2$84.7 million, for the three months ended June 30, 2017.2018. For the six months ended June 30, 2018,2019, HTALP’s FFO was $169.5$168.0 million, or $0.81$0.80 per diluted OP Unit, compared to $0.70$0.81 per diluted OP Unit, or $114.9$169.5 million, for the six months ended June 30, 2017.

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2018.
For the three months ended June 30, 2018,2019, HTA’s and HTALP’s Normalized FFO was $0.41 per diluted share and OP Unit, or $85.1 million, compared to the three months ended June 30, 2017.$85.2 million. For the six months ended June 30, 2018,2019, HTA’s and HTALP’s Normalized FFO was $0.81 per diluted share and OP Unit, or $170.1 million, compared to the six months ended June 30, 2017.$168.3 million.
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 June 30, 2018, our2019, NOI increased 24.2%, or $23.4was $118.8 million, compared to $119.8 million compared tofor the three months ended June 30, 2017.2018. For the six months ended June 30, 2018, our2019, NOI increased 31.7%, or $57.7was $236.3 million, compared to $239.4 million compared tofor the six months ended June 30, 2017.2018.
For the three months ended June 30, 2018, our Same-property2019, Same-Property Cash NOI increased 2.6%2.9%, or $1.9$3.2 million, to $77.9$112.5 million, compared to $109.3 million for the three months ended June 30, 2017.2018. For the six months ended June 30, 2018, our2019, Same-Property Cash NOI increased 2.5%2.9%, or $3.7$6.3 million, to $154.1$223.8 million, compared to $217.6 million for the six months ended June 30, 2017. Excluding the MOBs located on our Forest Park Dallas campus, Same-Property Cash NOI growth would have been 3.1% and 2.8% for the three and six months ended June 30, 2018, respectively.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 investment strategy includes alignment with key healthcare systems, hospitals, and leading academic medical universities. We are the largest owner of on-campus or adjacent MOBs in the country, with approximately 16.915.7 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,past decade, 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 June 30, 2018,2019, 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 across 20 to 25 key markets and effectively utilize our internal propertyasset management and leasing platform to deliver consistent same store growth and additional yield on investments, and also cost effective service to tenants. As of June 30, 2018,2019, we had approximately 1 million square feet of GLA in eachnine of our top ten20 markets and approximately 500,0000.5 million square feet of GLA in each15 of our top 1620 markets. We expect to establish this scale across 20 to 25 key markets as our portfolio expands.
During the six months ended June 30, 2018,2019, we invested $8.4$89.5 million to acquire an MOB offive MOBs all located in our existing key markets totaling approximately 24,000229,000 square feet of GLA in Raleigh, North Carolina, that was 100% leased as of the acquisition date to Duke Health System.GLA. In addition, we invested $3.9approximately $3.4 million to consolidate our ownership interests in several other MOBs.
During the three months ended June 30, 2018, we announced a new development in our key gateway marketMOBs totaling approximately 34,000 square feet of Miami, Florida and commenced two redevelopments, including an agreement to build a new on-campus MOB in the Raleigh, North Carolina market. The projects will have total expected construction costs of approximately $70.6 million and are approximately 78% pre-leased to major health systems. These projects include:
Jackson South MOB located in Miami, Florida. In April 2018, we entered into an agreement to develop a new 51,000 square foot MOB located adjacent to the Jackson South Hospital in Coral Reef, Florida. Total development costs are estimated to be $21.6 million and the building is 70% pre-leased to the hospital. Construction is expected to begin in 2019.
Cary MOB located in Raleigh, North Carolina. We announced we will redevelop the Medical Park of Cary, our existing 90,000 square foot medical park located adjacent to WakeMed Health & Hospital’s (“WakeMed”), a leading health system based in Raleigh, North Carolina. As part of the project, we will take down four existing buildings totaling 45,000 square feet of GLA and build a new 125,000 square foot Class A MOB. Following this development, Medical Park of Cary will increase to approximately 170,000 square feet of GLA, including buildings that will remain operational through construction. Construction is expected to begin in the spring of 2019, with delivery by 2021 and is expected to cost $43.0 million.

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GLA.
Internal Growth through Proactive In-House Property Management and Leasing
We believe we have the largest full-service operating platform in the medical office spacesector that consists of our in-house propertyasset management and leasing platform which allows us to better manage and service our existing portfolio. In each of these markets, we have established a strong in-house propertyasset 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 haveoperating platform has also enabled us to focus on generating cost efficiencies as we gain scale across individual markets and regions.
As of June 30, 2018,2019, our in-house propertyasset management and leasing platform operated approximately 22.721.8 million square feet of GLA, or 94%,93% of our total portfolio.
As of June 30, 2018,2019, our leased rate (includes(which includes leases which have been executed, but which have not yet commenced) was 91.9%91.6% by GLA and our occupancy rate was 90.9%90.6% by GLA.

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We entered into new and renewal leases on approximately 1.00.8 million and 1.71.9 million square feet of GLA, or 4.2%approximately 3.4% and 6.9%8.1%, respectively, of the GLA of our total portfolio, during the three and six months ended June 30, 2018.2019.
TenantDuring the three and six months ended June 30, 2019, tenant retention for the Same-Property portfolio was 86%83% and 84%85%, respectively, which included approximately 0.70.6 million and 1.31.7 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 June 30, 2018,2019, we had total leverage, measured by debt less cash and cash equivalents to total capitalization, of 31.8%30.7%. Total liquidity was $1.0 billion, including cash and cash equivalents of $26.2$23.2 million, a $52.1 million forward commitment, and $994.5 millionapproximately $0.9 billion available on our unsecured revolving credit facility (includes the impact of $5.5 million of outstanding letters of credit) as of June 30, 2018.2019.
As of June 30, 2018,2019, the weighted average remaining term of our debt portfolio was 5.44.6 years.
During the three months ended June 30, 2019, we entered into a forward sale arrangement in which it would issue approximately 1.8 million shares of common stock to receive anticipated net proceeds of approximately $52.1 million prior to June 2020, subject to adjustments as provided in the forward equity agreement.
Subsequent toDuring the six months ended June 30, 2018, HTALP entered into a modification of our $200.0 million unsecured term loan due in 2023. The modification decreased pricing at our current credit rating by 65 basis points from LIBOR plus 165 basis points to LIBOR plus 100 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.
On June 8, 2018, our Board of Directors approved a stock repurchase plan authorizing us to purchase up to $100.0 million of our common stock from time to time prior to the expiration thereof on June 7, 2020. During June 2018, pursuant to this plan,2019, we repurchased 333,002345,786 shares of our common stock totaling approximately $8.5 million, at an average price of $26.26$24.65 per share, for an aggregate amount of $8.7 million. Subsequent to June 30, 2018, our Board of Directors terminated the foregoing plan and adopted a new plan with an increased share repurchase authorization of up to $300 million.
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 adjusted for costs to borrow equating to a net price to us of $28.94 per share of common stock.repurchase plan.
On August 2, 2018,July 23, 2019, our Board of Directors announced an increased quarterly cash dividend of $0.310$0.315 per share of common stock and per OP Unit.Unit to be paid on October 10, 2019 to stockholders of record of our common stock and holders of our OP Units on October 3, 2019.
Critical Accounting Policies
The complete list of our critical accounting policies was disclosed in our 20172018 Annual Report on Form 10-K. There have been no material changes to our critical accountingOn January 1, 2019 we adopted Topic 842. For more detail on the implementation and policies as disclosed herein.of this adoption see Note 2 - Summary of Significant Accounting Policies and Note 7 - Leases in the accompanying condensed consolidated financial statements. For further information on other 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 20172018 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 six months ended June 30, 2019, we had investments with an aggregate gross purchase price of $94.1 million. During the six months ended June 30, 2018, we had investments with an aggregate gross purchase price of $12.3 million and no dispositions. Including the Duke acquisition, during the six months ended June 30, 2017, we had investments with an aggregate gross purchase pricemillion. The amount of $2.6 billion, which includedany future acquisitions or dispositions could have a 50% ownershipsignificant impact on our results of operations in an unconsolidated joint venture and a disposition with a gross sales pricefuture periods.






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Results of Operations
Comparison of the Three and Six Months Ended June 30, 20182019 and 20172018
As of June 30, 20182019 and 2017,2018, we owned and operated approximately 24.223.3 million and 24.024.2 million square feet of GLA, respectively, with a leased rate of 91.9%91.6% and 92.0%91.9%, respectively (includes(including leases which have been executed, but which have not yet commenced), and an occupancy rate of 90.9%,90.6% and 91.1%90.9%, respectively. All explanations are applicable to both HTA and HTALP unless otherwise noted.
Comparison of the three months ended June 30, 20182019 and 2017,2018, respectively, is set forth below:
 Three Months Ended June 30,
 2018 2017 Change % Change
Revenues:       
Rental income$173,221
 $139,525
 33,696
 24.2 %
Interest and other operating income111
 354
 (243) (68.6)
Total revenues173,332
 139,879
 33,453
 23.9
Expenses:       
Rental53,553
 43,523
 10,030
 23.0
General and administrative8,725
 8,472
 253
 3.0
Transaction396
 5,073
 (4,677) (92.2)
Depreciation and amortization69,104
 55,353
 13,751
 24.8
Impairment
 5,093
 (5,093) NM
Total expenses131,778
 117,514
 14,264
 12.1
Income before other income (expense)41,554
 22,365
 19,189
 85.8
Interest income (expense):       
Interest related to derivative financial instruments186
 (239) 425
 NM
Gain on change in fair value of derivative financial instruments, net
 45
 (45) NM
Total interest related to derivative financial instruments, including net change in fair value of derivative financial instruments186
 (194) 380
 NM
Interest related to debt(26,491) (17,706) (8,785) (49.6)
Loss on extinguishment of debt, net
 (10,386) 10,386
 NM
Income from unconsolidated joint venture403
 63
 340
 NM
Other income5
 6
 (1) (16.7)
Net income (loss)$15,657
 $(5,852) $21,509
 NM
        
NOI$119,779
 $96,419
 $23,360
 24.2 %
Same-Property Cash NOI$77,887
 $75,939
 $1,948
 2.6 %

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 Three Months Ended June 30,
 2019 2018 Change % Change
Revenues:       
Rental income$171,609
 $173,221
 $(1,612) (0.9)%
Interest and other operating income148
 111
 37
 33.3
Total revenues171,757
 173,332
 (1,575) (0.9)
Expenses:       
Rental52,938
 53,553
 (615) (1.1)
General and administrative10,079
 8,725
 1,354
 15.5
Transaction296
 396
 (100) (25.3)
Depreciation and amortization68,429
 69,104
 (675) (1.0)
Interest expense24,006
 26,305
 (2,299) (8.7)
Total expenses155,748
 158,083
 (2,335) (1.5)
Income from unconsolidated joint venture548
 403
 145
 36.0
Other income41
 5
 36
 NM
Net income$16,598
 $15,657
 $941
 6.0 %
        
NOI$118,819
 $119,779
 $(960) (0.8)%
Same-Property Cash NOI$112,477
 $109,320
 $3,157
 2.9 %
Comparison of the six months ended June 30, 20182019 and 2017,2018, respectively, is set forth below:
Six Months Ended June 30,Six Months Ended June 30,
2018 2017 Change % Change2019 2018 Change % Change
Revenues:              
Rental income$348,788
 $263,518
 $85,270
 32.4 %$340,484
 $348,788
 $(8,304) (2.4)%
Interest and other operating income205
 708
 (503) (71.0)239
 205
 34
 16.6
Total revenues348,993
 264,226
 84,767
 32.1
340,723
 348,993
 (8,270) (2.4)
Expenses:              
Rental109,575
 82,543
 27,032
 32.7
104,406
 109,575
 (5,169) (4.7)
General and administrative17,511
 16,895
 616
 3.6
21,369
 17,511
 3,858
 22.0
Transaction587
 5,357
 (4,770) (89.0)336
 587
 (251) (42.8)
Depreciation and amortization139,496
 102,409
 37,087
 36.2
137,910
 139,496
 (1,586) (1.1)
Interest expense47,976
 52,558
 (4,582) (8.7)
Impairment4,606
 5,093
 (487) (9.6)
 4,606
 (4,606) NM
Total expenses271,775
 212,297
 59,478
 28.0
311,997
 324,333
 (12,336) (3.8)
Income before other income (expense)77,218
 51,929
 25,289
 48.7
Interest income (expense):       
Interest related to derivative financial instruments128
 (563) 691
 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 instruments128
 321
 (193) (60.1)
Interest related to debt(52,686) (33,764) (18,922) (56.0)
Gain on sale of real estate, net
 3
 (3) NM
Loss on extinguishment of debt, net
 (10,418) 10,418
 NM
Loss on sale of real estate, net(37) 
 (37) NM
Income from unconsolidated joint venture973
 63
 910
 NM
1,034
 973
 61
 6.3
Other income40
 14
 26
 NM
576
 40
 536
 NM
Net income$25,673
 $8,148
 $17,525
 NM
$30,299
 $25,673
 $4,626
 18.0 %
              
NOI$239,418
 $181,746
 $57,672
 31.7 %$236,317
 $239,418
 $(3,101) (1.3)%
Same-Property Cash NOI$154,130
 $150,437
 $3,693
 2.5 %$223,806
 $217,554
 $6,252
 2.9 %



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Rental Income
For the three and six months ended June 30, 20182019 and 2017,2018, respectively, rental income was comprised of the following (in thousands):
Three Months Ended June 30,Three Months Ended June 30,
2018 2017 Change % Change2019 2018 Change % Change
Contractual rental income$166,281
 $134,702
 $31,579
 23.4%$164,037
 $166,281
 $(2,244) (1.3)%
Straight-line rent and amortization of above and (below) market leases3,885
 2,734
 1,151
 42.1
4,112
 3,885
 227
 5.8
Other rental revenue3,055
 2,089
 966
 46.2
3,460
 3,055
 405
 13.3
Total rental income$173,221
 $139,525
 $33,696
 24.2%$171,609
 $173,221
 $(1,612) (0.9)%
Six Months Ended June 30,Six Months Ended June 30,
2018 2017 Change % Change2019 2018 Change % Change
Contractual rental income$334,814
 $254,599
 $80,215
 31.5%$324,794
 $334,814
 $(10,020) (3.0)%
Straight-line rent and amortization of above and (below) market leases8,475
 5,206
 3,269
 62.8
8,886
 8,475
 411
 4.8
Other rental revenue5,499
 3,713
 1,786
 48.1
6,804
 5,499
 1,305
 23.7
Total rental income$348,788
 $263,518
 $85,270
 32.4%$340,484
 $348,788
 $(8,304) (2.4)%
Contractual rental income, which includes expense reimbursements, increased $31.6decreased $(2.2) million and $80.2$(10.0) million for the three and six months ended June 30, 2018,2019, respectively, compared to the three and six months ended June 30, 2017.2018. The increasesdecreases were primarily due to $34.6$6.6 million and $84.6$13.3 million of reduced contractual rent as a result of buildings we sold during 2018 and 2019 and $3.4 million and $7.0 million of tenant paid property tax that we no longer record due to the adoption of Topic 842, for the three and six months ended June 30, 2019, respectively, partially offset by additional contractual rental income of $1.8 million and $2.5 million from our 20172018 and 20182019 acquisitions, and contractual rent increases for the three and six months ended June 30, 2018, respectively, partially offset by a decrease in contractual rent as a result of buildings we sold during 2017.

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2019, respectively.
Average starting and expiring base rents for new and renewal leases consisted of the following for the three and six months ended June 30, 20182019 and 2017,2018, respectively (in square feet andthousands, except in average base rents per square foot of GLA):
Three Months Ended June 30, Six Months Ended June 30,Three Months Ended June 30, Six Months Ended June 30,
2018 2017 2018 20172019 2018 2019 2018
New and renewal leases:
              
Average starting base rents$23.23
 $22.36
 $23.26
 $22.52
$26.94
 $23.23
 $21.50
 $23.26
Average expiring base rents22.87
 22.19
 22.85
 22.71
26.16
 22.87
 20.62
 22.85
              
Square feet of GLA1,009,000
 519,000
 1,672,000
 1,295,000
801
 1,009
 1,900
 1,672
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 20182019 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 six months ended June 30, 20182019 and 2017,2018, respectively (in per square foot of GLA):
Three Months Ended June 30, Six Months Ended June 30,Three Months Ended June 30, Six Months Ended June 30,
2018 2017 2018 20172019 2018 2019 2018
New leases:              
Tenant improvements$26.75
 $20.46
 $25.76
 $18.97
$30.11
 $26.75
 $32.79
 $25.76
Leasing commissions2.03
 1.75
 1.77
 2.08
1.65
 2.03
 2.09
 1.77
Tenant concessions4.13
 3.66
 2.93
 3.29
3.73
 4.13
 4.27
 2.93
Renewal leases:              
Tenant improvements$9.81
 $6.64
 $8.01
 $6.96
$8.34
 $9.81
 $12.86
 $8.01
Leasing commissions1.67
 0.94
 1.44
 1.12
1.12
 1.67
 2.12
 1.44
Tenant concessions0.44
 1.89
 0.94
 1.78
0.63
 0.44
 0.38
 0.94



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The average term for new and renewal leases executed consisted of the following for the three and six months ended June 30, 20182019 and 2017,2018, respectively (in years):
Three Months Ended June 30, Six Months Ended June 30,Three Months Ended June 30, Six Months Ended June 30,
2018 2017 2018 20172019 2018 2019 2018
New leases7.8 5.8 7.1 5.67.4 7.8 7.4 7.1
Renewal leases5.9 4.4 5.4 4.75.5 5.9 8.1 5.4
Rental Expenses
For the three months ended June 30, 20182019 and 2017,2018, rental expenses attributable to our properties were $53.6$52.9 million and $43.5$53.6 million, respectively. For the six months ended June 30, 20182019 and 2017,2018, rental expenses attributable to our properties were $109.6$104.4 million and $82.5$109.6 million, respectively. The increasesdecreases in rental expenses were primarily due to $14.5$2.3 million and $33.5$4.5 million of reduced rental expenses as a result of buildings we sold during 2018 and 2019, $3.4 million and $7.0 million of tenant paid property tax that we no longer record due to the adoption of Topic 842, and improved operating efficiencies for the three and six months ended June 30, 2019, respectively, partially offset by additional rental expenses associated with our 20172018 and 20182019 acquisitions for the three and six months ended June 30, 2018, respectively, partially offset by improved operating efficiencies and a decrease in rental expenses as a result of the buildings we sold during 2017.2019.
General and Administrative Expenses
For the three months ended June 30, 20182019 and 2017,2018, general and administrative expenses were $8.7$10.1 million and $8.5$8.7 million, respectively. For the six months ended June 30, 20182019 and 2017,2018, general and administrative expenses were $17.5$21.4 million and $16.9$17.5 million, respectively. The increases in general and administrative expenses were primarily due to an increase in non-cash compensation expense and anthe overall increase in head count due to the continued growth of the company. GeneralCompany and stock based compensation expense. In addition, due to the adoption of Topic 842, initial direct costs are now reported in general and administrative expenses include such costs as salaries, corporate overhead and professional fees, among other items.
Transaction Expenses
on the accompanying condensed consolidated statements of operations. For the three months ended June 30, 2018 and 2017, transaction expenses were $0.4 million and $5.1 million, respectively. For the six months ended June 30, 2018, and 2017, transaction expenses were $0.6we capitalized approximately $0.9 million and $5.4$2.2 million, respectively. Transaction expenses increased in 2017 due to $4.6 millionrespectively, of non-incremental costs related to the Duke acquisition.

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initial direct costs.
Depreciation and Amortization Expense
For the three months ended June 30, 20182019 and 2017,2018, depreciation and amortization expense was $69.1$68.4 million and $55.4$69.1 million, respectively. For the six months ended June 30, 20182019 and 2017,2018, depreciation and amortization expense was $137.9 million and $139.5 million, respectively. These decreases were associated with our 2018 and $102.4 million, respectively. The increases in depreciation2019 dispositions, partially offset by buildings we acquired during 2018 and amortization expense was primarily due to the increase in the size of our portfolio.2019.
Impairment
During the six months ended June 30, 2019, we recorded no impairment charges. During the six months ended June 30, 2018, we recorded impairment charges of $4.6 million related to two MOBs located in Texas and South Carolina with an aggregate value of $13.0 million. DuringCarolina.
Interest Expense
For the three months ended June 30, 2019 and 2018, interest expense was $24.0 million and $26.3 million, respectively. For the six months ended June 30, 2017, we recorded impairment charges of $5.1 million that related to an MOB in our portfolio located in Massachusetts.
Interest Expense2019 and Net Change in Fair Value of Derivative Financial Instruments
Interest2018, interest expense excluding the impact of the net change in fair value of derivative financial instruments, increased by $8.4was $48.0 million and $18.2$52.6 million, during the three and six months ended June 30, 2018, respectively, compared to the three and six months ended June 30, 2017.respectively. The increasesdecreases in interest expense were primarily the result of higher average debt outstanding during the three and six months ended June 30, 2018, as a result of the use of debtdue to partially fund our investments over the last 12 months with debt and a change in the compositionearly payoffs 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 couponfixed rate of 2.95% per annum and 3.75% per annum, respectively.mortgages.
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.
Gain or Loss on Extinguishment of Debt
For the three and six months ended June 30, 2018, no gain or loss on extinguishment of debt was recorded. For the three and six months ended June 30, 2017, we realized a net loss on extinguishment of debt of $10.4 million. The loss was 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 (loss) increased $21.5 million to $15.7 million forFor the three months ended June 30, 2019 and 2018, compared to the three months ended June 30, 2017. Netnet income increased $17.5was $16.6 million to $25.7and $15.7 million, forrespectively. For the six months ended June 30, 2019 and 2018, compared to the six months ended June 30, 2017. Thesenet income was $30.3 million and $25.7 million, respectively. The increases were primarily the result of continued growth in our operations and improved operating efficiencies.
NOI and Same-Property Cash NOI
NOI increased $23.4 million to $119.8 million forFor the three months ended June 30, 2019 and 2018, compared to the three months ended June 30, 2017. NOI increased $57.7was $118.8 million to $239.4and $119.8 million, forrespectively. For the six months ended June 30, 2019 and 2018, compared to the six months ended June 30, 2017. These increasesNOI was $236.3 million and $239.4 million, respectively. The decreases in NOI were primarily due to $21.9$4.3 million and $55.9$8.8 million of additional NOI from our 2017 and 2018 acquisitions for the three and six months ended June 30, 2018, respectively, which was partially offset by a decrease inreduced NOI as a result of the buildings we sold during 20172018 and 2019 for the three and six months ended June 30, 2019, respectively, and a reduction in straight-line rent from properties we owned more than a year.year, partially offset by additional NOI from our 2018 and 2019 acquisitions for the three and six months ended June 30, 2019.
Same-Property Cash NOI increased $1.9 million2.9% to $77.9$112.5 million for the three months ended June 30, 20182019 compared to the three months ended June 30, 2017.2018. Same-Property Cash NOI increased $3.7 million2.9% to $154.1$223.8 million for the six months ended June 30, 2018,2019 compared to the six months ended June 30, 2017. These2018. The 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. 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 extinguishment of debt; (iii) noncontrolling income or loss from OP Units included in diluted shares (only applicable to the Company); and (iv) other normalizing items, which include items that are unusual and infrequent in nature. 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.
We present this non-GAAP financial measureFFO and Normalized FFO because we consider it anthem important supplemental measuremeasures of our operating performance and believe it isthey are 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 alternativealternatives to net income or loss attributable to common stockholders/unitholders (computed in accordance with GAAP) as an indicatorindicators of our financial performance, nor is itare they indicative of cash available to fund cash needs. FFO and Normalized FFO should be reviewed in connection with other GAAP measurements.
TheIn addition, 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 or loss attributable to common stockholders for the three and six months ended June 30, 20182019 and 2017,2018, respectively (in thousands, except per share data):
Three Months Ended June 30, Six Months Ended June 30,Three Months Ended June 30, Six Months Ended June 30,
2018 2017 2018 20172019 2018 2019 2018
Net income (loss) attributable to common stockholders$15,346
 $(5,918) $25,148
 $7,627
Net income attributable to common stockholders$16,259
 $15,346
 $29,699
 $25,148
Depreciation and amortization expense related to investments in real estate68,585
 54,968
 138,441
 101,657
67,846
 68,585
 136,772
 138,441
Gain on sale of real estate, net
 
 
 (3)
Loss on sale of real estate, net
 
 37
 
Impairment
 5,093
 4,606
 5,093

 
 
 4,606
Proportionate share of joint venture depreciation and amortization463
 42
 814
 42
450
 463
 922
 814
FFO attributable to common stockholders$84,394
 $54,185
 $169,009
 $114,416
$84,555
 $84,394
 $167,430
 $169,009
Transaction expenses252
 430
 443
 714
296
 252
 336
 443
Gain on change in fair value of derivative financial instruments, net
 (45) 
 (884)
Loss on extinguishment of debt, net
 10,386
 
 10,418
Noncontrolling income from partnership units included in diluted shares297
 44
 478
 469
Other normalizing items, net (1)
144
 4,643
 144
 4,643
Noncontrolling income from OP units included in diluted shares301
 297
 534
 478
Other normalizing items, net
 144
 
 144
Normalized FFO attributable to common stockholders$85,087
 $69,643
 $170,074
 $129,776
$85,152
 $85,087
 $168,300
 $170,074
              
Net income (loss) attributable to common stockholders per diluted share$0.07
 $(0.03) $0.12
 $0.05
Net income attributable to common stockholders per diluted share$0.08
 $0.07
 $0.14
 $0.12
FFO adjustments per diluted share, net0.33
 0.33
 0.69
 0.65
0.32
 0.33
 0.66
 0.69
FFO attributable to common stockholders per diluted share$0.40
 $0.30
 $0.81
 $0.70
$0.40
 $0.40
 $0.80
 $0.81
Normalized FFO adjustments per diluted share, net0.01
 0.09
 0.00
 0.09
0.01
 0.01
 0.01
 0.00
Normalized FFO attributable to common stockholders per diluted share$0.41
 $0.39
 $0.81
 $0.79
$0.41
 $0.41
 $0.81
 $0.81
              
Weighted average diluted common shares outstanding (2)
209,259
 180,672
 209,218
 163,490
       
(1) For the three and six months ended June 30, 2017, other normalizing items include $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.
(2) For the three months ended June 30, 2017, these securities are anti-dilutive on a GAAP basis as a result of our net loss, but are considered dilutive on a non-GAAP basis in periods where we report non-GAAP net income.
Weighted average diluted common shares outstanding209,005
 209,259
 209,002
 209,218





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The following is the reconciliation of HTALP’s FFO and Normalized FFO to net income or loss attributable to common unitholders for the three and six months ended June 30, 20182019 and 2017,2018, respectively (in thousands, except per unit data):
Three Months Ended June 30, Six Months Ended June 30,Three Months Ended June 30, Six Months Ended June 30,
2018 2017 2018 20172019 2018 2019 2018
Net income (loss) attributable to common unitholders$15,643
 $(5,874) $25,626
 $8,096
Net income attributable to common unitholders$16,560
 $15,643
 $30,233
 $25,626
Depreciation and amortization expense related to investments in real estate68,585
 54,968
 138,441
 101,657
67,846
 68,585
 136,772
 138,441
Gain on sale of real estate, net
 
 
 (3)
Loss on sale of real estate, net
 
 37
 
Impairment
 5,093
 4,606
 5,093

 
 
 4,606
Proportionate share of joint venture depreciation and amortization463
 42
 814
 42
450
 463
 922
 814
FFO attributable to common unitholders$84,691
 $54,229
 $169,487
 $114,885
$84,856
 $84,691
 $167,964
 $169,487
Transaction expenses252
 430
 443
 714
296
 252
 336
 443
Gain on change in fair value of derivative financial instruments, net
 (45) 
 (884)
Loss on extinguishment of debt, net
 10,386
 
 10,418
Other normalizing items, net (1)
144
 4,643
 144
 4,643
Other normalizing items, net
 144
 
 144
Normalized FFO attributable to common unitholders$85,087
 $69,643
 $170,074
 $129,776
$85,152
 $85,087
 $168,300
 $170,074
              
Net income (loss) attributable to common unitholders per diluted unit$0.07
 $(0.03) $0.12
 $0.05
Net income attributable to common unitholders per diluted share$0.08
 $0.07
 $0.14
 $0.12
FFO adjustments per diluted unit, net0.33
 0.33
 0.69
 0.65
0.33
 0.33
 0.66
 0.69
FFO attributable to common unitholders per diluted unit$0.40
 $0.30
 $0.81
 $0.70
$0.41
 $0.40
 $0.80
 $0.81
Normalized FFO adjustments per diluted unit, net0.01
 0.09
 0.00
 0.09
0.00
 0.01
 0.01
 0.00
Normalized FFO attributable to common unitholders per diluted unit$0.41
 $0.39
 $0.81
 $0.79
$0.41
 $0.41
 $0.81
 $0.81
              
Weighted average diluted common units outstanding (2)
209,259
 180,672
 209,218
 163,490
       
(1) For the three and six months ended June 30, 2017, other normalizing items include $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.
(2) For the three months ended June 30, 2017, these securities are anti-dilutive on a GAAP basis as a result of our net loss, but are considered dilutive on a non-GAAP basis in periods where we report non-GAAP net income.
Weighted average diluted common units outstanding209,005
 209,259
 209,002
 209,218
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; (ii) amortization of below and above market leases/leasehold interests;interests and other GAAP adjustments; and (iii) notes receivable interest income; and (iv) other GAAP adjustments.ome. 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 and disposed properties, (ii) our share of unconsolidated joint ventures, (iii) development, redevelopment and land parcels, (iv) properties intended for disposition in the near term which have (a) been approved by the Board of Directors, (b) isare actively marketed for sale, and (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.

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The following is the reconciliation of HTA’s and HTALP’s NOI, Cash NOI and Same-Property Cash NOI to net income or loss for the three and six months ended June 30, 20182019 and 2017,2018, respectively (in thousands):
Three Months Ended June 30, Six Months Ended June 30,Three Months Ended June 30, Six Months Ended June 30,
2018 2017 2018 20172019 2018 2019 2018
Net income (loss)$15,657
 $(5,852) $25,673
 $8,148
Net income$16,598
 $15,657
 $30,299
 $25,673
General and administrative expenses8,725
 8,472
 17,511
 16,895
10,079
 8,725
 21,369
 17,511
Transaction expenses (1)
396
 5,073
 587
 5,357
296
 396
 336
 587
Depreciation and amortization expense69,104
 55,353
 139,496
 102,409
68,429
 69,104
 137,910
 139,496
Impairment
 5,093
 4,606
 5,093

 
 
 4,606
Interest expense and net change in fair value of derivative financial instruments26,305
 17,900
 52,558
 33,443
Gain on sale of real estate, net
 
 
 (3)
Loss on extinguishment of debt, net
 10,386
 
 10,418
Interest expense24,006
 26,305
 47,976
 52,558
Loss on sale of real estate, net
 
 37
 
Income from unconsolidated joint venture(403) 
 (973) 
(548) (403) (1,034) (973)
Other income(5) (6) (40) (14)(41) (5) (576) (40)
NOI$119,779
 $96,419
 $239,418
 $181,746
$118,819
 $119,779
 $236,317
 $239,418
Straight-line rent adjustments, net(2,377) (1,616) (5,543) (2,825)(2,464) (2,377) (5,722) (5,543)
Amortization of (below) and above market leases/leasehold interests, net40
 126
 255
 32
Notes receivable interest income and other GAAP adjustments(19) (240) (149) (495)
Amortization of (below) and above market leases/leasehold interests, net and other GAAP adjustments(357) 55
 (123) 176
Notes receivable interest income(25) (34) (52) (70)
Cash NOI$117,423
 $94,689
 $233,981
 $178,458
$115,973
 $117,423
 $230,420
 $233,981
Acquisitions not owned/operated for all periods presented and disposed properties Cash NOI(33,664) (11,973) (68,340) (14,535)(1,457) (5,002) (2,413) (10,216)
Redevelopment Cash NOI(365) (1,149) (622) (2,364)(845) (1,784) (1,951) (3,505)
Intended for sale Cash NOI(5,507) (5,628) (10,889) (11,122)(1,194) (1,317) (2,250) (2,706)
Same-Property Cash NOI (2)
$77,887
 $75,939
 $154,130
 $150,437
Same-Property Cash NOI (1)
$112,477
 $109,320
 $223,806
 $217,554
              
(1) For the three and six months ended June 30, 2017, transaction costs include $4.6 million of non-incremental costs related to the Duke acquisition.
(2) Same-Property includes 321 and 319 buildings for the three and six months ended June 30, 2018 and 2017, respectively.
(1) Same-Property includes 408 and 407 buildings for the three and six months ended June 30, 2019 and 2018, respectively.(1) Same-Property includes 408 and 407 buildings for the three and six months ended June 30, 2019 and 2018, 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 borrowings under our unsecured revolving credit facility, the issuance of debt and/or equity securities or proceeds from sales of real estate.
As of June 30, 20182019, we had liquidity of $1.0 billion, including $994.5 million$0.9 billion available under our unsecured revolving credit facility, (which includes the impact of $5.5 million of outstanding letters of credit) and $26.2$23.2 million of cash and cash equivalents.

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equivalents, and a $52.1 million forward commitment.
In addition, we had unencumbered assets with a gross book value of $6.4$6.9 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 June 30, 2018,2019, we estimate that our expenditures for capital improvements for the remainder of 20182019 will range from $30.0$35 million to $35.0$45 million depending on leasing activity. As of June 30, 2018,Although we had $3.7 million of restricted cash and reserve accounts for such capital expenditures. We cannot provide assurance however, that we will not exceed these estimated expenditure levels.levels, our liquidity of $1.0 billion allows us the flexibility to fund such capital expenditures.

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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 six months ended June 30, 20182019 and 2017,2018, respectively (in thousands):
Six Months Ended June 30,Six Months Ended June 30,
2018 2017 Change2019 2018 Change
Cash, cash equivalents and restricted cash - beginning of period (1)
$118,560
 $25,045
 $93,515
$133,530
 $118,560
 $14,970
Net cash provided by operating activities156,108
 140,521
 15,587
148,737
 156,108
 (7,371)
Net cash used in investing activities (1)
(69,511) (2,293,278) 2,223,767
(134,687) (69,511) (65,176)
Net cash (used in) provided by financing activities(165,552) 2,252,332
 (2,417,884)
Net cash used in financing activities(118,436) (165,552) 47,116
Cash, cash equivalents and restricted cash - end of period (1)
$39,605
 $124,620
 $(85,015)$29,144
 $39,605
 $(10,461)
     
(1) The amounts for 2017 differ from amounts previously reported in our Quarterly Report for the six months ended June 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 increaseddecreased in 20182019 primarily due to the timing of payments on certain liabilities and the impact of our 20172018 and 2019 dispositions, partially offset by our 2018 and 2019 acquisitions, contractual rent increases and improved operating efficiencies, partially offset by our 2017 dispositions.efficiencies. We anticipate cash flows from operating activities to increase as a result of the above itemsgrowth in our portfolio through new acquisitions and continued leasing activity in our existing portfolio.
For the six months ended June 30, 2019, net cash used in investing activities primarily related to investments in real estate of $93.9 million and capital expenditures of $37.8 million. For the six months ended June 30, 2018, net cash used in investing activities primarily related to capital expenditures of $34.1 million, development of real estate of $23.9 million, and investments in real estate of $11.9 million.
For the six months ended June 30, 2017,2019, net cash used in investingfinancing activities primarily related to the investment in real estatedividends paid to holders of $2.2 billion, investment in unconsolidated joint ventureour common stock of $68.8$127.4 million, payments on our secured mortgage loans of $96.2 million, and capital expendituresthe repurchase and cancellation of $26.0common stock of $12.1 million, which was partially offset by proceeds from the salenet borrowings on our unsecured revolving credit facility of real estate of $4.7$120.0 million.
For the six months ended June 30, 2018, net cash used in financing activities primarily related to dividends paid to holders of our common stock of $125.1 million and payments on our secured mortgage loans of $99.2 million, which was partially offset by net proceeds of shares of common stock issued of $72.8 million. For the six months ended June 30, 2017, net cash provided by financing activities primarily related to the net proceeds of shares of common stock issued of $1.6 billion and net proceeds on the issuance of senior notes of $900.0 million, which was partially offset by net payments on our unsecured credit agreement of $88.0 million, dividends paid to holders of our common stock of $85.7 million, and payments on our secured mortgage loans of $74.3 million.

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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’sthe HTALP 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 six months ended June 30, 2018,2019, we paid cash dividends of $125.1$127.4 million on our common stock. In July 2018,2019, we paid cash dividends on our common stock of $63.3$63.6 million for the quarter ended June 30, 2018. On August 2, 2018, our Board of Directors announced an increased quarterly dividend of $0.310 per share of common stock and per OP Unit to be paid on October 5, 2018 to stockholders of record of our common stock and holders of our OP Units on October 2, 2018.2019.
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 June 30, 2018,2019, our leverage ratio, measured by debt less cash and cash equivalents to total capitalization, was 31.8%30.7%.

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As of June 30, 2018,2019, we had debt outstanding of $2.7$2.6 billion and the weighted average interest rate therein was 3.56%3.44% per annum, inclusive of the impact of our interest rate swaps.cash flow hedges. The following is a summary of our unsecured and secured debt. See Note 8 - 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 June 30, 2018, $994.5 million2019, $0.9 billion 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 June 30, 2018,2019, 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 June 30, 2018,2019, we had $1.85 billion of unsecured senior notes outstanding, comprised of $300.0 million of senior notes maturing in 2021, $400.0 million of senior notes maturing in 2022, $300.0 million of senior notes maturing in 2023, $350.0 million of senior notes maturing in 2026, and $500.0 million of senior notes maturing in 2027.
Mortgage LoansFixed Rate Mortgages
During the six months ended June 30, 2018,2019, we made payments on our mortgage loansfixed rate mortgages of $99.2$96.2 million and have $3.3$1.2 million of principal payments due during the remainder of 2018.2019.
Commitments and Contingencies
There have been no material changes from the commitments and contingencies previously disclosed in our 20172018 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 June 30, 2018,2019, 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.

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Off-Balance Sheet Arrangements
As of and during the six months ended June 30, 2018,2019, 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.

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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 20172018 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 June 30, 2018,2019, 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 June 30, 2018.2019.
There were no changes in our internal control over financial reporting that occurred during the quarter ended June 30, 20182019 that have materially affected, or are reasonably believed to be likely to materially affect, our internal control over financial reporting.
August 3, 2018July 24, 2019


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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 June 30, 2018,2019, 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 June 30, 2018.2019.
There were no changes in HTALP’s internal control over financial reporting that occurred during the quarter ended June 30, 20182019 that have materially affected, or are reasonably believed to be likely to materially affect, HTALP’s internal control over financial reporting.
August 3, 2018July 24, 2019






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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 20172018 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 June 30, 2018,2019, 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
April 1, 2018 to April 30, 2018 
 $
 
 
May 1, 2018 to May 31, 2018 670
 24.79
 
 
June 1, 2018 to June 30, 2018 336,040
 25.78
 
 (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) On June 8, 2018, our Board of Directors approved a stock repurchase plan of up to $100.0 million of our common stock from time to time prior to the expiration thereof on June 7, 2020. During June 2018, pursuant to this plan, we repurchased 333,002 shares of our common stock, at an average price of $26.26 per share, for an aggregate amount of $8.7 million.
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
April 1, 2019 to April 30, 2019 285
 $27.68
 
 
May 1, 2019 to May 31, 2019 5,135
 27.70
 
 
June 1, 2019 to June 30, 2019 678
 27.44
 
 
         
(1) Purchases represent shares withheld to satisfy withholding obligations on the vesting of restricted shares and shares repurchased under our stock repurchase plan. 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.
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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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 June 30, 2019 (and are numbered in accordance with Item 601 of Regulation S-K).
10.1*
31.1*
31.2*
31.3*
31.4*
32.1**
32.2**
32.3**
32.4**
101.INS*This instance document does not appear in the interactive data file because of XBRL tags are embedded within the inline XBRL 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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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:August 3, 2018July 24, 2019  
    
By:/s/ Robert A. Milligan Chief Financial Officer
  Robert A. Milligan (Principal Financial Officer and Principal Accounting Officer)
Date:August 3, 2018July 24, 2019  
    



 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:August 3, 2018July 24, 2019  
    
By:/s/ Robert A. Milligan Chief Financial Officer
  Robert A. Milligan (Principal Financial Officer and Principal Accounting Officer)
Date:August 3, 2018July 24, 2019  




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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 June 30, 2018 (and are numbered in accordance with Item 601 of Regulation S-K).
10.1*
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.


50