UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
 FORM 10-Q
 
 
(Mark One)
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended June 30, 20192020
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 001-34950
 
SABRA HEALTH CARE REIT, INC.
(Exact Name of Registrant as Specified in Its Charter)
 
 
Maryland 27-2560479
(State of Incorporation) (I.R.S. Employer Identification No.)
18500 Von Karman Avenue, Suite 550
Irvine, CA 92612
(888) 393-8248
(Address, zip code and telephone number of Registrant)
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, $.01 par valueSBRAThe Nasdaq Stock Market LLC
 
 
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes      No  
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).    Yes      No  
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer   Accelerated filer 
Non-accelerated filer   Smaller reporting company 
    Emerging growth company 
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes      No  
As of August 1, 2019,July 29, 2020, there were 189,515,024205,560,680 shares of the registrant’s $0.01 par value Common Stock outstanding.

SABRA HEALTH CARE REIT, INC. AND SUBSIDIARIES
Index
 
 
Page
Numbers
 
   
Item 1. 
   
 
   
 
   
 
   
 
   
 
   
 
   
Item 2.
   
Item 3.
   
Item 4.
  
 
   
Item 1.
   
Item 1a.
   
Item 6.
  

References throughout this document to “Sabra,” “we,” “our,” “ours” and “us” refer to Sabra Health Care REIT, Inc. and its direct and indirect consolidated subsidiaries and not any other person.
STATEMENT REGARDING FORWARD-LOOKING STATEMENTS
Certain statements in this Quarterly Report on Form 10-Q (this “10-Q”) contain “forward-looking” information as that term is defined by the Private Securities Litigation Reform Act of 1995. Any statements that do not relate to historical or current facts or matters are forward-looking statements. Examples of forward-looking statements include all statements regarding our expected future financial position, results of operations, cash flows, liquidity, financing plans, business strategy, tenants, the expected amounts and timing of dividends and other distributions, projected expenses and capital expenditures, competitive position, growth opportunities, potential investments, potential dispositions, plans and objectives for future operations, and compliance with and changes in governmental regulations. You can identify some of the forward-looking statements by the use of forward-looking words such as “anticipate,” “believe,” “plan,” “estimate,” “expect,” “intend,” “should,” “may” and other similar expressions, although not all forward-looking statements contain these identifying words.
Our actual results may differ materially from those projected or contemplated by our forward-looking statements as a result of various factors, including, among others, the following:
the ongoing COVID-19 pandemic and measures intended to prevent its spread, including the impact on our tenants, operators and Senior Housing - Managed communities (as defined below);
our dependence on the operating success of our tenants;
the potential variability of our reported rental and related revenues following the adoption of Topic 842 (as defined below) on January 1, 2019;
operational risks with respect to our Senior Housing - Managed communities (as defined below);communities;
the effect of our tenants declaring bankruptcy or becoming insolvent;
our ability to find replacement tenants and the impact of unforeseen costs in acquiring new properties;
the impact of litigation and rising insurance costs on the business of our tenants;
the possibility that Sabra may not acquire the remaining majority interest in the Enlivant Joint Venture (as defined below);
risks associated with our investments in joint ventures;
changes in healthcare regulation and political or economic conditions;
the impact of required regulatory approvals of transfers of healthcare properties;
competitive conditions in our industry;
our concentration in the healthcare property sector, particularly in skilled nursing/transitional care facilities and senior housing communities, which makes our profitability more vulnerable to a downturn in a specific sector than if we were investing in multiple industries;
the significant amount of and our ability to service our indebtedness;
covenants in our debt agreements that may restrict our ability to pay dividends, make investments, incur additional indebtedness and refinance indebtedness on favorable terms;
increases in market interest rates;
the potential phasing out of the London Interbank Offered Rate (“LIBOR”) benchmark after 2021;
our ability to raise capital through equity and debt financings;
changes in foreign currency exchange rates;
the relatively illiquid nature of real estate investments;
the loss of key management personnel;
uninsured or underinsured losses affecting our properties and the possibility of environmental compliance costs and liabilities;
the impact of a failure or security breach of information technology in our operations;
our ability to maintain our status as a real estate investment trust (“REIT”); under the federal tax laws;
changes in tax laws and regulations affecting REITs (including the potential effects of the Tax Cuts and Jobs Act);
compliance with REIT requirements and certain tax and tax regulatory matters related to our status as a REIT; and
the ownership limits and takeover defenses in our governing documents and under Maryland law, which may restrict change of control or business combination opportunities.
We urge you to carefully consider these risks and review the additional disclosures we make concerning risks and other factors that may materially affect the outcome of our forward-looking statements and our future business and operating results, including those made in Part I, Item 1A, “Risk Factors” of our Annual Report on Form 10-K for the year ended December 31, 20182019 (our “2018“2019 Annual Report on Form 10-K”) and in Part II, Item 1A, “Risk Factors” of our Quarterly Report on Form 10-Q for the quarter ended March 31, 2019,2020, as such risk factors may be amended, supplemented or superseded from time to time

by other reports we file with the Securities and Exchange Commission (the “SEC”), including subsequent Annual Reports on Form 10-K and Quarterly Reports on Form 10-Q. We caution you that any forward-looking statements made in this 10-Q are

not guarantees of future performance, events or results, and you should not place undue reliance on these forward-looking statements, which speak only as of the date of this report. We do not intend, and we undertake no obligation, to update any forward-looking information to reflect events or circumstances after the date of this 10-Q or to reflect the occurrence of unanticipated events, unless required by law to do so.


PART I. FINANCIAL INFORMATION
 
ITEM 1.FINANCIAL STATEMENTS
SABRA HEALTH CARE REIT, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(dollars in thousands, except per share data)  
 
June 30, 2019 December 31, 2018June 30, 2020 December 31, 2019
(unaudited)  (unaudited)  
Assets      
Real estate investments, net of accumulated depreciation of $464,970 and $402,338 as of June 30, 2019 and December 31, 2018, respectively$5,378,874
 $5,853,545
Real estate investments, net of accumulated depreciation of $611,405 and $539,213 as of June 30, 2020 and December 31, 2019, respectively$5,358,515
 $5,341,370
Loans receivable and other investments, net111,203
 113,722
84,401
 107,374
Investment in unconsolidated joint venture328,207
 340,120
295,269
 319,460
Cash and cash equivalents47,595
 50,230
28,250
 39,097
Restricted cash9,879
 9,428
8,555
 10,046
Lease intangible assets, net108,877
 131,097
93,502
 101,509
Accounts receivable, prepaid expenses and other assets, net138,544
 167,161
155,061
 150,443
Total assets$6,123,179
 $6,665,303
$6,023,553
 $6,069,299
      
Liabilities      
Secured debt, net$114,675
 $115,679
$96,861
 $113,070
Revolving credit facility275,000
 624,000
73,000
 
Term loans, net1,189,774
 1,184,930
1,037,187
 1,040,258
Senior unsecured notes, net1,106,518
 1,307,394
1,248,245
 1,248,773
Accounts payable and accrued liabilities100,635
 94,827
143,317
 108,792
Lease intangible liabilities, net76,201
 83,726
63,692
 69,946
Total liabilities2,862,803
 3,410,556
2,662,302
 2,580,839
      
Commitments and contingencies (Note 13)

 

Commitments and contingencies (Note 12)

 

      
Equity      
Common stock, $.01 par value; 250,000,000 shares authorized, 189,515,024 and 178,306,528 shares issued and outstanding as of June 30, 2019 and December 31, 2018, respectively1,895
 1,783
Preferred stock, $.01 par value; 10,000,000 shares authorized, zero shares issued and outstanding as of June 30, 2020 and December 31, 2019
 
Common stock, $.01 par value; 500,000,000 shares authorized, 205,560,680 and 205,208,018 shares issued and outstanding as of June 30, 2020 and December 31, 2019, respectively2,056
 2,052
Additional paid-in capital3,725,971
 3,507,925
4,078,737
 4,072,079
Cumulative distributions in excess of net income(460,832) (271,595)(663,901) (573,283)
Accumulated other comprehensive (loss) income(10,936) 12,301
Total Sabra Health Care REIT, Inc. stockholders’ equity3,256,098
 3,250,414
Noncontrolling interests4,278
 4,333
Accumulated other comprehensive loss(55,641) (12,388)
Total equity3,260,376
 3,254,747
3,361,251
 3,488,460
Total liabilities and equity$6,123,179
 $6,665,303
$6,023,553
 $6,069,299

See accompanying notes to condensed consolidated financial statements.

SABRA HEALTH CARE REIT, INC.
CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(dollars in thousands, except per share data)  
(unaudited)
 
Three Months Ended June 30, Six Months Ended June 30,Three Months Ended June 30, Six Months Ended June 30,
2019 2018 2019 20182020 2019 2020 2019
Revenues:              
Rental and related revenues$112,800
 $144,229
 $229,187
 $288,484
$112,727
 $112,800
 $219,239
 $229,187
Interest and other income70,495
 4,553
 73,820
 8,891
2,606
 70,495
 5,457
 73,820
Resident fees and services36,071
 17,530
 53,132
 35,023
38,584
 36,071
 78,567
 53,132
              
Total revenues219,366
 166,312
 356,139
 332,398
153,917
 219,366
 303,263
 356,139
              
Expenses:              
Depreciation and amortization49,476
 46,828
 94,425
 94,833
44,202
 49,476
 88,370
 94,425
Interest33,608
 36,757
 69,926
 72,575
25,292
 33,608
 50,996
 69,926
Triple-net portfolio operating expenses6,240
 
 11,529
 
5,331
 6,240
 10,232
 11,529
Senior housing - managed portfolio operating expenses24,239
 12,299
 36,279
 24,423
27,970
 24,239
 55,231
 36,279
General and administrative8,059
 9,383
 16,243
 17,580
8,673
 8,059
 17,434
 16,243
Provision for (recovery of) doubtful accounts, straight-line rental income and loan losses193
 (674) 1,400
 539
Provision for loan losses and other reserves129
 193
 796
 1,400
Impairment of real estate2,002
 881
 105,136
 1,413

 2,002
 
 105,136
              
Total expenses123,817
 105,474
 334,938
 211,363
111,597
 123,817
 223,059
 334,938
              
Other (expense) income:              
Loss on extinguishment of debt(10,119) 
 (10,119) 
(392) (10,119) (392) (10,119)
Other (expense) income(1) 
 170
 2,820
(66) (1) 2,193
 170
Net gain on sales of real estate2,755
 142,903
 1,235
 142,431
330
 2,755
 113
 1,235
              
Total other (expense) income(7,365) 142,903
 (8,714) 145,251
(128) (7,365) 1,914
 (8,714)
              
Income before loss from unconsolidated joint venture and income tax expense88,184
 203,741
 12,487
 266,286
42,192
 88,184
 82,118
 12,487
              
Loss from unconsolidated joint venture(3,647) (2,347) (5,030) (1,901)(12,136) (3,647) (15,803) (5,030)
Income tax expense(854) (605) (1,466) (1,115)(433) (854) (1,475) (1,466)
              
Net income83,683
 200,789
 5,991
 263,270
29,623
 83,683
 64,840
 5,991
              
Net income attributable to noncontrolling interests(6) (2) (18) (12)
       
Net income attributable to Sabra Health Care REIT, Inc.83,677
 200,787
 5,973
 263,258
       
Preferred stock dividends
 (7,207) 
 (9,768)
Net income attributable to noncontrolling interest
 (6) 
 (18)
              
Net income attributable to common stockholders$83,677
 $193,580
 $5,973
 $253,490
$29,623
 $83,677
 $64,840
 $5,973
              
Net income attributable to common stockholders, per:              
              
Basic common share$0.46
 $1.09
 $0.03
 $1.42
$0.14
 $0.46
 $0.32
 $0.03
              
Diluted common share$0.46
 $1.08
 $0.03
 $1.42
$0.14
 $0.46
 $0.31
 $0.03
              
Weighted-average number of common shares outstanding, basic181,567,464
 178,314,750
 179,984,959
 178,304,733
205,593,653
 181,567,464
 205,493,829
 179,984,959
              
Weighted-average number of common shares outstanding, diluted182,254,100
 178,684,024
 180,637,059
 178,600,789
206,219,162
 182,254,100
 206,194,282
 180,637,059

See accompanying notes to condensed consolidated financial statements.

SABRA HEALTH CARE REIT, INC.
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
(in thousands)
(unaudited)
 Three Months Ended June 30, Six Months Ended June 30,
 2019 2018 2019 2018
        
Net income$83,683
 $200,789
 $5,991
 $263,270
Other comprehensive income (loss):       
Unrealized gain (loss), net of tax:       
Foreign currency translation gain (loss)567
 261
 7
 (113)
Unrealized (loss) gain on cash flow hedges(9,756) 3,338
 (23,244) 13,236
        
Total other comprehensive (loss) income(9,189) 3,599
 (23,237) 13,123
        
Comprehensive income (loss)74,494
 204,388
 (17,246) 276,393
        
Comprehensive income attributable to noncontrolling interests(6) (2) (18) (12)
        
Comprehensive income (loss) attributable to Sabra Health Care REIT, Inc.$74,488
 $204,386
 $(17,264) $276,381
 Three Months Ended June 30, Six Months Ended June 30,
 2020 2019 2020 2019
        
Net income$29,623
 $83,683
 $64,840
 $5,991
Other comprehensive income (loss):       
Unrealized (loss) gain, net of tax:       
Foreign currency translation (loss) gain(534) 567
 1,173
 7
Unrealized loss on cash flow hedges(3,734) (9,756) (44,426) (23,244)
        
Total other comprehensive loss(4,268) (9,189) (43,253) (23,237)
        
Comprehensive income (loss)25,355
 74,494
 21,587
 (17,246)
        
Comprehensive income attributable to noncontrolling interest
 (6) 
 (18)
        
Comprehensive income (loss) attributable to Sabra Health Care REIT, Inc.$25,355
 $74,488
 $21,587
 $(17,264)


See accompanying notes to condensed consolidated financial statements.


SABRA HEALTH CARE REIT, INC.
CONDENSED CONSOLIDATED STATEMENTS OF EQUITY
(dollars in thousands, except per share data)  
(unaudited)
 
 Three Months Ended June 30, 2018
 Preferred Stock Common Stock Additional
Paid-in Capital
 Cumulative Distributions in Excess of Net Income Accumulated Other Comprehensive Income (Loss) Total
Stockholders’
Equity
 Noncontrolling Interests Total Equity
 Shares Amounts Shares Amounts 
Balance, March 31, 2018 5,750,000
 $58
 178,282,370
 $1,783
 $3,638,109
 $(238,612) $20,813
 $3,422,151
 $4,415
 $3,426,566
Net income 
 
 
 
 
 200,787
 
 200,787
 2
 200,789
Other comprehensive income 
 
 
 
 
 
 3,599
 3,599
 
 3,599
Distributions to noncontrolling interests 
 
 
 
 
 
 
 
 (35) (35)
Amortization of stock-based compensation 
 
 
 
 3,036
 
 
 3,036
 
 3,036
Preferred stock redemption (5,750,000) (58) 
 
 (138,191) (5,501) 
 (143,750) 
 (143,750)
Common stock issuance, net 
 
 1,220
 
 
 
 
 
 
 
Preferred dividends 
 
 
 
 
 (1,706) 
 (1,706) 
 (1,706)
Common dividends ($0.45 per share) 
 
 
 
 
 (80,574) 
 (80,574) 
 (80,574)
Balance, June 30, 2018 
 $
 178,283,590
 $1,783
 $3,502,954
 $(125,606) $24,412
 $3,403,543
 $4,382
 $3,407,925
                    
                    
 Three Months Ended June 30, 2019 Three Months Ended June 30, 2019
 Preferred Stock Common Stock Additional
Paid-in Capital
 Cumulative Distributions in Excess of Net Income Accumulated Other Comprehensive Income (Loss) Total
Stockholders’
Equity
 Noncontrolling Interests Total Equity Common Stock Additional
Paid-in Capital
 Cumulative Distributions in Excess of Net Income Accumulated Other Comprehensive Income (Loss) Total
Stockholders’
Equity
 Noncontrolling Interest Total Equity
 Shares Amounts Shares Amounts  Shares Amounts 
Balance, March 31, 2019 
 $
 178,419,599
 $1,784
 $3,508,987
 $(462,555) $(1,747) $3,046,469
 $4,309
 $3,050,778
 178,419,599
 $1,784
 $3,508,987
 $(462,555) $(1,747) $3,046,469
 $4,309
 $3,050,778
Net income 
 
 
 
 
 83,677
 
 83,677
 6
 83,683
 
 
 
 83,677
 
 83,677
 6
 83,683
Other comprehensive loss 
 
 
 
 
 
 (9,189) (9,189) 
 (9,189) 
 
 
 
 (9,189) (9,189) 
 (9,189)
Distributions to noncontrolling interests 
 
 
 
 
 
 
 
 (37) (37)
Distributions to noncontrolling interest 
 
 
 
 
 
 (37) (37)
Amortization of stock-based compensation 
 
 
 
 3,274
 
 
 3,274
 
 3,274
 
 
 3,274
 
 
 3,274
 
 3,274
Common stock issuance, net 
 
 11,095,425
 111
 213,710
 
 
 213,821
 
 213,821
 11,095,425
 111
 213,710
 
 
 213,821
 
 213,821
Common dividends ($0.45 per share) 
 
 
 
 
 (81,954) 
 (81,954) 
 (81,954) 
 
 
 (81,954) 
 (81,954) 
 (81,954)
Balance, June 30, 2019 
 $
 189,515,024
 $1,895
 $3,725,971
 $(460,832) $(10,936) $3,256,098
 $4,278
 $3,260,376
 189,515,024
 $1,895
 $3,725,971
 $(460,832) $(10,936) $3,256,098
 $4,278
 $3,260,376
                                    
                
 Three Months Ended June 30, 2020
 Common Stock Additional
Paid-in Capital
 Cumulative Distributions in Excess of Net Income Accumulated Other Comprehensive Income (Loss) Total
Stockholders’
Equity
 Noncontrolling Interest Total Equity
 Shares Amounts 
Balance, March 31, 2020 205,559,356
 $2,056
 $4,075,781
 $(631,251) $(51,373) $3,395,213
 $
 $3,395,213
Net income 
 
 
 29,623
 
 29,623
 
 29,623
Other comprehensive loss 
 
 
 
 (4,268) (4,268) 
 (4,268)
Amortization of stock-based compensation 
 
 2,969
 
 
 2,969
 
 2,969
Common stock issuance, net 1,324
 
 (13) 
 
 (13) 
 (13)
Common dividends ($0.30 per share) 
 
 
 (62,273) 
 (62,273) 
 (62,273)
Balance, June 30, 2020 205,560,680
 $2,056
 $4,078,737
 $(663,901) $(55,641) $3,361,251
 $
 $3,361,251
                

See accompanying notes to condensed consolidated financial statements.


SABRA HEALTH CARE REIT, INC.
CONDENSED CONSOLIDATED STATEMENTS OF EQUITY (CONTINUED)
(dollars in thousands, except per share data)  
(unaudited)
 
 Six Months Ended June 30, 2018
 Preferred Stock Common Stock Additional
Paid-in Capital
 Cumulative Distributions in Excess of Net Income Accumulated Other Comprehensive Income (Loss) Total
Stockholders’
Equity
 Noncontrolling Interests Total Equity
 Shares Amounts Shares Amounts 
Balance, December 31, 2017 5,750,000
 $58
 178,255,843
 $1,783
 $3,636,913
 $(217,236) $11,289
 $3,432,807
 $4,442
 $3,437,249
Cumulative effect of ASU 2017-12 adoption 
 
 
 
 
 (795) 795
 
 
 
Net income 
 
 
 
 
 263,258
 
 263,258
 12
 263,270
Other comprehensive income 
 
 
 
 
 
 12,328
 12,328
 
 12,328
Distributions to noncontrolling interests 
 
 
 
 
 
 
 
 (72) (72)
Amortization of stock-based compensation 
 
 
 
 4,434
 
 
 4,434
 
 4,434
Preferred stock redemption (5,750,000) (58) 
 
 (138,191) (5,501) 
 (143,750) 
 (143,750)
Common stock issuance, net 
 
 27,747
 
 (202) 
 
 (202) 
 (202)
Preferred dividends 
 
 
 
 
 (4,267) 
 (4,267) 
 (4,267)
Common dividends ($0.90 per share) 
 
 
 
 
 (161,065) 
 (161,065) 
 (161,065)
Balance, June 30, 2018 
 $
 178,283,590
 $1,783
 $3,502,954
 $(125,606) $24,412
 $3,403,543
 $4,382
 $3,407,925
                    
                    
 Six Months Ended June 30, 2019 Six Months Ended June 30, 2019
 Preferred Stock Common Stock Additional
Paid-in Capital
 Cumulative Distributions in Excess of Net Income Accumulated Other Comprehensive Income (Loss) Total
Stockholders’
Equity
 Noncontrolling Interests Total Equity Common Stock Additional
Paid-in Capital
 Cumulative Distributions in Excess of Net Income Accumulated Other Comprehensive Income (Loss) Total
Stockholders’
Equity
 Noncontrolling Interest Total Equity
 Shares Amounts Shares Amounts  Shares Amounts 
Balance, December 31, 2018 
 $
 178,306,528
 $1,783
 $3,507,925
 $(271,595) $12,301
 $3,250,414
 $4,333
 $3,254,747
 178,306,528
 $1,783
 $3,507,925
 $(271,595) $12,301
 $3,250,414
 $4,333
 $3,254,747
Cumulative effect of Topic 842 adoption 
 
 
 
 
 (32,502) 
 (32,502) 
 (32,502) 
 
 
 (32,502) 
 (32,502) 
 (32,502)
Net income 
 
 
 
 
 5,973
 
 5,973
 18
 5,991
 
 
 
 5,973
 
 5,973
 18
 5,991
Other comprehensive loss 
 
 
 
 
 
 (23,237) (23,237) 
 (23,237) 
 
 
 
 (23,237) (23,237) 
 (23,237)
Distributions to noncontrolling interests 
 
 
 
 
 
 
 
 (73) (73)
Distributions to noncontrolling interest 
 
 
 
 
 
 (73) (73)
Amortization of stock-based compensation 
 
 
 
 6,544
 
 
 6,544
 
 6,544
 
 
 6,544
 
 
 6,544
 
 6,544
Common stock issuance, net 
 
 11,208,496
 112
 211,502
 
 
 211,614
 
 211,614
 11,208,496
 112
 211,502
 
 
 211,614
 
 211,614
Common dividends ($0.90 per share) 
 
 
 
 
 (162,708) 
 (162,708) 
 (162,708) 
 
 
 (162,708) 
 (162,708) 
 (162,708)
Balance, June 30, 2019 
 $
 189,515,024
 $1,895
 $3,725,971
 $(460,832) $(10,936) $3,256,098
 $4,278
 $3,260,376
 189,515,024
 $1,895
 $3,725,971
 $(460,832) $(10,936) $3,256,098
 $4,278
 $3,260,376
                                    
                
 Six Months Ended June 30, 2020
 Common Stock Additional
Paid-in Capital
 Cumulative Distributions in Excess of Net Income Accumulated Other Comprehensive Income (Loss) Total
Stockholders’
Equity
 Noncontrolling Interest Total Equity
 Shares Amounts 
Balance, December 31, 2019 205,208,018
 $2,052
 $4,072,079
 $(573,283) $(12,388) $3,488,460
 $
 $3,488,460
Cumulative effect of Topic 326 adoption 
 
 
 (167) 
 (167) 
 (167)
Net income 
 
 
 64,840
 
 64,840
 
 64,840
Other comprehensive loss 
 
 
 
 (43,253) (43,253) 
 (43,253)
Amortization of stock-based compensation 
 
 5,957
 
 
 5,957
 
 5,957
Common stock issuance, net 352,662
 4
 701
 
 
 705
 
 705
Common dividends ($0.75 per share) 
 
 
 (155,291) 
 (155,291) 
 (155,291)
Balance, June 30, 2020 205,560,680
 $2,056
 $4,078,737
 $(663,901) $(55,641) $3,361,251
 $
 $3,361,251
                

See accompanying notes to condensed consolidated financial statements.

SABRA HEALTH CARE REIT, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands)
(unaudited)
Six Months Ended June 30,Six Months Ended June 30,

2019 20182020 2019
Cash flows from operating activities:
 

 
Net income$5,991
 $263,270
$64,840
 $5,991
Adjustments to reconcile net income to net cash provided by operating activities:
 

 
Depreciation and amortization94,425
 94,833
88,370
 94,425
Amortization of above and below market lease intangibles, net2,703
 (1,368)
Non-cash interest income adjustments(1,125) (1,174)
Non-cash rental and related revenues(6,567) (8,007)
Non-cash interest income(1,135) (1,125)
Non-cash interest expense5,323
 4,997
4,458
 5,323
Stock-based compensation expense5,570
 3,839
4,735
 5,570
Non-cash lease termination income(9,725) 

 (9,725)
Loss on extinguishment of debt10,119
 
392
 10,119
Straight-line rental income adjustments(10,710) (23,752)
Provision for doubtful accounts, straight-line rental income and loan losses1,400
 539
Provision for loan losses and other reserves796
 1,400
Net gain on sales of real estate(1,235) (142,431)(113) (1,235)
Impairment of real estate105,136
 1,413

 105,136
Loss from unconsolidated joint venture5,030
 1,901
15,803
 5,030
Distributions of earnings from unconsolidated joint venture6,884
 3,610
7,083
 6,884
Changes in operating assets and liabilities:

 



 

Accounts receivable, prepaid expenses and other assets, net(5,289) (2,130)(1,377) (5,289)
Accounts payable and accrued liabilities(22,619) 8,006
(8,680) (22,619)
Net cash provided by operating activities191,878
 211,553
168,605
 191,878
Cash flows from investing activities:
 

 
Acquisition of real estate
 (213,982)(92,945) 
Origination and fundings of loans receivable(8,823) (28,157)(1,651) (8,823)
Origination and fundings of preferred equity investments
 (945)
Additions to real estate(8,596) (16,817)(19,867) (8,596)
Repayments of loans receivable10,102
 38,887
1,610
 10,102
Repayments of preferred equity investments2,463
 375
3,064
 2,463
Investment in unconsolidated joint venture
 (354,461)
Net proceeds from the sales of real estate322,736
 278,201
9,516
 322,736
Net cash provided by (used in) investing activities317,882
 (296,899)
Distributions in excess of earnings from unconsolidated joint venture1,305
 
Net cash (used in) provided by investing activities(98,968) 317,882
Cash flows from financing activities:
 

 
Net (repayments of) borrowings from revolving credit facility(349,000) 35,000
Net borrowings from (repayments of) revolving credit facility73,000
 (349,000)
Proceeds from issuance of senior unsecured notes300,000
 

 300,000
Principal payments on senior unsecured notes(500,000) 

 (500,000)
Principal payments on secured debt(1,703) (2,128)(1,669) (1,703)
Payments of deferred financing costs(4,413) (12)(722) (4,413)
Payments related to extinguishment of debt(6,895) 

 (6,895)
Distributions to noncontrolling interests(73) (72)
Preferred stock redemption
 (143,750)
Distributions to noncontrolling interest
 (73)
Issuance of common stock, net211,575
 (499)1,860
 211,575
Dividends paid on common and preferred stock(161,735) (164,736)
Dividends paid on common stock(154,068) (161,735)
Net cash used in financing activities(512,244) (276,197)(81,599) (512,244)
Net decrease in cash, cash equivalents and restricted cash(2,484) (361,543)(11,962) (2,484)
Effect of foreign currency translation on cash, cash equivalents and restricted cash300
 (252)(376) 300
Cash, cash equivalents and restricted cash, beginning of period59,658
 587,449
49,143
 59,658
Cash, cash equivalents and restricted cash, end of period$57,474
 $225,654
$36,805
 $57,474
Supplemental disclosure of cash flow information:
 

 
Interest paid$74,631
 $67,793
$47,667
 $74,631
Supplemental disclosure of non-cash investing activities:




Decrease in loans receivable and other investments due to acquisition of real estate$20,731

$
Secured debt assumed by buyer in connection with sale of real estate$14,219
 $

See accompanying notes to condensed consolidated financial statements.

SABRA HEALTH CARE REIT, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
 
1.     BUSINESS
Overview
Sabra Health Care REIT, Inc. (“Sabra” or the “Company”) was incorporated on May 10, 2010 as a wholly owned subsidiary of Sun Healthcare Group, Inc. (“Sun”) and commenced operations on November 15, 2010 following Sabra’s separation from Sun. Sabra elected to be treated as a real estate investment trust (“REIT”) with the filing of its United States (“U.S.”) federal income tax return for the taxable year beginning January 1, 2011. Sabra believes that it has been organized and operated, and it intends to continue to operate, in a manner to qualify as a REIT. Sabra’s primary business consists of acquiring, financing and owning real estate property to be leased to third-party tenants in the healthcare sector. Sabra primarily generates revenues by leasing properties to tenants and operators throughout the U.S. and Canada. Sabra owns substantially all of its assets and properties and conducts its operations through Sabra Health Care Limited Partnership, a Delaware limited partnership (the “Operating Partnership”), of which Sabra is the sole general partner and a wholly owned subsidiary of Sabra is currently the only limited partner, or by subsidiaries of the Operating Partnership. The Company’s investment portfolio is primarily comprised of skilled nursing/transitional care facilities, senior housing communities (“Senior Housing - Leased”) and specialty hospitals and other facilities, in each case leased to third-party operators; senior housing communities operated by third-party property managers pursuant to property management agreements (“Senior Housing - Managed”); investments in loans receivable; preferred equity investments; and an investment in an unconsolidated joint venture.
COVID-19
On August 17, 2017, pursuantMarch 11, 2020, the World Health Organization declared COVID-19 a pandemic, and on March 13, 2020, the United States declared a national emergency with respect to COVID-19. The outbreak has led governments and other authorities around the world, including federal, state and local authorities in the United States, to impose measures intended to control its spread, including restrictions on freedom of movement and business operations such as travel bans, border closings, business closures, quarantines and shelter-in-place orders. The COVID-19 pandemic and measures to prevent its spread have negatively impacted and are expected to continue to negatively impact the Company and its operations in a number of ways, including but not limited to:
Decreased occupancy and increased operating costs for the Company’s tenants and borrowers, which has negatively impacted their operating results and may adversely impact their ability to make full and timely rental payments and debt service payments, respectively, to the Company. In some cases, the Company may have to restructure tenants’ long-term rent obligations and may not be able to do so on terms that are as favorable to the Company as those currently in place. Reduced or modified rental and debt service amounts could result in the determination that the full amounts of the Company’s investments are not recoverable, which could result in an Agreement and Planimpairment charge. To date, the impact of Merger (the “Merger Agreement”) entered intoCOVID-19 on the Company’s skilled nursing/transitional care facility operators has been partially mitigated by the Company,assistance they have received or expect to receive from state and federal assistance programs, including through the Operating Partnership, PR Sub, LLC, a Delaware limited liability companyCARES Act (as defined and wholly owned subsidiaryfurther described below under “Management’s Discussion and Analysis of Financial Condition and Results of Operations—Skilled Nursing Facility Reimbursement Rates” in Part I, Item 2), although these benefits on an individual operator basis vary and may not provide enough relief to meet their rental obligations to the Company. To date, few of these programs have been available to the Company’s senior housing operators. As of June 30, 2020, the Company’s tenants and borrowers have continued to pay expected cash rents and debt service obligations consistent with past practice. However, the longer the duration of the Company (“Merger Sub”COVID-19 pandemic, the more likely that the Company’s tenants and borrowers will begin to default on these obligations. Such defaults could materially and adversely affect the Company’s results of operations and liquidity, in addition to resulting in potential impairment charges.
Decreased occupancy and increased operating costs within the Company’s Senior Housing - Managed portfolio and in the Company’s 49% equity interest in a joint venture with affiliates of Enlivant and TPG Real Estate, the real estate platform of TPG, that owns senior housing communities managed by Enlivant (the “Enlivant Joint Venture”), Care Capital Properties, Inc.,which have negatively impacted and are expected to continue to negatively impact the operating results of these investments. Prolonged deterioration in the operating results for these investments could result in the determination that the full amounts of the Company’s investments are not recoverable, which could result in an impairment charge.
The Company’s financial results as of and for the three and six months ended June 30, 2020 reflect the results of the Company’s evaluation of the impact of COVID-19 on its business including, but not limited to, its evaluation of potential impairments of long-lived or other assets, measurement of credit losses on financial instruments, evaluation of any lease

modifications, evaluation of lease accounting impact, estimates of fair value and the Company’s ability to continue as a Delaware corporation (“CCP”), and Care Capital Properties, L.P. (“CCPLP”), a Delaware limited partnership and wholly owned subsidiary of CCP, CCP merged with and into Merger Sub, with Merger Sub continuing as the surviving corporation (the “CCP Merger”), following which Merger Sub merged with and into the Company, with the Company continuing as the surviving entity (the “Subsequent Merger”), and, simultaneous with the Subsequent Merger, CCPLP merged with and into the Operating Partnership, with the Operating Partnership continuing as the surviving entity.going concern.

2.     SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Principles of Consolidation and Basis of Presentation
The accompanying condensed consolidated financial statements include the accounts of Sabra and its wholly owned subsidiaries as of June 30, 20192020 and December 31, 20182019 and for the three and six month periods ended June 30, 20192020 and 2018.2019. All significant intercompany transactions and balances have been eliminated in consolidation.
The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) for interim financial information as contained within the Financial Accounting Standards Board (“FASB”) Accounting Standards Codification (“ASC”) and the rules and regulations of the SEC, including the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, the unaudited condensed consolidated financial statements do not include all of the information and footnotes required by GAAP for financial statements. In the opinion of management, the financial statements for the unaudited interim periods presented include all adjustments, which are of a normal and recurring nature, necessary for a fair statement of the results for such periods. Operating results for the three and six months ended June 30, 20192020 are not necessarily indicative of the results that may be expected for the year ending December 31, 20192020. For further information, refer to the Company’s consolidated financial statements and notes thereto for the year ended December 31, 20182019 included in the Company’s Annual Report on Form 10-K for the year ended December 31, 20182019 filed with the SEC.
GAAP requires the Company to identify entities for which control is achieved through voting rights or other means and to determine which business enterprise is the primary beneficiary of variable interest entities (“VIEs”). A VIE is broadly defined as an entity with one or more of the following characteristics: (a) the total equity investment at risk is insufficient to finance the entity’s activities without additional subordinated financial support; (b) as a group, the holders of the equity investment at risk lack (i) the ability to make decisions about the entity’s activities through voting or similar rights, (ii) the obligation to absorb the expected losses of the entity, or (iii) the right to receive the expected residual returns of the entity; or

(c) the equity investors have voting rights that are not proportional to their economic interests, and substantially all of the entity’s activities either involve, or are conducted on behalf of, an investor that has disproportionately few voting rights. If the Company were determined to be the primary beneficiary of the VIE, the Company would consolidate investments in the VIE. The Company may change its original assessment of a VIE due to events such as modifications of contractual arrangements that affect the characteristics or adequacy of the entity’s equity investments at risk and the disposal of all or a portion of an interest held by the primary beneficiary.
The Company identifies the primary beneficiary of a VIE as the enterprise that has both: (i) the power to direct the activities of the VIE that most significantly impact the entity’s economic performance; and (ii) the obligation to absorb losses or the right to receive benefits of the VIE that could be significant to the entity. The Company performs this analysis on an ongoing basis.
As of June 30, 20192020, the Company determined that it was 0t the primaryprimarily beneficiary of one VIE—a joint venture variable interest entity owning one skilled nursing/transitional care facility—and has consolidated the operations of this entity in the accompanying condensed consolidated financial statements. As of June 30, 2019, the Company determined that the operations of this entity were not material to the Company’s results of operations, financial condition or cash flows.any VIEs.
As it relates to investments in loans, in addition to the Company’s assessment of VIEs and whether the Company is the primary beneficiary of those VIEs, the Company evaluates the loan terms and other pertinent facts to determine whether the loan investment should be accounted for as a loan or as a real estate joint venture. If an investment has the characteristics of a real estate joint venture, including if the Company participates in the majority of the borrower’s expected residual profit, the Company would account for the investment as an investment in a real estate joint venture and not as a loan investment. Expected residual profit is defined as the amount of profit, whether called interest or another name, such as an equity kicker, above a reasonable amount of interest and fees expected to be earned by a lender. At June 30, 20192020, noneNaN of the Company’s investments in loans were accounted for as real estate joint ventures.
As it relates to investments in joint ventures, the Company assesses any limited partners’ rights and their impact on the presumption of control of the limited partnership by any single partner. The Company also applies this guidance to managing member interests in limited liability companies. The Company reassesses its determination of which entity controls the joint venture if: there is a change to the terms or in the exercisability of the rights of any partners or members, the sole general partner or managing member increases or decreases its ownership interests, or there is an increase or decrease in the number of outstanding ownership interests. As of June 30, 2019,2020, the Company’s determination of which entity controls its investments in joint ventures has not changed as a result of any reassessment.

Use of Estimates
The preparation of the condensed consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amounts reported in the condensed consolidated financial statements and accompanying notes. Actual results could materially differ from those estimates.
Reclassifications
Certain amounts in the Company’s condensed consolidated statements of incomecash flows for prior periods have been reclassified to conform to the current period presentation. These reclassifications have not changed the results of operations or stockholders’ equity of prior periods.
Investment in Unconsolidated Joint Venture
The Company reports investments in unconsolidated entities over whose operating and financial policies it has the ability to exercise significant influence under the equity method of accounting. Under this method of accounting, the Company’s share of the investee’s earnings or losses is included in the Company’s condensed consolidated statements of income. The initial carrying value of the investment is based on the amount paid to purchase the joint venture interest. Differences between the Company’s cost basis and the basis reflected at the joint venture level are generally amortized over the lives of the related assets and liabilities, and such amortization is included in the Company’s share of earnings of the joint venture.

The Company continually monitors events and changes in circumstances that could indicate that the carrying amounts of its equity method investments may not be recoverable or realized. When indicators of potential impairment are identified, the Company evaluates its equity method investments for impairment based on a comparison of the fair value of the investment to its carrying value. The fair value is estimated based on discounted cash flows that include all estimated cash inflows and outflows over a specified holding period and any estimated debt premiums or discounts. If, based on this analysis, the Company does not believe that it will be able to recover the carrying value of its equity method investment, the Company would record an impairment loss to the extent that the carrying value exceeds the estimated fair value of its equity method investment.
On January 2, 2018, the Company completed its transaction with affiliates of Enlivant and TPG Real Estate, the real estate platform of TPG, and contributed $352.7 million, before closing costs, to acquire a 49% equity interest in an entity that owned 172 senior housing communities managed by Enlivant (the “Enlivant Joint Venture”). At closing, the Enlivant Joint Venture had outstanding indebtedness of $791.3 million and net working capital of $22.9 million. The joint venture agreement includes an option for the Company to acquire the remainder of the outstanding equity interests in the Enlivant Joint Venture by January 2, 2021 and grants the Company the right of first offer if the Company’s partner in the Enlivant Joint Venture desires to transfer its equity interest (which it may do commencing on January 2, 2020). Sabra also has the right to designate three directors on the seven member board of directors of the Enlivant Joint Venture and has other customary minority rights. During the six months ended June 30, 2019, the Enlivant Joint Venture sold two senior housing communities for gross proceeds of $6.3 million, and the Company recorded an aggregate net loss on sale of real estate related to unconsolidated joint venture of $1.7 million. As of June 30, 2019, the book value of the Company’s investment in the Enlivant Joint Venture was $328.2 million.
Net Investment in Direct Financing Lease
As of June 30, 2019, the Company had a $23.6 million net investment in one skilled nursing/transitional care facility leased to an operator under a direct financing lease, as the tenant is obligated to purchase the property at the end of the lease term. The net investment in direct financing lease is recorded in accounts receivable, prepaid expenses and other assets, net on the accompanying condensed consolidated balance sheets and represents the total undiscounted rental payments of $4.8 million, plus the estimated unguaranteed residual value of $24.7 million, less the unearned lease income of $5.9 million as of June 30, 2019. Unearned lease income represents the excess of the minimum lease payments and residual value over the cost of the investment. Unearned lease income is deferred and amortized to income over the lease term to provide a constant yield when collectability of the lease payments is reasonably assured. Income from the Company’s net investment in direct financing lease was $0.7 million and $1.3 million for the three and six months ended June 30, 2019, respectively, and $0.6 million and $1.3 million for the three and six months ended June 30, 2018, respectively, and is reflected in interest and other income on the accompanying condensed consolidated statements of income. Future minimum lease payments contractually due under the direct financing lease at June 30, 2019, were as follows: $1.1 million for the remainder of 2019; $2.3 million for 2020; and $2.1 million for 2021.operations.
Recently Issued Accounting Standards Update
Adopted
In FebruaryJune 2016, the FASB issued Accounting Standards Update (“ASU”) 2016-02, Leases, as amended by subsequent ASUs (“Topic 842”). Topic 842 supersedes guidance related to accounting for leases and provides for the recognition of lease assets and lease liabilities by lessees for those leases previously classified as operating leases under GAAP. The objective of Topic 842 is to establish the principles that lessees and lessors shall apply to report useful information to users of financial statements about the amount, timing and uncertainty of cash flows arising from a lease. Topic 842 does not fundamentally change lessor accounting; however, some changes have been made to lessor accounting to conform and align that guidance with the lessee guidance and other areas within GAAP. Topic 842 is effective for fiscal years and interim periods within those years beginning after December 15, 2018, with early adoption permitted. The Company elected to adopt Topic 842 on January 1, 2019 using the modified retrospective transition method, which permits application of the new standard on the adoption date as opposed to the earliest comparative period presented in the financial statements. In addition, the Company elected to use the available practical expedient package, and therefore did not reassess classification of its existing leases.
Additionally, the Company has elected a practical expedient not to separate lease and nonlease components (such as services rendered), which can only be applied to leasing arrangements for which (i) the timing and pattern of transfer are the same for the lease and nonlease components and (ii) the lease component, if accounted for separately, would be classified as an operating lease. Under this practical expedient, contracts that are predominantly lease-based would be accounted for under Topic 842, and contracts that are predominantly service-based would be accounted for under Topic 606, Revenue from Contracts with Customers. As a result of electing this practical expedient, the Company, beginning January 1, 2019, recognizes revenue from its leased skilled nursing/transitional care facilities, senior housing communities, and specialty hospitals and other

facilities under Topic 842 and recognizes revenue from its Senior Housing - Managed communities under the Revenue ASUs (codified under Topic 606). Upon adoption of Topic 842, the Company recognized its operating leases for which it is the lessee, mainly its corporate office lease and ground leases, on its consolidated balance sheets, as a lease liability of $10.0 million, included in accounts payable and accrued liabilities on the condensed consolidated balance sheets, and a corresponding right-of-use asset, included in accounts receivable, prepaid expenses and other assets, net on the condensed consolidated balance sheets. As of June 30, 2019, the balances of the lease liability and the corresponding right-of-use asset were $9.8 million and $9.5 million, respectively.
The Company assesses the collectability of rental revenues on a lease-by-lease basis. Prior to the adoption of Topic 842, the Company recorded rental revenue and receivables to the extent those amounts were expected to be collected, irrespective of the Company’s determination of the collectability of substantially all rents over the life of a lease. Upon adoption of Topic 842, if at any time the Company cannot determine that it is probable that substantially all rents over the life of a lease are collectible, rental revenue will be recognized only to the extent of payments received and all receivables associated with the lease will be written off irrespective of amounts expected to be collectible. Upon adoption of Topic 842 and as of the adoption date, the Company recorded a $32.5 million reduction in equity and accounts receivable due to the cumulative effect of this change. This reduction consisted of $17.5 million of straight-line rental income receivables and $15.0 million of cash rent receivables, although management believes the $15.0 million of cash rent receivables are collectible. Any recoveries of these amounts will be recorded in future periods upon receipt of payment. Under Topic 842, future write-offs of receivables and any recoveries of previously written-off receivables will be recorded as adjustments to rental revenue.
Furthermore, Topic 842 requires lessors to exclude from variable payments lessor costs paid by lessees directly to third parties. In contrast, lessor costs that are paid by the lessor and reimbursed by the lessee are included in the measurement of variable lease revenue and the associated expense. As a result, the Company recognized $4.8 million and $9.0 million of variable lease revenue and the associated expense during the three and six months ended June 30, 2019, respectively.
Issued but Not Yet Adopted
In June 2016, the FASB issued ASU 2016-13, Financial Instruments—Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments (“ASU 2016-13”). ASU 2016-13 requires that a financial asset (or a group of financial assets) measured at amortized cost basis be presented at the net amount expected to be collected. The allowance for credit losses is a valuation account that is deducted from the amortized cost basis of the financial asset(s) to present the net carrying value at the amount expected to be collected on the financial asset. The amendments in ASU 2016-13 are an improvement because they eliminate the probable initial recognition threshold under current GAAP and, instead, reflect an entity’s current estimate of all expected credit losses. Previously, when credit losses were measured under GAAP, an entity generally only considered past events and current conditions in measuring the incurred loss. In November 2018, the FASB issued ASU 2018-19, Codification Improvements to Topic 326, Financial Instruments—Credit Losses (“ASU 2018-19”), which amends ASU 2016-13 to clarify that receivables arising from operating leases are not within the scope of Subtopic 326-20, and instead, impairment of such receivables should be accounted for in accordance with ASU 2016-02, Leases, as amended by subsequent ASUs (“Topic 842, Leases.842”). In November 2019, the FASB issued ASU 2019-11, Codification Improvements to Topic 326, Financial Instruments—Credit Losses (“ASU 2019-11”), which amends ASU 2016-13 to clarify or address stakeholders’ specific issues about certain aspects of ASU 2016-13. ASU 2016-13, ASU 2018-19 and ASU 2018-192019-11 are effective for fiscal years and interim periods within those years beginning after December 15, 2019, with early adoption permitted as of the fiscal years beginning after December 15, 2018. An entity will apply the amendments in these updates through a cumulative-effect adjustment to retained earnings as of the beginning of the first reporting period in which the guidance is effective (that is, a modified-retrospective approach). The Company adopted ASU 2016-13, ASU 2018-19 and ASU 2019-11 (collectively, “Topic 326”) on January 1, 2020.
The financial assets within the scope of Topic 326 are the Company’s investments in a direct financing lease and loans receivable, including the portion of unfunded loan commitments expected to be funded. The allowance for credit losses is currently evaluatingcalculated using the impact this guidance will haverelated amortization schedules, payment histories and loan-to-value ratios. The following rates are applied to determine the aggregate expected losses, which is recorded as the allowance for credit losses: (i) a default rate, (ii) a liquidation cost rate and (iii) a distressed property reduction rate. If no loan-to-value ratio is available, a loss severity rate is applied in place of the liquidation cost rate and the distressed property reduction rate. The default rate is based on itsaverage charge-off and delinquency rates from the Federal Reserve, and the other rates are based on industry research and historical performance of a similar portfolio of financial assets. Related interest income receivable balances are evaluated separately for collectability, and reserves are established based on management’s estimate of losses.
Upon adoption of these standards, the Company recognized the cumulative effect on the opening balance of the allowance for credit losses in the condensed consolidated financial statements when adopted.balance sheets, which resulted in an increase to cumulative distributions in excess of net income and a decrease to total assets of $0.2 million.
Issued but Not Yet Adopted
In August 2018,March 2020, the FASB issued ASU 2018-13, Fair Value Measurement2020-04, Reference Rate Reform (Topic 820)848): Disclosure Framework—Changes toFacilitation of the Disclosure Requirements for Fair Value MeasurementEffects of Reference Rate Reform on Financial Reporting (“ASU 2018-13”2020-04”). ASU 2018-13 updates2020-04 provides temporary optional guidance that provides transition relief for reference rate reform, including optional expedients and exceptions for applying GAAP to contract modifications, hedging relationships and other transactions that reference LIBOR or a reference rate that is expected to be discontinued as a result of reference rate reform if certain criteria are met. ASU 2020-04 is effective upon issuance, and the fair value measurement disclosure requirements by (i) eliminating certain requirements, including disclosureprovisions generally can be applied prospectively as of January 1, 2020 through December 31, 2022. During the first quarter of 2020, the Company elected to apply the hedge accounting expedients related to probability and the assessments of effectiveness for future LIBOR-indexed cash flows to assume that the index upon which future hedged transactions will be based matches the index on the corresponding derivatives. Application of these expedients preserves the presentation of derivatives consistent

with past presentation. The Company continues to evaluate the impact of the amount ofguidance and reasons for transfers between Level 1 and Level 2 of the fair value hierarchy, the policy for timing of transfers between levels and the valuation processes for Level 3 fair value measurements, (ii) modifying certain requirements, including clarifying that the measurement uncertainty disclosure is to communicate information about the uncertainty in measurementmay apply other elections as of the reporting date and (iii) adding certain requirements, including disclosure of theapplicable as additional changes in unrealized gains and losses for the period included in other comprehensive income for recurring Level 3 fair value measurements held at the end of the reporting period and the range and weighted average of significant unobservable inputs used to develop Level 3 fair value measurements. ASU 2018-13 is effective for fiscal years and interim periods within those years beginning after December 15, 2019, with early adoption permitted for any eliminated or modified disclosures. The Company is currently evaluating the impact this guidance will have on its consolidated financial statements when adopted.market occur.


3.     RECENT REAL ESTATE ACQUISITIONS
NoDuring the six months ended June 30, 2020, the Company acquired 3 Senior Housing - Leased communities and 1 Senior Housing - Managed community. These investments were part of the Company’s proprietary development pipeline, and $20.7 million was previously funded through its preferred equity investments in these developments. NaN acquisitions were completed during the six months ended June 30, 2019. During the six months ended June 30, 2018, the Company acquired 11 Senior Housing - Managed communities, five senior housing communities and two skilled nursing/transitional care facilities. The consideration was allocated as follows (in thousands):
 Six Months Ended Six Months Ended June 30,
 June 30, 2018 2020
Land $24,356
 $5,800
Building and improvements 187,903
 104,952
Tenant origination and absorption costs intangible assets 1,312
 2,578
Tenant relationship intangible assets 412
 347
    
Total consideration $213,983
 $113,677
  

For the acquisitions completed during the six months ended June 30, 2018, theThe tenant origination and absorption costs intangible assets and tenant relationship intangible assets had weighted-average amortization periods as of the respective dates of acquisition of 13seven years and 2225 years, respectively.respectively, for acquisitions completed during the six months ended June 30, 2020.
For the three and six months ended June 30, 2018,2020, the Company recognized $10.7$3.4 million and $20.4$5.8 million of total revenues, respectively, and $1.6$1.4 million and $2.5$2.2 million of net income attributable to common stockholders, respectively, from the facilities acquired during the six months ended June 30, 2018.2020.

4.    INVESTMENT IN REAL ESTATE PROPERTIES HELD FOR INVESTMENT
The Company’s real estate properties held for investment consisted of the following (dollars in thousands):
As of June 30, 20192020
Property Type 
Number of
Properties
 
Number of
Beds/Units
 
Total
Real Estate
at Cost
 
Accumulated
Depreciation
 
Total
Real Estate
Investments, Net
 
Number of
Properties
 
Number of
Beds/Units
 
Total
Real Estate
at Cost
 
Accumulated
Depreciation
 
Total
Real Estate
Investments, Net
Skilled Nursing/Transitional Care 304
 33,879
 $3,712,541
 $(259,872) $3,452,669
 290
 32,516
 $3,673,749
 $(347,201) $3,326,548
Senior Housing - Leased (1)
 62
 4,011
 646,092
 (70,563) 575,529
 65
 4,290
 725,857
 (82,357) 643,500
Senior Housing - Managed (1)
 44
 4,470
 863,341
 (94,969) 768,372
 47
 4,922
 926,740
 (126,358) 800,382
Specialty Hospitals and Other 22
 1,085
 621,236
 (39,226) 582,010
 25
 1,193
 642,778
 (55,105) 587,673
 432
 43,445
 5,843,210
 (464,630) 5,378,580
 427
 42,921
 5,969,124
 (611,021) 5,358,103
Corporate Level     634
 (340) 294
     796
 (384) 412
     $5,843,844
 $(464,970) $5,378,874
     $5,969,920
 $(611,405) $5,358,515

As of December 31, 20182019
Property Type 
Number of
Properties
 
Number of
Beds/Units
 
Total
Real Estate
at Cost
 
Accumulated
Depreciation
 
Total
Real Estate
Investments, Net
Skilled Nursing/Transitional Care 296
 33,290
 $3,701,666
 $(306,565) $3,395,101
Senior Housing - Leased 62
 3,820
 630,688
 (72,278) 558,410
Senior Housing - Managed 46
 4,809
 907,771
 (112,893) 794,878
Specialty Hospitals and Other 25
 1,193
 639,721
 (47,124) 592,597
  429
 43,112
 5,879,846
 (538,860) 5,340,986
Corporate Level     737
 (353) 384
      $5,880,583
 $(539,213) $5,341,370
Property Type 
Number of
Properties
 
Number of
Beds/Units
 
Total
Real Estate
at Cost
 
Accumulated
Depreciation
 
Total
Real Estate
Investments, Net
Skilled Nursing/Transitional Care 335
 37,628
 $4,094,484
 $(224,942) $3,869,542
Senior Housing - Leased (1)
 90
 7,332
 1,237,790
 (125,902) 1,111,888
Senior Housing - Managed (1)
 23
 1,603
 301,739
 (19,537) 282,202
Specialty Hospitals and Other 22
 1,085
 621,236
 (31,640) 589,596
  470
 47,648
 6,255,249
 (402,021) 5,853,228
Corporate Level     634
 (317) 317
      $6,255,883
 $(402,338) $5,853,545
(1) During the six months ended June 30, 2019, the Company transitioned 21 senior housing communities to its Senior Housing - Managed portfolio.

June 30, 2019 December 31, 2018June 30, 2020 December 31, 2019
Building and improvements$5,017,138
 $5,388,102
$5,128,893
 $5,042,435
Furniture and equipment233,775
 237,145
242,272
 239,229
Land improvements1,398
 1,254
1,703
 1,534
Land591,533
 629,382
597,052
 597,385
5,843,844
 6,255,883
5,969,920
 5,880,583
Accumulated depreciation(464,970) (402,338)(611,405) (539,213)
$5,378,874
 $5,853,545
$5,358,515
 $5,341,370

Operating Leases
As of June 30, 20192020, the substantial majority of the Company’s real estate properties (excluding 4447 Senior Housing - Managed communities) were leased under triple-net operating leases with expirations ranging from less than one year to 1416 years. As of June 30, 20192020, the leases had a weighted-average remaining term of eight years. The leases generally include provisions to extend the lease terms and other negotiated terms and conditions. The Company, through its subsidiaries, retains substantially all of the risks and benefits of ownership of the real estate assets leased to the tenants. The Company may receive additional security under these operating leases in the form of letters of credit and security deposits from the lessee or guarantees from the parent of the lessee. Security deposits received in cash related to tenant leases are included in accounts payable and accrued liabilities on the accompanying condensed consolidated balance sheets and totaled $10.811.2 million and $12.4$10.5 million as of June 30, 20192020 and December 31, 2018,2019, respectively, and letters of credit deposited with the Company totaled approximately $78$84 million and $98$83 million as of June 30, 20192020 and December 31, 2018,2019, respectively. In addition, the Company’s tenants have deposited with the Company $15.0$16.2 million and $17.5$14.3 million as of June 30, 20192020 and December 31, 2018,2019, respectively, for future real estate taxes, insurance expenditures and tenant improvements related to the Company’s properties and their operations.operations, and these amounts are included in accounts payable and accrued liabilities on the accompanying condensed consolidated balance sheets.
On February 15, 2019,Lessor costs that are paid by the lessor and reimbursed by the lessee are included in the measurement of variable lease revenue and the associated expense. As a result, the Company entered into a settlement agreement with Senior Care Centers in connection withrecognized variable lease revenue and the noticesassociated expense of default$5.5 million and lease termination issued by the Company to Senior Care Centers$10.7 million during the third quarter of 2018. In accordance with the order entered by the bankruptcy court in March 2019, the settlement agreement provided for the discharge by the Company of its claims against Senior Care Centers in exchange for $9.5 million of settlement payments, a portion of which was applied to pay post-petition rent. The Company recorded $0.5three and six months ended June 30, 2020, respectively, and $4.8 million and $6.2$9.0 million of such post-petition rent during the three and six months ended June 30, 2019, respectively. On April 1, 2019, the Company completed the sale of 28 facilities (26 skilled nursing/transitional care facilities and two senior housing communities) previously operated by Senior Care Centers and received gross sales proceeds of $282.5 million. In connection with the sale, the Company entered into an agreement to indemnify the buyer from certain costs, expenses and liabilities related to the historical operations of the facilities by Senior Care Centers. In May 2019, the Company transitioned eight facilities previously operated by Senior Care Centers to a current operator in the Sabra portfolio, and the Company expects to sell the remaining two facilities operated by Senior Care Centers. During the six months ended June 30, 2019, the Company recorded an impairment charge of $92.2 million related to the Senior Care Centers facilities, which includes $10.2 million related to the Company’s estimated contractual indemnification obligations.
On December 19, 2018, the Company entered into a letter of intent to terminate its triple-net master lease with Holiday Retirement (“Holiday”) with respect to all 21 senior housing communities subject to the master lease (the “Holiday Communities”) and concurrently enter into management agreements pursuant to which Holiday would manage the Holiday Communities. On April 1, 2019, the Company completed the conversion of the Holiday Communities to its Senior Housing - Managed portfolio and recognized lease termination income of $66.9 million, which includes a $57.2 million lease termination payment received in exchange for terminating the Holiday master lease and a $9.7 million gain related to the assumption of fixed assets net of liabilities.
The Company monitors the creditworthiness of its tenants by reviewing credit ratings (if available) and evaluating the ability of the tenants to meet their lease obligations to the Company based on the tenants’ financial performance, including the evaluation of any parent guarantees (or the guarantees of other related parties) of tenant lease obligations. As formal credit ratings may not be available for most of the Company’s tenants, the primary basis for the Company’s evaluation of the credit quality of its tenants (and more specifically the tenant’s ability to pay their rent obligations to the Company) is the tenant’s lease coverage ratio or the parent’s fixed charge coverage ratio for those entities with a parent guarantee. These coverage ratios include earnings before interest, taxes, depreciation, amortization and rent (“EBITDAR”) to rent and earnings before interest, taxes, depreciation, amortization, rent and management fees (“EBITDARM”) to rent at the lease level and consolidated EBITDAR to total fixed charges at the parent guarantor level when such a guarantee exists. The Company obtains various financial and operational information from its tenants each month and reviews this information in conjunction with the above-

describedabove-described coverage metrics to identify financial and operational trends, evaluate the impact of the industry’s operational and financial environment (including the impact of government reimbursement), and evaluate the management of the tenant’s

operations. These metrics help the Company identify potential areas of concern relative to its tenants’ credit quality and ultimately the tenant’s ability to generate sufficient liquidity to meet its obligations, including its obligation to continue to pay the rent due to the Company.
For the three and six months ended June 30, 2019,2020, no tenant relationship represented 10% or more of the Company’s total revenues.
The future minimum rental payments from the Company’s properties held for investment under non-cancelable operating leases were as follows and may materially differ from actual future rental payments received (in thousands):
As of June 30, 20192020
July 1 through December 31, 2019$217,991
2020423,770
July 1 through December 31, 2020$213,599
2021420,407
430,623
2022396,598
410,981
2023378,439
396,203
2024395,683
Thereafter2,007,117
1,866,622
$3,844,322
$3,713,711
  
 

As of December 31, 2018
2019$465,766
2020456,207
2021452,346
2022454,216
2023437,277
Thereafter2,407,064
 $4,672,876
  

Senior Housing - Managed Communities
The Company’s Senior Housing - Managed communities offer residents certain ancillary services that are not contemplated in the lease with each resident (i.e., housekeeping, laundry, guest meals, etc.). These services are provided and paid for in addition to the standard services included in each resident lease (i.e., room and board, standard meals, etc.). The Company bills residents for ancillary services one month in arrears and recognizes revenue as the services are provided, as the Company has no continuing performance obligation related to those services. Resident fees and services includesinclude ancillary service revenue of $0.2 million and $0.4 million for the three and six months ended June 30, 2020, respectively, and $0.2 million and $0.3 million for the three and six months ended June 30, 2019, respectively,respectively.
Investment in Unconsolidated Joint Venture
The Company has a 49% equity interest in a joint venture with affiliates of Enlivant and $0.1TPG Real Estate, the real estate platform of TPG, that owns senior housing communities managed by Enlivant (the “Enlivant Joint Venture”). During the six months ended June 30, 2020, the Enlivant Joint Venture sold 11 senior housing communities for aggregate gross proceeds of $17.5 million, and the Company recorded an aggregate net loss on sale of real estate related to unconsolidated joint venture of $10.8 million. As of June 30, 2020, the Enlivant Joint Venture owned 159 senior housing communities, and the book value of the Company’s investment in the Enlivant Joint Venture was $295.3 million.
Net Investment in Direct Financing Lease
As of June 30, 2020, the Company had a $23.9 million net investment in 1 skilled nursing/transitional care facility leased to an operator under a direct financing lease, as the tenant is obligated to purchase the property at the end of the lease term. The net investment in direct financing lease is recorded in accounts receivable, prepaid expenses and other assets, net on the accompanying condensed consolidated balance sheets and represents the present value of total rental payments of $3.0 million, plus the estimated purchase price of $24.7 million, less the unearned lease income of $3.6 million and allowance for credit losses of $0.2 million as of June 30, 2020. Unearned lease income represents the excess of the minimum lease payments and residual value over the cost of the investment. Unearned lease income is deferred and amortized to income over the lease term to provide a constant yield when collectability of the lease payments is reasonably assured. Income from the Company’s net investment in direct financing lease was $0.7 million and $1.3 million for the three and six months ended June 30, 2018,2020, respectively, and $0.7 million and $1.3 million for the three and six months ended June 30, 2019, respectively, and is reflected in interest and other income on the accompanying condensed consolidated statements of income. Upon adoption of Topic 326 on January 1, 2020 and as of the adoption date, the Company recorded a $0.2 million reduction in equity and increase to its allowance for credit losses due to the cumulative effect of the changes contemplated by Topic 326. During the three and six months ended June 30, 2020, the Company reduced its allowance for credit losses by $21,000 and $37,000, respectively. Future minimum lease payments contractually due under the direct financing lease at June 30, 2020 were as follows: $1.1 million for the remainder of 2020 and $2.1 million for 2021.


5.    IMPAIRMENT OF REAL ESTATE AND DISPOSITIONS
2019
Impairment of Real Estate
During the six months ended June 30, 2019, the Company recognized a $105.1 million real estate impairment, of which amount $92.2 million related to the 28 Senior Care Centers facilities sold on April 1, 2019 and three additional Senior Care Centers facilities, and the remaining $12.9 million related to four additional skilled nursing/transitional care facilities.

2020
Dispositions
During the six months ended June 30, 2019,2020, the Company completed the sale of 316 skilled nursing/transitional care facilities and seven senior housing communities for aggregate consideration, net of closing costs, of $315.0$24.3 million. The net carrying value of the assets and liabilities of these facilities was $313.8$24.2 million, which resulted in an aggregate $1.2$0.1 million net gain on sale.
ExcludingDuring the six months ended June 30, 2020, the Company recognized $0.4 million of net income, which includes the $0.1 million net gain on sale, and real estate impairment, the Company recognized $3.1 million and $18.0 million of net income during the six months ended June 30, 2019, and 2018, respectively,recognized $9.9 million of net loss, which includes $10.6 million of real estate impairment, in each case from these facilities. The sale of these facilities does not represent a strategic shift that has or will have a major effect on the Company’s operations and financial results, and therefore the results of operations attributable to these facilities have remained in continuing operations.
20182019
Impairment of Real Estate
During the six months ended June 30, 2018,2019, the Company recognized a $1.4$105.1 million real estate impairment, of which $0.5$92.2 million related to one senior housing communitythe 30 Senior Care Centers facilities that the Company sold duringand 1 additional Senior Care Centers facility that the period.Company transitioned to another operator, and the remaining $12.9 million related to 4 additional skilled nursing/transitional care facilities which were subsequently sold.
Dispositions
During the six months ended June 30, 2018,2019, the Company completed the sale of 3331 skilled nursing/transitional care facilities and four7 senior housing communities for aggregate consideration, net of closing costs, of $278.3$315.0 million. The net carrying value of the assets and liabilities of these facilities was $135.8$313.8 million, which resulted in an aggregate $142.5$1.2 million net gain on sale. The Company also recognized an additional $0.1 million of selling expenses for sales completed in 2017.
Excluding the net gain on sale and real estate impairment, the Company recognized $11.6 million and $15.4 million of net income duringDuring the six months ended June 30, 20182019, the Company recognized $65.1 million of net loss, which includes the $1.2 million net gain on sale and 2017$69.1 million of real estate impairment, from these facilities. The sale of these facilities does not represent a strategic shift that has or will have a major effect on the Company’s operations and financial results, and therefore the results of operations attributable to these facilities have remained in continuing operations.


6.    LOANS RECEIVABLE AND OTHER INVESTMENTS
As of June 30, 20192020 and December 31, 2018,2019, the Company’s loans receivable and other investments consisted of the following (dollars in thousands):
         June 30, 2019          June 30, 2020 
Investment 
Quantity
as of
June 30,
2019
 Property Type 
Principal Balance
as of
June 30,
2019 (1)
 
Book Value
as of
June 30,
2019
 
Book Value
as of
December 31, 2018
 Weighted Average Contractual Interest Rate / Rate of Return Weighted Average Annualized Effective Interest Rate / Rate of Return 
Maturity Date
as of
June 30,
2019
 
Quantity
as of
June 30,
2020
 Property Type 
Principal Balance
as of
June 30,
2020 (1)
 
Book Value
as of
June 30,
2020
 
Book Value
as of
December 31, 2019
 Weighted Average Contractual Interest Rate / Rate of Return Weighted Average Annualized Effective Interest Rate / Rate of Return 
Maturity Date
as of
June 30,
2020
Loans Receivable:Loans Receivable:              Loans Receivable:              
Mortgage 1
 Specialty Hospital $19,000
 $19,000
 $18,577
 10.0% 10.0% 01/31/27 1
 Specialty Hospital $19,000
 $19,000
 $19,000
 10.0% 10.0% 01/31/27
Construction 2
 Senior Housing 5,363
 5,418
 4,629
 8.0% 7.7% 04/30/21- 09/30/22 1
 Senior Housing 3,276
 3,294
 2,487
 8.0% 7.8% 09/30/22
Mezzanine 
 Skilled Nursing 
 
 2,188
 N/A
 N/A
 N/A
Other 17
 Multiple 48,365
 44,418
 45,324
 6.8% 7.3% 02/28/19- 08/31/28 17
 Multiple 45,443
 41,487
 42,147
 6.8% 6.9% 09/01/20- 08/31/28
                          
 20
 72,728
 68,836
 70,718
 7.7% 8.1%  19
 67,719
 63,781
 63,634
 7.7% 7.9% 
                          
Loan loss reserve 
 (1,960) (1,258)     
Allowance for loan losses   
 (1,375) (564)     
                          
   $72,728
 $66,876
 $69,460
        $67,719
 $62,406
 $63,070
     
Other Investments:Other Investments:           Other Investments:           
Preferred Equity 9
 Skilled Nursing / Senior Housing 43,915
 44,327
 44,262
 12.0% 12.0% N/A 5
 Skilled Nursing / Senior Housing 21,848
 21,995
 44,304
 12.5% 12.5% N/A
                          
Total 29
 $116,643
 $111,203
 $113,722
 9.3% 9.6%  24
 $89,567
 $84,401
 $107,374
 8.9% 9.1% 
                          

(1) 
Principal balance includes amounts funded and accrued but unpaid interest / preferred return and excludes capitalizable fees.

As of June 30, 20192020 and December 31, 2018,2019, the Company had six and seven4 loans receivable investments, respectively, with an aggregate principal balance of $3.1$2.2 million and $27.7$2.3 million, respectively, that were considered to have deteriorated credit quality. As of June 30, 20192020 and December 31, 2018,2019, the book value of the outstanding loans with deteriorated credit quality was $1.5$0.6 million and $4.2$0.8 million, respectively. During the six months ended June 30, 2019, one loan with deteriorated credit quality was repaid.
The following table presents changes in the accretable yield for the three and six months ended June 30, 20192020 and 20182019 (in thousands):
 Three Months Ended June 30, Six Months Ended June 30,Three Months Ended June 30, Six Months Ended June 30,
 2019 2018 2019 20182020 2019 2020 2019
Accretable yield, beginning of period $198
 $1,883
 $449
 $2,483
$31
 $198
 $39
 $449
Accretion recognized in earnings (86) (1,529) (304) (2,129)(7) (86) (15) (304)
Reduction due to payoff 
 
 (33) 

 
 
 (33)
Net reclassification from nonaccretable difference 
 727
 
 727
Accretable yield, end of period $112
 $1,081
 $112
 $1,081
$24
 $112
 $24
 $112
               

During the three and six months ended June 30, 2020, the Company increased its allowance for loan losses by $0.1 million and $0.8 million, respectively.
As of June 30, 2020, the Company had a $1.4 million allowance for loan losses. As of June 30, 2020, 2 loans receivable investments with 0 book value were on nonaccrual status. As of June 30, 2020, the Company did not consider any preferred equity investments to be impaired, and no preferred equity investments were on nonaccrual status.
As of December 31, 2019, the Company had 0 asset-specific loan loss reserve and a $0.6 million portfolio-based loan loss reserve. As of December 31, 2019, the Company did 0t consider any loans receivable investments to be impaired. As of December 31, 2019, 2 loans receivable investments with 0 book value were on nonaccrual status. As of December 31, 2019, the Company did not consider any preferred equity investments to be impaired, and no preferred equity investments were on nonaccrual status.
During the three months ended June 30, 2019, the Company recorded no0 provision for specific loan losses, and during the six months ended June 30, 2019, the Company recorded a $1.2 million provision for specific loan losses. During each of the three and six months ended June 30, 2019, the Company increased its portfolio-based loan loss reserve by $0.2 million.
As of June 30, 2019, the Company had a $1.3 million specific loan loss reserve and a $0.7 million portfolio-based loan loss reserve. As of June 30, 2019, the Company considered one loan receivable investment to be impaired, which had a principal balance of $4.3 million as of each of June 30, 2019 and December 31, 2018. As of June 30, 2019, three loans receivable investments with an aggregate book value of $4.3 million were on nonaccrual status. As of June 30, 2019, the Company did not consider any preferred equity investments to be impaired, and no preferred equity investments were on nonaccrual status.
As of December 31, 2018, the Company had a $0.7 million specific loan loss reserve and a $0.6 million portfolio-based loan loss reserve. As of December 31, 2018, the Company considered one loan receivable investment with a principal balance of $1.3 million to be impaired, and two loans receivable investments with an aggregate book value of $1.3 million were on nonaccrual status. Additionally, as of December 31, 2018, the Company recognized interest income related to one loan receivable investment, with a book value of $4.3 million, that was more than 90 days past due. As of December 31, 2018, the Company did not consider any preferred equity investments to be impaired, and no preferred equity investments were on nonaccrual status.
During the three and six months ended June 30, 2018, the Company recorded no provision for specific loan losses and increased its portfolio-based loan loss reserve by $0.2 million and $0.3 million, respectively.


7.    DEBT
Secured Indebtedness
The Company’s secured debt consists of the following (dollars in thousands):
Interest Rate Type
Principal Balance as of
June 30, 2019
(1)
 
Principal Balance as of
December 31, 2018
 (1)
 
Weighted Average
Effective Interest Rate at
June 30, 2019
(2)
 
Maturity
Date
Principal Balance as of
June 30, 2020
(1)
 
Principal Balance as of
December 31, 2019
��(1)
 
Weighted Average
Interest Rate at
June 30, 2020
(2)
 
Maturity
Date
Fixed Rate$116,421
 $117,464
 3.67% December 2021 - 
August 2051
$98,141
 $114,777
 3.48% December 2021 - 
August 2051
(1)  
Principal balance does not include deferred financing costs, net of $1.7$1.3 million and $1.8$1.7 million as of June 30, 20192020 and December 31, 2018,2019, respectively.
(2)  
Weighted average effective interest rate includes private mortgage insurance.

On April 1, 2020, the Company sold 2 facilities that secured an aggregate $14.2 million of debt, which was assumed by the buyer of the facilities.
Senior Unsecured Notes
The Company’s senior unsecured notes consist of the following (dollars in thousands):
 Principal Balance as of Principal Balance as of
Title Maturity Date 
June 30, 2019 (1)
 
December 31, 2018 (1)
 Maturity Date 
June 30, 2020 (1)
 
December 31, 2019 (1)
        
5.5% senior unsecured notes due 2021 (“2021 Notes”) February 1, 2021 $
 $500,000
5.375% senior unsecured notes due 2023 (“2023 Notes”) June 1, 2023 200,000
 200,000
4.80% senior unsecured notes due 2024 (“2024 Notes”) June 1, 2024 300,000
 
 June 1, 2024 $300,000
 $300,000
5.125% senior unsecured notes due 2026 (“2026 Notes”) August 15, 2026 500,000
 500,000
 August 15, 2026 500,000
 500,000
5.38% senior unsecured notes due 2027 (“2027 Notes”) May 17, 2027 100,000
 100,000
5.88% senior unsecured notes due 2027 (“2027 Notes”) May 17, 2027 100,000
 100,000
3.90% senior unsecured notes due 2029 (“2029 Notes”) October 15, 2029 350,000
 350,000
 $1,100,000
 $1,300,000
 $1,250,000
 $1,250,000
        

(1) 
Principal balance does not include premium, net of $14.0$7.0 million and deferred financing costs, net of $7.5$8.8 million as of June 30, 20192020 and does not include premium, net of $14.5$7.6 million and deferred financing costs, net of $7.1$8.8 million as of December 31, 2018.2019.
The 20232024 Notes and the 2029 Notes were issued by the Operating Partnership and Sabra Capital Corporation, wholly owned subsidiaries of the Company, (the “Issuers”). The 2023 Notesand accrue interest at a rate of 5.375%4.80% and 3.90%, respectively, per annumannum. Interest is payable semiannually on June 1 and December 1 of each year.
On May 29, 2019, the Issuers completed an underwritten public offering of $300.0 million aggregate principal amount of 2024 Notes. The net proceeds were $295.3 million after deducting underwriting discounts and other offering expenses. The net proceeds, together with borrowings under the Revolving Credit Facility (as defined below), were used to redeem the 2021 Notes as discussed below. The 2024 Notes accrue interest at a rate of 4.80% per annum payable semiannually on June 1 and December 1 of each year. The 2024 Notes are redeemable at the option of the Issuers, in whole or in part at any time and from time to time, prior to May 1, 2024, at a price equal to 100% of the principal amount, together with any accrued and unpaid interest to, but not including, the redemption date, plus a “make-whole” premium. The Issuers may also redeemyear for the 2024 Notes and on or after May 1, 2024, at a price equal to 100%April 15 and October 15 of the principal amount, together with any accrued and unpaid interest to, but not including, the redemption date. Assuming the 2024 Notes are not redeemed, the 2024 Notes mature on June 1, 2024.
Additionally, on May 29, 2019, the Issuers issued a notice of redemption for all $500.0 million aggregate principal amount outstanding of the 2021 Notes. On June 29, 2019, the Company redeemed the 2021 Notes at a cash redemption price of 101.375% of the principal amount being redeemed, plus accrued and unpaid interest. The redemption resulted in $10.1 million of redemption related costs and write-offseach year for the three and six months ended June 30, 2019, including $6.9 million in payments made to noteholders and legal fees for early redemption and $3.2 million of write-offs associated with unamortized deferred financing and premium costs. These amounts are included in loss on extinguishment of debt on the accompanying condensed consolidated statements of income.2029 Notes.
The 2026 Notes and the 2027 Notes were assumed as a result of the CCP MergerCompany’s merger with Care Capital Properties, Inc. in 2017 and accrue interest at a rate of 5.125% and 5.38%5.88%, respectively, per annum. Interest is payable semiannually on February 15 and August 15 of each year for the 2026 Notes and on May 17 and November 17 of each year for the 2027 Notes.
The obligations under the 2023 Notes, 2024 Notes and 2027 Notes are fully and unconditionally guaranteed, jointly and severally, on an unsecured basis, by Sabra and certainone of its non-operating subsidiaries, of Sabra; provided, however, that such guarantees are subject to release under certain customary circumstances. The obligations under the 2026 Notes and 2029 Notes are fully and unconditionally guaranteed, on an unsecured basis, by Sabra; provided, however, that such guarantee is subject to release under certain customary circumstances. See Note 12, “Summarized Condensed Consolidating Information” for additional information concerning the circumstances pursuant to which the guarantors will be automatically and unconditionally released from their obligations under the guarantees.
The indentures and agreements (the “Senior Notes Indentures”) governing the 2023 Notes, 2024 Notes, 2026 Notes, 2027 Notes and 20272029 Notes (collectively, the “Senior Notes”) include customary events of default and require the Company to comply with specified restrictive covenants. As of June 30, 2019,2020, the Company was in compliance with all applicable financial covenants under the Senior Notes Indentures.
Credit FacilityAgreement
Effective on August 17, 2017,On September 9, 2019, the Operating Partnership and Sabra Canadian Holdings, LLC (together, the “Borrowers”), Sabra and the other parties thereto entered into a fourthfifth amended and restated unsecured credit facilityagreement (the “Credit Facility”Agreement”).

The Credit FacilityAgreement includes a $1.0 billion revolving credit facility (the “Revolving Credit Facility”), $1.1 billion$955.0 million in U.S. dollar term loans and a CAD $125.0 million Canadian dollar term loan (collectively, the “Term Loans”). Further, up to $175.0 million of the Revolving Credit Facility may be used for borrowings in certain foreign currencies. The Credit FacilityAgreement also contains an accordion feature that can increase the total available borrowings to $2.5$2.75 billion, subject to terms and conditions.

The Revolving Credit Facility has a maturity date of August 17, 2021,September 9, 2023, and includes two2 six-month extension options. $200.0$105.0 million of the U.S. dollar Term Loans has a maturity date of August 17, 2020,September 9, 2022, $350.0 million of the U.S. dollar Term Loans has a maturity date of September 9, 2023, and the other Term Loans have a maturity date of August 17, 2022.September 9, 2024.
As of June 30, 2019,2020, there was $275.0$73.0 million outstanding under the Revolving Credit Facility and $725.0$927.0 million available for borrowing.
Borrowings under the Revolving Credit Facility bear interest on the outstanding principal amount at a rate equal to ana ratings-based applicable interest margin plus, at the Operating Partnership’s option, either (a) LIBOR or (b) a base rate determined as the greater of (i) the federal funds rate plus 0.5%, (ii) the prime rate, and (iii) one-month LIBOR plus 1.0% (the “Base Rate”). On August 17, 2017, Sabra’s ratings met the Investment Grade Ratings Criteria (as defined in the credit agreement), and Sabra elected to use theThe ratings-based applicable interest margin for borrowings which will vary based on the Debt Ratings, as defined in the credit agreement,Credit Agreement, and will range from 0.875%0.775% to 1.65%1.45% per annum for LIBOR based borrowings and 0.00% to 0.65%0.45% per annum for borrowings at the Base Rate. As of June 30, 2019,2020, the interest rate on the Revolving Credit Facility was 3.65%1.26%. In addition, the Operating Partnership pays a facility fee ranging between 0.125% and 0.300% per annum based on the aggregate amount of commitments under the Revolving Credit Facility regardless of amounts outstanding thereunder.
The U.S. dollar Term Loans bear interest on the outstanding principal amount at a rate equal to ana ratings-based applicable interest margin plus, at the Operating Partnership’s option, either (a) LIBOR or (b) the Base Rate. The ratings-based applicable interest margin for borrowings will vary based on the Debt Ratings as defined in the credit agreement, and will range from 0.90%0.85% to 1.90%1.65% per annum for LIBOR based borrowings and 0.00% to 0.90%0.65% per annum for borrowings at the Base Rate. The Canadian dollar Term Loan bears interest on the outstanding principal amount at a rate equal to the Canadian Dollar Offered Rate (“CDOR”) plus an interest margin that will rangeranges from 0.90%0.85% to 1.90%1.65% depending on the Debt Ratings.
On June 10, 2015, theThe Company entered into anhas interest rate swap agreement to fix the CDOR portion of the interest rate for CAD $90.0 million of its Canadian dollar Term Loan at 1.59%. In addition, CAD $90.0 million of the Canadian dollar Term Loan was designated as a net investment hedge. On August 10, 2016, the Company entered into two interest rate swap agreements to fix the LIBOR portion of the interest rate for $245.0 million of its U.S. dollar Term Loans at 0.90% and one interest rate swap agreement to fix the CDOR portion on CAD $35.0 million of its Canadian dollar Term Loan at 0.93%. See Note 8, “Derivative and Hedging Instruments” for further information.
As a result of the CCP Merger, the Company assumed eight interest rate swap agreementsswaps that fix the LIBOR portion of the interest rate for $600$845.0 million of the Company’sLIBOR-based borrowings under its U.S. dollar Term Loans at a weighted average rate of 1.31%1.19% and an interest rate swap that fixes the CDOR portion of the interest rate for $125.0 million of CDOR-based borrowings under its Canadian dollar Term Loan at a rate of 0.93%. In addition, CAD $125.0 million of the Canadian dollar Term Loan is designated as a net investment hedge. See Note 8, “Derivative and Hedging Instruments”Instruments,” for further information.
The obligations of the Borrowers under the Credit FacilityAgreement are fully and unconditionally guaranteed, jointly and severally, on an unsecured basis, by Sabra and one of its non-operating subsidiaries, subject to release under certain subsidiaries of Sabra.customary circumstances.
The Credit FacilityAgreement contains customary covenants that include restrictions or limitations on the ability to make acquisitions and other investments, pay dividends, incur additional indebtedness, engage in non-healthcare related business activities, enter into transactions with affiliates and sell or otherwise transfer certain assets as well as customary events of default. The Credit FacilityAgreement also requires Sabra, through the Operating Partnership, to comply with specified financial covenants, which include a maximum total leverage ratio, a minimum secured debt leverage ratio, a minimum fixed charge coverage ratio, a maximum unsecured leverage ratio, and a minimum tangible net worth requirement.requirement and a minimum unsecured interest coverage ratio. As of June 30, 2019,2020, the Company was in compliance with all applicable financial covenants under the Credit Facility.Agreement.
Interest Expense
The Company incurred interest expense of $25.3 million and $51.0 million during the three and six months ended June 30, 2020, respectively, and $33.6 million and $69.9 million during the three and six months ended June 30, 2019, respectively, and $36.8 million and $72.6 million during the three and six months ended June 30, 2018, respectively. Interest expense includes non-cash interest expense of $2.8$2.2 million and $5.3 million for the three and six months ended June 30, 2019, respectively, and $2.5 million and $5.0$4.5 million for the three and six months ended June 30, 2018,2020, respectively, and $2.8 million and $5.3 million for the three and six months ended June 30, 2019, respectively. As of June 30, 20192020 and December 31, 20182019, the Company had $14.0$15.6 million and $24.0$16.7 million, respectively, of accrued interest included in accounts payable and accrued liabilities on the accompanying condensed consolidated balance sheets.

Maturities
The following is a schedule of maturities for the Company’s outstanding debt as of June 30, 20192020 (in thousands): 
 
Secured
Indebtedness 
 
Revolving Credit
    Facility (1)
 Term Loans Senior Notes Total 
Secured
Indebtedness
 
Revolving Credit
    Facility (1)
 Term Loans Senior Notes Total
July 1 through December 31, 2019 $1,735
 $
 $
 $
 $1,735
2020 3,552
 
 200,000
 
 203,552
July 1 through December 31, 2020 $1,607
 $
 $
 $
 $1,607
2021 18,751
 275,000
 
 
 293,751
 17,764
 
 
 
 17,764
2022 3,185
 
 995,487
 
 998,672
 2,816
 
 105,000
 
 107,816
2023 3,282
 
 
 200,000
 203,282
 2,898
 73,000
 350,000
 
 425,898
2024 2,983
 
 591,625
 300,000
 894,608
Thereafter 85,916
 
 
 900,000
 985,916
 70,073
 
 
 950,000
 1,020,073
Total Debt 116,421
 275,000
 1,195,487
 1,100,000
 2,686,908
 98,141
 73,000
 1,046,625
 1,250,000
 2,467,766
Premium, net 
 
 
 13,980
 13,980
 
 
 
 7,035
 7,035
Deferred financing costs, net (1,746) 
 (5,713) (7,462) (14,921) (1,280) 
 (9,438) (8,790) (19,508)
Total Debt, Net $114,675
 $275,000
 $1,189,774
 $1,106,518
 $2,685,967
 $96,861
 $73,000
 $1,037,187
 $1,248,245
 $2,455,293

(1) 
Revolving Credit Facility is subject to two2 six-month extension options.
    
8.    DERIVATIVE AND HEDGING INSTRUMENTS
The Company is exposed to various market risks, including the potential loss arising from adverse changes in interest rates and foreign exchange rates. The Company enters into derivative financial instruments to manage exposures that arise from business activities that result in the receipt or payment of future known and uncertain cash amounts, the value of which are determined by interest rates and foreign exchange rates. The Company’s derivative financial instruments are used to manage differences in the amount of the Company’s known or expected cash receipts and its known or expected cash payments principally related to the Company’s investments and borrowings.
Certain of the Company’s foreign operations expose the Company to fluctuations of foreign interest rates and exchange rates. These fluctuations may impact the value in the Company’s functional currency, the U.S. dollar, of the Company’s investment in foreign operations, the cash receipts and payments related to these foreign operations and payments of interest and principal under Canadian dollar denominated debt. The Company enters into derivative financial instruments to protect the value of its foreign investments and fix a portion of the interest payments for certain debt obligations. The Company does not enter into derivatives for speculative purposes.
Cash Flow Hedges
The Company’s objectives in using interest rate derivatives are to add stability to interest expense and to manage its exposure to interest rate movements. To accomplish these objectives, the Company primarily uses interest rate swaps and collars as part of its interest rate risk management strategy. In May 2019, the Company terminated three3 forward starting interest rate swaps, resulting in a payment to counterparties totaling $12.6 million. The balance of the loss in other comprehensive income will be reclassified to earnings through 2029. As of June 30, 2019,2020, approximately $2.5$11.8 million of gains,losses, which are included in accumulated other comprehensive income, are expected to be reclassified into earnings in the next 12 months.
Net Investment Hedges
The Company is exposed to fluctuations in foreign exchange rates on investments it holds in Canada. The Company uses cross currency interest rate swaps to hedge its exposure to changes in foreign exchange rates on these foreign investments.

The following presents the notional amount of derivative instruments as of the dates indicated (in thousands):
 June 30, 2019 December 31, 2018 June 30, 2020 December 31, 2019
Derivatives designated as cash flow hedges:        
Denominated in U.S. Dollars (1)
 $1,490,000
 $1,045,000
 $1,740,000
 $1,490,000
Denominated in Canadian Dollars $125,000
 $125,000
Denominated in Canadian Dollars (2)
 $250,000
 $125,000
        
Derivatives designated as net investment hedges:        
Denominated in Canadian Dollars $54,941
 $55,401
 $53,562
 $54,489
        
Financial instrument designated as net investment hedge:        
Denominated in Canadian Dollars $125,000
 $125,000
 $125,000
 $125,000
        
Derivatives not designated as net investment hedges:        
Denominated in Canadian Dollars $1,359
 $899
 $2,738
 $1,811
        

(1) Balance includes four4 forward starting interest rate swaps and one1 forward starting interest rate collar with an effective date of August 2020 and two2 forward starting interest rate swaps and one1 forward starting interest rate collar with an effective date of January 2021 that were entered into as of June 30, 2019.2021. The forward starting interest rate swaps and forward starting interest rate collars have an aggregate initial notional amount of $645.0 million accreting to $845.0 million in January 2023. Balance as of June 30, 2020 also includes 6 forward starting interest rate swaps with an effective date of May 2024 and an aggregate notional amount of $250.0 million.
(2)
Balance as of June 30, 2020 includes 2 forward starting interest rate swaps with an effective date of January 2021 and an aggregate notional amount of CAD $125.0 million.
Derivative and Financial Instruments Designated as Hedging Instruments
The following is a summary of the derivative and financial instruments designated as hedging instruments held by the Company at June 30, 20192020 and December 31, 20182019 (dollars in thousands):    
 Count as of June 30, 2019 Fair Value Maturity Dates  Count as of June 30, 2020 Fair Value Maturity Dates 
Type Designation June 30, 2019 December 31, 2018 Balance Sheet Location Designation June 30, 2020 December 31, 2019 Balance Sheet Location
Assets:              
Interest rate swaps Cash flow 10
 $7,704
 $25,184
 2020 - 2023 Accounts receivable, prepaid expenses and other assets, net Cash flow 
 $
 $4,239
 N/A Accounts receivable, prepaid expenses and other assets, net
Forward starting interest rate swaps Cash flow 6
 128
 
 2024 Accounts receivable, prepaid expenses and other assets, net Cash flow 5
 1,228
 
 2034 Accounts receivable, prepaid expenses and other assets, net
Cross currency interest rate swaps Net investment 2
 2,796
 4,160
 2025 Accounts receivable, prepaid expenses and other assets, net Net investment 2
 5,778
 3,238
 2025 Accounts receivable, prepaid expenses and other assets, net
   $10,628
 $29,344
    $7,006
 $7,477
 
              
Liabilities:              
Interest rate swaps Cash flow 11
 $8,630
 $
 2020-2023 Accounts payable and accrued liabilities
Forward starting interest rate swaps Cash flow 
 $
 $4,529
 2029 Accounts payable and accrued liabilities Cash flow 9
 $31,889
 $494
 2024-2034 Accounts payable and accrued liabilities
Forward starting interest rate collars Cash flow 2
 73
 
 2024 Accounts payable and accrued liabilities Cash flow 2
 3,172
 132
 2024 Accounts payable and accrued liabilities
CAD term loan Net investment 1
 95,488
 91,700
 2022 Term loans, net Net investment 1
 91,625
 96,025
 2024 Term loans, net
   $95,561
 $96,229
    $135,316
 $96,651
 
              


The following presents the effect of the Company’s derivative and financial instruments designated as hedging instruments on the condensed consolidated statements of income and the condensed consolidated statements of equity for the three and six months ended June 30, 20192020 and 20182019 (in thousands):
 (Loss) Gain Recognized in Other Comprehensive (Loss) Income 
 (Loss) Gain Recognized in Other Comprehensive Income (Loss) 
 Three Months Ended June 30, Six Months Ended June 30,  Three Months Ended June 30, Six Months Ended June 30, 
 2019 2018 2019 2018 Income Statement Location 2020 2019 2020 2019 Income Statement Location
                  
Cash Flow Hedges:                  
Interest rate products $(8,126) $4,009
 $(19,737) $13,132
 Interest expense $(6,182) $(8,126) $(46,647) $(19,737) Interest expense
Net Investment Hedges:                  
Foreign currency products (42) 898
 (1,276) 1,505
 N/A (1,599) (42) 2,588
 (1,276) N/A
CAD term loan (1,863) 1,750
 (3,788) 4,425
 N/A (3,413) (1,863) 4,400
 (3,788) N/A
                  
 $(10,031) $6,657
 $(24,801) $19,062
  $(11,194) $(10,031) $(39,659) $(24,801) 
                  


 Gain Reclassified from Accumulated Other Comprehensive Income into Income  (Loss) Gain Reclassified from Accumulated Other Comprehensive Income (Loss) into Income 
 Three Months Ended June 30, Six Months Ended June 30,  Three Months Ended June 30, Six Months Ended June 30, 
 2019 2018 2019 2018 Income Statement Location 2020 2019 2020 2019 Income Statement Location
         
Cash Flow Hedges:                  
Interest rate products $1,695
 $633
 $3,608
 $583
 Interest expense $(2,398) $1,695
 $(2,165) $3,608
 Interest expense
                  

The gain in the table above related to interest rate products was reclassified from accumulated other comprehensive income into interest expense. Interest expense totaled $33.6 million and $69.9 million for the three and six months ended June 30, 2019, respectively, and $36.8 million and $72.6 million for the three and six months ended June 30, 2018, respectively.
During the three and six months ended June 30, 2020 and 2019, and 2018, no0 cash flow hedges were determined to be ineffective.
Derivatives Not Designated as Hedging Instruments
As of June 30, 2019,2020, the Company had one1 outstanding cross currency interest rate swap, of which a portion was not designated as a hedging instrument, in an asset position with a fair value of $68,000$0.3 million and included this amount in accounts receivable, prepaid expenses and other assets, net on the condensed consolidated balance sheets. During the three and six months ended June 30, 2020, the Company recorded $0.1 million of other expense and $0.1 million of other income, respectively, related to this portion of the derivative not designated as a hedging instrument. During the three and six months ended June 30, 2019, the Company recorded $1,000 and $7,000, respectively, of other expense related to this derivativea portion of a cross currency interest rate swap not designated as a hedging instrument.
Offsetting Derivatives
The Company enters into master netting arrangements, which reduce credit risk by permitting net settlement of transactions with the same counterparty. The table below presents a gross presentation, the effects of offsetting, and a net presentation of the Company’s derivatives as of June 30, 20192020 and December 31, 20182019 (in thousands):
 As of June 30, 2019 As of June 30, 2020
 Gross Amounts of Recognized Assets / Liabilities Gross Amounts Offset in the Balance Sheet Net Amounts of Assets / Liabilities presented in the Balance Sheet Gross Amounts Not Offset in the Balance Sheet   Gross Amounts of Recognized Assets / Liabilities Gross Amounts Offset in the Balance Sheet Net Amounts of Assets / Liabilities presented in the Balance Sheet Gross Amounts Not Offset in the Balance Sheet  
 Financial Instruments Cash Collateral Received Net Amount Financial Instruments Cash Collateral Received Net Amount
Offsetting Assets:                        
Derivatives $10,628
 $
 $10,628
 $(73) $
 $10,555
 $7,006
 $
 $7,006
 $(6,956) $
 $50
Offsetting Liabilities:                        
Derivatives $73
 $
 $73
 $(73) $
 $
 $43,691
 $
 $43,691
 $(6,956) $
 $36,735
                        

 As of December 31, 2018 As of December 31, 2019
 Gross Amounts of Recognized Assets / Liabilities Gross Amounts Offset in the Balance Sheet Net Amounts of Assets / Liabilities presented in the Balance Sheet Gross Amounts Not Offset in the Balance Sheet   Gross Amounts of Recognized Assets / Liabilities Gross Amounts Offset in the Balance Sheet Net Amounts of Assets / Liabilities presented in the Balance Sheet Gross Amounts Not Offset in the Balance Sheet  
 Financial Instruments Cash Collateral Received Net Amount Financial Instruments Cash Collateral Received Net Amount
Offsetting Assets:                        
Derivatives $29,344
 $
 $29,344
 $(2,069) $
 $27,275
 $7,477
 $
 $7,477
 $(544) $
 $6,933
Offsetting Liabilities:                        
Derivatives $4,529
 $
 $4,529
 $(2,069) $
 $2,460
 $626
 $
 $626
 $(544) $
 $82
                        

Credit-risk-relatedCredit Risk-related Contingent Features
The Company has agreements with each of its derivative counterparties that contain a provision pursuant to which the Company could be declared in default on the derivative obligation if the Company defaults on any of its indebtedness, including a default where repayment of the indebtedness has not been accelerated by the lender. As of June 30, 2019,2020, the fair value of derivatives in a net liability position, which includes accrued interest but excludes any adjustment for nonperformance risk, related to these agreements was $16,000.$37.8 million. As of June 30, 2019,2020, the Company has not posted any collateral related to these agreements. If the Company had breached any of these provisions at June 30, 2019,2020, it could have been required to settle its obligations under the agreements at their termination value of $16,000.$36.7 million.


9.    FAIR VALUE DISCLOSURES
Financial Instruments
The fair value for certain financial instruments is derived using a combination of market quotes, pricing models and other valuation techniques that involve significant management judgment. The price transparency of financial instruments is a key determinant of the degree of judgment involved in determining the fair value of the Company’s financial instruments.
Financial instruments for which actively quoted prices or pricing parameters are available and whose markets contain orderly transactions will generally have a higher degree of price transparency than financial instruments whose markets are inactive or consist of non-orderly trades. The Company evaluates several factors when determining if a market is inactive or when market transactions are not orderly. The carrying values of cash and cash equivalents, restricted cash, accounts payable, accrued liabilities and the Credit FacilityAgreement are reasonable estimates of fair value because of the short-term maturities of these instruments. Fair values for other financial instruments are derived as follows:
Loans receivable: These instruments are presented on the accompanying condensed consolidated balance sheets at their amortized cost and not at fair value. The fair values of the loans receivable were estimated using an internal valuation model that considered the expected cash flows for the loans receivable, as well as the underlying collateral value and other credit enhancements as applicable. The Company utilized discount rates ranging from 6% to 20% with a weighted average rate of 13% in its fair value calculation. As such, the Company classifies these instruments as Level 3.
Preferred equity investments: These instruments are presented on the accompanying condensed consolidated balance sheets at their cost and not at fair value. The fair values of the preferred equity investments were estimated using an internal valuation model that considered the expected future cash flows for the preferred equity investments, the underlying collateral value and other credit enhancements. The Company utilized discount rates ranging from 12% to 15% with a weighted average rate of 13% in its fair value calculation. As such, the Company classifies these instruments as Level 3.
Derivative instruments: The Company’s derivative instruments are presented at fair value on the accompanying condensed consolidated balance sheets. The Company estimates the fair value of derivative instruments, including its interest rate swaps and cross currency swaps, using the assistance of a third party using inputs that are observable in the market, which include forward yield curves and other relevant information. Although the Company has determined that the majority of the inputs used to value its derivative financial instruments fall within Level 2 of the fair value hierarchy, the credit valuation adjustments associated with its derivative financial instruments utilize Level 3 inputs, such as estimates of current credit spreads, to evaluate the likelihood of default by itself and its counterparties. The Company has assessed the significance of the impact of the credit valuation adjustments on the overall valuation of its derivative positions and has determined that the credit valuation adjustments are not significant to the overall valuation of its derivative financial instruments. As a result, the Company has determined that its derivative financial instruments valuations in their entirety are classified in Level 2 of the fair value hierarchy.

Senior Notes: These instruments are presented on the accompanying condensed consolidated balance sheets at their outstanding principal balance, net of unamortized deferred financing costs and premiums/discounts and not at fair value. The fair values of the Senior Notes were determined using third-party market quotes derived from orderly trades. As such, the Company classifies these instruments as Level 2.
Secured indebtedness: These instruments are presented on the accompanying condensed consolidated balance sheets at their outstanding principal balance, net of unamortized deferred financing costs and premiums/discounts and not at fair value. The fair values of the Company’s secured debt were estimated using a discounted cash flow analysis based on management’s estimates of current market interest rates for instruments with similar characteristics, including remaining loan term, loan-to-value ratio, type of collateral and other credit enhancements. The Company utilized rates ranging from 2% to 4% with a weighted average rate of 3% in its fair value calculation. As such, the Company classifies these instruments as Level 3.

The following are the face values, carrying amounts and fair values of the Company’s financial instruments as of June 30, 20192020 and December 31, 20182019 whose carrying amounts do not approximate their fair value (in thousands):
June 30, 2019 December 31, 2018June 30, 2020 December 31, 2019
Face
Value
(1)
 
Carrying
Amount (2)
 
Fair
Value
 
Face
Value
(1)
 
Carrying
Amount
(2)
 
Fair
Value
Face
Value
(1)
 
Carrying
Amount (2)
 
Fair
Value
 
Face
Value
(1)
 
Carrying
Amount
(2)
 
Fair
Value
Financial assets:                      
Loans receivable$72,728
 $66,876
 $63,977
 $96,492
 $69,460
 $65,797
$67,719
 $62,406
 $56,428
 $67,527
 $63,070
 $59,832
Preferred equity investments43,915
 44,327
 44,280
 43,851
 44,262
 43,825
21,848
 21,995
 22,223
 43,893
 44,304
 44,493
Financial liabilities:                      
Senior Notes1,100,000
 1,106,518
 1,143,537
 1,300,000
 1,307,394
 1,270,877
1,250,000
 1,248,245
 1,239,139
 1,250,000
 1,248,773
 1,328,714
Secured indebtedness116,421
 114,675
 108,446
 117,464
 115,679
 101,820
98,141
 96,861
 96,273
 114,777
 113,070
 105,510

(1) 
Face value represents amounts contractually due under the terms of the respective agreements.
(2) 
Carrying amount represents the book value of financial instruments, including unamortized premiums/discounts and deferred financing costs.
The Company determined the fair value of financial instruments as of June 30, 20192020 whose carrying amounts do not approximate their fair value with valuation methods utilizing the following types of inputs (in thousands):
  Fair Value Measurements Using  Fair Value Measurements Using
  
Quoted Prices in Active Markets for Identical Assets
(Level 1)
 
Significant Other Observable Inputs
(Level 2)
 
Significant Unobservable Inputs
(Level 3)
  
Quoted Prices in Active Markets for Identical Assets
(Level 1)
 
Significant Other Observable Inputs
(Level 2)
 
Significant Unobservable Inputs
(Level 3)
Total Total 
Financial assets:              
Loans receivable$63,977
 $
 $
 $63,977
$56,428
 $
 $
 $56,428
Preferred equity investments44,280
 
 
 44,280
22,223
 
 
 22,223
Financial liabilities:              
Senior Notes1,143,537
 
 1,143,537
 
1,239,139
 
 1,239,139
 
Secured indebtedness108,446
 
 
 108,446
96,273
 
 
 96,273

Disclosure of the fair value of financial instruments is based on pertinent information available to the Company at the applicable dates and requires a significant amount of judgment. Despite increased capital market and credit market activity, transactionTransaction volume for certain of the Company's financial instruments remains relatively low. Thislow, which has made the estimation of fair values difficult and, therefore,difficult. Therefore, both the actual results and the Company’s estimate of fair value at a future date could be materially different.


Items Measured at Fair Value on a Recurring Basis
During the six months ended June 30, 2019,2020, the Company recorded the following amounts measured at fair value (in thousands):
  Fair Value Measurements Using  Fair Value Measurements Using
  
Quoted Prices in Active Markets for Identical Assets
(Level 1)
 
Significant Other Observable Inputs
(Level 2)
 
Significant Unobservable Inputs
(Level 3)
  
Quoted Prices in Active Markets for Identical Assets
(Level 1)
 
Significant Other Observable Inputs
(Level 2)
 
Significant Unobservable Inputs
(Level 3)
Total Total 
Recurring Basis:              
Financial assets:              
Interest rate swaps$7,704
 $
 $7,704
 $
Forward starting interest rate swaps128
 
 128
 
1,228
 
 1,228
 
Cross currency interest rate swaps2,796
 
 2,796
 
5,778
 
 5,778
 
Financial liabilities:              
Interest rate swaps8,630
 
 8,630
 
Forward starting interest rate swaps31,889
 
 31,889
 
Forward starting interest rate collars73
 
 73
 
3,172
 
 3,172
 



10.    EQUITY
Preferred Stock
On March 21, 2013, the Company completed an underwritten public offering of 5,750,000 shares of 7.125% Series A Cumulative Redeemable Preferred Stock (the “Series A Preferred Stock”) at a price of $25.00 per share, pursuant to an effective registration statement.
The Company redeemed all 5,750,000 shares of its Series A Preferred Stock on June 1, 2018 (the “Redemption Date”) for $25.00 per share, plus accrued and unpaid dividends to, but not including, the Redemption Date, without interest, in the amount of $0.4453125 per share of Series A Preferred Stock, for a total redemption price per share of Series A Preferred Stock equal to $25.4453125. As a result of the redemption, the Company incurred a charge of $5.5 million related to the original issuance costs of the Series A Preferred Stock during the three months ended June 30, 2018.
Common Stock
On February 25,December 11, 2019, the Company entered intoestablished an at-the-market equity distribution agreementoffering program (the “Distribution Agreement”“ATM Program”) withpursuant to which shares of its common stock having an aggregate gross sales price of up to $400.0 million may be sold from time to time (i) by the Company through a consortium of banks acting as sales agents (the “Sales Agents”) to sell shares of its common stock having aggregate gross proceeds of up to $500.0 million from time to time through the Sales Agents (the “ATM Program”).
Pursuantor directly to the termsbanks acting as principals or (ii) by a consortium of banks acting as forward sellers on behalf of any forward purchasers pursuant to a forward sale agreement. The use of a forward sale agreement would allow the Distribution Agreement, the shares may be sold by any method permitted by law deemedCompany to be an “at-the-market” offering, including, without limitation, sales made directlylock in a share price on the Nasdaq Global Select Market, on any other existing trading market for the Company’s common stock or to or through a market maker (which may include block transactions). In addition, with the Company’s prior consent, the Sales Agents may also sell the shares in privately negotiated transactions. The Company will pay each Sales Agent a commission of up to 1.5% of the gross proceeds from the salessale of shares sold pursuant toat the Distribution Agreement. The offering of shares pursuant totime the Distribution Agreement will terminate uponagreement is effective, but defer receiving the earlier of (i)proceeds from the sale of the maximum aggregate amount of the shares subject to the Distribution Agreement, or (ii) the termination of the Distribution Agreement as permitted therein.until a later date. The offering of shares pursuant to the Distribution AgreementCompany may also be suspended as permitted therein.elect to cash settle or net share settle all or a portion of its obligations under any forward sale agreement.
DuringNaN shares were sold under the ATM Program during the three andmonths ended June 30, 2020. During the six months ended June 30, 2019,2020, the Company sold 11.10.2 million shares under the ATM Program at an average price of $19.59$20.33 per share, generating gross proceeds of $217.3$3.9 million, before $3.3$0.1 million of commissions. As of June 30, 2019,2020, the Company has not utilized the forward feature of the ATM Program and had $282.7$336.1 million available under the ATM Program.
The following table lists the cash dividends on common stock declared and paid by the Company during the six months ended June 30, 20192020:
Declaration Date Record Date Amount Per Share Dividend Payable Date
February 5, 2019 February 15, 2019 $0.45
 February 28, 2019
May 8, 2019 May 20, 2019 $0.45
 May 31, 2019
Declaration Date Record Date Amount Per Share Dividend Payable Date
February 4, 2020 February 14, 2020 $0.45
 February 28, 2020
May 6, 2020 May 18, 2020 $0.30
 May 29, 2020

During the six months ended June 30, 2019,2020, the Company issued 114,185162,662 shares of common stock as a result of restricted stock unit vestings.
Upon any payment of shares to employees as a result of restricted stock unit vestings, the employees’ related tax withholding obligation will generally be satisfied by the Company, reducing the number of shares to be delivered by a number of shares necessary to satisfy the related applicable tax withholding obligation. During the six months ended June 30, 20192020 and 2018,2019, the Company incurred $1.3$0.9 million and $0.2$1.3 million, respectively, in tax withholding obligations on behalf of its employees that were satisfied through a reduction in the number of shares delivered to those participants.
Accumulated Other Comprehensive (Loss) IncomeLoss

The following is a summary of the Company’s accumulated other comprehensive (loss) incomeloss (in thousands):
  June 30, 2019 December 31, 2018
Foreign currency translation loss $(2,186) $(2,193)
Unrealized (loss) gain on cash flow hedges (8,750) 14,494
     
Total accumulated other comprehensive (loss) income $(10,936) $12,301
     
  June 30, 2020 December 31, 2019
Foreign currency translation loss $(343) $(1,516)
Unrealized loss on cash flow hedges (55,298) (10,872)
     
Total accumulated other comprehensive loss $(55,641) $(12,388)
     


11.    EARNINGS PER COMMON SHARE
The following table illustrates the computation of basic and diluted earnings per share for the three and six months ended June 30, 20192020 and 20182019 (in thousands, except share and per share amounts):
 Three Months Ended June 30, Six Months Ended June 30, Three Months Ended June 30, Six Months Ended June 30,
 2019 2018 2019 2018 2020 2019 2020 2019
Numerator                
Net income attributable to common stockholders $83,677
 $193,580
 $5,973
 $253,490
 $29,623
 $83,677
 $64,840
 $5,973
                
Denominator                
Basic weighted average common shares and common equivalents 181,567,464
 178,314,750
 179,984,959
 178,304,733
 205,593,653
 181,567,464
 205,493,829
 179,984,959
Dilutive restricted stock units 686,636
 369,274
 652,100
 296,056
 625,509
 686,636
 700,453
 652,100
                
Diluted weighted average common shares 182,254,100
 178,684,024
 180,637,059
 178,600,789
 206,219,162
 182,254,100
 206,194,282
 180,637,059
                
Net income attributable to common stockholders, per:                
                
Basic common share $0.46
 $1.09
 $0.03
 $1.42
 $0.14
 $0.46
 $0.32
 $0.03
                
Diluted common share $0.46
 $1.08
 $0.03
 $1.42
 $0.14
 $0.46
 $0.31
 $0.03
                

During the three and six months ended June 30, 20192020, approximately 1,10088,400 and 2,90035,800 restricted stock units, respectively, were not included in computing diluted earnings per share because they were considered anti-dilutive. During the three and six months ended June 30, 2018,2019, approximately 35,3001,100 and 46,0002,900 restricted stock units, respectively, were not included in computing diluted earnings per share because they were considered anti-dilutive. No stock options were outstanding as of June 30, 2019, and no stock options were considered anti-dilutive during the three and six months ended June 30, 2018.

12.    SUMMARIZED CONDENSED CONSOLIDATING INFORMATION
In connection with the offerings of the 2023 Notes and the 2024 Notes by the Issuers, the Company and certain 100% owned subsidiaries of the Company (the “Guarantors”) have, jointly and severally, fully and unconditionally guaranteed the 2023 Notes and the 2024 Notes, subject to release under certain customary circumstances as described below. In connection with the assumption of the 2026 Notes as a result of the CCP Merger, the Company has fully and unconditionally guaranteed the 2026 Notes, subject to release under certain circumstances as described below. These guarantees are subordinated to all existing and future senior debt and senior guarantees of the Guarantors and are unsecured. The Company conducts all of its business through and derives virtually all of its income from its subsidiaries. Therefore, the Company’s ability to make required payments with respect to its indebtedness (including the Senior Notes) and other obligations depends on the financial results and condition of its subsidiaries and its ability to receive funds from its subsidiaries.
A Guarantor will be automatically and unconditionally released from its obligations under the guarantees with respect to the 2023 Notes and the 2024 Notes in the event of:
Any sale of the subsidiary Guarantor or of all or substantially all of its assets;
A merger or consolidation of a subsidiary Guarantor with an issuer of the 2023 Notes or the 2024 Notes or another Guarantor, provided that the surviving entity remains a Guarantor;

With respect to the 2023 Notes, a subsidiary Guarantor is declared “unrestricted” for covenant purposes under the indenture governing the 2023 Notes;
The requirements for legal defeasance or covenant defeasance or to discharge the indentures governing the 2023 Notes or the 2024 Notes have been satisfied;
A liquidation or dissolution, to the extent permitted under the indentures governing the 2023 Notes or the 2024 Notes, of a subsidiary Guarantor;
The release or discharge of the guaranty that resulted in the creation of the subsidiary guaranty, except a discharge or release by or as a result of payment under such guaranty; or
With respect to the 2024 Notes, if the subsidiary Guarantor is not a guarantor or is not otherwise liable in respect of any obligations under any credit facility (as defined in the indenture governing the 2024 Notes) of the Company or any of its subsidiaries.
The Company will be automatically and unconditionally released from its obligations under the guarantees with respect to the 2026 Notes in the event of:
A liquidation or dissolution, to the extent permitted under the indenture governing the 2026 Notes;
A merger or consolidation, provided that the surviving entity remains a Guarantor; or
The requirements for legal defeasance or covenant defeasance or to discharge the indenture governing the 2026 Notes have been satisfied.
Pursuant to Rule 3-10 of Regulation S-X, the following summarized condensed consolidating information is provided for the Company (the “Parent Company”), the Operating Partnership, Sabra Capital Corporation, the Guarantors, and the Company’s non-Guarantor subsidiaries with respect to the 2023 Notes and the 2024 Notes. This summarized financial information has been prepared from the books and records maintained by the Company, the Operating Partnership, Sabra Capital Corporation, the Guarantors and the non-Guarantor subsidiaries. The summarized financial information may not necessarily be indicative of the results of operations or financial position had the Operating Partnership, Sabra Capital Corporation, the Guarantors or non-Guarantor subsidiaries operated as independent entities. Sabra’s investments in its consolidated subsidiaries are presented based upon Sabra’s proportionate share of each subsidiary’s net assets. The Guarantor subsidiaries’ investments in the non-Guarantor subsidiaries and non-Guarantor subsidiaries’ investments in Guarantor subsidiaries are presented under the equity method of accounting. Intercompany activities between subsidiaries and the Parent Company are presented within operating activities on the condensed consolidating statement of cash flows.
Condensed consolidating financial statements for the Company and its subsidiaries, including the Parent Company only, the Operating Partnership only, Sabra Capital Corporation only, the combined Guarantor subsidiaries and the combined non-Guarantor subsidiaries, are as follows:

CONDENSED CONSOLIDATING BALANCE SHEET
June 30, 2019
(in thousands)
(unaudited)
     
Combined Non-Guarantor Subsidiaries of 2026 Notes(6)
    
 
Parent
Company
(1)
 
Operating Partnership(2)
 
Sabra Capital Corporation(3)
 
Combined
Guarantor
Subsidiaries of 2023 Notes and 2024 Notes
(4)
 
Combined Non-
Guarantor
Subsidiaries of 2023 Notes and 2024 Notes
(5)
 Elimination Consolidated
Assets             
Real estate investments, net of accumulated depreciation$294
 $
 $
 $1,423,107
 $3,955,473
 $
 $5,378,874
Loans receivable and other investments, net(726) 
 
 55,453
 56,476
 
 111,203
Investment in unconsolidated joint venture
 
 
 
 328,207
 
 328,207
Cash and cash equivalents38,500
 
 
 2,604
 6,491
 
 47,595
Restricted cash
 
 
 1,881
 7,998
 
 9,879
Lease intangible assets, net
 
 
 9,299
 99,578
 
 108,877
Accounts receivable, prepaid expenses and other assets, net4,433
 17,873
 
 29,119
 95,671
 (8,552) 138,544
Intercompany1,993,632
 2,035,256
 
 
 
 (4,028,888) 
Investment in subsidiaries1,253,100
 1,690,158
 
 34,271
 
 (2,977,529) 
Total assets$3,289,233
 $3,743,287
 $
 $1,555,734
 $4,549,894
 $(7,014,969) $6,123,179
              
Liabilities             
Secured debt, net$
 $
 $
 $
 $114,675
 $
 $114,675
Revolving credit facility
 275,000
 
 
 
 
 275,000
Term loans, net
 1,095,102
 
 94,672
 
 
 1,189,774
Senior unsecured notes, net
 1,106,518
 
 
 
 
 1,106,518
Accounts payable and accrued liabilities33,135
 13,567
 
 2,002
 60,483
 (8,552) 100,635
Lease intangible liabilities, net
 
 
 
 76,201
 
 76,201
Intercompany
 
 
 664,912
 3,363,976
 (4,028,888) 
Total liabilities33,135
 2,490,187
 
 761,586
 3,615,335
 (4,037,440) 2,862,803
              
Total Sabra Health Care REIT, Inc. stockholders’ equity3,256,098
 1,253,100
 
 794,148
 930,281
 (2,977,529) 3,256,098
Noncontrolling interests
 
 
 
 4,278
 
 4,278
Total equity3,256,098
 1,253,100
 
 794,148
 934,559
 (2,977,529) 3,260,376
Total liabilities and equity$3,289,233
 $3,743,287
 $
 $1,555,734
 $4,549,894
 $(7,014,969) $6,123,179
(1)
The Parent Company guarantees the 2023 Notes, the 2024 Notes and the 2026 Notes.
(2)
The Operating Partnership is the co-issuer of the 2023 Notes and the 2024 Notes and the issuer of the 2026 Notes.
(3)
Sabra Capital Corporation is the co-issuer of the 2023 Notes and the 2024 Notes.
(4)
The Combined Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes guarantee the 2023 Notes and the 2024 Notes.
(5)
The Combined Non-Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes consist of the subsidiaries that do not guarantee the 2023 Notes and the 2024 Notes.
(6)
None of Sabra Capital Corporation, the Combined Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes, nor the Combined Non-Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes guarantee the 2026 Notes.

CONDENSED CONSOLIDATING BALANCE SHEET
December 31, 2018
(in thousands)
(unaudited)
     
Combined Non-Guarantor Subsidiaries of 2026 Notes(6)
    
 
Parent
Company
(1)
 
Operating Partnership(2)
 
Sabra Capital Corporation(3)
 
Combined
Guarantor
Subsidiaries of 2023 Notes and 2024 Notes
(4)
 
Combined Non-
Guarantor
Subsidiaries of 2023 Notes and 2024 Notes
(5)
 Elimination Consolidated
Assets             
Real estate investments, net of accumulated depreciation$317
 $
 $
 $1,453,451
 $4,399,777
 $
 $5,853,545
Loans receivable and other investments, net(560) 
 
 50,534
 63,748
 
 113,722
Investment in unconsolidated joint venture
 
 
 
 340,120
 
 340,120
Cash and cash equivalents40,835
 
 
 3,508
 5,887
 
 50,230
Restricted cash
 
 
 1,820
 7,608
 
 9,428
Lease intangible assets, net
 
 
 13,947
 117,150
 
 131,097
Accounts receivable, prepaid expenses and other assets, net798
 37,075
 
 58,704
 81,603
 (11,019) 167,161
Intercompany1,972,059
 2,646,669
 
 
 
 (4,618,728) 
Investment in subsidiaries1,258,715
 1,629,795
 
 33,083
 
 (2,921,593) 
Total assets$3,272,164
 $4,313,539
 $
 $1,615,047
 $5,015,893
 $(7,551,340) $6,665,303
              
Liabilities             
Secured debt, net$
 $
 $
 $
 $115,679
 $
 $115,679
Revolving credit facility
 624,000
 
 
 
 
 624,000
Term loans, net
 1,094,177
 
 90,753
 
 
 1,184,930
Senior unsecured notes, net
 1,307,394
 
 
 
 
 1,307,394
Accounts payable and accrued liabilities21,750
 29,253
 
 2,570
 52,273
 (11,019) 94,827
Lease intangible liabilities, net
 
 
 
 83,726
 
 83,726
Intercompany
 
 
 810,394
 3,808,334
 (4,618,728) 
Total liabilities21,750
 3,054,824
 
 903,717
 4,060,012
 (4,629,747) 3,410,556
              
Total Sabra Health Care REIT, Inc. stockholders’ equity3,250,414
 1,258,715
 
 711,330
 951,548
 (2,921,593) 3,250,414
Noncontrolling interests
 
 
 
 4,333
 
 4,333
Total equity3,250,414
 1,258,715
 
 711,330
 955,881
 (2,921,593) 3,254,747
Total liabilities and equity$3,272,164
 $4,313,539
 $
 $1,615,047
 $5,015,893
 $(7,551,340) $6,665,303

(1)
The Parent Company guarantees the 2023 Notes, the 2024 Notes and the 2026 Notes.
(2)
The Operating Partnership is the co-issuer of the 2023 Notes and the 2024 Notes and the issuer of the 2026 Notes.
(3)
Sabra Capital Corporation is the co-issuer of the 2023 Notes and the 2024 Notes.
(4)
The Combined Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes guarantee the 2023 Notes and the 2024 Notes.
(5)
The Combined Non-Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes consist of the subsidiaries that do not guarantee the 2023 Notes and the 2024 Notes.
(6)
None of Sabra Capital Corporation, the Combined Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes, nor the Combined Non-Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes guarantee the 2026 Notes.


CONDENSED CONSOLIDATING STATEMENT OF INCOME
For the Three Months Ended June 30, 2019
(dollars in thousands, except per share amounts)
(unaudited)
     
Combined Non-Guarantor Subsidiaries of 2026 Notes(6)
    
 
Parent
Company
(1)
 
Operating Partnership(2)
 
Sabra Capital Corporation(3)
 
Combined
Guarantor
Subsidiaries of 2023 Notes and 2024 Notes
(4)
 
Combined Non-
Guarantor
Subsidiaries of 2023 Notes and 2024 Notes
(5)
 Elimination Consolidated
Revenues:             
Rental and related revenues$
 $
 $
 $30,097
 $92,073
 $(9,370) $112,800
Interest and other income91
 1,896
 
 68,198
 2,206
 (1,896) 70,495
Resident fees and services
 
 
 
 36,071
 
 36,071
Total revenues91
 1,896
 
 98,295
 130,350
 (11,266) 219,366
Expenses:             
Depreciation and amortization12
 
 
 15,559
 33,905
 
 49,476
Interest
 31,616
 
 2,666
 1,222
 (1,896) 33,608
Triple-net portfolio operating expenses
 
 
 156
 6,084
 
 6,240
Senior housing - managed portfolio operating expenses
 
 
 
 33,609
 (9,370) 24,239
General and administrative7,706
 31
 
 1
 321
 
 8,059
Provision for doubtful accounts, straight-line rental income and loan losses193
 
 
 
 
 
 193
Impairment of real estate
 
 
 
 2,002
 
 2,002
Total expenses7,911
 31,647
 
 18,382
 77,143
 (11,266) 123,817
Other (expense) income:             
Loss on extinguishment of debt
 (10,119) 
 
 
 
 (10,119)
Other (expense) income
 (109) 
 108
 
 
 (1)
Net gain on sales of real estate
 
 
 190
 2,565
 
 2,755
Total other (expense) income
 (10,228) 
 298
 2,565
 
 (7,365)
Income in subsidiary91,406
 131,385
 
 1,691
 
 (224,482) 
Income before loss from unconsolidated joint venture and income tax expense83,586
 91,406
 
 81,902
 55,772
 (224,482) 88,184
Loss from unconsolidated joint venture
 
 
 
 (3,647) 
 (3,647)
Income tax benefit (expense)91
 
 
 (542) (403) 
 (854)
Net income83,677
 91,406
 
 81,360
 51,722
 (224,482) 83,683
Net income attributable to noncontrolling interests
 
 
 
 (6) 
 (6)
Net income attributable to common stockholders$83,677
 $91,406
 $
 $81,360
 $51,716
 $(224,482) $83,677
Net income attributable to common stockholders, per:             
Basic common share            $0.46
Diluted common share            $0.46
Weighted-average number of common shares outstanding, basic            181,567,464
Weighted-average number of common shares outstanding, diluted            182,254,100
(1)
The Parent Company guarantees the 2023 Notes, the 2024 Notes and the 2026 Notes.
(2)
The Operating Partnership is the co-issuer of the 2023 Notes and the 2024 Notes and the issuer of the 2026 Notes.
(3)
Sabra Capital Corporation is the co-issuer of the 2023 Notes and the 2024 Notes.
(4)
The Combined Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes guarantee the 2023 Notes and the 2024 Notes.
(5)
The Combined Non-Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes consist of the subsidiaries that do not guarantee the 2023 Notes and the 2024 Notes.
(6)
None of Sabra Capital Corporation, the Combined Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes, nor the Combined Non-Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes guarantee the 2026 Notes.

CONDENSED CONSOLIDATING STATEMENT OF INCOME
For the Three Months Ended June 30, 2018
(dollars in thousands, except per share amounts)
(unaudited)
     
Combined Non-Guarantor Subsidiaries of 2026 Notes(6)
    
 
Parent
Company
(1)
 
Operating Partnership(2)
 
Sabra Capital Corporation(3)
 
Combined
Guarantor
Subsidiaries of 2023 Notes and 2024 Notes
(4)
 
Combined Non-
Guarantor
Subsidiaries of 2023 Notes and 2024 Notes
(5)
 Elimination Consolidated
Revenues:             
Rental and related revenues$
 $
 $
 $36,355
 $112,194
 $(4,320) $144,229
Interest and other income40
 96
 
 1,180
 3,333
 (96) 4,553
Resident fees and services
 
 
 
 17,530
 
 17,530
Total revenues40
 96
 
 37,535
 133,057
 (4,416) 166,312
Expenses:             
Depreciation and amortization222
 
 
 11,795
 34,811
 
 46,828
Interest
 33,415
 
 810
 2,628
 (96) 36,757
Senior housing - managed portfolio operating expenses
 
 
 
 16,619
 (4,320) 12,299
General and administrative8,121
 14
 
 368
 880
 
 9,383
Provision for (recovery of) doubtful accounts, straight-line rental income and loan losses311
 
 
 (985) 
 
 (674)
Impairment of real estate
 
 
 881
 


 881
Total expenses8,654
 33,429
 
 12,869
 54,938
 (4,416) 105,474
Other income:             
Other income (expense)
 32
 
 (32) 
 
 
Net gain on sales of real estate
 
 
 41,520
 101,383
 
 142,903
Total other income
 32
 
 41,488
 101,383
 
 142,903
Income in subsidiary209,456
 242,758
 
 1,871
 
 (454,085) 
Income before loss from unconsolidated joint venture and income tax expense200,842
 209,457
 
 68,025
 179,502
 (454,085) 203,741
Loss from unconsolidated joint venture
 
 
 
 (2,347) 
 (2,347)
Income tax expense(55) (1) 
 (489) (60) 
 (605)
Net income200,787
 209,456
 
 67,536
 177,095
 (454,085) 200,789
Net income attributable to noncontrolling interests
 
 
 
 (2) 
 (2)
Net income attributable to Sabra Health Care REIT, Inc.200,787
 209,456
 
 67,536
 177,093
 (454,085) 200,787
Preferred stock dividends(7,207) 
 
 
 
 
 (7,207)
Net income attributable to common stockholders$193,580
 $209,456
 $
 $67,536
 $177,093
 $(454,085) $193,580
Net income attributable to common stockholders, per:             
Basic common share            $1.09
Diluted common share            $1.08
Weighted-average number of common shares outstanding, basic            178,314,750
Weighted-average number of common shares outstanding, diluted            178,684,024

(1)
The Parent Company guarantees the 2023 Notes, the 2024 Notes and the 2026 Notes.
(2)
The Operating Partnership is the co-issuer of the 2023 Notes and the 2024 Notes and the issuer of the 2026 Notes.
(3)
Sabra Capital Corporation is the co-issuer of the 2023 Notes and the 2024 Notes.
(4)
The Combined Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes guarantee the 2023 Notes and the 2024 Notes.
(5)
The Combined Non-Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes consist of the subsidiaries that do not guarantee the 2023 Notes and the 2024 Notes.
(6)
None of Sabra Capital Corporation, the Combined Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes, nor the Combined Non-Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes guarantee the 2026 Notes.

CONDENSED CONSOLIDATING STATEMENT OF INCOME
For the Six Months Ended June 30, 2019
(dollars in thousands, except per share amounts)
(unaudited)
     
Combined Non-Guarantor Subsidiaries of 2026 Notes(6)
    
 
Parent
Company
(1)
 
Operating Partnership(2)
 
Sabra Capital Corporation(3)
 
Combined
Guarantor
Subsidiaries of 2023 Notes and 2024 Notes
(4)
 
Combined Non-
Guarantor
Subsidiaries of 2023 Notes and 2024 Notes
(5)
 Elimination Consolidated
Revenues:             
Rental and related revenues$
 $
 $
 $59,398
 $183,536
 $(13,747) $229,187
Interest and other income120
 1,991
 
 69,429
 4,271
 (1,991) 73,820
Resident fees and services
 
 
 
 53,132
 
 53,132
Total revenues120
 1,991
 
 128,827
 240,939
 (15,738) 356,139
Expenses:             
Depreciation and amortization24
 
 
 27,241
 67,160
 
 94,425
Interest
 65,891
 
 3,567
 2,459
 (1,991) 69,926
Triple-net portfolio operating expenses
 
 
 1,170
 10,359
 
 11,529
Senior housing - managed portfolio operating expenses
 
 
 
 50,026
 (13,747) 36,279
General and administrative15,236
 62
 
 276
 669
 
 16,243
Provision for doubtful accounts, straight-line rental income and loan losses166
 
 
 
 1,234
 
 1,400
Impairment of real estate
 
 
 
 105,136
 
 105,136
Total expenses15,426
 65,953
 
 32,254
 237,043
 (15,738) 334,938
Other (expense) income:             
Loss on extinguishment of debt
 (10,119) 
 
 
 
 (10,119)
Other (expense) income
 (608) 
 601
 177
 
 170
Net (loss) gain on sales of real estate
 
 
 (180) 1,415
 
 1,235
Total other (expense) income
 (10,727) 
 421
 1,592
 
 (8,714)
Income in subsidiary21,629
 96,318
 
 3,361
 
 (121,308) 
Income before loss from unconsolidated joint venture and income tax expense6,323
 21,629
 
 100,355
 5,488
 (121,308) 12,487
Loss from unconsolidated joint venture
 
 
 
 (5,030) 
 (5,030)
Income tax expense(350) 
 
 (647) (469) 
 (1,466)
Net income5,973
 21,629
 
 99,708
 (11) (121,308) 5,991
Net income attributable to noncontrolling interests
 
 
 
 (18) 
 (18)
Net income attributable to common stockholders$5,973
 $21,629
 $
 $99,708
 $(29) $(121,308) $5,973
Net income attributable to common stockholders, per:             
Basic common share            $0.03
Diluted common share            $0.03
Weighted-average number of common shares outstanding, basic            179,984,959
Weighted-average number of common shares outstanding, diluted            180,637,059
(1)
The Parent Company guarantees the 2023 Notes, the 2024 Notes and the 2026 Notes.
(2)
The Operating Partnership is the co-issuer of the 2023 Notes and the 2024 Notes and the issuer of the 2026 Notes.
(3)
Sabra Capital Corporation is the co-issuer of the 2023 Notes and the 2024 Notes.
(4)
The Combined Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes guarantee the 2023 Notes and the 2024 Notes.
(5)
The Combined Non-Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes consist of the subsidiaries that do not guarantee the 2023 Notes and the 2024 Notes.
(6)
None of Sabra Capital Corporation, the Combined Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes, nor the Combined Non-Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes guarantee the 2026 Notes.

CONDENSED CONSOLIDATING STATEMENT OF INCOME
For the Six Months Ended June 30, 2018
(dollars in thousands, except per share amounts)
(unaudited)
     
Combined Non-Guarantor Subsidiaries of 2026 Notes(6)
    
 
Parent
Company
(1)
 
Operating Partnership(2)
 
Sabra Capital Corporation(3)
 
Combined
Guarantor
Subsidiaries of 2023 Notes and 2024 Notes
(4)
 
Combined Non-
Guarantor
Subsidiaries of 2023 Notes and 2024 Notes
(5)
 Elimination Consolidated
Revenues:             
Rental and related revenues$
 $
 $
 $71,569
 $225,468
 $(8,553) $288,484
Interest and other income50
 208
 
 2,413
 6,428
 (208) 8,891
Resident fees and services
 
 
 
 35,023
 
 35,023
Total revenues50
 208
 
 73,982
 266,919
 (8,761) 332,398
Expenses:             
Depreciation and amortization443
 
 
 24,130
 70,260
 
 94,833
Interest
 65,980
 
 1,601
 5,202
 (208) 72,575
Senior housing - managed portfolio operating expenses
 
 
 
 32,976
 (8,553) 24,423
General and administrative14,279
 29
 
 783
 2,489
 
 17,580
Provision for (recovery of) doubtful accounts, straight-line rental income and loan losses2,492
 
 
 (1,956) 3
 
 539
Impairment of real estate
 
 
 1,413
 
 
 1,413
Total expenses17,214
 66,009
 
 25,971
 110,930
 (8,761) 211,363
Other income:             
Other income1,977
 233
 
 378
 232
 
 2,820
Net gain on sales of real estate
 
 
 41,520
 100,911
 
 142,431
Total other income1,977
 233
 
 41,898
 101,143
 
 145,251
Income in subsidiary278,798
 344,367
 
 3,725
 
 (626,890) 
Income before loss from unconsolidated joint venture and income tax expense263,611
 278,799
 
 93,634
 257,132
 (626,890) 266,286
Loss from unconsolidated joint venture
 
 
 
 (1,901) 
 (1,901)
Income tax expense(353) (1) 
 (542) (219) 
 (1,115)
Net income263,258
 278,798
 
 93,092
 255,012
 (626,890) 263,270
Net income attributable to noncontrolling interests
 
 
 
 (12) 
 (12)
Net income attributable to Sabra Health Care REIT, Inc.263,258
 278,798
 
 93,092
 255,000
 (626,890) 263,258
Preferred stock dividends(9,768) 
 
 
 
 
 (9,768)
Net income attributable to common stockholders$253,490
 $278,798
 $
 $93,092
 $255,000
 $(626,890) $253,490
Net income attributable to common stockholders, per:             
Basic common share            $1.42
Diluted common share            $1.42
Weighted-average number of common shares outstanding, basic            178,304,733
Weighted-average number of common shares outstanding, diluted            178,600,789
(1)
The Parent Company guarantees the 2023 Notes, the 2024 Notes and the 2026 Notes.
(2)
The Operating Partnership is the co-issuer of the 2023 Notes and the 2024 Notes and the issuer of the 2026 Notes.
(3)
Sabra Capital Corporation is the co-issuer of the 2023 Notes and the 2024 Notes.
(4)
The Combined Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes guarantee the 2023 Notes and the 2024 Notes.
(5)
The Combined Non-Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes consist of the subsidiaries that do not guarantee the 2023 Notes and the 2024 Notes.
(6)
None of Sabra Capital Corporation, the Combined Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes, nor the Combined Non-Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes guarantee the 2026 Notes.


CONDENSED CONSOLIDATING STATEMENT OF COMPREHENSIVE (LOSS) INCOME
For the Three Months Ended June 30, 2019
(dollars in thousands)
(unaudited)
     
Combined Non-Guarantor Subsidiaries of 2026 Notes(6)
    
 
Parent
Company
(1)
 
Operating Partnership(2)
 
Sabra Capital Corporation(3)
 
Combined
Guarantor
Subsidiaries of 2023 Notes and 2024 Notes
(4)
 
Combined Non-
Guarantor
Subsidiaries of 2023 Notes and 2024 Notes
(5)
 Elimination Consolidated
Net income$83,677
 $91,406
 $
 $81,360
 $51,722
 $(224,482) $83,683
Other comprehensive income (loss):             
Unrealized gain (loss), net of tax:             
Foreign currency translation (loss) gain
 (264) 
 629
 202
 
 567
Unrealized (loss) gain on cash flow hedges
 (9,808) 
 52
 
 
 (9,756)
Total other comprehensive (loss) income
 (10,072) 
 681
 202
 
 (9,189)
Comprehensive income83,677
 81,334
 
 82,041
 51,924
 (224,482) 74,494
Comprehensive income attributable to noncontrolling interest
 
 
 
 (6) 
 (6)
Comprehensive income attributable to Sabra Health Care REIT, Inc.$83,677
 $81,334
 $
 $82,041
 $51,918
 $(224,482) $74,488
(1)
The Parent Company guarantees the 2023 Notes, the 2024 Notes and the 2026 Notes.
(2)
The Operating Partnership is the co-issuer of the 2023 Notes and the 2024 Notes and the issuer of the 2026 Notes.
(3)
Sabra Capital Corporation is the co-issuer of the 2023 Notes and the 2024 Notes.
(4)
The Combined Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes guarantee the 2023 Notes and the 2024 Notes.
(5)
The Combined Non-Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes consist of the subsidiaries that do not guarantee the 2023 Notes and the 2024 Notes.
(6)
None of Sabra Capital Corporation, the Combined Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes, nor the Combined Non-Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes guarantee the 2026 Notes.


CONDENSED CONSOLIDATING STATEMENT OF COMPREHENSIVE INCOME
For the Three Months Ended June 30, 2018
(dollars in thousands)
(unaudited)
     
Combined Non-Guarantor Subsidiaries of 2026 Notes(6)
    
 
Parent
Company
(1)
 
Operating Partnership(2)
 
Sabra Capital Corporation(3)
 
Combined
Guarantor
Subsidiaries of 2023 Notes and 2024 Notes
(4)
 
Combined Non-
Guarantor
Subsidiaries of 2023 Notes and 2024 Notes
(5)
 Elimination Consolidated
Net income$200,787
 $209,456
 $
 $67,536
 $177,095
 $(454,085) $200,789
Other comprehensive income (loss):             
Unrealized gain (loss), net of tax:             
Foreign currency translation gain (loss)
 1,064
 
 (608) (195) 
 261
Unrealized gain on cash flow hedges
 3,335
 
 3
 
 
 3,338
Total other comprehensive income (loss)
 4,399
 
 (605) (195) 
 3,599
Comprehensive income200,787
 213,855
 
 66,931
 176,900
 (454,085) 204,388
Comprehensive income attributable to noncontrolling interest
 
 
 
 (2) 
 (2)
Comprehensive income attributable to Sabra Health Care REIT, Inc.$200,787
 $213,855
 $
 $66,931
 $176,898
 $(454,085) $204,386
(1)
The Parent Company guarantees the 2023 Notes, the 2024 Notes and the 2026 Notes.
(2)
The Operating Partnership is the co-issuer of the 2023 Notes and the 2024 Notes and the issuer of the 2026 Notes.
(3)
Sabra Capital Corporation is the co-issuer of the 2023 Notes and the 2024 Notes.
(4)
The Combined Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes guarantee the 2023 Notes and the 2024 Notes.
(5)
The Combined Non-Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes consist of the subsidiaries that do not guarantee the 2023 Notes and the 2024 Notes.
(6)
None of Sabra Capital Corporation, the Combined Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes, nor the Combined Non-Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes guarantee the 2026 Notes.






























CONDENSED CONSOLIDATING STATEMENT OF COMPREHENSIVE (LOSS) INCOME
For the Six Months Ended June 30, 2019
(dollars in thousands)
(unaudited)
     
Combined Non-Guarantor Subsidiaries of 2026 Notes(6)
    
 
Parent
Company
(1)
 
Operating Partnership(2)
 
Sabra Capital Corporation(3)
 
Combined
Guarantor
Subsidiaries of 2023 Notes and 2024 Notes
(4)
 
Combined Non-
Guarantor
Subsidiaries of 2023 Notes and 2024 Notes
(5)
 Elimination Consolidated
Net income$5,973
 $21,629
 $
 $99,708
 $(11) $(121,308) $5,991
Other comprehensive income (loss):             
Unrealized gain (loss), net of tax:             
Foreign currency translation (loss) gain
 (1,700) 
 1,307
 400
 
 7
Unrealized (loss) gain on cash flow hedges
 (23,294) 
 50
 
 
 (23,244)
Total other comprehensive (loss) income
 (24,994) 
 1,357
 400
 
 (23,237)
Comprehensive income (loss)5,973
 (3,365) 
 101,065
 389
 (121,308) (17,246)
Comprehensive income attributable to noncontrolling interest
 
 
 
 (18) 
 (18)
Comprehensive income (loss) attributable to Sabra Health Care REIT, Inc.$5,973
 $(3,365) $
 $101,065
 $371
 $(121,308) $(17,264)
(1)
The Parent Company guarantees the 2023 Notes, the 2024 Notes and the 2026 Notes.
(2)
The Operating Partnership is the co-issuer of the 2023 Notes and the 2024 Notes and the issuer of the 2026 Notes.
(3)
Sabra Capital Corporation is the co-issuer of the 2023 Notes and the 2024 Notes.
(4)
The Combined Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes guarantee the 2023 Notes and the 2024 Notes.
(5)
The Combined Non-Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes consist of the subsidiaries that do not guarantee the 2023 Notes and the 2024 Notes.
(6)
None of Sabra Capital Corporation, the Combined Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes, nor the Combined Non-Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes guarantee the 2026 Notes.


CONDENSED CONSOLIDATING STATEMENT OF COMPREHENSIVE INCOME
For the Six Months Ended June 30, 2018
(dollars in thousands)
(unaudited)
     
Combined Non-Guarantor Subsidiaries of 2026 Notes(6)
    
 
Parent
Company
(1)
 
Operating Partnership(2)
 
Sabra Capital Corporation(3)
 
Combined
Guarantor
Subsidiaries of 2023 Notes and 2024 Notes
(4)
 
Combined Non-
Guarantor
Subsidiaries of 2023 Notes and 2024 Notes
(5)
 Elimination Consolidated
Net income$263,258
 $278,798
 $
 $93,092
 $255,012
 $(626,890) $263,270
Other comprehensive income (loss):             
Unrealized gain (loss), net of tax:             
Foreign currency translation gain (loss)
 1,905
 
 (1,536) (482) 
 (113)
Unrealized gain (loss) on cash flow hedges
 13,238
 
 (2) 
 
 13,236
Total other comprehensive income (loss)
 15,143
 
 (1,538) (482) 
 13,123
Comprehensive income263,258
 293,941
 
 91,554
 254,530
 (626,890) 276,393
Comprehensive income attributable to noncontrolling interest
 
 
 
 (12) 
 (12)
Comprehensive income attributable to Sabra Health Care REIT, Inc.$263,258
 $293,941
 $
 $91,554
 $254,518
 $(626,890) $276,381
(1)
The Parent Company guarantees the 2023 Notes, the 2024 Notes and the 2026 Notes.
(2)
The Operating Partnership is the co-issuer of the 2023 Notes and the 2024 Notes and the issuer of the 2026 Notes.
(3)
Sabra Capital Corporation is the co-issuer of the 2023 Notes and the 2024 Notes.
(4)
The Combined Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes guarantee the 2023 Notes and the 2024 Notes.
(5)
The Combined Non-Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes consist of the subsidiaries that do not guarantee the 2023 Notes and the 2024 Notes.
(6)
None of Sabra Capital Corporation, the Combined Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes, nor the Combined Non-Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes guarantee the 2026 Notes.


CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS
For the Six Months Ended June 30, 2019
(in thousands)
(unaudited)
     
Combined Non-Guarantor Subsidiaries of 2026 Notes(6)
    
 
Parent
Company
(1)
 
Operating Partnership(2)
 
Sabra Capital Corporation(3)
 
Combined
Guarantor
Subsidiaries of 2023 Notes and 2024 Notes
(4)
 
Combined Non-
Guarantor
Subsidiaries of 2023 Notes and 2024 Notes
(5)
 Elimination Consolidated
Net cash (used in) provided by operating activities$185,681
 $
 $
 $438
 $5,759
 $
 $191,878
Cash flows from investing activities:
 
 
 
 
 
 
Origination and fundings of loans receivable
 
 
 (5,400) (3,423) 
 (8,823)
Additions to real estate
 
 
 (4,009) (4,587) 
 (8,596)
Repayments of loans receivable
 
 
 92
 10,010
 
 10,102
Repayments of preferred equity investments
 
 
 2,463
 
 
 2,463
Net proceeds from the sales of real estate
 
 
 22,605
 300,131
 
 322,736
Distribution from subsidiaries2,531
 2,531
 
 
 
 (5,062) 
Intercompany financing(240,387) 319,921
 
 
 
 (79,534) 
Net cash (used in) provided by investing activities(237,856) 322,452
 
 15,751
 302,131
 (84,596) 317,882
Cash flows from financing activities:
 
 
 
 
 
 
Net repayments of revolving credit facility
 (349,000) 
 
 
 
 (349,000)
Proceeds from issuance of senior unsecured notes
 300,000
 
 
 
 
 300,000
Principal payments on senior unsecured notes
 (500,000) 


 
 
 
 (500,000)
Principal payments on secured debt
 
 
 
 (1,703) 
 (1,703)
Payments of deferred financing costs
 (4,413) 
 
 
 
 (4,413)
Payments related to extinguishment of debt
 (6,895) 
 
 
 
 (6,895)
Distributions to noncontrolling interest
 
 
 
 (73) 
 (73)
Issuance of common stock, net211,575
 
 
 
 
 
 211,575
Dividends paid on common stock(161,735) 
 
 
 
 
 (161,735)
Distribution to parent
 (2,531) 
 
 (2,531) 5,062
 
Intercompany financing
 240,387
 
 (17,230) (302,691) 79,534
 
Net cash provided by (used in) financing activities49,840
 (322,452) 
 (17,230) (306,998) 84,596
 (512,244)
Net (decrease) increase in cash, cash equivalents and restricted cash(2,335) 
 
 (1,041) 892
 
 (2,484)
Effect of foreign currency translation on cash, cash equivalents and restricted cash
 
 
 198
 102
 
 300
Cash, cash equivalents and restricted cash, beginning of period40,835
 
 
 5,328
 13,495
 
 59,658
Cash, cash equivalents and restricted cash, end of period$38,500
 $
 $
 $4,485
 $14,489
 $
 $57,474
(1)
The Parent Company guarantees the 2023 Notes, the 2024 Notes and the 2026 Notes.
(2)
The Operating Partnership is the co-issuer of the 2023 Notes and the 2024 Notes and the issuer of the 2026 Notes.
(3)
Sabra Capital Corporation is the co-issuer of the 2023 Notes and the 2024 Notes.
(4)
The Combined Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes guarantee the 2023 Notes and the 2024 Notes.
(5)
The Combined Non-Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes consist of the subsidiaries that do not guarantee the 2023 Notes and the 2024 Notes.
(6)
None of Sabra Capital Corporation, the Combined Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes, nor the Combined Non-Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes guarantee the 2026 Notes.

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS
For the Six Months Ended June 30, 2018
(in thousands)
(unaudited)
     
Combined Non-Guarantor Subsidiaries of 2026 Notes(6)
    
 
Parent
Company
(1)
 
Operating Partnership(2)
 
Sabra Capital Corporation(3)
 
Combined
Guarantor
Subsidiaries of 2023 Notes and 2024 Notes
(4)
 
Combined Non-
Guarantor
Subsidiaries of 2023 Notes and 2024 Notes
(5)
 Elimination Consolidated
Net cash provided by operating activities$204,440
 $
 $
 $1,014
 $6,099
 $
 $211,553
Cash flows from investing activities:             
Acquisition of real estate
 
 
 (29,711) (184,271) 
 (213,982)
Origination and fundings of loans receivable
 
 
 (1,973) (26,184) 
 (28,157)
Origination and fundings of preferred equity investments
 
 
 (945) 
 
 (945)
Additions to real estate(40) 
 
 (4,660) (12,117) 
 (16,817)
Repayments of loans receivable
 
 
 6,577
 32,310
 
 38,887
Repayments of preferred equity investments
 
 
 375
 
 
 375
Investment in unconsolidated JV
 
 
 
 (354,461) 
 (354,461)
Net proceeds from the sales of real estate
 
 
 78,072
 200,129
 
 278,201
Distribution from subsidiaries2,669
 2,669
 
 
 
 (5,338) 
Intercompany financing(378,485) (413,473) 
 
 
 791,958
 
Net cash (used in) provided by investing activities(375,856) (410,804) 
 47,735
 (344,594) 786,620
 (296,899)
Cash flows from financing activities:
 
   
 
 
 
Net borrowings from revolving credit facility
 35,000
 
 
 
 
 35,000
Principal payments on secured debt
 
 
 
 (2,128) 
 (2,128)
Payments of deferred financing costs
 (12) 
 
 
 
 (12)
Distributions to noncontrolling interest
 
 
 
 (72) 
 (72)
Preferred stock redemption(143,750) 
 
 
 
 
 (143,750)
Issuance of common stock, net(499) 
 
 
 
 
 (499)
Dividends paid on common and preferred stock(164,736) 
 
 
 
 
 (164,736)
Distribution to parent
 (2,669) 
 
 (2,669) 5,338
 
Intercompany financing
 378,485
 
 (8,130) 421,603
 (791,958) 
Net cash (used in) provided by financing activities(308,985) 410,804
 
 (8,130) 416,734
 (786,620) (276,197)
Net (decrease) increase in cash, cash equivalents and restricted cash(480,401) 
 
 40,619
 78,239
 
 (361,543)
Effect of foreign currency translation on cash, cash equivalents and restricted cash
 
 
 (146) (106) 
 (252)
Cash, cash equivalents and restricted cash, beginning of period511,670
 
 
 6,761
 69,018
 
 587,449
Cash, cash equivalents and restricted cash, end of period$31,269
 $
 $
 $47,234
 $147,151
 $
 $225,654

(1)
The Parent Company guarantees the 2023 Notes, the 2024 Notes and the 2026 Notes.
(2)
The Operating Partnership is the co-issuer of the 2023 Notes and the 2024 Notes and the issuer of the 2026 Notes.
(3)
Sabra Capital Corporation is the co-issuer of the 2023 Notes and the 2024 Notes.
(4)
The Combined Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes guarantee the 2023 Notes and the 2024 Notes.
(5)
The Combined Non-Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes consist of the subsidiaries that do not guarantee the 2023 Notes and the 2024 Notes.
(6)
None of Sabra Capital Corporation, the Combined Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes, nor the Combined Non-Guarantor Subsidiaries of the 2023 Notes and the 2024 Notes guarantee the 2026 Notes.

13.    COMMITMENTS AND CONTINGENCIES
Environmental
As an owner of real estate, the Company is subject to various environmental laws of federal, state and local governments. The Company is not aware of any environmental liability that could have a material adverse effect on its financial condition or results of operations. However, changes in applicable environmental laws and regulations, the uses and conditions of properties in the vicinity of the Company’s properties, the activities of its tenants and other environmental conditions of which the Company is unaware with respect to the properties could result in future environmental liabilities. As of June 30, 2019,2020, the Company does not expect that compliance with existing environmental laws will have a material adverse effect on the Company’s financial condition and results of operations.
Legal Matters
From time to time, the Company is party to legal proceedings that arise in the ordinary course of its business. Management is not aware of any legal proceedings where the likelihood of a loss contingency is reasonably possible and the amount or range of reasonably possible losses is material to the Company’s results of operations, financial condition or cash flows.


14.13.    SUBSEQUENT EVENTS
The Company evaluates subsequent events up until the date the condensed consolidated financial statements are issued.
Dividend Declaration
On August 7, 2019,5, 2020, the Company announced that itsCompany’s board of directors declared a quarterly cash dividend of $0.45$0.30 per share of common stock. The dividend will be paid on August 30, 201931, 2020 to common stockholders of record as of the close of business on August 20, 2019.17, 2020.

ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS.
The discussion below contains forward-looking statements that involve risks and uncertainties. Our actual results could differ materially from those anticipated in these forward-looking statements as a result of various factors, including those which are discussed in the “Risk Factors” section in Part I, Item 1A of our 20182019 Annual Report on Form 10-K and Part II, Item 1A of our Quarterly Report on Form 10-Q for the quarter ended March 31, 2019.2020. Also see “Statement Regarding Forward-Looking Statements” preceding Part I.
The following discussion and analysis should be read in conjunction with our accompanying condensed consolidated financial statements and the notes thereto.
Our Management’s Discussion and Analysis of Financial Condition and Results of Operations is organized as follows:
Overview
Critical Accounting Policies
Recently Issued Accounting Standards Update
Results of Operations
Liquidity and Capital Resources
Concentration of Credit Risk
Skilled Nursing Facility Reimbursement Rates
Obligations and Commitments
Off-Balance Sheet Arrangements
Overview
We operate as a self-administered, self-managed REIT that, through our subsidiaries, owns and invests in real estate serving the healthcare industry.
Our primary business consists of acquiring, financing and owning real estate property to be leased to third party tenants in the healthcare sector. We primarily generate revenues by leasing properties to tenants and owning properties operated by third-party property managers throughout the United States (“U.S.”) and Canada.
Our investment portfolio is primarily comprised of skilled nursing/transitional care facilities, senior housing communities (“Senior Housing - Leased”) and specialty hospitals and other facilities, in each case leased to third-party operators; senior housing communities operated by third-party property managers pursuant to property management agreements (“Senior Housing - Managed”); investments in loans receivable; preferred equity investments and an investment in an unconsolidated joint venture.
In 2017Recent disruptions in the equity and 2018, we completed a series of transactions—including our merger with CCP (“CCP Merger”), sales of 67 facilities leased to Genesis Healthcare, Inc., investment in an unconsolidated joint venture with Enlivant and TPG Real Estate (“Enlivant Joint Venture”) and entry into our new Credit Facility (as defined below)—thatdebt markets have significantly enhanced our scale and increased our diversification. Additionally, Sabra has substantially completed the repositioningcost of the CCP portfolio, which included a combination of lease modifications, working capital advances, transitioning facilitiesand have made it difficult to other Sabra tenantsestablish market values for potential real estate investments, and strategic sales or closures of underperforming facilities (including the sales of Senior Care Centers facilities described below under “—Dispositions”).
Following these transactions,accordingly we do not expect to continuemake any material real estate investments as long as these market conditions persist.
Should market conditions improve, we expect to grow our investment portfolio while diversifying our portfolio by tenant, facility type and geography within the healthcare sector. We plan to achieve these objectives primarily through making investments directly or indirectly in healthcare real estate, including the development of purpose builtpurpose-built healthcare facilities with select developers. We also intend to achieve our objective of diversifying our portfolio by tenant and facility type through select asset sales and other arrangements with our tenants.
We expect to continue to grow our portfolio primarily through the acquisition of assisted living, independent living and memory care communities in the U.S. and Canada and through the acquisition of skilled nursing/transitional care and behavioral health facilities in the U.S. We have and, should market conditions improve, expect to continue to opportunistically acquire other types of healthcare real estate, originate financing secured directly or indirectly by healthcare facilities and invest in the development of senior housing communities and skilled nursing/transitional care facilities. We also expect to expand our portfolio through the development of purpose-built healthcare facilities through pipeline agreements and other arrangements with select developers. We further expect to work with existing operators to identify strategic development opportunities. These opportunities may involve replacing, renovating or expanding facilities in our portfolio that may have become less competitive and new development

opportunities that present attractive risk-adjusted returns. In addition to pursuing acquisitions with triple-net leases, we expect to continue to pursue other forms of investment, including investments in Senior Housing - Managed communities, mezzanine and secured debt investments, and joint ventures for senior housing communities and skilled nursing/

transitional care facilities. We also expect to continue to enhance the strength of our investment portfolio by selectively disposing of underperforming facilities or working with new or existing operators to transfer underperforming but promising properties to new operators.
With respect to our debt and preferred equity investments, in general, we originate loans and make preferred equity investments when an attractive investment opportunity is presented and (a) the property is in or near the development phase, (b) the development of the property is completed but the operations of the facility are not yet stabilized or (c) the loan investment will provide capital to existing relationships. A key component of our development strategy related to loan originations and preferred equity investments is having the option to purchase the underlying real estate that is owned by our borrowers (and that directly or indirectly secures our loan investments) or by the entity in which we have an investment. These options become exercisable upon the occurrence of various criteria, such as the passage of time or the achievement of certain operating goals, and the method to determine the purchase price upon exercise of the option is set in advance based on the same valuation methods we use to value our investments in healthcare real estate. This proprietary development pipeline strategy allows us to diversify our revenue streams and build relationships with operators and developers, and provides us with the option to add new properties to our existing real estate portfolio if we determine that those properties enhance our investment portfolio and stockholder value at the time the options are exercisable.
We employ a disciplined, opportunistic approach in our healthcare real estate investment strategy by investing in assets that provide attractive opportunities for dividend growth and appreciation of asset values, while maintaining balance sheet strength and liquidity, thereby creating long-term stockholder value.
We elected to be treated as a REIT with the filing of our U.S. federal income tax return for the taxable year beginning January 1, 2011. We believe that we have been organized and have operated, and we intend to continue to operate, in a manner to qualify as a REIT. We operate through an umbrella partnership, commonly referred to as an UPREIT structure, in which substantially all of our properties and assets are held by Sabra Health Care Limited Partnership, a Delaware limited partnership (the “Operating Partnership”), of which we are the sole general partner and a wholly owned subsidiary of ours is currently the only limited partner, or by subsidiaries of the Operating Partnership.
COVID-19
On March 11, 2020, the World Health Organization declared COVID-19 a pandemic, and on March 13, 2020, the United States declared a national emergency with respect to COVID-19. The outbreak has led governments and other authorities around the world, including federal, state and local authorities in the United States, to impose measures intended to control its spread, including restrictions on freedom of movement and business operations such as travel bans, border closings, business closures, quarantines and shelter-in-place orders. The COVID-19 pandemic and measures to prevent its spread have negatively impacted and are expected to continue to negatively impact us and our operations in a number of ways, including but not limited to:
Decreased occupancy and increased operating costs for our tenants and borrowers, which has negatively impacted their operating results and may adversely impact their ability to make full and timely rental payments and debt service payments, respectively, to us. In some cases, we may have to restructure tenants’ long-term rent obligations and may not be able to do so on terms that are as favorable to us as those currently in place. Reduced or modified rental and debt service amounts could result in the determination that the full amounts of our investments are not recoverable, which could result in an impairment charge. To date, the impact of COVID-19 on our skilled nursing/transitional care facility operators has been partially mitigated by the assistance they have received or expect to receive from state and federal assistance programs, including through the CARES Act (as defined and further described below under “—Skilled Nursing Facility Reimbursement Rates”), although these benefits on an individual operator basis vary and may not provide enough relief to meet their rental obligations to us. To date, few of these programs have been available to our senior housing operators. As of June 30, 2020, our tenants and borrowers have continued to pay expected cash rents and debt service obligations consistent with past practice. However, the longer the duration of the COVID-19 pandemic, the more likely that our tenants and borrowers will begin to default on these obligations. Such defaults could materially and adversely affect our results of operations and liquidity, in addition to resulting in potential impairment charges.
Decreased occupancy and increased operating costs within our Senior Housing - Managed portfolio and in our 49% equity interest in a joint venture with affiliates of Enlivant and TPG Real Estate, the real estate platform of TPG, that owns senior housing communities managed by Enlivant (the “Enlivant Joint Venture”), which have negatively impacted and are expected to continue to negatively impact the operating results of these investments. Prolonged deterioration in the operating results for these investments could result in the determination that the full amounts of our investments are not recoverable, which could result in an impairment charge.
Our financial results as of and for the three and six months ended June 30, 2020 reflect the results of our evaluation of the impact of COVID-19 on our business including, but not limited to, our evaluation of potential impairments of long-lived or

other assets, measurement of credit losses on financial instruments, evaluation of any lease modifications, evaluation of lease accounting impact, estimates of fair value and our ability to continue as a going concern.
Acquisitions
During the six months ended June 30, 2020, we acquired three Senior Housing - Leased communities and one Senior Housing - Managed community for an aggregate $113.7 million. See Note 3, “Recent Real Estate Acquisitions,” in the Notes to Condensed Consolidated Financial Statements for additional information regarding these acquisitions.
Dispositions
During the six months ended June 30, 2019,2020, we completed the sale of 31six skilled nursing/transitional care facilities and seven senior housing communities for aggregate consideration, net of closing costs, of $315.0$24.3 million. The net carrying value of the assets and liabilities of these facilities was $313.8$24.2 million, which resulted in an aggregate $1.2$0.1 million net gain on sale.
On February 15, 2019, we entered into a settlement agreement with Senior Care Centers in connection with the notices of default and lease termination we issued to Senior Care Centers during the third quarter of 2018. In accordance with the order entered by the bankruptcy court in March 2019, the settlement agreement provided for the discharge of our claims against Senior Care Centers in exchange for $9.5 million of settlement payments, a portion of which was applied to pay post-petition rent. We recorded $0.5 million and $6.2 million of such post-petition rent during the three and six months ended June 30, 2019, respectively. On April 1, 2019, we completed the sale of 28 facilities (26 skilled nursing/transitional care facilities and two senior housing communities) previously operated by Senior Care Centers and received gross sales proceeds of $282.5 million. In connection with the sale, we entered into an agreement to indemnify the buyer from certain costs, expenses and liabilities related to the historical operations of the facilities by Senior Care Centers. In May 2019, we transitioned eight facilities previously operated by Senior Care Centers to a current operator in the Sabra portfolio, and we expect to sell the remaining two facilities operated by Senior Care Centers. During the six months ended June 30, 2019, we recorded an impairment charge of $92.2 million related to the Senior Care Centers facilities, which includes $10.2 million related to our estimated contractual indemnification obligations.
Holiday
On December 19, 2018, we entered into a letter of intent to terminate our triple-net master lease with Holiday Retirement (“Holiday”) with respect to all 21 senior housing communities subject to the master lease (the “Holiday Communities”) and concurrently enter into management agreements pursuant to which Holiday would manage the Holiday Communities. On April 1, 2019, we completed the conversion of the Holiday Communities to our Senior Housing - Managed portfolio and recognized lease termination income of $66.9 million, which includes a $57.2 million lease termination payment received in exchange for terminating the Holiday master lease and a $9.7 million gain related to the assumption of fixed assets net of liabilities.

At-The-Market Common Stock Offering Program
On February 25, 2019, we established the $500.0 million ATM Program (as defined below). During the three and six months ended June 30, 2019, we sold 11.1 million shares under the ATM Program, generating gross proceeds of $217.3 million, before $3.3 million of commissions.
Senior Unsecured Notes
On May 29, 2019, we completed an underwritten public offering of $300.0 million aggregate principal amount of 4.80% senior unsecured notes due 2024, resulting in net proceeds of $295.3 million after deducting underwriting discounts and other offering expenses.
On June 29, 2019, we redeemed all $500.0 million aggregate principal amount outstanding of the 5.5% senior unsecured notes due 2021 at a premium of 101.375%, plus accrued and unpaid interest. The redemption resulted in $10.1 million of redemption related costs and write-offs, including $6.9 million in payments made to noteholders and legal fees for early redemption and $3.2 million of write-offs associated with unamortized deferred financing and premium costs.
Critical Accounting Policies
Our condensed consolidated interim financial statements have been prepared in accordance with GAAP and in conjunction with the rules and regulations of the SEC. The preparation of our financial statements requires significant management judgments, assumptions and estimates about matters that are inherently uncertain. These judgments affect the reported amounts of assets and liabilities and our disclosure of contingent assets and liabilities at the dates of the financial statements and the reported amounts of revenue and expenses during the reporting periods. With different estimates or assumptions, materially different amounts could be reported in our financial statements. Additionally, other companies may utilize different estimates that may impact the comparability of our results of operations to those of companies in similar businesses. A discussion of the accounting policies that management considers critical in that they involve significant management judgments and assumptions, require estimates about matters that are inherently uncertain and because they are important for understanding and evaluating our reported financial results is included in Part II, Item 7 of our 20182019 Annual Report on Form 10-K filed with the SEC. Except for the impact of Topic 842, as discussed in Note 2, “Summary of Significant Accounting Policies,” in the Notes to Condensed Consolidated Financial Statements, thereThere have been no significant changes to our critical accounting policies during the six months ended June 30, 2019.2020.
Recently Issued Accounting Standards Update
See Note 2, “Summary of Significant Accounting Policies,” in the Notes to Condensed Consolidated Financial Statements for information concerning recently issued accounting standards updates.
Results of Operations
As of June 30, 2020, our investment portfolio included 427 real estate properties held for investment, one investment in a direct financing lease, 19 investments in loans receivable, five preferred equity investments and one investment in an unconsolidated joint venture. As of June 30, 2019, our investment portfolio included 432 real estate properties held for investment, one investment in a direct financing lease, 20 investments in loans receivable, nine preferred equity investments and one investment in an unconsolidated joint venture. As of June 30, 2018, our investment portfolio included 487 real estate properties held for investment, one asset held for sale, one investment in a direct financing lease, 22 investments in loans receivable, 13 preferred equity investments and one investment in an unconsolidated joint venture. In general, we expect that income and expenses related to our portfolio will fluctuate in future periods in comparison to the corresponding prior periods as a result of investment and disposition activity and anticipated future changes in our portfolio. The results of operations presented are not directly comparable due to ongoing acquisition and disposition activity.

Comparison of results of operations for the three months ended June 30, 20192020 versus the three months ended June 30, 20182019 (dollars in thousands):
Three Months Ended June 30, Increase / (Decrease) 
Percentage
Difference
 
Variance due to Acquisitions, Originations and Dispositions (1)
 
Remaining Variance (2)
Three Months Ended June 30, Increase / (Decrease) 
Percentage
Difference
 
Variance due to Acquisitions, Originations and Dispositions (1)
 
Remaining Variance (2)
2019 2018 2020 2019 
Revenues:                      
Rental and related revenues$112,800
 $144,229
 $(31,429) (22)% $(18,323) $(13,106)$112,727
 $112,800
 $(73)  % $1,540
 $(1,613)
Interest and other income70,495
 4,553
 65,942
 1,448 % (1,268) 67,210
2,606
 70,495
 (67,889) (96)% (919) (66,970)
Resident fees and services36,071
 17,530
 18,541
 106 % (466) 19,007
38,584
 36,071
 2,513
 7 % 2,385
 128
Expenses:                      
Depreciation and amortization49,476
 46,828
 2,648
 6 % (4,359) 7,007
44,202
 49,476
 (5,274) (11)% 1,051
 (6,325)
Interest33,608
 36,757
 (3,149) (9)% 
 (3,149)25,292
 33,608
 (8,316) (25)% 
 (8,316)
Triple-net portfolio operating expenses6,240
 
 6,240
 NM
 
 6,240
5,331
 6,240
 (909) (15)% (242) (667)
Senior housing - managed portfolio operating expenses24,239
 12,299
 11,940
 97 % (351) 12,291
27,970
 24,239
 3,731
 15 % 1,761
 1,970
General and administrative8,059
 9,383
 (1,324) (14)% (276) (1,048)8,673
 8,059
 614
 8 % 
 614
Provision for (recovery of) doubtful accounts, straight-line rental income and loan losses193
 (674) 867
 (129)% 
 867
Provision for loan losses and other reserves129
 193
 (64) (33)% 
 (64)
Impairment of real estate2,002
 881
 1,121
 127 % 
 1,121

 2,002
 (2,002) (100)% (2,002) 
Other (expense) income:    

      
Other income (expense):    

      
Loss on extinguishment of debt(10,119) 
 (10,119) NM
 
 (10,119)(392) (10,119) 9,727
 (96)% (392) 10,119
Other expense(66) (1) (65) NM
 
 (65)
Net gain on sales of real estate2,755
 142,903
 (140,148) (98)% (140,148) 
330
 2,755
 (2,425) (88)% (2,425) 
Loss from unconsolidated joint venture(3,647) (2,347) (1,300) 55 % (1,690) 390
(12,136) (3,647) (8,489) 233 % (7,389) (1,100)
Income tax expense(854) (605) (249) 41 % 
 (249)(433) (854) 421
 (49)% 
 421
(1) 
Represents the dollar amount increase (decrease) for the three months ended June 30, 20192020 compared to the three months ended June 30, 20182019 as a result of investments/dispositions made after April 1, 20182019.
(2) 
Represents the dollar amount increase (decrease) for the three months ended June 30, 20192020 compared to the three months ended June 30, 20182019 that is not a direct result of investments/dispositions made after April 1, 2018.2019.
Rental and Related Revenues
During the three months ended June 30, 2019,2020, we recognized $112.8$112.7 million of rental income compared to $144.2$112.8 million for the three months ended June 30, 2018.2019. The $31.4$0.1 million net decrease in rental income is primarily related to (i) a $19.5$3.3 million decrease from properties disposed of after April 1, 2018, (ii) a $9.8 million decrease from the 21 Holiday Communities that were transitionedprimarily related to Senior Housing - Managed communities in April 2019, (iii) a $5.2 million net decrease primarily relatedearned cash rents due to lease restructurings and leases that we concluded should no longer be accounted for on an accrual basis as a result of adopting Accounting Standards Update (“ASU”) 2016-02, Leases, as amended by subsequent ASUs (“Topic 842”), consisting in 2019 and (ii) a $1.3 million decrease from properties disposed of a $3.1 million net decrease in earned cash rents andafter April 1, 2019. These decreases are partially offset by (i) a $2.8 million net decrease in straight-line rental income, partially offset byincrease from properties acquired after April 1, 2019, (ii) a $0.7 million net increase in above/below market lease intangible amortization, and (iv) a $3.3 million decrease related to the 10 remaining Senior Care Centers facilities, eight of which were transitioned to a new operator. These amounts were partially offset by a $4.8 million increase related to property tax recoveries dueand (iii) a $0.7 million increase related to the adoption of Topic 842, which now requires lessor costs that are paid by the lessor and reimbursed by the lesseefacilities transitioned to be included in the measurement of variable lease revenue and the associated expense, and an increase of $1.1 million from properties acquired after April 1, 2018. new operators.
Our reported rental and related revenues may be subject to increased variability in the future as a result of adopting Topic 842. However, there can be no assurances regarding the timing and amount of these collections. Amounts due under the terms of all of our lease agreements are subject to contractual increases, and contingent rental income may be derived from certain lease agreements. No material contingent rental income was derived during the three months ended June 30, 20192020 and 2018.2019.
Interest and Other Income
Interest and other income primarily consists of income earned on our loans receivable investments, preferred returns earned on our preferred equity investments and income on the direct financing lease. During the three months ended June 30, 2019,2020, we recognized $70.5$2.6 million of interest and other income compared to $4.6$70.5 million for the three months ended June 30,

2018. 2019. The net increasedecrease of $65.9$67.9 million is primarily due to (i) $66.9 million of income related to the transition of the 21 Holiday Communitiescommunities to our Senior Housing-Housing - Managed portfolio in April 2019, consisting of a $57.2 million lease termination payment and a $9.7 million gain related to the assumption of fixed assets net of liabilities, and (ii) an increase of $0.5a $1.0 million related to interest income from loans receivable investments made after April 1, 2018, partially offset by a decrease of $1.8 millionin

income from investments that were repaid after April 1, 2018. The remaining2019, partially offset by a $0.1 million increase is due toin income on additional fundings for loans receivablefrom investments made beforeafter April 1, 2018.2019.
Resident Fees and Services    
During the three months ended June 30, 2019,2020, we recognized $36.1$38.6 million of resident fees and services compared to $17.5$36.1 million for the three months ended June 30, 2018.2019. The $18.5$2.5 million net increase is primarily related to an $18.9(i) a $2.4 million increase from the 21 Holiday Communitiestwo Senior Housing - Managed communities acquired after April 1, 2019 and (ii) a $1.1 million increase from one Senior Housing - Leased community that werewas transitioned to Senior Housing - Managed communities in AprilNovember 2019, partially offset by a $0.5$1.0 million decrease from one Senior Housing - Managed community disposed of aftercommunities acquired before April 1, 2018.2019 primarily due to decreases in occupancy.
Depreciation and Amortization
During the three months ended June 30, 2019,2020, we incurred $49.5$44.2 million of depreciation and amortization expense compared to $46.8$49.5 million for the three months ended June 30, 2018.2019. The $2.6$5.3 million net increase in depreciation and amortization expensedecrease is primarily relateddue to (i) a $5.7 million increasedecrease due to the acceleration of lease intangible amortization related to the transition of the 21 Holiday Communitiescommunities to Senior Housing - Managed communities in April 2019 and (ii) a $0.9 million increase due to the acceleration of lease intangible amortization in connection with the transition of six skilled nursing/transitional care facilities to new operators and (iii) a $0.5 million increase from properties acquired after April 1, 2018, partially offset by a $4.9$0.6 million decrease from properties disposed of after April 1, 2018.2019, partially offset by a $1.6 million increase from properties acquired after April 1, 2019. The remaining decrease is primarily related to assets that were fully amortized or written-off in a prior period.
Interest Expense
We incur interest expense comprised of costs of borrowings plus the amortization of deferred financing costs related to our indebtedness. During the three months ended June 30, 2019,2020, we incurred $33.6$25.3 million of interest expense compared to $36.8$33.6 million for the three months ended June 30, 2018.2019. The $3.1$8.3 million net decrease is primarily related to (i) an aggregate $10.1 million decrease in interest expense related to the redemptions of the 5.5% senior unsecured notes due 2021 (the “2021 Notes”) in June 2019 and the 5.375% senior unsecured notes due 2023 (the “2023 Notes”) in October 2019, (ii) a $3.4$2.3 million decrease in interest expense primarily related to the partial pay down of the U.S. dollar term loans and (iii) a $1.4 million decrease in interest expense related to the borrowings outstanding on the Revolving Credit Facility (as defined below) and (ii) a $1.4 million decrease in interest expense related to our secured borrowings primarily due to the repayment of five mortgage notes during 2018,, which were partially offset by (i) a $1.4an aggregate $6.1 million increase in interest expense related to the issuance of the 2024 Notes (as defined below), including $1.0 million of incremental interest expense related to the redemption of the 2021 Notes (as defined below) occurring after the issuanceissuances of the 2024 Notes and (ii) a $0.3 million increase in interest expense related to our U.S. dollar term loans primarily due to an increase in interest rates.2029 Notes (both as defined below).
Triple-Net Portfolio Operating Expenses
During the three months ended June 30, 2019,2020, we recognized $6.2$5.3 million of triple-net portfolio operating expenses of which $4.8compared to $6.2 million is due tofor the adoption of Topic 842, which now requires lessor costs that are paid by the lessor and reimbursed by the lessee to be included in the measurement of variable lease revenue and the associated expense and the remaining $1.4three months ended June 30, 2019. The $0.9 million net decrease is primarily duerelated to (i) a $0.4 million decrease related to property taxes paid during the three months ended June 30, 2020 on facilities that are not expectedwere transitioned to be reimbursed by our tenants.a new operator who is now paying the property taxes directly and (ii) a $0.2 million decrease related to properties disposed of after April 1, 2019.
Senior Housing - Managed Portfolio Operating Expenses
During the three months ended June 30, 2019,2020, we recognized $24.2$28.0 million of Senior Housing - Managed portfolio operating expenses compared to $12.3$24.2 million for the three months ended June 30, 2018.2019. The $11.9$3.7 million net increase is primarily relateddue to an $11.9(i) a $1.8 million increase from the 21 Holiday Communitiestwo Senior Housing - Managed communities acquired after April 1, 2019 and (ii) a $1.0 million increase from one Senior Housing - Leased community that werewas transitioned to Senior Housing - Managed communities in April 2019, partially offset by a $0.3 million decrease from one Senior Housing - Managed community disposed of after April 1, 2018.November 2019. The remaining increase is primarily due to increased supplies and labor needs related to the COVID-19 pandemic.
General and Administrative Expenses
General and administrative expenses include compensation-related expenses as well as professional services, office costs, other costs associated with asset management, and merger and acquisition costs. During the three months ended June 30, 2019,2020, general and administrative expenses were $8.1$8.7 million compared to $9.4$8.1 million during the three months ended June 30, 2018. The $1.3 million net decrease is primarily related to (i) a $1.1 million decrease in legal expenses primarily due to expenses incurred during the three months ended June 30, 20182019. The $0.6 million net increase is primarily related to the previously anticipated refinancingan increase in employee compensation as a result of certain Senior Notes (as defined below) and the recovery of previously reserved cash rental income and (ii) a $0.3 million decrease in transition expenses related to the CCP Merger. We expect expensed merger and acquisition costs to fluctuate from period to period depending on acquisition activity and whether these acquisitions are considered business combinations.

increased staffing.
Provision for (Recovery of) Doubtful Accounts, Straight-Line Rental IncomeLoan Losses and Loan LossesOther Reserves
During the three months ended June 30, 2020, we recognized a $0.1 million provision for loan losses and other reserves, primarily associated with loan loss reserves. During the three months ended June 30, 2019, we recognized a $0.2 million provision for doubtful accounts, straight-line rental incomeloan losses and loan losses,other reserves, all of which was associated with loan loss reserves.

Impairment of Real Estate
During the three months ended June 30, 2018,2020, we recognized a $0.7 million net recoveryno impairment of doubtful accounts, straight-line rental income and loan losses, which was comprised of a $1.0 million recovery of previously reserved cash rental income, partially offset by a $0.1 million increase in reserves on straight-line rental income and a $0.2 million increase in loan loss reserves.
Impairment of Real Estate
real estate. During the three months ended June 30, 2019, we recognized $2.0 million of impairment of real estate related to four skilled nursing/transitional care facilities. facilities that were subsequently sold.
Loss on Extinguishment of Debt
During the three months ended June 30, 2018,2020, we recognized $0.9a $0.4 million loss on extinguishment of impairment of real estatedebt related to one skilled nursing/transition care facility.
Loss on Extinguishmentwrite-offs of Debt
deferred financing costs in connection with the assumption of two mortgage notes by the buyer of the two facilities that secured the mortgage notes. During the three months ended June 30, 2019, we recognized a $10.1 million loss on extinguishment of debt in connection with the redemption of the 2021 Notes, including $6.9 million in payments made to noteholders and legal fees for early redemption and $3.2 million of write-offs associated with unamortized deferred financing and premium costs. During the three months ended June 30, 2018, we did not recognize any loss on extinguishment of debt.
Net Gain on Sales of Real Estate
During the three months ended June 30, 2020, we recognized an aggregate net gain on the sales of real estate of $0.3 million related to the disposition of three skilled nursing/transitional care facilities. During the three months ended June 30, 2019, we recognized an aggregate net gain on the sales of real estate of $2.8 million related to the disposition of 28 skilled nursing/transitional care facilities and seven senior housing communities. During the three months ended June 30, 2018, we recognized an aggregate net gain on the sales of real estate of $142.9 million related to the disposition of 32 skilled nursing/transitional care facilities and four senior housing communities.
Loss from Unconsolidated Joint Venture
During the three months ended June 30, 2019,2020, we recognized $12.1 million of loss from our unconsolidated joint venture compared to $3.6 million of loss from the Enlivant Joint Venture compared to $2.3 million for the three months ended June 30, 2018.2019. The $1.3$8.5 million net increasedecrease is primarily related to (i) a $1.7$9.1 million net loss on the sale of twonine senior housing communities and (ii) a $0.5$2.3 million increase in operating expenses due to increased supplies and labor needs related to the COVID-19 pandemic, partially offset by a $1.8 million decrease in interest expense primarily due to an increasea decrease in interest rates, partially offset by a $0.6 million increase in revenues net of operating expenses primarily due to increased occupancy and rates.
Income Tax Expense
During the three months ended June 30, 2019,2020, we recognized $0.9$0.4 million of income tax expense compared to $0.6$0.9 million for the three months ended June 30, 2018.2019. The increasedecrease is primarily due to the increase inlower taxable income from Senior Housing - Managed communities.

Comparison of results of operations for the six months ended June 30, 20192020 versus the six months ended June 30, 20182019 (dollars in thousands):
Six Months Ended June 30, Increase / (Decrease) Percentage
Difference
 
Variance due to Acquisitions, Originations and Dispositions (1)
 
Remaining Variance (2)
Six Months Ended June 30, Increase / (Decrease) Percentage
Difference
 
Variance due to Acquisitions, Originations and Dispositions (1)
 
Remaining Variance (2)
2019 2018 2020 2019 
Revenues:                      
Rental and related revenues$229,187
 $288,484
 $(59,297) (21)% $(32,748) $(26,549)$219,239
 $229,187
 $(9,948) (4)% $(1,976) $(7,972)
Interest and other income73,820
 8,891
 64,929
 730 % (2,517) 67,446
5,457
 73,820
 (68,363) (93)% (1,512) (66,851)
Resident fees and services53,132
 35,023
 18,109
 52 % (931) 19,040
78,567
 53,132
 25,435
 48 % 4,665
 20,770
Expenses:                      
Depreciation and amortization94,425
 94,833
 (408)  % (6,400) 5,992
88,370
 94,425
 (6,055) (6)% (618) (5,437)
Interest69,926
 72,575
 (2,649) (4)% 
 (2,649)50,996
 69,926
 (18,930) (27)% 
 (18,930)
Triple-net portfolio operating expenses11,529
 
 11,529
 NM
 
 11,529
10,232
 11,529
 (1,297) (11)% (451) (846)
Senior housing - managed portfolio operating expenses36,279
 24,423
 11,856
 49 % (712) 12,568
55,231
 36,279
 18,952
 52 % 3,335
 15,617
General and administrative16,243
 17,580
 (1,337) (8)% (1,575) 238
17,434
 16,243
 1,191
 7 % 
 1,191
Provision for doubtful accounts, straight-line rental income and loan losses1,400
 539
 861
 160 % 
 861
Provision for loan losses and other reserves796
 1,400
 (604) (43)% 
 (604)
Impairment of real estate105,136
 1,413
 103,723
 7,341 % 68,558
 35,165

 105,136
 (105,136) (100)% (99,107) (6,029)
Other (expense) income:                      
Loss on extinguishment of debt(10,119) 
 (10,119) NM
 
 (10,119)(392) (10,119) 9,727
 (96)% (392) 10,119
Other (expense) income170
 2,820
 (2,650) (94)% 
 (2,650)
Other income2,193
 170
 2,023
 1,190 % 
 2,023
Net gain on sales of real estate1,235
 142,431
 (141,196) (99)% (141,196) 
113
 1,235
 (1,122) (91)% (1,122) 
Loss from unconsolidated joint venture(5,030) (1,901) (3,129) 165 % (1,690) (1,439)(15,803) (5,030) (10,773) 214 % (9,118) (1,655)
Income tax expense(1,466) (1,115) (351) 31 % 
 (351)(1,475) (1,466) (9) 1 % 
 (9)
(1) 
Represents the dollar amount increase (decrease) for the six months ended June 30, 20192020 compared to the six months ended June 30, 20182019 as a result of investments/dispositions made after January 1, 2018.2019.
(2) 
Represents the dollar amount increase (decrease) for the six months ended June 30, 20192020 compared to the six months ended June 30, 20182019 that is not a direct result of investments/dispositions made after January 1, 2018.2019.
Rental and Related Revenues
During the six months ended June 30, 2019,2020, we recognized $229.2$219.2 million of rental income compared to $288.5$229.2 million for the six months ended June 30, 2018.2019. The $59.3$9.9 million net decrease in rental income is primarily duerelated to (i) a $36.0$6.7 million decrease from properties disposed of after January 1, 2018,2019, (ii) an $9.9 million decrease from the 21 Holiday communities and one Senior Housing - Leased community that were transitioned to Senior Housing - Managed communities in April 2019 and November 2019, respectively, and (iii) a $18.5$2.5 million decrease primarily related to earned cash rents due to lease restructurings and leases that we concluded should no longer be accounted for on an accrual basis as a result of adopting Topic 842 consisting of a $9.0 million net decrease in earned cash rents, a $5.1 million net decrease in straight-line rental income and a $4.4 million net decrease primarily due to the acceleration of above/below market lease intangible amortization, (iii) a $10.9 million decrease from the 21 Holiday Communities that were transitioned to Senior Housing - Managed communities in April 2019 and (iv) a $6.5 million decrease related to the 10 remaining Senior Care Centers facilities, eight of which were transitioned to a new operator.2019. These amounts were partially offset by (i) a $9.0$4.7 million increase from properties acquired after January 1, 2019, (ii) a $1.7 million increase related to property tax recoveries dueand (iii) a $1.5 million increase related to the adoption of Topic 842, which now requires lessor costs that are paid by the lessor and reimbursed by the lesseefacilities transitioned to be included in the measurement of variable lease revenue and the associated expense, and an increase of $3.3 million from properties acquired after April 1, 2018. new operators.
Our reported rental and related revenues may be subject to increased variability in the future as a result of adopting Topic 842. However, there can be no assurances regarding the timing and amount of these collections. Amounts due under the terms of all of our lease agreements are subject to contractual increases, and contingent rental income may be derived from certain lease agreements. No material contingent rental income was derived during the six months ended June 30, 20192020 and 2018.2019.
Interest and Other Income
Interest and other income primarily consists of income earned on our loans receivable investments, preferred returns earned on our preferred equity investments and income on the direct financing lease. During the six months ended June 30,

2019, 2020, we recognized $73.8$5.5 million of interest and other income compared to $8.9$73.8 million for the six months ended June 30, 2018.2019. The net increasedecrease of $64.9$68.4 million is primarily due to (i) $66.9 million of income related to the transition of the 21

Holiday Communitiescommunities to our Senior Housing-Housing - Managed portfolio in April 2019, consisting of a $57.2 million lease termination payment and a $9.7 million gain related to the assumption of fixed assets net of liabilities, and (ii) an increase of $1.0a $1.6 million related to interestdecrease in income from loans receivable investments made after January 1, 2018, partially offset by a decrease of $3.5 million from investments that were repaid after January 1, 2018. The remaining2019, partially offset by a $0.2 million increase is due toin income on additional fundings for loans receivablefrom investments made beforeafter January 1, 2018.2019.
Resident Fees and Services    
During the six months ended June 30, 2019,2020, we recognized $53.1$78.6 million of resident fees and services compared to $35.0$53.1 million for the six months ended June 30, 2018.2019. The $18.1$25.4 million net increase is primarily duerelated to an $18.9(i) a $20.5 million increase from the 21 Holiday Communitiescommunities and one Senior Housing - Leased community that were transitioned to Senior Housing - Managed communities in April 2019 partially offset byand November 2019, respectively, and (ii) a $0.9$4.7 million decreaseincrease from onetwo Senior Housing - Managed community disposed ofcommunities acquired after January 1, 2018.2019.
Depreciation and Amortization
During the six months ended June 30, 2019,2020, we incurred $94.4$88.4 million of depreciation and amortization expense compared to $94.8$94.4 million for the six months ended June 30, 2018.2019. The $0.4$6.1 million net decrease in depreciation and amortization expense is primarily due a decrease of $7.7 million from properties disposed of after January 1, 2018, partially offset byto (i) a $5.7 million increasedecrease due to the acceleration of lease intangible amortization related to the transition of the 21 Holiday Communitiescommunities to Senior Housing - Managed communities in April 2019 and (ii) ana $3.6 million decrease from properties disposed of after January 1, 2019, partially offset by a $3.0 million increase of $1.3 million from other properties acquired after January 1, 2018 and (iii)2019. The remaining decrease is primarily related to assets that were fully amortized or written-off in a $0.9 million increase due to the acceleration of lease intangible amortization in connection with the transition of six skilled nursing/transitional care facilities to new operators.prior period.
Interest Expense
We incur interest expense comprised of costs of borrowings plus the amortization of deferred financing costs related to our indebtedness. During the six months ended June 30, 2019,2020, we incurred $69.9$51.0 million of interest expense compared to $72.6$69.9 million for the six months ended June 30, 2018.2019. The $2.6$18.9 million net decrease is primarily related to (i) a $2.7an aggregate $20.3 million decrease in interest expense related to our secured borrowings primarily due to the repaymentredemptions of five mortgage notes during 2018the 2021 Notes in June 2019 and the 2023 Notes in October 2019, (ii) a $2.2$7.0 million decrease in interest expense related to the borrowings outstanding on the Revolving Credit Facility and (iii) a $4.4 million decrease in interest expense primarily related to the partial pay down of the U.S. dollar term loans, which were partially offset by (i) a $1.4an aggregate $13.5 million increase in interest expense related to the issuance of the 2024 Notes, including $1.0 million of incremental interest expense related to the redemption of the 2021 Notes occurring after the issuanceissuances of the 2024 Notes and (ii) a $0.9 million increase in interest expense related to our U.S. dollar term loans primarily due to an increase in interest rates.2029 Notes.
Triple-Net Portfolio Operating Expenses
During the six months ended June 30, 2019,2020, we recognized $11.5$10.2 million of triple-net portfolio operating expenses of which $9.0compared to $11.5 million is due tofor the adoption of Topic 842, which now requires lessor costs that are paid by the lessor and reimbursed by the lessee to be included in the measurement of variable lease revenue and the associated expense, and the remaining $2.5six months ended June 30, 2019. The $1.3 million net decrease is primarily duerelated to (i) a $0.3 million decrease related to property taxes paid during the six months ended June 30, 2020 on facilities that are not expectedwere transitioned to be reimbursed by our tenants.a new operator who is now paying the property taxes directly and (ii) a $0.5 million decrease related to properties disposed of after January 1, 2019.
Senior Housing - Managed Portfolio Operating Expenses
During the six months ended June 30, 2019,2020, we recognized $36.3$55.2 million of operating expenses compared to $24.4$36.3 million for the six months ended June 30, 2018.2019. The $11.9$19.0 million net increase is primarily due to an $11.9(i) a $13.7 million increase from the 21 Holiday Communitiescommunities and one Senior Housing - Leased community that were transitioned to Senior Housing - Managed communities in April 2019 partially offset byand November 2019, respectively, and (ii) a $0.7$3.3 million decreaseincrease from onetwo Senior Housing - Managed community disposed ofcommunities acquired after January 1, 2018.2019. The remaining increase is primarily due to increased supplies and labor needs related to the COVID-19 pandemic.
General and Administrative Expenses
General and administrative expenses include compensation-related expenses as well as professional services, office costs, other costs associated with asset management, and merger and acquisition costs. During the six months ended June 30, 2019,2020, general and administrative expenses were $16.2$17.4 million compared to $17.6$16.2 million during the six months ended June 30, 2018.2019. The $1.3$1.2 million net decreaseincrease is primarily related to (i)an increase in employee compensation as a $1.7 million decrease in legal expenses primarily due to expenses incurred duringresult of increased staffing.
Provision for Loan Losses and Other Reserves
During the six months ended June 30, 2018 related to the previously anticipated refinancing of certain Senior Notes, the recovery of previously reserved cash rental income and the repositioning of the CCP portfolio, (ii)2020, we recognized a $0.8 million decrease in transition expenses related to the CCP Mergerprovision for loan losses and (iii) a $0.8 million decrease in expenses incurred by our specialty valuation firm that we sold in March 2018, partially offset by a $1.8 million increase in stock-based compensation expense. The increase in stock-based compensation expense, from $3.8 million during the six months ended June 30, 2018 to $5.6 million during the

six months ended June 30, 2019, isother reserves, primarily due to a change in performance-based vesting assumptions on management’s equity compensation.
Provision for Doubtful Accounts, Straight-Line Rental Income and Loan Losses
associated with loan loss reserves. During the six months ended June 30, 2019, we recognized a $1.4 million provision for doubtful accounts, straight-line rental incomeloan losses and loan losses,other reserves, all of which was associated with loan loss reserves.

Impairment of Real Estate
During the six months ended June 30, 2018,2020, we recognized a $0.5 million provision for doubtful accounts, straight-line rental income and loan losses, which is comprisedno impairment of a $2.2 million increase in reserves on straight-line rental income and a $0.3 million increase in loan loss reserves, partially offset by a $2.0 million recovery of previously reserved cash rental income.
Impairment of Real Estate
real estate. During the six months ended June 30, 2019, we recognized $105.1 million of impairment of real estate, consisting of (i) $92.2 million related to the 30 Senior Care Centers portfolio, including the 28 facilities that we sold on April 1, 2019, and one additional Senior Care Centers facility that we transitioned to another operator, which includesamount included $10.2 million related to our estimated contractual indemnification obligations, and (ii) $12.9 million related to four additional skilled nursing/transitional care facilities. facilities that were subsequently sold.
Loss on Extinguishment of Debt
During the six months ended June 30, 2018,2020, we recognized $1.4a $0.4 million loss on extinguishment of impairment of real estatedebt related to one senior housing community and one skilled nursing/transitional care facility. The senior housing community was sold duringwrite-offs of deferred financing costs in connection with the six months ended June 30, 2018.
Loss on Extinguishmentsale of Debt
two facilities that secured two mortgage notes. During the six months ended June 30, 2019, we recognized a $10.1 million loss on extinguishment of debt in connection with the redemption of the 2021 Notes, including $6.9 million in payments made to noteholders and legal fees for early redemption and $3.2 million of write-offs associated with unamortized deferred financing and premium costs.
Other Income
During the six months ended June 30, 2018,2020, we did not recognize any loss on extinguishmentrecognized $2.2 million of debt.
Other Income
other income primarily related to a settlement payment received related to a legacy Care Capital Properties, Inc. (“CCP”) investment. During the six months ended June 30, 2019, we recognized $0.2 million of other income duerelated to a settlement payment received related to a legacy CCP investment. During the six months ended June 30, 2018, we recognized $2.8 million of other income, which is primarily comprised of (i) a $2.0 million contingency fee related to a legacy CCP investment, (ii) $0.6 million related to cash payments received from two facilities not subject to a lease and (iii) $0.2 million related to the sale of our specialty valuation firm.
Net Gain on Sales of Real Estate
During the six months ended June 30, 2020, we recognized an aggregate net gain on the sales of real estate of $0.1 million related to the disposition of six skilled nursing/transitional care facilities. During the six months ended June 30, 2019, we recognized an aggregate net gain on the sales of real estate of $1.2 million related to the disposition of 31 skilled nursing/transitional care facilities and seven senior housing communities. During the six months ended June 30, 2018, we recognized a net gain on the sale of real estate of $142.4 million related to the disposition of 33 skilled nursing/transitional care facilities and four senior housing communities
Loss from Unconsolidated Joint Venture
During the six months ended June 30, 2019,2020, we recognized $15.8 million of loss from our unconsolidated joint venture compared to $5.0 million of loss from the Enlivant Joint Venture compared to $1.9 million for the six months ended June 30, 2018.2019. The $3.1$10.8 million net increase is primarily related to (i) a $1.7$10.8 million net loss on the sale of two11 senior housing communities, (ii) a $1.9$3.0 million increase in operating expenses, which includes $2.7 million of expenses related to increased supplies and labor needs related to the COVID-19 pandemic and (iii) a $1.5 million decrease in revenues primarily due to decreases in occupancy, partially offset by a $2.6 million decrease in interest expense primarily due to an increasea decrease in interest rates and (iii) a $0.3 million increase in income tax expense, partially offset by a $1.1 million increase in revenues net of operating expenses primarily due to increased occupancy and rates.
Income Tax Expense
During the six months ended June 30, 2019,2020, we recognized $1.5 million of income tax expense, compared to $1.1which is consistent with the $1.5 million forof income tax expense recognized during the six months ended June 30, 2018. The increase is primarily due to the increase in Senior Housing - Managed communities.2019.
Funds from Operations and Adjusted Funds from Operations
We believe that net income attributable to common stockholders as defined by GAAP is the most appropriate earnings measure. We also believe that funds from operations attributable to common stockholders (“FFO”), as defined in accordance with the definition used by the National Association of Real Estate Investment Trusts (“NAREIT”Nareit”), and adjusted funds from operations attributable to common stockholders (“AFFO”) (and related per share amounts) are important non-GAAP

supplemental measures of our operating performance. Because the historical cost accounting convention used for real estate assets requires straight-line depreciation (except on land), such accounting presentation implies that the value of real estate assets diminishes predictably over time. However, since real estate values have historically risen or fallen with market and other conditions, presentations of operating results for a REIT that uses historical cost accounting for depreciation could be less informative. Thus, NAREITNareit created FFO as a supplemental measure of operating performance for REITs that excludes historical cost depreciation and amortization, among other items, from net income attributable to common stockholders, as defined by GAAP. FFO is defined as net income attributable to common stockholders, computed in accordance with GAAP, excluding gains or losses from real estate dispositions and our share of gains or losses from real estate dispositions related to our unconsolidated joint venture, plus real estate depreciation and amortization, net of amounts related to noncontrolling interests, plus our share of depreciation and amortization related to our unconsolidated joint venture, and real estate impairment charges. AFFO is defined as FFO excluding merger and acquisition costs, stock-based compensation expense, straight-linenon-cash rental income adjustments, amortization of above and below market lease intangibles,related revenues, non-cash interest income, adjustments, non-cash interest expense, change in fair value of contingent consideration, non-cash portion of loss on extinguishment of debt,

provision for doubtful straight-line rental income, loan losses and other reserves, non-cash lease termination income and deferred income taxes, as well as other non-cash revenue and expense items (including ineffectiveness gain/loss on derivative instruments, and non-cash revenue and expense amounts related to noncontrolling interests) and our share of non-cash adjustments related to our unconsolidated joint venture. We believe that the use of FFO and AFFO (and the related per share amounts), combined with the required GAAP presentations, improves the understanding of our operating results among investors and makes comparisons of operating results among REITs more meaningful. We consider FFO and AFFO to be useful measures for reviewing comparative operating and financial performance because, by excluding the applicable items listed above, FFO and AFFO can help investors compare our operating performance between periods or as compared to other companies. While FFO and AFFO are relevant and widely used measures of operating performance of REITs, they do not represent cash flows from operations or net income attributable to common stockholders as defined by GAAP and should not be considered an alternative to those measures in evaluating our liquidity or operating performance. FFO and AFFO also do not consider the costs associated with capital expenditures related to our real estate assets nor do they purport to be indicative of cash available to fund our future cash requirements. Further, our computation of FFO and AFFO may not be comparable to FFO and AFFO reported by other REITs that do not define FFO in accordance with the current NAREITNareit definition or that interpret the current NAREITNareit definition or define AFFO differently than we do.

The following table reconciles our calculations of FFO and AFFO for the three and six months ended June 30, 20192020 and 20182019, to net income attributable to common stockholders, the most directly comparable GAAP financial measure, for the same periods (in thousands, except share and per share amounts):
Three Months Ended June 30, Six Months Ended June 30,Three Months Ended June 30, Six Months Ended June 30,
2019 2018 2019 20182020 2019 2020 2019
Net income attributable to common stockholders$83,677
 $193,580
 $5,973
 $253,490
$29,623
 $83,677
 $64,840
 $5,973
Depreciation and amortization of real estate assets49,476
 46,828
 94,425
 94,833
44,202
 49,476
 88,370
 94,425
Depreciation and amortization of real estate assets related to noncontrolling interests(39) (40) (79) (80)
Depreciation and amortization of real estate assets related to noncontrolling interest
 (39) 
 (79)
Depreciation and amortization of real estate assets related to unconsolidated joint venture5,347
 6,163
 10,663
 10,715
5,549
 5,347
 11,134
 10,663
Net gain on sales of real estate(2,755) (142,903) (1,235) (142,431)(330) (2,755) (113) (1,235)
Net loss on sales of real estate related to unconsolidated joint venture1,690
 
 1,690
 
9,079
 1,690
 10,808
 1,690
Impairment of real estate2,002
 881
 105,136
 1,413

 2,002
 
 105,136
              
FFO attributable to common stockholders139,398
 104,509
 216,573
 217,940
88,123
 139,398
 175,039
 216,573
              
Merger and acquisition costs56
 112
 62
 442
269
 56
 428
 62
Stock-based compensation expense2,795
 2,704
 5,570
 3,839
2,375
 2,795
 4,735
 5,570
Straight-line rental income adjustments(5,242) (12,189) (10,710) (23,752)
Amortization of above and below market lease intangibles, net(1,601) (684) 2,703
 (1,368)
Non-cash interest income adjustments(563) (604) (1,125) (1,174)
Non-cash rental and related revenues(6,202) (6,843) (6,567) (8,007)
Non-cash interest income(574) (563) (1,135) (1,125)
Non-cash interest expense2,762
 2,516
 5,323
 4,997
2,225
 2,762
 4,458
 5,323
Non-cash portion of loss on extinguishment of debt3,224
 
 3,224
 
392
 3,224
 392
 3,224
Provision for doubtful straight-line rental income, loan losses and other reserves193
 311
 1,400
 2,492
Provision for loan losses and other reserves129
 193
 796
 1,400
Non-cash lease termination income(9,725) 
 (9,725) 

 (9,725) 
 (9,725)
Other non-cash adjustments related to unconsolidated joint venture1,031
 782
 2,146
 1,014
404
 1,031
 943
 2,146
Other non-cash adjustments46
 15
 98
 30
133
 46
 27
 98
              
AFFO attributable to common stockholders$132,374
 $97,472
 $215,539
 $204,460
$87,274
 $132,374
 $179,116
 $215,539
              
FFO attributable to common stockholders per diluted common share
$0.76
 $0.58
 $1.20
 $1.22
$0.43
 $0.76
 $0.85
 $1.20
              
AFFO attributable to common stockholders per diluted common share$0.72
 $0.54
 $1.19
 $1.14
$0.42
 $0.72
 $0.87
 $1.19
              
Weighted average number of common shares outstanding, diluted:              
FFO attributable to common stockholders182,254,100
 178,684,024
 180,637,059
 178,600,789
206,219,162
 182,254,100
 206,194,282
 180,637,059
              
AFFO attributable to common stockholders183,007,434
 179,226,155
 181,457,685
 179,215,960
207,003,252
 183,007,434
 206,933,563
 181,457,685
              

The following table sets forth additional information related to certain other items included in net income attributable to common stockholders above, and the portions of each that are included in FFO and AFFO attributable to common stockholders, which may be helpful in assessing our operating results. Please refer to “—Results of Operations” above for additional information regarding these items (in millions):

 Three Months Ended June 30, Six Months Ended June 30,
 2019 2018 2019 2018 2019 2018 2019 2018 2019 2018 2019 2018
 Net Income FFO AFFO Net Income FFO AFFO
Reduction of revenues related to above/below market lease intangible write-offs (1)
$
 $
 $
 $
 $
 $
 $5.9
 $
 $5.9
 $
 $
 $
Lease termination income (2)
66.9
 
 66.9
 
 57.2
 
 66.9
 
 66.9
 
 57.2
 
Income on repayment of loan (2)

 0.9
 
 0.9
 
 0.9
 
 0.9
 
 0.9
 
 0.9
Incremental interest expense related to the redemption of the 2021 Notes1.0
 
 1.0
 
 1.0
 
 1.0
 
 1.0
 
 1.0
 
Previously anticipated Senior Notes refinancing expenses (3)

 0.6
 
 0.6
 
 0.6
 
 0.6
 
 0.6
 
 0.6
CCP transition expenses (3)

 0.3
 
 0.3
 
 0.3
 0.1
 0.9
 0.1
 0.9
 0.1
 0.9
Legal fees related to the recovery of previously reserved cash rental income (3)

 0.3
 
 0.3
 
 0.3
 
 0.6
 
 0.6
 
 0.6
Merger and acquisition costs (3)
0.1
 0.1
 0.1
 0.1
 
 
 0.1
 0.4
 0.1
 0.4
 
 
Provision for (recovery of) doubtful accounts0.2
 (0.7) 0.2
 (0.7) 
 (1.0) 1.4
 0.5
 1.4
 0.5
 
 (2.0)
Loss on extinguishment of debt(10.1) 
 (10.1) 
 (6.9) 
 (10.1) 
 (10.1) 
 (6.9) 
Other income
 
 
 
 
 
 0.2
 2.8
 0.2
 2.8
 0.2
 2.8
Deferred income tax expense (4)
0.6
 0.6
 0.6
 0.6
 
 
 1.1
 1.1
 1.1
 1.1
 
 
Preferred stock redemption charge (5)

 5.5
 
 5.5
 
 5.5
 
 5.5
 
 5.5
 
 5.5
                        
 Three Months Ended June 30, Six Months Ended June 30,
 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019
 Net Income FFO AFFO Net Income FFO AFFO
Rental and related revenues:                       
Reduction of revenues related to non-cash receivable balances / lease intangible write-offs$0.4
 $
 $0.4
 $
 $
 $
 $6.5
 $5.9
 $6.5
 $5.9
 $
 $
Interest and other income:                       
Lease termination income
 66.9
 
 66.9
 
 57.2
 
 66.9
 
 66.9
 
 57.2
Incremental interest expense related to the redemption of the 2021 Notes
 1.0
 
 1.0
 
 1.0
 
 1.0
 
 1.0
 
 1.0
Senior housing - managed portfolio operating expenses:                       
COVID-19 pandemic related expenses1.7
 
 1.7
 
 1.7
 
 2.0
 
 2.0
 
 2.0
 
General and administrative expense:                       
CCP transition expenses
 
 
 
 
 
 0.1
 0.1
 0.1
 0.1
 0.1
 0.1
Merger and acquisition costs0.3
 0.1
 0.3
 0.1
 
 
 0.4
 0.1
 0.4
 0.1
 
 
Provision for doubtful accounts0.1
 0.2
 0.1
 0.2
 
 
 0.8
 1.4
 0.8
 1.4
 
 
Loss on extinguishment of debt0.4
 10.1
 0.4
 10.1
 
 6.9
 0.4
 10.1
 0.4
 10.1
 
 6.9
Other (expense) income(0.1) 
 (0.1) 
 
 
 2.2
 0.2
 2.2
 0.2
 2.1
 0.2
Loss from unconsolidated joint venture:                       
Deferred income tax expense0.1
 0.6
 0.1
 0.6
 
 
 0.4
 1.1
 0.4
 1.1
 
 
COVID-19 pandemic related expenses2.3
 
 2.3
 
 2.3
 
 2.7
 
 2.7
 
 2.7
 
                        
(1)

Reflected in rental and related revenues on the accompanying condensed consolidated statements of income.
(2)
Reflected in interest and other income on the accompanying condensed consolidated statements of income.
(3)
Reflected in general and administrative expenses on the accompanying condensed consolidated statements of income.
(4)
Reflected in loss from unconsolidated joint venture on the accompanying condensed consolidated statements of income.
(5)
Reflected in preferred stock dividends on the accompanying condensed consolidated statements of income.
Liquidity and Capital Resources
As of June 30, 2019,2020, we had approximately $772.4$955.3 million in liquidity, consisting of unrestricted cash and cash equivalents of $47.4$28.3 million (excluding joint venture cash and cash equivalents), and available borrowings under our Revolving Credit Facility of $725.0$927.0 million. The Credit FacilityAgreement (as defined below) also contains an accordion feature that can increase the total available borrowings to $2.5 billion (from U.S. $2.1 billion plus CAD $125.0 million), subject to terms and conditions.
In addition, subsequent to June 30, 2019, we obtained commitments for an amended and restated credit facility that we expect will close in August 2019. The amended and restated credit facility is expected to extend the maturities in the current Credit Facility (from August 2021 for the Revolving Credit Facility to August 2023, and from various maturities through August 2022 for the Term Loans to various maturities through August 2024), to decrease interest rates (by 15 basis points on the Revolving Credit Facility and by 20 basis points on the Term Loans), and to contain an accordion feature that can increase the total available borrowings to $2.75 billion (from U.S. $2.1$2.0 billion plus CAD $125.0 million), subject to terms and conditions. There can be no assurances that the amended and restated credit facility will be entered into on the foregoing terms or timing or at all.
We have filed a shelf registration statement with the SEC that expires in January 2020,December 2022, which allows us to offer and sell shares of common stock, preferred stock, warrants, rights, units, and certain of our subsidiaries to offer and sell debt securities, through underwriters, dealers or agents or directly to purchasers, on a continuous or delayed basis, in amounts, at prices and on terms we determine at the time of the offering, subject to market conditions.
On February 25,December 11, 2019, we entered intoestablished an at-the-market equity distribution agreementoffering program (the “Distribution Agreement”“ATM Program”) withpursuant to which shares of our common stock having an aggregate gross sales price of up to $400.0 million may be sold from time to time (i) by us through a consortium of banks acting as sales agents (the “Sales Agents”)or directly to sellthe banks acting as principals or (ii) by a consortium of banks acting as forward sellers on behalf of any forward purchasers pursuant to a forward sale agreement. No shares of our common stock having aggregate gross proceeds of up to $500.0 million from time to time throughwere sold under the Sales Agents (the “ATM Program”). DuringATM Program during the three andmonths ended June 30, 2020. During the six months ended June 30, 2019,2020, we sold 11.10.2 million shares under the ATM Program at an average price of $20.33 per share, generating gross proceeds of $217.3$3.9 million, before $3.3$0.1 million of commissions. As of June 30, 2019,2020, we have not utilized the forward feature of the ATM Program and we had $282.7$336.1 million available under the ATM Program. Subject to market conditions, we expect to use proceeds from our ATM Program to reduce our outstanding indebtedness and to finance future investments in properties.

WeBased on our current assessment of the impact of the COVID-19 pandemic on our company, we believe that our available cash, operating cash flows and borrowings available to us under our Revolving Credit Facility provide sufficient funds for our operations, scheduled debt service payments and dividend requirements for the next twelve months. In addition, we do not believe that the restrictions under our Senior Notes Indentures (as defined below) or Credit FacilityAgreement significantly limit our ability to use our available liquidity for these purposes.
WeGiven current market conditions, we expect to use our available liquidity for general corporate purposes and to fund operations as necessary. Recent disruptions in the equity and debt markets have significantly increased our cost of capital and have made it difficult to establish market values for potential real estate investments, and accordingly we do not expect to make any material real estate investments as long as these market conditions persist.
Should market conditions improve, we intend to once again invest in additional healthcare properties as suitable opportunities arise and adequate sources of financing are available. We expect that future investments in properties, including any improvements or renovations of current or newly-acquired properties, will depend on and will be financed, in whole or in part, by our existing cash, borrowings available to us under our Revolving Credit Facility, future borrowings or the proceeds from issuances of common stock (including through our ATM Program), preferred stock, debt or other securities. In addition, we may seek financing from U.S. government agencies, including through Fannie Mae, Freddie Mac and HUD,the U.S. Department of Housing and Urban Development, in appropriate circumstances in connection with acquisitions. We also use derivative instruments in the normal course of business to mitigate interest rate and foreign currency risk.
Cash Flows from Operating Activities
Net cash provided by operating activities was $191.9$168.6 million for the six months ended June 30, 2019.2020. Operating cash inflows were derived primarily from the rental payments received under our lease agreements, resident fees and services net of the corresponding operating expenses and interest payments from borrowers under our loan investments. In addition, net cash provided by operating activities for the six months ended June 30, 2019 includes a $57.2 million lease termination payment in connection with the transition of the Holiday Communities to our Senior Housing - Managed portfolio. Operating cash outflows consisted primarily of interest payments on borrowings and payment of general and administrative expenses, including corporate overhead. We expect our annualized cash flows provided by operating activities to fluctuate as a result of completed investment and disposition activity and anticipated future changes in our portfolio.
Cash Flows from Investing Activities
During the six months ended June 30, 2019,2020, net cash provided byused in investing activities was $317.9$99.0 million and consistedincluded $92.9 million used for the acquisition of $322.7four facilities, $19.9 million in sales proceeds relatedused for additions to the disposition of 38 real estate facilities, $10.1 million in repayments of loans receivable and $2.5 million in repayments of preferred equity investments, partially offset by $8.8$1.7 million used to provide additional funding for existing loans receivable, and $8.6partially offset by $9.5 million used for tenant improvements.
We expectin sales proceeds related to continue using available liquidity and proceeds from salesthe disposition of our common stock under the ATM Program to fund anticipated futuresix real estate investments, loan originations,facilities, $3.1 million in repayments of preferred equity investments, $1.6 million in repayments of loans receivable and capital expenditures.$1.3 million in distributions in excess of earnings from unconsolidated joint venture.
Cash Flows from Financing Activities
During the six months ended June 30, 2019,2020, net cash used in financing activities was $512.2$81.6 million and included the redemption of $500.0 million aggregate principal amount of outstanding 2021 Notes, $161.7$154.1 million of dividends paid to stockholders, $6.9 million of payments related to extinguishment of debt, $4.4 million of payments of deferred financing costs and $1.7 million of principal repayments on secured debt and $0.7 million of payments of deferred financing costs, partially offset by $300.0 million of gross proceeds from the issuance of the 2024 Notes and $211.6$1.9 million of net proceeds from shares sold through our ATM Program, net of payroll tax payments related to the issuance of common stock pursuant to equity compensation arrangements as well as expenses with respect to establishing the ATM Program.arrangements. In addition, during the six months ended June 30, 2019,2020, we repaidborrowed a net amount of $349.0$73.0 million on our Revolving Credit Facility.
In March 2020, we announced a significant reduction to our quarterly dividend, which reduction was implemented by our board of directors on May 6, 2020 when it declared a quarterly cash dividend of $0.30 per share of common stock. We took this step to help focus our capital resources and liquidity on maintaining our balance sheet strength and enhancing our ability to assist our operators in their time of need. We expect that our board of directors will re-evaluate the quarterly dividend once the COVID-19 pandemic has passed.
Please see the accompanying condensed consolidated statements of cash flows for details of our operating, investing and financing cash activities.
Loan Agreements
20212024 Notes. On January 23, 2014,May 29, 2019, the Operating Partnership and Sabra Capital Corporation, wholly owned subsidiaries of Sabra (the “Issuers”), issued $350.0 million aggregate principal amount of 5.5% senior unsecured notes due 2021 (the “Original 2021 Notes”), providing net proceeds of approximately $340.8 million after deducting underwriting discounts and other offering expenses. On October 10, 2014, the Issuers issued an additional $150.0 million aggregate principal amount of 5.5% senior unsecured notes due 2021 (together with the Original 2021 Notes, the “2021 Notes”), providing net proceeds of approximately $145.6 million (not including pre-issuance accrued interest), after deducting underwriting discounts and other offering expenses. On June 29, 2019, we redeemed the 2021 Notes at a premium of 101.375%, plus accrued and unpaid interest. The redemption resulted in $10.1 million of redemption related costs and write-offs.
2023 Notes. On May 23, 2013, the Issuers issued $200.0 million aggregate principal amount of 5.375% senior notes due 2023 (the “2023 Notes”), providing net proceeds of approximately $194.6 million after deducting underwriting discounts and other offering expenses.

2024 Notes. On May 29, 2019, the Issuers issued $300.0 million aggregate principal amount of 4.80% senior notes due 2024 (the “2024 Notes”), providing net proceeds of approximately $295.3 million after deducting underwriting discounts and other offering expenses. In connection with the October 2019 redemption of other senior notes of the Issuers, Sabra Capital Corporation’s obligations as a co-issuer were automatically released and discharged.

2026 and 2027 Notes. In connection with theour merger with CCP, Merger, on August 17, 2017, Sabra assumed $500 million aggregate principal amount of 5.125% senior notes due 2026 (the “2026 Notes”) and $100 million aggregate principal amount of 5.38%5.88% senior notes due 2027 (the “2027 Notes”).
2029 Notes. On October 7, 2019, the Issuers issued $350.0 million aggregate principal amount of 3.90% senior notes due 2029 (the “2029 Notes” and, together with the 20232024 Notes, the 20242026 Notes and the 20262027 Notes, the “Senior Notes”)., providing net proceeds of $340.5 million after deducting underwriting discounts and other offering expenses. In connection with the October 2019 redemption of other senior notes of the Issuers, Sabra Capital Corporation’s obligations as a co-issuer were automatically released and discharged.
See Note 7, “Debt,” in the Notes to Condensed Consolidated Financial Statements for additional information concerning the Senior Notes, including information regarding the indentures and agreements governing the Senior Notes (the “Senior Notes Indentures”). As of June 30, 2019,2020, we were in compliance with all applicable covenants under the Senior Notes Indentures.
Guarantor Financial Information. The 2024 Notes are issued by the Operating Partnership and fully and unconditionally guaranteed, jointly and severally, by us and one of our non-operating subsidiaries, subject to release under certain customary circumstances as described below. In connection with the Operating Partnership’s assumption of the 2026 Notes, we have fully and unconditionally guaranteed the 2026 Notes, subject to release under certain circumstances as described below. The 2029 Notes are issued by the Operating Partnership and guaranteed, fully and unconditionally, by us.
These guarantees are subordinated to all existing and future senior debt and senior guarantees of the applicable guarantors and are unsecured. We conduct all of our business through and derive virtually all of our income from our subsidiaries. Therefore, our ability to make required payments with respect to our indebtedness (including the Senior Notes) and other obligations depends on the financial results and condition of our subsidiaries and our ability to receive funds from our subsidiaries.
A guarantor will be automatically and unconditionally released from its obligations under the guarantee with respect to the 2024 Notes in the event of:
Any sale of the subsidiary guarantor or of all or substantially all of its assets;
A merger or consolidation of the subsidiary guarantor with the Operating Partnership or Sabra, provided that the surviving entity remains a guarantor;
The requirements for legal defeasance or covenant defeasance or to discharge the indentures governing the 2024 Notes have been satisfied;
A liquidation or dissolution, to the extent permitted under the indenture governing the 2024 Notes, of the subsidiary guarantor;
The release or discharge of the guaranty that resulted in the creation of the subsidiary guaranty, except a discharge or release by or as a result of payment under such guaranty; or
If the subsidiary guarantor is not a guarantor or is not otherwise liable in respect of any obligations under any credit facility (as defined in the indenture governing the 2024 Notes) of us or any of our subsidiaries.
We will be automatically and unconditionally released from our obligations under the guarantee with respect to the 2026 Notes in the event of:
A liquidation or dissolution, to the extent permitted under the indenture governing the 2026 Notes;
A merger or consolidation, provided that the surviving entity remains a guarantor; or
The requirements for legal defeasance or covenant defeasance or to discharge the indenture governing the 2026 Notes have been satisfied.
Pursuant to amendments to Regulation S-X, the following aggregate summarized financial information is provided for Sabra, the Operating Partnership and Sabra Health Care, L.L.C. (the guarantor subsidiary of the 2024 Notes). This aggregate summarized financial information has been prepared from the books and records maintained by us, the Operating Partnership and Sabra Health Care, L.L.C. The aggregate summarized financial information does not include the investments in non-guarantor subsidiaries nor the earnings from non-guarantor subsidiaries and therefore is not necessarily indicative of the results of operations or financial position had the Operating Partnership and Sabra Health Care, L.L.C. operated as independent entities. Intercompany transactions have been eliminated. The aggregate summarized balance sheet information as of June 30, 2020 and December 31, 2019 and aggregate summarized statement of loss information for the six months ended June 30, 2020 is as follows (in thousands):

  June 30, 2020 December 31, 2019
     
Total assets $41,156
 $52,597
     
Total liabilities 2,353,873
 2,241,501
     
     
  Six Months Ended June 30, 2020  
     
Total revenues 28
  
     
Total expenses 60,570
  
     
Net loss (61,406)  
     
Net loss attributable to common stockholders (61,406)  
     
Credit FacilityAgreement. Effective on August 17, 2017,September 9, 2019, the Operating Partnership and Sabra Canadian Holdings, LLC (together, the “Borrowers”), Sabra and the other parties thereto entered into a fourthfifth amended and restated unsecured credit facilityagreement (the “Credit Facility”Agreement”).
The Credit FacilityAgreement includes a $1.0 billion revolving credit facility (the “Revolving Credit Facility”), $1.1 billion$955.0 million in U.S. dollar term loans and a CAD $125.0 million Canadian dollar term loan (collectively, the “Term Loans”). Further, up to $175.0 million of the Revolving Credit Facility may be used for borrowings in certain foreign currencies. The Credit FacilityAgreement also contains an accordion feature that can increase the total available borrowings to $2.5$2.75 billion, subject to terms and conditions.
The Revolving Credit Facility has a maturity date of August 17, 2021,September 9, 2023, and includes two six-month extension options. $200.0$105.0 million of the U.S. dollar Term Loans has a maturity date of August 17, 2020,September 9, 2022, $350.0 million of the U.S. dollar Term Loans has a maturity date of September 9, 2023, and the other Term Loans have a maturity date of August 17, 2022.September 9, 2024.
The obligations of the Borrowers under the Credit FacilityAgreement are fully and unconditionally guaranteed, jointly and severally, on an unsecured basis, by us and certainone of our subsidiaries.non-operating subsidiaries, subject to release under certain customary circumstances.
See Note 7, “Debt,” in the Notes to Condensed Consolidated Financial Statements for additional information concerning the Credit Facility,Agreement, including information regarding covenants contained in the Credit Facility.Agreement. As of June 30, 2019,2020, we were in compliance with all applicable covenants under the Credit Facility.Agreement.
Secured Indebtedness
Of our 432427 properties held for investment, 1614 are subject to secured indebtedness to third parties that, as of June 30, 2019,2020, totaled approximately $116.4 million.$98.1 million. As of June 30, 20192020 and December 31, 2018,2019, our secured debt consisted of the following (dollars in thousands):
Interest Rate Type 
Principal Balance as of
June 30, 2019
(1)
 
Principal Balance as of
December 31, 2018
 (1)
 
Weighted Average
Effective Interest Rate at
June 30, 2019
(2)
 Maturity
Date
 
Principal Balance as of
June 30, 2020
(1)
 
Principal Balance as of
December 31, 2019
 (1)
 
Weighted Average
Interest Rate at
June 30, 2020
(2)
 Maturity
Date
Fixed Rate $116,421
 $117,464
 3.67% December 2021 - 
August 2051
 $98,141
 $114,777
 3.48% December 2021 - 
August 2051
(1) 
Principal balance does not include deferred financing costs, net of $1.7$1.3 million and $1.8$1.7 million as of June 30, 20192020 and December 31, 2018,2019, respectively.
(2) 
Weighted average effective interest rate includes private mortgage insurance.
Capital Expenditures
We had $8.6$19.9 million and $16.8$8.6 million of capital expenditures for the six months ended June 30, 20192020 and 2018,2019, respectively. There are no present plans for the improvement or development of any unimproved or undeveloped property; however, from time to time we may agree to fund improvements our tenants make at our facilities. Accordingly, we anticipate that our aggregate capital expenditure requirements for the next 12 months will not exceed $64.0 million, and that such expenditures will principally be for improvements to our facilities and will not exceed $74.0 million, of which $44.0 million will directly result in incremental rental income.
Dividends
We paid dividends of $161.7$154.1 million on our common stock during the six months ended June 30, 2019.2020. On August 7, 2019,5,

2020, our board of directors declared a quarterly cash dividend of $0.45$0.30 per share of common stock. The dividend will be paid on August 30, 201931, 2020 to common stockholders of record as of August 20, 2019.

17, 2020.
Concentration of Credit Risk
Concentrations of credit risk arise when a number of operators, tenants or obligors related to our investments are engaged in similar business activities, or activities in the same geographic region, or have similar economic features that would cause their ability to meet contractual obligations, including those to us, to be similarly affected by changes in economic conditions. We regularly monitor our portfolio to assess potential concentrations of risks.
Management believes our current portfolio is reasonably diversified across healthcare related real estate and geographical location and does not contain any other significant concentration of credit risks. Our portfolio of 432427 real estate properties held for investment as of June 30, 20192020 is diversified by location across the United States and Canada.
For the three and six months ended June 30, 2019,2020, no tenant relationship represented 10% or more of our total revenues.
Skilled Nursing Facility Reimbursement Rates
For the six months ended June 30, 2019 (excluding the one-time lease termination income of $66.9 million), 56.8%2020, 53.7% of our revenues was derived directly or indirectly from skilled nursing/transitional care facilities. Medicare reimburses skilled nursing facilities for Medicare Part A services under the Prospective Payment System (“PPS”), as implemented pursuant to the Balanced Budget Act of 1997 and modified pursuant to subsequent laws, most recently the Patient Protection and Affordable Care Act of 2010. PPS regulations predetermine a payment amount per patient, per day, based on a market basket index calculated for all covered costs. The
Prior to October 1, 2019, the amount to be paid iswas determined by classifying each patient into one of 66 Resource Utilization Group (“RUG”) categories that representrepresented the level of services required to treat different conditions and levels of acuity.
The current system of 66 RUG categories, or Resource Utilization Group, version IV (“RUG IV”), became effective as of October 1, 2010. RUG IV resulted from research performed by the Centers for Medicare & Medicaid Services (“CMS”) and was part of CMS’s continuing effort to increase the correlation of the cost of services to the condition of individual patients.
On July 31, 2018, CMS issued a final rule, CMS-1696-F, which includes changes to the case-mix classification system used under the PPS and fiscal year 2019 Medicare payment updates.
CMS-1696-F includes a new case-mix classification system called the skilled nursing facility Patient-Driven Payment Model (“PDPM”) that will becomebecame effective on October 1, 2019. PDPM reflects significant changes to the Resident Classification System, Version I (“RCS-I”) that was being considered to replace RUG IV as outlined in an Advanced Notice of Proposed Rulemaking released by CMS in May 2017.
PDPM focuses on clinically relevant factors, rather than volume-based service, for determining Medicare payment. PDPM adjusts Medicare payments based on each aspect of a resident’s care, most notably for non-therapy ancillaries, which are items and services not related to the provision of therapy such as drugs and medical supplies, thereby more accurately addressing costs associated with medically complex patients. It further adjusts the skilled nursing facility per diem payments to reflect varying costs throughout the stay and incorporates safeguards against potential financial incentives to ensure that beneficiaries receive care consistent with their unique needs and goals.
Based on changes contained within CMS-1696-F, CMS estimates that the fiscal year 2019 aggregate impact will be an increase of $820 million in Medicare payments to skilled nursing facilities, resulting from the fiscal year 2019 market basket update required to be 2.4% by the Bipartisan Budget Act of 2018. Absent the application of this statutory requirement, the fiscal year 2019 market basket update factor would have been 2.0% (comprised of a market basket index of 2.8% less the productivity adjustment of 0.8%). This 2.0% update would have resulted in an estimated aggregate increase of $670 million in Medicare payments to skilled nursing facilities. The new payment rates became effective on October 1, 2018.
On July 30, 2019, CMS released final fiscal year 2020 Medicare rates for skilled nursing facilities providing an estimated net increase of 2.4% over fiscal year 2019 payments (comprised of a market basket increase of 2.8% less the productivity adjustment of 0.4%). The new payment rates becomebecame effective on October 1, 2019.
On July 31, 2020, CMS released final fiscal year 2021 Medicare rates for skilled nursing facilities providing an estimated net increase of 2.2% over fiscal year 2020 payments (comprised of a market basket increase of 2.2% and no productivity adjustment). The new payment rates become effective on October 1, 2020.
In response to the COVID-19 pandemic, several federal relief packages were approved that could benefit our tenants, especially our tenants that operate skilled nursing/transitional care facilities.
On March 18, 2020, President Trump signed into law the Families First Coronavirus Response Act (“Families First Act”). Under the Families First Act, a temporary 6.2% increase in Federal Medical Assistance Percentages (FMAP) was approved retroactive to January 1, 2020, and several states have directed FMAP funds to skilled nursing/transitional care facilities.
On March 27, 2020, President Trump signed into law The Coronavirus Aid, Relief, and Economic Security Act (the “CARES Act”). The CARES Act provides for a $100 billion fund for eligible health care providers, which includes skilled

nursing/transitional care operators. The CARES Act also includes a temporary suspension of 2% Medicare sequestration cut beginning May 1, 2020 through December 31, 2020, a deferral of the employer’s Social Security remittances through December 31, 2020, and the establishment of the Paycheck Protection Program, a Small Business Administration loan to businesses with fewer than 500 employees that may be partially forgivable.
In addition to the above, there have been other actions taken that benefit skilled nursing/transitional care operators, including the waiver of the requirement for skilled nursing/transitional care patients to have stayed in a hospital for three days in order for services rendered in a skilled nursing/transitional care facility to qualify for Medicare Part A, the acceleration and advance of three months of Medicare billing, and relaxation of certification requirements for employees performing non-clinical services in these facilities.
The Department of Health and Human Services (“HHS”) extended the COVID-19 Public Health Emergency for another 90 days, effective July 25, 2020, which allows HHS to continue providing temporary regulatory waivers and new rules to equip skilled nursing facilities and some assisted living operators with flexibility to respond to the COVID-19 pandemic.
Obligations and Commitments
The following table summarizes our contractual obligations and commitments in future years, including our secured indebtedness to third parties on certain of our properties, our Revolving Credit Facility, our Term Loans, our Senior Notes and our operating leases. The following table is presented as of June 30, 20192020 (in thousands):
  July 1 through December 31, 2019   Year Ending December 31,      July 1 through December 31, 2020   Year Ending December 31,    
Total 2020 2021 2022 2023 After 2023Total 2021 2022 2023 2024 After 2024
Secured indebtedness (1)
$165,694
 $3,650
 $7,301
 $22,388
 $6,154
 $6,154
 $120,047
$134,626
 $3,148
 $20,773
 $5,196
 $5,196
 $5,196
 $95,117
Revolving Credit Facility (2)
302,144
 6,411
 12,753
 282,980
 
 
 
84,082
 1,749
 3,469
 3,469
 75,395
 
 
Term Loans (3)
1,303,324
 17,804
 233,427
 32,706
 1,019,387
 
 
1,146,920
 12,981
 27,993
 132,129
 371,924
 601,893
 
Senior Notes (4)
1,457,548
 28,198
 56,155
 56,155
 56,155
 250,780
 1,010,105
1,648,698
 29,528
 59,055
 59,055
 59,055
 359,055
 1,082,950
Operating leases3,076
 197
 426
 445
 467
 507
 1,034
2,667
 214
 445
 467
 507
 529
 505
Total$3,231,786
 $56,260
 $310,062
 $394,674
 $1,082,163
 $257,441
 $1,131,186
$3,016,993
 $47,620
 $111,735
 $200,316
 $512,077
 $966,673
 $1,178,572
 
(1) 
Secured indebtedness includes principal payments and interest payments through the applicable maturity dates. Total interest on secured indebtedness, based on contractual rates, is $49.3$36.5 million, which is attributable to fixed rate debt.
(2) 
Revolving Credit Facility includes interest payments and payments related to the facility fee due to the lenders based on the amount of commitments under the Revolving Credit Facility and also includes interest payments through the maturity date (assuming no exercise of our two six-month extension options). Total interest on the Revolving Credit Facility is $27.1 totaling $11.1 million.
(3) 
Term Loans includes interest payments through the applicable maturity dates totaling $107.8 million.$100.3 million, which reflects the impact of interest rate swaps.
(4) 
Senior Notes includes interest payments through the applicable maturity dates totaling $357.5$398.7 million.
In addition to the above, as of June 30, 2019,2020, we have committed to provide up to $3.3$2.2 million of future funding related to threefour loans receivable investments with maturity dates ranging from December 2021September 2020 to December 2022.
Off-Balance Sheet Arrangements
We have a 49% interest in an unconsolidated joint venture. See Note 2, “Summary of Significant Accounting Policies”4, “Investment in Real Estate Properties—Investment in Unconsolidated Joint Venture,” in the Notes to Condensed Consolidated Financial Statements for additional information. We have no other off-balance sheet arrangements that we expect would materially affect our liquidity and capital resources.


ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
We are exposed to various market risks, primarily related to adverse changes in interest rates and the exchange rate for Canadian dollars. We use derivative instruments in the normal course of business to mitigate interest rate and foreign currency risk. We do not use derivative financial instruments for speculative or trading purposes. See Note 8, “Derivative and Hedging Instruments,” in the Notes to Condensed Consolidated Financial Statements for further discussion of our derivative instruments.
Interest rate risk. As of June 30, 2019,2020, our indebtedness included $1.1$1.3 billion aggregate principal amount of Senior Notes outstanding, $116.4$98.1 million of secured indebtedness to third parties on certain of the properties that our subsidiaries own, $1.2$1.0 billion in Term Loans and $275.0$73.0 million outstanding under the Revolving Credit Facility. As of June 30, 2019,2020, we had $1.5$1.1 billion of outstanding variable rate indebtedness and $725.0$927.0 million available for borrowing under our Revolving Credit

Facility. Additionally, as of June 30, 2019,2020, our share of unconsolidated joint venture debt was $373.7$382.3 million, all of which was variable rate indebtedness.
We expect to manage our exposure to interest rate risk by maintaining a mix of fixed and variable rates for our indebtedness. We also may manage, or hedge, interest rate risks related to our borrowings through interest rate swap agreements. As of June 30, 2019,2020, we had 10 interest rate swaps that fix the LIBOR portion of the interest rate for $845.0 million of LIBOR-based borrowings under the U.S. dollar Term Loans at a weighted average rate of 1.19% and twoan interest rate swapsswap that fixfixes the Canadian Dollar Offered Rate (“CDOR”) portion of the interest rate for CAD $90.0 million and CAD $35.0$125.0 million of CDOR-based borrowings under the Canadian dollar Term Loan at 1.59% anda rate of 0.93%, respectively.. As of June 30, 2019,2020, our share of unconsolidated joint venture debt included $368.4 million of LIBOR-based borrowings subject to interest rate cap agreements that cap the LIBOR portion of the interest rate at a weighted average rate of 2.89%.
From time to time, we may borrow under the Revolving Credit Facility to finance future investments in properties, including any improvements or renovations of current or newly acquired properties, or for other purposes. Because borrowings under the Revolving Credit Facility bear interest on the outstanding principal amount at a rate equal to an applicable interest margin plus, at our option, either (a) LIBOR or (b) a base rate determined as the greater of (i) the federal funds rate plus 0.5%, (ii) the prime rate, and (iii) one-month LIBOR plus 1.0%, the interest rate we will be required to pay on any such borrowings will depend on then applicable rates and may vary. An increase in interest rates could make the financing of any investment by us more costly. Rising interest rates could also limit our ability to refinance our debt when it matures or cause us to pay higher interest rates upon refinancing and increase interest expense on refinanced indebtedness.
Assuming a 100 basis point increase or decrease inAs of June 30, 2020, the interest rate related toindex underlying our variable rate debt includingand our share of unconsolidated joint venture debt was below 100 basis points. Assuming a 100 basis point increase in the index or a reduction of this index to zero, and after giving effect to the impact of interest rate swap derivative instruments, net income would decrease by $7.1$5.7 million or increase by $9.0$0.9 million, respectively, for the twelve months following June 30, 2019.2020.

Foreign currency risk. We are exposed to changes in foreign exchange rates as a result of our investments in Canadian real estate. Our foreign currency exposure is partially mitigated through the use of Canadian dollar denominated debt totaling CAD $146.6$145.9 million and cross currency swap instruments. Based on our operating results for the three months ended June 30, 2019,2020, if the value of the Canadian dollar relative to the U.S. dollar were to increase or decrease by 10% compared to the average exchange rate during the three months ended June 30, 2019,2020, our cash flows would have decreased or increased, as applicable, by less than $0.1 million.
ITEM 4. CONTROLS AND PROCEDURES
Disclosure Controls and Procedures
As of the end of the period covered by this report, management, including our chief executive officer and chief financial officer, evaluated the effectiveness of the design and operation of our disclosure controls and procedures. Based upon, and as of the date of, the evaluation, our chief executive officer and chief financial officer concluded that our disclosure controls and procedures were effective as of June 30, 20192020 to ensure that information required to be disclosed in the reports we file or submit under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed by us in the reports we file or submit under the Exchange Act is accumulated and communicated to our management, including our chief executive officer and our chief financial officer, as appropriate to allow timely decisions regarding required disclosure.

Changes in Internal Control Over Financial Reporting
There were no changes in our internal control over financial reporting during the quarter ended June 30, 20192020 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.


PART II. OTHER INFORMATION
ITEM 1. LEGAL PROCEEDINGS
None of the Company or any of its subsidiaries is a party to, and none of their respective property is the subject of, any material legal proceeding, although we are from time to time party to legal proceedings that arise in the ordinary course of our business.
ITEM 1A. RISK FACTORS

There have been no material changes in our assessment of our risk factors from those set forth in Part I, Item 1A of our 20182019 Annual Report on Form 10-K, as updated by the risk factor set forth in Part II, Item 1A of our Quarterly Report on Form 10-Q for the quarter ended March 31, 2019.2020.
ITEM 6. EXHIBITS
Ex.  Description
  
2.1 
   
3.1  
  
3.1.1 
   
3.1.2
3.2  
   
4.110.1+ 
   
10.110.2+* 
22.1*
   
31.1*  
  
31.2*  
   
32.1**  
   
32.2**  
   
101.INS* XBRL Instance Document - the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.
   
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.

Ex.  Description
  
104* Cover Page Interactive Data File - the cover page interactive data file does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.
 
*Filed herewith.
**Furnished herewith.
+Designates a management compensation plan, contract or arrangement.



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.
 
 SABRA HEALTH CARE REIT, INC.
   
Date: August 7, 20195, 2020By:/S/    RICHARD K. MATROS
  Richard K. Matros
  Chairman, President and
  Chief Executive Officer
  (Principal Executive Officer)
   
Date: August 7, 20195, 2020By:/S/    HAROLD W. ANDREWS, JR.
  Harold W. Andrews, Jr.
  Executive Vice President,
  Chief Financial Officer and Secretary
  (Principal Financial and Accounting Officer)

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